3,325 results match your criteria duodenum atresia

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV membranous esophageal atresia.

Congenit Anom (Kyoto) 2021 Jul 17. Epub 2021 Jul 17.

Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Congenital esophageal web is a very rare type of esophageal atresia (EA) and is considered as Type IV atresia in Kluth's classification. Type IV EA is further classified into subgroups according to the location of web and the presence of tracheoesophageal fistula (TEF). Herein, we present a newborn having Type IV EA who was initially suspected as isolated EA and has co-existing malrotation together with the review of the literature. Read More

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Microscopic transduodenal excision of an ampullary adenoma: A case report and review of the literature.

World J Clin Cases 2021 Jun;9(18):4844-4851

Department of General Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China.

Background: Transduodenal local excision is an alternative treatment approach for benign ampullary tumors. However, this procedure has technical difficulties, especially during reconstruction of the pancreaticobiliary ducts. An operating microscope has been widely used by surgeons for delicate surgery due to its major advantages of magnification, illumination, and stereoscopic view. Read More

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Low Prevalence of Extraesophageal Gastrointestinal Pathology in Patients with Eosinophilic Esophagitis.

Dig Dis Sci 2021 Jun 30. Epub 2021 Jun 30.

Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, 676 North Saint Clair, Suite 1400, Chicago, IL, 60611, USA.

Background: Limited data are available to support current guidelines recommendations on obtaining gastric and duodenal biopsies of patients with clinical and histologic manifestations consistent with eosinophilic esophagitis (EoE) to rule out eosinophilic gastritis (EG) or duodenitis (EoD). Our study examined the prevalence of concomitant extraesophageal, gastrointestinal pathology to better characterize the diagnostic yield of additional biopsies.

Methods: This was a single-center, retrospective study which utilized ICD 9 codes (530. Read More

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Peripheral eosinophilia and hypoalbuminemia are associated with a higher biopsy diagnostic yield for eosinophilic gastroenteritis.

Clin Res Hepatol Gastroenterol 2021 Jun 25:101746. Epub 2021 Jun 25.

University of North Carolina Division of Gastroenterology and Hepatology, Department of Medicine, Center for Esophageal Diseases and Swallowing, Center for Gastrointestinal Biology and Disease, Bioinformatics Building, 130 Mason Farm Rd, CB# 7555, Chapel Hill, NC 27599. Electronic address:

Background: Gastric and duodenal mucosa may appear normal in eosinophilic gastroenteritis (EGE). Adult gastroenterologists typically biopsy only in the setting of mucosal abnormalities or symptoms, while pediatric providers biopsy all patients. The biopsy yield of EGE has not been adequately evaluated. Read More

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[A case of obstructive jaundice and duodenal stenosis caused by vaginal cancer and retroperitoneal metastasis].

Nihon Shokakibyo Gakkai Zasshi 2021 ;118(6):571-577

Department of Pathology, National Hospital Organization Kyushu Cancer Center.

A 76-year-old woman with a history of radiation therapy for vaginal cancer was referred to our hospital because of fever and hepatobiliary dysfunction. Computed tomography showed stenosis of the lower bile duct and edema-like changes in the duodenum from the descending to transverse parts. Endoscopic biliary stenting was performed according to the rendezvous method. Read More

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Ultrasonographic Imaging of the Fetal Duodenal Tract.

J Ultrasound Med 2021 May 27. Epub 2021 May 27.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine Unit, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.

Objectives: To investigate whether fetal duodenal tract sections can be visualized in the prenatal ultrasonographic examination.

Methods: This study was designed in cross-section. Healthy singleton pregnant women who applied to the perinatology outpatient clinic for second-level ultrasound scanning between September 2020 and February 2021 were included in the study. Read More

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Characterization of technical skill progress in a standardized rabbit model for training in laparoscopic duodenal atresia repair.

Surg Endosc 2021 May 17. Epub 2021 May 17.

Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.

Background: Laboratory skills training is an essential step before conducting minimally invasive surgery in clinical practice. Our main aim was to develop an animal model for training in clinically highly challenging laparoscopic duodenal atresia repair that could be useful in establishing a minimum number of repetitions to indicate safe performance of similar interventions on humans.

Materials And Methods: A rabbit model of laparoscopic duodenum atresia surgery involving a diamond-shaped duodeno-duodenostomy was designed. Read More

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Prenatal diagnosis of megaduodenum using ultrasound: a case report.

BMC Pregnancy Childbirth 2021 May 11;21(1):370. Epub 2021 May 11.

Department of Ultrasound, Shengjing Hospital of China Medical University, No.36 Sanhao St, Shenyang, 110004, Liaoning, China.

Background: Congenital megaduodenum is a rare disorder; however, its prenatal diagnosis has not been reported previously. We report the case of an abdominal cystic mass in a fetus that was later diagnosed as megaduodenum.

