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Unraveling Twisted Pouch Syndrome: A Narrative Review of Classification, Diagnosis, Treatment, and Prevention.
Inflamm Bowel Dis
August 2024
Dept. of Colorectal Surgery, Digestive Diseases Institute, Cleveland Clinic, Cleveland OH, USA.
Background: We recently described a cluster of symptoms known as twisted pouch syndrome that rarely affects patients with ileoanal pouches. Herein, we present a narrative review in which we describe the diagnosis, treatment, and prevention of twisted pouch syndrome, with a focus on a simple classification schema.
Methods: Diagnostic signs from endoscopic and radiological examinations, treatment, and prevention strategies are presented.
Reconstruction of the esophagus of patients with middle thoracic esophageal carcinoma using the remnant stomach following Billroth II gastrectomy.
Dis Esophagus
January 2021
Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
It seems impossible to reconstruct the esophagus of patients with middle thoracic esophageal carcinoma with a history of distal gastrectomy using the remnant stomach. Although surgeons have made multiple efforts to reconstruct the esophagus using the remnant stomach, it can only be successfully used in cases of lower thoracic esophageal cancer. Additionally, the surgery is more complex than traditional esophagogastrostomy due to challenges including mobilization of the remnant stomach with the spleen and transposition of the pancreatic tail into the left hemithorax.
View Article and Find Full Text PDFCurrent landscape in motoneuron regeneration and reconstruction for motor cranial nerve injuries.
Neural Regen Res
September 2020
Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
The intricate anatomy and physiology of cranial nerves have inspired clinicians and scientists to study their roles in the nervous system. Damage to motor cranial nerves may result from a variety of organic or iatrogenic insults and causes devastating functional impairment and disfigurement. Surgical innovations directed towards restoring function to injured motor cranial nerves and their associated organs have evolved to include nerve repair, grafting, substitution, and muscle transposition.
View Article and Find Full Text PDFThe basilic vein and the cephalic vein perform equally in upper arm arteriovenous fistulae.
Eur J Vasc Endovasc Surg
August 2012
Department of Vascular Surgery, Maasstad Hospital, AC Rotterdam, The Netherlands.
Objective: To compare the brachiocephalic (BC) and basilic vein transposition (BVT) arteriovenous fistula (AVF) with regard to maturation, patency, blood flow and complication rates.
Design: A retrospective chart review.
Materials And Method: Between January 2000 and December 2010, consecutive patients undergoing BC or BVT AVF were included.
Treatment options for fecal incontinence.
Dis Colon Rectum
January 2001
UNC Center for Functional Gastrointestinal & Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Purpose: Fecal incontinence is a socially devastating disorder which affects at least 2.2 percent of community dwelling adults and 45 percent of nursing home residents. Most incontinent patients can be helped, but physicians are poorly informed about treatment options.
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