The Digestive System (Gastrointestinal Tract) (Alimentary
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Laparoscopic Gastropexy As a Preventative Measure for Gastric Dilation Volvulus in Canines
Laparoscopic Gastropexy as a Preventative Measure for Gastric Dilation Volvulus in Canines By: Erin O’Brien Advisors: Dr. Kimberly Boswell Board Certified Surgeon Southwest Michigan Animal Emergency Hospital Kalamazoo, MI Dr. Diane R. Kiino Ph.D. Kalamazoo College Health Science A paper submitted in partial fulfillment of the requirements for the degree of Bachelor of Arts at Kalamazoo College. 2010 ii ACKNOWLEDGEMENTS Over the summer I was able to intern at the Southwest Michigan Animal Emergency Hospital in Kalamazoo, MI. It was there that I was exposed to the emergency setting in veterinary medicine but also had the chance to observe surgeries done by Board Certified Surgeon, Dr. Kimberly Boswell. I would like to thank the entire staff at SWMAEH for teaching me a tremendous amount about veterinary medicine and allowing me to get as much hands on experience as possible. It was such a privilege to complete my internship at a hospital where I was able to learn so much about veterinary medicine in only ten weeks. I would also like to thank Dr. Boswell in particular, it was a gastropexy surgery I saw her perform during my internship that inspired the topic of this paper. Additionally I would like to acknowledge my advisor Dr. Diane Kiino for providing the direction I needed in choosing my paper topic. iii ABSTRACT Gastric Dilation Volvulus (GDV) is a fatal condition in canines especially those that are large or giant breeds. GDV results from the stomach distending and twisting on itself which when left untreated causes shock and ultimately death. The only method of prevention for GDV is a gastropexy, a surgical procedure that sutures the stomach to the abdominal wall to prevent volvulus or twisting. -
2 Surgical Anatomy
2 Surgical Anatomy Nancy Dugal Perrier, Michael Sean Boger contents 2.2 Morphology 2.1 Introduction . 7 The paired retroperitoneal adrenal glands are found 2.2 Morphology ...7 in the middle of the abdominal cavity, residing on 2.3 Relationship of the Adrenal Glands to the Kidneys ...10 the superior medial aspect of the upper pole of each 2.4 Blood Supply, Innervation, and Lymphatics ...10 kidney (Fig. 1). However, this location may vary 2.4.1 Arterial . 10 depending on the depth of adipose tissue.By means of 2.4.2 Venous ...10 pararenal fat and perirenal fascia,the adrenals contact 2.4.3 Innervation ...11 the superior portion of the abdominal wall. These 2.4.4 Lymphatic . 11 structures separate the adrenals from the pleural re- 2.5 Left Adrenal Gland Relationships ...11 flection, ribs, and the subcostal, sacrospinalis, and 2.6 Right Adrenal Gland Relationships ...14 latissimus dorsi muscles [2].Posteriorly,the glands lie 2.7 Summary ...17 References . 17 near the diaphragmatic crus and arcuate ligament [10]. Laterally, the right adrenal resides in front of the 12th rib and the left gland is in front of the 11th and 12th ribs [2]. Each adrenal gland weighs approximately 2.1 Introduction Liver Adrenal gland The small paired adrenal glands have a grand history. Eustachius published the first anatomical drawings of the adrenal glands in the mid-sixteenth century [17].In 1586, Piccolomineus and Baunin named them the suprarenal glands. Nearly two-and-a-half centuries later, Cuvier described the anatomical division of each gland into the cortex and medulla. -
The Herbivore Digestive System Buffalo Zebra
