Articles Related to gastric

Benign gastrobronchial fistula (GBF) is extremely rare but highly fatal complication of esophagectomy for upper gastrointestinal system cancers. We present a benign GBF after three years esophagectomy for esophageal cancer with presenting recurrent pneumonia. We choose wedge bronchoplasty without lobectomy and primary repair of gastric conduit as an approach.

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The number of bariatric procedures being performed worldwide has increased markedly over the past two decades and this has led to revisional bariatric surgery being increasingly performed.

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We present a case of total esophageal reconstruction with a free Jejunal flap in a patient with a history of esophagectomy and two previous failed attempts at reconstruction. Despite the technique here described offers a reliable option when the stomach and colon are not available, the success of the reconstruction might be compromised by the onset of a perforated ulcer at the gastric blind pouch related to previous failed gastric pull-up (GPU) After a major reconstructive surgery of long hours, gastric pouch may develop ulcer with perforation and fatal empyema due to stress, although the severe complication is rare.

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To determine the proportion of human milk (pooled and homogenized) fat loss via feeding tube in a simulated 24-hour feeding cycle. Anonymous samples of frozen human milk were obtained, thawed and pooled (pHM) in a 1000 mL glass beaker with a magnetic stir bar. Eight syringes (30 mL each) were prepared and attached to 60” extension tubing and a 5 FR polyurethane or silicone nasogastric (NG) tube. Samples to test for pool uniformity were collected at the beginning, middle and end of syringe preparation. Milk was delivered sequentially via gravity, 30-minute or 60-minute infusion. Pooled human milk was analyzed for macronutrient content at the end of each feeding “cycle”. All scenarios were repeated using homogenized donor human milk (hDHM).

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The current standard of care offers surgery as the most favored treatment modality for morbidly obese patients to achieve weight loss. The currently available surgical techniques have some limitations and introduction of novel techniques is inevitable. The aim of this study is to introduce the novel gastric partitioning bypass technique and assess its effectiveness and adverse effects.Thirty individuals were randomly recruited from a population who were eligible for bariatric surgery. The subjects had a baseline visit and were followed-up after surgery assessing weight loss and adverse effects related to the surgery.The study population included 30 patients (Mean age 41±5 and 93% female). Mean BMI and excess body weight at the baseline were 49±7 kg/m² and 79±15 Kg, respectively. Median follow-up time was 36 months and 27 (90%) patients completed the study. Excess weight loss was 54.76 ± 13.76 % and 60.43 ± 14.49% after 12 and 48 months, respectively. In post-operative period Two patients (6.6%) developed surgical site infection, other complications such as bleeding or anastomotic leakage, or any complication requiring emergent surgery were not detected.

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Causes of vitamin B12 deficiency in children include decreased intake, abnormal absorption, and inborn errors of B12 transport and metabolism. Rare causes of abnormal cobalamin absorption include Imerslund-Grasbeck syndrome (IGS) and intrinsic factor deficiency (IFD). IGS and IFD are caused by defects in the genes CUBN, AMN, and GIF. We describe a 2 year old male who presented with severe megaloblastic anemia and methylmalonic acidemia. He was found to have a GIF heterozygous mutation c.79+1G>A associated with congenital gastric intrinsic factor deficiency and a novel variant c.960C>A in trans position.

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Human epidermal growth factor receptor 2 (HER2) is responsible for the pathogenesis and poor outcomes of several types of cancers, including advanced gastric and gastroesophageal junction cancer. Molecular-targeted drugs on the other hand, such as trastuzumab, prolong overall survival and progression-free survival in HER2-positive gastric cancer. The purpose of the case report is to evaluate the impact of delivering trastuzumab in advanced gastric cancer with concomitant HER2 mutation and amplification.

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Preeclampsia is clinically defined by hypertension and proteinuria, with or without pathologic edema that occurs after 20 weeks’ gestation, but can also present up to 4-6 weeks post-partum. Worldwide, incidence of preeclampsia is 5-14 percent of all pregnancies, while severe preeclampsia can develop to about 25 percent of all cases of preeclampsia.

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The coexistence of drug -induced pancreatitis and gastric necrosis is very rare. Many drugs have been associated with pancreatitis and among the antiepileptic drugs; valproic acid has been commonly implicated.

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The study presents the remote results of surgical treatment of 329 patients with cancer of gastroesophageal localization. Three 3-year survival rate is 37.1%, the 5-year survival rate is 26.2%. Prognosis after the surgery depends primarily on the extent of the tumour spread.

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Sphincter of Oddi dysfunction (SOD) is a known gastrointestinal disorder that has been well documented but is difficult to diagnose noninvasively.

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Pressure ulcers are a critical but manageable complication commonly seen in bed-bound patients. Utilizing the Wound Bed Preparation (WBP) model, it is often necessary to perform surgical debridement in prone position for patients with stage III or IV sacral pressure ulcers to avoid infection and further complications.

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The aim of this project was to evaluate the influence of inflammatory cytokines IL-1β and IL-8 on gastric epithelial-mesenchymal transition in gastric epithelial cells.

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Inguinal hernia is a common surgical problem, but it can present a surgical dilemma for the skilled surgeon when it exhibits some unusual contents.

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A fifty three year old white female smoker with Lynch Syndrome was receiving adjuvant chemotherapy for node positive caecal adenocarcinoma. Interval investigations demonstrated a second primary gastric cancer with bilateral pulmonary nodules of indeterminate significance. Lung biopsy revealed Langerhans cell histiocytosis (LCH).

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