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Infantile hypertrophic pyloric stenosis in a regional centreEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The majority of infants with IHPS may be safely managed in regional centres with transfer to specialist paediatric centres reserved for ‘high risk’ cases. The management of IHPS at a regional level has important implications and presents opportunities for surgical training. Content Type Journal ArticleCategory Original PaperDOI 10.1007/BF03166908Authors P. D. Kiely, Mid-Western Regional Hospital and the University of Limerick Biomedical Institute Department of Surgery Limerick IrelandS. Tierney, Mid-Western Regional Hospital and the University of Limerick Biomedical Institute Department...
Source: Irish Journal of Medical Science - October 14, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

Duodenal stenosis caused by cystic dystrophy in heterotopic pancreas: Report of a caseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract We herein describe the first reported case of duodenal stenosis caused by cystic dystrophy in heterotopic pancreas (CDHP) in Asia. A 63-year-old man was admitted to the hospital presenting with nausea and vomiting of 2 days’ duration. Laboratory examinations showed an elevation in both the serum amylase level (275 IU/l) and white blood cell count (13 600/µl). A 3-cm-diameter tumor close against the duodenum was pointed out from the results of computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP); the tumor contained a cystic and solid component. Endoscopic examinations a...
Source: Surgery Today - September 23, 2009 Category: Surgery Tags: Surgery Today Source Type: journals

A novel association of duodenal atresia, malrotation, segmental dilatation of the colon, and anorectal malformationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe two female neonates who suffered from four gastrointestinal anomalies, including duodenal stenosis or atresia, malrotation, segmental dilatation of the colon, and anorectal malformation. Each patient was managed by two or three operations, resulting in good bowel movements. Since this is the first report of four gastrointestinal anomalies, these cases may provide clues to elucidate the etiology of gastrointestinal tract developmental abnormalities. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00383-009-2459-yAuthors Nobuyuki Morikawa, National Center for Child Health and Development Divi...
Source: Pediatric Surgery International - August 21, 2009 Category: Surgery Tags: Pediatric Surgery International Source Type: journals

Duodenal stenosis resulting from a preduodenal portal vein and an operation for scoliosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A preduodenal portal vein (PDPV) is known to be a rare cause of duodenal stenosis. We treated a 22-year-old male patient with malnutrition as a result of PDPV and a previously performed operation for scoliosis, who showed an improvement in quality of life after being treated with a combination of nutritional support and surgery. The patient with PDPV had been admitted to our department with duodenal stenosis, ranging from the first to third portions. He had suffered from vomiting since 1 year of age, and he developed malnutrition during the last 6-mo period after orthopedic surgery for scoliosis. The stenosis was relat...
Source: World Journal of Gastroenterology : WJG - August 20, 2009 Category: Gastroenterology Authors: Masumoto K, Teshiba R, Esumi G, Nagata K, Nakatsuji T, Nishimoto Y, Yamaguchi S, Sumitomo K, Taguchi T Tags: World J Gastroenterol Source Type: journals

Papillectomy for ampullary neoplasm: results of a single referral center over a 10-year periodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Most ampullary adenomas are amenable to endoscopy. Underlying malignancy and lateral extension may be risk factors for bleeding and perforation. Smaller lesion size and the absence of dilated ducts are factors favorably affecting success. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - July 16, 2009 Category: Gastroenterology Authors: Shayan Irani, Andrew Arai, Kamran Ayub, Thomas Biehl, John J. Brandabur, Russell Dorer, Michael Gluck, Geoffrey Jiranek, David Patterson, Drew Schembre, L. William Traverso, Richard A. Kozarek Tags: Clinical Endoscopy Source Type: journals

ESPEN Guidelines on Parenteral Nutrition: PancreasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Assessment of the severity of acute pancreatitis (AP), together with the patient's nutritional status is crucial in the decision making process that determines the need for artificial nutrition. Both should be done on admission and at frequent intervals thereafter. The indication for nutritional support in AP is actual or anticipated inadequate oral intake for 5–7days. This period may be shorter in those with pre-existing malnutrition. Substrate metabolism in severe AP is similar to that in severe sepsis or trauma. Parenteral amino acids, glucose and lipid infusion do not affect pancreatic secretion and function...
Source: Clinical Nutrition - July 14, 2009 Category: Nutrition Authors: L. Gianotti, R. Meier, D.N. Lobo, C. Bassi, C.H.C. Dejong, J. Ockenga, O. Irtun, J. MacFie Source Type: journals

