scholarly journals Formation of the upper digestive tract by the ileum - right colon for patient with concurrent cancers of the esophagus and the stomach: A case report

Author(s):  
Manh Hung Tran ◽  
Thi Phuong Thao Tran ◽  
Trung Kien Nguyen ◽  
Van Minh Hoang
Author(s):  
Snigdha Elaprolu ◽  
Gowri Sankar Marimuthu ◽  
Raghul Sekar ◽  
Sunil Kumar Saxena

<p class="abstract">Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.</p>


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Hideki Nagano ◽  
Tamotsu Togawa ◽  
Takeshi Watanabe ◽  
Kenji Ohnishi ◽  
Toshihisa Kimura ◽  
...  

Abstract Background Heterotopic ossification (HO) is the formation of osseous tissue outside the skeleton. HO in malignant tumors of the digestive tract is extremely rare, as is ossification in metastatic lesions from HO-negative digestive tract tumors. Regarding the pathogenesis of HO, two theories have been proposed. The first is that the osteoblastic metaplasia of tumor cells (driven by the epithelial-mesenchymal transition, EMT) results in HO, and the second is that factors secreted by cancer cells lead to the metaplasia of stromal pluripotent cells into osteoblasts. However, the osteogenic mechanisms remain unclear. Case presentation An 83-year-old Japanese woman underwent low anterior rectal resection for rectal cancer before presentation at our institution, in June 2018. The final diagnosis was stage IIB rectal adenocarcinoma (T4aN0M0). Histological examination did not reveal HO in the primary tumor. Thirteen months after the operation, a solitary metastatic lesion in the brain 20 mm in size and a solitary metastatic lesion in a right axillary lymph node 20 mm in size were diagnosed. The patient was treated with gamma-knife therapy for the brain metastasis. One month later, she was referred to our institution. She underwent lymph node resection. Histological examination revealed that most portions of the affected lymph node were occupied by metastatic tumor cells and that central necrosis and four small ossified lesions without an osteoblast-like cell rim were present in the peripheral region. Immunohistochemical analysis showed tumor cells positive for BMP-2, osteonectin, osteocalcin, AE1/AE3, TGF-β1, Gli2, Smad2/3, and CDX2 and negative for nestin, CD56, and CK7. Conclusion This is the first English case report of HO in a metachronous metastatic lymph node after the curative resection of HO-negative rectal cancer. Unlike HO lesions in past reports, the HO lesion did not show peripheral osteoblast-like cells, and the immunohistochemical findings indicated that the present case resulted from the EMT.


BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tianfang Xia ◽  
Zhenguo Pan ◽  
Jie Zhang ◽  
Guo Xu

Abstract Background We compared the advantages and disadvantages of modified triangular anastomosis and tubular anastomosis for digestive tract reconstruction in patients undergoing laparoscopic-assisted radical resection of right colon cancer. Methods This was a retrospective cohort analysis of 92 cases of laparoscopic-assisted resection of right colon cancer, treated from June 2017 to June 2018, at the Huai’an No. 1 People’s Hospital in China. Patients were divided into a modified triangular anastomosis group (n = 33) and a tubular anastomosis group (n = 59). In the modified triangular anastomosis group, digestive tract reconstruction was conducted using side-to-side anastomosis of the ileo-transverse colon with a 60-mm linear stapler. The common entry hole was closed with a running suture. The tubular anastomosis group underwent end-to-side anastomosis of the ileo-transverse colon with a tubular stapler anchor placed at the end of the ileum. Results At baseline and perioperatively, there were no significant between-group differences in age, sex, body mass index, tumor location, pathological stage, or tumour size (P > 0.05). There were also no significant between-group differences in operation time, estimated blood loss, the number of harvested lymph nodes, the first postoperative flatulence time, hospitalisation time, or postoperative complications (P > 0.05); however, the total cost of hospitalization for the triangular anastomosis group was significantly lower than the tubular anastomosis group (P < 0.05). Conclusion Modified triangular anastomosis is a safe and feasible procedure for laparoscopic-assisted radical resection of right colon cancer. These results affirm the safety and effectiveness of total laparoscopic radical resection of right colon cancer. Given the equivalent outcomes between the two procedures, the modified triangular procedure may be more a more cost-effective option for clinical application.


Author(s):  
A. Haddad ◽  
D. Bel Haj Yahia ◽  
Y. Chaker ◽  
H. Maghrebi ◽  
A. Daghfous ◽  
...  

