7,471 results match your criteria Gastric Outlet Obstruction


Case of successful endoscopic ultrasonography-guided gastrojejunostomy for gastric outlet obstruction caused by gallbladder carcinoma.

Dig Endosc 2019 Apr;31 Suppl 1:66-67

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.

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http://dx.doi.org/10.1111/den.13360DOI Listing

[Physiologic type reconstruction in upper gastrointestinal caustic strictures].

Orv Hetil 2019 Apr;160(16):613-618

Mellkassebészet, Országos Korányi Tüdőgyógyászati Intézet Budapest.

The authors discuss their experience in the surgical treatment of caustic stenosis in the upper gastrointestinal tract. They present operative solutions using isoperistaltic transverse colonic segment in oesophageal stenosis caused by gastric outlet obstruction, or when these two presented together. Further indications for the above were bronchial or tracheo-oesophageal fistulas and oesophageal perforation. Read More

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http://dx.doi.org/10.1556/650.2019.31358DOI Listing

Impacted duodenal gallstone presenting as gastric outlet obstruction: a rare case of Bouveret syndrome.

ANZ J Surg 2019 Apr 15. Epub 2019 Apr 15.

Upper Gastrointestinal Surgical Unit, Department of General Surgery, Fiona Stanley Hospital, Perth, Western Australia, Australia.

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http://dx.doi.org/10.1111/ans.15142DOI Listing

Surgical treatment of gastric outlet obstruction from a large trichobezoar: A case report.

Int J Surg Case Rep 2019 Apr 6;57:183-185. Epub 2019 Apr 6.

Department of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, Poissy, France.

Introduction: Bezoars are concretions of foreign indigestible material accumulating in the gastrointestinal tract leading to intraluminal mass formation that impairs the gastrointestinal motility and can lead to gastric obstruction of the small or the large bowel. There are different types of bezoars, named according to the material they are made of. These include phytobezoar, lactobezoar, pharmacobezoar, trichobezoar, and polybezoar. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.04.002DOI Listing
April 2019
2 Reads

A Massive Road Block: An Unusual Case of Gastric Outlet Obstruction.

Clin Gastroenterol Hepatol 2019 Apr 10. Epub 2019 Apr 10.

Department of Gastroenterology, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, USA.

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http://dx.doi.org/10.1016/j.cgh.2019.04.015DOI Listing

Tumour stage and resection margin status are independent survival factors following partial pancreatoduodenectomy for duodenal adenocarcinoma.

Langenbecks Arch Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Molecular and Clinical Cancer Medicine, Institution of Translational Medicine, University of Liverpool, 2nd Floor Sherrington Building, Ashton Street, Liverpool, L69 3GE, UK.

Introduction: There is limited published evidence on duodenal carcinoma due to its rarity. This study aimed to evaluate gastric outlet obstruction and obstructive jaundice along with pathological variables as survival factors in patients with duodenal adenocarcinoma following resection.

Methods: Survival factor analysis was undertaken in patients undergoing duodenal cancer surgery from 1997 to 2015 in a single centre. Read More

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http://dx.doi.org/10.1007/s00423-019-01779-wDOI Listing
April 2019
1 Read

A rare case report of gastro-duodenal fourth segment fistula secondary to a penetrating benign gastric ulcer.

J Surg Case Rep 2019 Apr 6;2019(4):rjz096. Epub 2019 Apr 6.

Faculty of Medicine, Tishreen University, Lattakia, Syrian Arab Republic.

A gastro-duodenal fourth segment fistula following a penetrating benign gastric ulcer is extremely rare to be found. To the best of our knowledge, our case is the eighth case to describe the gastro-duodenal third and fourth segment fistula, and it is the third to be diagnosed in living patients as all the other cases were diagnosed in autopsies. The case, we are presenting, is of an elderly patient with severe peptic symptoms and a primary diagnosis of gastric outlet obstruction. Read More

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http://dx.doi.org/10.1093/jscr/rjz096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451182PMC
April 2019
1 Read

Gastric Heterotopic Pancreas Presenting as Abdominal Pain with Acute and Chronic Pancreatitis in the Resected Specimen.

