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Digestive tube dilation

Martin Götz, Georg Braun, Ralf Jakobs, Helmut Messmann, Eduard F Stange, Markus M Lerch
In patients with ileus with dilated intestine in imaging studies, endoscopic decompression appears a feasible option. However, its use is often uncritical and without scientific evidence. Before considering endoscopic intervention, CT-imaging should differentiate between mechanical obstruction and paralytic ileus/intestinal pseudo-obstruction. Tumor diagnosis and localisation are essential because the latter determines the choice of the decompression procedure. Coecal dilatation of more than 12 cm indicates an increased risk of perforation...
December 2017: Zeitschrift Für Gastroenterologie
Miguel Martínez-Guillén, Joan B Gornals, Claudia F Consiglieri, Josep M Castellvi, Carme Loras
BACKGROUND AND AIM: Complete gastrointestinal strictures are a technically demanding problem. In this setting, an anterograde technique is associated with a high risk of complications and a combined anterograde-retrograde technique requires a prior ostomy. Our aim was to assess the outcome of a first case series for the management of complete gastrointestinal strictures using endoscopic ultrasound (EUS)-guided puncture as a novel endoscopic approach. PATIENTS AND METHODS: This retrospective case-series describes four cases that were referred for treatment of complete benign gastrointestinal strictures, three upper and one lower...
September 2017: Revista Española de Enfermedades Digestivas
Ramiro Gálvez-Valdovinos, Ernesto Marín-Santillán, Juan Francisco Funes-Rodríguez, Gustavo López-Ambriz
BACKGROUND: Acute gastric volvulus is a rare, but potentially life-threatening, cause of upper gastrointestinal obstruction. CLINICAL CASE: Male of 60 years old with severe epigastric pain and abdominal distension with haematemesis on two occasions. The patient was haemodynamically stable, with abdominal distension and palpable epigastric fullness. Hematic cytology showed: haemoglobin 8.2g/dl and haematocrit 27%. Abdominal X-ray showed an elevation of left diaphragm with a hugely dilated stomach...
March 2016: Cirugia y Cirujanos
S N Serikova, N V Korochanskaia, V M Durleshter
THE AIM OF THE STUDY: Investigation of motor and evacuated functions of upper parts of digestive tract in patients with hard scarring gastric ulcers (HSGU) after organ-preserving surgery by gastroplasty method. METHODS AND MATERIALS: Motor and evacuated functions of the operated stomach were studied in 74 patients after gastroplasty (GP) with invaginated corporo-antral anastomosis (CAA) and 30 patients after GP with corporo-antral sphincter (KAS) formation from the ileal loop in different post-operated periods...
2013: Experimental & Clinical Gastroenterology
Jen-Bin Wang, Chinsu Liu, Yi-Chen Yeh, Chia-Pei Liu, Chun-Ju Chang, Cheng-Yen Chen, Taiwai Chin
PURPOSE: The mechanisms of liver fibrosis in biliary atresia (BA) after a Kasai operation deserve studying to improve the clinical outcomes. This study aimed to create a rat model simulating BA after a Kasai operation. METHODS: We inserted a polyethylene tube (PE10) into the common hepatic duct (CHD) and ligated the common bile duct (CBD) in 30 newborn rats and injected 95% ethanol into IHD at postoperative week-one (POW-1). The PE10 was removed at POW-3. The rats were sacrificed at POW-5...
June 2014: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
Basile Njei, Adam Schoenfeld, Haleh Vaziri
Toxic epidermal necrolysis (TEN) is an idiosyncratic, potentially life-threatening skin disease characterized by widespread inflammation and necrosis of the epidermis and mucous membranes. It may result in narrowing of the esophageal lumen through fibrosis and esophageal stricture in rare situations, mostly encountered in children. To the best of our knowledge, we report the first case of esophageal stricture secondary to allopurinol-induced TEN in an adult patient. A 70-year-old male presented to our clinic with severe dysphagia secondary to allopurinol-induced TEN involving his mouth and esophagus...
October 2013: Connecticut Medicine
X Dray, M Camus, U Chaput
Endoscopy has an ever-increasing role in the treatment of complications in digestive surgery. Endoscopic treatment is essentially used for (i) fistula or intra-abdominal collection secondary to anastomotic dehiscence and (ii) anastomotic stricture, especially esophagogastric, but also sometimes after colorectal surgery. First intention treatment of fistula following esophagogastric surgery is the insertion of an extractable self-expandable metallic stent (partially or entirely covered); this is supported by a low level of scientific evidence, but clinical experience has been satisfactory...
