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J Surg Res 2019 Feb 15;238:232-239. Epub 2019 Feb 15.

Department of Pediatric Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Background: No standard dehydration monitor exists for children. This study attempts to determine the utility of Fast Fourier Transform (FFT) of a peripheral venous pressure (PVP) waveform to predict dehydration.

Materials And Methods: PVP waveforms were collected from 18 patients. Read More

VideoGIE 2019 Feb 11;4(2):76-77. Epub 2019 Jan 11.

Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA.

Gan To Kagaku Ryoho 2019 Jan;46(1):121-123

Dept. of Surgery, Ogikubo Hospital.

A man in the 60s visited our hospital with the complaints of epigastralgia and weight loss. Following an investigation, he was diagnosed with human epidermal growth factor receptor 2(HER2)-positive gastric cancer with invasion to the pancreas (T4b[pancreas], N2, M0, Stage ⅣA[Union for International Cancer Control 8th edition]). Preoperatively, he was administered a chemotherapeutic regimen of S-1 and cisplatin plus trastuzumab. Read More

Surg Endosc 2019 Feb 13. Epub 2019 Feb 13.

Division of Next Generation Endoscopic Intervention (Project ENGINE), Global Center for Medical Engineering and Informatics, Osaka University, Osaka, Japan.

Background And Aims: Migration of duodenal covered self-expandable metallic stents (C-SEMS) is the main cause of stent dysfunction in patients with malignant gastric outlet obstruction. However, the ideal method to prevent migration has not been clarified. We aimed to evaluate the feasibility and safety of duodenal C-SEMS fixation in this experimental study. Read More

J Laparoendosc Adv Surg Tech A 2019 Feb 13. Epub 2019 Feb 13.

2 Department of Pediatric Surgery, Cairo University, Cairo, Egypt.

Background: Traditionally, Billroth I procedure or bypass gastrojejunostomy were the recommended approaches for management of postcorrosive complete gastric outlet obstruction (GOO), whereas Heineke Mickulicz pyloroplasty was recommended for moderate mucosal injury with partial cicatrization. In this study, laparoscopic diamond antroduodenostomy was carried out as an alternative minimally invasive approach for cases with pyloric cicatricial obstruction.

Patients And Methods: Between January and December 2017, children who were referred to Pediatric Surgery Department, Cairo University Hospital, with GOO as a consequence of caustic liquid ingestions were included in this study. Read More

J Dig Dis 2019 Feb 12. Epub 2019 Feb 12.

Division of Transplant Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri,, United States.

Bouveret's syndrome is a rare condition characterized by gastric outlet obstruction caused by gallstone impaction in the stomach or duodenum. Gallstones that are too large to pass through the cystic and common bile ducts (CBD) can result in chronic irritation and inflammation of the gallbladder wall. This article is protected by copyright. Read More

Am Surg 2018 Nov;84(11):e443-e444

Surg Endosc 2019 Feb 6. Epub 2019 Feb 6.

Developmental Endoscopy Lab, Harvard Medical School, Boston, MA, USA.

Background: EUS-guided gastroenterostomy (EUS-GE) is a novel procedure for palliation of malignant gastric outlet obstruction (GOO); however, data comparing EUS-GE to enteral stent placement are limited. We aimed to compare clinical outcomes between EUS-GE and enteral stent placement in the palliation of malignant GOO.

Methods: Retrospective analysis of a prospectively collected database on patients who underwent EUS-GE or enteral stent placement for palliation of malignant GOO from 2014 to 2017 was conducted. Read More

J Pediatr 2019 Feb 2. Epub 2019 Feb 2.

Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.

Trop Doct 2019 Feb 5:49475519826477. Epub 2019 Feb 5.

6 Junior Resident, Department of General Surgery, All India Institute of Medical Sciences Rishikesh, India.

Bezoars are indigestible foreign material in the gastrointestinal tract (GIT). A phytobezoar is a mass of plant material, while a trichobezoar consists of matted hair. This is found most commonly in the stomach in children who chew their long hair. Read More

Ital J Pediatr 2019 Feb 4;45(1):20. Epub 2019 Feb 4.

Department of Family and Community Medicine, College of Medicine, Taibah University, PO box 42317, Madinah, 41541, Saudi Arabia.

Background: The association between macrolides use and subsequent occurrence of infantile hypertrophic pyloric stenosis (IHPS) is still debatable. The aim of this study was to conduct a systematic review and meta-analysis of the association between perinatal exposure to macrolides, mainly erythromycin, and the development of pyloric stenosis.