Large-balloon technique for one-step endoscopic biliary stenting in patients with an inaccessible major papilla owing to difficult duodenal stricture (with video)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Use of large-balloon dilation can contribute to successful ERCP in patients with difficult duodenal strictures. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Authors: Masataka Kikuyama, Takao Itoi, Yuzo Sasada, Atsushi Sofuni, Yuji Ota, Fumihide Itokawa Tags: Case Studies Source Type: journals

Stenosis of the third portion of the duodenum due to bleeding from the anterior pancreaticoduodenal artery: assessment by multiphase contrast-enhanced examination with multislice CTEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Multiphase contrast-enhanced CT examination using a multislice CT scanner helps to establish the diagnosis of this pathological process. Content Type Journal ArticleDOI 10.1007/s00261-009-9547-2Authors Shigeki Itoh, Nagoya University School of Health Sciences Department of Technical Radiology 1-1-20 Daikou-minami, Higashi-ku Nagoya Aichi 461-8673 JapanYoshine Mori, Nagoya University Graduate School of Medicine Department of Radiology 65 Tsurumai-cho, Showa-ku Nagoya 466-8550 JapanKojiro Suzuki, Nagoya University Graduate School of Medicine Department of Radiology 65 Tsurumai-cho, Showa-ku N...
Source: Abdominal Imaging - July 1, 2009 Category: Radiology Tags: Abdominal Imaging Source Type: journals

Encoscopic management of stenotic anastomosis using a rendezvous technique after pancreatogastrostomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 46-year-old female patient was referred to our hospital for endoscopic treatment of stenotic pancreatogastrostomy. She had undergone pylorus-preserving pancreatoduodenectomy due to duodenal carcinoma of the papilla of Vater 5 years before referral. Two years after the operation, she had to be hospitalized several times during a 1-year period because of acute recurrent pancreatitis caused by stenosis of the anastomosis of the pancreatoduodenostomy. An endoscopic ultrasound (EUS)-guided rendezvous technique was selected to puncture the main pancreatic duct via a transgastric approach. We identified the dilated main pancrea...
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Yuji Ota, Masataka Kikuyama, Yuzo Sasada, Toru Matsuhashi, Jun Nakahodo, Kenji Yamao, Tomoyuki Shirafuji Tags: HOW I DO IT Source Type: journals

Appropriate management of special situations in Crohn's disease (upper gastro-intestinal; extra-intestinal manifestations; drug safety during pregnancy and breastfeeding): Results of a multidisciplinary international expert panel—EPACT IIEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: EPACT II recommendations are freely available online (www.epact.ch). The validity of these criteria should now be tested by prospective evaluation. (Source: Journal of Critical Care)
Source: Journal of Critical Care - May 18, 2009 Category: Gastroenterology Authors: Christian Mottet, John-Paul Vader, Christian Felley, Florian Froehlich, Jean-Jacques Gonvers, Pascal Juillerat, Reinhold Stockbrügger, Erika Angelucci, Frank Seibold, Pierre Michetti, Valérie Pittet, the EPACT II Study Group Tags: Regular papers Source Type: journals

Laparoscopic duodenoduodenostomy in the neonateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Laparoscopic duodenoduodenostomy in the neonate can be safely and successfully performed with excellent short-term outcome. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - May 1, 2009 Category: Surgery Authors: Saundra Kay, Suzanne Yoder, Steve Rothenberg Tags: Caps Original Papers Source Type: journals

Surgical treatment for right colon cancer directly invading the duodenum.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, duodenal invasion by a right-sided colon carcinoma does not necessarily represent incurable disease. If carefully applied based on the extent of duodenal invasion, active surgical management is very useful for improving patient prognosis without increasing the risks associated with surgery. PMID: 19445288 [PubMed - indexed for MEDLINE] (Source: The American Surgeon)
Source: The American Surgeon - April 30, 2009 Category: Surgery Authors: Lianwen Y, Jianping Z, Guoshun S, Dongcai L, Jiapeng Z Tags: Am Surg Source Type: journals

