Clinicopathological evaluation of anoxic mucosal injury in strangulation ileus

Objective: Transurethral lithotripsy using Holmium-YAG laser has been reported to be beneficial in breaking up bladder stones with large size (>4cm in diameter) with lower risk of mucosal injury and hematuria. The aim of this study is to evaluate the utilization of Holmium-YAG laser for the management of bladder stones at Kardinah General Hospital, Tegal. Material & Methods: This is a cross-sectional study conducted from January 2017 to March 2017. Patient’s demography, which included age, sex, length of surgery, stone size, and laser’s energy count were recorded. Results: We included 120 patients in this study. Mean of patients age in this study was 51.93 years old with age range were 41-85 years old. Most of the patients were male (109 vs 11) with a mean size of stone 25.09 ± 3.04 mm. Length of surgery ranges from 15 to 75 minutes and mean energy of the laser 28.99 ± 19.34 kJ. There was 100% stone’s clearance following surgery with no major complication occurred. Conclusion: Holmium-YAG laser is effective in managing bladder stones at Kardinah General Hospital particularly for large size stones. Length of surgery and energy of laser used depend on the stone size in which bigger stone size is associated with longer surgery time and bigger laser energy needed.

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Duodenal Ulcer Induced by Hem-o-Lok clip after Reduced Port Laparoscopic Cholecystectomy

Journal of Gastrointestinal and Liver Diseases ◽

10.15403/jgld.2014.1121.251.kas ◽

2016 ◽

Vol 25 (1) ◽

pp. 95-98 ◽

Cited By ~ 4

Author(s):

Koichi Soga ◽

Kyoichi Kassai ◽

Kenji Itani

Keyword(s):

Laparoscopic Cholecystectomy ◽

Proton Pump Inhibitor ◽

Proton Pump ◽

Cystic Duct ◽

Duodenal Bulb ◽

Mucosal Injury ◽

Normal Mucosa ◽

Surrounding Tissue ◽

Inferior Wall ◽

Endoscopic Clip

The patient was a 66-year-old woman who had undergone laparoscopic cholecystectomy (Lap-C) secondary to chronic cholecystitis status post endoscopic choledocholithotomy 13 months previously. During surgery, Hem-o-Lok clips were used to control the cystic duct and the cystic artery. Due to the presence of extensive adhesions of the cystic duct and surrounding tissue, the surgeons had difficulty in debriding the area. Thirteen months after Lap-C, the patient underwent a screening esophagogastroduodenoscopy (EGD), which demonstrated clip appearance at the inferior wall of the first part of the duodenum. In the EGD, duodenal erosions and edema were observed around the clip. We appreciated that endoscopic clip removal would be difficult because of the presence of severe adhesions and inflammation of the duodenal bulb. On clinical examination of the patient, no major abnormalities or physical findings were noted. Therefore, we decided not to attempt to remove the clip. The patient was treated with an oral proton pump inhibitor to prevent extensive duodenal mucosal injury. Two months later, we repeated the EGD, which revealed that the clip was no longer present, and the duodenum was covered with normal mucosa surrounding the scar. Abbreviations: EGD: esophagogastroduodenoscopy; Lap-C: laparoscopic cholecystectomy; PPI: proton pump inhibitor.

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Faculty of 1000 evaluation for Constitutive activation of epithelial TLR4 augments inflammatory responses to mucosal injury and drives colitis-associated tumorigenesis.

F1000 - Post-publication peer review of the biomedical literature ◽

10.3410/f.10607957.11478055 ◽

2011 ◽

Author(s):

Wendy Garrett ◽

Michelle Rooks

Keyword(s):

Inflammatory Responses ◽

Mucosal Injury ◽

Constitutive Activation

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Faculty Opinions recommendation of Reciprocal interactions between commensal bacteria and gamma delta intraepithelial lymphocytes during mucosal injury.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1160982.621428 ◽

2009 ◽

Author(s):

Andrew S Neish

Keyword(s):

Mucosal Injury ◽

Intraepithelial Lymphocytes ◽

Commensal Bacteria ◽

Gamma Delta ◽

Reciprocal Interactions

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Faculty Opinions recommendation of FFA2 activation combined with ulcerogenic COX inhibition induces duodenal mucosal injury via the 5-HT pathway in rats.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.727628804.793537300 ◽