Methods: Original studies were identified using MEDLINE, Web of Science, Scopus, Google Scholar, and the Cochrane Library databases. Read More

Endosc Int Open 2019 Feb 30;7(2):E144-E150. Epub 2019 Jan 30.

Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States.

 EUS-guided gastroenterostomy (GE) is a novel, minimally invasive endoscopic procedure for the treatment of gastric outlet obstruction (GOO). The direct-EUS-GE (D-GE) approach has recently gained traction. We aimed to report on a large cohort of patients who underwent DGE with focus on long-term outcomes. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Jan;22(1):43-48

Department of Oncology Surgery, Fujian Provincial Hospital, Fuzhou 350001,

Objective: To explore the safety, feasibility and short-term efficacy of intracavitary uncut Roux-en-Y (URY) anastomosis in digestive tract reconstruction following laparoscopic total gastrectomy (LTG).

Methods: From November 2015 to January 2018, 67 gastric cancer patients underwent intracavitary URY following LTG to reconstruct the digestive tract at Oncological Surgery Department of Fujian Provincial Hospital. There were 41 males and 26 females with age of 50 to 81 (61. Read More

J Paediatr Child Health 2019 Jan 24. Epub 2019 Jan 24.

Department of Paediatric Surgery, Monash Children's Hospital, Melbourne, Victoria, Australia.

Aim: To evaluate the trend in presentation and postoperative outcomes of infants with hypertrophic pyloric stenosis (HPS) over the last decade.

Methods: This was a multicentre retrospective study in two tertiary paediatric centres between 2005 and 2015 inclusive. Participants included 626 infants who underwent a pyloromyotomy for HPS. Read More

ANZ J Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Surgery, Tamworth Hospital, Tamworth, New South Wales, Australia.

Clin Endosc 2019 Jan 22. Epub 2019 Jan 22.

Asian Institute of Gastroenterology, Hyderabad, India.

Malignancies of the pancreatobiliary system are usually unresectable at the time of diagnosis. As a consequence, a majority of these cases are candidates for palliative care. With advances in chemotherapeutic agents and multidisciplinary care, the survival rate in pancreatobiliary malignancies has improved. Read More

Endosc Int Open 2019 Jan 4;7(1):E53-E61. Epub 2019 Jan 4.

Department of Surgery, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, Punjab, India.

 There is sparse data on the endoscopic management of caustic-induced gastric outlet obstruction (GOO). The present retrospective study aimed to define the response to endoscopic balloon dilatation (EBD) in such patients and their long-term outcome.  The data from symptomatic patients of caustic-induced GOO who underwent EBD at our tertiary care center between January 1999 and June 2014 were retrieved. Read More

World J Gastroenterol 2019 Jan;25(1):1-41

H.H. Chao Comprehensive Digestive Disease Center, University of California, Irvine Medical Center, Orange, CA 92868, United States.

In this paper, I reviewed the emerging field of endoscopic surgery and present data supporting the contention that endoscopy can now be used to treat many foregut diseases that have been traditionally treated surgically. Within each topic, the content will progress as follows: "lessons learned", "technical considerations" and "future opportunities". Lessons learned will provide a brief background and update on the most current literature. Read More

Case Rep Gastrointest Med 2018 29;2018:7363406. Epub 2018 Nov 29.

Division of Academic Affairs and Research, Orlando Regional Healthcare, Orlando, FL, USA.

Background: Acute esophageal necrosis is an uncommon clinical disorder diagnosed on endoscopy as a black esophagus. It has a multifactorial etiology that probably represents a combination of poor nutritional status, gastric outlet obstruction, and ischemia secondary to hypoperfusion of the distal esophagus. It typically occurs in older males with comorbidities. Read More

Case Rep Gastroenterol 2018 Sep-Dec;12(3):692-698. Epub 2018 Nov 28.

Department of Internal Medicine, Advocate Christ Medical Center, Oak Lawn, Illinois, USA.

Intramural duodenal hematoma (IDH) is an extremely rare complication after endoscopic biopsy. It typically presents with symptoms due to duodenal obstruction, which include abdominal pain and bilious vomiting. The hematoma may also expand and cause ampullary compression leading to pancreatitis and cholestasis. Read More

Intern Med 2019 Jan 10. Epub 2019 Jan 10.

Pathology Division, University of Miyazaki Hospital, Japan.

