7,739 results match your criteria Gastric Outlet Obstruction


Internal hernia of the stomach through the lateral space of the colostomy: a case report.

J Surg Case Rep 2020 Jun 25;2020(6):rjaa124. Epub 2020 Jun 25.

Department of Surgery, JA Kohseiren Enshu Hospital, Hamamatsu, Japan.

An 81-year-old woman had undergone laparoscopic abdominoperineal resection for rectal cancer. A permanent colostomy was created through an intraperitoneal route. Three months after the surgery, the patient presented with lower abdominal pain and vomiting. Read More

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http://dx.doi.org/10.1093/jscr/rjaa124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316439PMC

MiR-3150b-3p inhibits the proliferation and invasion of cervical cancer cells by targeting TNFRSF11a.

J Investig Med 2020 Jul 2. Epub 2020 Jul 2.

Department of Obstetrics and Gynecology, Chifeng Municipal Hospital, Chifeng, China.

The objective of this study was to determine the role of miR-3150b-3p in the cervical cancer (CC) progression. Real-time PCR and western blot analysis were conducted to test the expression of miR-3150b-3p, TNFRSF11a and p38 mitogen-activated protein kinase (MAPK) signaling pathway. The interaction between miR-3150b-3p and TNFRSF11a was verified by luciferase assay. Read More

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http://dx.doi.org/10.1136/jim-2020-001284DOI Listing

Gastrointestinal: Anticoagulant-induced intramural duodenal hematoma presenting as gastric outlet obstruction.

J Gastroenterol Hepatol 2020 Jun 29. Epub 2020 Jun 29.

Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Science, Bhubaneswar, India.

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http://dx.doi.org/10.1111/jgh.15147DOI Listing

Endoscopic GI anastomosis: a review of established techniques.

Gastrointest Endosc 2020 Jun 25. Epub 2020 Jun 25.

Division of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland. Electronic address:

Technological advancements in the field of therapeutic endoscopy have led to the development of minimally invasive techniques to create a gastrointestinal anastomosis without requiring surgery. Examples of the potential clinical applications of these novel endoscopic techniques can be bypassing malignant and benign gastric outlet obstruction, providing access to the pancreatobiliary tree in those who have undergone Roux-en-Y gastric bypass and to relieve pancreatobilliary symptoms in afferent loop syndrome. Endoscopic gastrointestinal anastomosis is less invasive and expensive than surgical approaches, which may be more appealing to patients and result in improved outcomes. Read More

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http://dx.doi.org/10.1016/j.gie.2020.06.057DOI Listing

Gastric peroral endoscopic pyloromyotomy appears to be a promising approach to gastric outlet obstruction.

Gastrointest Endosc 2020 Jul;92(1):225

First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

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http://dx.doi.org/10.1016/j.gie.2020.01.047DOI Listing

Gastric Adenomyosis: A Rare Cause of Pyloric Mass in Children.

J Indian Assoc Pediatr Surg 2020 May-Jun;25(3):172-174. Epub 2020 Apr 11.

Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.

Adenomyoma of the stomach is a benign tumor with a very low incidence. Clinical presentation and imaging modalities are usually nonspecific and variable. A rare case of gastric adenomyoma in a 12-year-old child is being reported who presented with gastric outlet obstruction. Read More

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http://dx.doi.org/10.4103/jiaps.JIAPS_44_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302453PMC

[The clinical value of totally laparoscopic stomach-partitioning gastrojejunostomy for malignant gastric outlet obstruction].

Zhonghua Zhong Liu Za Zhi 2020 Jun;42(6):445-448

Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

To explore the clinical value of totally laparoscopic stomach-partitioning gastrojejunostomy (TLSPGJ) for malignant gastric outlet obstruction. The clinical data of 9 gastric cancer patients who underwent TLSPGJ in Department of Pancreatic and Gastric Surgery, Cancer Hospital between September 2018 and September 2019 were retrospectively analyzed. The mean operative blood loss of 9 cases were (13. Read More

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http://dx.doi.org/10.3760/cma.j.cn112152-20191010-00659DOI Listing

Covered versus uncovered metal stents for malignant gastric outlet obstruction: a systematic review and meta-analysis.

