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A rare case of intrathoracic Gauzoma.

J Cardiothorac Surg

January 2025

Department of Thoracic Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-ku, Kobe, 650-0047, Japan.

Background: Gauzoma is a foreign body reactive granuloma which is an extremely rare complication of thoracic surgery. We describe a case of a Gauzoma in which the gauzes were removed by mini-thoracotomy as a less invasive procedure, discovered incidentally after 35 years of follow-up.

Case Presentation: A 51-year-old man was referred to our department for hyperhidrosis treatment, and imaging studies and biopsy confirmed the diagnosis of Gauzoma.

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Background: Intrathoracic migration of a ventriculoperitoneal shunt (VPS) is a phenomenally rare complication, with the supradiaphragmatic intercostal variant even more so. Whereas it can prove debilitating or even fatal via massive hydrothorax, the causative mechanism and proper management of this occurrence are undefined.

Case Presentation: A 17-month-old girl who had undergone VPS insertion at one month of age was brought to our department for somnolence and dyspnea, which had a sudden onset.

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Intrathoracic Sleeve Migration Following Sleeve Gastrectomy: Incidence and Outcomes.

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December 2024

Bariatric & Metabolic Surgery Center, H Plus Yangji Hospital, 1636, Nambusunhwan-Ro, Gwanakgu, Seoul, 08779, Korea.

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  • * A review of 206 patient charts revealed that 14% experienced ITM, which was associated with more severe postoperative reflux symptoms and a longer use of anti-reflux medication.
  • * Patients with ITM also had a higher incidence of esophagitis confirmed through examinations, establishing a significant link between ITM and adverse clinical outcomes.
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Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass: Is Intrathoracic Migration of the Sleeve of High Incidence?

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August 2024

Department of Digestive Surgery, Centre of Bariatric Surgery, University Hospital of Edouard Herriot, Hospices Civils de Lyon, 5 Place d'Arsonval, 69437, Lyon Cedex 03, France.

Background: Conversion of SG to Roux-en-Y gastric bypass (RYGB) is increasing. Intrathoracic migration of the sleeve (ITM) often seems associated and is increasingly reported.

Material And Methods: Patients who underwent a conversion of SG to RYGB from August 2013 to December 2022 were included.

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