keyword
https://read.qxmd.com/read/38407337/application-of-mid-pancreatectomy-with-end-to-end-anastomosis-in-pancreatic-benign-tumors
#21
JOURNAL ARTICLE
Zeyu Lin, Zejin Lin, Yongling Liang, Chengrui Zhong, Ziyan Mai, Zhiping Chen, Jiayan Wu, Taijun Yi, Guolin Li, Yunle Wan
Mid-pancreatectomy combined with end-to-end anastomosis is a surgical procedure used to treat benign pancreatic tumors. It involves removing the tumor from the middle section of the pancreas and connecting the proximal and distal ends through an anastomosis. The traditional surgical approach for resecting the middle segment of the pancreas involves closing the proximal pancreas and creating a Roux-en-Y anastomosis with the jejunum. However, this approach carries a double risk of pancreatic stump fistula and pancreatico enteric anastomotic leak postoperatively...
February 9, 2024: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/38401322/sigmoid-atresia-case-report-and-literature-review
#22
Ahmed Abokrecha, Ahmed Gamal Sayed, Khalid Alnajjar, Orjuwan Ayidh Almatrafi, Maeen Aldamouni
INTRODUCTION AND IMPORTANCE: Intestinal atresia is a congenital anomaly commonly happening in the small bowel and rarely in the colon. Colonic atresia can manifest as intestinal obstruction with abdominal distention and bilious vomiting. CASE PRESENTATION: A 3-day-old male new-born who was referred from a rural hospital, full term, product of normal vaginal delivery, with a weight of 2400 g. The patient had a complaint of bilious vomiting, inability to pass meconium, and abdominal distension for three days...
February 23, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38398744/understanding-the-impact-of-sheep-digestion-on-seed-germination-in-the-cold-desert-annual-diptychocarpus-strictus-with-emphasis-on-fruit-and-seed-heteromorphism
#23
JOURNAL ARTICLE
Xuheng Zhao, Yixiang Wang, Fangfang Cao, Xuzhe Wang, Fanfan Zhang, Sumera Anwar, Zhihua Sun, Hongsu He
This study aimed to investigate the morphological characteristics of fruits and seeds from Diptychocarpus strictus , a plant species inhabiting the cold desert pastoral area of China. Furthermore, this study sought to evaluate the germination potential of these seeds following digestion by sheep. This study employed the sheep rumen fistula method to simulate rumen digestion at various time intervals. Subsequently, an in vitro simulation method was utilized to simulate true gastric and intestinal digestion after rumen digestion...
February 8, 2024: Life
https://read.qxmd.com/read/38397922/correlation-between-polymorphisms-of-vitamin-d-metabolism-genes-and-perianal-disease-in-crohn-s-disease
#24
JOURNAL ARTICLE
Jessica Cusato, Carla Cafasso, Miriam Antonucci, Alice Palermiti, Alessandra Manca, Gian Paolo Caviglia, Marta Vernero, Angelo Armandi, Giorgio Maria Saracco, Antonio D'Avolio, Davide Giuseppe Ribaldone
Although the role of vitamin D (VD) in the pathogenesis and progression of Crohn's disease (CD) is known, the association between single-nucleotide polymorphisms (SNPs) of genes linked to vitamin D pathway and CD risk is still under study. Furthermore, no significant association has been previously found between these SNPs and perianal CD (pCD), a severe phenotypic manifestation of CD that may present as perianal fistula, abscess, and recto-vaginal fistula. Among the mechanisms involved in its pathogenesis, local inflammation and intestinal microbiota alteration are recognized...
January 30, 2024: Biomedicines
https://read.qxmd.com/read/38377761/determination-of-quality-of-life-related-health-utilities-for-surgical-complications-in-ovarian-cancer
#25
JOURNAL ARTICLE
Rudy S Suidan, Charlotte C Sun, Amy K Schneider, Karen H Lu, Sharon H Giordano, Larissa A Meyer
OBJECTIVE: To assess the health state utilities of ovarian cancer patients, clinicians, and non-cancer controls regarding surgical complications in ovarian cancer. METHODS: Utilities for 14 surgical complications were assessed from patients with recently diagnosed or recurrent ovarian cancer, clinicians, and non-cancer controls using the visual analog scale (VAS) and time trade-off (TTO) methods. Health state utilities were converted to a 0-to-1 scale, where 0 represents the least favorable outcome and 1 represents the most favorable outcome...
