Subject(s)
Gastrointestinal Neoplasms , Lymphoma, B-Cell, Marginal Zone , Adult , Aged , Female , Gastrointestinal Neoplasms/classification , Gastrointestinal Neoplasms/diagnosis , Gastrointestinal Neoplasms/therapy , Humans , Intestinal Diseases/classification , Lymphoma, B-Cell, Marginal Zone/classification , Lymphoma, B-Cell, Marginal Zone/diagnosis , Lymphoma, B-Cell, Marginal Zone/therapy , Lymphoma, Non-Hodgkin/classification , Lymphoma, Non-Hodgkin/diagnosis , Lymphoma, Non-Hodgkin/therapy , Lymphoproliferative Disorders/classification , Male , Middle AgedABSTRACT
The authors describe the possible application of Tc-99m (V) DMSA scintigraphy in pancreatic neuroendocrine tumors. In consideration of the common embryonic origin of these tumors and other neoplastic diseases (medullary thyroid carcinoma, pheocromocytoma, neuroblastoma) that have been well studied with radionuclide imaging, five cases of pancreatic neuroendocrine tumors (two insulinomas, one vipoma, and two unclassified neuroendocrine tumors) were successfully visualized with Tc-99m (V) DMSA scintigraphy, thus giving an overall "imaging confirmation" of the histologic and/or cytologic results in terms of primary and metastatic localization. The authors point out the importance of their results, obtained in a simple and repeatable manner, and suggest a real comparison in this setting between this approach and octreotide scintigraphy.
Subject(s)
Insulinoma/diagnostic imaging , Neuroendocrine Tumors/diagnostic imaging , Organotechnetium Compounds , Pancreatic Neoplasms/diagnostic imaging , Succimer , Vipoma/diagnostic imaging , Female , Humans , Male , Middle Aged , Radionuclide Imaging , Sensitivity and Specificity , Technetium Tc 99m Dimercaptosuccinic AcidABSTRACT
The Authors report an alternative technique for ileo-anal anastomosis in total proctocolectomy with ileal pouch. Their experience and results are discussed.
Subject(s)
Anal Canal/surgery , Ileum/surgery , Proctocolectomy, Restorative/methods , Adult , Anastomosis, Surgical , Colitis, Ulcerative/surgery , Evaluation Studies as Topic , Follow-Up Studies , Humans , Male , Time FactorsABSTRACT
The Authors report the case of a patient who, following a side-to-side Wirsung-jejunostomy for chronic pancreatitis, became symptomatic again for anastomotic obstruction and progression of the pancreatic disease. Results of pancreaticojejunostomy are compared to those reported by other Authors. Controversies on pathophysiology, diagnosis, and therapy are analyzed as well.
