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endoscopic ultra sonography

V Tumay, O S Guner, M Meric, O Isik, A Zorluoglu
BACKGROUND: Accidental ingestion of foreign bodies is common in clinical practice. While perforation of the ileum and jejunum due to the ingested foreign body is common, duodenal perforation is rare. In this report, our experience with this rare entity is shared. CASE REPORT: Here we present a 31-year-old patient with gastrointestinal tract perforation at the second part of the duodenum due to an ingested fishbone. The patient was admitted to the emergency room with abdominal pain...
September 2015: Chirurgia
Aleksandar Cubranić, Renata Dobrila Dintinjana, Nenad Vanis
Chronic pancreatitis is defined as a continuous inflammatory pancreatic disease, one characterized by irreversible morphological changes, often associates with pain and sometimes with the loss of endocrine and exocrine function. As a histological confirmation of chronic pancreatitis is often unavailable, the diagnosis is traditionally based on imaging methods such as computerized tomography (CT) or endoscopic retrograde cholangiopancreatography (ERCP), and recently magnetic resonance cholangiopancreatography (MRCP) as a noninvasive alternative to ERCP...
December 2014: Collegium Antropologicum
Imane Toughrai, Said Ait Laalim, Karim Ibn Majdoub, Khalid Mazaz
Accurate staging of pancreatic cancer is essential in order to select patients, which are candidates for curative resection. Multidetector computed tomography is the best imaging for determination of pancreatic cancer loco regional and distal resectability. Endoscopic ultra sonography has complementary role in small tumours. It can guide regional lymph node puncture for accurate staging. Magnetic resonance with MR angiography can be helpful in determining vascular respectability of pancreatic cancer. The use of laparoscopy with laparoscopic ultrasound has been increased last years in order to avoid unnecessary laparotomy...
September 2013: La Presse Médicale
Ken-Ichi Nakamura, Hiroshi Takamori, Osamu Nakahara, Yoshiaki Ikuta, Hideyuki Kuroki, Shigeki Nakagawa, Kosuke Mima, Hironao Okabe, Hidetoshi Nitta, Katsunori Imai, Akira Chikamoto, Koichi Doi, Takatoshi Ishiko, Toru Beppu, Ken-Ichi Iyama, Hideo Baba
Disseminated carcinomatosis of the bone marrow derived from solid cancer has a very poor prognosis, with disseminated intravascular coagulation(DIC). A 72-year-old man was admitted to our hospital after detection of a tumor in the pancreatic tail by CT imaging. Several images revealed that he suffered from cancer of the tail of the pancreas with multiple liver and bone metastases. Endoscopic ultra-sonography-guided fine needle aspiration detected adenocarcinoma cells from the tumor of the pancreatic tail. We also performed bone marrow aspiration, which confirmed adenocarcinoma cells in the bone marrow...
August 2012: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Ossama El Shazly, Ayman El Shazly, Ahmed Desouky, Abeer Kadry El Zohiery, Hossam Moussa Sakr
PURPOSE: The purpose of our study is to present the anatomical bases of a new technique for endoscopic tarsal release and to report the preliminary clinical outcome for this technique. METHOD: Anatomical study The technique was performed on 12 intact adult lower limb specimens. The location of portals was evaluated as well as the integrity of the neurovascular bundle. Ultra-sonographic study A prospective case control study was done on 10 patients (11 feet) and 14 normal volunteers (28 feet)...
December 2011: Surgical and Radiologic Anatomy: SRA
P Didailler, P Ragois, P Morales
Pseudo-aneurysm of the superficial palmar arch following carpal tunnel release is exceptional and thus poorly reported. We present one observation, recorded on more than 1300 hands treated by endoscopic release using the "Chow" technique by a single surgeon. Ultra-sonography could be used in an attempt to locate the superficial palmar arch and thus prevent vascular damage at surgery.
February 2011: Chirurgie de la Main
Yoshinori Ishikawa, Hiroshi Yoshida, Yasuhiro Mamada, Nobuhiko Taniai, Satoshi Matsumoto, Koichi Bando, Yoshiaki Mizuguchi, Daisuke Kakinuma, Tomohiro Kanda, Koho Akimaru, Kazuo Shimizu, Takashi Tajiri
Primary hepatic gastrinoma is very rare, with fewer than 20 cases reported. We describe a 44-year-old woman in whom primary hepatic gastrinoma was strongly suspected clinically. The patient was referred to our hospital because of intractable diarrhea. She had elevated serum levels of alanine aminotransferase, aspartate aminotransferase, and fasting gastrin. A calcium provocative test showed a marked elevated serum gastrin level (17,000 pg/ml). Abdominal ultrasonography, computed tomography, and magnetic resonance imaging revealed a tumor in the right lobe of the liver, measuring 38 x 33 mm...
