UI - 11890227
AU - Chang SC; Tu SH; Shi MY; Huang SH; Chen KM
Mesenteric lymphangioma causing bowel obstruction: report of one case.
SO - Acta Paediatr Taiwan 2002 Jan-Feb;43(1):43-5
AD - Department of Surgery, Cathay General Hospital, Taipei, Taiwan.
A 6-year-old female was sent to our ER due to nausea, vomiting and
abdominal distension for 2 days. This child had a history of
constipation and failed intermittent medical treatment for 2 years. Her
plain abdominal X-ray showed multiple intestinal loops and under the
impression of acute abdomen with mechanical intestinal obstruction, an
exploratory laparotomy was performed. A huge mesenteric tumor was
discovered to be the cause of the intestinal obstruction; the involved
bowel and the mesenteric lymphangioma were resected and primary
anastomosis was done. Mesenteric cystic lymphangioma is a rare cause of
bowel obstruction; preoperative diagnosis is difficult due to silent
clinical course and lack of awareness of the clinical and morphological
features of this disease. The case is presented along with a review of
literature with the conclusion that a high index of suspicion is
recommended. An abdominal ultrasonography may be recommended to evaluate
a long-term constipated child to ascertain that any cystic lesion will
not be missed.
UI - 11484286
AU - Belchev B
[Esophagojejunostomy after Roux following gastrectomy for cancer of the
SO - Khirurgiia (Sofiia) 2000;56(2):36-7
Not big number of cases (17) operated for cardia cancer are subject of
retrospective analyzing. Ezophagoejunoanastomosis by termino-lateral
plastic, type of Roux is realized in more of cases (9). Termino-terminal
junction and this after proximal gastric resection performed on hand,
are subject of discussion.
UI - 11808180
AU - Takeuchi Y; Nagata K; Yokota T; Handa M; Matsunaga H; Nishio Y; Kusugami
[von Recklinghausen disease associated with intrahepatic
cholangiocarcinoma and ampullary carcinoid]
SO - Nippon Naika Gakkai Zasshi 2001 Dec 10;90(12):2467-9
AD - Department of Internal Medicine, Shizuoka Kousei Hospital, Shizuoka.
UI - 11865371
AU - Hoksch B; Ablassmaier B; Zieren J; Muller JM
Quality of life after gastrectomy: Longmire's reconstruction alone
compared with additional pouch reconstruction.
SO - World J Surg 2002 Mar;26(3):335-41
AD - University Department of Surgery, Charite/Humboldt-University,
Schumannstrasse 20/21, D-10117 Berlin, Germany.
The optimal reconstruction protocol after total gastrectomy is still a
matter of debate. Pouch reconstructions are developed to create a larger
reservoir for food, to provide a barrier against intestinoesophageal
reflux, and to lengthen the food transit time. Preservation of the
duodenal passage should result in better physiologic regulation of the
ingested food. Controlled randomized clinical studies must be conducted
to assess the quality of life after gastrectomy and various types of
reconstruction. In the present trial, which compared Longmire's
reconstruction without a pouch and Longmire's reconstruction with a
pouch of varying sizes, we evaluated the quality of life for 41 patients
during the first postoperative year. The quality of life was examined by
an EORTC questionnaire and an organ-specific module. There were no
statistically proven benefits for pouch reconstruction in comparison
with Longmire's reconstruction alone. Some benefits are shown for the
large pouch but it was only a trend. This is especially so with regard
to diarrhea and food consumption. A definitive answer to the question
about the value of a pouch reconstruction after gastrectomy has not yet
been attained. It is possible that there will be significant differences
between reconstruction groups during the long-term follow-up.
UI - 11872763
AU - Kitiyakara T; Jackson M; Gorard DA
Refractory coeliac disease, small-bowel lymphoma and chorea.
SO - J R Soc Med 2002 Mar;95(3):133-4
AD - Wycombe Hospital, High Wycombe, Bucks HP11 2TT, UK.
UI - 11922495
AU - Lin L F; Siauw C P; Ho K S; Tung J C
Hemoclip-assisted endoscopic polypectomy of large superior duodenal
angle polyp using a needle knife.
