scholarly journals Síndrome de Rapunzel. Reporte de un caso

2020 ◽  
Vol 50 (3) ◽  
Author(s):  
Vanessa Durán Becerra ◽  
Laura Tatiana Padilla Pinzón ◽  
Jean Andre Pulido Segura ◽  
Luis Felipe Cabrera Vargas ◽  
Mauricio Pedraza Ciro ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Gold Standard ◽  
Gastrointestinal Endoscopy ◽  
Clinical Manifestations ◽  
Exploratory Laparotomy ◽  
Upper Gastrointestinal Endoscopy ◽  
Rapunzel Syndrome ◽  
Difficult Diagnosis ◽  
Upper Gastrointestinal

Bezoars are accumulations of non-digestible material in the gastrointestinal tract; classified according to the material that it is composed. They are called trichobezoars to those who are formed by the hair, and when are extended to the gastric chamber are called Rapunzel syndrome. It presents mainly in teenagers associated with psychiatric disorders. It has different clinical manifestations and the upper gastrointestinal endoscopy is the gold standard for its diagnosis. We present a case of a Rapunzel Syndrome in an 18 years old patient who was admitted due to abdominal pain, emesis and absence of stools. The initial diagnosis was a difficult diagnosis because of an intestinal obstruction. By this reason it was decided to perform an exploratory laparotomy where it was found a trichobezoar which was extended over the pylorus. According to literature, Laparotomy is the most successful procedure for the resolution of this disease.

scholarly journals Rapunzel Syndrome in a Seven-Year-Old Girl

2021 ◽  
Author(s):  
Aviral Gupta ◽  
Sarvesh C. Mishra ◽  
Vijay D. Upadhyay ◽  
Pujana Kanneganti
Keyword(s):  
Abdominal Pain ◽  
Gold Standard ◽  
Gastrointestinal Endoscopy ◽  
Case Reports ◽  
Abdominal Mass ◽  
Upper Gastrointestinal Endoscopy ◽  
Surgical Removal ◽  
Rare Entity ◽  
Rapunzel Syndrome ◽  
Upper Gastrointestinal

AbstractRapunzel syndrome is a rare entity with less than hundred case reports cited in the literature. In this, there is presence of a trichobezoar in the stomach which extends into the small intestine or beyond. It can typically cause abdominal pain and nausea, but can also present as an asymptomatic abdominal mass, progressing to abdominal obstruction and perforation. Many of these patients have associated psychiatric disorder. The gold standard for diagnosis is upper gastrointestinal endoscopy and treatment is surgical removal. Herein, we present surgical images of Rapunzel syndrome in a seven-year-old girl.

scholarly journals First Video Case Report of Chronic Retrograde Jejunojejunal Intussusception after Subtotal Gastrectomy with Braun’s Anastomosis

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Savaş Bayrak ◽  
Hasan Bektaş ◽  
Necdet Derici ◽  
Ekrem Çakar ◽  
Şükrü Çolak
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Case Report ◽  
Gastrointestinal Endoscopy ◽  
Subtotal Gastrectomy ◽  
Gastric Surgery ◽  
Upper Gastrointestinal Endoscopy ◽  
Video Presentation ◽  
Video Case Report ◽  
Upper Gastrointestinal

Intussusception, which is seen rarely in adults, is defined as the pulling or invagination of a part of the intestine into another segment of the intestine. In this case report we present chronic retrograde jejunojejunal intussusception following gastric surgery with Braun’s anastomosis in adult with video presentation. A 66-year-old woman, who had undergone gastric surgery 39 years ago and cholecystectomy 20 years ago, was admitted to our clinic with the complaints about weight loss, abdominal pain, nausea, and vomiting. Upper gastrointestinal endoscopy (UGISE) was applied, and patient was treated with surgery. This case report indicates that intussusception should be considered in the presence of clinical complaints following gastric surgery, as well as importance of endoscopy in diagnosis.