Gastrointest Endosc 2020 Jun 18. Epub 2020 Jun 18.

Division of Gastroenterology and Hepatology, University of Utah Hospital, 30 N 1900 E, 4R118, Salt Lake City , UT 84132.

Background And Aims: Self-expandable metal stents are used for palliation of malignant gastric outlet obstruction (GOO). Studies comparing covered self-expandable metallic stents (C-SEMSs) and uncovered self-expandable metallic stents (U-SEMSs) have led to inconclusive results. We compared efficacy and safety of C-SEMSs versus U-SEMSs in patients with GOO. Read More

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http://dx.doi.org/10.1016/j.gie.2020.06.033DOI Listing

Pediatric Surgery Simulation-Based Training for the General Surgery Resident.

J Surg Res 2020 Jun 16. Epub 2020 Jun 16.

Division of Pediatric Surgery, Department of Surgery, Rush University Medical Center, Chicago, Illinois; Rush Center For Clinical Skills and Simulation, Rush University Medical Center, Chicago, Illinois.

Background: Surgical simulation-based training (SBT) can increase resident confidence and improve performance. SBT in pediatric surgery is in its infancy and often geared toward training pediatric surgery fellows. Since case volume for various pediatric surgery-specific procedures can be low based on the rarity of the pathology involved and the level of care provided by the institution, our aim was to create a pediatric surgery simulation-based curriculum for general surgery residents to address this need. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.038DOI Listing

Pyloroduodenal intussusception due to diffuse juvenile polyposis in a 3 year-old child: case report.

Turk J Pediatr 2020 ;62(3):501-504

Departments of Pediatric Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Background: Pyloroduodenal intussusception (PDI) due to gastric and pyloric polyps is very rare and has not been reported previously in children.

Case: A 3 year-old boy was admitted with non-bilious vomiting and abdominal distention. Abdominal X-ray showed gastric air-fluid level and ultrasonography showed 5 cm intussusception at right upper quadrant. Read More

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http://dx.doi.org/10.24953/turkjped.2020.03.022DOI Listing
January 2020

Gastric tuberculosis mimicking liver abscess - A case report.

Indian J Tuberc 2020 Apr 1;67(2):274-276. Epub 2020 Feb 1.

Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Science, Raibareli Road, Lucknow 226014, India.

Tuberculosis of the stomach is quite rare, both as a primary or secondary infection. It has varied presentation ranging from non-specific abdominal pain and constitutional symptoms to hematemesis, gastric outlet obstruction and pyrexia of unknown origin. Here, we report a rare, interesting case of locally advanced gastric tuberculosis, which morphologically mimicked liver abscess initially in a young, immunocompetent patient presenting with fever and abdominal pain. Read More

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http://dx.doi.org/10.1016/j.ijtb.2020.01.012DOI Listing

Alternative uses of lumen apposing metal stents.

World J Gastroenterol 2020 Jun;26(21):2715-2728

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, United States.

The advent of lumen apposing metal stents (LAMS) has revolutionized the management of many complex gastroenterological conditions that previously required surgical or radiological interventions. These procedures have garnered popularity due to their minimally invasive nature, higher technical and clinical success rate and lower rate of adverse events. By virtue of their unique design, LAMS provide more efficient drainage, serve as conduit for endoscopic access, are associated with lower rates of leakage and are easy to be removed. Read More

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http://dx.doi.org/10.3748/wjg.v26.i21.2715DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284179PMC

Management of gastric outlet obstruction: Focusing on endoscopic approach.

World J Gastrointest Pharmacol Ther 2020 Jun;11(2):8-16

Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Busan 48108, South Korea.