SO - Zhonghua Yi Xue Za Zhi (Taipei) 2001 Dec;64(12):731-4
AD - Department of internal Medicine, Shalu Tungs Memorial Hospital,
Taichung, Taiwan, ROC. email@example.com
Endoscopic polypectomy of a large polyp can be difficult due to
inability to snare the polyp. The difficulty may increase when the polyp
is located at turning corner of the bowel. We presented a case of a 3
cm-sized large pedunculated polyp located at the superior duodenal angle
that was not amenable to conventional snare polypectomy, but was instead
successfully resected by hemoclip-assisted and needle knife method. Such
experience has not been reported in the English literature.
UI - 11113066
AU - Bulow C; Vasen H; Jarvinen H; Bjork J; Bisgaard ML; Bulow S
Ileorectal anastomosis is appropriate for a subset of patients with
familial adenomatous polyposis.
SO - Gastroenterology 2000 Dec;119(6):1454-60
AD - Danish Polyposis Register, Hvidovre University Hospital, Copenhagen,
BACKGROUND & AIMS: This study reevaluates the risk of rectal cancer and
the frequency of subsequent proctectomy for nonmalignant causes in
patients with familial adenomatous polyposis (FAP) who have undergone
colectomy with ileorectal anastomosis (IRA). Potential risk factors for
rectal cancer in this setting are also examined, and recommendations for
the choice of surgical procedure are made. METHODS: The national
polyposis registries in Denmark, Finland, The Netherlands, and Sweden
included 659 patients undergoing surgery with IRA in 1940-1997.
Kaplan-Meier analysis and Cox regression analysis were performed to
evaluate cumulative risk, survival, and predictive risk factors.
RESULTS: Rectal carcinoma was diagnosed in 47 patients, with a
cumulative 40-year risk of 0.32. The cumulative risk according to
chronologic age was 0.30 at age 60, and higher in patients undergoing
surgery above age 25 (P = 0.0016). Chronologic age was the only
independent risk factor (P = 0.0016). The cumulative 5-year survival
rate after rectal carcinoma was 0.60. The apc mutation was known in 167
patients, of whom 7 had rectal cancer. The cumulative 40-year risk of
secondary proctectomy was 0.70, and higher in patients with a mutation
in codon 1250-1500 than outside this region (P = 0.005). However, all 7
rectal cancers were found in the latter group. None of the 18 patients
with attenuated FAP (mutation in codon 0-200 or >1500) had a secondary
proctectomy. CONCLUSIONS: IRA is recommended in (1) young patients with
few rectal adenomas and a family history of a mild phenotype and (2)
patients with attenuated FAP (a mutation in codon 0-200 or >1500),
provided there is acceptance of life-long rectal surveillance. Patients
with many rectal polyps and/or a family history of severe polyposis
should be offered a restorative proctocolectomy with an ileal pouch-anal
UI - 11494976
AU - Bertario L; Sala P; Radice P; Russo A
Ileorectal anastomosis in patients with familial adenomatous polyposis.
SO - Gastroenterology 2001 Aug;121(2):502-3
UI - 11494977
AU - Friedl W; Mangold E; Caspari R; Lamberti C; Propping P
Ileorectal anastomosis is appropriate for a subset of patients with
familial adenomatous polyposis.
SO - Gastroenterology 2001 Aug;121(2):503-4
UI - 11870466
AU - Ogawa S; Minowa O; Ozaki Y; Kuwatsuru R; Sumi Y; Maehara T
Small bowel intussusception caused by intestinal angiosarcomatosis:
usefulness of MR enteroclysis with infusion of water through a
SO - Eur Radiol 2002 Mar;12(3):534-6
AD - Department of Radiology, Juntendo University Urayasu Hospital, 2-1-1,
Tomioka, Urayasu, Chiba 279-0021, Japan. firstname.lastname@example.org
We report a case of intestinal angiosarcomatosis manifesting as
UI - 11819171
AU - Bergert H; Saeger HD
[Jejunal reservoir for pouch. Anal reconstruction]
SO - Zentralbl Chir 2001;126 Suppl 1():43-5
AD - Klinik fur Viszeral, Thorax und Gefasschirurgie, Universitatsklinikum
Carl Gustav Carus der TU Dresden, Germany.
