Enteric bacterial loads are associated with interleukin-6 levels in systemic inflammatory response syndrome patients
Conclusion Enterocyte damage is associated with hypotension and tachypnia in patients with SIRS. Gut function failure may permit enteric bacteria to enter the blood, thereby elevating IL-6 levels and inducing a systemic inflammatory response, resulting in multiple organ failure. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 13, 2016 Category: Surgery Source Type: research
Colonic hemangioma, a diagnostic challenge in young adults with lower gastrointestinal tract bleeding
We report a case of a 15-year-old girl who presented with the passage of bright red blood after defecation. Diagnostic studies, including plain abdominal radiography, barium enema study, computed tomography scan, magnetic resonance imaging, and colonoscopy, revealed characteristics specific to a diagnosis of colonic hemangiomas. Awareness of the clinical features of colonic hemangiomas may help avoid inappropriate surgical intervention in these patients. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 11, 2016 Category: Surgery Source Type: research
Surgical repair of a complex renal artery aneurysm through bench surgery and autotransplantation
Publication date: Available online 12 November 2016 Source:Formosan Journal of Surgery Author(s): Hung-Yi Chen, Cheng-Chia Lin, Pin-Fu Huang, Shian-Shiang Huang, Cheng-Feng Lin, Wen-Hsiang Chen, Chun-Te Wu A 58-year-old woman with underlying medically controlled hypertension presented after an episode of sudden-onset chest pain. Chest computed tomography imaging revealed a left renal artery aneurysm (RAA) measuring 1.6 cm in diameter with mural thrombi in the distal left renal artery at bifurcation level. An interval enlargement of approximately 0.4 cm in diameter was noted within a 6-month period; however, endo...
Source: Formosan Journal of Surgery - November 11, 2016 Category: Surgery Source Type: research
Rare presentation of discrete ureteral metastasis from prostate adenocarcinoma
Publication date: Available online 4 November 2016 Source:Formosan Journal of Surgery Author(s): Che-Yuan Kuo, Shian-Shiang Wang, Chen-Hui Lee, Yen-Chuan Ou Ureteral metastasis from prostate cancer is rare. Here, we report a case of ureteral metastasis from prostate cancer in a 65-year-old man who presented with lower urinary tract symptoms. The initial prostate-specific antigen level was 372 ng/mL, and the Gleason score was 9 (4+5). Abdominal computed tomography revealed right hydronephroureter and bony metastasis but no obvious lymphadenopathy. The patient underwent bilateral orchiectomy. After 6 months, the metas...
Source: Formosan Journal of Surgery - November 4, 2016 Category: Surgery Source Type: research
Effects of computed tomography for preoperative diagnosis of acute appendicitis on hospital expenditure
Conclusion Patients with higher severity and Charlson Comorbidity Index scores are associated with an increased use of CT for the assessment of patient condition in addition to diagnosis. The preoperative use of CT depends mainly on the severity of the disease. Therefore, we do not hesitate to use CT, particularly for elderly patients or patients with high Charlson Comorbidity Index scores. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 1, 2016 Category: Surgery Source Type: research
Successful treatment through single-port laparoscopy for a gastrojejunal fistula caused by an accidentally ingested toothpick
We report the case of a 46-year-old man who visited the emergency department with a 3-day history of dysuria, left upper abdominal pain, left flank soreness, and high fever. Physical examination revealed tenderness in the left upper abdominal quadrant and left costovertebral angle. Abdominal computed tomography and gastroduodenoscopy were inconclusive for gastrojejunal fistula with regional peritonitis caused by an ingested toothpick. A 7-cm toothpick was successfully removed through single-port laparoscopy. Toothpick ingestion is a medical emergency because it can lead to acute abdomen and gut perforation. Single-port lap...
