On the surgical treatment of pancreas cysts using the Jеdliсk's method

1935 ◽  
Vol 31 (11-12) ◽  
pp. 1344-1344
Author(s):  
Е. Polak
Keyword(s):  
Surgical Treatment ◽  
Gastric Resection ◽  
Gastric Wall ◽  
New Method ◽  
Pancreatic Cysts ◽  
Pancreas Cyst ◽  
Pancreas Cysts ◽  
Posterior Gastric Wall

In 1921, Jedlick published a new method of surgery for pancreatic cysts by implanting a cyst funnel into the posterior gastric wall. In the case of Polak E., a 45-year-old man had a true pancreas cyst that developed 8 months after gastric resection for ulcers.

scholarly journals A new way of modeling the true pancreatic cyst

2020 ◽  
Vol 174 (2) ◽  
pp. 86-90
Author(s):  
G. D. Odishelashvili ◽  
V. A. Zurnajjants ◽  
Э. А. Кчибеков ◽  
D. V. Pakhnov, ◽  
R. K. Iliasov ◽  
...  
Keyword(s):  
Pancreatic Cyst ◽  
Experimental Studies ◽  
Posterior Wall ◽  
New Method ◽  
Pancreatic Cysts ◽  
Head Of The Pancreas ◽  
One Step ◽  
Pancreas Cyst ◽  
True Cyst

Currently, the pathogenesis of the formation and development of cysts has not been fully studied. This creates the need to analyze existing and fi nd new ways to model pancreatic cysts.The aim: create a new way of modeling the true pancreatic cystMaterials and methods: in an experiment on 7 mongrel dogs, a new method of forming a model of a true cyst of the head of the pancreas was developed, by creating a reservoir from the 12-type intestine with the pancreas, with suturing to the posterior wall of the pyloric part of the stomach.Results: the model of the pancreas cyst proposed by the authors meets the criteria of the true pancreatic cyst and can be used in experimental studies of various methods of cyst treatment.Conclusions: this method is technically simple in execution and allows one-step, in less time to perform the operation.

A New Method for Visualization of the Gastric Wall: A Preliminary Report

Radiology ◽  
1965 ◽  
Vol 84 (2) ◽  
pp. 351-353 ◽  
Author(s):  
Donald A. Taylor ◽  
Kevin L. Macken ◽  
Arnold L. Bachman ◽  
William B. Seaman
Keyword(s):  
Preliminary Report ◽  
Gastric Wall ◽  
New Method

scholarly journals Behavior of gastric cancer in Brazilian population

2009 ◽  
Vol 22 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Carlos Eduardo Jacob ◽  
Claudio Bresciani ◽  
Joaquim José Gama-Rodrigues ◽  
Osmar Kenji Yagi ◽  
Donato Mucerino ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Gastric Resection ◽  
Gastric Wall ◽  
Age Groups ◽  
Sao Paulo ◽  
São Paulo ◽  
Gender Ratio ◽  
Male Predominance ◽  
Number Of Patients ◽  
Significant Difference

BACKGROUND: Gastric cancer (GC) is a predominately male disease. Usually for every female that suffers from this condition there are two males and occurred an increase in the number of females in last decades. Brazil is poor in data about this issue. AIM: To verify if in Brazil it happened: a) a change in the gender ratio and on the average age of the patients; b) an increase in the number of patients with 70 years of age or more suffering from this disease; c) changes in the gender ratio and in the average age in the several gastric locations during the period of study. METHODS: The medical history of patients diagnosed with primary gastric adenocarcinoma, between 1971 and 1998 were obtained at Hospital das Clínicas of the University of São Paulo, São Paulo, SP, Brazil. Exclusion criteria were: patients suffering from a non epithelial gastric malignancy; adenocarcinoma from the intestinal metaplasia in the distal esophagus invading the proximal stomach and patients submitted to a gastric resection, due to a benign or malignant tumor during the last five years prior to the surgical procedure analyzed in this study. The patients were divided into 10 years age groups and also divided in three groups, according to their ages and time intervals. Interrelationships between gender and age, and with tumor´s location on gastric wall were analyzed. RESULTS: From 1971 to 1998, 1578 patients with GC were hospitalized. Among them, 1021 were treated with gastric resection, corresponding to 64.7% of all patients. There was an increase in the proportion of patients older than 70 years, and decrease between 41 and 70 years. There was no statistical significant difference among the average ages and the different locations. There were significant differences for the locations favoring proximal third and stump, both more prevalent in males. CONCLUSIONS: a) Occurred modifications in the ratio between genders: greater number of women and an increase in the number of male patients in the age group between 41 and 70 years; b) it was proved the greater number of occurrences in patients over 70 years of age; c) there was a greater increase in the male predominance in the tumors located in the stomach´s proximal third.

scholarly journals The substantiation of chronic pancreatitis surgical treatment method selection

2007 ◽  
Vol 6 (3) ◽  
pp. 43-50
Author(s):  
V. A. Koubyshkin ◽  
I. A. Kozlov ◽  
N. I. Yashina ◽  
T. V. Shevchenko
Keyword(s):  
Chronic Pancreatitis ◽  
Surgical Treatment ◽  
Gastric Resection ◽  
Clinical Manifestations ◽  
Pancreatic Head ◽  
Pain Syndrome ◽  
Treatment Method ◽  
Pancreas Head ◽  
Resection Of The Pancreas

The experience of surgical treatment of 154 patients having chronic pancreatitis with preferential injury of the pancreas head which underwent different operative interventions: isolated resection of pancreatic head ( based upon Berger surgery - 24, Frey surgery - 39), pancreatoduodenal resection ( with gastric resection - 22, with preserved pylorus - 43) and drainage surgeries - 26 is presented in the article. The surgery of isolated resection of pancreatic head has less number of nearest unfavorable results compared with pancretoduodenal resection with preserved pylorus. Proximal resection of the pancreas the variants of which are different isolated resection of pancreatic head is superior upon surgeries with full or partly resection of the duodenum due to fast normalization of the motor-evacuation function, less rate of the intestinal reflux and portion character of duodenal evacuation. In the follow-up period after pancreatoduodenal resection, atrophic processes occur in distal areas of the pancreas which are followed by clinical manifestations of exo- and endocrinous insufficiency. The surgery of longitudinal pancreatic jejunostomy does not avoid pathologic changes in the organ head and pain syndrome.

