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A 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 PDFAn unusual case of giant jejunal diverticula presenting radiologically as toxic megacolon.
J Surg Case Rep
July 2024
Department of Surgery, NYU Langone Hospital Long Island, 259 1st Street, Mineola, NY 11501, United States.
Article Synopsis
- Jejunal diverticulosis is a rare condition characterized by multiple pouches forming in the wall of the jejunum, primarily affecting older adults.
- Its causes are linked to problems with gut movement, structural weaknesses, and high pressure inside the intestine, leading to the mucosa pushing through weak spots in the wall.
- Symptoms can range from no noticeable issues to serious complications like obstruction, bleeding, or perforation, with treatment options varying based on severity, from conservative care to surgical intervention.
Gut Immunomodulation with Vedolizumab prior to Allogeneic Hematopoietic Stem Cell Transplantation in Pediatric Patients with Inflammatory Bowel Disease.
Transplant Cell Ther
May 2024
Division of Hematology/Oncology, Blood and Marrow Transplant/Cellular Therapy, Hospital for Sick Children, Toronto, Ontario, Canada.
Inborn errors of immunity (IEI) are often associated with inflammatory bowel disease (IBD). IEI can be corrected by allogeneic hematopoietic stem cell transplantation (HSCT); however, peritransplantation intestinal inflammation may increase the risk of gut graft-versus-host disease (GVHD). Vedolizumab inhibits the homing of lymphocytes to the intestine and may attenuate gut GVHD, yet its role in preventing GVHD in pediatric patients with IEI-associated IBD has not been studied.
View Article and Find Full Text PDF[Stenotic ischemic enteritis secondary to intraperitoneal band infiltration: a case report].
Nihon Shokakibyo Gakkai Zasshi
June 2022
Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences.
A 55-year-old man presented with vomiting and upper abdominal pain. Two months later, computed tomography revealed jejunal wall thickening and contrast enhancement. Double-balloon endoscopy revealed severe jejunal stenosis and mucosal prolapse.
View Article and Find Full Text PDFA Preclinical Animal Study of Combined Intragastric Balloon and Duodenal-Jejunal Bypass Liner for Obesity and Metabolic Disease.
Clin Transl Gastroenterol
September 2020
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester Minnesota, USA.
Introduction: Endoscopic bariatric and metabolic therapies can potentially reproduce similar gastric and small intestinal anatomic and physiologic manipulations as Roux-en-Y gastric bypass. This proof of concept animal study was aimed to assess the feasibility, safety, efficacy, and impact on gastrointestinal physiology of combined intragastric balloons (IGB) and duodenal-jejunal bypass liner (DJBL) for the treatment of obesity.
Methods: Five Ossabaw pigs were fed a high-calorie diet to develop obesity and were randomly assigned to receive IGB or DJBL in sequence.
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