检索结果-南通市图书馆

Recurrent ectopic pancreatitis of the jejunum and mesentery over a 30-year period

Hepatobiliary & Pancreatic Diseases International 2011年第2期10卷 218-220页

作者： John CT Wong Charlotte Robinson Edward C Jones Alison Harris Charles Zwirewich Robert Wakefield Richard K Simons Eric M Yoshida Department of Medicine Department of Medicine 2775 Laurel StreetUniversity of British Columbia VancouverBritish ColumbiaCanadaV5Z 1M9 Department of Radiology Department of Medicine 2775 Laurel StreetUniversity of British Columbia VancouverBritish ColumbiaCanadaV5Z 1M9 Department of Pathology and Laboratory Medicine Department of Medicine 2775 Laurel StreetUniversity of British Columbia VancouverBritish ColumbiaCanadaV5Z 1M9 Department of surgery Department of Medicine 2775 Laurel StreetUniversity of British Columbia VancouverBritish ColumbiaCanadaV5Z 1M9 Division of Gastroenterology Department of Medicine 2775 Laurel StreetUniversity of British Columbia VancouverBritish ColumbiaCanadaV5Z 1M9

BACKGROUND:Ectopic pancreas is defined as pancreatic tissue found outside its usual anatomical position,with no ductal or vascular communication with the native pancreas. We describe a case of ectopic pancreas of the small bowel and mesentery causing recurrent episodes of pancreatitis, initially suspected on computed tomography(CT)and magnetic resonance cholangiopancreatography(MRCP),and confirmed on histological review of the resection. METHODS:A 67-year-old woman presented with clinical symptoms and biochemical evidence of *** had similar episodes over the past 30 years with unrevealing investigations,and was concluded to have idiopathic pancreatitis. She underwent CT and MRCP,with findings suggestive of ectopic pancreas,a diagnosis confirmed on histology of the resection. RESULTS:MRCP identified a mass in the proximal small bowel mesentery isointense to the native pancreas,with a small duct draining into a proximal jejunal *** resected specimen consisted of normal parenchyma with lobulated acinar tissue with scattered islets of Langerhans,an occasional ductular structure,and admixed areas of adipose *** patient remained asymptomatic with normal biochemistry six months post-operatively. CONCLUSION:In an individual with abdominal pain,elevated serum amylase/lipase,but imaging findings of a normal native pancreas,ectopic pancreatitis should be considered,and can be evaluated by CT and MRCP.

关键词： ectopic pancreas gastrointestinal tract endoscopic ultrasound computed tomography magnetic resonance cholangiopancreatography

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

胰胸膜腔瘘:一种罕见的胰管破裂的胸部并发症

引用

世界核心医学期刊文摘（儿科学分册） 2006年第9期2卷 30-30页

作者： Duncan N.D. Ramphal P.S. Dundas S.E. 李丹 Department of surgery University Hospital of the West IndiesKingstonJamaica

Pancreaticopleural fistula resulting in a chronic pleural effusion is a rare complication of pancreatic duct disruption. We describe the presentation and management of 2 children with pancreaticopleural fistulas. Pleural fluid amylase concentration and contrast computed tomography were sufficient to establish the diagnosis in both cases. The initial management of these fistulas should be conser vative,by tube thoracostomy and suppression of pancreatic secretion. Operative treatment is necessary for those who fail to resolve. Complete diversion of the pancreatic juice into the gastrointestinal tract by longitudinal pancreaticojejunostomy has been an effective surgical option leading to fistula closure.

关键词：胸膜腔胸廓造口术慢性胸腔积液空肠吻合术浓度测定计算机断层扫描管破裂

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Anti-reflux effects of a novel esophagogastric asymmetric anastomosis technique after laparoscopic proximal gastrectomy

