Trans Enteric Rendezvous ERCP in a Patient with Loop Duodenal Switch.

Introduction: Performing endoscopic retrograde cholangiopancreatography (ERCP) in duodenal switch (DS) patients is challenging given their surgically altered anatomy. There have been very few reported cases of trans enteric rendezvous ERCP to relieve biliary obstruction in DS patients. More specifically, there has not been any reported cases of this procedure being performed in loop DS, also known as SADI (single anastomosis duodeno-ileostomy) or SIPS (stomach intestinal pylorus sparing procedure).

Van der woude syndrome with short review of the literature.

Van der Woude syndrome (VWS) is a rare autosomal dominant condition with high penetrance and variable expression. Clinical manifestation of this autosomal dominant clefting syndrome includes bilateral midline lower lip pits, cleft lip, and cleft palate along with hypodontia. These congenital lip pits appear as a malformation in the vermilion border of the lip, with or without excretion.

Removal of dental plaque from different regions of the mouth after a 1-minute episode of mechanical oral hygiene.

Purpose: To assess dental plaque on different regions of the dentition prior to and immediately after toothbrushing.

Methods: Subjects refrained from oral hygiene for 22-26 hours prior to baseline whole mouth plaque assessments by the Turesky modification of the Quigley-Hein Index (TMQH). All subjects brushed with a marketed soft-bristled toothbrush and a fluoride dentifrice for 1 minute prior to post-brushing plaque assessments similar to baseline.