The Herbivore Digestive System Name__________________________ Buffalo Ruminant: The purpose of the digestion system is to ______________________________ _____________________________. Bacteria help because they can digest __________________, a sugar found in the cell walls of________________. Zebra Non- Ruminant: What is the name for the largest section of Organ Color Key a ruminant’s Mouth stomach? Esophagus __________ Stomach Small Intestine Cecum Large Intestine Background Information for the Teacher Two Strategies of Digestion in Hoofed Mammals Ruminant Non‐ruminant Representative species Buffalo, cows, sheep, goats, antelope, camels, Zebra, pigs, horses, asses, hippopotamus, rhinoceros giraffes, deer Does the animal Yes, regurgitation No regurgitation regurgitate its cud to Grass is better prepared for digestion, as grinding Bacteria can not completely digest cell walls as chew material again? motion forms small particles fit for bacteria. material passes quickly through, so stool is fibrous. Where in the system do At the beginning, in the rumen Near the end, in the cecum you find the bacteria This first chamber of its four‐part stomach is In this sac between the two intestines, bacteria digest that digest cellulose? large, and serves to store food between plant material, the products of which pass to the rumination and as site of digestion by bacteria. bloodstream. How would you Higher Nutrition Lower Nutrition compare the nutrition Reaps benefits of immediately absorbing the The digestive products made by the bacteria are obtained via digestion? products of bacterial digestion, such as sugars produced nearer the end of the line, after the small and vitamins, via the small intestine. intestine, the classic organ of nutrient absorption. -
Anatomical Variations in the Arterial Supply of the Suprarenal Gland. Int J Health Sci Res
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Anatomical Variations in the Arterial Supply of the Suprarenal Gland Sushma R.K1, Mahesh Dhoot2, Hemant Ashish Harode2, Antony Sylvan D’Souza3, Mamatha H4 1Lecturer, 2Postgraduate, 3Professor & Head, 4Assistant Professor; Department of Anatomy, Kasturba Medical College, Manipal University, Manipal-576104, Karnataka, India. Corresponding Author: Mamatha H Received: 29/03//2014 Revised: 17/04/2014 Accepted: 21/04/2014 ABSTRACT Introduction: Suprarenal gland is normally supplied by superior, middle and inferior suprarenal arteries which are the branches of inferior phrenic, abdominal aorta and renal artery respectively. However the arterial supply of the suprarenal gland may show variations. Therefore a study was conducted to find the variations in the arterial supply of Suprarenal Gland. Materials and methods: 20 Formalin fixed cadavers, were dissected bilaterally in the department of Anatomy, Kasturba Medical College, Manipal to study the arterial supply of the suprarenal gland, which were photographed and different variations were noted. Results: Out of 20 cadavers variations were observed in five cases in the arterial pattern of supra renal gland. We found that in one cadaver superior supra renal artery on the left side was arising directly from the coeliac trunk. Another variation was observed on the right side ina cadaver that inferior and middle suprarenal arteries were arising from accessory renal artery and on the right side it gave another small branch to the gland. Conclusion: Variations in the arterial pattern of suprarenal gland are significant for radiological and surgical interventions. KEY WORDS: Suprarenal gland, suprarenal artery, renal artery, abdominal aorta, inferior phrenic artery INTRODUCTION accessory renal arteries (ARA). -
Adrenal Metastasis from an Esophageal Squamous Cell Carcinoma - a Case Report and Review of Literature
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 15, Issue 10 Ver. VII (October. 2016), PP 20-22 www.iosrjournals.org Adrenal Metastasis from an Esophageal Squamous Cell Carcinoma - A Case Report and Review of Literature Prof. Subbiah Shanmugam MS Mch1, Dr Sujay Susikar MS Mch2, Dr. H Prasanna Srinivasa Rao Mch Post Graduate2 1,2Department Of Surgical Oncology, Centre For Oncology, Government Royapettah Hospital & Kilpauk Medical College, Chennai, India Abstract: Adrenal metastasis from esophageal carcinoma is quite uncommon. The identification of adrenal metastasis and their differentiation from incidentally detected benign adrenal tumors is challenging especially when functional imaging facilities are unavailable. Here we present a case report of a 43 year old male presenting