Pure monosomy and pure trisomy of 13q21.2-31.1 consequent to a familial insertional translocation: Exclusion of PCDH9 as the responsible gene for autosomal dominant auditory neuropathy (AUNA1)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe an IT between chromosomes 3 and 13 segregating in a three-generation pedigree. Short tandem repeat (STR) segregation analysis and array-comparative genomic hybridization were used to define the IT as a 25.1 Mb segment spanning 13q21.2-q31.1. The phenotype of pure monosomy included deafness, duodenal stenosis, developmental and growth delay, vertebral anomalies, and facial dysmorphisms; the trisomy was manifested by only minor dysmorphisms. As the AUNA1 deafness locus on 13q14-21 overlaps the IT in the PCDH9 (protocadherin-9) gene region, PCDH9 was investigated as a candidate gene for deafness in both families. ...
Source: American Journal of Medical Genetics Part A - April 7, 2009 Category: Genetics & Stem Cells Authors: Francesca R. Grati, Marci M. Lesperance, Simona De Toffol, Sara Chinetti, Angelo Selicorni, Sarah Emery, Beatrice Grimi, Francesca Dulcetti, Barbara Malvestiti, Joseph Taylor, Silvia Milani, Anna M. Ruggeri, Federico Maggi, Giuseppe Simoni Source Type: journals

Congenital absence of the splenic artery and splenic vein accompanied with a duodenal ulcer and deformity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of the absence of the splenic artery and vein in a 61-year-old woman who presented with postprandial epigastric discomfort. Upper gastrointestinal endoscopy showed a dilated, pulsatile vessel in the fundus and duodenal stenosis. An abdominal computed tomography (CT) scan revealed absence of the splenic vein with a tortuously engorged gastroepiploic vein. Three-dimensional CT demonstrated the tortuously dilated left gastric artery and the left gastroepiploic artery with non-visualization of the splenic artery. After administration of a proton pump inhibitor, abdominal symptoms resolved without any recurrenc...
Source: World Journal of Gastroenterology : WJG - March 20, 2009 Category: Gastroenterology Authors: Shin EK, Moon W, Park SJ, Park MI, Kim KJ, Lee JS, Kwon JH Tags: World J Gastroenterol Source Type: journals

Management of Complications Associated with Partially Covered Biliary Metal StentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Major complications associated with PCMS placement include migration and cholecystitis. Their management includes endoscopic revision, cholecystectomy, and gallbladder drainage. Further improvements in the structure and composition of PCMS may prevent these complications. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10620-009-0756-xAuthors Henry Ho, University of Virginia Health System Digestive Health Center Charlottesville Box 800708 VA 22908-0708 USAAnshu Mahajan, University of Virginia Health System Digestive Health Center Charlottesville Box 800708 VA 22908-0708 USASonia Gosain,...
Source: Digestive Diseases and Sciences - March 7, 2009 Category: Gastroenterology Tags: Digestive Diseases and Sciences Source Type: journals

Congenital internal Duodenal StenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the prenatal ultrasound, there is evidence of foreshortened extremities (history of hip dysplasia/chondrodystrophy in the family). Prenatal ultrasound with dilated stomach, double-bubble phenonemo... (Source: Pediatric Radiology RSS News, Cases, Teaching Files and Publications)
Source: Pediatric Radiology RSS News, Cases, Teaching Files and Publications - February 6, 2009 Category: Radiology Tags: Pediatric Radiology and Pediatrics Source Type: info

Laparoscopic Seromyotomy for Long Stenosis After Sleeve Gastrectomy with or Without Duodenal SwitchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Laparoscopic seromyotomy after SG for long stenosis is feasible, and efficient for the treatment of symptomatic dysphagia. It has a beneficiary influence on de novo GERD symptoms improvement. There is, however, the risk of postoperative leak. Content Type Journal ArticleCategory New ConceptsDOI 10.1007/s11695-009-9803-0Authors Giovanni Dapri, Saint-Pierre University Hospital Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery 322 rue Haute 1000 Brussels BelgiumGuy Bernard Cadière, Saint-Pierre University Hospital Department of Gastrointestinal Surgery, European S...
Source: Obesity Surgery - January 24, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Access to the Hypertrophic Pylorus: Does It Make a Difference to the Patient?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Eur J Pediatr SurgDOI: 10.1055/s-2008-1039006Abstract The aim of the study was to evaluate the effects of different access methods for the treatment of pyloric stenosis (PS). Since 2001, we have operated on children with PS using three different access methods: classic right upper quadrant transverse incision (TI), incision on the superior umbilical fold (UI) and laparoscopic (L). We reviewed the records of these children with special emphasis on the number and characteristics of complications, operative time, and length of stay (LOS). We identified 256 patients (212 M, 44 F) with a mean age of 36 days. 138 pro...
Source: European Journal of Pediatric Surgery - December 9, 2008 Category: Surgery Tags: Original Article Source Type: journals