Even in the era of Helicobacter pylori eradication and proton pump inhibitors, peptic ulcer remains an important disease. Stricture due to a duodenal ulcer in the healing stage is a well-known etiology of benign gastric outlet obstruction. However, a duodenal ulcer-induced submucosal tumor-like change with gastric outlet obstruction is a very rare manifestation. Read More

Clin Endosc 2019 Jan 10;52(1):40-46. Epub 2019 Jan 10.

Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.

Combined obstruction of the bile duct and duodenum is a common occurrence in periampullary malignancies. The obstruction of gastric outlet or duodenum can follow, occur simultaneously, or precede biliary obstruction. The prognosis in patients with combined obstruction is particularly poor. Read More

Transl Gastroenterol Hepatol 2018 21;3:93. Epub 2018 Nov 21.

Borland Groover Clinic, Advanced Therapeutic Endoscopy Center, Jacksonville, FL, USA.

Endoscopic ultrasound guided gastrojejunostomy (EUS-GJ) has been mostly employed in the treatment of benign and malignant gastric outlet obstruction (GOO). Additionally, EUS-GJ has been used in the treatment of afferent loop syndrome. EUS-GJ has been employed in the treatment of benign and malignant GOO. Read More

Clin Med Res 2018 Dec;16(3-4):73-75

Department of Urology, Gundersen Health System, La Crosse, Wisconsin USA

Bouveret Syndrome is a rare complication of gallstone disease that occurs when a gallstone enters the stomach or bowel through a biliary enteric fistula and becomes impacted, resulting in gastric outlet obstruction. It is frequently seen in elderly chronically ill patients with neglected biliary disease. We describe a multidisciplinary approach to management of Bouveret Syndrome that could be adopted by healthcare systems with resources commonly found in facilities with a general urologist and gastroenterologist or general surgeon. Read More

Neonatal Netw 2018 Jul 1;37(4):197-204. Epub 2018 Jul 1.

Infantile hypertrophic pyloric stenosis (IHPS) is the most common gastrointestinal disease among infants. IHPS occurs as an isolated condition or together with other congenital anomalies. Association with genetic and environmental factors, bottle feeding, younger maternal age, maternal smoking, and erythromycin administration in the first two weeks of life has been shown. Read More

Int J Surg Case Rep 2018 3;53:495-499. Epub 2018 Nov 3.

1st Propaedeutic Surgery Department, AHEPA University Hospital of Thessaloniki, Greece.

Introduction: Gastrointestinal schwannomas are benign, slow-growing and usually asymptomatic tumors. In some cases bleeding, epigastric pain and palpable mass may be occurring. Preoperative diagnosis is challenging due to the difficulty of differentiation from other submucosal tumors. Read More

Int J Surg Case Rep 2018 24;53:433-435. Epub 2018 Nov 24.

General Surgery Department, Al-Mouwasat University Hospital, Mazzeh, Omar ben Abdulaziz St., Damascus, Syria; Department of Surgery, Syrian Private University, Faculty of Medicine, Damascus, Syria. Electronic address:

Background: Most gastric lipomas are small, asymptomatic, and detected as incidental findings on radiologic evaluation or endoscopic examination of the upper gastrointestinal tract. We report a large lipoma which was noticed by its mass effect during a percutaneous endoscopic gastrostomy; the full evaluation prevented an unexplained failed procedure.

Presentation: A 65 year old man with a cerebrovascular accident (CVA) suffered from resistant vomiting and severe dysphagia. Read More

Birth Defects Res 2019 Feb 13;111(3):159-169. Epub 2018 Dec 13.

Department of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa.

Background: Antecedents for infantile hypertrophic pyloric stenosis (IHPS) vary across studies; therefore, we conducted a multistate, population-based retrospective study of the prevalence and descriptive epidemiology of IHPS in the United States (US).

Methods: Data for IHPS cases (n = 29,554) delivered from 1999-2010 and enumerated from 11 US population-based birth defect surveillance programs, along with data for live births (n = 14,707,418) delivered within the same birth period and jurisdictions, were analyzed using Poisson regression to estimate IHPS prevalence per 10,000 live births. Additional data on deliveries from 1999-2005 from seven of these programs were analyzed using multivariable logistic regression to estimate adjusted prevalence ratios (aPR)s and 95% confidence intervals (CI)s for selected infant and parental characteristics. Read More

Fetal Pediatr Pathol 2018 Dec 7:1-8. Epub 2018 Dec 7.

c Department of Dermatology , Pusan National University Yangsan Hospital , Yangsan , Republic of Korea.