Case Presentation: An abdominal cystic mass was found during ultrasonography of a fetus at 11 weeks of gestation. Read More

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Utility of gastric and duodenal biopsy sampling in adult eosinophilic esophagitis patients to rule out other gastrointestinal disorders.

Scand J Gastroenterol 2021 May 9;56(5):613-620. Epub 2021 Apr 9.

Department of Gastroenterology & Hepatology, Amsterdam University Medical Center, Amsterdam, The Netherlands.

Rationale: According to consensus guidelines, if eosinophilic esophagitis (EoE) is suspected, not only esophageal but also gastric and duodenal biopsy specimens should be sampled in order to exclude other generalized or eosinophilic gastrointestinal (GI) disorders, such as eosinophilic gastroenteritis or celiac disease. However, the diagnostic yield for this remains unclear.

Aim: To assess the diagnostic yield of biopsy sampling from the stomach and duodenum in adult EoE patients to rule out generalized or eosinophilic GI disorders. Read More

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[Cancer of terminal part of common bile duct in a patient with heterotaxy syndrome].

Khirurgiia (Mosk) 2021 (4):58-63

Federal Research and Clinical Center of Specialized Types of Medical Care and Medical Technologies, Moscow, Russia.

Case report is devoted to successful pancreatectomy for cancer of terminal part of common bile duct in a patient with heterotaxy syndrome. The main difficulties during dissection of pancreaticoduodenal complex arose due to anatomical disorientation and the lack of standard topographic and anatomical landmarks. Preoperative computed tomography with assessment of visceral vessel anatomy is essential in all patients with biliopancreaticoduodenal tumors. Read More

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[Endoscopic treatment of duodenal duplication cyst].

Khirurgiia (Mosk) 2021 (3):66-69

Vishnevsky National Medical Research Center of Surgery, Moscow, Russian Federation.

Duodenal duplication cyst (DDC) is a rare form of intestinal malformation (2-12% of all gastrointestinal duplications). There are many difficulties in diagnosis and management of DDC. We present a case of successful endoscopic transluminal treatment of DDC in a 30-year-old female. Read More

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Nonoperative Management of Perforated Diverticulitis of the Duodenum: Report of Three Cases and Review of Literature.

Case Rep Surg 2021 20;2021:6647470. Epub 2021 Feb 20.

Department of Radiology, Haaglanden Medical Centre Westeinde, Lijnbaan 32 2512 VA The Hague, Netherlands.

Duodenal diverticula are relatively frequent but complications are uncommon. The mortality rate of perforated duodenal diverticulitis is high, and its management is controversial. We report three patients with a perforated duodenal diverticulitis who were successfully treated with conservative antibiotic therapy. Read More

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February 2021

Bone Marrow Suppression Associated With Celiac Disease in a 4-Year-Old Boy.

ACG Case Rep J 2021 Feb 23;8(2):e00538. Epub 2021 Feb 23.

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.

Celiac disease is an immune-mediated process against gluten, resulting in inflammation and villous atrophy of the duodenum. Symptoms of malabsorption characterize the classic presentation; however, abdominal pain, constipation, and nutritional deficiencies can also be seen. We present a case of a 4-year-old boy who was found to have celiac disease after presenting with diarrhea, abdominal pain, weight loss, and new-onset pancytopenia. Read More

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February 2021

Combined renal and common hepatic artery denervation as a novel approach to reduce cardiometabolic risk: technical approach, feasibility and safety in a pre-clinical model.

Clin Res Cardiol 2021 May 26;110(5):740-753. Epub 2021 Feb 26.

Dobney Hypertension Centre, Faculty of Medicine, School of Medicine-Royal Perth Hospital Unit, Dentistry and Health Sciences, The University of Western Australia, Level 3, MRF Building, Rear 50 Murray St, Perth, WA, 6000, Australia.

Background: Cardiovascular and metabolic regulation is governed by neurohumoral signalling in relevant organs such as kidney, liver, pancreas, duodenum, adipose tissue, and skeletal muscle. Combined targeting of relevant neural outflows may provide a unique therapeutic opportunity for cardiometabolic disease.

Objectives: We aimed to investigate the feasibility, safety, and performance of a novel device-based approach for multi-organ denervation in a swine model over 30 and 90 days of follow-up. Read More

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Seronegative autoimmune enteropathy with duodenal sparing and colonic clues in an adult female.

Clin J Gastroenterol 2021 Apr 25;14(2):546-550. Epub 2021 Feb 25.

Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA, 90048, USA.

