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1.
Article Dans Anglais | IMSEAR | ID: sea-63667

Résumé

Watermelon stomach is a rare cause of upper gastrointestinal bleeding. We report a middle-aged woman who had been having recurrent bleeding from watermelon stomach. She was treated surgically by gastrectomy and Billroth II anastomosis.


Sujets)
Femelle , Ectasie vasculaire antrale/complications , Hémorragie gastro-intestinale/étiologie , Humains , Adulte d'âge moyen , Récidive
2.
Article Dans Anglais | IMSEAR | ID: sea-64283

Résumé

Selective deep cannulation of the common bile duct (CBD), which is essential for successful endoscopic sphincterotomy, may not be possible in all patients. Three patients with retained CBD stones with T-tube in situ in whom selective deep cannulation failed, underwent successful sphincterotomy using a combined percutaneous and endoscopic procedure through the T-tube. CBD stones were then extracted with a Dormia basket. In situ T-tube can provide percutaneous access for combined approach in patients with retained CBD stones in whom endoscopic cannulation is not successful.


Sujets)
Cathétérisme/méthodes , Cholangiographie , Femelle , Calculs biliaires/anatomopathologie , Humains , Adulte d'âge moyen , Sphinctérotomie endoscopique/méthodes
3.
Article Dans Anglais | IMSEAR | ID: sea-124983

Résumé

Retained surgical sponge is an unpleasant surprise in clinical practice. Intraluminal migration of the retained sponge, though rare, can lead to intestinal obstruction and other complications. We describe two cases of retained surgical sponge, both following gynaecological surgery, presenting several years after surgery with features of subacute intestinal obstruction, malabsorption and several years after surgery with features of subacute intestinal obstruction, malabsorption and sever hypoproteinemia which reverted after surgical removal.


Sujets)
Adulte , Femelle , Migration d'un corps étranger/complications , Procédures de chirurgie gynécologique/effets indésirables , Humains , Maladies de l'iléon/étiologie , Iléum , Occlusion intestinale/étiologie , Maladies du jéjunum/étiologie , Jéjunum , Adulte d'âge moyen , Éponges chirurgicales , Tomodensitométrie
4.
Article Dans Anglais | IMSEAR | ID: sea-124135

Résumé

AIM: Perforation is the commonest complication of duodenal ulcer. Helicobacter pylori is found in 95% patients with duodenal ulcer. However, there is paucity of reports on prevalence of H. pylori infection in patients with duodenal ulcer perforation. We, therefore compared the incidence of H. pylori infection in patients with duodenal ulcer perforation with the incidence in patients having complicated duodenal ulcers and non-ulcer dyspepsia. PATIENTS AND METHODS: The study was conducted on 45 patients (complicated duodenal ulcer 15, duodenal ulcer perforation 15, non-ulcer dyspepsia 15). Per-operative punch antral biopsies were taken in patients with duodenal ulcer perforation whereas endoscopic punch biopsies of antrum were taken in patients with non-ulcer dyspepsia. The criteria for H. pylori positivity was i) growth of H. pylori on culture, ii) combination of rapid urease test (RUT) and Giemsa staining, combination of RUT and Gram stain being positive for H. pylori. RESULTS: While 9 of 15 cases with complicated duodenal ulcer, 7 of 15 cases with non-ulcer dyspepsia were positive for H. pylori, none of the patients with duodenal ulcer perforation tested positive for H. pylori (p < 0.000). All patients with perforated duodenal ulcer had histological gastritis (H. pylori -ve). Fourteen of 15 patients (9 H. pylori +ve, 5 H. pylori -ve) with complicated duodenal ulcer and 9 of 15 patients (7 H. pylori +ve) with non-ulcer dyspepsia had histological gastritis. CONCLUSION: Patients with duodenal ulcer perforation do not have H. pylori infection. H. pylori negative patients of duodenal ulcer may have more predilection for perforation.


Sujets)
Adolescent , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Enfant , Maladie chronique , Ulcère duodénal/complications , Femelle , Infections à Helicobacter/complications , Helicobacter pylori , Humains , Mâle , Perforation d'ulcère gastroduodénal/complications
5.
Article Dans Anglais | IMSEAR | ID: sea-63900

Résumé

Endoscopic management has recently been used for a variety of chronic pancreatic diseases. We used this approach in five patients with pancreatic diseases (calcific pancreatitis 2, pancreatic pseudocyst 3). Nasocystic drain was placed in a patient with pancreatic pseudocyst at the tail end of the pancreas; a 5 Fr stent was placed over 0.021"/0.035" guide wire in the main pancreatic duct in the others. All patients had relief of pain. Nasocystic drain led to resolution of pseudocyst, perisplenic collection and pleural effusion. Endoscopic treatment is safe and effective in various pancreatic disorders.


Sujets)
Adolescent , Adulte , Calcinose/imagerie diagnostique , Cholangiopancréatographie rétrograde endoscopique/instrumentation , Maladie chronique , Drainage/instrumentation , Femelle , Humains , Mâle , Pseudokyste du pancréas/étiologie , Pancréatite/étiologie
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