Introduction: Bart's syndrome, a hereditary mechanobullous disorder characterized by aplasia cutis congenita (ACC) with epidermolysis bullosa (EB), has not been genotyped frequently.

Case Report: A full-term female neonate had well-demarcated absence of skin on both legs at birth, with blisters and erosive patches developing immediately after birth. Electron microscopy showed blister formation under the lamina densa layer. Read More

Rev Med Chil 2018 Aug;146(8):933-937

Servicio de Cirugía, Clínica Alemana, Santiago, Chile.

Heterotopic pancreas is a silent gastrointestinal malformation that may become clinically evident when complicated by inflammation and pseudocyst formation. We report a 26 year-old male presenting with vomiting, pain and abdominal distention. An abdominal CT scan showed an important gastric distention secondary to a 4-cm cystic lesion located in the antrum wall. Read More

Ann Med Surg (Lond) 2018 12 22;36:235-238. Epub 2018 Nov 22.

Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, New Delhi, India.

Metastatic tumors to stomach are extremely rare with very few cases being described so far in the surgical literature. Colonic tumors metastatic to stomach represent a rarer entity and present a surgical challenge for diagnosis and management to the clinician. We, hereby present a case of adenocarcinoma of transverse colon metastatic to stomach more than 6 years after the index malignancy, presenting clinically with features of gastric outlet obstruction. Read More

Endosc Int Open 2018 Dec 21;6(12):E1390-E1394. Epub 2018 Nov 21.

Department of Internal Medicine, Division of Gastroenterology, Carilion Clinic, Roanoke, Virginia, United States.

 Endoscopic ultrasound (EUS)-guided gastroenterostomy is a novel, off-label, procedure that has been facilitated by availability of a novel lumen apposing metal stent (LAMS) (Axios, Boston Scientific, Marlbourough Massachusetts, United States). The literature suggests its efficacy to be comparable to surgical gastrojejunostomy. In theory, this procedure overcomes the issues associated with woven enteral stents, which are subject to continuous, straightening, axial forces. Read More

Clin Gastroenterol Hepatol 2018 Nov 29. Epub 2018 Nov 29.

Gastroenterology and Hepatology, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, Utah.

Semergen 2019 Jan - Feb;45(1):e3-e5. Epub 2018 Nov 28.

Servicio de Medicina Interna, Hospital Virgen de la Luz, Cuenca, España.

J Surg Res 2019 Jan 17;233:65-73. Epub 2018 Aug 17.

Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; Division of Pediatric Surgery, Department of Surgery, David Geffen School of Medicine, UCLA, Los Angeles, California; Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, California; Los Angeles Biomedical Research Institute, Torrance, California. Electronic address:

Background: There is a well-established relationship between surgical volume and outcomes after complex pediatric operations. However, this relationship remains unclear for common pediatric procedures. The aim of our study was to investigate the effect of hospital volume on outcomes after hypertrophic pyloric stenosis (HPS). Read More

Res Vet Sci 2019 Feb 27;122:165-169. Epub 2018 Nov 27.

Unité de Médecine interne, Ecole Nationale Vétérinaire d'Alfort, UPEC, Maisons-Alfort, F-94700, France. Electronic address:

The objectives of this study were to describe an endoscopic technique for semi-quantitative measurement of the internal pyloric diameter and apply this method to determine its typical size in a population of healthy cats. Twenty-four healthy adult cats, privately owned or originating from catteries, were prospectively recruited. Endoscopies were performed by the same investigator and cats with moderate to marked macroscopic inflammation were excluded. Read More

Medicine (Baltimore) 2018 Nov;97(48):e13194

Department of Gastroenterology, Ningbo No. 2 Hospital, Ningbo.

Background: Previous studies reported a similar rate of complications, including stent migration and obstruction, between individualized stents and the standard uncovered stents in gastric outlet obstruction (GOO) caused by distal stomach cancer. The objective of this study was to evaluate the efficacy and safety of funnel stents for management of GOO caused by distal stomach cancer.

Methods: This study was designed as a multicenter, controlled, prospective, and randomized clinical trial involving 4 hospitals. Read More

Eur J Pediatr 2018 Nov 23. Epub 2018 Nov 23.

Evidence Based Medicine Research Group & Faculty of Applied Sciences, Ton Duc Thang University, Ho Chi Minh City, Vietnam.

