scholarly journals The Hole in the Stomach

2008 ◽  
Vol 2008 ◽  
pp. 1-2
Author(s):  
Hans Bödeker ◽  
Steffen Leinung ◽  
Henning Wittenburg ◽  
Julia Fischer ◽  
Ingolf Schiefke ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Diaphragmatic Hernia ◽  
Gastrointestinal Endoscopy ◽  
Gastric Fundus ◽  
Upper Gastrointestinal Endoscopy ◽  
Chest Discomfort ◽  
Partial Necrosis ◽  
Upper Abdominal ◽  
Upper Gastrointestinal

A 57 year old woman was presented to the emergency department with upper abdominal pain and left sided chest discomfort. No cardiac or pulmonary cause could be determined and the patient underwent upper gastrointestinal endoscopy. Inversion of the scope to the fundus and subsequent fluoroscopy revealed a diaphragmatic hernia with a large herniation of the gastric fundus. Immediate laparotomy showed a 3 cm orifice of the diaphragm. The orifice was widened and a partial necrosis of the incarcerated fundus was resected. The patient recovered fully and was discharged 12 days after laparotomy.

scholarly journals Acute Gastric Volvulus on Hiatal Hernia

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Abdessamad EL KAOUKABI ◽  
Mohamed MENFAA ◽  
Samir HASBI ◽  
Fouad SAKIT ◽  
Abdelkrim CHOHO
Keyword(s):  
Hiatal Hernia ◽  
Gastrointestinal Endoscopy ◽  
Epigastric Pain ◽  
Gastric Volvulus ◽  
Upper Gastrointestinal Endoscopy ◽  
Rare Entity ◽  
Midline Laparotomy ◽  
Acute Gastric Volvulus ◽  
Upper Abdominal ◽  
Upper Gastrointestinal

The gastric volvulus is defined as an abnormal rotation of all or part of the stomach around one of its axes, creating the conditions of an upper abdominal obstruction with gastric dilation and risk of strangulation. It is a rare entity that requires a surgical treatment, and its diagnosis is often delayed due to frequently aspecific symptoms. We will describe the observation of a 62 year old patient who presented to the emergency department for acute epigastric pain with dyspnea. The thoracoabdominal CT has demonstrated a stasis stomach on pyloric obstacle evoking a gastric torsion. An upper gastrointestinal endoscopy (EGD) and an upper gastrointestinal contrast made it possible to diagnose an acute gastric volvulus on hiatal hernia. A midline laparotomy was performed with detorsion of the stomach and repair of the hiatal hernia. The patient recovered gradually and was discharged on the sixth postoperative day. Three months after the operation, the patient remained asymptomatic.

scholarly journals First Video Case Report of Chronic Retrograde Jejunojejunal Intussusception after Subtotal Gastrectomy with Braun’s Anastomosis

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Savaş Bayrak ◽  
Hasan Bektaş ◽  
Necdet Derici ◽  
Ekrem Çakar ◽  
Şükrü Çolak
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Case Report ◽  
Gastrointestinal Endoscopy ◽  
Subtotal Gastrectomy ◽  
Gastric Surgery ◽  
Upper Gastrointestinal Endoscopy ◽  
Video Presentation ◽  
Video Case Report ◽  
Upper Gastrointestinal

Intussusception, which is seen rarely in adults, is defined as the pulling or invagination of a part of the intestine into another segment of the intestine. In this case report we present chronic retrograde jejunojejunal intussusception following gastric surgery with Braun’s anastomosis in adult with video presentation. A 66-year-old woman, who had undergone gastric surgery 39 years ago and cholecystectomy 20 years ago, was admitted to our clinic with the complaints about weight loss, abdominal pain, nausea, and vomiting. Upper gastrointestinal endoscopy (UGISE) was applied, and patient was treated with surgery. This case report indicates that intussusception should be considered in the presence of clinical complaints following gastric surgery, as well as importance of endoscopy in diagnosis.

scholarly journals Diagnostic Yield of Upper Gastrointestinal Endoscopy in Children: A Three Years Experience

2020 ◽  
Vol 40 (2) ◽  
pp. 87-92
Author(s):  
Binita Gurubacharya Joshi ◽  
Madhu Ghimire
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Endoscopy ◽  
Diagnostic Yield ◽  
Paediatric Population ◽  
Chronic Abdominal Pain ◽  
Gastrointestinal Disorders ◽  
Upper Gastrointestinal Endoscopy ◽  
Age Group ◽  
Gastrointestinal Problems ◽  
Upper Gastrointestinal

Introduction: Gastrointestinal disorders are very common in paediatric population. Upper Gastrointestinal Endoscopy procedures have increased dramatically worldwide and have contributed in identification of various gastrointestinal disorders along with therapeutic benefits. However, it is recently being established in paediatric population in Nepal and proper data is scarce. This study was aimed to assess upper gastrointestinal endoscopy with respect to its indications and diagnostic yield at a tertiary centre over a three years period. Methods: This is a retrospective observational study where data of all paediatric patients between the age group 0 - 15 years having various gastrointestinal problems who underwent upper gastrointestinal endoscopy from March 2013 - Feb 2016 in our centre were analysed. Results: Among 270 patients, males comprised 60% and females comprised 40%. Age range was 0 - 15 years and majority were from the age group between 10 to 15 years (66.2%). Most common indications for endoscopy were chronic abdominal pain (58.8%), acute epigastric pain (18.5%), followed by failure to thrive (7%). Abnormal findings were detected in 250 patients (92.5%); gastroduodenitis (28.14%), antral gastritis (18.51%), erosive gastritis (15.92%), duodenitis (9.25%), hiatus hernia (7.4%), varices (5.5%) were common findings. Histopathologically, chronic gastritis and duodenitis (72%) were common findings followed by acute gastritis and giardiasis. Among 80 patients who underwent RUT, 50% each had positive and negative results. Conclusion: Chronic abdominal pain remains common gastrointestinal problem in children. With the advent of upper gastrointestinal endoscopy various gastrointestinal problems can be identified and managed accordingly. Along with the facility of histopathology, diagnostic yield and outcome is further enhanced.

