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E Nordheim, R Horneland, E M Aandahl, K Grzyb, L Aabakken, V Paulsen, K Midtvedt, A Hartmann, T Jenssen
The surgical technique with duodeno-duodenal enteroanastomosis of pancreas transplants allows for representative endoscopic ultrasound-guided needle biopsies of the donor duodenum and the pancreas graft. We assessed whether histological findings in transplanted donor duodenal biopsies can indicate rejection in the transplanted pancreas. Since September 2012, a duodeno-duodenal enteroanastomosis has been the default technique for pancreas transplantations at our center. In 67 recipients we prospectively examined 113 endoscopic ultrasound-guided procedures with representative biopsies from the duodenum grafts and the pancreas grafts (97 per protocol and 16 on indication)...
January 9, 2018: American Journal of Transplantation
Janaina Gatto, Jonas Takada, Jose P Otoch, Fernanda Kreve, Francisco S Loss, Everson L A Artifon
We report a patient with diffuse peritonitis due to perforation of Meckel's diverticulum. This patient was referred to the operating room and underwent bowel resection segment encompassing the area of the diverticulum and terminoterminal primary enteroanastomosis on two levels with good evolution. The diverticulum complications are often related to the presence of ectopic mucosa, specially the gastric and pancreatic type. Since preoperative diagnosis is difficult and infrequent, in most cases this anomaly is confirmed only during surgery...
April 2017: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
I Kassegne, E V Sewa, K K Kanassoua, F Alassani, K Adabra, A K Amavi, B Tchangai, K G Azialey, K Attipou
PURPOSE: This study's aim is to describe the diagnostic, therapeutic, and prognostic aspects of typhoid intestinal perforations (TIP) at the Dapaong regional hospital (Togo). MATERIAL AND METHODS: This retrospective study covered all patients with such perforations seen and managed in the Dapaong regional hospital's general surgery department during the 3-year period of 2009-2011. RESULTS: There were 110 patients with TIP during the study period, and they accounted for 67...
January 2016: Médecine et Santé Tropicales
Almino Cardoso Ramos, Andrey Carlo Sousa Silva, Manoela Galvão Ramos, Edwin Gonzalo Claros Canseco, Manoel dos Passos Galvão-Neto, Mariano de Almeida Menezes, Thales Delmondes Galvão, Eduardo Lemos de Souza Bastos
BACKGROUND: Obesity is increasingly prevalent disease worldwide and bariatric surgery is the most effective treatment for the most severe cases. The Roux-en-Y gastric bypass is still the most used technique all over the world and the laparoscopic approach has been preferred by surgeons with different approaches, propositions and techniques in performing the procedure. AIM: To report the surgical aspects of the systematization and results of the simplified laparoscopic gastric bypass (Brazilian technique)...
2014: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
R Horneland, V Paulsen, J P Lindahl, K Grzyb, T J Eide, K Lundin, L Aabakken, T Jenssen, E M Aandahl, A Foss, O Øyen
To facilitate endoscopic access for rejection surveillance and stenting of the pancreas, we have abandoned the duodenojejunostomy (DJ) in favor of duodenoduodenostomy (DD) in pancreas transplantation (PTx). From September 2012 to September 2013 we performed 40 PTx with DD; 20 solitary-PTx (S-PTx) and 20 simultaneous pancreas and kidney transplantation (SPK). We compared the outcomes with results from 40 PTx-DJ (10 S-PTx and 30 SPK) from the preceding era. The DD-enteroanastomoses were performed successfully...
January 2015: American Journal of Transplantation
Fernando Luiz Zanoni, José Walber Miranda Costa Cruz, Joilson Oliveira Martins, Simon Benabou, Karin Vicente Greco, Ana Carolina Ramos Moreno, Marina Baquerizo Martinez, Franco Ferraro Calderaro, Mauricio Rocha e Silva, Paulina Sannomiya
We examined the effects of hypertonic saline (HS) on inflammatory, metabolic variables, and bacterial translocation (BT) in rats submitted to intestinal obstruction and ischemia (IO). Male Wistar rats were submitted to IO and treated, 2 h thereafter, with lactated Ringer's (LR) (4 mL/kg per 5 min, i.v.) or HS (7.5% NaCl, 4 mL/kg per 5 min, i.v.). Twenty-four hours after IO, rats were also submitted to enterectomy/enteroanastomosis to resection of necrotized small bowel. Leukocyte-endothelial interactions were investigated by intravital microscopy and the expression of P-selectin and intercellular adhesion molecule 1 by immunohistochemistry...