Jejunal reservoir for pouch. Anal reconstruction.For restaurative
proctocolectomy the ileal J-pouch is a world-wide accepted procedure. In
some cases the mesenteric vascular anatomy does not allow to bring the
ileum down to the dentate line. In these patients a jejunal reservoir
can be a good alternative. The different architecture of arteries and
veins within the jejunal mesentery makes the bridging of a longer
distance possible. Within a group of 38 restaurative proctocolectomies,
jejunal pouch was performed in 2 cases. Failure of an ileal pouch was
the reason in one patient. In the other, the ileal mesentery was too
short to achieve a tension free ileal pouch-anal anastomosis. The
functional result is good in both cases.
UI - 11868006
AU - Saurin JC; Ligneau B; Ponchon T; Lepretre J; Chavaillon A; Napoleon B;
The influence of mutation site and age on the severity of duodenal
polyposis in patients with familial adenomatous polyposis.
SO - Gastrointest Endosc 2002 Mar;55(3):342-7
AD - Federation des specialites digestives, Laboratoire de genetique, Hopital
E. Herriot, 5 place d'Arsonval, 64937 Lyon Cedex 03, France.
BACKGROUND: The present study was undertaken to identify factors
affecting the severity of the duodenojejunal polyposis in patients with
familial adenomatous polyposis. METHODS: Duodenojejunal polyposis was
evaluated in 41 consecutive patients with familial adenomatous polyposis
(mean age 41 years, range 21-63 years), 33 (80%) with known APC
mutation, by using a standardized endoscopic protocol. The severity of
the polyposis was graded with the Spigelman scoring system (0-12
points), the Spigelman score/age ratio, and the presence or absence of
advanced adenomas (>1 cm in diameter and/or high-grade dysplasia).
RESULTS: The Spigelman score (median 8, range 3-12) was higher in
patients older than 50 years (median 10, range 3-12) as compared with
younger patients (median 7.5, range 3-11; p = 0.043). A significant
association between age and the presence of advanced adenomas was also
observed. Patients with a mutation in the central part of the APC gene
(codons 279-1309) had a higher Spigelman score and Spigelman score/age
ratio as compared with patients with other mutations: median Spigelman
score/age ratio 0.21 (range 0.14-0.40) versus 0.10 (range 0.06-0.20) (p
< 0.001). CONCLUSIONS: Older age and APC mutation in the central part of
the gene are risk factors for the development of severe duodenojejunal
UI - 11868028
AU - Brandt LJ; Gotian A
Retroflexion in the duodenum for evaluation of duodenal bulb lesions.
SO - Gastrointest Endosc 2002 Mar;55(3):438-40
AD - Division of Gastroenterology, Montefiore Medical Center, Albert Einstein
College of Medicine, 111 East 210th Street, Bronx, NY 10467, USA.
UI - 11940433
AU - Herrera Rubio JA; Quiroga Prado L; Gonzalez Gonzalez JR; Roiz Gaztelu V;
Fernandez Fernandez E; Gonzalez Gonzalez JF; Santos Calderon JA
[Progressive anemia and early postpandrial fullness]
SO - Rev Clin Esp 2002 Jan;202(1):35-6
AD - Servicios de Medicina Interna, Hospital Monte San Isidro, Leon, Spain.
UI - 11925653
AU - Trca S; Gurlich R; Vernerova Z; Krska Z
[Invagination--the first manifestation of leiomyosarcoma]
SO - Rozhl Chir 2002 Mar;81(3):123-6
AD - I. chirurgicka klinika VFN a 1. LF UK, Praha, prednostka.
The authors describe in their paper one of the less frequent ileus acute
abdominal events in adult age--invagination. At the same time they
comment also on the rare cause of invagination, a leiomyosarcoma of the
small intestine. In the discussion they mention the relationship of this
tumour to gastrointestinal stromal tumours.
UI - 11922580
AU - Avendano-Garcia M; Mercado U; Marin ME
A case of Peutz-Jeghers syndrome associated with duodenal carcinoma and
sickle cell anemia.
SO - Am J Gastroenterol 2002 Mar;97(3):762-3
UI - 11949755
AU - Difiore JW; Goldblum JR
Inflammatory myofibroblastic tumor of the small intestine.
