scholarly journals To X-ray diagnostics of malignant neoplasms in patients with operated stomach

2021 ◽  
Vol 43 (2) ◽  
pp. 28-31
Author(s):  
M. I. Goldstein

The decisive method for the treatment of malignant neoplasms of the stomach is surgical intervention. The successes achieved in this direction are limited mainly to surgery for primary cancer of the stomach. Patients with recurrent tumors in the stomach stump, as well as with secondary malignant neoplasms in this area after surgery for peptic ulcer, polyps and other diseases, were considered doomed and hopeless until recently.

1934 ◽  
Vol 30 (2) ◽  
pp. 320-326
Author(s):  
M. I. Goldstein

The complex problem of the operated stomach has recently attracted more and more attention of therapists, surgeons and radiologists. Systematic X-ray examination of the stomach, after surgery, gives us the opportunity to study its shape and function, allows us to judge the success of the operation, as well as to recognize timely postoperative complications and recurrence of diseases, requiring in some cases urgent secondary surgical intervention, and in other cases - prevention of unnecessary secondary surgery.


1981 ◽  
Vol 17 (3) ◽  
pp. 448
Author(s):  
T H Kim ◽  
S W Kim ◽  
J S Lim ◽  
Y J Kim

1995 ◽  
Vol 41 (6) ◽  
pp. 42-47
Author(s):  
Ye. A. Troshina ◽  
G. A. Gerasimov ◽  
G. F. Alexandrova

Thyroid cancer accounts for 1 - 1.5% of all malignant neoplasms. In recent years, there has been a trend towards an increase in the prevalence of this disease. On the one hand, the frequency of detection of thyroid cancer is associated with the introduction of a number of modern methods of examining patients and the increased oncological alertness of doctors. On the other hand, there is evidence of an increase in the incidence of thyroid cancer associated with an unfavorable environmental situation. An example of this is an increase in the frequency of thyroid damage in people exposed to radiation after the accident at the Chernobyl nuclear power plant. There is evidence that in Japan, thyroid cancer is detected 10 times more often among the population that has undergone nuclear bombing than among other residents of the country. Exogenous risk factors include external x-ray irradiation, previously carried out for medical purposes for various benign and non-tumor diseases of the head and neck. It is believed that exogenous factors are able to more or less affect the thyroid gland and cause a number of molecular changes in it that lead to the development of cancer. The purpose of this review was to summarize the current knowledge of the molecular aspects of thyroid cancer.


2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Aleksejs Kaminskis ◽  
Patricija Ivanova ◽  
Aina Kratovska ◽  
Sanita Ponomarjova ◽  
Margarita Ptašņuka ◽  
...  

Abstract Background Upper gastrointestinal bleeding (UGIB) due to peptic ulcer disease is one of the leading causes of death in patients with non-variceal bleeding, resulting in up to 10% mortality rate, and the patient group at high risk of rebleeding (Forrest IA, IB, and IIA) often requires additional therapy after endoscopic hemostasis. Preventive transarterial embolization (P-TAE) after endoscopic hemostasis was introduced in our institution in 2014. The aim of the study is an assessment of the intermediate results of P-TAE following primary endoscopic hemostasis in patients with serious comorbid conditions and high risk of rebleeding. Methods During the period from 2014 to 2018, a total of 399 patients referred to our institution with a bleeding peptic ulcer, classified as type Forrest IA, IB, or IIA with the Rockall score ≥ 5, after endoscopic hemostasis was prospectively included in two groups—P-TAE group and control group, where endoscopy alone (EA) was performed. The P-TAE patients underwent flow-reducing left gastric artery or gastroduodenal artery embolization according to the ulcer type. The rebleeding rate, complications, frequency of surgical interventions, transfused packed red blood cells (PRBC), amount of fresh frozen plasma (FFP), and mortality rate were analyzed. Results From 738 patients with a bleeding peptic ulcer, 399 were at high risk for rebleeding after endoscopic hemostasis. From this cohort, 58 patients underwent P-TAE, and 341 were allocated to the EA. A significantly lower rebleeding rate was observed in the P-TAE group, 3.4% vs. 16.2% in the EA group; p = 0.005. The need for surgical intervention reached 10.3% vs. 20.6% in the P-TAE and EA groups accordingly; p = 0.065. Patients that underwent P-TAE required less FFP, 1.3 unit vs. 2.6 units in EA; p = 0.0001. The mortality rate was similar in groups with a tendency to decrease in the P-TAE group, 5.7% vs. 8.5% in EA; p = 0.417. Conclusion P-TAE is a feasible and safe procedure, and it may reduce the rebleeding rate and the need for surgical intervention in patients with a bleeding peptic ulcer when the rebleeding risk remains high after primary endoscopic hemostasis.


