Diseases of the Stomach A
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Clinical Cases of Crohn's Disease in Pediatric Hirschprung's Patients
Open Access Austin Journal of Gastroenterology Case Report Clinical Cases of Crohn‘s Disease in Pediatric Hirschprung‘s Patients Cerniauskaite R1, Statkuviene J2, Labanauskas L2, Urbonas V3, Bagdzevicius S4, Adamonis K5, Abstract Rokaite R2, Janciauskas D6 and Kucinskiene R2* Crohn’s and Hirschsprung’s diseases are two different conditions of 1Department of Radiology, Vilnius University Hospital intestinal tract though both of them are genetically predisposed. Each disease Santariskiu Clinics, Lithuania have genetic mutations in some genes, however there are no evidence that 2Department of Pediatric gastroenterology, Hospital of there are mutations common to both conditions. Lithuanian University of Health Sciences, Lithuania 3Department of Pediatric gastroenterology, Vilnius We present 3 clinical cases of patients who underwent surgery in infancy University Hospital Santariskiu Clinics, Lithuania for Hirschsprung’s disease. Later in early childhood all the patients developed 4Department of Pediatric surgery, Hospital of Lithuanian clinical symptoms of inflammatory bowel disease and Crohn’s disease was University of Health Sciences, Lithuania diagnosed. Both conditions were confirmed histologically. After introducing the 5Department of Gastroenterology, Hospital of Lithuanian treatment for Crohn’s disease positive effect was shown. These cases raise University of Health Sciences, Lithuania the hypothesis that the two conditions may have similarities in etiology and 6Department of Pathology, Hospital of Lithuanian pathogenesis and may -
Modified Heller´S Esophageal Myotomy Associated with Dor's
Crimson Publishers Research Article Wings to the Research Modified Heller´s Esophageal Myotomy Associated with Dor’s Fundoplication A Surgical Alternative for the Treatment of Dolico Megaesophagus Fernando Athayde Veloso Madureira*, Francisco Alberto Vela Cabrera, Vernaza ISSN: 2637-7632 Monsalve M, Moreno Cando J, Charuri Furtado L and Isis Wanderley De Sena Schramm Department of General Surgery, Brazil Abstracts The most performed surgery for the treatment of achalasia is Heller´s esophageal myotomy associated or no with anti-reflux fundoplication. We propose in cases of advanced megaesophagus, specifically in the dolico megaesophagus, a technical variation. The aim of this study was to describe Heller´s myotomy modified by Madureira associated with Dor´s fundoplication as an alternative for the treatment of dolico megaesophagus,Materials and methods: assessing its effectiveness at through dysphagia scores and quality of life questionnaires. *Corresponding author: proposes the dissection ofTechnical the esophagus Note describing intrathoracic, the withsurgical circumferential procedure and release presenting of it, in the the results most of three patients with advanced dolico megaesophagus, operated from 2014 to 2017. The technique A. V. Madureira F, MsC, Phd. Americas Medical City Department of General extensive possible by trans hiatal route. Then the esophagus is retracted and fixed circumferentially in the Surgery, Full Professor of General pillars of the diaphragm with six or seven point. The goal is at least on the third part of the esophagus, to achieveResults: its broad mobilization and rectification of it; then is added a traditional Heller myotomy. Submission:Surgery At UNIRIO and PUC- Rio, Brazil Published: The mean dysphagia score in pre-op was 10points and in the post- op was 1.3 points (maximum October 09, 2019 of 10 points being observed each between the pre and postoperative 8.67 points, 86.7%) The mean October 24, 2019 hospitalization time was one day. -
Download Thesis