Author(s):  
A.L. Bedzhanyan ◽  
M.I. Bredikhin ◽  
T.N. Galyan ◽  
D.E. Arutyunyants ◽  
K.N. Petrenko ◽  
...  

2005 ◽  
Vol 62 (6) ◽  
pp. 483-485
Author(s):  
Dragan Ignjatovic ◽  
Sidor Misovic ◽  
Miodrag Jevtic

Aim. To present a patient with an indirect secondary nonperforating blast injury of the right colon following abdominal gunshot injury, which led to necrosis and the right colon gangrene, and was surgically managed. Case report. A 26-year-old male was shot in the abdomen by four projectiles causing the secondary indirect blast injury of the right colon that turned into gangrene after 24 hours. Two days after admission, laparotomy was performed, but the primary anastomosis was not done because of the stomach and pancreatic injury, and the resection of the colon with terminal ileostomy was done instead. Three months later, the reconstruction of the colon was performed using ileocolotransverso-terminolatetral anastomosis. Conclusion. Secondary blast injuries should be anticipated in gunshot injuries, and could be expected to any organs, particularly the air filled ones.


2021 ◽  
Vol 3 (2) ◽  
pp. 174-180
Author(s):  
Aura Maulia Mustika ◽  
Dasuki Dasuki ◽  
Nofrida Saswati

ABSTRACT : OVERVIEW OF DIET AND STRESS IN GASTRITIS PATIENTS AT SIMPANG IV SIPIN HEALTH CENTER, JAMBI CITY Introduction : Gastritis, known as ulcer disease, is a disease of the upper digestive tract that many people complain about. The number of cases of gastritis in various countries is quite high. Gastritis is one of the top ten diseases among hospitalized clients in Indonesia with a total of 30,154 cases. One of the factors that cause gastritis is diet and stress. Purpose : This study aims to determine the description of diet and stress with gastritis at Simpang IV Sipin Public Health Center Jambi City in 2020.Method : This research is a quantitative research with descriptive research methods. The population in this study were all gastritis clients who visited the Simpang IV Sipin Public Health Center in Jambi City in September 2020, amounting to 45 clients and sampling was carried out using total sampling techniques, amounting to 45 clients. The data was collected using a questionnaire sheet and the results of this study were analyzed univariately.Result : The results of the univariate research showed that there were 24 (53.3%) respondents who had an irregular diet, 30 (66.7%) of respondents experienced stress in patients with gastritis at the Simpang IV Sipin Public Health Center Jambi City in 2020.Conclusion: From the research results, it can be concluded that diet and stress can cause gastritis. Keyword : stress, diet, gastritis INTISARI : Gambaran Pola Makan dan Stres pada Penderita Gastritis di Puskesmas Simpang IV Sipin Kota Jambi Latar Belakang : Penyakit gastritis yang dikenal dengan penyakit maag merupakan penyakit saluran pencernaan bagian atas yang banyak dikeluhkan di masyarakat. Pada kasus penyakit gastritis di berbagai negara memiliki angka yang cukup tinggi. Gastritis termasuk ke dalam sepuluh penyakit terbanyak pada klien rawat inap rumah sakit di Indonesia dengan jumlah 30.154 kasus. Salah satu faktor penyebab gastritis yaitu pola makan dan stress.Tujuan : Penelitian ini bertujuan untuk mengetahui gambaran pola makan dan stres dengan gastritis di Puskesmas Simpang IV Sipin Kota Jambi Tahun 2020.Metode : Penelitian ini merupakan penelitian kuantitatif dengan metode penelitian Deskriptif. Populasi dalam penelitian ini adalah seluruh klien Gastritis yang berkunjung ke Puskesmas Simpang IV Sipin Kota Jambi pada bulan September Tahun 2020 yang berjumlah 45 klien dan pengambilan sampel dilakukan dengan menggunakan teknik total sampling  yaitu berjumlah 45 klien. Pengumpulan data dilakukan dengan lembar kuesioner dan hasil penelitian ini dianalisis secara univariat.Hasil : Hasil penelitian univariat menunjukkan bahwa terdapat 24 (53,3%) responden memiliki pola makan yang tidak teratur, terdapat 30 (66,7%) responden mengalami stress pada penderita gastritis  di Puskesmas Simpang IV Sipin Kota Jambi Tahun 2020.Kesimpulan : berdasarkan hasil penelitian dapat disimpulkan bahwa pola makan dan stress dapat mengakibatkan kejadian gastritis. Kata Kunci       :  Stress, Pola Makan, Gastritis


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