引用

世界胃肠外科杂志:英文版(电子版) 2023年第8期15卷 1761-1773页

作者： Li-Qun Pang Jie Zhang Fang Shi Cong Pang Cheng-Wan Zhang Ye-Liu Liu Yao Zhao Yan Qian Xiang-Wei Li Dan Kong Shang-Nong Wu Jing-Fang Zhou Cong-Xue Xie Song Chen Department of General surgery The Affiliated Huaian No.1 People's Hospital of Nanjing Medical UniversityHuaian 223300Jiangsu ProvinceChina Jiangsu Key Laboratory of Advanced Manufacturing Technology Huaiyin Institute of TechnologyHuaian 223300Jiangsu ProvinceChina Department of Neurosurgery The Affiliated Huaian No.1 People's Hospital of Nanjing Medical UniversityHuaian 223300Jiangsu ProvinceChina Department of Central Laboratory The Affiliated Huaian No.1 People's Hospital of Nanjing Medical UniversityHuaian 223300Jiangsu ProvinceChina Department of Imaging The Affiliated Huaian No.1 People's Hospital of Nanjing Medical UniversityHuaian 223300Jiangsu ProvinceChina Department of Gastroenterology The Affiliated Huaian No.1 People's Hospital of Nanjing Medical UniversityHuaian 223300Jiangsu ProvinceChina Institute of Medicinal Biotechnology Jiangsu College of NursingHuaian 223300Jiangsu ProvinceChina

BACKGROUND Reflux esophagitis is a common postoperative complication of proximal *** is an urgent need for a safer method of performing esophageal-gastric anastomosis that reduces the risk of reflux after proximal *** hypothesize that a novel technique termed esophagogastric asymmetric anastomosis(EGAA)can prevent postoperative reflux in a safe and feasible *** observe a novel method of EGAA to prevent postoperative *** Initially,we employed a thermal stress computer to simulate and analyze gastric peristalsis at the site of an esophagogastric asymmetric *** was done in order to better understand the anti-reflux function and ***,we performed digestive tract reconstruction using the EGAA technique in 13 patients who had undergone laparoscopic proximal ***-surgery,we monitored the structure and function of the reconstruction through imaging exams and ***,the patients were followed up to assess the efficacy of the anti-reflux *** Our simulation experiments have demonstrated that the clockwise contraction caused by gastric peristalsis and the expansion of the gastric fundus caused by the increase of intragastric pressure could significantly tighten the anastomotic stoma,providing a means to prevent the reverse flow of gastric *** patients with esophagogastric junction tumors underwent laparoscopic proximal gastrectomy,with a mean operation time of 304.2±44.3 *** the operation,the upper gastroenterography in supine/low head positions showed that eight patients exhibited no gastroesophageal reflux,three had mild reflux,and two had obvious *** abdominal computed tomography examination showed a valve-like structure at the *** followup,gastroscopy revealed a closed valve-like form at the anastomosis site without stenosis or signs of reflux esophagitis in 11 *** two patients showed gastroesophageal reflux symptoms and mil

关键词： Esophagogastric junction tumor Proximal gastrectomy Digestive tract reconstruction Esophagogastric asymmetric anastomosis Reflux esophagitis Gastroenterography

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

Gut-lung crosstalk in pulmonary involvement with inflammatory bowel diseases

引用

World Journal of Gastroenterology 2013年第40期19卷 6794-6804页

作者： Hui Wang Jing-Shi Liu Shao-Hua Peng Xi-Yun Deng De-Mao Zhu Sara Javidiparsijani Gui-Rong Wang Dai-Qiang Li Long-Xuan Li Yi-Chun Wang Jun-Ming Luo Department of Radiation Oncology the Affiliated Hunan Provincial Tumor HospitalXiangya Medical SchoolCentral South University Department of Anesthesiology the Affiliated Hunan Provincial Tumor Hospital at Central South University Department of Pathology Medical College of Hunan Normal University Department of Pathology Changsha Central Hospital Department of surgery SUNY Upstate Medical University Department of Pathology the Second Affiliated HospitalXiangya Medical SchoolCentral South University Department of Neurology Guangdong Medical College Affiliated Hospital Department of Pathology Qinghai Provincial People's Hospital

Pulmonary abnormalities,dysfunction or hyper-reactivity occurs in association with inflammatory bowel disease(IBD) more frequently than previously *** evidence suggests that subtle inflammation exists in the airways among IBD patients even in the absence of any bronchopulmonary symptoms,and with normal pulmonary functions. The pulmonary impairment is more pronounced in IBD patients with active disease than in those in remission. A growing number of case reports show that the IBD patients develop rapidly progressive respiratory symptoms after colectomy,with failure to isolate bacterial pathogens on repeated sputum culture,and often request oral corticosteroid therapy. All the above evidence indicates that the inflammatory changes in both the intestine and lung during IBD. Clinical or subclinical pulmonary inflammation accompanies the main inflammation of the *** there are clinical and epidemiological reports of chronic inflammation of the pulmonary and intestinal mucosa in IBD,the detailed mechanisms of pulmonaryintestinal crosstalk remain unknown. The lung has no anatomical connection with the main inflammatory site of the bowel. Why does the inflammatory process shift from the gastrointestinal tract to the airways? The clinical and subclinical pulmonary abnormalities,dysfunction,or hyper-reactivity among IBD patients need further evaluation. Here,we give an overview of the concordance between chronic inflammatory reactions in the airways and the gastrointestinal tract. A better understanding of the possible mechanism of the crosstalk among the distant organs will be beneficial in identifying therapeutic strategies for mucosal inflammatory diseases such as IBD and allergy.

