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Basak Erginel, Feryal Gun Soysal, Huseyin Ozbey, Erbug Keskin, Alaattin Celik, Aslıhan Karadag, Tansu Salman
PURPOSE: The purpose of the study was to evaluate our experience with enteric duplication cysts in 40 children during the past 26 years, while assessing the variability of their presentations and to propose an algorithm for surgical management. METHODS: We retrospectively analysed sex, age, clinical presentations, duplication site, surgical treatment, presence of ectopic tissue, complications, associated anomalies, and prognosis of 40 patients with gastrointestinal tract duplications who were surgically treated in our clinic...
October 12, 2016: World Journal of Surgery
Jessie L Leung, Patrick Hy Chung, Paul Kh Tam, Kenneth Ky Wong
BACKGROUND: Rectal prolapse has been reported after laparoscopic assisted anorectal pullthrough in children with anorectal malformation. We report our clinical outcome and study the application of an anchoring stitch to tack the rectum to the presacral fascia and the occurrence of rectal prolapse. MATERIAL AND METHODS: A retrospective review of all children who had undergone laparoscopic assisted anorectal pullthrough for anorectal malformation from 2000 to 2015 was performed...
September 17, 2016: Journal of Pediatric Surgery
Cetin Karaca, Ebubekir S Daglilar, Ozlem Mutluay Soyer, Mine Gulluoglu, William R Brugge
BACKGROUND AND AIMS: Application of endoscopic submucosal resection (ESMR) in management of gastric subepithelial lesions (GSL) less than 20 mm is gradually increasing because it allows diagnosis and treatment at the same operative session. In this study we would like to compare and evaluate the benefits of ESMR with an endoscopic cap band mucosectomy technique or saline solution-assisted snare technique in GSLs smaller than 20 mm. METHODS: This was a retrospective analysis of a prospectively maintained database used at 2 academic tertiary care centers...
September 20, 2016: Gastrointestinal Endoscopy
Norimitsu Shimada, Hiroki Ohge, Raita Yano, Naoki Murao, Norifumi Shigemoto, Shinnosuke Uegami, Yusuke Watadani, Kenichiro Uemura, Yoshiaki Murakami, Taijiro Sueda
AIM: To evaluate the utility of hand-assisted laparoscopic restorative proctocolectomy (HALS-RP) compared with the conventional open procedure (OPEN-RP). METHODS: Fifty-one patients who underwent restorative total proctocolectomy with rectal mucosectomy and ileal pouch anal anastomosis between January 2008 and July 2015 were retrospectively analyzed. Twenty-three patients in the HALS-RP group and twenty-four patients in the OPEN-RP group were compared. Four patients who had purely laparoscopic surgery were excluded...
August 27, 2016: World Journal of Gastrointestinal Surgery
Jan Pawel Kamiński, Karen Zaghiyan, Phillip Fleshner
No abstract text is available yet for this article.
October 2016: Diseases of the Colon and Rectum
Artur Adolfo Parada, Carmen Australia Parede Marcondes Ribas, Filadelfio Euclydes Venco, José Celso Ardengh, Mariana Amaral Reis, Matheus Degiovani, Miguel Reynaldo Varca-Neto, Nildede Rodrigues Diger, Roberto El Ibrahim, Kassia Fernanda Cordova, Marília DA Cruz Fagundes, Hamilton Moreira, Luiz Fernando Kubrusly
OBJECTIVE: to compare endoscopic and histopathologic features of superficial, elevated lesions with one or more centimeters in diameter, diagnosed by videocolonoscopy on the distal and proximal colon, and subjected to mucosal resection. METHODS: we conducted a retrospective, cross-sectional, observational study involving 8,075 videocolonoscopies. From this total, we evaluated 166 mucosectomies in 145 patients with superficial, elevated lesions with a diameter equal to or greater than 1cm...
