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[Laparoscopic Hiatal Hernia Repair].
Kyobu Geka
September 2024
Department of Upper Gastrointestinal Surgery, Dokkyo Medical University, Tochigi, Japan.
Esophageal hiatal hernia is a condition in which the esophageal hiatus opens and the stomach escapes from the abdominal cavity into the mediastinum. The basic surgical procedures are 1) return of the prolapsed stomach into the abdominal cavity, 2) suture of the dilated esophageal hiatus, and 3) fundoplication and fixation of the stomach to prevent gastroesophageal reflux disease (GERD). The Japanese guidelines for the treatment of GERD recommend laparoscopic Toupet fundoplication as the standard procedure, which we also follow.
View Article and Find Full Text PDFA case report on multidisciplinary approach towards management of gastrojejunocolic fistula secondary to adenocarcinoma of the colon.
Int J Surg Case Rep
October 2024
Department of General Surgery, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Introduction: Gastrojejunocolic fistula is an abnormal communication between a portion of the stomach, jejunum and the transverse colon. Gastrojejunocolic (GJC) fistula is an outcome resulting from the surgical procedures of gastrectomy and gastrojejunostomy used to address recurrent peptic ulcer disease and secondary to malignancy. Patients present with the typical symptoms of diarrhea, belching with fecal odor or fecal vomiting and weight loss.
View Article and Find Full Text PDFHistopathological characterization and grading of chronic enterocolitis in Sulawesi crested macaques (Macaca nigra).
J Comp Pathol
July 2024
Zoological Society of London, Regent's Park, London NW1 4RY, UK.
Article Synopsis
- Sulawesi crested macaques (SCMs) are critically endangered and often experience chronic intestinal disease in captivity, with cases frequently labeled as chronic enterocolitis due to unidentified causes despite signs of intestinal inflammation.
- This study analyzed gastrointestinal tissues from 23 SCMs, using a scoring system (Nancy index) from human medicine to assess the severity of disease, finding significant inflammation in colons of affected macaques and a correlation between the index score and clinical disease severity.
- The research revealed that 57% of SCMs with clinical signs had moderate to severe intestinal disease, but some with rectal prolapse showed no intestinal inflammation, indicating the need for standardized histopathological evaluations in this species.
Combined laparoscopic and thoracoscopic repair of adult right-sided Bochdalek hernia with massive liver prolapse: A case report.
World J Clin Cases
May 2024
Department of Gastrointestinal and General Surgery, St. Marianna University School of Medicine, Kanagawa 216-8511, Japan.
Background: A Bochdalek hernia (BH) is a congenital diaphragmatic hernia that often develops in the neonatal period. BH typically occurs on the left side of the diaphragm. A right-sided BH in an adult is rare.
View Article and Find Full Text PDFEndoscopic submucosal dissection for the treatment of a large inflammatory fibroid polyp in the gastric antrum prolapsing into the duodenum: A case report.
Medicine (Baltimore)
April 2024
Department of Gastroenterology, The First People's Hospital of Shizuishan, Affiliated to Ningxia Medical University, Shizuishan, China.
Rationale: Inflammatory fibroid polyp (IFP), also known as Vanek tumor, is a rare, benign gastrointestinal lesion characterized by its inflammatory and fibroid histological features. IFP is often discovered incidentally during endoscopic examinations. It is exceedingly rare for an IFP to prolapse into the duodenum and results in incomplete obstruction of the pylorus.
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