February 19, 2024: Gynecologic Oncology
https://read.qxmd.com/read/38371644/epidemiological-clinical-and-prognosis-aspects-of-acute-generalized-peritonitis-in-south-kivu-province-descriptive-observational-study-of-278-cases
#26
MULTICENTER STUDY
Jean Paul Buhendwa Cikwanine, Désiré Munyali Alumeti, Kivukuto John Mutendela, Prisca Kavira Ise-Somo, Jonathan Tunangoya Yoyu, Patrick Musimwa Ciza, Maroyi Raha, Willy Arung Kalau
INTRODUCTION: the aim was to determine epidemiological, clinical, therapeutic, and prognostic aspects of acute generalized peritonitis (AGP). METHODS: we conducted an observational, cross-sectional and multicentre study over 2 years of 278 cases of acute generalized peritonitis operated in semi-urban and urban hospitals in South-Kivu Province, Democratic Republic of Congo. RESULTS: the population of this study was young with a mean age was 28...
2024: Pan African Medical Journal
https://read.qxmd.com/read/38370584/surgical-correction-of-multiple-renoduodenal-fistulas-due-to-chronic-pyelonephritis-a-case-report-and-literature-review
#27
Amber L Jones, Lindsey A Braden, Shahab P Hillyer
Renoduodenal fistulas are a rare and uncommon phenomenon that account for ˂1% of those found between the urinary and intestinal tracts. Precipitation of this pathologic tract can be caused by chronic inflammation, necrosis, or ischemia. This case illustrates a 72-year-old man presenting with flank pain discovered to have multiple renoduodenal fistulas and our approach that led to the resolution of his symptoms. We review the pathophysiology, management, and effects of these fistulous tracts on renal function...
February 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38357940/clinical-outcomes-before-and-after-prucalopride-treatment-an-observational-study-in-patients-with-chronic-idiopathic-constipation-in-the-usa
#28
JOURNAL ARTICLE
Anthony Lembo, Brooks D Cash, Mei Lu, Emi Terasawa, Brian Terreri, Shawn Du, Rajeev Ayyagari, Paul Feuerstadt, Baharak Moshiree, Ben Westermeyer, Selina Pi, Mena Boules
INTRODUCTION: This real-world US-based claims study compared constipation-related symptoms and complications 6 months before and after prucalopride initiation in adults with chronic idiopathic constipation (CIC). METHODS: This observational, retrospective cohort analysis used the IBM MarketScan® Commercial Claims and Encounters and the Medicare Supplemental databases (January 2015-June 2020). Prucalopride-treated patients (≥18 years old) who had ≥1 constipation-related International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) diagnosis code during the baseline or study period were included...
February 15, 2024: Clinical and Translational Gastroenterology
https://read.qxmd.com/read/38354684/management-of-urosymphyseal-fistula-and-pubic-bone-osteomyelitis-description-of-a-new-surgical-technique-by-cystectomy-urinary-diversion-and-pelvic-filling-flap-by-unilateral-pedicled-myocutaneous-vertical-rectus-abdominus-muscle-flap
#29
JOURNAL ARTICLE
Stessy Kutchukian, Caroline Chapelle, Vincent Huguier, Gwenaël Le Moal, Simon Bernardeau, Pierre Pries, Elias Ayoub, Maxime Vallée
Pubic bone osteomyelitis is a rare infection, mostly related to urinary fistula. The published data about the medical or surgical management of this type of infection is relatively poor. In this case study of three patients, we describe our surgical technique for the management of urosymphyseal fistula complicated with pubic bone infection using pelvic filling flap by unilateral pedicled myocutaneous vertical rectus abdominus muscle flap. The first patient had the pelvic space filled with omentum flap. Unfortunately, the patient presented, postoperatively, an enteric fistula resulting from intestine incarceration on the resected bone...
February 13, 2024: Fr J Urol
https://read.qxmd.com/read/38348984/postoperative-distal-enteral-tube-refeeding-in-stoma-patients-a-comparative-analysis-of-clinical-outcomes
#30
JOURNAL ARTICLE
Jignesh Gandhi, Aadrika Kashyap, Pravin Shinde
<b><br>Introduction:</b> Stoma surgery, which involves creating a diversion of the small intestine through an abdominal wall opening, poses challenges in managing fluid and electrolyte imbalances. Patients with high proximal stoma often rely on costly and risky parenteral nutrition (PN). Distal enteral tube feeding, a method of delivering nutrition to the small intestine, is intended to improve clinical outcomes and reduce complications. This study presents a comparative analysis of clinical outcomes between postoperative distal enteral tube refeeding and traditional enteral and PN approaches in stoma patients with distal mucous fistula...