SO - J Am Coll Surg 2002 Apr;194(4):502-6
AD - Department of Pediatric Surgery, Cleveland Clinic Children's Hospital,
OH 44195, USA.
UI - 11914661
AU - Sivaratnam DA; Pitman AG; Giles E; Lichtenstein M
The utility of Tc-99m dextran in the diagnosis and identification of
melanoma metastases responsible for protein-losing enteropathy.
SO - Clin Nucl Med 2002 Apr;27(4):243-5
AD - Department of Nuclear Medicine, The Royal Melbourne Hospital, c/o Post
Office, Grattan Street, Parkville 3050, Victoria, Australia.
Protein-losing enteropathy is an uncommon syndrome of excessive loss of
protein via the gastrointestinal mucosa. Tc-99m dextran is a tracer
ideally suited for diagnosis and localization. The authors report a case
of melanoma mestastases to the small bowel that were causing
protein-losing enteropathy. These were diagnosed and localized using
Tc-99m dextran, leading to a curative resection.
UI - 11952250
AU - Testini M; Trabucco S; Di VB; Piscitelli D
Ileal intussusception due to intestinal metastases from primary
malignant melanoma of the lung.
SO - Am Surg 2002 Apr;68(4):377-9
AD - Institute of 2nd General Surgery, Faculty of Medicine, University of
Primary malignant melanoma of the lung (PMML) is an uncommon tumor with
very few cases reported in the literature that satisfy the required
criteria to establish a primary bronchial origin. We report a case of a
44-year-old man with acute abdominal distress and a right pulmonary
roentgenographic opacity. A cranial-thoracic-abdominal CT scan confirmed
the presence of a pulmonary nodule with bilateral cerebral metastases
and marked dilatation of intestinal loops. At laparotomy an ileal
intussusception was noted and an ileal resection was done. The resected
intestinal segment contained three endoluminal polypoidal formations.
Histological and immunohistochemical analyses showed the presence of
multiple sites of melanoma. These lesions as well as the brain lesions
clearly appeared metastatic. The patient underwent further evaluation to
identify a primary site of melanoma; bronchoscopy was performed with
biopsy of the pulmonary nodule. Pathology revealed a neoplastic process
of fusiform cells, with focal presence of melanic inter- and
extracellular pigment. The immunohistochemical analysis confirmed the
diagnosis of PMML. We discuss the criteria for diagnosis and
histogenesis of PMML along with this unusual presentation.
UI - 11923773
AU - Tang SJ; Jutabha R
Recurrent hemorrhage caused by ileal carcinoid.
SO - Gastrointest Endosc 2002 Apr;55(4):559
AD - UCLA Center for the Health Sciences, Los Angeles, California, USA.
UI - 11956460
AU - Hansen KS; Sheley RC
Aortoenteric fistula in advanced germ cell tumor: a rare lethal
SO - J Urol 2002 May;167(5):2131
AD - Department of Oncology and Interventional Radiology, Legacy Good
Samaritan Hospital, Portland, Oregon, USA.
UI - 11909917
AU - Shams PN; Waldman A; Dogan A; MacKenzie JM; Plant GT
Ataxia in the setting of complicated enteropathy: double jeopardy.
SO - J Neurol Neurosurg Psychiatry 2002 Apr;72(4):527-9
AD - National Hospital for Neurology and Neurosurgery, Queen Square, London,
The differential diagnosis of subacute onset ataxia in the setting of
enteropathy is wide. A 54 year old patient with a pancerebellar syndrome
and known ulcerative jejunoileitis is described. Small bowel biopsy
showed evidence of enteropathy associated T cell lymphoma and subsequent
neuropathological analysis and immunophenotyping confirmed metastasis of
this tumour to the cerebellum. The presence of anti-gliadin antibodies
and MRI evidence of a more longstanding process suggested additional
immunologically mediated cerebellar dysfunction. Lymphomatous
involvement of the CNS is rare in patients with complicated
enteropathies, and has not been previously reported to involve the
cerebellar parenchyma. This diagnostic possibility should be borne in
mind before attributing cerebellar dysfunction in patients with the
coeliac related enteropathies to nutritional compromise or immunological
dysfunction (gluten ataxia) alone.
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