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Sebahattin Destek, Vahit Onur Gul, Serkan Ahioglu, Yesim Erbil
Esophageal melanosis which is characterized by melanocytic proliferation in the squamous epithelium of the esophagus and melanin accumulatin of esophageal mucosa (EM) is a rare disease of the digestive system. Although esophageal melanosis is considered to be a benign disease, its etiology is not cleared and has been reported to be the precursor lesion of esophageal primary melanomas. In this report, we aimed to note esophageal melanosis in a 55-year-old female case who applied to our clinic with difficulty in swallowing, burning behind the breastbone in the stomach, heartburn, indigestion, and pain in the upper abdomen after endoscopic and pathologic evaluation...
June 2016: Gastroenterology Research
O B Dronova, E V Kolesnikova, A A Tretjakov, S V Petrov, A F Schetinin, A N Neverov
OBJECTIVE: To reveal the peculiarities of manifestations and treatment of gastroesophageal reflux disease (GERD) in patients with peptic ulcer disease of the stomach and duodenum, hiatal hernia (HH) and after stomach resection. MATERIALS AND METHODS: 387 patients with GERD, peptic ulcer disease of the stomach and duodenum (200 patients), after resection of the stomach Billroth II (150 patients), 37 patients with HH. Videoendoscopic equipment company OLYMPUS (Japan) was used...
2015: Experimental & Clinical Gastroenterology
Masaaki Yamamoto, Makoto Yamasaki, Daisuke Sakai, Tomoki Makino, Yasuhiro Miyazaki, Tsuyoshi Takahashi, Yukinori Kurokawa, Kiyokazu Nakajima, Shuji Takiguchi, Masaki Mori, Yuichiro Doki
An 83-year-old man with a history of esophagectomy for thoracic esophageal cancer presented with a chief complaint of upper gastrointestinal endoscopy abnormality. Upper gastrointestinal endoscopy revealed colon cancer developing in the subcutaneously reconstructed colon, located 45 cm from the incisor tooth. Computed tomography and positron-emission tomography revealed a thickening of the wall of the reconstructed colon, a lymph node metastasis adjacent to the reconstructed colon, and no distant metastases...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Manfred Gross, Joachim Labenz
Gastrointestinal symptoms are among the most common side effects of drugs. There is a broad spectrum of symptoms. Patients often report upper abdominal pain, an early sense of satiety, epigastric discomfort or pain in the upper abdomen or behind the breastbone, flatulence, diarrhoea or constipation. Some of these symptoms are attributed to the stomach or upper abdomen by the patient and/or the physician. "Stomach pain", pain in the epigastric region, occurs in most cases in combination with other symptoms such as a feeling of pressure in the upper abdomen or bloating, early satiety, nausea or vomiting--a combination called dyspepsia...
May 2015: Deutsche Medizinische Wochenschrift
D Alan North, Melissa Schlegel, Robert C G Martin
Concerns remain over the ability to stent across of the lower esophageal sphincter (LES) for esophageal adenocarcinoma and the effects of gastroesophageal (GE) reflux. Thus, the aim of this study was to demonstrate minimal quality-of-life (QOL) side effects in patients undergoing esophageal stenting across the LES. An Institutional Review Board-approved prospective clinical trial evaluated the results of the Gastrointestinal Symptom questionnaire that includes a validated GE reflux disease (GERD) assessment (GERD-HRQL) and a dysphagia assessment...
December 2014: American Surgeon
Sébastien Hascoët, Marianne Peyre, Khaled Hadeed, Xavier Alacoque, Gérald Chausseray, Rose Fesseau, Romain Amadieu, Bertrand Léobon, Lionel Berthomieu, Yves Dulac, Philippe Acar
BACKGROUND: Transoesophageal echocardiography (TOE) is feasible in neonates using a miniaturized probe, but is not widely used because of low imaging quality. AIMS: To assess handling and imaging quality of a new release of a micro-TOE probe in children. METHODS: Thirty-eight consecutive children, enrolled during February and May 2013, underwent TOE with the Philips S8-3t probe. Insertion, handling and image quality were assessed. RESULTS: The 38 children (aged 7days to 12years; weight 3...