Source: Formosan Journal of Surgery - October 29, 2016 Category: Surgery Source Type: research
Ischemic preconditioning in hepatic ischemic –reperfusion injury
Conclusion From the preliminary findings, further elucidation is warranted. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 29, 2016 Category: Surgery Source Type: research
Delayed unilateral vocal cord paralysis caused by minor head trauma
Publication date: Available online 22 October 2016 Source:Formosan Journal of Surgery Author(s): Chun-Ting Chen, Zhuo-Hao Liu, Shih-Tseng Lee, Po-Hsun Tu Vocal cord paralysis caused by lower cranial nerve paralysis originating from skull base fracture is rare. Delayed unilateral glossopharyngeal and vagus nerve paralysis after minor head injury is extremely rare. In this paper, we present the case of a 49-year-old man who sustained delayed-onset right vocal cord paralysis and dysphagia in a fighting accident. High-resolution computed tomography of the skull base revealed a bony disruption in the wall of the jugular f...
Source: Formosan Journal of Surgery - October 29, 2016 Category: Surgery Source Type: research
Incarcerated hernia following hemiarthroplasty of the hip with Austin Moore prosthesis
We report a rare case of immediately inguinal incarcerated hernia following cemented Austin Moore hemiarthroplasty for femoral neck fracture in an eighty-three years old man. Three recommendations for this critical complication following hip arthroplasty are as follows. First, a pre-operative evaluation must include a history on the development of hernia and a detailed physical examination. Second, incarcerated hernias should be included in the differential diagnosis of acute abdominal pain following hip surgery. Third, a lateral support device should be placed in the appropriate position to prevent excessive pressure on t...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Does age affect the outcomes and management of pediatric appendicitis in Taiwan?
Publication date: Available online 29 June 2016 Source:Formosan Journal of Surgery Author(s): Hung-Chieh Lo, Wen-Kuei Chien, Chen-Sheng Huang, Sheng-Mao Wu, Hung-Chang Huang, Ray-Jade Chen, Chih-Cheng Luo Background The comprehensive coverage offered by the Taiwan National Health Insurance program enabled us to effectively evaluate the effect of age on postoperative morbidity. Purposes To investigate whether age affected the outcomes and management of appendicitis in children in Taiwan. Methods We use the Collaboration Center for Health Information Application database to identify 21,827 patients ≤18 years of ...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Ischenic preconditioning in ischemia –reperfusion injury
Conclusion From the preliminary findings, further elucidation is warranted. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Early feeding after loop ileostomy reversal: A prospective study
Conclusion Early enteral feeding after LIR is safe and sufficiently tolerated. Furthermore, it leads to the early return of bowel functions and thus shortens hospital stay. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Spinal gossypiboma
Publication date: Available online 16 July 2016 Source:Formosan Journal of Surgery Author(s): Yew-Weng Fong, Cheng-Ta Hsieh, Chih-Ju Chang Gossypiboma describes a reaction due to a mass within the body composed of a retained surgical cotton matrix surrounded by a foreign body. Although it can cause serious complications, it is rarely reported due to medicolegal implications. Here, we report a case of a 79-year-old female patient who presented with lower back pain for 1 month. She had undergone spinal surgery for a herniated intervertebral disc at the L5–S1 level more than 10 years ago. Computed tomography and magnet...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Laparoscopic heminephroureterectomy for urothelial carcinoma in a horseshoe kidney
Publication date: Available online 26 July 2016 Source:Formosan Journal of Surgery Author(s): Shu-Chi Wang, Siu-Wan Hung, Kun-Yuan Chiu A 75-year-old man with gross hematuria for 10 months received a diagnosis of urothelial carcinoma in the left moiety of a horseshoe kidney. Laparoscopic heminephroureterectomy was performed smoothly and without perioperative complications. Preoperative computed tomography angiography was shown to be a valuable imaging modality for evaluating anatomical variations, and the laparoscopic approach was effective for managing malignancy in a horseshoe kidney. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Postendoscopic intraoral prolapse of a giant esophageal fibrovascular polyp
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Ashok Kumar, Anu Behari, V.K. Kapoor, Arpit Verma, Kiran Preet Malhotra Fibrovascular polyp of the esophagus is a benign, slow-growing, intraluminal, submucosal tumor. When present in the upper esophagus, it may rarely prolapse through the mouth and may cause asphyxia because of acute airway obstruction. Here, we report a case of a giant fibrovascular esophageal tumor that prolapsed through the mouth during the removal of an upper gastrointestinal endoscope, inducing respiratory distress. Urgent nasotracheal intubation wa...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
