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Gall Stone Ileus and Recurrence: Management Dilemma for the Operating Surgeon.
Cureus
December 2024
Department of Surgery, Royal Oldham Hospital, Northern Care Alliance NHS Trust, Manchester, GBR.
Gallstone ileus (GSI) is a rare complication of gallstone disease. It occurs as a result of the passage of a stone from the biliary tract into the gastrointestinal tract via an abnormal pathway (bilio-enteric fistula). Chronic inflammatory processes result in gall bladder adhering and subsequently eroding into the intestines, leading to a fistula.
View Article and Find Full Text PDFImpact of porcine brush border membrane enzymes on INFOGEST in vitro digestion model: A step forward to mimic the small intestinal phase.
Food Res Int
December 2024
Institute of Food Sciences, National Research Council (CNR-ISA), Avellino, Italy. Electronic address:
Brush border membrane (BBM) enzymes greatly affect the bioaccessibility and bioavailability of food nutrients. Despite their physiological importance, a step simulating the final stage of intestinal digestion has not yet been included in the harmonized protocols for in vitro digestion, primarily due to the challenges of replicating the dynamics of intestinal degradation. Herein, we propose an advancement toward a more physiologically relevant method, complementing the harmonized static gastric-duodenal digestion INFOGEST model with the missing small intestinal phase.
View Article and Find Full Text PDFObscure Small Bowel Bleeding Related to a Ventral Hernioplasty Mesh Perforation Visualized With Video Capsule Endoscopy.
Cureus
May 2024
Gastroenterology, St. Luke's Hospital, Chesterfield, USA.
We report a case of a 76-year-old female presenting with intermittent obscure gastrointestinal (GI) bleeding originating from the small intestine secondary to a delayed complication related to mesh hernioplasty. The mesh was eroding into the small bowel causing intermittent transfusion-dependent GI bleeding. Multiple upper and lower endoscopic investigations were sought over the last two years, but they were noncontributory.
View Article and Find Full Text PDFSacral Tarlov perineurial cysts: a systematic review of treatment options.
J Neurosurg Spine
March 2024
6Department of Urology, Albany Medical College, Albany, New York.
Tarlov perineurial spinal cysts (TCs) are an underrecognized cause of spinal neuropathic symptoms. TCs form within the sensory nerve root sleeves, where CSF extends distally and can accumulate pathologically. Typically, they develop at the sacral dermatomes where the nerve roots are under the highest hydrostatic pressure and lack enclosing vertebral foramina.
View Article and Find Full Text PDFSmall intestinal obstruction due to a giant gallstone: a rare case report from Syria.
Ann Med Surg (Lond)
October 2023
Department of Pathology, Cancer Research Center, Tishreen University Hospital, Lattakia, Syria.
Introduction And Importance: Gallstone ileus is a rare and potentially life-threatening condition characterized by the obstruction of the small intestine due to a gallstone. It occurs as a complication of gallstone disease, where a large gallstone erodes through the gallbladder into the gastrointestinal tract, creating a fistula.
Case Presentation: A type 2 diabetic woman in her 50s presented to the emergency department complaining of abdominal pain and vomiting.
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