The pharmacokinetics of oral ketoprofen in patients after gastric resection.
CONCLUSIONS: Lower concentrations of ketoprofen in patients after gastrectomy suggest that it might be necessary to apply higher dose of the analgesic. PMID: 28178590 [PubMed - as supplied by publisher]
AbstractStents are a great development for esophageal fistula treatment; however, stent migration is a frequent complication. A stent migration that caused anal pain is presented. A 79-year-old man with poorly differentiated gastric carcinoma was submitted to a total gastrectomy with a Roux-en-Y esophagojejunostomy. The patient developed an anastomosis leakage 3 months after surgery; a fixed metallic stent was used as treatment with good evolution. Five months after the stent (and 8 months after gastrectomy), the patient returned to the emergency department with acute incapacitating anal pain; the pain was caused by the mi...
ConclusionPerioperative use of magnesium sulfate reduced postoperative pain and opioid consumption in obese patients undergoing sleeve gastrectomy operations.
Authors: Alabassi A Abstract [No Abstract Available]. PMID: 29738020 [PubMed - in process]
The most common and effective treatment strategy for gastroesophageal cancer is surgery. Surgical procedures (esophagectomy, gastrectomy) are invasive and complex, and risk for postoperative complications is high (up to 40%).1 Postoperative recovery is slow, with impairments in quality of life (QOL) that can persist ten years after surgery.2 Nutritional symptoms are common (nausea, vomiting, early satiety, diarrhea, pain), and often result in severe malnutrition.3 These symptoms and associated eating problems are often a major source of anxiety for patients postoperatively.
We report the case of a 75-year-old male who had undergone TG for gastric cancer 6 months previously and who presented at our hospital with abdominal pain and vomiting. Abdominal computed tomography scan showed a dilated afferent loop, and additionally a low-density lesion around jejunojejunal anastomosis, suggesting that ALO is associated with peritoneal recurrence. A self-expa ndable metal stent (SEMS) was endoscopically placed to treat ALO after decompression of the dilated afferent loop using an intestinal tube. He retained a good quality of life until his death due to cancer progression 5 months after the S...
ConclusionPatients with bile reflux after OAGB/MGB need a high index of suspicion to detect unusual causes. Gastrogastric fistula is an unusual etiology of bile reflux that was never reported in the literature previously.
A 63-year old male, with no surgical history, taking no medication, was referred to A&E for epigastric pain and nauseas that had started a few hours before. A sore throat had begun 24 hours previously.
Rationale: Acute phlegmonous gastritis (PG) is a rare and often fatal condition mainly characterized by severe bacterial infection of the gastric wall. Case reports of PG over the past century average about 1 per year. Early diagnosis and immediate treatment are crucial to achieve positive outcomes. Patient concerns: A 47-year-old man was referred to our hospital because of abdominal pain, high fever, and vomiting for 4 days, with aggravation for 24 hours. Physical examination revealed epigastric abdominal pain, rebound pain, and abdominal wall tightness. Abdominal CT showed thickening of the stomach wall with edema a...
ConclusionPatients presenting to our center for revisional surgery do so for either WR or RC, most commonly following gastric banding. Revisional bariatric surgery can be performed with low complication rates and with acceptable 12-month weight loss, though not with the same safety as primary procedures.
Conclusions Despite the high number of patients who visit the Emergency Department in the first 90 days of the postoperative period, few require readmission and none surgical reoperation. It is important to know the reasons for emergency consultation to establish preventive measures and improve the quality of care.