Macrolides are bacteriostatic antibiotics with a broad spectrum of activity against Gram-positive bacteria. The aim of this study was to systematically review and meta-analyze the association between infantile hypertrophic pyloric stenosis (IHPS) and macrolides. Nine databases were searched systematically for studies with information on the association between macrolides and IHPS. Read More

J Surg Res 2018 Dec 25;232:470-474. Epub 2018 Jul 25.

Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.

Background: The management of gastric cancer causing gastric outlet obstruction and dilatation must include decompression of the stomach and intravenous nutrition. Percutaneous transesophageal gastrotubing (PTEG) is an effective technique for either gastric decompression or enteral nutrition. Here, we investigated the efficacy and safety of double PTEG (dPTEG), that is, using PTEG for both purposes simultaneously, in patients with gastric cancer. Read More

Clin Case Rep 2018 Nov 12;6(11):2276-2278. Epub 2018 Sep 12.

Department of Surgery Bankura Sammilani Medical College Bankura West Bengal India.

Gastric GIST should be kept in mind in patients with gastric outlet obstruction. Read More

Am Surg 2018 Sep;84(9):e354-e356

Am Surg 2018 Jul;84(7):e217-e218

Gastrointest Endosc 2018 12;88(6):909-911

Division of Gastroenterology, Ulster Hospital, Dundonald, Belfast, Northern Ireland, United Kingdom.

Int J Surg Case Rep 2018 11;53:273-276. Epub 2018 Nov 11.

Logan Hospital, Armstrong + Meadowbrook Roads, Logan, QLD, 4131, Australia; Griffith University, Gold Coast Campus, Southport, QLD, 4215, Australia.

Introduction Parastomal herniation commonly occurs following formation of an end-colostomy or ileostomy. Those patients presenting with acute complications of parastomal hernias typically undergo surgical repair. Stomach-containing parastomal hernias are rare. Read More

PLoS Negl Trop Dis 2018 11 12;12(11):e0006950. Epub 2018 Nov 12.

Francis I. Proctor Foundation, University of California, San Francisco, San Francisco, California, United States of America.

Background: Mass azithromycin distribution reduces under-5 child mortality. Trachoma control programs currently treat infants aged 6 months and older. Here, we report findings from an infant adverse event survey in 1-5 month olds who received azithromycin as part of a large community-randomized trial in Niger. Read More

Pol Arch Intern Med 2018 Dec 7;128(12):783-784. Epub 2018 Nov 7.

Pediatr Surg Int 2019 Mar 7;35(3):357-363. Epub 2018 Nov 7.

Sydney Medical School, The University of Sydney, Sydney, Australia.

Purpose: The study compared neurodevelopmental outcome at 3 years of age of infants with infantile hypertrophic pyloric stenosis (IHPS) who underwent pyloromyotomy with healthy control infants in New South Wales, Australia.

Methods: Infants with IHPS as well as controls were recruited between August 2006 and July 2008. Developmental assessments were performed using the Bayley scales of infant and toddler development (version III) (BSITD-III) at 1 and 3 years of age. Read More

Mol Clin Oncol 2018 Nov 17;9(5):523-526. Epub 2018 Sep 17.

Department of Surgery, Kochi Medical School, Nankoku, Kochi 783-8505, Japan.

The most common sites of breast cancer metastasis are the bone, liver, lung and brain, while gastrointestinal metastasis from breast cancer is rare. We herein present the case of a 68-year-old woman who was admitted to our department with nausea and appetite loss. The patient's medical history included right mastectomy with sentinel lymph node biopsy 5 years earlier for invasive lobular carcinoma, measuring 6. Read More

Clin Gastroenterol Hepatol 2018 Oct 31. Epub 2018 Oct 31.

Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio.

Background & Aims: Gastric outlet obstruction (GOO) in patients with malignancies causes nausea, vomiting, abdominal pain, malnutrition, and dehydration. Endoscopic placement of self-expandable metallic stent (SEMS) and gastrojejunostomy are the 2 main palliative options. We aimed to compare the outcomes of endoscopic SEMS placement with GJ in a propensity score matched study and identified factors associated with clinical success. Read More

J Surg Case Rep 2018 Oct 29;2018(10):rjy284. Epub 2018 Oct 29.

General Surgery, St John of God Midland Public and Private Hospitals, 1 Clayton Street, Midland, Australia.

Intragastric balloons are used as a temporary restrictive method in obesity to induce weight loss. They are typically recommended when patients have mild obesity and have failed traditional first line treatments of diet, exercise and behaviour modification. We report a case of a 45-year-old female who presented with nausea, vomiting and abdominal pain two weeks following an uncomplicated insertion of an intragastric balloon. Read More