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https://www.readbyqxmd.com/read/28904734/a-17-year-old-male-with-a-small-bowel-neuroendocrine-tumor-flushing-differential-diagnosis
#1
Maria Alejandra Forero Molina, Elizabeth Garcia, Deyanira Gonzalez-Devia, Rafael García-Duperly, Alonso Vera
BACKGROUND: Neuroendocrine tumors (NETs) are heterogeneous neoplasms that originate from cells with a secretory function. Small bowel NETs (SB-NETs) are related to serotonin hypersecretion which causes: flushing, diarrhea, abdominal pain, bronchoconstriction and heart involvement, also known as carcinoid syndrome (CS). CS can be confused with an allergic reaction and thus should be considered as a differential diagnosis in the allergy consult. We present the case of a pediatric patient initially referred under the suspicion of food allergies...
2017: World Allergy Organization Journal
https://www.readbyqxmd.com/read/28903762/mesh-penetrating-the-cecum-and-bladder-following-inguinal-hernia-surgery-a-case-report
#2
Hiroshi Asano, Saori Yajima, Yoshie Hosoi, Makoto Takagi, Hiroyuki Fukano, Yasuhiro Ohara, Nozomi Shinozuka, Takaya Ichimura
BACKGROUND: Tension-free repair using mesh is a common inguinal hernia surgical procedure. However, various complications such as mesh-related infection and recurrence may develop as a result. Moreover, although rare, there are also reports of intestinal obstruction caused by adhesion of the mesh to the intestinal wall and cases of mesh migration into various organs. Here, we report our experience with a patient in whom mesh extraction was performed due to migration of mesh into the intestinal tract following inguinal hernia surgery and formation of a fistula with the bladder...
September 14, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28892968/a-rare-case-of-ileocecal-tuberculosis-with-pulmonary-embolism-and-deep-vein-thrombosis
#3
Tan Jih Huei, Tan Chor Lip Henry, Choon Aik Ho, Yuzaidi Mohamad
Venous thromboembolism in tuberculosis is not a well recognised entity. It is a less frequently reported complication of severe pulmonary tuberculosis. It is exceedingly rare when it complicates extrapulmonary tuberculosis. Here, we present a case of 22-year-old young female with abdominal tuberculosis complicated with reverse ileocecal intussusception, deep vein thrombosis and pulmonary embolism. An emergency vena cava filter was inserted prior to a limited right hemicolectomy. In this article, we discuss the rare association of venous thromboembolism with ileocecal tuberculosis...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28883891/the-in-vitro-and-ex-vivo-effect-of-auranta-3001-in-preventing-cryptosporidium-hominis-and-cryptosporidium-parvum-infection
#4
Alexandros Ch Stratakos, Filip Sima, Patrick Ward, Mark Linton, Carmel Kelly, Laurette Pinkerton, Lavinia Stef, Ioan Pet, Tiberiu Iancu, Gratiela Pircalabioru, Nicolae Corcionivoschi
BACKGROUND: Cryptosporidium is a major cause of diarrhea worldwide in both humans and farm animals with no completely effective treatment available at present. In this study, we assessed the inhibitory effect of different concentrations of Auranta 3001 (0.1, 0.5 and 1%), a novel natural feed supplement, on C. hominis and C. parvum invasion of human ileocecal adenocarcinoma (HCT-8), bovine primary cells and C. parvum invasion of HCT-8, bovine primary cells and bovine intestinal biopsies...
2017: Gut Pathogens
https://www.readbyqxmd.com/read/28882972/ileocecal-obstruction-due-to-endometriosis-a-case-report-and-literature-review
#5
Nicolae Bacalbasa, Irina Balescu, Alexandru Filipescu
Endometriosis is a common finding in premenopausal women and a significant number of cases presenting digestive tract involvement at the time of diagnosis. However, most of these patients present pelvic nodules involving the rectosigmoidian junction, other digestive tract segments being less commonly affected. We present the case of a 37-year-old nulliparous woman who presented for diffuse abdominal pain and vomiting; she was diagnosed with complete ileocecal obstruction due to an endometriosis nodule in association with bilateral ovarian endometriosis lesions invading the rectosigmodian wall...