with adrenal metastasis from an esophageal squamous cell carcinoma. The use of minimally invasive surgery to confirm the metastatic nature of disease in a resource limited setup has been described. Keywords: adrenal metastasis, adrenalectomy, esophageal squamous cell carcinoma I. Introduction Adrenal metastases have been reported in various malignancies; most commonly from cancers of lung, breast but uncommonly from esophageal primary. The diagnostic difficulties in the identification of adrenal secondaries are due to the small size of the lesion, difficulty in differentiating benign from malignant adrenal lesions based on computed tomography findings alone and the anatomical position of adrenal making it difficult to target for biopsy under image guidance. The functional scans (PET CT) not only reliably differentiate metastatic adrenal lesions, but also light up other areas of metastasis. Such information is definitely needed before deciding on the intent of treatment and the surgery for the primary lesion. -
Laparoscopic Fundoplication with Double Sided Posterior Gastropexy: a Different Surgical Technique
View metadata, citation and similar papers at core.ac.uk ORIGINAL RESEARCH brought to you by CORE provided by Elsevier - Publisher Connector International Journal of Surgery 10 (2012) 532e536 Contents lists available at SciVerse ScienceDirect International Journal of Surgery journal homepage: www.theijs.com Original research Laparoscopic fundoplication with double sided posterior gastropexy: A different surgical technique Fahri Yetis¸ira,*, A. Ebru Salman b,Dogukan Durak a, Mehmet Kiliç c a Ataturk Research and Training Hospital, General Surgery Department, Turkey b Ataturk Research and Training Hospital, Anesthesiology and Reanimation Department, Turkey c Yildirim Beyazit University, General Surgery Department, Turkey article info abstract Article history: Background: Laparoscopic Nissen Fundoplication has become the gold standard surgical procedure for Received 18 April 2012 management of gastroesophageal reflux disease. Nissen fundoplication provides an effective barrier Received in revised form against reflux. The aim of this study was to evaluate early postoperative outcomes of a different surgical 3 August 2012 technique, laparoscopic fundoplication with double sided posterior gastropexy. Accepted 6 August 2012 Methods: Data of 46 patients who underwent laparoscopic fundoplication with double sided posterior Available online 21 August 2012 gastropexy between February 2010 and December 2011 were collected. Surgically, after Nissen fundoplication was completed, 2e4 sutures were passed through the uppermost parts of the posterior Keywords: Gastropexy and anterior wall of the gastric wrap and then passed gently 1 cm above the celiac artery from the denser fi Nissen fundoplication bers of uppermost part of the arcuate ligament. Demographic data, preoperative and postoperative Gastroesophageal reflux assesments of sympthomatic and functional outcomes of patients were recorded. -
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. -
A Study on the Variations of Arterial Supply to Adrenal Gland
K Naga Vidya Lakshmi and Mahesh Dhoot / International Journal of Biomedical and Advance Research 2016; 7(8): 373-375. 373 International Journal of Biomedical and Advance Research ISSN: 2229-3809 (Online); 2455-0558 (Print) Journal DOI: 10.7439/ijbar CODEN: IJBABN Original Research Article A study on the variations of arterial supply to adrenal gland K Naga Vidya Lakshmi* and Mahesh Dhoot Department of Anatomy, RKDF Medical College Hospital & Research Centre, Bhopal, India *Correspondence Info: Dr. K Naga Vidya Lakshmi, Room No: 208, Staff Quarters, RKDF Medical College Campus, Jatkhedi, Bhopal, India E-mail: [email protected] Abstract Introduction: Adrenal glands are richly vascular and get their arterial supply by means of three arteries namely superior, middle, inferior suprarenal arteries. The inferior phrenic artery gives off the superior branch, while middle branch arises directly from the abdominal