Congenital gastrointestinal defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report Down syndrome (DS)-associated congenital gastrointestinal (GI) defects identified during a 15 year, population-based study of the etiology and phenotypic consequences of trisomy 21. Between 1989 and 2004, six sites collected DNA, clinical and epidemiological information on live-born infants with standard trisomy 21 and their parents. We used chi-squared test and logistic regression to explore relationships between congenital GI defects and infant sex, race, maternal age, origin of the extra chromosome 21, and presence of a congenital heart defect. Congenital GI defects were present in 6.7% of 1892 eligible infant...
Source: Clinical Genetics - November 17, 2008 Category: Genetics & Stem Cells Authors: Freeman SB, Torfs CP, Romitti PA, Royle MH, Druschel C, Hobbs CA, Sherman SL Tags: Clin Genet Source Type: journals

Intermittent Wound Perfusion for Postoperative Pain Relief Following Upper Abdominal Surgery: A Surgeon's PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Intermittent wound perfusion with 0.25% bupivacaine is a safe and efficient method to reduce pain scores and opioid requirement in the early postoperative period. Wound perfusion, however, had no beneficial effect on the postoperative respiratory function. (Source: Pain Practice)
Source: Pain Practice - November 4, 2008 Category: Anesthesiology Authors: Sarath Chandra Sistla, Amul Kumar Sibal, M Ravishankar Source Type: journals

Annular pancreas causing localized recurrent pancreatitis in a child: Report of a caseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of relapsing acute pancreatitis localized in the annulus of an annular pancreas in a young child. A 6-year-old boy complained of abdominal pain and we made a diagnosis of acute pancreatitis based on blood biochemistry results. Over the subsequent 12 months, he experienced two more pancreatitis-like attacks. Endoscopy revealed a duodenal stenosis in the second portion of the duodenum. Ultrasound, computed tomography, and magnetic resonance imaging depicted a ring of pancreatic tissue encircling the duodenum with a duct in the tissue, manifesting dilatation with a characteristic circular pattern around ...
Source: Surgery Today - October 29, 2008 Category: Surgery Tags: Surgery Today Source Type: journals

Two-stage laparoscopic biliopancreatic diversion with duodenal switch as treatment of high-risk super-obese patients: analysis of complicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Complications after SG greatly decrease after the learning curve period and can be successfully managed without need of reoperation. Suture-line reinforcement, at least selectively in the middle-upper portion of the staple line and in super-super-obese patients, is recommended to decrease the incidence of specific complications. Content Type Journal ArticleDOI 10.1007/s00464-008-0113-8Authors G. Silecchia, University of Rome “La Sapienza” Department of Surgery “Paride Stefanini”, Policlinico “Umberto I” Viale del Policlinico 00161 Rome ItalyM. Rizzello, University of Rome “La...
Source: Surgical Endoscopy - September 24, 2008 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

An Effective Duodenum Bulb Mobilization for Extracorporeal Billroth I Anastomosis of Laparoscopic GastrectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Feasible duodenal bulb mobilization by complete dissection of the greater omentum allows easy performance of extracorporeal B-I anastomosis and minimizes complications related to anastomosis in LADG. Content Type Journal ArticleDOI 10.1007/s11605-008-0686-5Authors Naoki Hiki, Japanese Foundation for Cancer Research Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital 3-10-6 Ariake, Koto-ku Tokyo 135-8550 JapanTestsu Fukunaga, Japanese Foundation for Cancer Research Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Insti...
Source: Journal of Gastrointestinal Surgery - September 16, 2008 Category: Surgery Tags: Journal of Gastrointestinal Surgery Source Type: journals

Transumbilical approach for neonatal surgical diseases: woundless operationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The transumbilical approach with or without laparoscopic assistance is considered to be a feasible, safe, and cosmetically excellent surgical procedure in neonates with a wide variety of surgical intraabdominal diseases. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-008-2230-9Authors Tatsuro Tajiri, Kyushu University Department of Pediatric Surgery, Graduate School of Medical Sciences 3-1-1 Maidashi Higashi-ku Fukuoka 812-8582 JapanSatoshi Ieiri, Kyushu University Department of Pediatric Surgery, Graduate School of Medical Sciences 3-1-1 Maidashi Higashi-ku Fukuoka ...
Source: Pediatric Surgery International - August 15, 2008 Category: Surgery Tags: Pediatric Surgery International Source Type: journals