June 2013: Journal of Visceral Surgery
Paul W Wales, Tim Jancelewicz, Rodrigo L Romao, Hannah G Piper, Nicole T de Silva, Yaron Avitzur
BACKGROUND: Congenital ultra-short bowel syndrome (USBS) is a challenging problem with a poor outcome. We report a new management approach for USBS infants that attempts to optimize gut growth potential. METHODS: We report five neonates with USBS in whom no correction was performed at primary surgery except placement of a gastrostomy (G) tube. Sham feeds were started with intermittent G-tube clamping to induce bowel dilatation/growth. Serial fluoroscopy was done until bowel caliber reached 5 cm...
May 2013: Journal of Pediatric Surgery
Takuji Iwashita, Ichiro Yasuda, Shinpei Doi, Shinya Uemura, Masatoshi Mabuchi, Mitsuru Okuno, Tsuyoshi Mukai, Takao Itoi, Hisataka Moriwaki
INTRODUCTION: Endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy is challenging. Several endoscopic ultrasound (EUS)-guided biliary access techniques have been reported as effective alternatives. EUS-guided antegrade treatments (AG) have been developed more recently but have not yet been studied well. AIMS: To evaluate the feasibility and safety of EUS-AG for biliary disorders in patients with surgically altered anatomies...
August 2013: Digestive Diseases and Sciences
Z J Goodrich, L L Powell, K J Hulting
OBJECTIVE: To assess gastric trocarization and orogastric tubing as a means of gastric decompression for the initial management of gastric dilatation-volvulus. METHODS: Retrospective review of 116 gastric dilatation-volvulus cases from June 2001 to October 2009. RESULTS: Decompression was performed via orogastric tubing in 31 dogs, gastric trocarization in 39 dogs and a combination of both in 46 dogs. Tubing was successful in 59 (75·5%) dogs and unsuccessful in 18 (23·4%) dogs...
February 2013: Journal of Small Animal Practice
Yasuo Nakahara, Koji Aoyama, Takafumi Goto, Yoshinobu Iwamura, Yusuke Takahashi, Takeshi Asai
BACKGROUND/PURPOSE: Esophageal reconstruction in long gap esophageal atresia (EA) is technically challenging, and several procedures have been described. The purpose of this study is to review our experience with the modified Collis-Nissen procedure in the repair of long gap pure EA. METHODS: Six patients with pure EA were treated at our institution from 1985 to 2008. Patients' demographics, surgical technique, timing of repair, early and late complications, and long-term functional outcomes were retrospectively reviewed...
March 2012: Journal of Pediatric Surgery
K P Davenport, K P Mollen, S S Rothenberg, T D Kane
Minimally invasive surgical techniques are becoming increasingly popular within the pediatric population. Flexible endoscopy may enhance or replace existing techniques in the future. Many of the reported benefits of laparoscopy and thoracoscopy may apply to endoscopy and endoscopy-assisted procedures; however, no reports exist as to the application, results, and outcomes for these procedures in children. It was hypothesized that endoscopy is a useful and safe adjunct for pediatric surgical patients. Retrospective review of medical records for patients who underwent endoscopy or endoscopy-assisted operations at two children's hospitals over 3 years (August 31, 2007-August 31, 2010) was completed...
January 2013: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
O Yilmaz, A Genc, S Ayhan, T Ozcan, R Aygoren, C Taneli
Congenital short colon, more commonly known as pouch colon, is a rare anomaly that can be encountered with anorectal malformations (ARM). The colon is shorter than normal and the distal end is dilated like a pouch. We report the case of a newborn with a Type 2 pouch colon. A female newborn was brought to our clinic with a diagnosis of cloaca anomaly. Her physical examination revealed a single canal introitus and flat perineum. In the abdominal x-ray taken in the upright position, a prominent air sac was noticed at the left side...
September 2011: Acta Chirurgica Belgica
Carmen Cabral, Mircéa Chirica, Cécile de Chaisemartin, Jean-Marc Gornet, Nicolas Munoz-Bongrand, Bruno Halimi, Pierre Cattan, Emile Sarfati
BACKGROUND: Both observational and aggressive surgical strategies have been advocated for the treatment of corrosive injuries of the upper gastrointestinal tract (UGT) but the optimal management is still a dilemma. The aim of this study was to report our experience with caustic UGT injuries in adult patients treated with a surgically aggressive, endoscopy-based therapeutic protocol over a 6-year period. PATIENTS AND METHODS: Between January 2002 and December 2007, 315 patients (138 men, mean age = 40 ± 15...