scholarly journals Diagnostic Yield of Upper Gastrointestinal Endoscopy in Children: A Three Years Experience

2020 ◽  
Vol 40 (2) ◽  
pp. 87-92
Author(s):  
Binita Gurubacharya Joshi ◽  
Madhu Ghimire
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Endoscopy ◽  
Diagnostic Yield ◽  
Paediatric Population ◽  
Chronic Abdominal Pain ◽  
Gastrointestinal Disorders ◽  
Upper Gastrointestinal Endoscopy ◽  
Age Group ◽  
Gastrointestinal Problems ◽  
Upper Gastrointestinal

Introduction: Gastrointestinal disorders are very common in paediatric population. Upper Gastrointestinal Endoscopy procedures have increased dramatically worldwide and have contributed in identification of various gastrointestinal disorders along with therapeutic benefits. However, it is recently being established in paediatric population in Nepal and proper data is scarce. This study was aimed to assess upper gastrointestinal endoscopy with respect to its indications and diagnostic yield at a tertiary centre over a three years period. Methods: This is a retrospective observational study where data of all paediatric patients between the age group 0 - 15 years having various gastrointestinal problems who underwent upper gastrointestinal endoscopy from March 2013 - Feb 2016 in our centre were analysed. Results: Among 270 patients, males comprised 60% and females comprised 40%. Age range was 0 - 15 years and majority were from the age group between 10 to 15 years (66.2%). Most common indications for endoscopy were chronic abdominal pain (58.8%), acute epigastric pain (18.5%), followed by failure to thrive (7%). Abnormal findings were detected in 250 patients (92.5%); gastroduodenitis (28.14%), antral gastritis (18.51%), erosive gastritis (15.92%), duodenitis (9.25%), hiatus hernia (7.4%), varices (5.5%) were common findings. Histopathologically, chronic gastritis and duodenitis (72%) were common findings followed by acute gastritis and giardiasis. Among 80 patients who underwent RUT, 50% each had positive and negative results. Conclusion: Chronic abdominal pain remains common gastrointestinal problem in children. With the advent of upper gastrointestinal endoscopy various gastrointestinal problems can be identified and managed accordingly. Along with the facility of histopathology, diagnostic yield and outcome is further enhanced.

Upper Gastrointestinal Endoscopy in Recurrent Abdominal Pain of Childhood

1993 ◽  
Vol 16 (3) ◽  
pp. 273-277 ◽  
Author(s):  
Merja Ashorn ◽  
Markku Mäki ◽  
Tarja Ruuska ◽  
Riitta Karikoski-Leo ◽  
Minna Hällström ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Endoscopy ◽  
Recurrent Abdominal Pain ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal

scholarly journals Hem-o-Lok Clip in the First Part of Duodenum after Laparoscopic Cholecystectomy

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mohammadreza Seyyedmajidi ◽  
Seyed Ashkan Hosseini ◽  
Shahin Hajiebrahimi ◽  
Jamshid Vafaeimanesh
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Gastrointestinal Endoscopy ◽  
Common Bile Duct Exploration ◽  
Anterior Wall ◽  
Upper Gastrointestinal Endoscopy ◽  
Ligation Method ◽  
Upper Gastrointestinal

Laparoscopic cholecystectomy (LC) and common bile duct exploration (LCBDE) have become the standard surgical procedure for cholecystolithiasis and choledocholithiasis. During the operation, cystic duct and vessels are usually controlled by Hem-o-Lok clips. We report a case with a complaint of severe abdominal pain for the previous 20 days. Her medical history was unremarkable except for laparoscopic cholecystectomy 8 months ago. In upper gastrointestinal endoscopy, two Hem-o-Lok clips at anterior wall of the first part of duodenum were detected. Therefore, the clip can migrate during postoperative period and Hem-o-Lok is not a very safe ligation method during laparoscopic cholecystectomy.

scholarly journals Upper Gastrointestinal Endoscopy in Lumbini Medical College and Teaching Hospital