July 2013: Shock
A I Ugochukwu, O C Amu, M A Nzegwu
BACKGROUND: The management of ileal typhoid perforation is a challenging task in our environment. Lack of incidence data base and poor financial resources preclude adequate prevention of this public health menace. OBJECTIVES: For now the focus will remain the effective and strategic management of this complication to reduce the morbidity and mortality. METHODS: 86 cases of ileal typhoid perforation were seen over a two year period. Most were male children and male young adults...
2013: International Journal of Surgery
Luigi Marano, Bartolomeo Braccio, Michele Schettino, Giuseppe Izzo, Angelo Cosenza, Michele Grassia, Raffaele Porfidia, Gianmarco Reda, Marianna Petrillo, Giuseppe Esposito, Natale Di Martino
BACKGROUND: The biofragmentable anastomotic ring has been used to this day for various types of anastomosis in the gastrointestinal tract, but it has not yet achieved widespread acceptance among surgeons. The purpose of this retrospective study is to compare surgical outcomes of sutureless with suture method of Roux-and-Y jejunojejunostomy in patients with gastric cancer. METHODS: Two groups of patients were obtained based on anastomosis technique (sutureless group versus hand sewn group): perioperative outcomes were recorded for every patient...
2012: BMC Surgery
Stéphane Bourgouin, Emmanuel Hornez, Yoann Baudoin, Jean-Philippe Platel, Hervé Thouard
No abstract text is available yet for this article.
October 2012: ANZ Journal of Surgery
Sergio Santoro, Luis Carlos Castro, Manoel Carlos Prieto Velhote, Carlos Eduardo Malzoni, Sidney Klajner, Leandro Perandin Castro, Arnaldo Lacombe, Marco Aurélio Santo
OBJECTIVE: To present 5-year results of sleeve gastrectomy (SG) with transit bipartition (TB) as a metabolic intervention for obesity. BACKGROUND: Recent data suggest that high glycemic index foods may lead to a hormonally hyperactive proximal gut and a hypoactivate distal gut, which are linked to metabolic syndrome. TB was designed to counterbalance these effects. METHODS: A total of 1020 obese patients with body mass index (BMI) ranging from 33 to 72 Kg/m underwent SG and TB (SG + TB)...
July 2012: Annals of Surgery
Anthony Ikemefuna Ugochukwu, Anthony Jude Edeh
CONTEXT: Surgical instruments and materials continue to be retained in the peritoneal cavity despite precautionary measures. Even though uncommon it is also under-reported and carries serious medico-legal consequences. Gauzes and sponges (gossypiboma) are the most commonly retained materials and intra-abdominal retained artery forceps are much rarer but when they do occur lead to chronic abdominal pain and can be a rare cause of intestinal obstruction or strangulation with significant morbidity and mortality...
July 2011: North American Journal of Medical Sciences
Ebrahim Aghajani, Hedin J Jacobsen, Bent Johnny Nergaard, Jan L Hedenbro, Björn Geir Leifson, Hjörtur Gislason
BACKGROUND: Bowel obstruction due to internal hernia is a well-known complication of laparoscopic Roux-en-Y gastric bypass (LRGB). Increasing evidence supports primary closing of the mesenteric defects, but controversy continues about surgical technique of systematic closure. This paper reviews our experience with internal hernia after LRGB and describes a new method of preemptive closure of the mesenteric defects. MATERIAL AND METHODS: Two thousand four hundred seventy-two consecutive patients undergoing LRGB from September 2005 to June 2010 were entered into our prospective longitudinal database...
March 2012: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
G Osian, L Vlad, C Iancu, C Răchieriu, C Puia, N Al Hajjar, L Mocan, P G Cristea
Non-ulcerous duodenal perforations are a rare and seldom studied pathology. The present retrospective study analyses a group of 23 patients, over a 10 year period (Jan 1st 2000 - Dec 31st 2009) with this pathology. The most frequent etiology was iatrogenic (52.17 % after ERCP and 17.39% after upper gastrointestinal endoscopy). Other rare etiologies included were tumoral perforations, penetrating wounds, and ingestion of foreign bodies. The lesions vary from millimetric perforations to total necrosis of the wall of a duodenal segment and are often associated with other complex lesions...
