Perforated Duodenal Diverticulum Treated Conservatively: Another Two Successful Cases

Diverticula of the duodenum proceed those of the colon in respect to frequency of location. Incidence at times of autopsy ranges from 15 to 23%. Despite the fact that more than 90% of duodenal diverticulum cases are asymptomatic, complications if they do occur can be calamitous. Perforation is one of these rare complications. Surgical intervention has always been the mainstay for symptomatic/complicated duodenal diverticula, but with the advancement of imaging, medical treatment, and proper intensive observation, conservative treatment came forth. We hereby present two cases of duodenal diverticula, complicated by perforation and fistulization into the retroperitoneal cavity, both treated conservatively by Taylor’s approach of upper gastrointestinal tract perforation. Review of other cases of duodenal diverticulum perforation has also been presented.

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Clinical Experience with 31 Consecutive Cases of Surgical Intervention for the Control of Bleeding from the Upper Gastrointestinal Tract

New England Journal of Medicine ◽

10.1056/nejm195802272580902 ◽

1958 ◽

Vol 258 (9) ◽

pp. 417-421 ◽

Cited By ~ 2

Author(s):

James M. Parker

Keyword(s):

Gastrointestinal Tract ◽

Clinical Experience ◽

Surgical Intervention ◽

Upper Gastrointestinal Tract ◽

Upper Gastrointestinal

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The place of cholespasmolytics in the conservative treatment of diseases of the biliary tract in children

Experimental and Clinical Gastroenterology ◽

10.31146/1682-8658-ecg-173-1-111-120 ◽

2020 ◽

pp. 111-120

Author(s):

L. A. Kharitonova

Keyword(s):

Drug Therapy ◽

Gastrointestinal Tract ◽

Conservative Treatment ◽

Biliary Tract ◽

Upper Gastrointestinal Tract ◽

Physiological Age ◽

Associated Diseases ◽

Biliary Tract Diseases ◽

Age Related ◽

Upper Gastrointestinal

The article presents modern data on etiology and pathogenesis of biliary tract diseases in children. Clinical forms of diseases are described, taking into account the anatomical and physiological age-related features of a child’s organism. The features are shown of conservative and drug therapy of biliary tract diseases in children. We present our own experience in the treatment of pain and dyspeptic disorders in children with biliary tract diseases against the background of various biliary dysfunctional disorders and associated diseases of the upper gastrointestinal tract. The article is intended for pediatricians, gastroenterologists, surgeons, and internists.

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Clinical characteristics and related factors of fungal empyema thoracis

10.21203/rs.3.rs-43519/v1 ◽

2020 ◽

Author(s):

EnJian Zhong ◽

HuiWen Qian ◽

ChunQi Hou ◽

Juan Li ◽

XueFeng Qian ◽

...

Keyword(s):

Diabetes Mellitus ◽

Gastrointestinal Tract ◽

Clinical Characteristics ◽

Positive Culture ◽

Upper Gastrointestinal Tract ◽

Empyema Thoracis ◽

Related Factors ◽

Tract Perforation ◽

Increased Risk ◽

Upper Gastrointestinal

Abstract ObjectData on the characteristics and related factors of fungal empyema thoracis (FET) are limited. Our aim is to investigate the clinical characteristics and related factors of FET.MethodsWe conducted a retrospective study of patients with positive culture from pleural effusion who were admitted to the First Affiliated Hospital of Soochow University between January 2007 and January 2018. The clinical and laboratory characteristics of all study participants were collected. Logistic regression models were used to assess the related factors of FET.ResultsThere were 30 patients diagnosed with FET. The median age of patients with FET was 62.7 years old and 24 (80.0%) were male. The most frequent pathogens of FET were Candida albicans (55.9%). Diabetes mellitus (23.3% vs. 7.9%, P = 0.019) and upper gastrointestinal tract perforation or rupture (20.0% vs. 2.1%, P < 0.001) were associated with increased risk of FET. The adjusted odds ratios (95% confident interval) were 3.11 (1.02–9.56) for diabetes mellitus and 12.71 (3.47–46.55) for upper gastrointestinal tract perforation or rupture. There were 10 deaths (33.3%) among FET patients after one-year of follow-up.ConclusionsDiabetes mellitus and upper gastrointestinal tract perforation or rupture were associated with increased risk of FET.

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