scholarly journals Removal of a Small Bowel Bezoar Causing Bowel Obstruction via Mechanical Compression after Metal Stent Placement

2021 ◽  
Vol 96 (1) ◽  
pp. 53-58
Author(s):  
Man Ki Choi ◽  
Yeong Joo Jeong ◽  
Seung Goun Hong
Keyword(s):  
Small Bowel ◽  
Multidisciplinary Approach ◽  
Stent Insertion ◽  
Mechanical Compression ◽  
Metal Stent ◽  
Physical Status ◽  
Foreign Material ◽  
First Case ◽  
Stent Retrieval ◽  
Gastric Bezoar

Small bowel obstructions (SBOs) that develop for various reasons often require prompt medical treatment. Migration of a gastric bezoar (indigestible foreign material that has accumulated in the stomach) is a rare cause of SBO. Treatment of a symptomatic SBO caused by a bezoar requires a multidisciplinary approach that considers the patient’s physical status and comorbidities and the bezoar volume, location, and pathology. Although surgery is the treatment of choice, endoscopic treatments such as fragmentation and retrieval may serve as alternatives. We present the first case of resolution of a large phytobezoar via mechanical compression after covered metal stent insertion, followed by stent retrieval, in a patient with a symptomatic SBO that persisted even after two sessions of push-endoscopic fragmentation.

Spontaneous otogenic pneumocephalus presenting with occipital subcutaneous emphysema as primary symptom: could tension gas cause the destruction of cranial bones?

2011 ◽  
Vol 115 (4) ◽  
pp. 679-683 ◽  
Author(s):  
Ninghui Zhao ◽  
Doris D. Wang ◽  
Xiaobin Huang ◽  
Surya K. Karri ◽  
Haiying Wu ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Subcutaneous Emphysema ◽  
Air Pressure ◽  
Air Leakage ◽  
Mechanical Compression ◽  
Tension Pneumocephalus ◽  
First Case ◽  
Subcutaneous Space

The authors report, to the best of their knowledge, the first case of a spontaneous tension pneumocephalus with subcutaneous emphysema. Hyperpneumatization of the cranium and mechanical compression contributed jointly to the formation of a fistula, and air pressure caused a subsequent disruption of the suture and air leakage into the subcutaneous space. A minimally invasive otological procedure proved efficacious for resolution.

Self-expanding metal stent insertion for inoperable esophageal carcinoma in Belfast: an audit of outcomes and literature review

2011 ◽  
Vol 24 (8) ◽  
pp. 569-574 ◽  
Author(s):  
R. T. Gray ◽  
M. E. O'Donnell ◽  
R. D. Scott ◽  
J. A. McGuigan ◽  
I. Mainie
Keyword(s):  
Literature Review ◽  
Esophageal Carcinoma ◽  
Stent Insertion ◽  
Metal Stent

Jewish Holiday “Tu Bishvat” or Two Cases of Small Bowel Obstruction with Dried Apricot

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Kukeev I ◽  
◽  
Replyansky I ◽  
Czeiger D ◽  
Atias S ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Gastric Bypass Surgery ◽  
Surgical Removal ◽  
Cellulose Content ◽  
Lead Point ◽  
First Case ◽  
Dried Fruit ◽  
High Level

Introduction: Small bowel obstruction caused by bezoars is rare. One of the causes of phytobezoars is dried fruits. We present two cases of small bowel obstruction caused by dried apricots during Jewish holiday “Tu BiShvat”. Case Presentation: Two men, 54 and 86 years old hospitalized with acute abdomen attributed to small bowel obstruction. In the first case - intoxicated patient, due to suspicion of mesenteric ischemia underwent laparotomy. A lead point caused obstruction was found and after enterotomy whole dried apricot was removed. The patient swallowed it whole three days before hospitalization. In the second case, edentulous patient with small bowel obstruction and peritonitis underwent laparotomy. The cause of obstruction was a dried apricot swallowed whole by the patient. Discussion: Presentation of bezoar with features of acute surgical abdomen is extremely rare, accounting for only 1% of the patients. The expansion of phytobezoar that is high in cellulose content can absorb a large amount of fluid causing an obstruction of the small bowel. The treatment of small bowel obstruction caused by bezoars varies from dissolving with cellulase, papain and even Coca-Cola, followed by endoscopic and surgical removal. Conclusion: A high level of suspicion needs to exist in the presence of a history of eating dried fruit, which can cause gastrointestinal obstruction. Especially on background gastric bypass surgery and inadequate mastication.