Case Rep Gastrointest Med 2019 6;2019:2021712. Epub 2019 Mar 6.

Warren Alpert Medical School, Brown University, Providence, RI, USA.

Heterotopic pancreas, also known as ectopic pancreas, is pancreatic tissue located outside the pancreatic parenchyma without vascular or ductal communication with the gland. Ectopic pancreas is rarely symptomatic, typically detected incidentally at surgery or autopsy. Eighty-five to 90% are in the upper GI tract, especially the gastric antrum. Read More

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http://dx.doi.org/10.1155/2019/2021712DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431401PMC
March 2019
1 Read

Recurrent gastric volvulus associated with a gastrointestinal stromal tumor: A case report.

Int J Surg Case Rep 2019 Mar 30;57:126-129. Epub 2019 Mar 30.

Department of Surgery, Iwamizawa Municipal Hospital, 068-8555, Iwamizawa-shi, Japan.

Introduction: Gastric volvulus (GV) is defined as a rotation of the stomach along its short or long axis leading to variable degrees of gastric outlet obstruction. Rotation of the stomach >180° may cause closed loop obstruction and possible strangulation, which often causes acute abdominal pain. Strangulation and gangrene of the twisted stomach sometimes occurs, which demands immediate surgical intervention. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451149PMC
March 2019
1 Read

Partial Trisomy of Chromosome 13 with a Novel Translocation (8 ; 13) and Unique Clinical Presentation in a Palestinian Infant.

Case Rep Med 2019 26;2019:4561761. Epub 2019 Feb 26.

Genetic Diagnosis Lab, Islamic University of Gaza, Gaza Strip, State of Palestine.

Partial trisomy 13 is a rare syndrome that usually culminates in death within the first six months of the infant's life. We present a rare case of partial trisomy 13q with exclusive clinical manifestations. The full-term male baby was born by normal vaginal delivery, his birth weight was 3500 grams, and head circumference was 30 cm. Read More

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http://dx.doi.org/10.1155/2019/4561761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413401PMC
February 2019
1 Read

Endoscopic ultrasound in pancreatic cancer treatment: Facts and hopes.

Clin Res Hepatol Gastroenterol 2019 Mar 29. Epub 2019 Mar 29.

Gastroenterology and Hepatology Department, Centro Hospitalar Sao Joao and World Gastroenterology Organisation (WGO) Porto Training Center, Porto, Portugal.

Pancreatic ductal adenocarcinoma is one of the most common causes of cancer-related deaths. Since most patients present with advanced disease, its prognosis is dismal. New and more effective therapeutic strategies are needed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22107401193005
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http://dx.doi.org/10.1016/j.clinre.2019.02.014DOI Listing
March 2019
1 Read

Rare case of gallbladder mucocele causing gastric outlet obstruction treated with cholecystectomy.

Int J Surg Case Rep 2019 Mar 21;57:84-87. Epub 2019 Mar 21.

Department of Hepato-Pancreato-Biliary and Transplant Surgery, Academia Level 5, 20 College Road, Singapore, 169856, Singapore. Electronic address:

Introduction: Gallstone(s) impacted at the distal small bowel causing intestinal obstruction as a result of cholecystoenteric fistula is a well-known, albeit uncommon surgical condition. The rare Bouveret's Syndrome, which refers to the proximal impaction of gallstone(s) in the duodenum or pylorus resulting in the gastric outlet obstruction (GOO), has also been described in the literature. However, gallbladder mucocele with extrinsic compression of the duodenum and/or pylorus causing GOO is a separate entity that is extremely rare. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439269PMC
March 2019
2 Reads

Primary acquired gastric outlet obstruction in children: A retrospective single center study.

J Pediatr Surg 2019 Mar 15. Epub 2019 Mar 15.

Dept. of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Aligarh Muslim University, UP, India.