Gastric outlet obstruction (GOO) is a medical condition characterized by epigastric pain and postprandial vomiting due to mechanical obstruction. The obstructions typically involved in GOO can be benign or malignant. Peptic ulcer disease is the most common cause of benign GOO, and malignant causes include gastric cancer, lymphoma, and gastrointestinal stromal tumor. Read More

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http://dx.doi.org/10.4292/wjgpt.v11.i2.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288729PMC

Peroral endoscopic myotomy for management of gastrointestinal motility disorder.

World J Clin Cases 2020 Jun;8(11):2116-2126

Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Achalasia is a type of esophageal motility disorder, consisting of relaxation dysfunction of the lower esophagus and disturbed esophageal peristalsis. Related clinical symptoms include dysphagia, regurgitation, chest pain, and weight loss. Traditional treatment options include endoscopic botulinum toxin injection, endoscopic pneumatic dilation, and laparoscopic Heller's myotomy. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i11.2116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281049PMC

Palliative care for advanced gastric cancer.

Expert Rev Anticancer Ther 2020 Jun 23:1-6. Epub 2020 Jun 23.

Department of Gastrointestinal Medical Oncology, University of Texas M. D. Anderson Cancer Center , Houston, TX, USA.

Introduction: Proactive palliative care can effectively relieve symptoms early and effectively as well as improve the quality of life of patients with gastric adenocarcinoma (GAC).

Areas Covered: The review summarizes palliative care for GAC. GAC caused specific symptoms, such as malignant gastric outlet obstruction (GOO), bleeding, weight loss, and/or ascites, therefore, these symptoms must be addressed specifically. Read More

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http://dx.doi.org/10.1080/14737140.2020.1781620DOI Listing

Idiopathic retroperitoneal haematoma causing duodenal obstruction: a case report and review of literature.

Ann R Coll Surg Engl 2020 Jun 15:e1-e4. Epub 2020 Jun 15.

Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, Camberley, UK.

Idiopathic retroperitoneal haematoma is a rare clinical entity; resulting duodenal obstruction is even more occult. It can pose a diagnostic challenge due to variable presentations. Timely management requires a high index of suspicion and a multidisciplinary approach. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0117DOI Listing

Safety and efficacy of duodenal stent insertion for gastric outlet obstruction: characterisation of a regional district general hospital service.

Ann R Coll Surg Engl 2020 Jun 15:1-4. Epub 2020 Jun 15.

Department of General Surgery, Inverclyde Royal Hospital, Greenock, Scotland, UK.

Introduction: Placement of a duodenal or pyloric stent is a recognised palliative procedure for symptomatic relief of malignant gastric outlet obstruction. This procedure can be associated with significant complications, reinterventions and poor long-term relief of obstructive symptoms. However, there may be a faster return to diet and shorter hospital stay in comparison to other palliative procedures (eg gastrojejunostomy). Read More

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http://dx.doi.org/10.1308/rcsann.2020.0129DOI Listing

Clinical Outcome of Endoscopic Treatment of Symptomatic Sterile Walled-off Necrosis.

Endoscopy 2020 Jun 12. Epub 2020 Jun 12.

Amsterdam UMC, Gastroenterology & Hepatology, Amsterdam, Netherlands.

Background And Study Aims: The majority of patients with symptomatic sterile walled-off necrosis can be treated conservatively. Although endoscopic transluminal drainage is often performed in case of persistent symptoms, post-procedural iatrogenic infection may occur. The aim of this study was to evaluate the clinical outcome after endoscopic transluminal drainage of symptomatic sterile walled-off necrosis. Read More

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http://dx.doi.org/10.1055/a-1198-7501DOI Listing

Heterotopic pancreas adenocarcinoma in the stomach: A case report and literature review.