This electronic thesis or dissertation has been downloaded from the King’s Research Portal at https://kclpure.kcl.ac.uk/portal/ Fast Horses The Racehorse in Health, Disease and Afterlife, 1800 - 1920 Harper, Esther Fiona Awarding institution: King's College London The copyright of this thesis rests with the author and no quotation from it or information derived from it may be published without proper acknowledgement. END USER LICENCE AGREEMENT Unless another licence is stated on the immediately following page this work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International licence. https://creativecommons.org/licenses/by-nc-nd/4.0/ You are free to copy, distribute and transmit the work Under the following conditions: Attribution: You must attribute the work in the manner specified by the author (but not in any way that suggests that they endorse you or your use of the work). Non Commercial: You may not use this work for commercial purposes. No Derivative Works - You may not alter, transform, or build upon this work. Any of these conditions can be waived if you receive permission from the author. Your fair dealings and other rights are in no way affected by the above. Take down policy If you believe that this document breaches copyright please contact [email protected] providing details, and we will remove access to the work immediately and investigate your claim. Download date: 10. Oct. 2021 Fast Horses: The Racehorse in Health, Disease and Afterlife, 1800 – 1920 Esther Harper Ph.D. History King’s College London April 2018 1 2 Abstract Sports historians have identified the 19th century as a period of significant change in the sport of horseracing, during which it evolved from a sporting pastime of the landed gentry into an industry, and came under increased regulatory control from the Jockey Club. -
Upper Endoscopy Prep Sheet (Egd)
1720 Central Ave. E. Hampton, IA 50441 641.456.5000 641.456.5050 UPPER ENDOSCOPY PREP SHEET (EGD) Patient: _____________________________________________ Procedure Date: ______________________ Please check with your insurance company about preauthorization. The phone number will be located on the back of your insurance card. PHYSICIAN: Harsha Jayawardena, M.D. PLACE OF PROCEDURE: Franklin General Hospital Outpatient Surgery Dept. 641-456-5032 TIME OF PROCEDURE: The surgery department will call you one or two days prior to your procedure with the time. EGD – esophagogastroduodenoscopy is a test to examine the lining of the esophagus (the tube that connects your throat to your stomach), stomach, and first part of the small intestine. It is done with a small camera (flexible endoscope) that is inserted down the throat. PREPARATION INSTRUCTIONS FOUR DAYS BEFORE YOUR PROCEDURE: STOP taking proton inhibitors such as Prilosec, Nexium, Prevacid, Protonix, etc. You may take Pepcid or Zantac, two tablets if needed. TWO DAYS BEFORE YOUR PROCEDURE: STOP taking blood thinners such as Aspirin, Coumadin, anti-inflamatory medications, etc. unless instructed by your physician. NOTHING TO EAT OR DRINK INCLUDING CANDY AND GUM AFTER MIDNIGHT THE NIGHT BEFORE YOUR PROCEDURE. NO SMOKING. DAY OF PROCEDURE: 1. TAKE your heart, blood pressure and/or thyroid medications with a SIP of water. Do not take other medications unless instructed. 2. Please have a list of allergies and medications (prescription, over the counter, and herbs) with you. 3. A consent will be obtained and a needle (IV) will be inserted into a vein in your arm to give you medications during the procedure. -
Traveler's Diarrhea
Traveler’s Diarrhea JOHNNIE YATES, M.D., CIWEC Clinic Travel Medicine Center, Kathmandu, Nepal Acute diarrhea affects millions of persons who travel to developing countries each year. Food and water contaminated with fecal matter are the main sources of infection. Bacteria such as enterotoxigenic Escherichia coli, enteroaggregative E. coli, Campylobacter, Salmonella, and Shigella are common causes of traveler’s diarrhea. Parasites and viruses are less common etiologies. Travel destination is the most significant risk factor for traveler’s diarrhea. The efficacy of pretravel counseling and dietary precautions in reducing the incidence of diarrhea is unproven. Empiric treatment of traveler’s diarrhea with antibiotics and loperamide is effective and often limits symptoms to one day. Rifaximin, a recently approved antibiotic, can be used for the treatment of traveler’s diarrhea in regions where noninvasive E. coli is the predominant pathogen. In areas where invasive organisms such as Campylobacter and Shigella are common, fluoroquinolones remain the drug of choice. Azithromycin is recommended in areas with qui- nolone-resistant Campylobacter and for the treatment of children and pregnant women. (Am Fam Physician 2005;71:2095-100, 2107-8. Copyright© 2005 American Academy of Family Physicians.) ILLUSTRATION BY SCOTT BODELL ▲ Patient Information: cute diarrhea is the most com- mised and those with lowered gastric acidity A handout on traveler’s mon illness among travelers. Up (e.g., patients taking histamine H block- diarrhea, written by the 2 author of this article, is to 55 percent of persons who ers or proton pump inhibitors) are more provided on page 2107. travel from developed countries susceptible to traveler’s diarrhea. -
