Gastro-Colic Fistula After Sleeve Gastrectomy Leak: Our Experience with this Rare Complication

ConclusionSG leaks can add long-term morbidity. Stent can be used successfully to treat SG leak if used judiciously. There should be low threshold for investigating patients with EWL of>  100% for anatomical complications like stricture, fistula or kink in the gastric sleeve. We wanted to make the bariatric fraternity aware of a rare late (>  12 weeks) complication of gastro-colic fistula after successfully treated SG leak. Limited literature is published about this rare complication and its management which ranges from conservative management to stent placement to surgical intervention (Asian Journal of Endoscopic Surgery 7:314 –6,2014;Clinical Case Reports 6:1342 –1346,2008;Surgery for Obesity and Related Diseases 6:308 –12,2010). It can be dealt with successfully with minimally invasive technique by a multidisciplinary team in an experienced tertiary bariatric unit.
Source: Obesity Surgery - Category: Surgery Source Type: research

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We report a case of invasive mucormycosis in 52 year-old woman. CT-scan and magnetic resonance imaging found a partial right sinus thrombosis associated with homolateral ethmoidal and maxillary sinusitis with submucosal inflammation. Histopathological examination of excised tissue was positive for mucormycosis. Our patient was treated by surgical debridement and a combination of amphotericin B and caspofungin, with a good outcome.
Source: Medical Mycology Case Reports - Category: Biology Source Type: research
Publication date: Available online 21 September 2019Source: PeptidesAuthor(s): Camilla F. Thomsen, Mathias Ried-Larsen, Jens P. Goetze, Lars B. Andersen, Jens Faber, Anders Grøntved, Jørgen L. JeppesenAbstractAtrial natriuretic peptide (ANP) is known for its natriuretic, diuretic, and vasodilatory properties. However, ANP also has metabolic effects stimulating lipolysis and lipid oxidation. Overweight individuals have decreased circulating ANP concentrations. It has been proposed that this potential ANP deficiency could have biological consequences in overweight-related disorders, including decreased lipolysi...
Source: Peptides - Category: Biochemistry Source Type: research
Publication date: 25 January 2020Source: Journal of Alloys and Compounds, Volume 814Author(s): Thirupathi Gadipelly, Arup Dasgupta, Chanchal Ghosh, Vaishnavi Krupa, D. Sornadurai, Binaya Kumar Sahu, Sandip DharaAbstractIn the present work, we established an ex-situ procedure to synthesize Y2Ti2O7 nanopowder using the microwave-hydrothermal technique followed by conventional calcination treatment. This powder is otherwise synthesized by in-situ through a reaction between Y2O3 and Ti in a steel matrix for the production of oxide dispersion strengthened (ODS) steels. The hydrothermal synthesis was involved of chemical reactio...
Source: Journal of Alloys and Compounds - Category: Chemistry Source Type: research
Publication date: Available online 21 September 2019Source: European Polymer JournalAuthor(s): Tatiya Trongsatitkul, Clara Jiménez-Saelices, Bruno Pontoire, Isabelle Capron, Denis LourdinAbstractStarch films containing eicosane droplets with diameters of 3-5 μm homogeneously distributed over the thickness were prepared using the casting method. The films also contain a quantity of water (4 to 22%) depending on the relative humidity during conditioning (from 7% to 90%, respectively). The calorimetric behavior of dispersed eicosane droplets, studied by Differential Scanning Calorimetry, shows a shift in the melting...
Source: European Polymer Journal - Category: Chemistry Source Type: research
Publication date: Available online 21 September 2019Source: European Journal of Surgical OncologyAuthor(s): Sang-Ho Jeong, Rock Bum Kim, Sun Yi Park, Jiho Park, Eun-Jung Jung, Young-tae Ju, Chi-Young Jeong, Miyeong Park, Gyung Hyuck Ko, Dae Hyun Song, Hyun Min Koh, Woo-Ho Kim, Han-Kwang Yang, Young-Joon Lee, Soon-Chan HongAbstractBackgroundRecently, researchers have tried to predict patient prognosis using biomarker expression in cancer patients. The aim of this study was to develop a nomogram predicting the 5-year recurrence-free probability (RFP) of gastric cancer patients using prognostic biomarker gene expression.Metho...
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
Publication date: Available online 21 September 2019Source: Journal of Science and Medicine in SportAuthor(s): Kristin L. Popp, Adam C. Frye, Steven D. Stovitz, Julie M. HughesAbstractBone stress injuries (BSI) are common among distance runners and research investigations examining risk factors for BSI among men are limited. Therefore, investigations are needed to determine if men with a history of BSI have skeletal properties that may heighten BSI incidence.ObjectivesTo analyze differences in bone density, bone geometry, and estimates of bone strength in male runners with and without a BSI history.DesignCross-sectional.Me...
Source: Journal of Science and Medicine in Sport - Category: Sports Medicine Source Type: research
Surgeons' fears at staff performing heart and orthopaedic ops after just 2 years training | HUNDREDS of medical staff performing heart and orthopaedic procedures after just two years of training need better regulation, says Britain's largest surgical college.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Authors: Martínez-Acitores D, Hernández Ainsa M, Cortés García L, Bengochea Martínez ML, Palacios Fanlo MJ Abstract Ectopic hepatocellular carcinoma is a rare entity. Most cases are asymptomatic and are occasionally found during autopsy or laparoscopy. They may sometimes cause relevant clinical problems such as abdominal pain or intra-abdominal bleeding. In this clinical case report, we review the literature in order to decipher the case of a 68-year-old female with an ectopic hepatocellular carcinoma that arose from the peritoneum. The patient was diagnosed after being studied du...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
The objective of this study was to compare the practices of surgeons in France versus other countries regarding the diagnosis and treatment of IIS.HypothesisDiagnostic and therapeutic practices regarding IIS differ between surgeons in France and in other countries.Material and methodsA 21-item questionnaire in French and English was emailed to the 1300 members of the French Arthroscopy Society and to surgeons from countries other than France. The questionnaire collected information on knowledge about IIS (2 items), the frequency of IIS in clinical practice (2 items), the diagnosis of IIS (6 items), the non-operative and su...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
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Source: The Back Letter - Category: Orthopaedics Tags: Articles Source Type: research
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