The authors believe that the decrease of mortality in operations for gastroduodenal bleeding does not depend on the time interval between the start of bleeding and surgical interventions, but it depends upon the conditions under which these interventions are carried out. The conditions should approximate the conditions existing in planned gastric surgery as much as possible. In this regard the results of the treatment of 188 cases with massive gastroduodenal bleeding (69 cases aged over 60) are analyzed. The applied method permitted to ensure a sufficient volume of the examination of a case and of his preparation to the operation to avoid "desperate operations" and to decrease considerably the mortality in gastroduodenal bleeding. Among patients under 65 there were no fatal cases.
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Surg Case Rep
February 2025
Division of Hepatobiliary and Pancreatic Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Introduction: Postpancreatectomy hemorrhage (PPH) is a life-threatening complication following pancreaticoduodenectomy, requiring prompt and accurate diagnostic and therapeutic measures to ensure patient survival.
Case Presentation: A 79-year-old man underwent robot-assisted pancreaticoduodenectomy for suspected intraductal papillary mucinous carcinoma. Postoperatively, he developed a pancreatic fistula and major bile leak, leading to a hemorrhagic event on postoperative day 6.
Pancreatology
February 2025
Department II of Interventional Radiology, Eastern Hepatobiliary Surgery Hospital, Shanghai, China. Electronic address:
Background: To investigate the effectiveness and safety of vascular stent graft in the treatment of post-pancreaticoduodenectomy hemorrhage (PPH) and to determine independent risk factors for rebleeding.
Methods: A retrospective review of 24 patients who received a vascular stent graft for the treatment of PPH between April 2016 and April 2021 was conducted. The site(s) and time of onset of hemorrhage, angiographic findings, endovascular treatment techniques, and risk factors for rebleeding after stent graft placement in these patients were analyzed.
J Med Case Rep
February 2025
Department of Rheumatology and Clinical Immunology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Background: Cytomegalovirus is a pathogen known to aggravate the inflammatory response in autoimmune diseases via molecular mimicry. Although it is recognized that cytomegalovirus activation can happen during extended but variable periods of immunosuppression (14-90 days), it is rarely reported in conjunction with an acute flare-up of an autoimmune disease. Currently, there is no consensus on cytomegalovirus prophylaxis for patients initiating remission induction.
View Article and Find Full Text PDFWe report a case of pancreaticoduodenectomy for a giant duodenal gastrointestinal stromal tumor(GIST)that was safely resected without a blood transfusion using chemotherapy and arterial embolization preceded by perioperative management with patient blood management(PBM). The patient was a 73-year-old female Jehovah's Witness. The patient presented to her primary care physician 6 months earlier with a chief complaint of jaundice.
View Article and Find Full Text PDFVet Surg
February 2025
Surgery Department, San Marco Veterinary Clinic and Laboratory, Veggiano (PD), Italy.
Objective: To describe a portal venotomy technique and outcome for tumoral thrombus removal in a dog with insulinoma invading the portal vein.
Study Design: Case report.
Animals: A 9-year-old entire male West Highland White Terrier.
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