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https://www.readbyqxmd.com/read/28219849/surgical-management-of-malignant-bowel-obstruction-in-recurrent-pancreatic-cancer
#1
Hyung Sun Kim, Joon Seong Park, Jin Hong Lim, Ja Hoon Back, Dong Sup Yoon
INTRODUCTION: Malignant bowel obstruction (MBO) is harrowing complication of gastrointestinal cancers. Only a few studies have reported on the surgical roles of bowel obstruction from recurrent pancreatic cancer. We report successfully management for malignant bowel obstruction by palliative surgery for relief of symptoms. PRESENTATION OF CASE: A 43 year old man was diagnosed with pancreatic tail cancer. After distal pancreatectomy, he underwent six cycle of adjuvant chemotherapy...
January 12, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28218630/jejunal-carcinoid-tumors-presenting-as-small-bowel-obstruction
#2
David Ballard, Ryan Fransman, Guillermo Sangster, Matthew Ayo, Navdeep Samra
Carcinoid tumors are the most common form of gut neuroendocrine tumors, however, they rarely present with small bowel obstruction. We present a case of a 65-year-old woman without prior abdominal operations who presented with symptoms of small bowel obstruction. Computed tomography (CT) showed multiple air fluid levels and a transition point in the left mesentery with two soft tissue densities at the same level. The patient was taken to the operating room for surgical exploration, which showed two intramural masses in the mid and distal jejunum, which surgical pathology showed to be stage IIIB carcinoid tumor...
January 2017: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/28216077/prenatal-diagnosis-and-outcome-of-fetal-gastrointestinal-obstruction
#3
Patricio E Lau, Stephanie Cruz, Christopher I Cassady, Amy R Mehollin-Ray, Rodrigo Ruano, Sundeep Keswani, Timothy C Lee, Oluyinka O Olutoye, Darrell L Cass
INTRODUCTION: The purpose of this study was to evaluate the accuracy of prenatal diagnosis for fetuses with gastrointestinal (GI) obstruction with correlation to postnatal outcomes. METHODS: Fetuses diagnosed with GI obstruction (excluding esophageal and duodenal) were reviewed for those evaluated between 2006 and 2016. Prenatal diagnosis and imaging studies were compared to postnatal findings. Outcomes evaluated included diagnostic accuracy, rate of other anomalies, neonatal length of stay, incidence of short bowel syndrome, and discharge with TPN or gastrostomy...
January 29, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28207436/multicenter-observational-study-of-adhesion-formation-after-open-and-laparoscopic-surgery-for-colorectal-cancer
#4
Martijn W J Stommel, Richard P G Ten Broek, Chema Strik, Gerrit D Slooter, Cornelis Verhoef, Dirk J Grünhagen, Peter van Duijvendijk, Marc H A Bemelmans, Marcel den Dulk, Colin Sietses, Tjarda N T van Heek, Peter B van den Boezem, Johannes H W de Wilt, Harry van Goor
OBJECTIVE: The aim of this study was to compare adhesion formation after laparoscopic and open colorectal cancer resection. SUMMARY OF BACKGROUND DATA: After colorectal surgery, most patients develop adhesions, with a high burden of complications. Laparoscopy seems to reduce adhesion formation, but evidence is poor. Trials comparing open- and laparoscopic colorectal surgery have never assessed adhesion formation. METHODS: Data on adhesions were gathered during resection of colorectal liver metastases...
February 15, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28203124/when-diarrhea-can-become-deadly-legionnaires-disease-complicated-by-bowel-obstruction
#5
Wesley Prichard, Laurel Fick
Legionnaires' disease may present with a broad spectrum of illnesses and nonspecific extrapulmonary symptoms including diarrhea. To our knowledge, bowel obstruction has not been reported as a manifestation of Legionella. We present a unique case of Legionnaires' disease contributing to a small bowel obstruction.