关键词： Inflammatory bowel disease Pulmonary symptoms Gut-lung crosstalk Biao-Li relationship Social manner

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

Multiple primary malignant neoplasms of three early cancer lesions： a case report

引用

Chinese Medical Journal 2011年第8期124卷 1278-1280页

作者： ZHANG Wan-jun QIAN Xiao-ping SHI Yu PAN Wen-sheng XU Xiang YE Zai-yuan WU Liang-qin Takeshi Terai Nobuhiro Sato Sumio Watanabe Department of Gastroenterology the Second Affiliate-d Hospital Zhejiang University School ofMedicine Hangzhou Zhejiang 310009 China Department of Radiology the Second Affiliated Hospital Zhejiang University School ofMedicine Hangzhou Zhejiang 310009 China Department of Infectious Disease the First Affiliated Hospital ofZhejiang University School of Medicine Hangzhou Zhejiang310009 China Department of Pharmacy the Second Affiliated Hospital Zhejiang University School ofMedicine Hangzhou Zheiiang 310009 China Department of General surgery Zhejiang Provincial People'sHospital Hangzhou Zhejiang 310014 China Terai Clinic Tokyo 101-0021 Japan Department of Gastroenterology Juntendo University School ofMedicine Tokyo 113-8431 Japan

Multiple primary malignant neoplasms （MPMNs） are rarely reported and it is important to give early diagnosis and proper therapy for these patients. Here reported a case of 62-year-old man with concomitant three early stage cancer lesions in upper gastrointestinal tract, all of which were detected by endoscopy. The first one was an llc-type lesion at angular part of stomach under endoscopy, which was histologically confirmed to be a mucosal well-differentiated *** patient underwent a standard radical gastrectomy for the lesion after the failure of endoscopic treatment. The other two neoplasms were observed during follow-up and were indicated as early stage lesions by synthesizing information from endoscopy, endoscopic ultrasonography, computed tomography and biopsy. One displayed as a hyperemic patch （3cm×4 cm in size） located at the part of esophagus 27 cm away from the incisor teeth and was proved to be moderately differentiated squamous cancer by histopathological examination. The other was an llc-type lesion （3.0 cm×3.5 cm in size） located at the part of esophagus 36 cm away from the incisor teeth, and the biopsy result showed a poorly differentiated squamous carcinoma. Both the two lesions were treated with radical radiation because the patient refused surgery management. No recurrence of former lesions or occurrence of novel lesions were observed during post-treatment follow-up, suggesting radical radiation might be effective for this patient.

关键词： multiple primary malignant neoplasms early cancer upper gastrointestinal tract

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

Trichobezoar:A rare cause of bowel obstruction

引用

World Journal of gastrointestinal surgery 2011年第4期3卷 54-55页

作者： Sébastien Gaujoux Gaёlle Bach Joyce Au Gaёlle Godiris-Petit Nicolas Munoz-Bongrand Pierre Cattan Emile Sarfati Department of Digestive surgery Hpital Saint-LouisAssistance Publique-Hpitaux de Parisand University Paris 775010 ParisFrance Department of Radiology Hpital Saint-LouisAssistance Publique-Hpitaux de Parisand University Paris 775010 ParisFrance Department of surgery Memorial Sloan-Kettering Cancer CenterNew YorkNY 10065United States

A bezoar is an intraluminal mass formed by the accumulation of undigested material in the gastrointestinal tract. A trichobezoar is a bezoar made up of hair and is a rare cause of bowel obstruction of the proximal gastrointes-tinal tract. They are seen mostly in young women with trichotillomania and trichotillophagia and symptoms include epigastric pain, nausea, loss of appetite and bowel or gastric outlet obstruction. We herein describe a case of a trichobezoar that presented as a gastric outlet obstruction and was subsequently successfully removed via a laparotomy.