A Laparoscopic Approach to Posterior Gastric Wall Leiomyomectomy

1998 ◽  
Vol 8 (2) ◽  
pp. 75-78 ◽  
Author(s):  
GREGORY PISKUN ◽  
JUAN C. FLEITES ◽  
GERALD W. SHAFTAN ◽  
RICHARD J. FOGLER
Keyword(s):  
Gastric Wall ◽  
Laparoscopic Approach ◽  
Posterior Gastric Wall

scholarly journals False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Umesh Jayarajah ◽  
Oshan Basnayake ◽  
Pradeep Wijerathne ◽  
Jayan Jayasinghe ◽  
Nilesh Fernandopulle ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Gastric Wall ◽  
Outlet Obstruction ◽  
Unusual Site ◽  
Gastric Diverticulum ◽  
Multiple Biopsies ◽  
Undigested Food ◽  
Posterior Gastric Wall ◽  
Gastric Malignancy ◽  
Vague Abdominal Pain

A gastric diverticulum is an outpouching from the stomach wall. It is usually seen in the posterior gastric wall and the gastric antrum. Diverticula arising from the pyloric region are extremely rare. A 59-year-old female presented with progressively worsening symptoms of gastric outlet obstruction associated with dyspepsia and vague abdominal pain for 5 years. A large, thin-walled, wide-mouthed, false gastric diverticulum (filled with undigested food) arising from the pylorus associated with gastric outlet stenosis was found by endoscopy and CT imaging. Multiple biopsies from the region excluded a gastric malignancy. A gastrojejunostomy and jejunojejunostomy were performed to bypass the obstruction which successfully relieved the symptoms. This is an unusual site for gastric diverticula, and when associated with gastric outlet obstruction, further distention of the diverticulum may cause more obstruction with worsening symptoms.

Laparoscopic resection of benign tumors of the posterior gastric wall

1996 ◽  
Vol 10 (5) ◽  
pp. 540-541 ◽  
Author(s):  
D. I. Watson ◽  
P. A. Game ◽  
P. G. Devitt
Keyword(s):  
Laparoscopic Resection ◽  
Gastric Wall ◽  
Benign Tumors ◽  
Posterior Gastric Wall

The possibilities of treatment of gastrointestinal stromal tumors.

2015 ◽  
Vol 33 (3_suppl) ◽  
pp. 222-222
Author(s):  
Stanislaw Gluszek ◽  
Dorota Koziel ◽  
Jarosław Matykiewicz ◽  
Rafal Rylski
Keyword(s):  
Surgical Treatment ◽  
Mortality Rate ◽  
Clinical Symptoms ◽  
Histopathological Examination ◽  
Gastric Wall ◽  
Safety Margin ◽  
Gastrointestinal Stromal Tumour ◽  
Tumour Resection ◽  
Imatinib Treatment ◽  
Tumor Diameter

222 Background: Gastrointestinal stromal tumour (GIST) is the most common mesenchymal tumour of digestive tract, presesting less than 1% of all digestive tumours. This study is analyse a group of patients treated surgically due to GIST. Methods: The group of 71 patients consisted of 34 males and 37 females between the age of 32 and 89 (M 44-83, average 64.6; F 43-89, average 66.5) treated surgically due to GIST. Analysis included clinical symptoms, diagnosis, surgical treatment, location of tumour, outcome of histopathological and immunohistochemical examinations, recurrence of disease, metastases and mortality rate. Results: Among 71 GIST patients 35 were with low aggressivity level, 14 with average and 22 with high. Most of patients were subjected to surgical treatment (laparoscopic or open) on a planned basis and in 3 cases on an emergency basis due to the intensified symptoms of intestinal occlusion, 50 patients were found to have gastric tumours, 3 duodenal tumours, 13 small intestine tumours, 3 colonic tumours, 2 rectal tumours. Histopathological examination outcome showed radical tumour resection in all cases Tumours of size exceeding 5 cm in diameter were found in 30 cases. Most patients had definited type of mutation. Predominated mutations localized in exon 11. There was no perioperative mortality rate. During follow up (from 1 month to 130 months), 16 patients died, including 4 due to GIST dissemination, 4 were diagnosed with recurrence of GIST and two of them were qualified for imatinib treatment others died of cardio-vasculary diseases. Most of patient underwent resection of tumor with safety margin of gastric wall (21), 5 patients were treated by laparoscopic surgery. All patients, who subsequently had postoperative recurrence or died due to GIST metastases, were diagnosed with highly aggressive tumor. Conclusions: GIST - still unknown treatment possibilities [surgery, imatinib, other specific tyrosine kinase inhibitors, what next?]. Analysis of cases from our study confirms that large size of tumor (diameter > 5cm) and high mitotic index (MI >5/50 HPF) are factors associated with bad prognosis (metastases, recurrence).

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