2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Greg J. Marchand ◽  
Katelyn M. Sainz ◽  
Ali Azadi ◽  
Alexa King ◽  
Sienna Anderson ◽  
...  

Emergency room admissions and surgery secondary to the malfunctioning of devices intended for sexual stimulation are extremely common. Emergency room staff in the United States are commonly skilled in the detection and removal of some of these frequent occurrences. Occasionally, surgical intervention can be warranted if the device enters a cavity that cannot safely be explored in the emergency room setting. We report a case of a vibrator which was lost during sexual activity and appeared on flat plate X-ray to be in the abdominal cavity. A careful history showed that the device was of an unusually narrow diameter, and surgical intervention showed the device ultimately ended up in the bladder without traumatic injury. Following laparoscopic confirmation of the device’s location in the bladder, cystoscopic removal was performed and the patient recovered uneventfully.


2009 ◽  
Vol 135 (S234) ◽  
pp. 22-25
Author(s):  
Sten Bille ◽  
Olaf Rømcke

2017 ◽  
Vol 10 (4) ◽  
pp. 368-373
Author(s):  
P Ravindra ◽  
J Voss ◽  
S Hall ◽  
RJ Stanford ◽  
SD Scriven ◽  
...  

Objective: Patients at our institution with asymptomatic calyceal stones (<11 mm) are discharged to their GPs with a request for 12- and 24-month X-ray KUBs with specific re-referral criteria. We aimed to assess the effectiveness of this shared care protocol as well as to investigate long-term outcomes. Patients and methods: All patients satisfying the above criteria discharged during October 2009–June 2011 were reviewed for protocol compliance, symptomatic events and/or surgical intervention up to July 2015. Results: A total of 134 patients were identified. Out of 115 patients eligible for their first X-ray, and 100 patients eligible for their second X-ray, 43% and 26% respectively were performed. Of these, 75% demonstrated no progression. No patients were treated surgically solely on the basis of radiographic progression. Over a mean five-year follow-up, patients had a 39% chance of experiencing a symptomatic event and a 24% chance of requiring surgical intervention (ESWL, ureteroscopy and/or PCNL). Risk factors included a previous stone history and having a total stone size >10 mm. Conclusion: There was poor adherence to this protocol. Despite this, only symptomatic patients were treated surgically, challenging the value of indefinite surveillance of asymptomatic patients. Longitudinal studies are needed to determine a cost-effective manner in which these patients can be safely followed up.


2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Anna Lysenko ◽  
Alexandra Razumova ◽  
Andrey Yaremenko ◽  
Rustam Mirzakhmedov ◽  
Anna Zubareva ◽  
...  

In this study, we report our first experience of applying the concretion visualization method using augmented reality technology. A clinical case of a new surgical intervention on the parotid salivary gland with the localization of salivary stone in its parenchyma is considered. During additional diagnostics, it was found that the size of the concretion exceeds 5 mm which did not allow us to use the endoscopic technologies. That was the reason for the choice of surgical intervention external access using salivary stone visualization with the help of augmented reality. The preoperative procedures included making the upper jaw cast model, fitting the model and individual mouthguard with an X-ray contrast marker and marker slot. In addition to this, computed tomography of the head and neck using a mouthguard was made. During surgery under general anesthesia with nasal intubation, the mouthguard together with the marker is installed in the patient’s mouth and the surgeon puts on the glasses to visualize the stone image in place of its localization. This method enables to visualize the salivary stone on all surgery stages no matter what type of approach is used or performing hydropreparation. That is why using the augmented reality appears promising and is to be studied further.


2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Natalie Simon ◽  
Shyam Kolvekar ◽  
Amir Khosravi

Abstract Pectus excavatum is a chest wall deformity with an incidence of around 1 in 400 live births. The Nuss procedure is a surgical intervention that aims to restore functional integrity in these patients. We report the first case of bar migration into the stomach necessitating further surgical intervention for removal. Our case presents a rare complication of pectus excavatum repair and highlights the importance of vigilant follow-up in these patients. If bar migration does occur, imaging in the form of X-ray and CT scans may be of use in early detection in order to expedite management.


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