June 2014: Archives of Cardiovascular Diseases
Chandra Madhur Sharma, Shrawan Kumar, Manoj K Meghwani, Ravi P Agrawal
Poland's syndrome is a rare congenital condition, characterized by the absence of the sternal or breastbone portion of the pectoralis major muscle, which may be associated with the absence of nearby musculoskeletal structures. We hereby report an 8-year-old boy with typical features of Poland syndrome, the first documented case from Uttar Pradesh, India.
January 2014: Indian Journal of Human Genetics
Yuya Sato, Tsuyoshi Nakagawa, Takanobu Sato, Makoto Nagahara, Kenichi Sugihara
A 57-year-old woman who had undergone muscle-preserving radical mastectomy at the age of 38 presented with a 5 cm mass in front of the breastbone. She was diagnosed as having recurrent breast cancer( estrogen receptor[ ER] positive, progesterone receptor[ PgR] positive, human epidermal growth factor receptor[ HER] -2 negative) by core needle biopsy. She received an aromatase inhibitor (AI) and showed partial response. At the age of 54, PgR status became negative. At the age of 55, the recurrent tumor increased in size, and the patient received 50 Gy of radiation therapy for its treatment and AI administration was continued...
November 2013: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Eckehard Kilian, Helmut Mair, Bruno Reichart, Peter Lamm
OBJECTIVES: Osteosynthetic closure of the chest after median sternotomy is usually performed with steel wires. We describe, for the first time, a case series in which titanium hooks were implanted from the sternal surface in patients who required secondary or additional stabilization. In comparison to the classic wires, the diameters of the hooks are approximately three times bigger and therefore reduce the risk of cutting through the bones. Additionally, there is no need to dissect retrosternal adhesions, which may reduce the risk of injuring mediastinal tissues...
June 2013: Interactive Cardiovascular and Thoracic Surgery
Kimiyasu Yoneyama, Toshio Takeshita, Hiroshi Suzuki, Masaki Morise, Tetsutarou Suzuki, Shinya Kishi, Atsuko Tsutsui, Akiko Matsumoto
A 57-year-old woman had undergone a modified radical mastectomy at another medical institute. Six years after the resection, a tumor was confirmed and diagnosed as a recurrent metastasis in the right margin of the breastbone. The patient underwent chemoradiation therapy at the other medical institute and was then transferred to our institute, where treatment was continued. Four years after the recurrence, chemotherapy with capecitabine was started. Over the past 6 years, the capecitabine dose has not been changed and no signs of local recurrence have been seen...
December 2011: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Niels Secher, Erik L Grove, Kasper Adelborg, Bo Løfgren
OBJECTIVE: The aim of the study was to test if instruction without visual directions is sufficient to obtain the recommended hand position for cardiopulmonary resuscitation (CPR). METHOD: Group A (n = 12) was verbally instructed to "place the heel of the hand in the center of the chest." Group B (n = 10) was verbally instructed to "place the heel of the hand in the middle of the lower half of the breastbone." Subsequently, both groups again received the same verbal instruction aided by visual directions...
November 2011: American Journal of Emergency Medicine
Dariusz Kokoszyński, Zenon Bernacki, Agnieszka Cisowska
The supplementation of game pheasant diet from 5 weeks of age with 30% whole wheat grain instead of feed mixture did not significantly affect their body weight nor most body dimensions. Female and male pheasants fed a diet containing wheat grain had smaller body and trunk lengths, greater chest circumference and greater length of breastbone, and lower thigh and shank size. Female pheasants were characterized by higher indices of compactness and long-leggedness, whereas male pheasants had higher indices of massiveness, compactness and long-leggedness than pheasants fed only feed mixtures...
2010: Folia Biologica (Krakow)
R-L Han, X-Y Lan, L-Z Zhang, G Ren, Y-J Jing, M-J Li, B Zhang, M Zhao, Y-K Guo, X-T Kang, H Chen
Visfatin is a peptide that is predominantly expressed in visceral adipose tissue and is hypothesized to be related to obesity and insulin resistance. In this study, a novel silent single-nucleotide polymorphism (SNP) was found in exon 7 of the chicken visfatin gene (also known as PBEF1) by single-stranded conformation polymorphism (SSCP) and DNA sequencing. In total, 836 chickens forming an F2 resource population of Gushi chicken crossed with Anka broiler were genotyped by XbaI forced RFLP, and the associations of this polymorphism with chicken growth, carcass characteristics, and meat quality were analyzed...