May 2011: Chirurgia
Leda M Oliveira-Barros, Thais A Costa-Casagrande, Bruno Cogliati, Lílian R M Sá, Julia M Matera
OBJECTIVE: To assess viability of innervation in bowel segments appearing macroscopically viable from dogs with intussusception. ANIMALS: 7 dogs without gastrointestinal dysfunction that had been euthanized for reasons unrelated to the study (control dogs) and 13 dogs with intussusception that underwent enterectomy and intestinal anastomosis (affected dogs). PROCEDURES: A total of 31 samples of intestinal tissue were obtained from the control dogs; 28 samples were obtained from affected dogs during surgery...
June 2010: American Journal of Veterinary Research
Ingolf Juhasz-Böss, Claus Lattrich, Alois Fürst, Eduard Malik, Olaf Ortmann
AIM: Endometriosis is a frequent benign disease of women in reproductive age. An infiltration of the spatium rectovaginal is rare, but if it occurs, in up to 73% the rectum is involved. If there is the indication for surgery, a partial resection of the rectum might be necessary. This can be performed by a laparoscopic approach. It is the aim of this work to describe a patient population treated for endometriosis in the spatium rectovaginal by laparoscopic surgery. PATIENT POPULATION AND METHODS: A retrospective analysis of data from patients with endometriosis in rectum or sigma, which underwent a laparoscopic partial bowel resection in the years 2005-2006 at the Department of Obstetrics and Gynecology, University of Regensburg, was carried out...
April 2010: Archives of Gynecology and Obstetrics
Carmine Ammaturo, Salvatore Pastore, Costantino Cerrato, Massimiliano Santoro, Romualdo Rossi, Flavio Fabozzi, Rossella Brunaccino, Miaria De Nigris, Pietro Paolo Podio, Raffaele De Luca
Although the gastrointestinal tract is a fairly frequent site of melanoma metastases, reports of small bowel intussusception caused by this condition are rare. The presence of intestinal metastases is an expression of what is already a disease at an advanced stage and, therefore, the prognosis of these patients is generally poor with only sporadic cases of long-term survival after resective surgery. We describe the case of a patient referred to our department with a clinical picture of frank occlusion. Ileo-ileal intussusception was diagnosed preoperatively thanks to ultrasound and abdominal CAT scans...
March 2009: Chirurgia Italiana
Erwan Bories, F Caillol, C Pesenti, Marc Giovannini
Digestive endoscopy, including endoscopic ultrasound, plays actually an important role in oncology concerning early diagnosis, tumor staging, and therapeutic procedures. Indeed, improvement of endoscope and dedicated accessories allow to increase applications of therapeutic endoscopy in oncologic indications : curative resection of early carcinoma ant submucosa tumor ; palliative treatment of tumoral bilio-digestive obstruction. Possibilities to resect sessile or flat polyps allow to treat curatively well-differentiated carcinoma without infiltration of the muscularis mucosae, the risk of lymph nodes invasion being null in this cases...
December 2007: Bulletin du Cancer
L Aabakken, M Bretthauer, P D Line
BACKGROUND AND STUDY AIMS: Double-balloon enteroscopy (DBE) has been proved to be effective for deep intubation of the small bowel. Patients with a Roux-en-Y enteroanastomosis and biliary problems have been a challenge in gastrointestinal practice because of the lack of endoscopic access to the biliary anastomosis. We report on the first case series of patients with Roux-en-Y anatomy who have been examined using DBE. PATIENTS AND METHODS: Between September 2005 and May 2006, 18 endoscopic retrograde cholangiography procedures were performed in 13 patients (median age 53, range 2 - 81 years) using the DBE technique at our hospital...
December 2007: Endoscopy
Dimitrios-Anestis Moutzouris, Stylianos Manetas, Stavros E Mountantonakis, Matthew E Falagas
Severe peptic ulcer resulting in hypertrophic pyloric stenosis is a rare clinical problem nowadays. Symptoms include vomiting, nausea, early satiety, weight loss, epigastric pain especially after eating. The physical examination may not be helpful because the pyloric mass is difficult to palpate. We report a case of a 43-year-old man who presented to the emergency department complaining of vomiting. He asked for metoclopramide, refusing initially further investigation and gastrointestinal endoscopy. Finally, he agreed to undergo a barium meal examination, which showed severe pyloric stenosis...
October 2007: Emergency Medicine Journal: EMJ
J W Vaughan
No abstract text is available yet for this article.
October 1930: Annals of Surgery
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