Solitary Peutz-Jeghers Type Polyp of Jejunum with Gastric Fundic and Antral Gland Lining Mucosa: A Case Report and Review of Literature

2021 ◽  
pp. 106689692110677
Author(s):  
Bella Lingjia Liu ◽  
Huifang Zhou ◽  
Martina Risech ◽  
Alex Ky ◽  
Jane Houldsworth ◽  
...  
Keyword(s):  
Family History ◽  
Small Bowel ◽  
Smooth Muscles ◽  
Fundic Gland ◽  
Muscularis Mucosa ◽  
Hamartomatous Polyp ◽  
Gi Tract ◽  
First Case ◽  
Mucocutaneous Pigmentation ◽  
Peutz Jeghers Syndrome

Solitary Peutz-Jeghers type polyps are characterized by a hamartomatous polyp of the gastrointestinal (GI) tract in a patient without mucocutaneous pigmentation, family history of Peutz-Jeghers syndrome, or STK11/LKB1 mutations. Histologically identical to the polyps in Peutz-Jeghers syndrome, these sporadic polyps can arise anywhere along the GI tract, with typical arborizing smooth muscles extending from the muscularis mucosa. While the lining mucosa is generally the same as the organ in which it arises, gastric pyloric and osseous metaplasia have been reported in intestinal polyps in Peutz-Jeghers syndrome. Herein, the authors report the first case of a small intestinal solitary Peutz-Jeghers type polyp with gastric antral and fundic gland lining mucosa. A 43-year-old male was admitted for small bowel obstruction. Diagnostic laparoscopy revealed jejuno-jejunal intussusception with an associated polyp measuring 7.2 cm. Histological examination showed a hamartomatous polyp with arborizing smooth muscle bundles extending from the muscularis mucosae. The polyp was lined by non-dysplastic gastric antral and fundic gland mucosa, and was sharply demarcated from the adjacent non-polypoid intestinal mucosa. Colonoscopy, esophagogastroduodenoscopy and small bowel enteroscopy revealed no additional polyps or masses. Thorough investigation of the patient's family history was negative for Peutz-Jeghers syndrome or mucocutaneous pigmentation. Molecular analysis of the lesion was negative for STK11/LKB1 mutations. A diagnosis of solitary Peutz-Jeghers type polyp of the small bowel with gastric antral and fundic gland mucosal lining was rendered.

scholarly journals A multidisciplinary approach to the spatial dimension in ecosystem-based fisheries management

2018 ◽  
Vol 31 ◽  
pp. 23 ◽  
Author(s):  
Pascal Le Floc'h ◽  
Michel Bertignac ◽  
Olivier Curtil ◽  
Claire Macher ◽  
Emilie Mariat-Roy ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Spatial Scales ◽  
Spatial Dimension ◽  
Common Denominator ◽  
Bay Of Biscay ◽  
First Case ◽  
Fishing Fleets ◽  
Coastal Space ◽  
Fish Habitats

This study considers how to reconcile different spatial scales to find the best common denominator to be used as an ecosystem-based management unit. For this, two fishery production zones differing ecologically, economically, legally and institutionally were investigated. The first case study is located within French territorial waters, in a MPA created in 2007- the Parc Naturel Marin d'Iroise (PNMI). The second case study, the Bay of Biscay, covers both territorial waters and the French exclusive economic zone. The paper adopts a multidisciplinary approach. Relevant questions concern how marine space is shared between exploited species and fishing fleets, especially the spatial mobility strategies they employ. An assessment of the institutional system established for the PNMI contributes to the discussion of changes in coastal space use. It is obvious that the area in need of protection, defined on the basis of essential fish habitats, does not solely concern the fisheries located within the coastal zone. Experiments conducted by scientists and professionals in the Bay of Biscay provide other key points for the discussion in terms of what institutional frameworks to promote.