November 2008: Hepato-gastroenterology
K Ravi, B J Britton
INTRODUCTION: Insulinoma is a rare, but curable, endocrine tumour. The ability to localise the tumour accurately before or during surgery is an important factor in the management of these elusive lesions, which has been extensively debated. We have reviewed our experience of these lesions to establish the role of localisation tests. PATIENTS AND METHODS: The medical records of 20 consecutive patients who had surgery for sporadic insulinomas since 1985 at this institution were retrospectively reviewed...
April 2007: Annals of the Royal College of Surgeons of England
V Balgha, L Topa, K Simon, I Gál, L Flautner, A Pap
Benign and malignant tumors of papilla Vateri are rare diagnoses in the endoscopic practice. Sixteen patients with benign and 22 cases of malignant tumors are presented. In all of them endoscopic cholangiopancreatography with or without papillotomy followed by biopsy and operation in 13 cases was performed. Biopsy confirmed the endoscopy in 71%. Adenomyosis, supposed by endoscopy was proved by repeated histology in only 2/9 cases although invasive component of the tumor was found in 3/9 patients at operation underlying precancerous nature of this entity...
June 1, 1997: Orvosi Hetilap
A M Hui, S Kawasaki, Y Hashikura, K Ishida, M K Miyazawa, M Makuuchi
Intrahepatic cholangiocarcinoma has a tendency to disperse intrahepatically and extrahepatically, therefore, resectability is limited and prognosis is generally poor. A 68-year-old female was diagnosed as intrahepatic cholangiocarcinoma in the right lobe based on systematic images including computed tomography, magnetic resonance imaging, ultra-sonography, endoscopic retrograde cholangiography, angiography, chest X-ray, as well as laboratory data. Tumor invasion to the right diaphragm, lung and chest wall was suspected pre-operatively...
May 1997: Hepato-gastroenterology
G Champault, J M Catheline, N Rizk, P Boutelier
In a prospective study, 26 patients with pancreatic and peri-ampullary cancer were evaluated with ultrasound (US), computerized tomography (CT Scan), endoscopic ultra sonography (EUS) and laparoscopic ultrasound (LUS). Sensitivity of US and CT scan were comparable, although CT scan seems better to evaluate the size of the tumor and for lymph node detection. 50 per cent of patients had a criterion for noncurative resection. EUS (16 cases) had the best sensitivity (100 per cent) for the staging of small tumors (less than 20 millimeters), detection of adjacent nodes and the relation between tumor and mesenteric and portal veins...
1996: Annales de Chirurgie
J Ohtsuki
Between August 1987 and July 1992, 19 patients with esophageal achalasia were treated at the Third Department of Surgery, Nihon University School of Medicine. Preoperative EUS was performed in all of them. EUS findings were classified according to thickness of the muscle layer of the esophagus. This classification was compared with X-ray findings, manometric findings and pathological findings of muscle layer which was obtained by operation. There was no correlation between EUS findings and X-ray grade of esophageal dilatation, manometric classification, while there was correlation between EUS findings and X-ray type of esophageal dilatation...
February 1995: Journal of Smooth Muscle Research, Nihon Heikatsukin Gakkai Kikanshi
G Lux, J F Riemann, L Demling
The present retrospective study was undertaken to investigate the value of diagnostic procedures--clinical and biochemical parameters, ultra-sonography and ERCP--and the influence of endoscopic papillotomy on the course of biliary pancreatitis in 22 patients. A further 22 patients with alcoholic pancreatitis served as a control group. In the 22 patients with biliary pancreatitis, the case history pointed to biliary disease in 14 cases; in contrast to the patients with alcoholic pancreatitis, in none of these patients did excessive alcohol consumption precede the disease...
July 1984: Zeitschrift Für Gastroenterologie
M P Pavlovskiĭ, V P Vygovskiĭ, O O Abragamovich, Iu P Dovgan', E S Abragamovich, V D Stefaniuk, O Iu Saĭko
A study of 205 patients in the follow-up period after gastric resection for ulcer disease indicates that ultrasonography is a valuable method of diagnosis of involvement of the abdominal cavity organs but requires perfection of methods directed at improvement of visualization of the scanned organs. For diagnosis of diffuse lesions of the liver it is rational to combine ultra-sonography with radionuclide, endoscopic and roentgenological methods. It was found that patients with gastric resection syndromes, calculosis of the gallbladder was present in 17...
April 1990: Vrachebnoe Delo
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