September 2017: In Vivo
https://www.readbyqxmd.com/read/28882576/endoscopic-features-and-clinical-outcomes-of-colorectal-mucosa-associated-lymphoid-tissue-lymphoma
#6
Min Kyung Jeon, Hoonsub So, Jooryung Huh, Hee Sang Hwang, Sung Wook Hwang, Sang Hyoung Park, Dong-Hoon Yang, Kee Don Choi, Byong Duk Ye, Seung-Jae Myung, Suk-Kyun Yang, Jeong-Sik Byeon
BACKGROUND & AIMS: Colorectal mucosa-associated lymphoid tissue (MALT) lymphoma is a rare disease. The purpose of this study was to investigate the clinical and endoscopic features of colorectal MALT lymphoma. METHODS: Patients diagnosed with colorectal MALT lymphoma at Asan Medical Center from 2002 to 2016 were eligible. Medical records were reviewed to investigate clinical features and treatment outcomes. Endoscopic pictures were assessed to characterize the endoscopic features of colorectal MALT lymphoma...
September 4, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28874855/ileocecal-resection-in-crohn-s-disease-remind-group-study
#7
Pavan Dhoble, Philip Abraham, Devendra Desai, Joshi Harshad, Ajinkya Sonambekar
No abstract text is available yet for this article.
September 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/28871499/a-prospective-evaluation-of-ileocecal-valve-dysfunction-and-intestinal-motility-derangements-in-small-intestinal-bacterial-overgrowth
#8
Bani Chander Roland, Gerard E Mullin, Monica Passi, Xi Zheng, Ahmed Salem, Robert Yolken, Pankaj Jay Pasricha
BACKGROUND: Small intestinal bacterial overgrowth (SIBO) is an increasingly recognized clinical syndrome; however, its etiophathogenesis is poorly understood. We hypothesized that loss of gastric acid, a delayed intestinal transit, and ileocecal valve dysfunction may contribute to the genesis of this syndrome. AIMS: Our primary aim was to assess these parameters using wireless motility capsule (WMC) testing and to correlate them with the presence or absence of SIBO...
September 4, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28859368/surgical-strategy-of-esophageal-resection-and-reconstruction-for-aortoesophageal-fistula
#9
T Nakamura, M Yamamoto, T Yamazato, S Kanaji, H Takahashi, T Inoue, T Oshikiri, H Tanaka, S Suzuki, Y Okita, Y Kakeji
Aortoesophageal fistula is a critical and life-threatening disease. The cardiovascular strategy for graft replacement has been widely discussed. However, the surgical strategy of esophageal resection and reconstruction for aortoesophageal fistula has rarely been discussed. The objective of this study is to establish a surgical strategy and procedure of esophageal resection and reconstruction for aortoesophageal fistula. Eleven patients with aortoesophageal fistula who underwent aortic graft replacement and esophagectomy between 2008 and 2015 at Kobe University Hospital were enrolled in this study...
September 1, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/28856488/tubercular-intestinal-strictures-show-a-poor-response-to-anti-tuberculous-therapy
#10
Piyush Aggarwal, Saurabh Kedia, Raju Sharma, Sawan Bopanna, Kumble Seetharama Madhusudhan, Dawesh P Yadav, Sandeep Goyal, Saransh Jain, Venigalla Pratap Mouli, Prasenjit Das, Siddhartha Dattagupta, Govind Makharia, Vineet Ahuja
BACKGROUND: The literature on resolution of intestinal strictures in patients with intestinal tuberculosis (ITB) after anti-tuberculous therapy (ATT) is sparse and ambivalent. We aimed to assess the frequency of stricture resolution after ATT and its predictors. METHODS: This ambispective cohort study included consecutive ITB patients with strictures who received ATT for ≥6 months and were on regular follow-up between January 2004 and December 2015. Resolution of stricture was assessed at the end of ATT by endoscopy/radiology...