aorta, and the inferior suprarenal branch is given off by the renal artery. Materials And Methods: The study was conducted in 15 formalin fixed cadavers obtained from the department of Anatomy and are carefully dissected to observe the arterial supply of both right and left adrenal glands. Observations: It has been noted that variations were observed in four cases out of 30 adrenal glands, two cases showed variations on right side and in two cases variation is seen on left side. First case on the right side, both MSA and ISA are given off by ARA. In the second case on right side IPA is given off by RA and from the junction of these two arteries MSA was given. In third case on left side MSA is given by the coeliac trunk and ISA is from ARA, in fourth case on left side ISA is originated from ARA. -
A Case of Bilateral Aldosterone-Producing Adenomas Differentiated by Segmental Adrenal Venous Sampling for Bilateral Adrenal Sparing Surgery
OPEN Journal of Human Hypertension (2016) 30, 379–385 © 2016 Macmillan Publishers Limited All rights reserved 0950-9240/16 www.nature.com/jhh ORIGINAL ARTICLE A case of bilateral aldosterone-producing adenomas differentiated by segmental adrenal venous sampling for bilateral adrenal sparing surgery R Morimoto1, N Satani2, Y Iwakura1, Y Ono1, M Kudo1, M Nezu1, K Omata1,3, Y Tezuka1,3, K Seiji2,HOta2, Y Kawasaki4, S Ishidoya4, Y Nakamura5, Y Arai4, K Takase2, H Sasano5,SIto1 and F Satoh1,3 Primary aldosteronism due to unilateral aldosterone-producing adenoma (APA) is a surgically curable form of hypertension. Bilateral APA can also be surgically curable in theory but few successful cases can be found in the literature. It has been reported that even using successful adrenal venous sampling (AVS) via bilateral adrenal central veins, it is extremely difficult to differentiate bilateral APA from bilateral idiopathic hyperaldosteronism (IHA) harbouring computed tomography (CT)-detectable bilateral adrenocortical nodules. We report a case of bilateral APA diagnosed by segmental AVS (S-AVS) and blood sampling via intra-adrenal first-degree tributary veins to localize the sites of intra-adrenal hormone production. A 36-year-old man with marked long-standing hypertension was referred to us with a clinical diagnosis of bilateral APA. He had typical clinical and laboratory profiles of marked hypertension, hypokalaemia, elevated plasma aldosterone concentration (PAC) of 45.1 ng dl− 1 and aldosterone renin activity ratio of 90.2 (ng dl − 1 per ng ml − 1 h − 1), which was still high after 50 mg-captopril loading. CT revealed bilateral adrenocortical tumours of 10 and 12 mm in diameter on the right and left sides, respectively. -
1-Anatomy of the Pituitary Gland
Color Code Important Anatomy of Pituitary Gland Doctors Notes Notes/Extra explanation Please view our Editing File before studying this lecture to check for any changes. Objectives At the end of the lecture, students should be able to: ✓ Describe the position of the pituitary gland. ✓ List the structures related to the pituitary gland. ✓ Differentiate between the lobes of the gland. ✓ Describe the blood supply of pituitary gland & the hypophyseal portal system. الغدة النخامية Pituitary Gland (also called Hypophysis Cerebri) o It is referred to as the master of endocrine glands. o It is a small oval structure 1 cm in diameter. o It doubles its size during pregnancy. lactation ,(الحمل) pregnancy ,(الحيض) A women experiences changes in her hormone levels during menstruation But only the pituitary gland will only increase in size during pregnancy .(سن اليأس) and menopause ,(الرضاعة) X-RAY SKULL: LATERAL VIEW SAGITTAL SECTION OF HEAD & NECK Extra Pituitary Gland Position o It lies in the middle cranial fossa. o It is well protected in sella turcica* (hypophyseal fossa) of body of sphenoid o It lies between optic chiasma (anteriorly) & mamillary bodies** (posteriorly). Clinical point: *سرج الحصان Anterior to the pituitary gland is the optic chiasm, so if there was a tumor in the pituitary gland or it was ** Part of hypothalamus enlarged this could press on the chiasm and disrupt the patients vision (loss of temporal field). Extra Pictures The purple part is the sphenoid bone Hypophyseal fossa Pituitary Gland The relations are important Important Relations • SUPERIOR: Diaphragma sellae: A fold of dura mater covers the pituitary gland & has an opening for passage of infundibulum (pituitary stalk) connecting the gland to hypothalamus. -
