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How to Reduce Delayed Gastric Emptying After Pancreatoduodenectomy: A Systematic Literature Review and Meta-Analysis.
Ann Surg Open
September 2024
From the Department of Visceral, Vascular and Endocrine Surgery, University Hospital Halle (Saale), Martin-Luther-University Halle-Wittenberg, Halle, Germany.
Article Synopsis
- Delayed gastric emptying (DGE) is a common problem after a surgery called pancreatoduodenectomy, and this study looks at how different treatments affect DGE rates.
- The researchers reviewed 29 studies with 5,930 patients to see if things like surgery techniques, recovery plans, and specific anesthesia methods influenced DGE.
- The results suggest that removing the pylorus (a part of the stomach), following special recovery protocols, and not using certain feeding tubes can help lower DGE rates after the surgery.
Treatment of intractable isolated bile leakage occurring after right anterior sectionectomy for hepatocellular carcinoma: Right hepatico-jejunostomy.
Int J Surg Case Rep
October 2024
Department of Surgery, Kure Medical Center, National Hospital Organization, 3-1, Aoyama, Kure, Hiroshima 737-0023, Japan. Electronic address:
Introduction: An isolated bile leakage is a relatively rare type of postoperative bile leakage. Most isolated bile leakages require invasive procedures such as surgical approaches.
Presentation Of Cases: The right hepatic duct was intraoperatively injured during right anterior sectionectomy.
Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS): challenges in diagnosis and management.
BMJ Case Rep
April 2024
Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS) is a rare, congenital functional intestinal obstruction, characterised by megacystis (bladder distention in the absence of mechanical obstruction), microcolon and intestinal hypoperistalsis (dysmotility).We are reporting a case of a female child with normal antenatal course who presented with recurrent episodes of abdominal distension since the second day of life and underwent negative exploratory laparotomy on multiple occasions. She also had urinary retention with a grossly distended bladder, requiring drainage by clean intermittent catheterisation.
View Article and Find Full Text PDFEarly Diagnosis and Surgical Management of Tropical Chronic Pancreatitis in a Tertiary Care Rural Hospital: A Case Report.
Cureus
December 2023
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Tropical chronic pancreatitis represents a variant of chronic calcific non-alcoholic pancreatitis, typically found in adolescents and young adults, predominantly in developing nations. This condition usually presents as a classic triad of recurrent and severe abdominal pain, diabetes, and steatorrhea. As the disease progresses and diabetes develops, it is called fibrocalculous pancreatic diabetes.
View Article and Find Full Text PDFPneumoperitoneum After Jejunostomy Tube Placement Managed by Needle Decompression: A Case Report.
Cureus
August 2023
Gastroenterology Unit, Department of Medicine, Sultan Qaboos University Hospital and College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN.
Percutaneous endoscopic feeding tube placement is a commonly performed procedure in patients who cannot take food by mouth. While it is considered a safe and effective method of providing nutritional support, like any medical procedure, it can lead to complications. Feeding tube placement, including percutaneous endoscopic jejunostomy (PEJ), is associated with several complications, including bleeding, site infection, aspiration, buried bumper, tube dislodgement, and pneumoperitoneum.
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