关键词： Obstruction Bezoar Trichobezoar Tricho- tillomania

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

Endoscopic removal of foreign bodies:A retrospective study in Japan

引用

World Journal of gastrointestinal Endoscopy 2020年第1期12卷 33-41页

作者： Kenji JL Limpias Kamiya Naoki Hosoe Kaoru Takabayashi Yukie Hayashi Xi Sun Ryoichi Miyanaga Kayoko Fukuhara Seiichiro Fukuhara Makoto Naganuma Atsushi Nakayama Motohiko Kato Tadateru Maehata Rieko Nakamura Koichi Ueno Junichi Sasaki Yuko Kitagawa Naohisa Yahagi Haruhiko Ogata Takanori Kanai Division of Gastroenterology and Hepatology Department of Internal MedicineKeio University School of MedicineTokyo 160-8582Japan Center for Diagnostic and Therapeutic Endoscopy Keio University School of MedicineTokyo 160-8582Japan Department of Gastroenterology and Hepatology Chinese PLA General HospitalBeijing 100853China Division of Research and Development for Minimally Invasive Treatment Cancer CenterKeio University School of MedicineTokyo 160-8582Japan Department of surgery Keio University School of MedicineTokyo 160-8582Japan Department of Emergency and Critical Care Medicine Keio University School of MedicineTokyo 160-8582Japan

BACKGROUND The ingestion of foreign bodies(FBs)and food bolus impaction(FBI)in the digestive tract are commonly encountered clinical *** to handle such problems continue to evolve offering advantages,such as the avoidance of surgery,reduced cost,improved visualization,reduced morbidity,and high removal success ***,to date,no studies have evaluated the endoscopic management of FBs in *** To elucidate level of safety and efficacy in the endoscopic management of FBs and *** A total of 215 procedures were performed at Keio University Hospital between November 2007 and August *** were collected from medical charts,and endoscopic details were collected from an endoscopic reporting *** performed with a flexible gastrointestinal endoscope were only taken into *** who underwent a technique involving FB or FBI from the digestive tract were only *** on patient sex,patient age,outpatient,inpatient,FB type,FB location,procedure time,procedure type,removal device type,success,and technical complications were reviewed and analyzed *** Among the 215 procedures,136(63.3%)were performed in old adults(≥60 years),180(83.7%)procedures were performed in *** most common type of FBs were press-through-pack(PTP)medications[72(33.5%)cases],FBI[47(21.9%)],Anisakis parasite(AP)[41(19.1%)cases].Most FBs were located in the esophagus[130(60.5%)cases]followed by the stomach[68(31.6%)cases].AP was commonly found in the stomach[39(57.4%)cases],and it was removed using biopsy forceps in 97.5%of the *** most common FBs according to anatomical location were PTP medications(40%)and dental prostheses(DP)(40%)in the laryngopharynx,PTP(48.5%)in the esophagus,AP(57.4%)in the stomach,DP(37.5%)in the small intestine and video capsule endoscopy device(75%)in the colon.A transparent cap with grasping forceps was the most commonly used device[82(38.1%)cases].The success rate of the procedure was

关键词： Anisakis parasite Endoscopic removal Food bolus impaction Foreign body Grasping forceps

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

Gallstone ileus:One-stage surgery in a patient with intermittent obstruction

引用

World Journal of gastrointestinal surgery 2010年第5期2卷 172-176页

作者： Carlos M Nuo-Guzmán José Arróniz-Jáuregui Pável A Moreno-Pérez édgar A Chávez-Solís Nereida Esparza-Arias Cuauhtémoc I Hernández-González Department of General surgery Antiguo Hospital Civil de Guadalajara "Fray Antonio Alcalde" Calle Hospital No.278 Sector Hidalgo. C.P. 44280 Guadalajara Jalisco Mexico

Gallstone ileus, an uncommon complication of cholelithiasis, is described as a mechanical intestinal obstruction due to impaction of one or more large gallstones within the gastrointestinal tract. The clinical presentation is variable, depending on the site of obstruction, manifested as acute, intermittent or chronic episodes. A 51-year-old female patient was referred to our hospital with 3 events of intestinal obstruction during the previous 7 d. At admission, there were clinical signs of intestinal obstruction; abdominal film demonstrated dilated bowel loops, air-fluid levels and a vague image of a stone in the inferior left quadrant. Once stabilized, a laparotomy was performed. Surgical findings were distention of the jejunum and ileum proximal to a palpable stone in the ileum as well as gallstones and a cholecystoduodenal fistula in the gallbladder. An enterolithotomy, repair of the cholecystoduodenal fistula and cholecystectomy were performed. The postoperative course was uneventful. There is no uniform surgical procedure for this disease. When the patient is too ill or when biliary surgery is not advisable, an enterolithotomy is the best option. The one-stage procedure should be the offered to adequately stabilized patients when local and general conditions, such as good cardiorespiratory and metabolic reserve permit a more prolonged surgical procedure.

