Improvement of esophagojejunostomy technique after total gastrectomy with overlap method: reduce the difficulty of surgery and shorten operation time
AbstractGastric cancer (GC) is one of the most malignant human cancers. Totally laparoscopic total gastrectomy (TLTG) is a difficult operation, especially esophagojejunostomy. Our team has adopted the method of suspending and pulling the esophagus with the visceral retractor and two needles of barbed wire interlocking to suture the common opening, which reduces the difficulty of the operation. From January to December 2020, 20 patients underwent TLTG with the overlap method by improved esophagojejunostomy technique and 20 patients with the traditional overlap method after TLTG were used as the control group. The surgery wa...
Source: Updates in Surgery - May 11, 2023 Category: Surgery Source Type: research
Rare cause of recurrent acute pancreatitis: a double whammy from the pancreas and duodenum
Clinical presentation A 16-year-old woman without past surgical or family history presented with intermittent abdominal pain accompanied by nausea and vomiting for 3 years. She was diagnosed with recurrent acute pancreatitis due to the elevation of amylase (three times the upper limit of normal) and evidence of interstitial pancreatitis on cross-sectional imaging. She was admitted to the hospital for further management. The laboratory examinations showed no remarkable abnormalities. The abdominal contrast-enhanced MRI showed pancreatic enlargement with dilated pancreatic duct (figure 1A). To further investigate the etiolog...
Source: Gut - April 4, 2023 Category: Gastroenterology Authors: He, Z., Zhao, S., Wang, S., Song, S., Li, Z., Bai, Y. Tags: GUT Snapshot, Gut Editor ' s quiz: GI snapshot Source Type: research