World J Clin Cases 2020 May;8(10):1979-1987

Department of Gastroenterology, Zhujiang Hospital of Southern Medical University, Guangzhou 510280, Guangdong Province, China.

Background: Heterotopic pancreas is a common lesion found in the gastrointestinal tract and is usually considered a benign disease. Reports of malignant change of heterotopic pancreas are scarce.

Case Summary: A 44-year-old Chinese female underwent a gastroscopy to assess abdominal distension that had persisted for 2 months. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i10.1979DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262711PMC

Nutritional Support of Cancer Patients without Oral Feeding: How to Select the Most Effective Technique?

GE Port J Gastroenterol 2020 Apr 7;27(3):172-184. Epub 2019 Oct 7.

Gastroenterology Department, Instituto Português de Oncologia Francisco Gentil, Porto, Portugal.

Background: Digestive tumours are among the leading causes of morbidity and mortality. Many cancer patients cannot maintain oral feeding and develop malnutrition. The authors aim to: review the endoscopic, radiologic and surgical techniques for nutritional support in cancer patients; address the strategies for nutritional intervention according to the selected technique; and establish a decision-making algorithm to define the best approach in a specific tumour setting. Read More

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http://dx.doi.org/10.1159/000502981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250336PMC

Endoscopic ultrasound-guided gastro-enteric anastomosis: A systematic review and meta-analysis.

Dig Liver Dis 2020 Jun 3. Epub 2020 Jun 3.

Gastro Unit, Division of Endoscopy, Copenhagen University Hospital Herlev, Denmark.

Background And Aims: Endoscopic ultrasound-guided gastro-enteric anastomosis (EUS-GEA) using lumen-apposing metal stents (LAMS) is emerging as a minimally invasive alternative to surgery across several indications. Literature on this subject is heterogeneous, with variable reporting of techniques and outcomes. Our aim was to perform a meta-analysis of published data on EUS-GEA, providing a pooled estimate of technical and clinical outcomes. Read More

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http://dx.doi.org/10.1016/j.dld.2020.04.021DOI Listing

Endoscopic stenting for gastroduodenal outlet obstruction of a malignant origin, real life experience in a single center.

Rev Esp Enferm Dig 2020 Jun 4;112. Epub 2020 Jun 4.

WIDER Barcelona. Digestive Endoscopy Unit, Hospital Universitari Vall d'Hebron.

Aim: to evaluate the safety and effectiveness of self-expandable metal stent placement for malignant gastric outlet obstruction (GOO).

Methods: a retrospective, analytic cohort study at a single, tertiary-care center.

Results: thirty-six patients that underwent stent placement for GOO of malignant origin were identified during the study period. Read More

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http://dx.doi.org/10.17235/reed.2020.6600/2019DOI Listing

Bouveret's syndrome as a rare complication of cholelithiasis: Disputes in current management and report of two cases.

Int J Surg Case Rep 2020 25;71:315-318. Epub 2020 May 25.

General Surgery Department, San Salvatore Hospital, Paternò, Catania, Italy.

Introduction: Bouveret's syndrome is a rare complication of cholelithiasis that determines an unusual type of gallstone ileus, secondary to an acquired fistula between the gallbladder and either the duodenum or stomach with impaction of a large gallbladder stone. Preoperative diagnosis is difficult because of its rarity and the absence of typical symptoms. Adequate treatment consists of endoscopic or surgical removal of obstructive stone. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264957PMC

Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review.

World J Emerg Surg 2020 Jun 1;15(1):37. Epub 2020 Jun 1.

Unit of General Surgery "V. Bonomo", Department of Biomedical Sciences and Human Oncology, University of Bari "A. Moro", Polyclinic of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Background: Giant hiatal hernia (GHH) is a condition where one-third of the stomach migrates into the thorax. Nowadays, laparoscopic treatment gives excellent postoperative outcomes. Strangulated GHH is rare, and its emergent repair is associated with significant morbidity and mortality rates. Read More

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http://dx.doi.org/10.1186/s13017-020-00316-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268602PMC

Clinical outcomes after multiple self-expandable metallic stent placement using stent-in-stent technique for malignant gastric outlet obstruction.