Background/ Purpose: Idiopathic hypertrophic pyloric stenosis is by far the most common cause of gastric outlet obstruction (GOO) in young infants, with more than 90% of cases presenting between 3 and 10 weeks after birth. While cases of late onset pyloric stenosis beyond infancy have been reported, the etiology is poorly understood. We report our experience of 5 cases, describing the similarities and differences in management of our patient population which happens to be the second largest reported in literature. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.056DOI Listing

Prevalence of selected birth defects by maternal nativity status, United States, 1999-2007.

Birth Defects Res 2019 Mar 28. Epub 2019 Mar 28.

Birth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, Texas.

Objectives: We investigated differences in prevalence of major birth defects by maternal nativity within racial/ethnic groups for 27 major birth defects.

Methods: Data from 11 population-based birth defects surveillance systems in the United States including almost 13 million live births (approximately a third of U.S. Read More

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http://dx.doi.org/10.1002/bdr2.1489DOI Listing
March 2019
1 Read

Choledochoscope with stent placement for treatment of benign duodenal strictures: A case report.

World J Gastrointest Endosc 2019 Mar;11(3):256-261

Depart of Gastroenterology and Hepatology, Baylor University Medical Center, San Antonio, TX 78253, United States.

Background: Endoscopically or fluoroscopically guided dilation is a safe and effective alternative to surgery for patients with benign strictures of the gastric outlet.

Case Summary: We describe two cases where a novel approach with a Spyglass choledochoscope in assessing the extent of benign duodenal strictures and aiding in placement of duodenal stents for treatment of the strictures. Choledochoscope-guided wire and stent placement was successful in all cases, leading to symptom resolution related to benign duodenal obstruction. Read More

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http://dx.doi.org/10.4253/wjge.v11.i3.256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425279PMC
March 2019
1 Read

False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction.

Case Rep Surg 2019 14;2019:3205051. Epub 2019 Feb 14.

Department of Surgery, Faculty of Medicine, University of Colombo, Sri Lanka.

A gastric diverticulum is an outpouching from the stomach wall. It is usually seen in the posterior gastric wall and the gastric antrum. Diverticula arising from the pyloric region are extremely rare. Read More

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http://dx.doi.org/10.1155/2019/3205051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393900PMC
February 2019

A Rare Case of Gastric Lipoma Presenting with Gastric Outlet Obstruction Treated Endoscopically.

Case Rep Gastrointest Med 2019 13;2019:5749830. Epub 2019 Feb 13.

Gastrointestinal Department, Monmouth Medical Center, Long Branch, NJ 07740, USA.

An 85-year-old male referred to the Gastroenterology (GI) clinic with three-month history of failure to thrive and three-week history of nausea, vomiting, and melanotic stools. Ulcerative mass obstructing gastric outlet was found on endoscopy and on follow-up CT abdomen a homogeneous submucosal mass in the gastric antrum was identified. Radiological diagnosis of giant gastric lipoma was established and patient was evaluated for surgery and, however, was rendered unfit for surgery due to his comorbid conditions. Read More

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https://www.hindawi.com/journals/crigm/2019/5749830/
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http://dx.doi.org/10.1155/2019/5749830DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393926PMC
February 2019
3 Reads

Efficacy of macrolides on gastric motility in extremely low birth weight infants.

J Neonatal Perinatal Med 2019 Mar 13. Epub 2019 Mar 13.

Department of Pediatrics, Tokyo Medical University, Tokyo, Japan.

Background: The efficacy of macrolide treatment on gastrointestinal motility and acquirement of feeding tolerance in extremely low birth weight (ELBW) infants are controversial. This study aimed to evaluate clinical effects of parenterally administered erythromycin (EM) and clarithromycin (CAM) on gastrointestinal motility in ELBW infants.

Methods: ELBW infants treated in Tokyo Medical University Hospital were retrospectively studied. Read More

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http://dx.doi.org/10.3233/NPM-1849DOI Listing

Treatment of Congenital Gastric Outlet Obstruction due to a Web: A Retrospective Single-center Review.

