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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9163605 | PMC |
| http://dx.doi.org/10.4068/cmj.2022.58.2.75 | DOI Listing |
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Jejunal artery and vein positioning in free jejunal transfer: Surgical considerations and clinical implications.
J Plast Reconstr Aesthet Surg
November 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.
Background: Previous computed tomography studies have reported that the superior mesenteric artery is often located ventrally to the superior mesenteric vein; however, the precise location of the peripheral jejunal arteriovenous system is unknown. This study investigated the arteriovenous positioning of the free jejunal flaps during reconstructive surgery.
Methods: This retrospective cohort study included 78 patients who underwent free jejunal flap reconstruction between June 2021 and May 2023.
Unusual gastrointestinal bleeding - Small intestinal venous ectasias.
Rev Esp Enferm Dig
October 2024
Gastroenterology and Hepatology, Jinhua Municipal Central Hospital.
Article Synopsis
- A 34-year-old man visited the emergency department after experiencing 6 days of bloody stools, with no prior changes in bowel habits or significant medical history.
- Initial lab tests showed low hemoglobin levels, prompting a blood transfusion, but initial endoscopies did not identify any bleeding source.
- Further imaging revealed small intestinal venous ectasias, and a single-balloon enteroscopy confirmed venous ectasias in the jejunum as the likely cause of the ongoing gastrointestinal bleeding.
The robotic-assisted free jejunal flap for neovaginal canal creation in gender-affirming vaginoplasties.
Microsurgery
July 2024
Department of Plastic and Reconstructive Surgery, MedStar Franklin Square Medical Center, Baltimore, Maryland, USA.
Introduction: One of the biggest challenges with gender-affirming vaginoplasty was the creation of a long-lasting, durable, patent, and self-lubricating neovaginal canal that allowed for spontaneous, pain-free sexual intercourse. The jejunum was a durable, physiologic, and intestinal option to create the neovaginal canal that minimizes the adverse effects of skin graft, peritoneal, and colonic vaginoplasties. Free jejunal vaginoplasties had been performed in cis females for congenital genitourinary anomalies like Mullerian agenesis or after gynecologic-oncologic surgery but had yet to be reported for gender-affirming vaginoplasties.
View Article and Find Full Text PDFGastrointestinal bleeding in patients with hereditary hemorrhagic telangiectasia: Long-term results of endoscopic treatment.
Endosc Int Open
December 2023
Gastroenterology and Endoscopy Department, Center of reference VASCERN HHT, Maggiore Hospital Crema, Crema, Italy.
This longitudinal prospective study evaluated the long-term outcome of endoscopic treatment of gastrointestinal bleeding in hereditary hemorrhagic telangiectases (HHT), its safety and outcome predictors. Consecutive patients with HHT and either anemia disproportionate to epistaxis or overt gastrointestinal bleeding received endoscopic treatment of gastrointestinal telangiectases with argon plasma coagulation (APC). Hemoglobin levels and transfusion requirements were evaluated before and after treatment.
View Article and Find Full Text PDFRecurrent severe anemia associated with a jejunal arteriovenous malformation in pregnancy: A case report.
Case Rep Womens Health
December 2023
Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.
Background: Small intestinal arteriovenous (AV) malformations may cause gastrointestinal hemorrhage, occasionally leading to anemia; however, they are rarely seen in pregnancy. This report presents a case of a pregnant woman who had recurrent severe anemia that was attributed to a small hemorrhagic intestinal arteriovenous malformation.
Case Presentation: A 24-year-old pregnant woman (gravida 2, para 1) presented with a low hemoglobin concentration (3.
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