检索结果-南通市图书馆

Primary parahiatal hernias:A case report and review of the literature

World Journal of Clinical Cases 2019年第23期7卷 4020-4028页

作者： Silviu Daniel Preda Stefan Patrascu Bogdan Silviu Ungureanu Daniel Cristian Vasile Bintintan Cristian M Nica Valentin Calu victor strambu Konstantinos Sapalidis Valeriu Marin Surlin 1^(st) Clinic of Surgery Clinical Emergency Hospital of CraiovaUniversity of Medicine and Pharmacy of CraiovaCraiova 200642DoljRomania Gastroenterology Clinic Clinical Emergency Hospital of CraiovaUniversity of Medicine and Pharmacy of CraiovaCraiova 200642DoljRomania Departament of General Surgery “Coltea”Clinical HospitalCarol Davilla University of Medicine and PharmacyBucharest 030171Romania 1^(st) Clinic of Surgery of Cluj Napoca Iuliu Hatieganu University of Medicine and Pharmacy Cluj NapocaCluj Napoca 400006ClujRomania 3^(rd) Clinic of Surgery Timisoara Emergency Clinical County Hospital“Victor Babes”University of Medicine and Pharmacy of TimisoaraTimisoara 300723Romania Clinic of Surgery “Elias”Emergency University Hospital BucharestUniversity of Medicine and Pharmacy“Carol Davila”Bucharest 011461Romania Clinic of Surgery of“Dr.Carol Davila”Nephrology Clinical Hospital University of Medicine and Pharmacy“Carol Davila”Bucharest 010731Romania 3^(rd) Surgery Clinic University General Hospital of ThessalonikiAristotle University of ThessalonikiSalonic 54636Greece

BACKGROUND Parahiatal hernias(PHHs)are rare occurring disease,with a reported incidence of 0.2%-0.35%in patients undergoing surgery for hiatal hernia.We found only a handful of cases of primary PHHs in the literature.The aim of this paper is to present a case of a primary PHH and perform a systematic review of the literature.CASE SUMMARY We report the case of a 60-year-old Caucasian woman with no history of thoracoabdominal surgery or trauma,which accused epigastric pain,starting 2 years prior,pseudo-angina and bloating.Based on imagistic findings the patient was diagnosed with a PHH and an associated type I hiatal hernia.Patient underwent laparoscopic surgery and we found an opening in the diaphragm of 7 cm diameter,lateral to the left crus,through which 40%-50% of the stomach had herniated in the thorax,and a small sliding hiatal hernia with an anatomically intact hiatal orifice but slightly enlarged.We performed closure of the defect,suture hiatoplasty and a“floppy”Nissen fundoplication.Postoperative outcome was uneventful,with the patient discharged on the fifth postoperative day.We performed a review of the literature and identified eight articles regarding primary PHH.All data was compiled into one tabled and analyzed.CONCLUSION Primary PHHs are rare entities,with similar clinical and imagistic findings with paraesophageal hernias.Treatment usually includes laparoscopic approach with closure of the defect and the esophageal hiatus should be dissected and analyzed.Postoperative outcome is favorable in all cases reviewed and no recurrence is cited in the literature.

关键词： Parahiatal Hernia Review Literature Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Could there be an interplay between periodontal changes and pancreatic malignancies?

引用

World Journal of Clinical Cases 2023年第3期11卷 545-555页

作者： Bogdan Silviu Ungureanu Dorin Nicolae Gheorghe Flavia Mirela Nicolae Sandu Ramboiu Petru Adrian Radu Valeriu MarinȘurlin victor Dan Eugen strambu Dan Ionut Gheonea Alexandra Roman PetraȘurlin Department of Gastroenterology University of Medicine and Pharmacy of CraiovaCraiova 200349Romania Department of Periodontology Research Center of Periodontal-Systemic ImplicationsUniversity of Medicine and Pharmacy of CraiovaCraiova 200349Romania Department 1st of Surgery University of Medicine and Pharmacy of CraiovaCraiova 200349Romania Department of General Surgery “Carol Davila”University of Medicine and PharmacyBucharest 020021Romania Department of Periodontology "Iuliu Hațieganu"University of Medicine and PharmacyCluj-Napoca 400012Romania

The term"periodontal disease"refers to a group of chronic inflammatory illnesses caused by specific microorganisms from subgingival biofilm,that affect the toothsupporting tissues.Recent research has also shown that periodontal infection plays a role in aggravating systemic disease states at distal sites,reinforcing the significance of the oral cavity for general health.Additionally,it has been suggested that gastroenterological malignancies may be promoted by hematogenous,enteral or lymphatic translocation of periopathogens.In the past 25 years,the global burden of pancreatic cancer(PC)has more than doubled,making it one of the major causes of cancer-related mortality.Periodontitis has been linked to at least 50%increased risk of PC and it could be considered a risk factor for this malignancy.A recent study performed on 59000 African American women with a follow up of 21 years showed that participants who had poor dental health had higher chances of PC.The findings,according to researchers,might be related to the inflammation that some oral bacteria trigger.Regarding the mortality of PC,periodontitis considerably raises the chance of dying from PC.Microbiome alterations in the gut,oral cavity and pancreatic tissues of PC patients occur when compared to healthy flora,demonstrating a link between PC and microecology.Inflammation may also contribute to PC development,although the underlying pathway is not yet known.The function of the microbiome in PC risk has drawn more focus over the last decade.Future risk of PC has been linked to the oral microbiome,specifically increased levels of Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans and decreased relative abundance of Leptotrichia and Fusobacteria,suggesting that it may have an impact on the inflammatory condition by expanding,altering,and regulating the commensal microbiome.Patients who received periodontal treatment had significantly decreased incidence rate ratios for PC.By analyzing patterns in the microbiome composition throughout PC develop

关键词： Periodontal disease Pancreatic cancer Microbiome Periodontitis Periopathogens Periodontal medicine

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：