Autoimmune enteropathy (AIE) is a rare immune disorder of the gut seldom found in adults and characterized by uncontrollable diarrhea resulting in malabsorption. While AIE is known to be pan-enteric, virtually all cases have presented with altered duodenal histology following known patterns with or without macroscopic change. We describe a unique case of seronegative AIE lacking typical duodenal manifestations in a 43-year-old female. Read More

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Gastrointestinal mucosal damage in patients with COVID-19 undergoing endoscopy: an international multicentre study.

BMJ Open Gastroenterol 2021 02;8(1)

Department of Gastroenterology, Newcastle upon Tyne hospitals NHS Trust, Newcastle upon Tyne, UK.

Background: Although evidence suggests frequent gastrointestinal (GI) involvement during coronavirus disease 2019 (COVID-19), endoscopic findings are scarcely reported.

Aims: We aimed at registering endoscopic abnormalities and potentially associated risk factors among patients with COVID-19.

Methods: All consecutive patients with COVID-19 undergoing endoscopy in 16 institutions from high-prevalence regions were enrolled. Read More

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February 2021

Is Endoscopic Assessment of the Esophagus and Stomach Enough to Determine the Need for Biopsy at These Sites in Pediatric Patients Undergoing Endoscopy for Elevated TTG?

Pediatr Dev Pathol 2021 May-Jun;24(3):206-212. Epub 2021 Feb 4.

Division of Gastroenterology & Hepatology, Seattle Children's Hospital, Seattle, Washington.

Objectives: The goal of our study was to determine whether visual assessment of the esophagus and stomach could predict abnormal histology and determine the frequency of interventions based on biopsies in patients undergoing endoscopy for elevated tissue transglutaminase immunoglobulin A antibody (TTG).

Methods: Pathology records were searched for patients with biopsy performed for elevated TTG. Pathology report, endoscopy report, and follow-up were obtained and slides from the duodenum reviewed. Read More

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February 2021

Megaesophagus and Megaduodenum Found Incidentally on a Routine Chest Radiograph During a Health Examination.

Intern Med 2021 Jul 1;60(13):2039-2046. Epub 2021 Feb 1.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Japan.

Chronic idiopathic intestinal pseudo-obstruction (CIIP) caused by impaired intestinal peristalsis leads to intestinal obstructive symptoms. A 20-year-old man had marked esophageal dilatation that was found incidentally on chest radiography during a health examination. Chest/abdominal contrast-enhanced computed tomography and endoscopy showed marked esophageal and duodenal dilatation without mechanical obstruction. Read More

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Delayed development of vacuoles and recanalization in the duodenum: a study in human fetuses to understand susceptibility to duodenal atresia/stenosis.

Fetal Pediatr Pathol 2021 Jan 29:1-7. Epub 2021 Jan 29.

Department of Anatomy, Jiangnan University, Wuxi, China.

Objective: We compared the cross-sectional areas of the duodenum to the distal small intestine during early gestation to determine if there is a difference in age for recanalization.

Methods: Serial sagittal sections of six fetuses of gestational age (GA) 8-10 weeks were examined morphologically to compare the degree of recanalization of the duodenum with to the more distal small intestine.

Results: At GA 8-9 weeks, the duodenum had more epithelial plugs and vacuoles with no or narrower spaces compared to the distal small bowel. Read More

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January 2021

[A Case Report of Duodenal Ampullary Carcinoma with Annular Pancreas].

Gan To Kagaku Ryoho 2020 Dec;47(13):2053-2055

Dept. of Surgery, Kurume University School of Medicine.

Annular pancreas is a rare congenital anomaly that rarely occurs in parallel with malignancy. We herein report a case of annular pancreas with carcinoma of the papilla of Vater. A 76-year-old woman presented with abdominal pain and was referred to us after gastroduodenal endoscopy showed a tumor of the papilla. Read More

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December 2020

Gastrointestinal ultrasonographic findings in cats with Feline panleukopenia: a case series.

BMC Vet Res 2021 Jan 7;17(1):20. Epub 2021 Jan 7.

Istituto Veterinario di Novara, 28060, Granozzo con Monticello (NO), Italy.

Background: Feline panleukopenia virus (FPV) is very resistant and highly contagious and infects domestic cats and other felids. FPV is particularly widespread among sheltered cats, and is associated with high morbidity and mortality, causing severe gastroenteritis characterized by anorexia, lethargy, fever, dehydration, hemorrhagic diarrhea, and vomiting. There is currently no data on the ultrasonographic features of cats affected with FPV. Read More

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January 2021

Paeoniflorin Alleviates Abnormalities in Rats with Functional Dyspepsia by Stimulating the Release of Acetylcholine.

Drug Des Devel Ther 2020 22;14:5623-5632. Epub 2020 Dec 22.

Department of Neurology, The First Affiliated Hospital of Dalian Medical University, Dalian 116001, People's Republic of China.

