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Arsalan Nadeem, Ali Husnain, Muhammad Tayyab Zia, Abdullah Ahmed
This case report details an extraordinary occurrence following endoscopic retrograde cholangiopancreatography (ERCP) in a 42-year-old woman. Despite ERCP being a commonly performed procedure, this case presented an unusual combination of acute pancreatitis, pneumoperitoneum, pneumoretroperitoneum, and pneumomediastinum resulting from a Stapfer type III perforation. The patient managed conservatively with nil per os, nasogastric tube, intravenous fluids, pain relief, and antibiotics, exhibited clinical improvement...
April 2024: Radiology Case Reports
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JOURNAL ARTICLE
Ling Yan, Bi Zhou, Peng Wu, You Tian, Yi Lou
BACKGROUND: The aims of this study were to summarize the clinical presentation and histological results of 20 cases of complicated Meckel diverticulum (MD) who were presumed to have acute appendicitis before surgery, as well as to improve the diagnosis and treatment of complicated MD in children. MATERIALS AND METHODS: We retrospectively reviewed the records of 20 complicated MD admitted to our institution who were preoperatively diagnosed with acute appendicitis from January 2012 to January 2019...
January 30, 2024: BMC Surgery
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JOURNAL ARTICLE
Yadong Feng, Yan Liang, Yang Liu, Yinqiu Zhang, Shuaijing Huang, Lihua Ren, Xiaojun Ma, Aijun Zhou, Ruihua Shi
BACKGROUND: Nonradiation, digital cholangioscope (DCS)-assisted endoscopic intervention for cholelithiasis has not been widely performed. For this study, we aimed to report the feasibility, efficacy, and safety of an established DCS-guided lithotomy procedure. METHODS: Data relating to biliary exploration, stone clearance, adverse events, and follow-up were obtained from 289 patients. The choledocholithiasis-related outcomes via the DCS-guided procedure were subsequently compared to those via conventional endoscopic retrograde cholangiopancreatography (ERCP)...
March 2024: Surgical Endoscopy
#24
JOURNAL ARTICLE
J Zajak, K Vinklerová, J Páral, E V Valkyová, E Čermáková, F Čečka
INTRODUCTION: During the last decades, simultaneously with the development of surgical technique, modern equipment and perioperative management, there has been a significant improvement in postoperative outcome. Despite this, infectious complications and perioperative bleeding remain the leading causes of postoperative morbidity and mortality in HPB surgery. METHODS: We conducted a retrospective study over a three-year period in 256 patients who underwent surgery of the pancreas, liver, gallbladder, or bile ducts...
2024: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
#25
Toshinao Suzuki, Takahiro Sugiura, Junko Okazaki, Akira Okaniwa, Yu Yoshida
INTRODUCTION: Pancreatic serous cystic neoplasm (SCN) is usually benign and is often managed using imaging surveillance if asymptomatic. It has a higher incidence in females but is rare in younger age groups. Acute hemorrhagic complications associated with SCN are infrequent. Whether asymptomatic SCN can cause acute hemorrhage, especially in women of childbearing age, is not well-established. PRESENTATION OF CASE: A 30-year-old Japanese female, who was six months postpartum and under surveillance for asymptomatic pancreatic SCN, presented to the emergency department with gradually worsening left lateral abdominal pain...
January 27, 2024: International Journal of Surgery Case Reports
#26
Mark Ayoub, Muhammed Ceesay, Carol Faris, Michael Iannetti
A common cause of gastrointestinal-related hospitalizations in the United States of America is acute pancreatitis (AP), with an annual incidence of up to 80 cases per 100,000 people. The incidence of AP in pregnancy varies and is approximately 1 in 1000 to 1 in 10,000 births due to the prevalence of obesity and gallstone-related conditions. Deciding on the timing of surgical intervention in acute biliary pancreatitis during pregnancy remains challenging, and there are no consensus recommendations. Gallstone pancreatitis has a high recurrence rate of up to 50% during the first trimester...
December 2023: Curēus
#27
Khalid Al Shamousi, Said A Al-Busafi, Masoud Kashoob, Adil Al Zadjali, Hoor Al Kaabi
Mucinous cystic neoplasms (MCNs) of the pancreas are rare epithelial neoplasms, characterized by an inner epithelial layer and an ovarian-type sub-epithelial stroma. These lesions are typically benign but can pose challenges during pregnancy due to their rapid growth potential, associated risk of malignant transformation, and complications such as pancreatitis. We present a case of a 39-year-old pregnant female with a history of recurrent acute pancreatitis, diagnosed with an MCN during pregnancy. Diagnostic procedures were deferred until after delivery, followed by successful distal pancreatectomy...