August 30, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28846946/surgical-treatment-for-the-excluded-bile-leakage-from-spiegel-lobe-after-right-hemihepatectomy-a-case-report
#11
Haruhi Fukuhisa, Masahiko Sakoda, Kiyokazu Hiwatashi, Satoshi Iino, Koji Minami, Motoyuki Hashiguchi, Yota Kawasaki, Hiroshi Kurahara, Yuko Mataki, Kosei Maemura, Hiroyuki Shinchi, Shinichi Ueno, Shoji Natsugoe
INRODUCTION: The treatments of excluded bile duct leakage after hepatectomy are not easy and various strategies have been reported, such as surgery, ethanol or fibrin glue injection, and portal vein embolization. PRESENTATION OF CASE: A 72-year-old man with a surgical history of laparoscopic ileocecal resection for diverticular bleeding was diagnosed as having hepatocellular carcinoma. Right hemihepatectomy was performed, and computed tomography examination on postoperative day 9 showed abdominal fluid collection in the right subphrenic space...
August 18, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28837524/the-association-between-drug-levels-and-endoscopic-recurrence-in-postoperative-patients-with-crohn-s-disease-treated-with-tumor-necrosis-factor-inhibitors
#12
Shmuel Fay, Bella Ungar, Stephane Paul, Asaf Levartovsky, Miri Yavzori, Ella Fudim, Orit Picard, Rami Eliakim, Shomron Ben-Horin, Xavier Roblin, Uri Kopylov
BACKGROUND: Endoscopic recurrence is associated with a risk of clinical recurrence in patients with Crohn's disease after ileocecal or small bowel resection. Drug levels and presence of antidrug antibodies are associated with important clinical and endoscopic outcomes in patients with Crohn's disease treated with tumor necrosis factor inhibitors, such association was not evaluated for endoscopic postsurgical recurrence. METHODS: Consecutive patients with Crohn's disease treated with anti-tumor necrosis factors after surgery were identified in the databases of the participating centers...
August 22, 2017: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/28829172/anatomic-reasons-for-failure-to-visualize-the-appendix-with-graded-compression-sonography-insights-from-contemporaneous-ct
#13
Wilson Lin, R Brooke Jeffrey, Angela Trinh, Eric W Olcott
OBJECTIVE: The purpose of this study is to identify the anatomic locations of appendixes on CT when graded compression sonography fails to visualize the appendix. MATERIALS AND METHODS: The study included 197 patients with suspected appendicitis whose appendixes were not visualized on graded compression sonography performed with typically used transducers of at least 10 MHz, who underwent CT within 48 hours following graded compression sonography, and who had available either pathologic examination following surgery or 6-week follow-up if surgery was not performed...
September 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28819537/-nod2-gene-mutation-in-moroccan-patients-with-crohn-s-disease-prevalence-genotypic-study-and-correlation-of-nod2-gene-mutation-with-the-phenotype-of-crohn-s-disease
#14
Mouna Tamzaourte, Ikram Errabih, Hayat Krami, Fadlouallah Maha, Lahmiri Maria, Nadia Benzzoubeir, Laaziza Ouazzani, Ahmed Sefiani, Houria Ouazzani
The aim of this study was to determine the prevalence of NOD2/CARD15 gene mutations in a group of Moroccan patients with Crohn's disease and to study its correlation with genotype-phenotypic expression. We conducted a cross-sectional case-control study over a period of 16 months. 101 patients with Crohn's disease were enrolled between January 2012 and April 2013 as well as a control group of 107 patients. We performed a genetic analysis to identify 3 NOD2 gene variants: p.Arg702Trp, p.Gly908Arg and p.Leu1007fsins...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28818841/distinct-intestinal-adaptation-for-vitamin-b12-and-bile-acid-absorption-revealed-in-a-new-mouse-model-of-massive-ileocecal-resection
#15
Yuka Matsumoto, Wakana Mochizuki, Shintaro Akiyama, Taichi Matsumoto, Kengo Nozaki, Mamoru Watanabe, Tetsuya Nakamura
Ileocecal resection (ICR), one of several types of intestinal resection that results in short bowel syndrome (SBS), causes severe clinical disease in humans. We here describe a mouse model of massive ICR in which 75% of the distal small intestine is removed. We demonstrate that mice underwent 75% ICR show severe clinical signs and high mortality, which may recapitulate severe forms of human SBS, despite an adaptive response throughout the remnant intestine. By using this model, we also investigated whether the epithelium of the remnant intestine shows enhanced expression of factors involved in region-specific functions of the ileum...