Meckel's Enterolith Causing Small Bowel Obstruction
Open Access Case Report DOI: 10.7759/cureus.15934 Meckel’s Enterolith Causing Small Bowel Obstruction: A Useful Solution to a Unique Problem Gabriel De la Cruz Ku 1 , Erek Nelson 1 , Rolando Calderon 1 , Pouya Hemmati 1 , Brian Kim 2 1. General Surgery, Mayo Clinic, Rochester, USA 2. Trauma and Acute Care Surgery, Mayo Clinic, Rochester, USA Corresponding author: Brian Kim, [email protected] Abstract Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Its course is usually benign but may also result in complications requiring surgical intervention. A diverticulum may also permit the removal of intraluminal objects without bowel resection and anastomosis. A woman in her 50s was found to have a mechanical small bowel obstruction secondary to an intraluminal mass within the terminal ileum. On exploration, an MD was encountered proximal to the mass. A diverticulectomy was performed after maneuvering the enterolith into the diverticulum. Meckel’s diverticulum with an associated enterolith is a rare cause of small bowel obstruction. Historic imaging may show long-standing stones in the bowel lumen and provide a diagnostic clue. Diverticulectomy may be performed to reduce the risks of small bowel resection and anastomosis. This technique can be used for other intraluminal objects requiring removal in the presence of an MD. Categories: General Surgery Keywords: meckel´s diverticulum, gastrointestinal obstruction, surgery general, surgical acute abdomen, diagnosis Introduction Meckel’s diverticulum (MD) is caused by the incomplete obliteration of the vitelline duct during the seventh to eighth week of gestation [1]. It is present in approximately two percent of the population. -
Diarrhea Predominant-Irritable Bowel Syndrome (IBS-D): Effects of Different Nutritional Patterns on Intestinal Dysbiosis and Symptoms
nutrients Review Diarrhea Predominant-Irritable Bowel Syndrome (IBS-D): Effects of Different Nutritional Patterns on Intestinal Dysbiosis and Symptoms Annamaria Altomare 1,2 , Claudia Di Rosa 2,*, Elena Imperia 2, Sara Emerenziani 1, Michele Cicala 1 and Michele Pier Luca Guarino 1 1 Gastroenterology Unit, Campus Bio-Medico University of Rome, Via Álvaro del Portillo 21, 00128 Rome, Italy; [email protected] (A.A.); [email protected] (S.E.); [email protected] (M.C.); [email protected] (M.P.L.G.) 2 Unit of Food Science and Human Nutrition, Campus Bio-Medico University of Rome, Via Álvaro del Portillo 21, 00128 Rome, Italy; [email protected] * Correspondence: [email protected] Abstract: Irritable Bowel Syndrome (IBS) is a chronic functional gastrointestinal disorder charac- terized by abdominal pain associated with defecation or a change in bowel habits. Gut microbiota, which acts as a real organ with well-defined functions, is in a mutualistic relationship with the host, harvesting additional energy and nutrients from the diet and protecting the host from pathogens; specific alterations in its composition seem to play a crucial role in IBS pathophysiology. It is well known that diet can significantly modulate the intestinal microbiota profile but it is less known how different nutritional approach effective in IBS patients, such as the low-FODMAP diet, could be Citation: Altomare, A.; Di Rosa, C.; responsible of intestinal microbiota changes, thus influencing the presence of gastrointestinal (GI) Imperia, E.; Emerenziani, S.; Cicala, symptoms. The aim of this review was to explore the effects of different nutritional protocols (e.g., M.; Guarino, M.P.L. -
Dieulafoy's Lesion Associated with Megaesophagus
