Subject(s)
Humans , Adult , Respiratory Tract Fistula/surgery , Tracheal Diseases/surgery , ThyroidectomySubject(s)
Respiratory Tract Fistula , Thyroidectomy , Humans , Thyroidectomy/adverse effects , TracheaABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Aged, 80 and over , Esophageal Neoplasms/complications , Polyps/complications , Esophageal Neoplasms/diagnosis , Esophageal Neoplasms/surgery , Polyps/diagnosis , Polyps/surgeryABSTRACT
Gastrointestinal bleeding is considered to be obscure when routine endoscopic techniques (esophagogastroscopy and colonoscopy) fail to identify the origin of the hemorrhage. These hemorrhages represent 5% of all gastrointestinal bleeding. Twenty-seven percent of these hemorrhages are due to small bowel disease and gastrointestinal stromal tumors (GIST) are a frequent cause, especially in middle-aged patients. We present three cases that illustrate the difficulty of diagnosing this clinical entity. We emphasize the use of minimally invasive techniques such as computed tomography and laparoscopic surgery in the complicated management of these patients. We believe that the use of these techniques could avoid the need for other more aggressive procedures and allow the application of early definitive surgical treatment with the advantages of laparoscopic surgery.
Subject(s)
Gastrointestinal Stromal Tumors/complications , Gastrointestinal Stromal Tumors/surgery , Jejunal Neoplasms/complications , Jejunal Neoplasms/surgery , Melena/etiology , Occult Blood , Adult , Angiography , Gastrointestinal Stromal Tumors/diagnostic imaging , Humans , Jejunal Neoplasms/diagnostic imaging , Laparoscopy , Male , Melena/diagnosis , Middle Aged , Minimally Invasive Surgical Procedures , Radiography, Abdominal , Tomography, X-Ray ComputedABSTRACT
Se considera hemorragia digestiva oculta cuando las técnicas habituales endoscópicas (esofagogastroscopia y colonoscopia) no encuentran el origen de la hemorragia. Esta hemorragia supone el 5% de todas las hemorragias digestivas. El 27% de las hemorragias ocultas son por lesiones de intestino delgado; los tumores estromales (GIST) son una causa frecuente, fundamentalmente en pacientes de mediana edad. Presentamos 3 casos que reflejan la dificultad en el diagnóstico de este cuadro clínico y destacamos el empleo de técnicas poco invasivas, como la tomografía computarizada y la cirugía laparoscópica, en el complicado manejo de estos enfermos. Creemos que la incorporación de estas técnicas podría evitar otros procedimientos más agresivos y permiten aplicar el tratamiento definitivo quirúrgico de forma temprana con las ventajas de la cirugía laparoscópica (AU)
Gastrointestinal bleeding is considered to be obscure when routine endoscopic techniques (esophagogastroscopy and colonoscopy) fail to identify the origin of the hemorrhage. These hemorrhages represent 5% of all gastrointestinal bleeding. Twenty-seven percent of these hemorrhages are due to small bowel disease and gastrointestinal stromal tumors (GIST) are a frequent cause, especially in middle-aged patients. We present three cases that illustrate the difficulty of diagnosing this clinical entity. We emphasize the use of minimally invasive techniques such as computed tomography and laparoscopic surgery in the complicated management of these patients. We believe that the use of these techniques could avoid the need for other more aggressive procedures and allow the application of early definitive surgical treatment with the advantages of laparoscopic surgery (AU)