Glossary of Pediatric Endocrine Terms
Glossary of Pediatric Endocrine Terms Adrenal Glands: Triangle-shaped glands located on top of each kidney that are responsible for the regulation of stress response by producing hormones such as cortisol and adrenaline. Adrenal Crisis: A life-threatening condition that results when there is not enough cortisol (stress hormone) in the body. This may present with nausea, vomiting, abdominal pain, severely low blood pressure, and loss of consciousness. Adrenocorticotropin (ACTH): A hormone produced by the anterior pituitary gland that triggers the adrenal gland to produce cortisol, the stress hormone. Anterior Pituitary: The front of the pituitary gland that secretes growth hormone, gonadotropins, thyroid stimulating hormone, prolactin, adrenocorticotropin hormone. Antidiuretic Hormone: A hormone secreted by the posterior pituitary that controls how much water is excreted by the kidneys (water balance). Bone Age Study: An X-ray of the left hand and wrist to assess a child’s skeletal age. It is often used to evaluate disorders of puberty and growth. Congenital Adrenal Hyperplasia: A group of disorders which impair the adrenal steroid synthesis pathway. This causes the body makes too many androgens. Sometimes the body does not make enough cortisol and aldosterone. Constitutional Delay of Growth and Puberty: A normal variant of growth in which children grow at a slower rate and begin puberty later than their peers. They may appear short until they have catch up growth. They usually end up at a normal adult height. A diagnosis of constitutional delay of growth and puberty is often referred to as being a “late bloomer.” Cortisol: The “stress hormone”, which is produced by the adrenal glands. -
Hypothalamus and Pituitary Gland Development in the Common Snapping Turtle, Chelydra Serpentina, and Disruption with Atrazine Exposure
University of North Dakota UND Scholarly Commons Theses and Dissertations Theses, Dissertations, and Senior Projects January 2016 Hypothalamus And Pituitary Gland Development In The ommonC Snapping Turtle, Chelydra Serpentina, And Disruption With Atrazine Exposure Kathryn Lee Gruchalla Russart Follow this and additional works at: https://commons.und.edu/theses Recommended Citation Russart, Kathryn Lee Gruchalla, "Hypothalamus And Pituitary Gland Development In The ommonC Snapping Turtle, Chelydra Serpentina, And Disruption With Atrazine Exposure" (2016). Theses and Dissertations. 2069. https://commons.und.edu/theses/2069 This Dissertation is brought to you for free and open access by the Theses, Dissertations, and Senior Projects at UND Scholarly Commons. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of UND Scholarly Commons. For more information, please contact [email protected]. HYPOTHALAMUS AND PITUITARY GLAND DEVELOPMENT IN THE COMMON SNAPPING TURTLE, CHELYDRA SERPENTINA, AND DISRUPTION WITH ATRAZINE EXPOSURE by Kathryn Lee Gruchalla Russart Bachelor of Science, Minnesota State University, Mankato, 2006 A Dissertation Submitted to the Graduate Faculty of the University of North Dakota in partial fulfillment of the requirements for the degree of Doctor of Philosophy Grand Forks, North Dakota August 2016 Copyright 2016 Kathryn Russart ii iii PERMISSION Title Hypothalamus and Pituitary Gland Development in the Common Snapping Turtle, Chelydra serpentina, and Disruption with Atrazine Exposure Department Biology Degree Doctor of Philosophy In presenting this dissertation in partial fulfillment of the requirements for a graduate degree from the University of North Dakota, I agree that the library of this University shall make it freely available for inspection.