September 2016: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/28173868/docosahexaenoic-acid-increases-accumulation-of-adipocyte-triacylglycerol-through-up-regulation-of-lipogenic-gene-expression-in-pigs
#6
Chao-Wei Huang, Yu-Jen Chen, Jui-Ting Yang, Ching-Yi Chen, Kolapo M Ajuwon, Shuen-Ei Chen, Nan-Wei Su, Yu-Shan Chen, Harry J Mersmann, Shih-Torng Ding
BACKGROUND: Changing dietary fatty acid composition in modern diet influences the prevalence of obesity. Increasing evidences suggest favorable effects of n-3 PUFA for protecting against obesity and the metabolic syndrome. However, the regulation of n-3 PUFA in adipose is still unclear. Thus, this study addressed metabolism of different dietary fats in the adipose tissue of porcine model. METHODS: Eight-week-old cross-bred pigs were randomly assigned to three groups and fed a 2% fat diet for 30 days from either soybean oil (SBO), docosahexaenoic acid (DHA) or beef tallow...
February 7, 2017: Lipids in Health and Disease
https://www.readbyqxmd.com/read/28163037/laparoscopic-repair-of-an-intrapericardial-diaphragmatic-hernia-after-convergent-maze-procedure
#7
Andrew J Kaufman, Eugene T Kahn, Jonathan Villena-Vargas, Justin G Steele, Raja M Flores
The convergent maze procedure (CMP) is a new minimally invasive technique for the surgical treatment of atrial fibrillation (AF). Recently, multiple groups have published excellent results and few adverse events with CMP. However we now report the second case of an intrapericardial diaphragmatic hernia with small-bowel obstruction that resulted from CMP. This complication was managed successfully by laparoscopic repair of the hernia utilizing a PTFE mesh closure with hepatic buttress achieving an excellent result...
February 2, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28161873/usefulness-of-a-laparoscopic-approach-for-treatment-of-small-bowel-obstruction-due-to-intersigmoid-hernia-a-case-report
#8
Norisuke Shibuya, Mitsuru Ishizuka, Yoshimi Iwasaki, Kazutoshi Takagi, Hitoshi Nagata, Taku Aoki, Keiichi Kubota
It is well known that intersigmoid hernia (ISH) is a rare condition. Here we describe our experience of laparoscopic surgery for small-bowel obstruction (SBO) due to ISH after sufficient decompression involving long-tube insertion.A 45-year-old woman with no history of abdominal surgery visited our hospital with epigastric pain. She was diagnosed as having SBO and underwent long-tube insertion as conservative therapy. However, her symptoms did not improve. Gastrografin contrast enema via the long-tube demonstrated a beak sign in the lower left abdomen and CT showed incarcerated small bowel was successively covered by sigmoid mesocolon, suggesting that the SBO was due to ISH, and she underwent laparoscopic surgery after sufficient decompression of the dilated small bowel...
December 2017: Surgical Case Reports
https://www.readbyqxmd.com/read/28153520/impact-of-a-procalcitonin-based-algorithm-on-the-management-of-adhesion-related-small-bowel-obstruction
#9
C Cossé, C Sabbagh, V Carroni, A Galmiche, L Rebibo, J-M Regimbeau
INTRODUCTION: Adhesion-related small bowel obstruction (ASBO) management is difficult if there are no signs of strangulation or peritonitis when intestinal transit has not been restored. The aim of the present study was to determine the impact of combining a procalcitonin (PCT)-based algorithm with clinical signs on the management of uncomplicated ASBO. METHOD: We performed a pilot, retrospective, single-center "before-after" study. During the "before" period (2007 to 2012), patients with uncomplicated ASBO (n=93, the Gastrografin(®) group) underwent a clinical examination and a Gastrografin(®) index...
January 30, 2017: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/28151794/reply-to-letter-to-the-editor-30-day-readmission-following-operative-management-of-adhesive-small-bowel-obstruction
#10
Christopher T Aquina, Adan Z Becerra, Fergal J Fleming, Adan Z Becerra
No abstract text is available yet for this article.