Introduction: Paeoniflorin is a main active component in traditional Chinese medicine. Paeoniae alba radix is widely used as a spasmolytic and pain-relieving agent for abdominal spasmodic pain. Functional dyspepsia (FD) is characterized by pain or burning in the epigastrium, fullness, bloating and nausea. Read More

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December 2020

Delayed presentation of a congenital duodenal web managed successfully with incision of web.

BMJ Case Rep 2020 Dec 22;13(12). Epub 2020 Dec 22.

Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

One of the causes of congenital incomplete duodenal obstruction is the presence of congenital duodenal web with fenestration. This condition requires a high index of suspicion for an early and accurate diagnosis. We present an unusual presentation of duodenal web in a 6-year-old girl who presented with a 3-year history of cyclical and seasonal vomiting and abdominal pain. Read More

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December 2020

Clinical characteristics of adult-type annular pancreas: A case report.

World J Clin Cases 2020 Nov;8(22):5722-5728

Department of Rehabilitation, School of Nursing, Jilin University, Changchun 130021, Jilin Province, China.

Background: Annular pancreas (AP) is a rare congenital abnormal rotation of the pancreas. AP rarely occurs in adults. Pancreatic tumors and ampullary tumors are related to AP, so the discovery and treatment of AP are essential. Read More

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November 2020

H-type tracheo-oesophageal fistula in an infant.

BMJ Case Rep 2020 Dec 17;13(12). Epub 2020 Dec 17.

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

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December 2020

Abnormal Intestinal Anatomy in Late-stage Human Fetuses: Three Case Series.

Tokai J Exp Clin Med 2020 Dec 20;45(4):162-169. Epub 2020 Dec 20.

Department of Anatomy, Division of Basic Medical Science, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.

Objective: We reported three cases of fetuses with abnormal intestinal anatomy found during our recent study of the transverse mesocolon using 20 late-stage fetuses.

Cases: The first case (CRL: 328 mm) appeared to have a duodenum and transverse colon trapped in Winslow's foramen (foramen epiploicum) and the duodenum superior portion elongated rightward. The second case (CRL: 264 mm) had a transverse colon inserted deeply into a space between the right kidney and duodenum. Read More

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December 2020

A Rare Complication of Ileus Following Endoscopic Ultrasound-Guided Celiac Plexus Neurolysis: A Case Report.

Cureus 2020 Oct 15;12(10):e10963. Epub 2020 Oct 15.

Gastroenterology and Hepatology, University of Toledo, Toledo, USA.

Pancreatic cancer patients experience debilitating pain, which makes pain management an integral part of the treatment plan. Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-guided CPN) is an alternative palliative therapy for patients with pain due to pancreatic cancer. We report a patient who developed paralytic ileus after undergoing EUS-guided CPN. Read More

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October 2020

A Study of Carry-Over and Histopathological Effects after Chronic Dietary Intake of Citrinin in Pigs, Broiler Chickens and Laying Hens.

Toxins (Basel) 2020 11 16;12(11). Epub 2020 Nov 16.

Department of Pharmacology, Toxicology and Biochemistry, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.

Citrinin (CIT) is a polyketide mycotoxin occurring in a variety of food and feedstuff, among which cereal grains are the most important contaminated source. Pigs and poultry are important livestock animals frequently exposed to mycotoxins, including CIT. Concerns are rising related to the toxic, and especially the potential nephrotoxic, properties of CIT. Read More

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November 2020

Irreversible Electroporation for Renal Ablation Does Not Cause Significant Injury to Adjacent Ureter or Bowel in a Porcine Model.

J Endourol 2021 Jun 17;35(6):873-877. Epub 2020 Dec 17.

Department of Urology and UT Southwestern Medical Center, Dallas, Texas, USA.

To evaluate the safety of irreversible electroporation (IRE) for renal ablation adjacent to the ureter or bowel. Six adult pigs each underwent bilateral IRE of the kidney. To simulate adjacence, the left proximal ureter and duodenum were secured onto the left and right kidney capsule, respectively. Read More

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Digestive Diseases in Brachycephalic Dogs.

Vet Clin North Am Small Anim Pract 2021 Jan;51(1):61-78

Institute of Life Course and Medical Sciences, University of Liverpool, Leahurst Campus, Chester High Road, Neston, Merseyside CH64 7TE, UK.

In addition to presenting with respiratory signs, many dogs with brachycephalic airway obstructive syndrome show digestive tract signs related to the same conformational abnormalities. A detailed diagnostic investigation is usually required, including clinicopathologic analyses, thoracic radiographs, fluoroscopic studies, abdominal ultrasound examinations and both upper airway and gastrointestinal tract endoscopy. In most cases, medical therapies are successful in managing clinical signs, but surgery can occasionally be required to resolve hiatal hernia or pyloric stenosis. Read More

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January 2021