vv ISSN: 2455-2283 DOI: https://dx.doi.org/10.17352/acg CLINICAL GROUP Received: 21 September, 2020 Case Report Accepted: 06 October, 2020 Published: 07 October, 2020 *Corresponding author: Valdemir José Alegre Salles, Dieulafoy’s Lesion Associated Assistant Doctor Profesor, Department of Medicine, University of Taubaté, Brazil, Tel: +55-15-12-3681-3888; Fax: +55-15-12-3631-606; E-mail: with Megaesophagus Keywords: Dieulafoy’s lesion; Esophageal Valdemir José Alegre Salles1,2*, Rafael Borges Resende3, achalasia; Haematemesis; Endoscopic hemoclip; Gastrointestinal bleeding 3 2,4 Gustavo Seiji , and Rodrigo Correia Coaglio https://www.peertechz.com 1Assistant Doctor Profesor, Department of Medicine, University of Taubaté, Brazil 2General Surgeon at the Regional Hospital of Paraíba Valley, Taubaté, Brazil 3Endoscopist Physician at the Regional Hospital of Paraíba Valley, Taubaté, Brazil 4Assistant Profesor, Department of Medicine, University of Taubaté, Brazil A 31-years-old male patient, with no previous symptoms, admitted to the ER with massive hematemesis that started about 2 hours ago and already with hemodynamic repercussions. After initial care with clinical management for compensation, and airway protection (intubation) he underwent esophagogastroduodenoscopy (EGD), which was absolutely inconclusive due to the large amount of solid food remains and clots already in the proximal esophagus with increased esophageal gauge. After a 24 hours fasting, and 3 inconclusive EGD, since we don’t have the availability of an overtube, we decided to use a calibrated esophageal probe (Levine 22) and to maintain lavage and aspiration of the contents, until the probe returned clear. In this period, the patient presented several episodes of hematimetric decrease and melena, maintaining hemodynamic stability with intensive clinical support. -
Mastocytic Enterocolitis
Patient Counseling Report MASTOCYTIC ENTEROCOLITIS WHAT IS MASTOCYTIC ENTEROCOLITIS? Mastocytic enterocolitis is a disease of the colon, or large intestine that is caused by an increased number of mast cells in the lining of the colon. It is believed that this increased number of mast cells is caused by a form of immune response by the gastrointestinal tract. This allergic response then causes a physical response by the body which results in diarrhea and abdominal pain. Previously, Mastocytic Enterocolitis was classifed as diarrhea-predominant irritable bowel syndrome (IBS) due to the fact that there was not a more specific diagnosis. With this diagnosis, a more specific treatment regimen can be offered with the hope of relieving symptoms. Mastocytic Enterocolitis affects patients as young as 16 and has been documented in patients as old as 85. Mastocytic Enterocolitis is not associated with an increased risk for cancer and patients diagnosed with this disease usually have a normal endoscopy and normal endoscopic findings. HOW IS MASTOCYTIC ENTEROCOLITIS DIAGNOSED? The goal of treatment is to try and reduce the number of mast cells During your endoscopy procedure, tissue biopsies were taken and sent to in the colon and relieve symptoms like abdominal pain, diarrhea, a specialized gastrointestinal pathology laboratory. At the laboratory, and weight loss. Most individuals respond well to treatment and see a special stain was utilized to highlight the mast cells in your tissue. a relatively dramatic reduction in their symptoms. Unfortunately, The special stain revealed that the number of mast cells in your tissue was treatment may not always work for patients and you and your doctor abnormally high and therefore you were diagnosed with Mastocytic may need to find another treatment regimen that can be successful for Enterocolitis. -
Peritoneal Sclerosis and Massive Hemoperitoneum: Case Report and Short Review
Urology & Nephrology Open Access Journal Case Report Open Access Peritoneal sclerosis and massive hemoperitoneum: case report and short review Abstract Volume 7 Issue 3 - 2019 Secondary Peritoneal Sclerosis has been reported in several cases but is especially frequent Daniel Gonzalez Nunez, Jhordan Guzman, among chronic peritoneal dialysis users, being its most serious complication. Clinical suspicion in chronic PD users is no challenge as intestinal symptoms and hypoalbuminemia Felipe Matteus Acuna, Juan Guillermo Ramos, appear and radiological confirmation is usually achieved before the need for surgery and Juliana Ordonez intra abdominal findings prove confirmatory. A case report of a 37-year-old male patient Department of Surgery, Hospital Universitario Clinica San Rafael, Universidad Militar Nueva Granada, Bogota, Colombia with a 13 year long peritoneal dialysis in whom