October 17, 2023: Polski Przeglad Chirurgiczny
https://read.qxmd.com/read/38340631/the-omphalomesenteric-duct-fibrous-band-as-a-rare-cause-of-bowel-obstruction-a-case-report-and-literature-review
#31
Hamed Tahmasbi, Alireza Haghbin Toutounchi, Arman Hasanzade, Shaghayegh Sadeghmousavi, Mohammad Aghaei
INTRODUCTION AND IMPORTANCE: The omphalomesenteric duct (OMD) is an embryonic structure that normally undergoes obliteration during embryonic development, typically not persisting after birth. Failure of complete or partial obliteration can result in a type of malformation known as OMD remnant. CASE PRESENTATION: We report a case of a 24-year-old male patient diagnosed with bowel obstruction. Abdominal computed tomography (CT) scan revealed the presence of an adhesion band...
February 3, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38338054/dietary-lactobacillus-delbrueckii-affects-ileal-bacterial-composition-and-circadian-rhythms-in-pigs
#32
JOURNAL ARTICLE
Wenxin Luo, Zhangzheng Yin, Mingliang Zhang, Xingguo Huang, Jie Yin
Intestinal bacteria, synchronized with diet and feeding time, exhibit circadian rhythms and anticipate host gut function; however the effect of dietary probiotics on gut bacterial diurnal rhythms remains obscure. In this study, bacteria were sequenced at 6 Zeitgeber times (ZT) from a pig model of ileal T-shaped fistula to test ileal bacterial composition and circadian rhythms after Lactobacillus delbrueckii administration. The results showed that dietary L. delbrueckii enhanced ileal bacterial α-diversity at Zeitgeber time (ZT) 16, evidenced by an increased Simpson index compared with control pigs...
January 26, 2024: Animals: An Open Access Journal From MDPI
https://read.qxmd.com/read/38327000/association-of-colonic-metaplasia-of-goblet-cells-and-endoscopic-phenotypes-of-the-j-pouch-in-patients-with-ulcerative-colitis-a-retrospective-pilot-study
#33
JOURNAL ARTICLE
Shintaro Akiyama, Tsubasa Onoda, Shoko Moue, Noriaki Sakamoto, Taku Sakamoto, Hideo Suzuki, Tsuyoshi Enomoto, Daisuke Matsubara, Tatsuya Oda, Kiichiro Tsuchiya
BACKGROUND/AIMS: Mucosal adaptation of the ileum toward colonic epithelium has been reported in pouchitis in ulcerative colitis (UC); however, the clinical characteristics, endoscopic findings, and outcomes in patients with pouchitis with ileal mucosal adaptation are poorly understood. METHODS: This was a single-center retrospective study comprising UC patients treated by proctocolectomy with ileal pouch-anal anastomosis who had undergone pouchoscopy at the University of Tsukuba Hospital between 2005 and 2022...
January 2024: Intestinal Research
https://read.qxmd.com/read/38321184/extended-lymphadenectomy-based-on-the-triangle-for-pancreatic-head-cancer-a-single-center-experience
#34
JOURNAL ARTICLE
Kai Lei, Jiaguo Wang, Xingxing Wang, Hongxiang Wang, Run Hu, Huizhi Zhang, Wei Xu, Jie Xu, Ke You, Zuojin Liu
BACKGROUND: This study was to compare the safety and efficacy of different lymphadenectomy methods in patients with pancreatic head cancer undergoing pancreaticoduodenectomy (PD). MATERIAL AND METHODS: A total of 150 patients were included in this study. Patients were divided into Group A (n = 79), Group B (n = 44), and Group C (n = 27) according to the different lymphadenectomy methods. The clinical endpoint was time to progression (TTP) and overall survival (OS)...
February 7, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38317700/an-authentic-radiological-triad-of-rigler-allowing-the-diagnosis-of-gallstone-ileus-a-case-report
#35
Aliou Zabeirou, Adama Saidou, Hama Younssa, Lassey James Didier, Moussa Younoussa, Rachid Sani
The Rigler's Triad consists by three radiological signs, including intestinal obstruction, pneumobilia, and an aberrant gallstone in the bowel. It is an inconstant triad considered being pathognomonic of gallstone ileus. Gallstone ileus is an exceptional complication of cholelithiasis due to the passage of one or more gallstones from the bile ducts into the lumen of the bowel through a biliodigestive fistula. We report the case of an 83-year-old female patient with a history of ischemic heart disease and an asymptomatic large gallstone...