Surg Laparosc Endosc Percutan Tech 2019 Mar 11. Epub 2019 Mar 11.

Department of Visceral Transplantation and Thoracic Surgery, Division of Pediatric Surgery, Medical University of Innsbruck, Innsbruck, Austria.

Background: Congenital gastric antral web and congenital pyloric atresia are rare reasons of congenital gastric outlet obstruction (CGOO). Depending on the different forms, the symptoms vary from unspecific epigastric pain to nonbilious "projectile" vomiting, ileus and failure to thrive. Throughout the years, many different treatment options are described, like simple surgical dilatation, incision or excision of the membrane, possibly combined with a pyloroplasty. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000658DOI Listing
March 2019
2 Reads

Liraglutide-induced Acute Gastroparesis.

Cureus 2018 Dec 28;10(12):e3791. Epub 2018 Dec 28.

Gastroenterology, Tufts Medical Center, Boston, USA.

We describe a case of liraglutide-induced acute gastroparesis in a 52-year-old man with a history of well-controlled type 2 diabetes who presented with symptoms of gastric outlet obstruction. The patient responded markedly to conservative treatment with gastric suctioning, antiemetic and prokinetic therapy, and discontinuation of liraglutide with a resolution of his symptoms. This case highlights the importance of considering drug-induced gastroparesis as an etiology of unexplained upper abdominal pain, nausea, and early satiety, especially in the absence of mechanical obstruction. Read More

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http://dx.doi.org/10.7759/cureus.3791DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402745PMC
December 2018
1 Read

Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases.

Clin Endosc 2019 Mar 14. Epub 2019 Mar 14.

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Although endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for benign biliary diseases, this procedure is technically difficult in some conditions such as a surgically altered anatomy and gastric outlet obstruction. After a failed ERCP, a surgical or a percutaneous approach is selected as a rescue procedure; however, various endoscopic ultrasound (EUS)-guided interventions are increasingly utilized in pancreatobiliary diseases, including EUS-guided rendezvous for failed biliary cannulation, EUS-guided antegrade treatment for stone management, and EUS-guided hepaticogastrostomy for anastomotic strictures in patients with a surgically altered anatomy. There are some technical hurdles in EUS-guided interventions for benign biliary diseases owing to the difficulty in puncturing a relatively small bile duct and in subsequent guidewire manipulation, as well as the lack of dedicated devices. Read More

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http://dx.doi.org/10.5946/ce.2018.188DOI Listing
March 2019
1 Read

Co-occurrence of infantile hypertrophic pyloric stenosis and congenital heart defects: a nationwide cohort study.

Pediatr Res 2019 Mar 12. Epub 2019 Mar 12.

Department of Epidemiology Research, Statens Serum Institut, 5 Artillerivej, DK-2300, Copenhagen S, Denmark.

Background: Recent studies suggest that infantile hypertrophic pyloric stenosis (IHPS) and congenital heart defects (CHDs) may share some genetic risk factors, but little is known about the co-occurrence of the two conditions in patients.

Methods: Our study cohort included 2,212,756 persons born in Denmark 1977-2013. We identified patients with IHPS and CHD in the National Patient Register. Read More

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http://dx.doi.org/10.1038/s41390-019-0369-9DOI Listing

[Auto-expandable metal stent in the management of distal stomach cancer].

Rev Gastroenterol Peru 2018 Oct-Dec;38(4):331-339

Unidad de Gastroenterología, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogotá, Colombia.

Objectives: To establish the efficacy and safety of antroduodenal metal stents for the treatment of pyloric syndrome in patients with distal gastric cancer.

Materials And Methods: Data were obtained from 31 patients older than 18 years who had a diagnosis of distal gastric cancer between 2009 and 2017, who presented pyloric syndrome associated with antroduodenal stenosis documented by endoscopy or X-ray of upper digestive tract, being managed with an antroduodenal auto-expandable metal stent in the gastroenterology unit of the San Ignacio University Hospital (HUSI) in Bogotá DC, Colombia.

