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Recurrent neurogenic shock as a rare postoperative complication associated with pancreaticoduodenectomy with mesopancreas excision in elderly patient: a case report.
Gland Surg
November 2024
Oncology Center, Sírio-Libanês Hospital, São Paulo, Brazil.
Background: Surgical resection of locally advanced or borderline pancreatic ductal adenocarcinoma is a recognized procedure with curative intent performed in specialized oncology centers. Postoperative dysautonomia such as gastroparesis, mild hypotension, and diarrhea are common in elderly patients undergoing pancreaticoduodenectomy. A distinctive feature of our case, is the severing of an important sympathetic chain by the surgical procedure, leading to recurrent severe neurogenic shock.
View Article and Find Full Text PDFVariation of Stomach Shapes in Gastric Emptying Scintigraphy: Correlation With Gastric Emptying Results, Body Weight, and Symptoms.
Neurogastroenterol Motil
November 2024
Section of Gastroenterology, Department of Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Article Synopsis
- This study aimed to explore how different stomach shapes observed in gastric emptying scintigraphy (GES) relate to gastric emptying speeds, body weight, and GI symptoms.
- Researchers reviewed 397 GES studies, identifying five stomach shapes: crescentic, J-shaped, reversed-L, cylindrical, and bag-like, with crescentic being the most common.
- Findings revealed that crescentic stomachs had the highest body mass index (BMI), while bag-like stomachs showed the slowest gastric emptying and more severe regurgitation and heartburn symptoms.
Severe gastroparesis complicated by gastric perforation caused by lightchain amyloidosis.
Z Gastroenterol
November 2024
Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany.
AL-Amyloidosis is a rare systemic disease that can occur in patients with monoclonal gammopathy or multiple myeloma. As multiple organs may be affected by deposition of amyloid fibrils, the clinical presentation varies considerably, and the diagnostic process may be challenging.We report on a 59-year-old female who suffered from gastroesophageal reflux symptoms, nausea, epigastric pain, and meteorism over several years.
View Article and Find Full Text PDFPrevalence and Severity of Diabetic Gastroparesis Symptoms in Relation to Diabetics in Saudi Arabia.
Cureus
October 2024
Department of Internal Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.
Article Synopsis
- Gastroparesis is a chronic digestive condition causing delayed stomach emptying, leading to symptoms like bloating and pain, and is understudied among diabetics in Saudi Arabia.
- This study aimed to assess the severity and prevalence of gastroparesis symptoms in type 1 and type 2 diabetic patients to aid health policy decisions.
- Findings showed 68.4% of participants had type 2 diabetes, with notable symptoms: 22.0% of type 1 and 29.1% of type 2 patients experienced moderate nausea, and stomach fullness was significantly more reported in type 2 patients.
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