2013 ◽  
Vol 1 (1) ◽  
pp. 7
Author(s):  
Bishal Khattri Chhetri ◽  
M S Paudel ◽  
Nabin Pokharel ◽  
Shadev Prasad Dhungana ◽  
Anuj Paudel ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Gastrointestinal Tract ◽  
Teaching Hospital ◽  
Esophageal Varices ◽  
Gastrointestinal Endoscopy ◽  
Common Finding ◽  
Upper Gastrointestinal Endoscopy ◽  
Ulcer Disease ◽  
Medical College ◽  
Upper Gastrointestinal

  Introduction: Upper gastrointestinal (UGI) endoscopy includes visualization of the oropharynx, esophagus, stomach, and proximal duodenum, with real time assessment and interpretation of the findings encountered. An upper endoscopy is indicated in the diagnostic evaluation of signs and symptoms of a wide variety of gastrointestinal disorders. Besides there are some therapeutic implication of the endoscopy. This study was conducted to study the spectrum of diseases found during the upper gastrointestinal endoscopy in patient presenting in Lumbini Medical College and Teaching Hospital (LMCTH).   Methods: This was a retrospective observational study carried out in LMCTH. The endoscopic record book of the patients who underwent UGI endoscopy for various reasons from February 2011 to 2013 was analysed. The risk factor of smoking and alcohol was also included and analysed in the study.   Results: All together 550 upper GI endoscopy was performed in the two years. There were 290 males (52.72%) and females were 260 (47.38%). The mean age was 45.7 years (SD=17.9). Most of the patient belonged to the age group 41 to 80 years (71%). Among total patients, 209 (38%) of them were found to be macroscopically normal. Of those who had positive endoscopic findings; 165 (48.4%) had gastritis and 36 (10.6%) had duodenal ulcer, esophageal varices was in 30 (8.8%), gastric carcinoma in nine (2.6%) of cases. Cigarette smoking was significantly associated with the presence of peptic ulcer disease (p=0.01) and malignancy of gastrointestinal tract (p=0.03). Alcohol intake was non-significantly related to peptic ulceration (p=0.07) and malignancy of gastrointestinal tract (p=0.09).   Conclusion: Upper gastrointestinal endoscopy is a safe and useful procedure for investigating patients with gastrointestinal complains. Gastritis was the most common finding among the patients who had abnormal endoscopy followed by duodenal ulcer and esophageal varices.

scholarly journals Primary intestinal lymphangiectasia in a 23-month- old girl

2019 ◽  
Vol 2019 (7) ◽  
Author(s):  
Lava Mohammad ◽  
Razan Omran ◽  
Alexandr Ibrahim ◽  
Mohammad Adib Hourieh ◽  
Ali Ibrahim
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Endoscopy ◽  
High Protein Diet ◽  
Upper Gastrointestinal Endoscopy ◽  
Intestinal Lymphangiectasia ◽  
Medium Chain Triglycerides ◽  
Diet Supplements ◽  
Fat Soluble Vitamins ◽  
Oral Supplements ◽  
Upper Gastrointestinal

Abstract Primary intestinal lymphangiectasia (PIL) is a rare protein-losing gastroenteropathy which is defined as dilation of existing mucosal, submucosal, or subserosal lymphatics within the gastrointestinal tract. That causes loss of lymph fluid into the gastrointestinal tract, leading to the development of hypoproteinemia, edema, lymphocytopenia, hypogammaglobinemia, and immunologic anomalies. It is usually diagnosed in patients younger than 3 years old and is rarely first diagnosed in adulthood. Here we have a case report in a 23-month- old female presented with the complaint of peripheral edema and diarrhea. The diagnosis of PIL was made through upper gastrointestinal endoscopy and pathology histologic analysis. Patient placed on oral supplements of medium-chain triglycerides, a high protein diet, supplements of fat-soluble vitamins and responded well.

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