Results: The main documented symptom that led to consultation was the presence of vomiting in 45. Read More

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Annular Pancreas in Adults: Case Report and Literature Review.

S D Med 2019 Feb;72(2):54-57

Department of Surgery, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

Annular pancreas is an uncommon congenital cause of gastric outlet obstruction. The incidence is usually referenced at between five and 15 per 100,000 based on autopsy series. When present, this rare condition surfaces with symptoms in the pediatric population during the first few months of life. Read More

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February 2019
1 Read

Complications After Endoscopic Stenting for Malignant Gastric Outlet Obstruction: A Cohort Study.

Surg Laparosc Endosc Percutan Tech 2019 Mar 6. Epub 2019 Mar 6.

Policlinico Umberto I, University of Rome Sapienza, Rome, Italy.

Background: Gastric stenting has become a common place in clinical practice. The aim of our study was to evaluate the factors influencing the clinical outcome in patients who received endoscopic stenting for malignant gastric outlet obstruction (GOO).

Materials And Methods: We prospectively evaluated the clinical course of 87 patients who presented to our attention with malignant GOO. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000656DOI Listing
March 2019
11 Reads
0.938 Impact Factor

Congenital absence of lingual frenum in a non-syndromic patient: a case report.

J Med Case Rep 2019 Mar 10;13(1):56. Epub 2019 Mar 10.

Department of Oral Diagnostic Sciences, King Abdul-Aziz University - Faculty of Dentistry, Jeddah, Saudi Arabia.

Background: The lingual frenum is a fold of mucous membrane connecting the ventral tongue to the floor of the mouth. In general, lingual frenum serves multiple roles; its main function is to support the tongue and aid in limiting its movement in different directions. Any anatomical or functional deficiency of lingual frenum may have an impact on tongue functions based on its severity. Read More

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http://dx.doi.org/10.1186/s13256-018-1966-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409156PMC

Wandering liver: an unusual cause of recurrent gastric outlet obstruction.

BMJ Case Rep 2019 Mar 6;12(3). Epub 2019 Mar 6.

Department of Surgery, Austin Health, Heidelberg, Victoria, Australia.

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http://dx.doi.org/10.1136/bcr-2019-229452DOI Listing

Reversible Jackhammer esophagus in a patient with a gastric band.

Neurogastroenterol Motil 2019 Apr;31(4):e13572

Division of Gastroenterology, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.

We wish to report a case of Jackhammer esophagus in a patient with laparoscopic gastric band, with confirmed resolution of hypertensive peristalsis on deflation of the band. This finding adds to the growing body of evidence that outlet obstruction plays an important role in the pathophysiology of Jackhammer esophagus, which remains incompletely defined. Read More

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http://dx.doi.org/10.1111/nmo.13572DOI Listing

Early gastric cancer with ball valve syndrome treated by endoscopic submucosal dissection.

Clin J Gastroenterol 2019 Mar 6. Epub 2019 Mar 6.

Department of Gastroenterology and Hepatology, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, 710-8602, Japan.

An 84-year-old woman with pneumonia, congestive heart failure and chronic renal failure presented for iron-deficiency anemia and appetite loss. Esophagogastroduodenoscopy revealed a 60-mm sub-pedunculated tumor arising from the antrum of the stomach. The tumor was friable, with bleeding, and prolapsed into the duodenal bulb, the ball valve syndrome. Read More

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http://dx.doi.org/10.1007/s12328-019-00955-1DOI Listing
March 2019
8 Reads

Palliation of malignant gastroduodenal obstruction with self-expandable metal stent using side- and forward-viewing endoscope: Feasibility and outcome.

JGH Open 2019 Feb 19;3(1):65-70. Epub 2018 Nov 19.

Department of Gastroenterology Sanjay Gandhi Post Graduate Institute of Medical Sciences Lucknow India.

Background: The endoscopic placement of a self-expandable metal stent (SEMS), an alternative to surgical bypass for the palliation of malignant gastric outlet obstruction (GOO), is commonly performed using a forward-viewing endoscope with a wide therapeutic channel; however, due to limited availability, most Indian centers use a side-viewing duodenoscope. We studied the feasibility and outcome of SEMS placement using side- and forward-viewing endoscopes.

