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Laparoscopic Graham Patch for Anterior Duodenal Perforation in a 6-Year-Old
We present a case of a perforated peptic ulcer in a 6-year-old with abdominal pain and emesis with CT findings of moderate pneumoperitoneum and pelvic free fluid without a distinct cause. He was emergently transferred, found to be peritonitic, and taken to the operating room for diagnostic laparoscopy revealing an anterior duodenal ulcer, and underwent laparoscopic Graham patch repair. Postoperatively, the child had positive fecal antigen for H. pylori. He was treated with triple therapy and underwent subsequent testing to confirm eradication. Perforated peptic ulcer is an uncommon pediatric surgical problem, and imaging m...
Source: The American Surgeon - March 27, 2023 Category: Surgery Authors: Michelle R McCullers Caroline C Shin Christopher M Anderson Source Type: research

Histopathologic findings in laparoscopic sleeve gastrectomy: is routine full pathologic evaluation indicated?
CONCLUSIONS: The findings of this study call into question the routine use of pathology workup in gastric specimens after SG. Our data suggest that such analysis may be warranted in certain subtypes of patients such as older Black and Hispanic patients in the northeastern United States.PMID:36372693 | DOI:10.1016/j.soard.2022.09.014
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - November 13, 2022 Category: Surgery Authors: James Yang Aakash Trivedi Themba Nyirenda Meiyi Shi Ryan Petit Toghrul Talishinskiy Source Type: research

Perforated Peptic Ulcer of the Duodenum After the Laparoscopic Roux-en-Y Gastric Bypass
We present the case of a 38-year-old male with a perforated duodenal ulcer nearly a year after Roux-en-Y gastric bypass. Upon presentation, he complained of 8 hours of epigastric pain. His medical history was significant for chronic peptic ulcer disease and a negative history of H. pylori. Recently, he had been prescribed naproxen by his primary care physician for knee pain. His vital signs were normal with the exception of his systolic blood pressure which was 190 mmHg. He was diaphoretic and peritonitic on exam. He was taken emergently for a diagnostic laparoscopy and found to have a perforation of ∼5 mm of the anterio...
Source: The American Surgeon - November 3, 2021 Category: Surgery Authors: Robert B Laverty Brian S Yoon Kyle K Sokol Brian K Sparkman Source Type: research

Treatment of gastric cancer in Japan
J Nippon Med Sch. 2021 Mar 9. doi: 10.1272/jnms.JNMS.2021_88-315. Online ahead of print.ABSTRACTDespite an expected decrease in the incidence of gastric cancer owing to the lower infection rate of Helicobacter pylori, gastric cancer still accounts for a large number of deaths in Japan. Gastric cancer is mainly treated with resection, and the radical resection rate is high in Japan because approximately 50% of the cases are diagnosed in the early stage. Treatment advances have increased the number of endoscopic submucosal dissection cases, and the development of laparoscopic surgery and robot-assisted surgery as minimally i...
Source: Journal of Nippon Medical School - March 11, 2021 Category: Universities & Medical Training Authors: Daisuke Kakinuma Hiroki Arai Tomohiko Yasuda Yoshikazu Kanazawa Kunihiko Matsuno Nobuyuki Sakurazawa Masanori Watanabe Hideyuki Suzuki Hiroshi Yoshida Source Type: research

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