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Early selective enteral feeding in treatment of acute pancreatitis: A case report

World Journal of Clinical Cases 2024年第3期12卷 637-642页

作者： Aleksei A Kashintsev Sergey V Anisimov anastasya nadeeva Vitali Proutski Sergey V Anisimov Anastasya NadeevaVitali ProutskiPANDICA LTDLondon WC1N 3ESUnited Kingdom

BACKGROUND Early initiation of enteral feeding is recognized to play a crucial role in improving the outcomes of treatment of acute ***,the method of adminis-tration of enteral nutrition remains *** present the experience of treating a patient with moderate-severe acute pancreatitis,at high risk of progressing to a severe or fatal condition,using a novel method of selective feeding with duodenal *** SUMMARY A 27-year-old female patient presented to the emergency unit of the hospital with a typical manifestation of acute *** a conventional treatment,the patient’s condition deteriorated by day 2 of *** an endoscopic approach,a novel catheter PandiCathffwas placed to the duodenum of the patient,isolating its segment between the duodenal bulb and the ligament of *** the isolated area created,a negative pressure was applied,followed by introduction of early selective enteral *** patient’s condition subsequently improved in a rapid manner,and no complications often associated with moderate-to-severe acute pancreatitis *** Within 48 h of starting treatment with the novel method,it can prevent the development of multiple organ failure and,when combined with minimally invasive drainage methods,help prevent infection.

关键词： Acute pancreatitis Enteral feeding Infectious complications Systemic inflammatory response syndrome MODS

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Hemostasis of massive bleeding from esophageal tumor:A case report

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World Journal of Gastrointestinal Endoscopy 2022年第10期14卷 636-641页

作者： Aleksei A Kashintsev Dmitriy S Rusanov Mariya V Antipova Sergey V Anisimov Oleg K Granstrem NikolaiYu Kokhanenko Konstantin V Medvedev Eldar B Kutumov anastasya A nadeeva Vitali Proutski Pandx Ltd. WhittlesfordCambridgeCB224NWUnited Kingdom Pandx LLC. Saint-Petersburg 194100Russia

BACKGROUND Esophageal cancer is a common type of cancer and serious bleeding from esophageal tumors can occur in routine clinical *** arrest of bleeding from esophageal tumor is not a trivial task,which can sometimes require non-standard *** report a case of successful hemostasis of massive bleeding from esophageal tumor performed by a novel two-balloon catheter inserted endoscopically,with a local hemostatic treatment *** SUMMARY A 36-years old male patient with advanced esophageal cancer developed bleeding from the tumor following endoscopic stenting with a self-expanding metal *** to the ineffectiveness of standard approaches,after a medical conference,the patient was treated with a novel method based on the use of a two-balloon catheter creating an isolated area in esophagus and locally dispersing hemostatic polysaccharide powder inside the isolated *** was successful and subsequent endoscopic examination revealed the presence of organized clot and localized defect,which was coagulated in a planned *** The authors present a new catheter-based method of hemostasis of esophageal tumor bleeding.

关键词： Esophageal cancer Esophageal bleeding Two-balloon catheter Endoscopic hemostasis Hemostatic polysaccharide powder Case report

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