December 2023: Curēus
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JOURNAL ARTICLE
Nikolaos Pyrgidis, Gerald Bastian Schulz, Christian Stief, Iulia Blajan, Troya Ivanova, Annabel Graser, Michael Staehler
BACKGROUND: We aimed to evaluate the current trends in renal cancer surgery, as well as to compare the perioperative outcomes of partial versus radical nephrectomy. METHODS: We used the GeRmAn Nationwide inpatient Data (GRAND), provided by the Research Data Center of the Federal Bureau of Statistics (2005-2021). We report the largest study in the field, with 317,843 patients and multiple patient-level analyses. RESULTS: Overall, 123,924 (39%) patients underwent partial and 193,919 (61%) underwent radical nephrectomy in Germany from 2005 to 2021...
December 24, 2023: Cancers
#29
JOURNAL ARTICLE
Marcello Di Martino, Benedetto Ielpo, Mauro Podda
No abstract text is available yet for this article.
January 10, 2024: JAMA Surgery
#30
JOURNAL ARTICLE
Hong Zhu, Xiaoping Wei
No abstract text is available yet for this article.
January 10, 2024: JAMA Surgery
#31
JOURNAL ARTICLE
Francis P Robertson, Ashley R Dennison, Sanjay Pandanaboyana
No abstract text is available yet for this article.
January 10, 2024: JAMA Surgery
#32
JOURNAL ARTICLE
Shannon Greenberg, Marc Abou Assali, Yanli Li, Hannah Bossie, Chris Neighorn, Esther Wu, Kaushik Mukherjee
BACKGROUND: Robotic cholecystectomy is being increasingly used for patients with acute gallbladder disease who present to emergency department, but clinical evidence is limited. We aimed to compare the outcomes of emergent laparoscopic and robotic cholecystectomies in a large real-world database. METHODS: Patients who received emergent laparoscopic or robotic cholecystectomies from 2020 to 2022 were identified from the Intuitive Custom Hospital Analytics database, based on de-identified extraction of electronic health record data from US hospitals...
January 9, 2024: Journal of Trauma and Acute Care Surgery
#33
JOURNAL ARTICLE
Marianna Arvanitakis, Johann Ockenga, Mihailo Bezmarevic, Luca Gianotti, Željko Krznarić, Dileep N Lobo, Christian Löser, Christian Madl, Remy Meier, Mary Phillips, Henrik Højgaard Rasmussen, Jeanin E Van Hooft, Stephan C Bischoff
Both acute and chronic pancreatitis are frequent diseases of the pancreas, which, despite being of benign nature, are related to a significant risk of malnutrition and may require nutritional support. Acute necrotizing pancreatitis is encountered in 20 % of patients with acute pancreatitis, is associated with increased morbidity and mortality, and may require artificial nutrition by enteral or parenteral route, as well as additional endoscopic, radiological or surgical interventions. Chronic pancreatitis represents a chronic inflammation of the pancreatic gland with development of fibrosis...
February 2024: Clinical Nutrition
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REVIEW
Konstantinos Kossenas, Filippos Georgopoulos
Robotic gastrectomy has been gaining ground in the past 20 years. This study aims to (a) provide an updated and all-encompassing comprehensive review including post-operative outcomes, rate of complications, surgical efficiency and costs, pathology, overall survival, mortality and recurrence, and disease-free survival of robotic versus laparoscopic gastrectomy, (b) report research gaps, and (c) identify ongoing or forthcoming clinical trials that could potentially shed light on underreported findings within the existing literature...
December 2023: Curēus
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JOURNAL ARTICLE
Aleksey V Shabunin, Zurab A Bagatelia, Vladimir V Bedin, Irina Yu Korzheva, Dmitry V Shikov, Andrei A Kolotilshchikov, Elena A Kalashnikova, Serghei Covantsev
INTRODUCTION: Pancreatic necrosis is one of the most severe acute abdominal conditions, accounting for 15%-20% of all patients with acute pancreatitis and characterized by significant rates of postoperative complications and mortality. Patients with pancreatic necrosis, in which pathological changes are localized in the proximal pancreas and retroperitoneal space, deserve special attention. This form of the disease includes patients with disconnected main pancreatic duct (MPD) syndrome who have a difficult prognosis...
2023: Frontiers in Surgery
#36
Cătălina Vlăduț, Mădălina Stan-Ilie, Adrian Săftoiu, Radu Țuțuian, Gabriel Constantinescu
Peri-pancreatic fluid collections are late complications of acute pancreatitis. Loculated peri-pancreatic fluid collections, even rare, remain the "black sheep" in terms of drainage, due to difficulty to puncture all compartments, thus prohibiting proper drainage of all compartments. Recombined tissue plasminogen activator (r-tPA) has been advocated as treatment of the loculated collections, due to its ability to dissolve the fibrinous strands and thus facilitate proper drainage. We report the case of a 58 years-old male presenting with a painful loculated peri-pancreatic fluid collection secondary to acute pancreatitis...