Medicine (Baltimore) 2020 May;99(21):e19432

Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Self-expandable metallic stent (SEMS) placement is widely used for relieving symptoms in malignant gastric outlet obstruction (MGOO). This study aimed to evaluate the efficacy and safety of multiple gastroduodenal stent placement using the stent-in-stent technique and to identify factors predictive of stent patency.We retrospectively analyzed data from 170 patients with GOO receiving SEMS using the stent-in-stent technique between July 2006 and July 2018. Read More

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http://dx.doi.org/10.1097/MD.0000000000019432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249911PMC

Successful endoscopic treatment of a large impacted gallstone in the duodenum using laser lithotripsy, Bouveret's syndrome: A case report.

World J Gastroenterol 2020 May;26(19):2458-2463

Department of Gastroenterology, Franciscus Gasthuis & Vlietland, Rotterdam 3045 PM, Zuid-Holland, Netherlands.

Background: Bouveret´s syndrome is defined as a gastric outlet obstruction after passage of a gallstone through a fistula into the duodenum. Due to its rarity, the diagnosis of Bouveret's syndrome is often delayed and causes a high morbidity and mortality rate.

Case Summary: A 93-year-old female presented with worsening pain in the right upper abdomen and vomiting. Read More

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http://dx.doi.org/10.3748/wjg.v26.i19.2458DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243648PMC

Bouveret syndrome complicating gastric outlet obstruction and acute cholecystitis.

J Microbiol Immunol Infect 2020 May 18. Epub 2020 May 18.

Division of Infectious Disease, Department of Internal Medicine, Wan Fang Medical Center, Taipei Medical University, Taipei, Taiwan; Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.jmii.2020.04.020DOI Listing

Temporal caterpillar sign in a case of infantile hypertrophic pyloric stenosis.

Pediatr Int 2020 May;62(5):654-655

Pediatric Department, Faculty of Medicine, Saint Vincent De Paul Hospital, Bar Ilan University, Nazareth, Israel.

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http://dx.doi.org/10.1111/ped.14120DOI Listing

Incidence and importance of portal venous gas in children with hypertrophic pyloric stenosis.

Pediatr Radiol 2020 Jul 27;50(8):1102-1106. Epub 2020 May 27.

Department of Radiology and Imaging Sciences, Emory School of Medicine, Atlanta, GA, USA.

Background: Hypertrophic pyloric stenosis (HPS) is a common cause of gastric outlet obstruction in young infants. Infants with HPS present with projectile vomiting, sometimes have electrolyte abnormalities and typically undergo pyloromyotomy to alleviate the obstruction. Abdominal US is the gold standard imaging study for diagnosis. Read More

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http://dx.doi.org/10.1007/s00247-020-04694-1DOI Listing

Pediatric emergency gastrointestinal ultrasonography: pearls & pitfalls.

Clin Imaging 2020 Aug 13;64:103-118. Epub 2020 Mar 13.

University of Maryland Medical Center, Department of Diagnostic Radiology and Nuclear Medicine, 22 South Greene Street, Baltimore, MD 21201, United States.

Ultrasonography is an essential tool in pediatric imaging, particularly in the emergency setting. Although ultrasound is often the favored initial modality for abdominal imaging in children, it is highly operator-dependent and therefore prone to misinterpretation which can lead to false positive or negative exams, or even incorrect diagnoses. Conditions discussed in this series include ileocolic intussusception, hypertrophic pyloric stenosis, appendicitis, and ingested foreign bodies. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.03.002DOI Listing

[Bouveret's Syndrome: A Case Report and a Brief Literature Review].

Acta Med Port 2020 May 4;33(5):347-349. Epub 2020 May 4.