Combined Use of Factor XIII and Endoscopic Balloon Dilatation in a Patient With Crohn's Disease, Duodenal Stenosis, and Associated Internal Fistulas: The Efficacy of Coagulation Factor XIII for the Internal FistulasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The American Journal of Gastroenterology, Volume 103, Issue 6, Page 1573-1574, June 2008. (Source: The American Journal of Gastroenterology)
Source: The American Journal of Gastroenterology - June 10, 2008 Category: Gastroenterology Tags: article Source Type: journals

The influence of trisomy 21 on the incidence and severity of congenital heart defects in patients with duodenal atresiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Duodenal atresia is associated with a wide variety of congenital malformations. Trisomy 21 occurs in approximately one-thirds of infants with duodenal atresia. Congenital heart disease in patients with trisomy 21 and duodenal atresia is well known. However, the frequency and spectrum of congenital heart defects in infants with duodenal atresia and a normal karyotype has not been outlined in the literature. Therefore, we conducted a retrospective chart review to clarify our knowledge about this population. Retrospective review of the medical record was performed on patients with duodenal atresia/sten...
Source: Pediatric Surgery International - May 30, 2008 Category: Surgery Tags: Pediatric Surgery International Source Type: journals

Combined Use of Factor XIII and Endoscopic Balloon Dilatation in a Patient With Crohn's Disease, Duodenal Stenosis, and Associated Internal Fistulas: The Efficacy of Coagulation Factor XIII for the Internal FistulasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The American Journal of Gastroenterology, Volume 0, Issue 0, Page ???, OnlineEarly Articles. (Source: The American Journal of Gastroenterology)
Source: The American Journal of Gastroenterology - May 28, 2008 Category: Gastroenterology Tags: article Source Type: journals

Duodenum - Endoscopic Management of aEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 24-year old female was referred for complaints of intermittent nausea and vomiting with progressive weight loss. An upper GI barium study demonstrates a large diverticulum in the second portion of the duodenum. A thin radiolucent stripe is seen surrounding the diverticulum, which has been described as the “halo” sign. Upper endoscopy is performed which identifies a large diverticulum which intermittently obstructs the duodenal lumen. The endoscopic appearance is consistent with a “windsock” diverticulum. This intraluminal diverticulum is thought to result from incomplete recanalization of the duod...
Source: The Digital Atlas of Video Education - Gastroenterology - May 19, 2008 Category: Gastroenterology Authors: Rajesh N. Keswani, MD,, Source Type: info

Duodenum - Endoscopic Management of a Windsock DiverticulumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 24-year old female was referred for complaints of intermittent nausea and vomiting with progressive weight loss. An upper GI barium study demonstrates a large diverticulum in the second portion of the duodenum. A thin radiolucent stripe is seen surrounding the diverticulum, which has been described as the “halo” sign. Upper endoscopy is performed which identifies a large diverticulum which intermittently obstructs the duodenal lumen. The endoscopic appearance is consistent with a “windsock” diverticulum. This intraluminal diverticulum is thought to result from incomplete recanalization of the duod...
Source: The Digital Atlas of Video Education - Gastroenterology - May 19, 2008 Category: Gastroenterology Authors: Rajesh N. Keswani, MD,, Source Type: info

Strongyloides stercoralis: A Rare Cause of Obstructive Duodenal StenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Digestion 2008;77:141-144 (DOI:10.1159/000128597) (Source: Digestion)
Source: Digestion - April 28, 2008 Category: Gastroenterology Source Type: journals

Pancreaticobiliary malunion and incomplete pancreas divisum: an unusual cause of common bile duct obstruction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This is the first report of coexistent PBM and incomplete pancreas divisum in a Caucasian patient with unusually late clinical manifestation. PMID: 18467273 [PubMed - as supplied by publisher] (Source: Advances in Medical Sciences)
Source: Advances in Medical Sciences - April 18, 2008 Category: Biomedical Science Authors: Petrasek J, Hucl T, Spicak J Tags: Adv Med Sci Source Type: journals

Transnasal endoscopic placement of nasoenteric feeding tubes: outcomes and limitations in non-critically ill patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Transnasal endoscopic placement of nasoenteric tubes (NETs) has been demonstrated to be useful in the critical care setting, with limited data on its role in non-critically ill patients. The authors collected data on consecutive patients from a non-critical care setting undergoing transnasal endoscopic NET placement. All NETs were endoscopically placed using a standard over-the-guidewire technique, and positions were confirmed with fluoroscopy. Patients were monitored until the removal of NETs or death. Twenty-two patients (median age = 62.5 years, 36.4% female) were referred for postpyloric feeding, with main indicati...
Source: Nutrition in Clinical Practice - April 1, 2008 Category: Nutrition Authors: Mahadeva S, Malik A, Hilmi I, Qua CS, Wong CH, Goh KL Tags: Nutr Clin Pract Source Type: journals