December 22, 2023: Journal of Gastrointestinal and Liver Diseases: JGLD
#37
JOURNAL ARTICLE
Adeline Salim, Ampaipan Boonthai, Pornthep Tanpowpong, Paul D Losty
BACKGROUNDS: To compare factor(s) contributing to aetiology, management and clinical outcome(s) of paediatric patients acquiring acute pancreatitis (AP) at two major university paediatric surgical centres in Liverpool and Bangkok. METHODS: All patients (<18 years) with an index diagnosis of AP (ICD 10 coding) during 2006-2016 were studied. RESULTS: 121 patients included n = 79 (65.3%) in Thailand versus n = 42 (34...
December 19, 2023: ANZ Journal of Surgery
#38
REVIEW
Elissa M Downs, Amanda Brun, Melena D Bellin
For children with diminished quality of life and chronic pain caused by acute recurrent or chronic pancreatitis who are undergoing total pancreatectomy with islet autotransplantation, postoperative nutrition support has several unique characteristics. Surgical complications may lead to delays in nutrition support initiation or require modifications to the regimen. Early postoperative dysmotility requires the use of temporary enteral nutrition until this improves. The resultant complete exocrine pancreatic insufficiency necessitates lifelong pancreatic enzyme replacement therapy and fat-soluble vitamin supplementation...
February 2024: Nutrition in Clinical Practice
#39
JOURNAL ARTICLE
Giacomo Sermonesi, Brian W C A Tian, Carlo Vallicelli, Fikri M Abu-Zidan, Dimitris Damaskos, Michael Denis Kelly, Ari Leppäniemi, Joseph M Galante, Edward Tan, Andrew W Kirkpatrick, Vladimir Khokha, Oreste Marco Romeo, Mircea Chirica, Manos Pikoulis, Andrey Litvin, Vishal Girishchandra Shelat, Boris Sakakushev, Imtiaz Wani, Ibrahima Sall, Paola Fugazzola, Enrico Cicuttin, Adriana Toro, Francesco Amico, Francesca Dal Mas, Belinda De Simone, Michael Sugrue, Luigi Bonavina, Giampiero Campanelli, Paolo Carcoforo, Lorenzo Cobianchi, Federico Coccolini, Massimo Chiarugi, Isidoro Di Carlo, Salomone Di Saverio, Mauro Podda, Michele Pisano, Massimo Sartelli, Mario Testini, Andreas Fette, Sandro Rizoli, Edoardo Picetti, Dieter Weber, Rifat Latifi, Yoram Kluger, Zsolt Janos Balogh, Walter Biffl, Hans Jeekel, Ian Civil, Andreas Hecker, Luca Ansaloni, Francesca Bravi, Vanni Agnoletti, Solomon Gurmu Beka, Ernest Eugene Moore, Fausto Catena
BACKGROUND: Laparoscopy is widely adopted across nearly all surgical subspecialties in the elective setting. Initially finding indication in minor abdominal emergencies, it has gradually become the standard approach in the majority of elective general surgery procedures. Despite many technological advances and increasing acceptance, the laparoscopic approach remains underutilized in emergency general surgery and in abdominal trauma. Emergency laparotomy continues to carry a high morbidity and mortality...
December 8, 2023: World Journal of Emergency Surgery: WJES
#40
JOURNAL ARTICLE
Keisuke Toya, Yoshito Tomimaru, Nariaki Fukuchi, Shigekazu Yokoyama, Takuji Mori, Masahiro Tanemura, Kenji Sakai, Yutaka Takeda, Masanori Tsujie, Terumasa Yamada, Atsushi Miyamoto, Yasuji Hashimoto, Hisanori Hatano, Junzo Shimizu, Keishi Sugimoto, Masaki Kashiwazaki, Kenichi Matsumoto, Shogo Kobayashi, Yuichiro Doki, Hidetoshi Eguchi
OBJECTIVE: Percutaneous transhepatic gallbladder aspiration (PTGBA) and/or drainage (PTGBD) are useful approaches in the management of acute cholecystitis in patients who cannot tolerate surgery because of poor general condition or severe inflammation. However, reports regarding its effect on the surgical outcomes of subsequent laparoscopic cholecystectomy (LC) are sparse. The aim of this retrospective study was to investigate the influence of PTGBA on surgical outcomes of subsequent LC by comparing the only-PTGBA group, including patients who did not need the additional-PTGBD, versus the additional-PTGBD group, including those who needed the additional-PTGBD after PTGBA...
December 6, 2023: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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