January 2012: Surgical Endoscopy
A Schneider, C G Ferreira, I Kauffmann, I Lacreuse, F Becmeur
OBJECTIVE: We report here on our experience with a modified Spitz procedure using a Collis gastroplasty for the repair of long-gap esophageal atresia (EA). PATIENTS AND METHODS: The authors reviewed 5 cases of children with long-gap (5-6 vertebral bodies) EA. The repair was carried out after 3 months of permanent monitoring, enteral nutrition through a gastrostomy tube and permanent aspiration of the proximal esophagus. The Collis gastroplasty was performed to create a gastric tube along the gastric lesser curvature using an Endo-GIA linear stapler...
May 2011: European Journal of Pediatric Surgery
Giovanni Talarico, Elisabeth Lipke, Gerd Alberti
Ricinuleid functional mouthparts are the cucullus, the chelicerae, the pedipalps, and the labrum. These structures are movably jointed to the rest of the prosoma, most likely protruded upon hydrostatic hemolymph pressure and retracted by prosomal muscles. Seta-like protrusions from the labrum and the pedipalpal coxae form a sieve-like filter inside the preoral cavity and the mouth. Although the tip of the labrum can be elevated upon muscle constriction, ingestion of large, solid food particles is unlikely. The mouth has a crescent-shaped cross section...
January 2011: Journal of Morphology
Chih-Cheng Luo, Yung-Ching Ming, Hsun-Chin Chao, Shih-Ming Chu
BACKGROUND: The dilated bowel segment usually involves the entire jejunum, as well as the duodenum in patients with high jejunal atresia. Classical approaches with a limited tapering enteroplasty and anastomosis frequently fail to restore intestinal function. A novel technique using duodenal derotation and extent tapering jejunoplasty (DDETJ) is reported here. METHODS: Infants with high jejunal atresia within 10 cm of the ligament of Treitz treated with DDETJ over a 3-year period were reviewed...
October 2010: Pediatrics and Neonatology
Yuji Ota, Masataka Kikuyama, Satsuki Suzuki, Jun Nakahodo, Shigeki Koide
Stenotic pancreatico-enteric anastomosis is one of the serious late complications after a pancreaticoduodenectomy. We report a case of stenotic pancreaticojejunostomy with a pancreatic juice fistula drained externally, which was treated using percutaneous procedures combined with a rendezvous method. A 77-year-old woman was referred to our hospital for an endoscopic treatment to remove a percutaneous drainage tube from a fluid collection due to pancreatic juice fistula. She had undergone pylorus-preserving pancreatoduodenectomy with Roux-en-Y reconstruction due to duodenal carcinoma of Vater's papilla 1 year before the referral to our hospital...
July 2010: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
M Rouzrokh, A T Khaleghnejad, L Mohejerzadeh, A Heydari, H Molaei
BACKGROUND: Hirschsprung's disease (HD) is a relatively common congenital disease that could be suspected by clinical symptoms, abdominal plain X-ray, and finally diagnosed by rectal biopsy. In 80% cases, rectosigmoid junction is involved. Recently, one-stage transanal pull-through (TAPT) procedure has been popular and may have several complications. METHODS AND PATIENTS: During a 4-year period, 86 infants (28 girls, 58 boys) with mean age 8 days (3-33) and clinically suspected to HD were admitted in our center...
October 2010: Pediatric Surgery International
Yuji Sakai, Toshio Tsuyuguchi, Takeshi Ishihara, Seigo Yukisawa, Harutoshi Sugiyama, Kaoru Miyakawa, Yasuhisa Kuroda, Taketo Yamaguchi, Shinichi Ozawa, Osamu Yokosuka
AIM: To compare the outcome of endoscopic therapy for postoperative benign bile duct stricture and benign bile duct stricture due to chronic pancreatitis, including long-term prognosis. METHODS: The subjects were 20 patients with postoperative benign bile duct stricture and 13 patients with bile duct stricture due to chronic pancreatitis who were 2 years or more after initial therapy. The patients underwent transpapillary drainage with tube exchange every 3 to 6 months until being free from the tube...
July 2009: Journal of Gastroenterology and Hepatology
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