Method: Data of patients undergoing SEMS placement using side- and forward-viewing endoscopes with a therapeutic channel for the palliation of malignant GOO presenting during a 5-year period were analyzed retrospectively. Read More

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http://dx.doi.org/10.1002/jgh3.12110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386745PMC
February 2019
4 Reads

Transhiatal esophagectomy with gastric pull-up, pyloric exclusion and Roux-en-Y gastroenterostomy for the management of esophageal caustic injury.

Int J Surg Case Rep 2019 13;56:66-69. Epub 2019 Feb 13.

Universidade Federal do Vale do São Francisco, Av. José de Sá Maniçoba, S/N - Centro CEP: 56304-917, Petrolina, PE, Brazil. Electronic address:

Introduction: Ingestion of caustic materials can lead to digestive tube perforation involving the mouth, pharynx, esophagus and stomach (Vezakis et al., 2016 [1]). In this case report, the authors opted for gastric pull-up in a case of esophageal and pyloric stenosis secondary to caustic ingestion, and a Roux-en-Y gastroenterostomy in the lower portion of the gastric pull-up. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403175PMC
February 2019
4 Reads

An overview of walled-off pancreatic necrosis for clinicians.

Expert Rev Gastroenterol Hepatol 2019 Apr 8;13(4):331-343. Epub 2019 Feb 8.

a Department of Gastroenterology , Post Graduate Institute of Medical Education and Research (PGIMER) , Chandigarh , India.

Introduction: Walled of pancreatic necrosis (WOPN) is a new term coined for encapsulated fluid collection developing after acute necrotising pancreatitis (ANP). It is a heterogeneous collection containing varying amount of liquid as well as solid necrotic material. The literature on its natural history as well as appropriate management is gradually expanding thereby improving treatment outcomes of this enigmatic disease. Read More

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http://dx.doi.org/10.1080/17474124.2019.1574568DOI Listing

Bouveret's syndrome: A rare presentation of gastric outlet obstruction.

Exp Ther Med 2019 Mar 3;17(3):1813-1816. Epub 2019 Jan 3.

Department of Hepatobiliary Surgery, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu 223300, P.R. China.

Bouveret's syndrome refers to gastric outlet obstruction caused by the formation of a cholecystoduodenal fistula with subsequent migration and impaction of a large gallstone into the duodenum. A case of a 59-year-old male who presented to our institution with consistent abdominal pain and nausea is reported herein. Bouveret's syndrome was diagnosed after conducting a computed tomography scan. Read More

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http://dx.doi.org/10.3892/etm.2019.7150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364238PMC
March 2019
1 Read

The Impact of Sociodemographic and Hospital Factors on Length of Stay Before and After Pyloromyotomy.

J Surg Res 2019 Feb 18;239:1-7. Epub 2019 Feb 18.

Department of Pediatric Surgery, McGovern Medical School, Houston, Texas; Center for Surgical Trials and Evidence-Based Practice, Department of Pediatric Surgery, McGovern Medical School, Houston, Texas. Electronic address:

Background: The aim of the study was to determine whether racial or ethnic and insurance disparities exist in pre- and post-operative length of stay (LOS) in patients with hypertrophic pyloric stenosis (HPS).

Materials And Methods: The Healthcare Cost and Utilization Project Kid's Inpatient Database database (years 2006, 2009, and 2012) was analyzed for patients aged <1 y with HPS with a primary procedure of pyloromyotomy. Multivariate logistic regression was performed to determine the association between race or ethnicity and insurance status with the primary outcomes of prolonged pre- and post-operative LOS (defined as >1 d). Read More

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http://dx.doi.org/10.1016/j.jss.2019.01.003DOI Listing
February 2019

Esophageal perforation secondary to malignant gastric outlet obstruction: a case report.

World J Surg Oncol 2019 Feb 19;17(1):36. Epub 2019 Feb 19.