September 15, 2017: Biology Open
https://www.readbyqxmd.com/read/28810644/feasibility-of-a-novel-low-volume-and-sodium-phosphate-free-bowel-preparation-regimen-for-colon-capsule-endoscopy
#16
Jieqiong Zhou, Xiaowei Tang, Jing Wang, Zhenyu Chen, Xinying Wang, Bo Jiang
Bowel preparation regimens for colon capsule endoscopy are not yet standardized since they are not well optimized. The aim of the present study was to evaluate the feasibility of a novel low-volume and sodium phosphate-free bowel preparation regimen for colon capsule endoscopy. A total of 31 patients were prospectively enrolled. In the novel regimen, on the day prior to examination, a low-fiber diet was permitted, 5 mg mosapride citrate was administered twice (1 h prior to lunch and supper) and 1 l polyethylene glycol was administered in the evening...
August 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28776001/improved-biochemical-parameters-in-patients-who-undergo-early-resection-in-isolated-ileocaecal-crohn-s-disease
#17
Mirzafaraz Saeed, Hari Hullur, Amro Salem, Abbas Ali, Yousif Sahib, Mobeen Ashfaq
INTRODUCTION: The aim of this study is to evaluate the outcome of introduction of early surgery in the course of isolated ileocecal Crohn's disease, where there is no absolute indication of surgery. METHODS: Observational study involving patients with isolated ileocecal Crohn's disease who underwent early surgical resection (within one year of the presentation of the hospital). A complete blood count, ESR, and CRP were done and compared between the preoperative value, 1st postoperative visit (3-4 weeks), and last follow-up visit...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28770548/macroscopic-anatomical-study-of-the-distribution-of-the-cranial-mesenteric-artery-to-the-intestine-in-the-rabbit
#18
Tetsuhito Kigata, Reona Ikegami, Hideshi Shibata
Intestinal surgery is commonly performed to cure bowel obstruction in rabbits, but detailed descriptions of the arterial supply to the intestine are incomplete. We investigated anatomical variations of the distribution of the cranial mesenteric artery to the intestine in 33 New Zealand White rabbits by injecting colored latex into the arteries. The cranial mesenteric artery arose independently from the abdominal aorta at about 2.0 cm caudal to the celiac artery and branched off the pancreaticoduodenal, middle colic, ileocecocolic, jejunal and ileal arteries...
August 2, 2017: Anatomical Science International
https://www.readbyqxmd.com/read/28770185/intensive-nutrition-management-in-a-patient-with-short-bowel-syndrome-who-underwent-bariatric-surgery
#19
MeeRa Kweon, Dal Lae Ju, Misun Park, JiHyeong Choe, Yun-Suhk Suh, Eun-Mi Seol, Hyuk-Joon Lee
Many individuals with short bowel syndrome (SBS) require long-term parenteral nutrition (PN) to maintain adequate nutritional status. Herein, we report a successful intestinal adaptation of a patient with SBS through 13 times intensive nutritional support team (NST) managements. A thirty-five-year-old woman who could not eat due to intestinal discontinuity visited Seoul National University Hospital for reconstruction of the bowel. She received laparoscopic Roux-en-Y gastric bypass (RYGB) due to morbid obesity in Jan 2013 at a certain hospital and successfully reduced her weight from 110 kg to 68 kg...
July 2017: Clinical Nutrition Research
https://www.readbyqxmd.com/read/28759826/duodenal-rupture-due-to-giant-inguinal-hernia-a-case-report
#20
Kenjiro Ishii, Keisuke Numata, Hiroaki Seki, Nobutaka Yasui, Michio Sakata, Akihiko Shimada, Hidetoshi Matsumoto
INTRODUCTION: Giant inguinal hernia is unusual, and duodenal rupture accompanying it is particularly very rare and significantly hard to manage surgically. PRESENTATION OF CASE: An 81-year-old man was admitted to our institution with upper abdominal pain. He had tenderness of the upper mid abdomen and a bilateral large inguinal hernia but he did not have pain in the inguinal-scrotal area. Computed tomography (CT) showed slight dilatation of the small bowel and stomach...
2017: International Journal of Surgery Case Reports
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