Serviço de Cirurgia Geral. Unidade Local de Saúde de Matosinhos. Matosinhos. Departamento de Cirurgia Geral. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.

Bouveret's syndrome is a rare cause of gastric outlet obstruction. We report a case of a 68-year-old woman admitted with upper digestive obstruction. A few months later, and after several diagnostic tests and clinical surveillance, a cholecystoduodenal fistula was suspected. Read More

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http://dx.doi.org/10.20344/amp.11664DOI Listing

Massive gastric dilation caused by gastric outlet obstruction in the setting of peptic ulcer disease-A case report.

Int J Surg Case Rep 2020 8;70:64-67. Epub 2020 May 8.

Department of General Surgery, North Alentejo Local Unit E.P.E., Portugal.

Background: The prevalence of Peptic Ulcer Disease has decreased as did its elective surgical treatment, however its complications continue to occur. Gastric Outlet Obstruction is the least frequent complication of Peptic Ulcer disease.

Case Summary: In this report, we present a case of massive gastric dilation due to gastric outlet obstruction, that needed emergency surgery due to perforation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226640PMC

[Complete Response of Liver Metastases from a HER2-Positive Gastric Cancer Treated with Combined S-1/Trastuzumab Chemotherapy].

Gan To Kagaku Ryoho 2020 May;47(5):831-834

Digestive Disease Center, Showa University Northern Yokohama Hospital.

A 74-year-old man with upper abdominal pain and anorexia was referred to our hospital in December 2013. Based on computed tomography(CT)and gastroendoscopy findings, the patient was diagnosed as having advanced gastric cancer with multiple liver metastases(S3, S5, and S6 lesions). Because of high pyloric stenosis, distal gastrectomy Roux-en-Y reconstruction was performed in mid-December 2013. Read More

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The Safety and Effectiveness of Laparoscopic versus Open Surgery for Congenital Hypertrophic Pyloric Stenosis in Infants.

Med Sci Monit 2020 May 14;26:e921555. Epub 2020 May 14.

Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China (mainland).

BACKGROUND This study aimed to investigate the safety and effectiveness of laparoscopic pyloromyotomy for infants with congenital hypertrophic pyloric stenosis. MATERIAL AND METHODS The clinical data of 233 infants with congenital hypertrophic pyloric stenosis who were treated at our hospital from January 2013 to January 2018 were analyzed retrospectively. The patients were divided into 2 groups: the laparoscopic group (group A, n=126) and the conventional operation group (group B, n=107). Read More

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http://dx.doi.org/10.12659/MSM.921555DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247418PMC

Malignant gastric outlet obstruction: Which is the best therapeutic option?

World J Gastroenterol 2020 Apr;26(16):1847-1860

Digestive Endoscopy Unit, Humanitas Clinical and Research Center - IRCCS -, via Manzoni 56, 20089 Rozzano (Mi), Italy.

Malignant gastric outlet obstruction (MGOO) is a clinical condition characterized by the mechanical obstruction of the pylorus or the duodenum due to tumor compression/infiltration, with consequent reduction or impossibility of an adequate oral intake. MGOO is mainly secondary to advanced pancreatic or gastric cancers, and significantly impacts on patients' survival and quality of life. Patients suffering from this condition often present with intractable vomiting and severe malnutrition, which further compromise therapeutic chances. Read More

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http://dx.doi.org/10.3748/wjg.v26.i16.1847DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201143PMC

Severe hypernatremia and gastric dilation from chronic eating disorder and intentional salt ingestion.

Am J Emerg Med 2020 Apr 29. Epub 2020 Apr 29.

Department of Emergency Medicine, University of North Carolina, Chapel Hill, NC, United States of America. Electronic address:

We report the case of a 21-year-old female presenting with severe hypernatremia and a gastric outlet obstruction due to chronic purging behavior with salt water flushes. She presented obtunded following emesis and a witnessed seizure. She was found to have a corrected sodium level of 177 mmol/L. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.082DOI Listing

[A Case of Advanced Gastric Cancer with Umbilical Metastasis, Pyloric Stenosis, and Peritoneal Dissemination Underwent Palliative Surgery after Chemotherapy].

