Spontaneous Esophageal Perforation on Top of Severe Pyloric Stenosis : Surgical Management with a Single-Stage Procedure

2017 ◽  
Vol 65 (4) ◽  
pp. 241-245
Author(s):  
Salah Termos ◽  
Ahmad Alsaleh ◽  
Hussein Hayati
Keyword(s):  
Surgical Management ◽  
Pyloric Stenosis ◽  
Esophageal Perforation ◽  
Single Stage

Surgical Management of Late Esophageal Perforation

1997 ◽  
Vol 45 (06) ◽  
pp. 269-272 ◽  
Author(s):  
Y. Sakamoto ◽  
N. Tanaka ◽  
T. Furuya ◽  
T. Ueno ◽  
H. Okamoto ◽  
...  
Keyword(s):  
Surgical Management ◽  
Esophageal Perforation

Incidence of Duodenal Ulcer and its Surgical Management in a Teaching Hospital in Bangladesh

1995 ◽  
Vol 25 (2) ◽  
pp. 67-68 ◽  
Author(s):  
Meer Mahbubul Alam
Keyword(s):  
Duodenal Ulcer ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Teaching Hospital ◽  
Pyloric Stenosis ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
High Incidence

Duodenal ulcer patients with or without complications admitted in the surgical departments of Rajshahi Medical College Hospital (RMCH) during the period of 13 years from 1980–1992 were studied retrospectively. Duodenal ulcer accounted for 10/1000 admission and five operations per week. Of the 1623 patients with uncomplicated ulcer, only 623 needed surgical treatment. However, all of the 1599 who presented with pyloric stenosis, 1047 with peritonitis due to perforation, and 13 with hematemesis were operated upon. This study confirms previously published reports of high incidence of duodenal ulcer admissions in the hospital but shows a diminishing number in the uncomplicated cases requiring surgery.

scholarly journals Surgical Management of Infantile Hypertrophic Pyloric Stenosis by Double-Y Pyloromyotomy: A Better Approach

2012 ◽  
Vol 3 (2) ◽  
pp. 38-40
Author(s):  
Md. Ansar Ali ◽  
Kaniz Hasina ◽  
Abu Naim ◽  
Md. Anwar Israil ◽  
Md. Mahbub-Ul-Alam ◽  
...  
Keyword(s):  
Weight Gain ◽  
Surgical Management ◽  
Pyloric Stenosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Treatment Modalities ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Postoperative Vomiting ◽  
Acid Base ◽  
Feeding Regimes ◽  
Acid Base Status

Background: Various treatment modalities have been applied for the management of infantile hypertrophic pyloric stenosis. However surgery remains the mainstay of treatment for IHPS of which Ramstedt's pyloromyotomy remains the surgical technique of choice. Objective: To see the outcome of surgical management of infantile hypertrophic pyloric stenosis by double-Y pyloromyotomy. Methods: A prospective interventional study of 40 patients with IHPS was carried out over a period of 2 years from July 2008 to July 2010. The patients were divided into 2 equal groups of 20 patients in each. All patients selected for study were optimized preoperatively regarding to hydration, acid-base status and electrolytes imbalance. All surgeries were performed after obtaining informed consent. Standard preoperative preparation and postoperative feeding regimes were used. The patients were operated on an alternate basis, i.e., one patient by Double-Y Pyloromyotomy (DY) and the next by a Ramstedt's Pyloromyotomy (RP). Data on patient demographics, operative time, anaesthesia complications and postoperative complications including vomiting and weight gain were collected. Patients were followed up for a period of 3 months postoperatively. Statistical assessments were done by using t test. Results: From July 2008 through July 2010, forty patients were finally analyzed for this study. Any statistical differences were observed in patient population regarding age, sex, weight at presentation, symptoms and clinical condition including electrolytes imbalance and acid-base status were recorded. Significant differences were found in postoperative vomiting and weight gain. Data of post operative vomiting and weight gain in both groups were collected. Vomiting in double-Y(DY) pyloromyotomy group vs Ramstedt's pyloromyotomy (RP) group was significant (p= 0.0001). Weight gain after 1st 10 days DY vs RP is 298 ± 57.94 gm vs 193±19.8 gm (p=0.0014), after 1 month 676.67±149.84 gm vs 466.67 ± 127.71 gm (p=0.0001), after 2 months 741.33± 278.74 gm vs 490±80.62 gm (p=0.002) and after 3 months 582±36.01gm vs 453.33±51.64 gm (p=0.0001). No long-term complications were reported and no re-do pyloromyotomy was needed.Conclusion: The double-Y pyloromyotomy seems to be a better technique for the surgical management of IHPS. It may offer a better functional outcome in term of postoperative vomiting and weight gain. J Shaheed Suhrawardy Med Coll, 2011;3 (2): 38-40 DOI: http://dx.doi.org/10.3329/jssmc.v3i2.12076

scholarly journals The surgical management of spontaneous esophageal perforation (Boerhaave's syndrome) ‒ 20 years of experience

2016 ◽  
Vol 10 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Edgardo Pezzetta ◽  
Takashi Kokudo ◽  
Emilie Uldry ◽  
Takamune Yamaguchi ◽  
Hiroki Kudo ◽  
...  
Keyword(s):  
Surgical Management ◽  
Esophageal Perforation ◽  
Years Of Experience ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome

scholarly journals AB048. 24. Minimally invasive surgical management of spontaneous esophageal perforation (Boerhaave’s syndrome)

2019 ◽  
Vol 3 ◽  
pp. AB048-AB048
Author(s):  
Jessie Andrea Elliott ◽  
Louise Buckley ◽  
Mohammad Albagir ◽  
Antonis Athanasiou ◽  
Thomas Murphy
Keyword(s):  
Minimally Invasive ◽  
Surgical Management ◽  
Esophageal Perforation ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome ◽  
Minimally Invasive Surgical

Paediatric surgery

2019 ◽  
pp. 725-732
Keyword(s):  
Abdominal Pain ◽  
Medical School ◽  
Surgical Management ◽  
Necrotizing Enterocolitis ◽  
Pyloric Stenosis ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Paediatric Surgery ◽  
Wide Range ◽  
Gastrointestinal Illnesses

This chapter on paediatric surgery covers procedures performed from fetus to 16 years of age. The wide range is succinctly covered with appropriate detail for both those looking to apply for medicine, and those in medical school. The chapter reviews oncological conditions, most importantly, leukaemia. It also studies common conditions such as abdominal pain, hernia, undescended testicles, and appendicitis. Surgical management of gastrointestinal illnesses such as pyloric stenosis, intussusception, and Hirschsprung’s disease is covered along with urological conditions such as hypospadias. It also discusses important neonatal presentations of necrotizing enterocolitis and gastrointestinal atresia, to name a few.

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