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Colon micro- and macrooesofagisation in interposed pedicled colonic right half segments for esophagus reconstruction.
Medicine (Baltimore)
November 2023
Department of Surgery Teaching, Medical University in Wroclaw, Wroclaw, Poland.
Treatment of esophageal burns may require surgical transplantation (interposition) of the colon or stomach. The interposed parts change their function and morphology. To investigate the macro- and microchanges in the transplanted colonic segment we analyzed in long-term follow-up (up to 29 years) the group of 21 patients in a retrospective study who underwent surgical interposition of pedicled colonic right half segments for esophageal burns.
View Article and Find Full Text PDFClinical outcome of ulcerative colitis with severe onset in children: a multicenter prospective cohort study.
J Gastroenterol
May 2023
Department of Pediatrics, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Background: As best practices for treating children with severe-onset ulcerative colitis remain controversial in the era of biologic agents, we prospectively investigated treatments and outcomes in a multicenter cohort.
Methods: Using a Web-based data registry maintained in Japan between October 2012 and March 2020, we compared management and treatment outcomes in an S1 group defined by a Pediatric Ulcerative Colitis Activity Index of 65 or more points at diagnosis with those in an S0 group defined by an index value below 65.
Results: Three hundred one children with ulcerative colitis treated at 21 institutions were included, with follow-up for 3.
Technique for pancreas-sparing total duodenectomy and reconstruction of a neoduodenum using a free interposed jejunal limb with ampullojejunostomy and Roux-en-Y anastomosis.
Br J Surg
March 2021
Department of General Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
An autopsy case of primary jejunal pouch cancer which protruded from the abdominal wall 14 years after total gastrectomy for gastric cancer.
Clin J Gastroenterol
December 2020
Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
Adenocarcinoma which develops in the jejunal pouch has rarely been reported, but most of such cases tend to be a recurrence of primary cancer due to the presence of residual or disseminated cancer cells. Primary jejunal pouch cancer is extremely rare. We experienced an autopsy case of primary jejunal pouch cancer which occurred 14 years after proximal gastrectomy for gastric cancer.
View Article and Find Full Text PDFAssessment of Disease Severity and Role of Cytomegalo Virus Infection in Patients with Ulcerative Colitis.
J Clin Diagn Res
March 2017
Professor, Department of Gastroenterology, Government Medical College, Kozhikode, Kerala, India.
Introduction: Course of Ulcerative Colitis is characterized by intermittent flares interposed between variable periods of remission. Identification of exacerbating factors and appropriate assessment of disease activity are crucial in deciding the choice of treatment.
Aim: To evaluate various clinical, endoscopic and histological parameters in assessing disease activity and to find out various risk factors involved in the exacerbation of ulcerative colitis especially the role of Cytomegalo Virus (CMV) infection.
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