laparotomy findings were a massive hemoperitoneum, parietal/visceral peritoneum, small/large bowel and mesentery with Correspondence: Daniel Gonzalez Nunez, Department of chronic inflammatory changes, thickening and dark-brown coloration. As a distinctive Surgery, Hospital Universitario Clinica San Rafael, Universidad feature a gastroepiploic artery branch in the gastric curvature was identified with persistent Militar Nueva Granada, Bogota, Colombia, Tel +5713108667653, oozing and hemostasis was achieved. No intestinal obstruction was evident. Postoperative Email was uneventful. In patients undergoing peritoneal dialysis a hemorrhagic effluent from the catheter or -
Morphologic and Molecular Pathogenesis Study of Condemned Kidneys in Swine From
UNIVERSITY OF CALGARY Morphologic and molecular pathogenesis study of condemned kidneys in swine from Alberta by Claudia Benavente A THESIS SUBMITTED TO THE FACULTY OF GRADUATE STUDIES IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE DEPARTMENT OF MICROBIOLOGY AND INFECTIOUS DISEASES CALGARY, ALBERTA DECEMBER, 2010 © Claudia Benavente 2010 Library and Archives Bibliothèque et Canada Archives Canada Published Heritage Direction du Branch Patrimoine de l'édition 395 Wellington Street 395, rue Wellington Ottawa ON K1A 0N4 Ottawa ON K1A 0N4 Canada Canada Your file Votre référence ISBN: 978-0-494-75207-4 Our file Notre référence ISBN: 978-0-494-75207-4 NOTICE: AVIS: The author has granted a non- L'auteur a accordé une licence non exclusive exclusive license allowing Library and permettant à la Bibliothèque et Archives Archives Canada to reproduce, Canada de reproduire, publier, archiver, publish, archive, preserve, conserve, sauvegarder, conserver, transmettre au public communicate to the public by par télécommunication ou par l'Internet, prêter, telecommunication or on the Internet, distribuer et vendre des thèses partout dans le loan, distrbute and sell theses monde, à des fins commerciales ou autres, sur worldwide, for commercial or non- support microforme, papier, électronique et/ou commercial purposes, in microform, autres formats. paper, electronic and/or any other formats. The author retains copyright L'auteur conserve la propriété du droit d'auteur ownership and moral rights in this et des droits moraux qui protege cette thèse. Ni thesis. Neither the thesis nor la thèse ni des extraits substantiels de celle-ci substantial extracts from it may be ne doivent être imprimés ou autrement printed or otherwise reproduced reproduits sans son autorisation. -
Effect of Peritoneal Lavage with Coconut Water in Healing of Colon Anastomosis in Rat Abdominal Sepsis Model
Effect of Peritoneal Lavage with Coconut Water in Healing of Colon Anastomosis in Rat Abdominal Sepsis Model Efeito da Lavagem Peritoneal com Água de Coco na Cicatrização de Anastomoses do Cólon em Modelo de Sepse Abdominal em Ratos Bárbara Bruna de Sousa Pires1, Ítalo Medeiros Azevedo2, Marília Daniela Ferreira de Carvalho Moreira2, Lívia Medeiros Soares Celani3, Aldo Cunha Medeiros4 1. Graduate student, Medical School, Federal University of Rio Grande do Norte (UFRN), Natal-RN, Brazil. 2. Fellow PhD degree, Postgraduate Program in Health Sciences, Federal University of Rio Grande do Norte (UFRN), Natal-RN, Brazil. 3. MD, University Hospital Onofre Lopes, UFRN, Natal-RN, Brazil. 4. Full Professor, Chairman, Nucleus of Experimental Surgery, UFRN, Natal-RN, Brazil. Study performed at Department of Surgery, Federal University of Rio Grande do Norte (UFRN), Brazil. Financial support: none. Conflict of interest: None. Correspondence address: Department of Surgery, Federal University of Rio Grande do Norte, at Ave. Nilo Peçanha 620, Natal, RN, Brazil. E-mail: [email protected] Submitted: June 10, 2017. Accepted, after review: July 22, 2017. ABSTRACT Purpose: The objective of this study was to evaluate the efficacy of peritoneal lavage with coconut water in the healing of colonic anastomoses in a model of abdominal sepsis in rats. Methods: Twelve Wistar rats were used. The animals were randomly selected and distributed in 2 groups, with six rats each. Group 1: rats with sepsis + peritoneal lavage with 0.9% saline solution and Group 2: rats with sepsis + peritoneal lavage with coconut water. Induction of abdominal sepsis was performed through the exteriorization of the cecum and ligature.