February 1, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28149141/are-transitional-vertebra-and-spina-bifida-occulta-related-with-lumbar-disc-herniation-and-clinical-parameters-in-young-patients-with-chronic-low-back-pain
#11
Emine Eda Kurt, Aysegul Kuçukali Turkyilmaz, Yeliz Dadali, Hatice Rana Erdem, Figen Tuncay
OBJECTIVE: Lumbosacral transitional vertebra (LSTV) and spina bifida occulta (SBO) are widespread within the lumbosacral spine. Their connection to lumbar disc herniation (LDH) and/or lower back pain has been debated in the current literature; however, there is no consensus. The purpose of this study is to evaluate the relationship between the frequency of LSTV and SBO with that of LDH among young patients with chronic lower back pain. STUDY DESIGN: Cross-sectional...
October 2016: Eurasian Journal of Medicine
https://www.readbyqxmd.com/read/28147253/minimally-invasive-vs-open-congenital-diaphragmatic-hernia-repair-is-there-a-superior-approach
#12
Luke R Putnam, Kuojen Tsao, Kevin P Lally, Martin L Blakely, Tim Jancelewicz, Pamela A Lally, Matthew T Harting
BACKGROUND: The minimally-invasive (MIS) approach for congenital diaphragmatic hernia (CDH) repair remains controversial. Our objective was to compare outcomes and complications of the MIS and open approaches, with risk-stratification of patients based on defect size and key patient characteristics. STUDY DESIGN: The multi-national CDH Study Group (CDHSG) registry was queried for the period from 2007-2015. Patient demographics and operative details including the CDHSG Staging System defect size (A-D) were reviewed...
January 29, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28133390/influence-of-antimony-halogen-additives-on-flame-propagation
#13
Valeri I Babushok, Peter Deglmann, Roland Krämer, Gregory T Linteris
A kinetic model for flame inhibition by antimony-halogen compounds in hydrocarbon flames is developed. Thermodynamic data for the relevant species are assembled from the literature, and calculations are performed for a large set of additional species of Sb-Br-C-H-O system. The main Sb- and Br-containing species in the combustion products and reaction zone are determined using flame equilibrium calculations with a set of possible Sb-Br-C-H-O species, and these are used to develop the species and reactions in a detailed kinetic model for antimony flame inhibition...
2017: Combust Sci Technol
https://www.readbyqxmd.com/read/28133151/-a-case-of-primary-squamous-cell-carcinoma-of-the-jejunum-in-the-ultra-elderly
#14
Tatsunori Mizuno, Yukari Morimoto, Taizo Fujita, Eiko Takai, Tomoyuki Nakano, Yoshikazu Tsurui, Takashi Hachisuka, Toshihiro Morita, Satoru Kitano, Noboru Konishi, Shigeo Takai
We treated a 91-year-old man with squamous cell carcinoma that originated from his jejunum, which is very rare; only 8 cases have been reported previously.Surgery was performed because of the small bowel obstruction caused by the large cancerous mass, but he died 23 days later.Early detection and early treatment are important, especially for the ultra-elderly from a standpoint of tolerating surgery.
