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Gastric histopathology following gastrojejunostomy

Rongfei Zhao, Xinxin Wang, Xin Lan, Mingsen Li
OBJECTIVE: To investigate the clinicopathological characteristics, diagnosis, treatment and prognosis of gastric hepatoid adenocarcinoma(HAS). METHODS: Retrospective analysis of clinicopathological data of 24 cases with gastric HAS diagnosed by surgery and pathology in Chinese PLA General Hospital from January 2013 to May 2016 were carried out. All the patients underwent preoperative serum alpha fetoprotein (AFP), carcinoembryonic antigen (CEA), endoscopy and imaging examination (CT or B-mode ultrasonography), and those with elevated AFP were excluded from liver cancer, cirrhosis, endodermal sinus tumor and other diseases...
September 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Takeshi Hijikawa, Koji Nakai, Masanori Yamada, Kazuhiko Yoshioka, Masanori Kon
We report a case of gastrointestinalstromaltumor of the stomach 17 years after pancreatoduodenectomy(PD). The patient was an 83-year-old man who had undergone PD for chronic pancreatitis at 65 years of age. Gastric endoscopy revealed a 2.5-cm gastric submucosaltumor on the lesser curvature of the stomach, which was the gastrojejunostomy site. As the gross appearance of the tumor showed ulceration at the top of the tumor, the patient underwent total gastrectomy and Roux-en-Y reconstruction. Histopathological examination demonstrated that the tumor was a GIST of the stomach...
October 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Azine Tavakoli, Jalal Bakhtiari, Ali Reza Khalaj, Mohammad Javad Gharagozlou, Abbas Veshkini
OBJECTIVE: The objective of this study was to compare the gross and histopathologic changes following 1- versus 2-layer hand-sewn suture techniques in laparoscopic gastrointestinal anastomosis in dogs. METHODS: This was an experimental prospective study of 16 healthy mixed breed male and female dogs. Animals were randomly divided into 2 groups. Two-layer side-to-side hand-sewn laparoscopic gastrojejunostomies were performed in group A, so that simple interrupted sutures were placed in the outer layer and simple continuous suture was used in the inner layer...
October 2010: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Alexandros Papalambros, Athanasios Petrou, Nicholas Brennan, Kostantinos Bramis, Evangelos Felekouras, Efstathios Papalambros
We present the case of a 71 year old man with recurrence of a Gastro Intestinal Stromal Tumour (GIST) at the gastrojejunal anastomosis eight years following partial gastrectomy for a very small primary gastric GIST. He presented acutely on both occasions with haemodynamic shock secondary to massive haematemesis. During his initial presentation in 2001, an emergency laparotomy was performed, demonstrating a pre-pyloric ulcerative lesion. The histopathology was in keeping with a diagnosis of a gastric GIST with a <2 cm tumour, with <5 mitosis per 50/HPF, no signs of necrosis and invasion limited to the mucosa...
2010: World Journal of Surgical Oncology
Drew D Howard, Megan E DeShazo, William O Richards, Charles B Rodning
Reported herein is an experience with retrograde intussusception. The index case was a 25-year-old African American woman who was status post-multiple previous intraperitoneal procedures, including a truncal vagotomy, distal gastrectomy, and Roux-en-Y gastrojejunostomy for the treatment of gastric outlet obstruction secondary to type 2 peptic ulcer disease. The patient presented most recently with symptoms and signs of a high-grade mechanical intestinal obstruction. Preoperatively, computerized axial tomography revealed retrograde intussusception...
April 2010: International Surgery
Dildar Hussain, Hasnain Zafar, Asad Jamil Raja
OBJECTIVE: To determine the clinical presentations, of gastric stromal tumors with diagnostic methods, pathology and outcome after surgery. STUDY DESIGN: A case series. DURATION AND SETTING: From January 1988 to December 2002 at The Aga Khan University Hospital, Karachi. PATIENTS AND METHODS: All patients of age 14 years and above, diagnosed histopathologically to have gastric stromal tumors were included. The data of these patients was collected retrospectively from January 1988 to December 1998, and prospectively from January 1999 to December 2002...
November 2006: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Dildar Hussain, Muhammad Rizwan Khan, Rizwan Azami
OBJECTIVES: To review the results of surgical palliation for unresectable pancreatic carcinoma, and to analyze the morbidity and mortality associated with the surgical procedure. The reasons for readmission after discharge from the hospital were also analyzed. METHODS: A retrospective study from 1995 to 2001 was done on 30 patients with pancreatic cancer operated with palliative intent, or those explored with curative intent but histopathology revealed positive resection margins or lymph node metastasis...
December 2004: JPMA. the Journal of the Pakistan Medical Association
Sanjay B Jagannath, Sergey V Kantsevoy, Cheryl A Vaughn, Sydney S C Chung, Peter B Cotton, Christopher J Gostout, Robert H Hawes, Pankaj J Pasricha, Diana G Scorpio, Carolyn A Magee, Laurie J Pipitone, Anthony N Kalloo
BACKGROUND: We have previously reported the feasibility and safety of the peroral transgastric endoscopic approach for diagnostic peritoneoscopy, liver biopsy, and gastrojejunostomy with long-term survival in a porcine model. This approach eliminates incisions of the abdominal wall, providing a less invasive alternative to diagnostic and therapeutic laparoscopy. We now report successful performance of peroral endoscopic transgastric ligation of Fallopian tubes with long-term survival in a porcine model...
March 2005: Gastrointestinal Endoscopy
R A Borghesi, W A Saad
The gastric mucosa changes induced by enterogastric reflux remain to interest, thus, 20 patients with surgical duodenal ulcer disease were studied, and after raffle, they consisted in 2 groups of 10 patients each, in which were performed antrectomy and truncal vagotomy, with reestablishment of the gastrointestinal continuity, in the group I, through a Billroth II gastrojejunostomy, and, in the group II, by a Roux-en-Y gastrojejunostomy. In the preoperative course, all the patients were undergone to endoscopic and histopathologic studies, when body gastric mucosa biopsies were analysed; after an average time of follow-up about 7...
July 1987: Arquivos de Gastroenterologia
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