Department of Surgery, Division of Surgical Oncology, East Carolina University Brody School of Medicine, Greenville, NC, USA.

Background: Esophageal perforation is a rare presenting sign of gastric cancer. To date, only nine case reports of this phenomenon have been previously published.

Case Presentation: Esophageal perforation was diagnosed radiographically during workup for acute chest pain in a 67-year-old man. Read More

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http://dx.doi.org/10.1186/s12957-019-1576-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381626PMC
February 2019
2 Reads

Venous Physiology Predicts Dehydration in the Pediatric Population.

J Surg Res 2019 Jun 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

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http://dx.doi.org/10.1016/j.jss.2019.01.036DOI Listing

EUS-guided gastrojejunostomy for relief of gastric outlet obstruction from a large duodenal hematoma.

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.

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http://dx.doi.org/10.1016/j.vgie.2018.10.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363769PMC
February 2019

[Trastuzumab Combination Chemotherapy Followed by R0 Resection for Locally Advanced Human Epidermal Growth Factor Receptor 2-Positive Gastric Cancer-A Case Report].

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

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January 2019

Feasibility and safety of duodenal covered self-expandable metallic stent fixation: an experimental study.

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

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http://dx.doi.org/10.1007/s00464-019-06694-1DOI Listing
February 2019

Laparoscopic Diamond Antroduodenostomy for Postcorrosive Pyloric Cicatrization: A Novel Approach.

J Laparoendosc Adv Surg Tech A 2019 Apr 13;29(4):538-541. 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

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http://dx.doi.org/10.1089/lap.2018.0182DOI Listing
April 2019
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EUS-guided gastroenterostomy versus enteral stent placement for palliation of malignant gastric outlet obstruction.

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

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http://link.springer.com/10.1007/s00464-018-06636-3
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http://dx.doi.org/10.1007/s00464-018-06636-3DOI Listing
February 2019
18 Reads

Caterpillar Sign in an Infant with Hypertrophic Pyloric Stenosis.

J Pediatr 2019 Feb 2. Epub 2019 Feb 2.

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

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http://dx.doi.org/10.1016/j.jpeds.2018.12.058DOI Listing
February 2019
2 Reads

Rapunzel syndrome in adult with mysterious presentation: a rare case report with literature review.

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

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http://dx.doi.org/10.1177/0049475519826477DOI Listing
February 2019
4 Reads

The association of prenatal and postnatal macrolide exposure with subsequent development of infantile hypertrophic pyloric stenosis: a systematic review and meta-analysis.

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

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http://dx.doi.org/10.1186/s13052-019-0613-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360705PMC
February 2019
1 Read

Durability and long-term outcomes of direct EUS-guided gastroenterostomy using lumen-apposing metal stents for gastric outlet obstruction.

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

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http://dx.doi.org/10.1055/a-0799-9939DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6353651PMC
February 2019
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[Application of intracorporeal uncut Roux-en-Y anastomosis in digestive tract reconstruction after laparoscopic total gastrectomy].

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

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January 2019
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[Totally Laparoscopic Stomach-Partitioning Gastrojejunostomy for Gastroduodenal Outlet Obstruction for Elderly Cancer Patients].

Gan To Kagaku Ryoho 2018 Dec;45(13):1919-1921

Dept. of Surgery, Tokyo Metropolitan Ohtsuka Hospital.

We have performed totally laparoscopic stomach-partitioning gastrojejunostomy for gastroduodenal outlet obstruction caused by advanced malignancies in 14 cases. We divided 14 patients into 2 groups according to age at surgery: those<80 years of age and thoseB80 years of age. We compared these 2 groups regarding preoperative status, operative findings, and postoperative course. Read More

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December 2018

Presentation and outcomes in hypertrophic pyloric stenosis: An 11-year review.

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

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http://doi.wiley.com/10.1111/jpc.14372
Publisher Site
http://dx.doi.org/10.1111/jpc.14372DOI Listing
January 2019
11 Reads