Biliary Metal Stent Insertion

Ercp ◽  
2019 ◽  
pp. 206-215.e2
Author(s):  
Koushik K. Das ◽  
Gregory G. Ginsberg
Keyword(s):  
Stent Insertion ◽  
Metal Stent ◽  
Biliary Metal Stent

Living-related donor small bowel transplantation: first case in Japan

1998 ◽  
Vol 30 (7) ◽  
pp. 3441-3442 ◽  
Author(s):  
Y. Fujimoto ◽  
T. Koshiba ◽  
Y. Ogura ◽  
K. Uryuhara ◽  
M. Kasahara ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Transplantation ◽  
First Case ◽  
Related Donor ◽  
Living Related ◽  
Living Related Donor

scholarly journals Tu1447 – Efficacy of Lumen-Apposing Metal Stent Insertion in Patients with Malignant Pancreatic Fluid Collections: A Tertiary Cancer Center Experience

2019 ◽  
Vol 156 (6) ◽  
pp. S-1043
Author(s):  
Osman Ahmed ◽  
Phonthep Angsuwatcharakon ◽  
Brian R. Weston ◽  
Phillip Lum ◽  
William A. Ross ◽  
...  
Keyword(s):  
Cancer Center ◽  
Stent Insertion ◽  
Metal Stent ◽  
Pancreatic Fluid Collections ◽  
Pancreatic Fluid ◽  
Fluid Collections ◽  
Tertiary Cancer Center

scholarly journals A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ben Warner ◽  
Phillip Harrison ◽  
Muhammad Farman ◽  
John Devlin ◽  
David Reffitt ◽  
...  
Keyword(s):  
Liver Transplant ◽  
Liver Function Tests ◽  
Stent Insertion ◽  
Complication Rates ◽  
Metal Stent ◽  
Unique Type ◽  
Anastomotic Strictures ◽  
Stricture Recurrence

Abstract Background We report our experience of treating anastomotic strictures using a novel type of fully covered metal stent (FCSEMS). This stent, known as the Kaffes Stent, is short-length with an antimigration waist and is easily removable due to long retrieval wires deployed within the duodenum. Methods Sixty-two patients underwent ERCP and Kaffes stent insertion for post-transplant anastomotic strictures following confirmation of a stricture on MRCP. These patients were retrospectively analysed for immediate and long-term stricture resolution, improvement in symptoms and liver function tests (LFTs), stricture recurrence and complication rates. Results Of the 56 patients who had their stent removed at the time of analysis, 54 (96%) had immediate stricture resolution and 42 continued to have long-term resolution (mean follow-up period was 548 days). Of the 16 patients with symptoms of biliary obstruction, 13 had resolution of their symptoms. Overall, there was a significant improvement in LFTs after stent removal compared to before stent insertion. Complication rates were 15% with only one patient requiring biliary reconstruction. Conclusions The Kaffes stent is effective and safe at resolving post liver transplant biliary anastomotic strictures.

Abdominal Manifestations of Neuroendocrine Tumors

2019 ◽  
Vol 03 (01) ◽  
pp. 014-029
Author(s):  
Leonardo Marcal ◽  
Madhavi Patnana ◽  
Sireesha Yedururi ◽  
Hubert Chuang ◽  
Catherine Devine ◽  
...  
Keyword(s):  
Small Bowel ◽  
Neuroendocrine Tumors ◽  
Multidisciplinary Approach ◽  
Imaging Techniques ◽  
Tumor Biology ◽  
Imaging Features ◽  
Gastroenteropancreatic Neuroendocrine Tumors ◽  
New Developments ◽  
Clinical Presentations ◽  
Unites States

AbstractDespite being rare, the incidence and prevalence of gastroenteropancreatic neuroendocrine tumors (NETs) is rising. They are a heterogeneous group of tumors with differences in clinical presentations, genetics, and imaging features. Advances in pathological classification, imaging (including recent radiotracer approval for functional imaging in the Unites States), and therapy have impacted management of these tumors. It is important in the multidisciplinary approach to patient care to be familiar with the tumor biology, imaging techniques for diagnosis and staging, and therapeutic options. This article will discuss these new developments, particularly focusing on pancreatic and small bowel NETs.

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