May 2016: Revista do Colégio Brasileiro de Cirurgiões
Sofia Vitor, Alexandre Oliveira Ferreira, João Lopes, José Velosa
We present the case of an 18-year-old male patient that was referred to our gastrenterology department with history of intermittent painless hematochezia since childhood. During such instances, he was diagnosed with bowel intussusception, eosinophilic gastroenteritis and inflammatory bowel disease at 4, 6 and 8 years old, respectively. He underwent treatment with 5-aminosalicylic acid for two years, without improvement of symptoms. He was then lost to follow-up until our observation. His physical examination was unremarkable except for digital rectal examination which found a nodular compressible mass by the palpating finger...
August 2016: Revista Española de Enfermedades Digestivas
Sarah Owen, Mark Puvanendran, David Meikle, Isobel Bowe, James O'Hara, Joanne Patterson, Vinidh Paleri
OBJECTIVES: To explore whether pre-treatment swallowing measures predict swallowing recovery at 6 weeks after transoral robotic surgery. DESIGN: Prospective cohort study. SETTING: Tertiary care cancer centre in the United Kingdom. PARTICIPANTS: 51 consecutive patients undergoing transoral robotic surgery for head and neck cancer, between April 2013 and February 2015. MAIN OUTCOME MEASURES: Swallowing function assessed by Performance Status Scale (PSS) Normalcy of Diet, timed water swallow test capacity scores (WST), and duration of tube feeding...
August 20, 2016: Clinical Otolaryngology
Tamar Nobel, Sergey Khaitov, Alexander J Greenstein
The accepted current standard for treatment of medically refractory ulcerative colitis is total proctocolectomy with an ileal pouch-anal anastomosis for restoration of continence. There are 2 techniques by which the anastomosis can be performed, including handsewn and stapled. Handsewn anastomosis with mucosectomy was the first method described; however, it has been associated with significant incontinence. The double-stapled anastomosis was developed in response to improve postoperative function. Controversy remains as to which technique is superior as both have disadvantages...
September 2016: Inflammatory Bowel Diseases
Haruhiro Inoue
As a minimally invasive treatment of esophageal achalasia per-oral endoscopic myotomy( POEM) was developed in 2008. More than 1,100 cases of achalasia-related diseases received POEM. Success rate of the procedure was more than 95%(Eckerdt score improvement 3 points and more). No serious( Clavian-Dindo classification III b and more) complication was experienced. These results suggest that POEM becomes a standard minimally invasive treatment for achalasia-related diseases. As an off-shoot of POEM submucosal tumor removal through submucosal tunnel (per-oral endoscopic tumor resection:POET) was developed and safely performed...
July 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
A I Poyda, V M Melnik
For prophylaxis of severe signs of the postcolectomy and diarrheal syndromes, as well as the secondary anal incontinence syndrome, occurring after extended radical operation--colectomy, extremely low anterior rectal resection, mucosectomy, performed for severe diffuse nontumoral colon diseases, a pelvic small-intestinal anatomic-functional reservoir construction of a new type, which includes a small-intestinal reservoir with ileoendoanal anastomosis, was elaborated. In accordance to data on roentgenological control of the contrast small-intestinal transit the laws of its abdominal localization and peculiarities of morphological reconstruction in late terms after the operation were established...
April 2016: Klinichna Khirurhiia
Jeremie Jacques, Romain Legros, Paul Carrier, Sophie Geyl, Veronique Loustaud-Ratti, Denis Sautereau, Mathieu Pioche
No abstract text is available yet for this article.
2016: Endoscopy
Gustavo Luis Rodela Silva, Eduardo Guimaraes Hourneaux de Moura, Wanderley Marques Bernardo, Vinicius Leite de Castro, Cintia Morais, Elisa Ryoka Baba, Adriana Vaz Safatle-Ribeiro
BACKGROUND: To investigate the available data on the treatment of early colorectal cancer (CRC), either endoscopically or surgically. METHODS: Two independent reviewers searched MEDLINE, EMBASE, CENTRAL COCHRANE, LILACS and EBSCO for articles published up to August 2015. No language or dates filters were applied. Inclusion criteria were studies with published data about patients with early colonic or rectal cancer undergoing either endoscopic resection (i.e., mucosectomy or submucosal dissection) or surgical resection (i...
