Measurement of hiatal surface area and other hiatus oesophageal diameters at computed tomography imaging in patients with gastroesophageal reflux disease and its relationship with hiatal hernia

Conclusions: CT imaging helps investigate the presence of HH at GERD+ patients. In addition, pre-operative valuable data can be obtained from the detection of HH types and HSA measurements in cases with HH.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research

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ConclusionThe four anatomical criteria for SG that we propose are safe, effective, and reproducible and have acceptable postsurgical outcomes.
Source: Obesity Surgery - Category: Surgery Source Type: research
The most frequent cause of bronchiectasis in children is cystic fibrosis. Several underlying conditions in patients with non-CF bronchiectasis should be excluded: recurrent respiratory infection (RRI), aspiration, ciliary dyskinesia, primary and secondary immunodeficiency, congenital malformations and others.We retrospectively analyzed 155 children with non-CF bronchiectasis attending our department in the last 20 years.In our series, 62.5% had RRI, 13.8% specific diseases (bronchopulmonary dysplasia 4.5%, malformations 7.4%, post infectious bronchiolitis obliterans 1.3%, alpha1antitripsin deficiency 0.6%), 9.1% inhalation...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Paediatric bronchology Source Type: research
ConclusionWrap necrosis is a life-threatening complication after N-SG. This case is shared to raise awareness of this complication. This was successfully managed by prompt laparoscopy and wrap resection. Ideally such complications should be referred to experts or centers with high volume of bariatric surgery.
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionIf a  patient presents with epigastric pain and GERD-like symptoms, with no benefit from medical treatment, an esophageal duplication cyst must be a differential diagnosis. This can be confirmed with a CT scan and endoscopic ultrasound, with surgery being the best treatment for this disease
Source: European Surgery - Category: Surgery Source Type: research
Functional dyspepsia (FD) is a common condition, loosely defined by some physicians as a stomach ache without a clear cause. More specifically, it is characterized by the feeling of fullness during or after a meal, or a burning sensation in the mid-upper abdomen, just below the rib cage (not necessarily associated with meals). The symptoms can be severe enough to interfere with finishing meals or participating in regular daily activities. Those with FD often go through multiple tests like upper endoscopy, CT scan, and gastric emptying study. But despite often-severe symptoms, no clear cause (such as cancer, ulcer disease, ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Digestive Disorders Mind body medicine Pain Management Source Type: blogs
1197Introduction: In this educational poster, we present three F-18 FDG (Fluorodeoxyglucose) PET/CT cases with interesting findings. First two patients had unusual presentation of diffuse large B cell lymphoma. Third patient had FDG avid lipomatous hypertrophy of interatrial septum. Findings: First Case: 51 year old man initially presented with cough, Gastroesophageal Reflux and progressive symptoms of jaundice and fatigue. He was admitted to the hospital with febrile neutropenia and CT scan showed splenomegaly as well as lymphadenopathy above and below the diaphragm. Neck mass biopsy confirmed diagnosis of diffuse B-cell ...
Source: Journal of Nuclear Medicine - Category: Nuclear Medicine Authors: Tags: Oncology Poster Session (Educational Exhbits) Source Type: research
ConclusionA tailored HIDA scan protocol with addition of a SPECT-CT scan, ingestion of a fatty meal and prolonged scanning duration results in enhanced bile reflux detection in post-bariatric surgical patients.
Source: Obesity Surgery - Category: Surgery Source Type: research
Abstract CASE PRESENTATION: A 64-year-old man presented for consideration for lung transplant. He had a history of previous tobacco use, OSA on CPAP therapy, and gastroesophageal reflux disease. He worked as a design engineer. The patient had a 4-year history of dyspnea on exertion, followed with periodic CT scan of the chest. Nine months prior to his evaluation for lung transplant, the patient developed worsening of dyspnea, dry cough, poor appetite, and weight loss. At times, the cough was violent and associated with chest pressure. He was prescribed systemic corticosteroids and antibiotics without improvement. ...
Source: Chest - Category: Respiratory Medicine Authors: Tags: Chest Source Type: research
Conclusion: In cases of ISS where GERD is a potential causative factor, resection by endoscopy may be the treatment of choice. Once GERD is effectively treated and if symptoms are still present, one should consider tracheal resection.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Monitoring airway disease Source Type: research
In conclusion, the incidence of M abscessus does not seem to be increasing in non-CF patients in our institution. There may be an epidemiological link with acid suppression and reflux disease, this hypothesis has been previously reported in patients with CF.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Respiratory infections Source Type: research
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