Annular pancreas in an adult managed by laparobotic surgery: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of annular pancreas in a 55-year-old male that was successfully treated with robotic duodenoduodenostomy. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11701-008-0076-8Authors Kumaran Chinnappan, Bronx-Lebanon Hospital Center and The Valley Hospital Suite 4A, Department of Surgery Bronx NY 10457 USAA. Yiengpruksawan, The Valley Hospital Department of Surgery Ridgewood NJ 07450 USA Journal Journal of Robotic SurgeryOnline ISSN 1863-2491Print ISSN 1863-2483 (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - March 29, 2008 Category: Surgery Tags: Journal of Robotic Surgery Source Type: journals

Modification of the endoscopic management of congenital duodenal stenosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report documents a new endoscopic management modality for congenital membranous stenosis in the third portion of the duodenum. Standard approaches to duodenal stenosis in newborns include a laparotomy with an enteroenterostomy, bypassing the obstruction, or a duodenoduodenostomy with excision. We successfully developed a modification of the endoscopic treatment modality for congenital duodenal diaphragm. PMID: 18664086 [PubMed - in process] (Source: The Turkish Journal of Pediatrics)
Source: The Turkish Journal of Pediatrics - March 1, 2008 Category: Pediatrics Authors: Asabe K, Oka Y, Hoshino S, Tsutsumi M, Yokoyama M, Yukitake K, Nagakawa K, Yoshizato T, Kawarabayashi T, Shirakusa T Tags: Turk J Pediatr Source Type: journals

Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistulasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Open surgery enables a safe access for retrograde endoscopic therapy in patients who had undergone esophageal resection with gastric interposition. (Source: World Journal of Surgical Oncology)
Source: World Journal of Surgical Oncology - January 26, 2008 Category: Cancer & Oncology Authors: Alexander Rehders, Kenko Cupisti, Markus Schmitt, Marc A Renter, Patrick Kroepil, Ozcan Iskender and Wolfram T Knoefel Source Type: journals

Pancreaticoduodenal artery pseudoaneurysm embolization.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of successful transcatheter arterial embolization of a pancreaticoduodenal artery pseudoaneurysm (PSA) caused by erosion of the pancreatic pseudocyst content near pancreaticoduodenal arteries. A 55-year-old man was admitted to a local hospital for investigation of severe, stabbing epigastric pain confined to the upper abdomen. He had a history of previous alcohol abuse, chronic pancreatitis, and a duodenal ulcer. Upper gastrointestinal endoscopy revealed narrowing in the pyloric channel along with an ulcer located at the first and second portions of the duodenum with oozing beneath an adherent cloth and du...
Source: Vascular - January 1, 2008 Category: Surgery Authors: Popov P, Sagic D, Radovanovic D, Antonic Z, Nenezic D, Radak D Tags: Vascular Source Type: journals

Late morbidity after duodenum-preserving pancreatic head resection with bile duct reinsertion into the resection cavityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reinsertion of the distal common bile duct (CBD) into the pancreatic resection cavity during duodenum-preserving pancreatic head excision (DPPHE) may be an alternative option to Whipple resection or bilioenteric anastomosis when chronic pancreatitis is associated with CBD stenosis.Outcome in 82 patients with chronic pancreatitis who underwent DPPHE with CBD reinsertion was compared with that in 432 who had DPPHE without reinsertion and 50 who had a Whipple procedure or pylorus-preserving pancreatoduodenectomy (PPPD).There were no deaths after DPPHE with CBD reinsertion, compared with four (0·9 per cent) after DPPHE withou...
Source: British Journal of Surgery - December 27, 2007 Category: Surgery Authors: G. Cataldegirmen, D. Bogoevski, O. Mann, J. T. Kaifi, J. R. Izbicki, E. F. Yekebas Source Type: journals

The efficacy and safety of duodenal stenting: a prospective multicenter studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endoscopy 2007; 39: 784-787DOI: 10.1055/s-2007-966594 Duodenal stenting has become a popular treatment in cases of malignant stenosis. However, a prospective evaluation of the efficacy and morbidity of this procedure has not been performed. A prospective multicenter study of duodenal stenting was conducted by the Société Française d’Endoscopie Digestive (SFED).[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | Abstract | Full text (Source: Endoscopy)
Source: Endoscopy - October 22, 2007 Category: Gastroenterology Tags: Original article Source Type: journals