关键词： Gallstone ileus Cholecystoduodenal fistula Intestinal obstruction

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

Pregnancy with Gastric Stromal Tumor

引用

Case Reports in Clinical Medicine 2014年第11期3卷 571-576页

作者： Iliass Charif Najat Khalil Abdelmalek Ousadden El Bachir Benjelloun Ouafae Slimani Fatima Zahra Fdili Alaoui Fatima Zahra Hijri Omar Mesbahi Adil Ibrahimi Ihsane Mellouki Hepatogastroenterology Service Hassan II University Hospital. Faculty of Medicine and Pharmacy of Fez Sidi Mohammed Ben Abdellah University Fez Morocco Visceral surgery Service Hassan II University Hospital. Faculty of Medicine and Pharmacy of Fez Sidi Mohammed Ben Abdellah University Fez Morocco Gynecology Obstetrics Service Hassan II University Hospital. Faculty of Medicine and Pharmacy of Fez Sidi Mohammed Ben Abdellah University Fez Morocco Medical Oncology Service Hassan II University Hospital. Faculty of Medicine and Pharmacy of Fez Sidi Mohammed Ben Abdellah University Fez Morocco

Background: gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the gastrointestinal tract. GIST are rare during pregnancy. We report here the case of a patient who was admitted in our university hospital for GIST discovered during the second trimester of pregnancy. She was 42 years old, in the fifth months of pregnancy. She was admitted for biliary colic pain with vomiting. On abdominal examination, we objectified a distended abdomen with uterine height of 18 cm and epigastric mass of 10 cm. Abdominal ultrasound and magnetic resonance imaging (MRI) showed a hepatic, tissue and cystic mass, developing at the expense of the left liver. Endoscopy objectified an aspect of extrinsic compression at the front of the stomach. A cesarean was scheduled at the 35th month of pregnancy for fetal extraction and rescue. Exploration of the peritoneal cavity during surgery has objectified a hepatic highly vascularised mass reaching up to the umbilicus. This mass was unresectable. A postoperative CT scan revealed a large bilobed epigastric mass adhering to the stomach and the left liver. Histological and immunohistochemical study of hepatic process showed a gastrointestinal stromal tumor of high risk of malignancy. Conclusion: few cases have been reported in the literature on GIST during pregnancy showing the rarity of the condition that requires multidisciplinary care.

关键词： GIST Pregnancy Imatinib

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

Metachronous cancer of gallbladder and pancreas with pancreatobiliary maljunction

引用

World Journal of gastrointestinal surgery 2010年第4期2卷 143-146页

作者： Ahlem Lahmar Sadri Ben Abid Mohamed Nafaa Arfa Rached Bayar Mohamed Tahar Khalfallah Sabah Mzabi-Regaya Department of Pathology Mongi Slim Hospital2046 Sidi-Daoued La MarsaTunisTunisia Department of surgery and Liver Transplantation Mongi Slim Hospital2046 Sidi-Daoued La MarsaTunisTunisia

Pancreaticobiliary maljunction is a congenital anomaly in which the junction between the pancreatic duct and the common bile duct is located outside the sphincter of *** is well known that pancreaticobiliary maljunction is frequently associated with carcinoma of the biliary *** report a case of metachronous cancer of the gallbladder and pancreas associated with pancreaticobiliary maljunction and cystic dilatation of common bile duct in a 68-year-old Tunisian woman who underwent a cholecystectomy for acute *** pancreatic tumor was an adenosquamous *** maljunction allows for pancreatobiliary or biliopancreatic reflux which may induce biliary tract *** cases of multifocal cancer associated with this anomaly have been *** association with pancreatic carcinoma remains *** attention should be given to both the biliary tract system and pancreas during the long-term follow-up of patients with pancreaticobiliary maljunction,especially after they have undergone a choledochojejunostomy.

关键词： Pancreaticobiliary maljunction Gallbladder cancer Pancreatic cancer

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

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

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

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

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：