June 2016: Journal of Gastrointestinal Oncology
Xi-Feng Jin, Tong-Hai Chai, Wei Gai, Zhao-Sheng Chen, Jian-Qiang Guo
BACKGROUND & AIMS: We compared the efficacy and safety of multiband mucosectomy (MBM) vs endoscopic submucosal dissection (ESD) for the treatment of squamous intraepithelial neoplasia of the esophagus. METHODS: We performed a retrospective study of 78 patients with squamous intraepithelial neoplasia of the esophagus who received either ESD or MBM between January 2009 and January 2011 at the Tengzhou Central People's Hospital in China. We compared rates of bloc resection and curative resection, as well as complications and local recurrence, between groups...
July 2016: Clinical Gastroenterology and Hepatology
Zhenkai Wang, Heng Lu, Lin Wu, Boshi Yuan, Jiong Liu, Hui Shi, Fangyu Wang
BACKGROUND AND AIMS: Endoscopic multiband mucosectomy (EMBM) has been used to treat early Barrett's esophagus and esophagogastric junction neoplasia, yet it is seldom reported for the treatment of early esophageal squamous cell neoplasia. Here we retrospectively evaluated the feasibility, safety, and efficacy of EMBM for early esophageal squamous cell neoplasia. METHODS: A total of 125 patients were included in the study. Lesions were delineated using electrocoagulation and resected using the EMBM technique...
April 21, 2016: Gastrointestinal Endoscopy
Gemma Ibáñez-Sanz, Joan B Gornals, Laura Rivas, Sílvia Salord, María José Paúles, Josep M Botargues, Maica Galán
BACKGROUND AND AIM: The aim of this study was to evaluate the efficacy of endoscopic band ligation (EBL) in carefully selected patients who would benefit from this method of resection. METHODS: Patients with early upper gastrointestinal and small (< 15 mm) lesions treated with EBL (Duette® Multi-Band Mucosectomy) were prospectively recruited and retrospectively analyzed between 2010 and 2015. All cases were discussed in a multidisciplinary cancer committee and it was concluded that, owing to patient conditions, surgery was not possible and that not conducting histology would not change the clinical management...
May 2016: Revista Española de Enfermedades Digestivas
Nada Gawad, Dina El Demellawy, Carolyn Wayne, Juan Bass, Ahmed Nasr
BACKGROUND: Postoperative complication from the ileoanal anastomosis (J-pouch) procedure for surgical management of refractory ulcerative colitis (UC) increases the risk of pouch dysfunction. The purpose of this study was to determine if histologic inflammatory activity of the rectal margin is an independent predictor of complication after controlling for other variables. METHODS: A retrospective chart review was performed to identify all pediatric patients with UC who underwent a J-pouch procedure between 1995 and 2014...
May 2016: Journal of Pediatric Surgery
P Li, W J Xue, Q S Mao, Q C Ni, Y Feng, Z W Wang, H X Li
OBJECTIVE: To explore the feasibility of the telescopic technique associated with mucosectomy in preventing pancreatic fistula after pancreaticoduodenectomy (PD). METHODS: The data of 39 patients who received PD in the Affiliated Hospital of Nantong University was retrospecively analyzed. We developed a safe and simple method of pancreaticojejunostomy in 39 patients, in whom approximately 3 cm of jejunal mucosa was cut to improve the adhesion between the loop and pancreatic parenchyma after end-to-end invagination...
February 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Sergio Sevilla Ribota, Javier Pérez-Bedmar Delgado, Juan José Domínguez Cañete, Ana María Dotor de Lama, Mariano Gómez-Rubio
Granular cell tumor (GCT) is a rare neoplasm that develops in the gut's submucosal layer. We report the case of a male with a history of surgically excised colon neoplasm where a rectal polyp was identified during a follow-up endoscopy. The lesion, eventually identified as a GCT, was endoscopically removed by band ligation-assisted mucosectomy. This may be the second report of a colorectal GCT successfully managed using band ligation, and the first one on a rectal GCT excised with this technique.
February 11, 2016: Revista Española de Enfermedades Digestivas
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