Gan To Kagaku Ryoho 2020 Mar;47(3):513-515

Dept. of Surgery, National Hospital Organization Osaka National Hospital.

A 62-year-old woman was diagnosed with gastric cancer, Type 4, cT4b(LN, mesentery of transverse colon), N1 M1H0P1CY1, cStage ⅣB. S-1 and L-OHP(SOX)were administered for 4 courses and clinical response was SD. She interrupted the treatment because of practicing folk therapy. Read More

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Brunner's Gland Hyperplasia: A Massive Duodenal Lesion.

Cureus 2020 Apr 4;12(4):e7542. Epub 2020 Apr 4.

Gastroenterology, University of Louisville, Louisville, USA.

A 57-year-old male with a history of gastroesophageal reflux disease and esophageal strictures presented with melena and abdominal pain. He underwent an esophagogastroduodenoscopy, which revealed a 5-cm duodenal bulb mass causing partial obstruction of the gastric outlet. Endoscopic ultrasound showed a 5-cm, hypoechoic lesion, arising from the mucosal layer, with a large blood vessel feeding the lesion. Read More

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http://dx.doi.org/10.7759/cureus.7542DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198079PMC

Bouveret's Syndrome: A Case-Based Review, Clinical Presentation, Diagnostics and Treatment Approaches.

Sisli Etfal Hastan Tip Bul 2020 25;54(1):1-7. Epub 2020 Mar 25.

Department of General Surgery, Okan University, Faculty of Medicine, Istanbul, Turkey.

Gastric outlet obstruction that arises from gallstones impacted in the distal stomach or proximal duodenum after passing through a cholecystoduodenal, cholecystogastric or rarely choledocoduodenal fistula is called as Bouveret's syndrome and it accounts for approximately 1-3% of all the patients with gallstone ileus. Although treatment modalities, including stone removal or fragmentation with classical endoscopic devices, such as snares, and forceps or fragmentation of gallstones with new devices, such as electrohydraulic lithotripsy, laser, extracorporeal shockwave lithotripsy have been described. However, only 29% of the patients benefit from nonsurgical methods. Read More

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http://dx.doi.org/10.14744/SEMB.2018.03779DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192252PMC

Endoscopic gastrointestinal anastomoses with lumen-apposing metal stents: predictors of technical success.

Surg Endosc 2020 May 1. Epub 2020 May 1.

Department of Internal Medicine and Gastroenterology, Hospital Ludwigsburg, Ludwigsburg, Germany.

Background: Lumen-apposing metal stents (LAMS) may be inserted to create gastrointestinal anastomoses under endoscopic ultrasound (EUS) guidance. This new technique has mostly been evaluated as treatment for gastric outlet obstruction (GOO), especially of malignant origin. Technical success was high in the few and small available studies. Read More

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http://dx.doi.org/10.1007/s00464-020-07594-5DOI Listing

Bouveret's Syndrome - Case Series with Therapeutic Implications.

Z Gastroenterol 2020 Apr 30;58(4):352-356. Epub 2020 Apr 30.

Gastroenterology, Universitätsspital Zürich, Zürich, Switzerland.

Bouveret's syndrome is a rare complication resulting from gallstone disease. Both surgical and endoscopical procedures are performed, with the disease to be seen as strictly interdisciplinary. There are no well-established recommendations for this condition. Read More

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http://dx.doi.org/10.1055/a-1113-7966DOI Listing

No way out: Causes of duodenal and gastric outlet obstruction.

Clin Imaging 2020 Apr 19;65:37-46. Epub 2020 Apr 19.