Upper Gastrointestinal Endoscopy in Recurrent Abdominal Pain of Childhood

1993 ◽  
Vol 16 (3) ◽  
pp. 273-277 ◽  
Author(s):  
Merja Ashorn ◽  
Markku Mäki ◽  
Tarja Ruuska ◽  
Riitta Karikoski-Leo ◽  
Minna Hällström ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Endoscopy ◽  
Recurrent Abdominal Pain ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal

scholarly journals Hem-o-Lok Clip in the First Part of Duodenum after Laparoscopic Cholecystectomy

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mohammadreza Seyyedmajidi ◽  
Seyed Ashkan Hosseini ◽  
Shahin Hajiebrahimi ◽  
Jamshid Vafaeimanesh
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Gastrointestinal Endoscopy ◽  
Common Bile Duct Exploration ◽  
Anterior Wall ◽  
Upper Gastrointestinal Endoscopy ◽  
Ligation Method ◽  
Upper Gastrointestinal

Laparoscopic cholecystectomy (LC) and common bile duct exploration (LCBDE) have become the standard surgical procedure for cholecystolithiasis and choledocholithiasis. During the operation, cystic duct and vessels are usually controlled by Hem-o-Lok clips. We report a case with a complaint of severe abdominal pain for the previous 20 days. Her medical history was unremarkable except for laparoscopic cholecystectomy 8 months ago. In upper gastrointestinal endoscopy, two Hem-o-Lok clips at anterior wall of the first part of duodenum were detected. Therefore, the clip can migrate during postoperative period and Hem-o-Lok is not a very safe ligation method during laparoscopic cholecystectomy.

scholarly journals Rapunzel Syndrome in a Seven-Year-Old Girl

2021 ◽  
Author(s):  
Aviral Gupta ◽  
Sarvesh C. Mishra ◽  
Vijay D. Upadhyay ◽  
Pujana Kanneganti
Keyword(s):  
Abdominal Pain ◽  
Gold Standard ◽  
Gastrointestinal Endoscopy ◽  
Case Reports ◽  
Abdominal Mass ◽  
Upper Gastrointestinal Endoscopy ◽  
Surgical Removal ◽  
Rare Entity ◽  
Rapunzel Syndrome ◽  
Upper Gastrointestinal

AbstractRapunzel syndrome is a rare entity with less than hundred case reports cited in the literature. In this, there is presence of a trichobezoar in the stomach which extends into the small intestine or beyond. It can typically cause abdominal pain and nausea, but can also present as an asymptomatic abdominal mass, progressing to abdominal obstruction and perforation. Many of these patients have associated psychiatric disorder. The gold standard for diagnosis is upper gastrointestinal endoscopy and treatment is surgical removal. Herein, we present surgical images of Rapunzel syndrome in a seven-year-old girl.

scholarly journals Evaluation of gastric polyps in patients with upper gastrointestinal endoscopy

2019 ◽  
Author(s):  
Lie Zheng ◽  
Xinli Wen ◽  
Yan-Cheng Dai ◽  
Xiao-Xiao QianTu ◽  
Hai-Feng He ◽  
...  
Keyword(s):  
High Frequency ◽  
Gastrointestinal Endoscopy ◽  
Gastric Fundus ◽  
Upper Gastrointestinal Endoscopy ◽  
Bleeding Events ◽  
Polyp Size ◽  
Potential Harm ◽  
Gastric Polyps ◽  
Study Population ◽  
Upper Gastrointestinal

Abstract BACKGROUNDAccording to the study population, incidence of gastric polyps (GP) varies from 0.33% to 6.7% in various studies. Most GPs consist of proliferative polyps (HP), gastric fundus polyps (FGP) and adenomatous polyps (APs). Despite the high malignant AP potential, sporadic FGP has no malignant potential. On the contrary, HP has a lower risk of potential harm. It is not sufficient to perform biopsies to determine the presence of polyp types and displacements, therefore, some polyps may require extensive biopsy or complete resection. METHODS This retrospective study included GP patients or polyphenic lesions with polyps or malignant histology found in polyps or gastroscopy at the Department of Gastroenterology, Shaanxi Hospital of Traditional Chinese Medicine from 2017 to 2019.RESULTSIn a series of 10.000 upper gastrointestinal endoscopy, 384 patients (0.38%) were found to have GPs. Of these patients, 98 (25.5) were male and 286(74.5) were female. The average age of the patients was 62.8 ± 10.4 (36-75) years. HP, AP and FGP frequencies were 88.5%, 5.2% and 2.1%, respectively. The polyp size of 274 (71.3%) patients was ≤ 1 cm. Polyp was identified in 262 (68.2%) patients. The most common polyps are the antrum and the corpus. Endoscopic respiratory polypectomy was performed on 128 patients. Bleeding events have been observed and endoscopic treatment is required after ESP.CONCLUSIONIn current study, GP frequency was low (0.38%), and HP frequency may be high due to high frequency of Helicobacter pylori (HPy) infection in China. Due to the high frequency of HPy infection and the short-term use of proton pump use, FGP frequency may be low.

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