Successful treatment of a colonic ulcer penetrating the urinary bladder caused by the administration of calcium polystyrene sulfonate and sorbitol.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 77-year-old woman was urgently admitted for the treatment of diabetic ketoacidosis and a duodenal ulcer hemorrhage in March 1999. She had a history of diabetes and angina pectoris. After admission, she received oral calcium polystyrene sulfonate and sorbitol to treat hyperkalemia. Nine days later, severe abdominal pain developed. A colonoscopic examination revealed a sigmoid colonic ulcer and stenosis; the patient was treated conservatively. At a 1-year follow-up examination, the colonic stenosis was found have worsened; pneumaturia developed in January 2001. The patient was found to have a sigmoidovesical fistula an...
Source: Journal of Nippon Medical School - October 1, 2007 Category: Universities & Medical Training Authors: Shioya T, Yoshino M, Ogata M, Shibuya T, Tokunaga A, Matsumoto K, Tajiri T Tags: J Nippon Med Sch Source Type: journals

Comparison of MR enteroclysis with MR enterography and conventional enteroclysis in patients with Crohn’s diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract To prospectively compare the diagnostic accuracy of MR enteroclysis with duodenal intubation with MRI after drinking oral contrast agent only (MR enterography) with conventional enteroclysis (conv-E) as reference standard in patients with Crohn’s disease. Forty consecutive patients (22 males and 18 females; mean age 36; range 16–74 years) with proven Crohn’s disease underwent conv-E and MR imaging. Twenty-two patients underwent MR enteroclysis with intubation (MRE) and 18 underwent MR-enterography (MR per OS). Two radiologists reached a consensus about the following imaging findings: lumi...
Source: European Radiology - September 27, 2007 Category: Radiology Tags: European Radiology Source Type: journals

Groove pancreatitis: a case report and review of literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Groove pancreatitis often masquerades as pancreatic head carcinoma. This condition should be kept in mind when making the differential diagnosis between pancreatic masses and duodenal stenosis. In all cases of focal pancreatitis involving the head or uncinate process of the pancreas with involvement of the adjacent duodenum, the possibility of groove pancreatitis should be considered. PMID: 17873465 [PubMed - in process] (Source: JOP)
Source: JOP - September 19, 2007 Category: Gastroenterology Authors: Balakrishnan V, Chatni S, Radhakrishnan L, Narayanan VA, Nair P Tags: JOP Source Type: journals

Transgastric pancreatography and EUS-guided drainage of the pancreatic ductEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Transgastric pancreatography and EUS-guided drainage of the pancreatic duct are reasonable and feasible alternative options for diagnostic and therapeutic management for selected indications (chronic pancreatitis; anomaly of the congenital pancreatic or postoperative gastrointestinal anatomy), with an acceptable periinterventional risk, which broaden the therapeutic spectrum and may avoid surgery but need further evaluation and follow-up investigation. Content TypeJournal Article JournalJournal of Hepato-Biliary-Pancreatic SurgeryOnline ISSN 1436-0691Print ISSN 0944-1166 Journal Vo...
Source: Journal of Hepato-Biliary-Pancreatic Surgery - July 26, 2007 Category: Surgery Tags: Journal of Hepato-Biliary-Pancreatic Surgery Source Type: journals

Groove pancreatitis: MRI and pathologic findingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions MRI findings are demonstrative of the pathologic features characteristic of this entity: the fibrous tissue in the pancreaticoduodenal groove, the duodenal wall inflammation and the groove and/or duodenal wall cyst formation. Content TypeJournal Article JournalAbdominal ImagingOnline ISSN 1432-0509Print ISSN 0942-8925 (Source: Abdominal Imaging)
Source: Abdominal Imaging - July 12, 2007 Category: Radiology Tags: Abdominal Imaging Source Type: journals

Groove pancreatitis: MRI and pathologic findings.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: MRI findings are demonstrative of the pathologic features characteristic of this entity: the fibrous tissue in the pancreaticoduodenal groove, the duodenal wall inflammation and the groove and/or duodenal wall cyst formation. PMID: 17624569 [PubMed - as supplied by publisher] (Source: Abdominal Imaging)
Source: Abdominal Imaging - July 12, 2007 Category: Radiology Authors: Castell-Monsalve FJ, Sousa-Martin JM, Carranza-Carranza A Tags: Abdom Imaging Source Type: journals