April 2024: Radiology Case Reports
https://read.qxmd.com/read/38312743/microbiomic-signatures-of-anal-fistula-and-putative-sources-of-microbes
#36
JOURNAL ARTICLE
Jun Yang, Ling Li, Wenya Su, Shuqin Zhang, Hai Xu, Mingyu Wang, Wenlong Shen
Anal fistula is a common perianal disease that typically develops from an abscess caused by in-flammation in the area. It has long been believed that intestinal microbes play a significant role in its development, considering its close relation to the intestinal environment. This work attempts to identify the microbiomic signatures of anal fistula, and putative sources of microbes by analyzing microbiomes of 7 anal fistula-associated sites in 12 patients. This study found that microbes in anal fistulas may originate from the skin surface in addition to the intestinal tract...
2024: Frontiers in Cellular and Infection Microbiology
https://read.qxmd.com/read/38310785/a-rare-case-of-oesophageal-atresia-complicated-by-duodenal-atresia-and-anorectal-malformation-successfully-treated-with-multi-stage-surgery
#37
Yuta Takeuchi, Seiichiro Inoue, Yuki Muta, Kohei Kawaguchi, Akio Odaka
INTRODUCTION: Oesophageal atresia, duodenal atresia, and anorectal malformations are rare. This report describes a case of an infant with these three conditions treated using a multi-stage surgical procedure. PRESENTATION OF CASE: A male infant was delivered via caesarean section at 34 weeks and 4 days of gestation, weighing 1709 g. Radiography at birth showed a coil-up of the gastrointestinal tube in the oesophagus, a double bubble sign; the patient was subsequently diagnosed with gross type C oesophageal atresia with duodenal atresia...
February 2, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38303335/-a-case-of-intestinal-fistula-associated-with-small-intestinal-metastasis-from-small-cell-lung-carcinoma
#38
JOURNAL ARTICLE
Takaki Furuyama, Sakiko Asano, Ito Kondo, Makoto Hinokida, Yusuke Tatsutomi, Kunihiko Nakazawa, Yoshio Ushirokoji
A 53-year-old man who complained of dyspnea and prolonged cough visited to our hospital. Computed tomography (CT)revealed massive tumors of right lung and small intestine. CT-guided fine-needle aspiration(FNA)on lung lesion was performed and the lung tumor was diagnosed as small cell carcinoma. We subsequently performed surgical resection for the tumor of small intestine, but part of tumor lesion remained due to pelvic wall invasion. The resected tumor was diagnosed as metastasis from lung carcinoma by histopathological examination...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303247/-a-case-of-single-hole-ileal-resection-for-ascendiry-colon-cancer-with-ureterocutaneous-fistula-in-the-right-lower-abdomen
#39
JOURNAL ARTICLE
Nobutaka Hayashi, Yujiro Nishizawa, Yoshinori Kagawa, Akira Inoue, Yusuke Kawabe, Miki Sindo, Ken Suzuki, Megumi Nakanishi, Hisateru Komatsu, Masashi Hirota, Yasuhiro Miyazaki, Akira Tomokuni, Masaaki Motoori, Kazuhiro Iwase, Kazumasa Fujitani
The patient is a 70s woman. She underwent cystectomy for bladder cancer 6 years ago and had a ureterocutaneous fistula in the right lower abdomen. After colonoscopy for positive fecal occult blood, a type 1 elevated lesion was found in the ascending colon, which was diagnosed as a well-differentiated adenocarcinoma on biopsy. Surgery was performed with a single hole. The approach from the right lower abdomen, where the ureterocutaneous fistula and ureter are located, was avoided, and the approach from the hepatic flexure of the transverse colon was used first...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38298320/severe-sepsis-secondary-to-toxic-megacolon-revealing-an-inflammatory-bowel-disease
#40
Omar Mhammedi Alaoui, Badie Douqchi, Islam Bella, Imane Ghazi, Ilias Benaini, Ilias El Kadiri Boutchich, Ilyass Laaribi, Ghizlane El Aidouni, Houssam Bkiyar, Mohammed Bouziane, Brahim Housni
Patients with inflammatory bowel disease can present with numerous infectious complications, including intra-abdominal abscess, perforations of the intestine, fistula formation, and the occurrence of septicemia. Toxic megacolon (TM) is a potentially fatal complication of inflammatory bowel disease (IBD) and is associated with high morbidity and mortality. In this case report, we report a 49-year-old male patient who was admitted to the intensive care unit for the management of severe sepsis that was secondary to an inaugural toxic megacolon complicating a silent inflammatory bowel disease, with a Lichtiger score of 11...
January 2024: Curēus
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