Pediatric Radiology, Soroka University Hospital, Ben Gurion University, Israel; Department of Pediatric Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, United States of America. Electronic address:

Upper gastrointestinal obstruction (UGIO), obstruction occurring at the level of the stomach or duodenum, represents only about 5% of bowel obstructions. As with other bowel obstructions, timely diagnosis is necessary to prevent complications including ischemia and death. Because the presenting symptoms of UGIO can be vague and nonspecific, the diagnosis may not be suspected clinically. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.04.017DOI Listing

Eosinophilic Enterocolitis: Gastric Outlet Obstruction.

ACG Case Rep J 2020 Mar 19;7(3):e00344. Epub 2020 Mar 19.

Department of Gastroenterology, University of Illinois at Chicago, Advocate Christ Medical Center, Oak Lawn, IL.

Eosinophilic enterocolitis is a rare condition representing the least frequent manifestation of eosinophilic gastrointestinal disorders. We report a 49-year-old man who presented with abdominal pain, diarrhea, and intractable vomiting for 2 weeks. Abdominal computed tomography demonstrated gastric wall thickening with mural wall thickening of the small intestine and colon. Read More

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http://dx.doi.org/10.14309/crj.0000000000000344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162128PMC

The safety and efficacy of a new 20-mm lumen apposing metal stent (lams) for the endoscopic treatment of pancreatic and peripancreatic fluid collections: a large international, multicenter study.

Surg Endosc 2020 Apr 22. Epub 2020 Apr 22.

Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.

Background: Lumen apposing metal stent (LAMS) allows an easy access to peripancreatic fluid collections (PPFCs) and the possibility of performing direct endoscopic necrosectomy (DEN). The aim of our study was to evaluate the safety and efficacy of a new 20-mm LAMS in the management of PPFCs. This novel stent represents the largest diameter LAMS available on the market to date. Read More

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http://dx.doi.org/10.1007/s00464-020-07567-8DOI Listing
April 2020
3.256 Impact Factor

Laparoscopic Removal of a Displaced Vertical Gastric Clip Causing Gastric Outlet Obstruction.

Obes Surg 2020 Jul;30(7):2856-2857

Department of General and Digestive Surgery, Hospital Universitario de Guadalajara, Calle Donante de sangre s/n., 19002, Guadalajara, Spain.

Introduction: Recently, some surgical teams have used a laparoscopic vertical clip gastroplasty to treat morbid obesity. This approach mimics the principle of laparoscopic sleeve gastrectomy, but using a completely reversible mechanism. Displacement of the device has been reported in 7. Read More

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http://dx.doi.org/10.1007/s11695-020-04606-0DOI Listing

Bouveret syndrome as a rare cause of gastric outlet obstruction.

Proc (Bayl Univ Med Cent) 2020 Apr 10;33(2):235-236. Epub 2020 Jan 10.

Department of Gastroenterology, Upstate Medical UniversitySyracuseNew York.

Biliary-enteric fistula is a rare complication of cholelithiasis that can lead to gallstone ileus. Gallstone impaction in the duodenum and pylorus is extremely rare and can lead to gastric outlet obstruction, a condition known as Bouveret syndrome. Bouveret syndrome needs to be diagnosed and managed in a timely fashion, as it has a high mortality rate. Read More

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http://dx.doi.org/10.1080/08998280.2019.1708841DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155981PMC

Pancreatic fluid collections: Clinical manifestations, diagnostic evaluation and management.

Dis Mon 2020 Apr 17:100986. Epub 2020 Apr 17.

Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

Pancreatic fluid collections (PFC), including pancreatic pseudocysts and walled-off pancreatic necrosis, are a known complication of severe acute pancreatitis. A majority of the PFCs remain asymptomatic and resolve spontaneously. However, some PFCs persist and can become symptomatic. Read More

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http://dx.doi.org/10.1016/j.disamonth.2020.100986DOI Listing
April 2020
0.535 Impact Factor