2017 ◽

Author(s):

Ian Beales

Keyword(s):

Mucosal Injury

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Evaluation of the Antiulcer Activity of Ethanolic Leave Extracts of Saraca indica against Ethanol, Pylorus Ligature and Indomethacin Induced Ulcer in Albino Rats

Current Bioactive Compounds ◽

10.2174/1573407216666200109142305 ◽

2020 ◽

Vol 16 (8) ◽

pp. 1191-1196

Author(s):

Pritt Verma ◽

Shravan K. Paswan ◽

Vishal K. Vishwakarma ◽

Priyanshi Saxena ◽

Chandana V. Rao ◽

...

Keyword(s):

Mucosal Injury ◽

Gastric Volume ◽

Gastric Ulcers ◽

Albino Rats ◽

Antiulcer Activity ◽

Cellulose Solution ◽

Total Acidity ◽

Ulcer Index ◽

Standard Drug ◽

High Doses

Background: To evaluate the antiulcer activity of ethanolic leaves extract of Saraca indica against ethanol, pylorus ligature and indomethacin in albino rats. Materials and Methods: Ulcer was produced by ethanol, pylorus ligature and indomethacin in albino rats. Five groups (n=6) of rats were orally pre-treated with carboxymethyl cellulose solution, and ranitidine (80 mg/kg) respectively. In ethanol induced ulcer, the animals were treated with 200 and 400 mg/kg b.w. ethanolic leave extracts of Saraca indica in 0.3% CMC solution, 60 minutes before oral administration of absolute ethanol to produce gastric mucosal injury. In indomethacin induced ulcer, the drug was administered orally at the dose of 30 mg/kg b.w. After 7-9 hours of administration of indomethacin (30 mg/kg); the animals were sacrificed with high doses of anesthesia. In the pylorus ligature method, volume of free acidity, gastric secretion, pH and total acidity were estimated. In all three models, the ulcer index and % protection were estimated. Results: The anti ulcer activity of ethanolic leave extracts of Saraca indica in ethanol, indomethacin and pylorus ligature models is evident from the significant (P<0.001) reduction in ulcer index. In pylorus ligature model, significant (P<0.001) reduction in total acidity gastric volume and increase in pH were observed when compared with the standard drug. Conclusion: Ethanolic leave extracts of Saraca indica were found to be significantly protective against ethanol, indomethacin and pylorus ligature induced gastric ulcers in the experimental albino rats. The result obtained suggest that ethanolic leave extracts of Saraca indica possesses significant anti-ulcer activity.

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Acute oesophageal necrosis in multiple endocrine neoplasia type 1: an undescribed complication

BMJ Case Reports ◽

10.1136/bcr-2020-238214 ◽

2021 ◽

Vol 14 (1) ◽

pp. e238214

Author(s):

Sumona Bhattacharya ◽

Jenny E Blau ◽

Christopher Koh

Keyword(s):

Multiple Endocrine Neoplasia ◽

Multiple Endocrine Neoplasia Type ◽

Mucosal Injury ◽

Oesophageal Perforation ◽

Endocrine Neoplasia ◽

Endocrine Neoplasia Type ◽

Onset Atrial Fibrillation ◽

Upper Gastrointestinal ◽

New Onset

Acute oesophageal necrosis (AEN) is a rare entity that most commonly presents as upper gastrointestinal bleeding. Complex pathophysiology may include oesophageal ischaemia as well as reflux of acidic gastric contents causing oesophageal mucosal injury. Management is supportive and directed at underlying comorbidities however prognosis is poor with complications such as oesophageal perforation, stricture and stenosis. Here we present the case of a 56-year-old man with multiple endocrine neoplasia type 1 (MEN1) and gastro-oesophageal reflux disease who developed AEN as a result of undiagnosed Zollinger-Ellison syndrome (ZES), duodenal ulcer-induced obstruction and hypotension from new-onset atrial fibrillation. AEN as the presentation of MEN1-associated ZES is an unusual presentation of this disease which clinicians, particularly endocrinologists and endoscopists, should be aware of.

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