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28133139/-a-case-of-solitary-metastasis-to-the-small-intestine-from-sigmoid-colon-cancer-after-treatment-of-seven-multiple-cancers
#15
Keiichi Nasu, Tsuyoshi Maeshiro, Keiko Yanai, Hanako Fujita, Masaki Machida, Takafumi Moriyama, Takayoshi Koseki, Hiroki Kudo, Kentaro Inada, Yukiko Takahama, Yasuji Seyama, Ikuo Wada, Sachio Miyamoto, Nobutaka Umekita, Toru Tanizawa
A 75-year-old woman who had undergone a Hartmann's operation for sigmoid colon cancer 2 years ago was hospitalized because she experienced small bowel obstruction several times. She had a treatment history of 6 other cancers, including 5 gastrointestinal tract cancers. However, the obstruction was relieved by conservative therapy each time. In September 2015, she was hospitalized for ileus. Abdominal computed tomography revealed that the lumen of intestine was partially dilated. Subsequently, a long tube was inserted, but the dilatation of the small intestine was not fully recovered...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28127146/ingestion-of-computer-circuit-boards-causing-esophageal-impaction-and-small-bowel-obstruction
#16
Nizar H Senussi, Nasir Saleem
Foreign body ingestion is common in patients with psychiatric diagnoses. Ingested objects can become impacted in the upper and lower gastrointestinal tract, causing serious complications. We report a case of a schizophrenic who ingested large pieces of computer circuit boards, which impacted at the mid-esophagus, in the stomach, and in the cecum. Endoscopic removal of the esophageal object was unsuccessful, and the foreign objects were removed by esophagotomy and laparotomy. Expeditious removal through endoscopic or surgical means is extremely important, as complications can be life-threatening...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28116474/prenatal-magnetic-resonance-and-ultrasonographic-findings-in-small-bowel-obstruction-imaging-clues-and-postnatal-outcomes
#17
Eva I Rubio, Anna R Blask, Andrea T Badillo, Dorothy I Bulas
BACKGROUND: Prenatal small-bowel obstruction can result from single or multiple atresias, and it can be an isolated abnormality or part of a syndrome. It is sometimes the first manifestation of cystic fibrosis. Accurate prediction of the level of obstruction and length of bowel affected can be difficult, presenting a challenge for counseling families and planning perinatal management. OBJECTIVE: To review the prenatal US and MRI findings of small-bowel obstruction and to assess whether fetal MRI adds information that could improve prenatal counseling and perinatal management...
January 23, 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/28111045/denture-molding-causing-small-bowel-obstruction-case-study
#18
Sergey Shimunov, Fadi Baidoun
No abstract text is available yet for this article.
January 19, 2017: Surgery
https://www.readbyqxmd.com/read/28109015/a-single-centre-experience-of-roux-en-y-enteric-drainage-for-pancreas-transplantation
#19
Irum Amin, Andrew J Butler, Gail Defries, Neil K Russell, Simon J F Harper, Asif Jah, Kourosh Saeb-Parsy, Gavin J Pettigrew, Christopher J E Watson
Exocrine drainage following pancreas transplantation can be achieved by drainage into the bladder or bowel, the latter typically by direct duodeno-jejunostomy; the use of Roux-en-Y enteric drainage is uncommon. We report a retrospective analysis of a single centre experience of Roux-en-Y enteric drainage following pancreas transplantation. Over a 14-year period (2001- 2015), 204 consecutive adult pancreas transplants were performed (96.6% simultaneous pancreas and kidney transplants), of which 26.0% were from donors after circulatory death (DCD)...
January 21, 2017: Transplant International: Official Journal of the European Society for Organ Transplantation
https://www.readbyqxmd.com/read/28108969/long-term-outcomes-of-roux-en-y-gastric-bypass-conversion-of-failed-laparoscopic-gastric-band
#20
Hanaa N Dakour Aridi, Mohammad-Rachad Wehbe, Ghassan Shamseddine, Ramzi S Alami, Bassem Y Safadi
BACKGROUND: Laparoscopic adjustable gastric band (LAGB) carries a high rate of failure and reoperation. Laparoscopic conversion of failed LAGB to Roux-en-Y gastric bypass (RYGB) has been shown to be safe and feasible, but long-term follow-up data is still limited. OBJECTIVES: The aim of this study is to evaluate the safety and effectiveness of RYGB after failed LAGB in our patient population. SETTING: The setting was the University Hospital, Beirut, Lebanon...
January 20, 2017: Obesity Surgery
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