Minimally invasive interventional treatment for pancreatic carcinoma induced intestinal obstruction

Author(s):  
Aiwu Mao ◽  
Haosheng Jiang ◽  
Yiping Jia
2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Paolo Panaccio ◽  
Michele Fiordaliso ◽  
Domenica Testa ◽  
Lorenzo Mazzola ◽  
Mariangela Battilana ◽  
...  

Introduction. Primary NHL (non-Hodgkin lymphoma) of the colon represents only 0.2% to 1.2% of all colonic malignancies. Burkitt’s lymphoma (BL) is usually a disease reported in children and young people, most of them associated with EBV or HIV infection. We describe a rare case of intestinal obstruction due to sporadic Burkitt’s lymphoma causing ileocaecal invagination explaining our experienceMethods. A 31-year-old man presented with diffuse colic pain and weight loss. Clinical examination revealed an abdominal distension with pain in the right iliac fossa. Colonoscopy documented a caecal large lesion with ulcerated mucosa. Computed tomography (CT) have shown a 60 × 50 mm right colic parietal lesion with signs of ileocolic intussusception.Results. Laparoscopic right hemicolectomy was performed. Postoperative period was uneventful. CD20+ high-grade B-cell Burkitt’s lymphoma was confirmed by immunohistochemistry (CD20+, CD79+, and CD10+) and FISH test (t (8;14) (q24; q32). The patient was subsequently treated with adjuvant combination chemotherapy (Hyper-CVAD) and is alive and disease-free at 8 months follow-up.Discussion. Adult sporadic Burkitt’s lymphoma (BL) causing intestinal obstruction due to ileocaecal intussusception is an extremely rare occurrence and a diagnostic dilemma. Despite the surgical approach is selected based on patient’s conditions and surgeon’s expertise, minimally invasive method could be preferred.


2020 ◽  
Author(s):  
Yang Xiaomin ◽  
Han Jun ◽  
Feng Pin ◽  
Yang Xiaojun

Patients with endometriosis and adenomyosis naturally improve after menopause. Therefore, some patients only need to relieve symptoms, especially those near menopause, and they prefer to be treated by conservative methods. We summarized several minimally invasive interventional methods: uterine artery intervention (Uterine artery embolization, UAE), nerve intervention (upper and lower abdominal plexus block, SHPB), ultrasound intervention (puncture sclerotherapy; high intensity focused ultrasound treatment).


2011 ◽  
Vol 59 (S 01) ◽  
Author(s):  
A Amerini ◽  
N Hatam ◽  
M Malasa ◽  
A Mahnken ◽  
Y Safi ◽  
...  

2017 ◽  
Vol 19 (4) ◽  
pp. 566-570
Author(s):  
Orif Boymurodov ◽  
◽  
Yormakhmad Yorov ◽  
Zafar Gaziev ◽  
Shahriyor Toshev ◽  
...  

2020 ◽  
Vol 24 (4 (96)) ◽  
pp. 135-138
Author(s):  
O. Rotar ◽  
V. Polioviy ◽  
V. Rotar ◽  
B. Petriuk ◽  
Y. Myskovskii

Objective. To improve the mastering of treatment tactics of patients with acute surgical abdominal pathology by interns of the specialty "Surgery".Material and methods. We performed an analysis of the effectiveness of the education-methodological process in interns of the specialty "Surgery" for mastering the surgical tactics of treatment of patients with acute surgical abdominal pathology at the Department of General Surgery of Bukovinian State Medical University during 2017-2020 years.Results. Optimization of intern training was carried out due to the introduction of modern minimally invasive methods of surgical interventions and the latest highly informative diagnostic and prognostic criteria for the complicated course of acute surgical abdominal pathology. The effectiveness of training is improved through the use of modern interactive technologies, for assessing the knowledge of interns the method of discussion polling is preferred.Conclusion. Perfect mastery of modern minimally invasive methods of interventional treatment, understanding of their place and significance is an important component of effective learning of treatment tactics of acute surgical abdominal pathology by interns in the specialty "Surgery".


Suizo ◽  
2017 ◽  
Vol 32 (5) ◽  
pp. 852-858 ◽  
Author(s):  
Shinya KAWAGUCHI ◽  
Masataka KIKUYAMA ◽  
Tatsunori SATOH ◽  
Shuzo TERADA ◽  
Hideyuki KANEMOTO ◽  
...  

2016 ◽  
Vol 4;19 (4;5) ◽  
pp. E649-E652
Author(s):  
Daehyun Jo

Lumbar spinal stenosis is one of most common pathologic conditions affecting the lumbar spine. Pain and/or disability in the low back and lower extremities with or without neurogenic claudication may occur as a result of compression of dural sac contents or nerve roots in the narrowed space. Bulging and protrusion, facet joint hypertrophy, and disc herniation combined with osteophytes and arthritic changes of facet joints can be the cause of lumbar spinal stenosis. Medical/interventional treatment may be considered as an initial treatment for patients with mild symptoms of lumbar spinal stenosis. Surgery is usually considered when medical/interventional treatment has failed. Even though surgery has been considered to be the definitive treatment for spinal stenosis conventionally, it has potential problems including general anesthesia related complications and failed back surgery syndrome. For that reason, minimally invasive techniques such as percutaneous endoscopic lumbar discectomy (PELD), epiduroscopic laser neural decompression (ELND), and nucleoplasty with radiofrequency have been developed as alternatives to surgery. The authors present a case of treating lumbar spinal stenosis by using radiofrequency thermocoagulation. Radiofrequency therapy is used for spinal pain, usually in forms of neurotomy or nucleoplasty. The patient in this case had leg pain with neurogenic claudication caused by lumbar spinal stenosis from facet joint hypertrophy. His pain did not respond to conservative treatment including epidural steroid injection, but he didn’t want to get surgery. As an alternative to surgery, we applied radiofrequency thermocoagulation with high temperatures of electrode to the hypertrophied facet joint for the decompressing of the spinal nerve and the patient’s pain was improved without any complications after the treatment. Key words: Low back pain, neurogenic claudication, lumbar spinal stenosis, facet joint hypertrophy, radiofrequency thermocoagulation, minimally invasive technique


2020 ◽  
Vol 9 (1) ◽  
pp. 117
Author(s):  
Mateusz Jagielski ◽  
Marian Smoczyński ◽  
Jacek Szeliga ◽  
Krystian Adrych ◽  
Marek Jackowski

Despite great progress in acute pancreatitis (AP) treatment over the last 30 years, treatment of the consequences of acute necrotizing pancreatitis (ANP) remains controversial. While numerous reports on minimally invasive treatment of the consequences of ANP have been published, several aspects of interventional treatment, particularly endoscopy, are still unclear. In this article, we attempt to discuss these aspects and summarize the current knowledge on endoscopic therapy for pancreatic necrosis. Endotherapy has been shown to be a safe and effective minimally invasive treatment modality in patients with consequences of ANP. The evolution of endoscopic techniques has made endoscopic drainage more effective and reduced the use of other minimally invasive therapies for pancreatic necrosis.


Author(s):  
Julia Wagenpfeil ◽  
Ulrike Attenberger ◽  
Claus Christian Pieper

AbstractComplex oncological treatment can be associated with lymphatic vascular injury that is burdened by considerable morbidity. Lymphatic imaging and interventional techniques offer new minimally invasive treatment options. We report the case of a 59-year-old woman with an unusual lympho-veno-cutaneous fistula, diagnosed by magnetic resonance lymphangiography and treated by minimally invasive embolization therapy and venous recanalization.


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