2010: Journal of Applied Genetics
A Parente, A Cañizo, A Huerga, A Laín, M Fanjul, N Carrera, C Corona, M Fariñas, C Menéndez, J Cerdá, E Molina, J Vázquez
AIM: The neonatal intensive care unit (NICU) is used in many centres as operating room in order to avoid the co-morbidities that there produces the movement of critical patients. The motive of this work is to analyze the advantages and disadvantages of this type of surgical interventions. METHODOLOGY: Between January, 2004 and December, 2007 405 newborns were operated in the NICU. The most frequent surgical realized interventions were: deferred closing breastbone (172), placement of ECMO (42), ligation of patent ductus arteriosus (45), laparotomies for necrotising enterocolitis (27), repair of congenital diaphragmatic hernia (20), plicate of diaphragms (5) and closing of gastroschisis (4)...
April 2009: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Achint Utreja, Carla A Evans
Marfan syndrome is a heritable disorder of connective tissue that can affect the heart, blood vessels, lungs, eyes, bones, and ligaments. It is characterized by tall stature, elongated extremities, scoliosis, and a protruded or caved-in breastbone. Patients typically have a long, narrow face. A high-arched palate produced by a narrow maxilla and skeletal Class II malocclusion due to mandibular retrognathia are other common features. For a patient with no family history of the disorder, at least three body systems must be affected before a diagnosis can be made...
March 2009: Angle Orthodontist
Fabio Pace, Pamela Scarlata, Valentina Casini, Piercarlo Sarzi-Puttini, Gabriele Bianchi Porro
BACKGROUND/AIMS: The reflux disease questionnaire (RDQ) is a very simple questionnaire based on only 12 questions that can be answered and evaluated quickly in a primary care setting, which was already found to be valid and reliable in the diagnosis of gastroesophageal reflux disease (GERD). As an English and a German version of the RDQ exist, but not an Italian one, we aimed at translating the RDQ into Italian and evaluating its reliability for the use of Italian-speaking GERD patients...
March 2008: European Journal of Gastroenterology & Hepatology
F Pace, P Molteni, V Casini, S Pallotta, G Bianchi Porro
BACKGROUND: The prevalence of gastro-oesophageal reflux disease symptoms in physicians, as compared to that of the general population, is not known. METHODS: We submitted a validated Italian version of a simple questionnaire (Reflux Disease Questionnaire) to 490 physicians and 430 controls to assess: (i) the presence, frequency and severity of gastro-oesophageal reflux disease symptoms in the two populations; (ii) how the self-assessment of troublesome gastro-oesophageal reflux disease symptoms by physicians correlate with a pathological Reflux Disease Questionnaire, judged on the basis of a total Reflux Disease Questionnaire score >or=8...
April 2008: Digestive and Liver Disease
U Schulze, K Kramer, M Hewicker-Trautwein, L Haas, O Distl
A case of ectopia cordis pectoralis was diagnosed in a black and white coloured German Holstein calf. The heart and pericard were displaced through a fissure in the breastbone. The heart was connected with the thoracic cavity by its large vessels. Besides of the ectopia cordis no other defects of the heart were noticed. The liver was deformed and many organs showed passive hyperaemia. The calf was well developed and died under birth. The lungs were not ventilated. The malformed calf was inbred on a bull used for artificial insemination with an inbreeding coefficient of 3...
July 2006: DTW. Deutsche Tierärztliche Wochenschrift
Vidmantas Barauskas, Artūras Kilda
A very rare case is being described; common pleural cavity was accidentally diagnosed in a 3-year-old boy operated for funnel chest (pectus excavatum). During 36 years 516 patients were operated in our department and we often notice pectus excavatum associated with other types of congenital pathology but only one had the common pleural space. In normal human beings pleural space is divided into left and right chambers separated by the mediastinum with no communication in between. In some mammals such as pigs, cows etc...
2004: Medicina
Qi Shen, Jian-Jun Xu, Li-Jun Ren, Zhong-Pu Jiang
BACKGROUND & OBJECTIVE: Dysphagia is the main clinical symptom of the patients with esophageal carcinoma. The stent placement in esophagus is an effective method to resolve dysphagia.There are many types of stents. Through comparing observation of the stents made in China, which is the stainless steel "Z" stent, the Ni-Ti wire mesh-like stent, and the covered or uncovered-stent, the authors analyzed the clinical application of various types of esophageal stents in the treatment of malignant esophageal stricture...
October 2003: Ai Zheng, Aizheng, Chinese Journal of Cancer
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