Breast Signet-ring Cell Lobular Carcinoma Presenting with Duodenal Obstruction and Acute Pancreatitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report here an extremely rare case of breast signet-ring cell carcinoma (SRCC) initially manifesting as duodenal metastasis and acute pancreatitis. A 62-year-old female presented with duodenal obstruction and swollen head of the pancreas, and the diagnosis of acute pancreatitis was initially made. Upper gastrointestinal endoscopy revealed duodenal stenosis with erosive mucosa, with signet-ring cells infiltrating the submucosal layer, suggesting duodenal metastasis of SRCC. Despite absence of a palpable mass in both breasts, computed tomography revealed diffuse enhancement of the left breast in addition to left axillary ...
Source: Asian Journal of Surgery - July 1, 2007 Category: Surgery Authors: Sato T, Muto I, Hasegawa M, Aono T, Okada T, Hasegawa J, Makino S, Kameyama H, Tanaka R, Sekiya M Tags: Asian J Surg Source Type: journals

Anomalies of intestinal rotation and fixation: consequences of late diagnosis beyond two years of ageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present nine cases of anomalies in the embryonic development of the digestive tract which were diagnosed and treated in infants or young, all above 2 years old. Eight cases were of more or less complete intestinal malrotation; one of them was a complete malrotation with an intrinsic duodenal stenosis associated (no bands of Ladd) and another one was a right paramesocolic hernia, always accompanied by malrotation. The association with other extra-digestive anomalies, especially urological, was 70%. The predominant symptom was intermittent abdominal pain (IAP)—80%—sometimes accompanied by vomiting (35%) and ...
Source: Pediatric Surgery International - June 27, 2007 Category: Surgery Tags: Pediatric Surgery International Source Type: journals

Foregut atresias and bile duct anomalies: rare, infrequent or common?!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The association of foregut atresias and bile duct anomalies is reportedly rare. We encountered five referrals within 2 years where the secondary diagnosis was missed at operation. Four patients initially presented on antenatal scans as a foregut atresia whereas the fifth presented at nine years with abdominal pain due to a choledochal cyst. The biliary anomalies (cholecysto-hepatic duct, liver cyst and choledochal cysts) in the first four presented as postoperative jaundice during infancy whereas the fifth patient developed subacute intestinal obstruction due to congenital duodenal stenosis at ...
Source: Pediatric Surgery International - May 17, 2007 Category: Surgery Tags: Pediatric Surgery International Source Type: journals

Gastric outlet obstruction caused by gallstone: Bouveret’s syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In case of symptoms of gastric outlet obstruction with an unoperated gallstone in the history of the patient, we have to think of Bouveret’s syndrome. Content TypeJournal Article JournalEuropean SurgeryOnline ISSN 1682-4016Print ISSN 1682-8631 Journal VolumeVolume 31 Journal IssueVolume 31, Number 1 / January, 1999 (Source: European Surgery)
Source: European Surgery - May 2, 2007 Category: Surgery Tags: European Surgery Source Type: journals

Matthew-Wood Syndrome Is Caused by Truncating Mutations in the Retinol-Binding Protein Receptor Gene STRA6Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Retinoic acid (RA) is a potent teratogen in all vertebrates when tight homeostatic controls on its endogenous dose, location, or timing are perturbed during early embryogenesis. STRA6 encodes an integral cell-membrane protein that favors RA uptake from soluble retinol-binding protein; its transcription is directly regulated by RA levels. Molecular analysis of STRA6 was undertaken in two human fetuses from consanguineous families we previously described with Matthew-Wood syndrome in a context of severe microphthalmia, pulmonary agenesis, bilateral diaphragmatic eventration, duodenal stenosis, pancreatic malformations, and i...
Source: Am J Hum Genet Latest Articles - April 11, 2007 Category: Stem Cells Source Type: journals

Duodenum - Enteral Stenting of Malignant Duodenal StenonisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 68-year-old man with a history of metastatic pancreatic carcinoma presented with a gastric outlet obstruction and was referred for enteral stenting. Gastroscopy revealed a marked stenosis in the first portion of the duodenum from extrinsic compression. The first step in stenting such a stenosis is to pass a wire safely through the area. One method is to impact an inflated balloon catheter up aga (Source: The Digital Atlas of Video Education - Gastroenterology)
Source: The Digital Atlas of Video Education - Gastroenterology - April 10, 2007 Category: Gastroenterology Authors: Peter B. Kelsey, M.D., Assistant Professor of Medicine, Harvard Medical School, Massachusetts General Hospital, Michael Piesman, M.D., Advanced Endoscopy Fellow, Massachusetts General Hospital Source Type: info