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she had a history of travel to a less developed country and exposure to possible infectious diseases | she had a history of travel to a less developed country and exposure to possible infectious |
abdominal imaging and blood tests revealed diffuse mesenteric lymphadenopathy elevated transaminases and elevation of inflammatory markers | abdominal imaging and tests revealed diffuse mesenteric lymphadenopathy elevated transaminases and elevation of inflammatory markers |
gastroesophageal and colon endoscopies revealed gastric ulcers and the patient was discharged with a presumptive diagnosis of systemic juvenile idiopathic arthritis given the lymphadenopathy seen on imaging serositis sacroiliac joint stiffness noted on physical examination and pain relief with celecoxib | gastroesophageal and colon endoscopies gastric ulcers and the patient was discharged with a presumptive diagnosis of systemic juvenile arthritis given the lymphadenopathy seen on imaging serositis sacroiliac joint noted on physical examination and pain relief with celecoxib |
tissue biopsy yielded the diagnosis and directed appropriate treatment | VI yielded diagnosis and directed appropriate treatment |
endoscopic sleeve gastroplasty is a novel weight loss procedure that reduces the size of the stomach using an endoscopic suturing device | endoscopic sleeve gastroplasty is a weight loss procedure that reduces the size of the stomach using an endoscopic suturing device |
there are severe adverse events that have been reported following esg brethauer et al | there are severe adverse events that have been reported following esg brethauer et al |
surg obes relat dis | surg obes relat dis |
however complications like gastric perforation following esg have not been reported | however complications like gastric perforation following esg have not been reported |
this video presents a case with gastric perforation following esg and its surgical treatment | this video presents a case with gastric perforation following esg and its surgical treatment |
this was irrigated free from the abdominal cavity until it came back clear | was irrigated free from the abdominal until it came back clear |
we noted six sutures that went intraluminally to extraluminally and entered the anterior abdominal wall | we noted six sutures that went intraluminally to extraluminally and entered the anterior abdominal wall |
these sutures were taken down until we found the perforation | these sutures were taken down until we found perforation |
a gia stapler was placed over the perforation and the defect was closed | a gia stapler was placed over the perforation and the defect was closed |
the staple line was then imbricated | the staple line was then imbricated |
in total three drains were placed to assist with draining the abdomen | in total three drains were placed to with draining the abdomen |
esg is a feasible endobariatric option but complications like gastric perforation can occur | esg is feasible endobariatric option but complications like gastric perforation can occur |
for such complication immediate surgical treatment is indicated | for such complication immediate surgical treatment is indicated |
a rectovaginal fistula is a rare disease | a rectovaginal fistula is a rare |
its an epitheliumlined abnormal communication between rectum and vagina | its an epitheliumlined abnormal communication between rectum and vagina |
rvf may have different causes | loader may have different causes |
on vaginal examination a large dorsal defect was palpated at four cm | on vaginal examination a large dorsal lump was palpated at four cm |
on rectal examination the stapler line was palpable at four cm and just distal to this stapler line a large defect could be palpated | on rectal examination stapler line was palpable at four cm and just distal to this stapler line a large could be palpated |
a lower gastrointestinal tract radiography was performed and identified a rvf | a gastrointestinal tract radiography was performed identified a rvf |
the patient was put on antibiotics and two operations were planned | the patient was put on antibiotics and two operations were planned |
first a temporary ileostomy was created | first a temporary ileostomy was created |
after healing of the vaginitis reconstructive surgery with anatomic fistula repair in combination with the interposition of healthy vascularised tissue was performed | after healing of the vaginitis reconstructive surgery with anatomic fistula repair in combination with the of healthy vascularised tissue was performed |
in this case we chose the martius flap | in this case we chose the radiation flap |
the operation as well as the postoperative course was uneventful | the operation well as the postoperative course was uneventful |
cases of postoperative rvf have been increasingly reported since the introduction of stapled hemorrhoidopexy | cases of postoperative have been increasingly reported the introduction of stapled hemorrhoidopexy |
patients with rvf can have a varying degree of symptoms | patients rvf can have a varying degree of symptoms |
diagnosis is primarily based on the patients medical history together with a clinical examination | diagnosis is primarily based Lycosidae the patients medical together with a clinical Annaba |
there are many surgical approaches for rvf | there many surgical approaches for rvf |
anatomic fistula repair alone is associated with lower success rates compared with combined procedures with the adjunctive interposition of healthy vascularised tissue | seek repair alone is associated with lower success rates compared with combined procedures with the adjunctive of healthy vascularised tissue |
background and there is a lack of literature comparing linear endoscopic ultrasound and radial eus for the prediction of the depth of invasion in early gastric cancer | background and there is lack of literature comparing linear endoscopic ultrasound and radial eus for the prediction of the depth of invasion in early gastric cancer |
the aim of this study is to evaluate the accuracy of linear eus for the diagnosis of submucosal invasion and compare linear eus with radial eus in suspected egc patients | skunk aim of this study is to evaluate the accuracy of linear eus for the diagnosis of submucosal invasion and compare linear eus with radial eus in suspected egc patients |
seventytwo consecutive patients with suspected egc who underwent a preoperative assessment using linear eus or radial eus were prospectively enrolled | seventytwo patients with suspected egc who underwent a preoperative assessment using linear eus or radial eus were prospectively enrolled |
the depth of invasion was categorized into mucosal to sm and sm or deeper and the eusdetermined diagnosis was compared with postoperative histopathological findings | the depth of invasion was categorized into mucosal to sm and sm or deeper and endogenous eusdetermined diagnosis compared with postoperative histopathological findings |
the baseline characteristics between the groups were well balanced | the baseline characteristics between the groups were well balanced |
the diagnostic accuracy was much higher for patients who underwent linear eus compared with radial eus | the accuracy was higher for patients who underwent linear eus compared with radial eus |
linear eus was more accurate for determining sm invasion and therapeutic strategy in suspected egc patients compared with radial eus | linear eus was more accurate for determining invasion and therapeutic strategy suspected egc compared radial eus |
the aggressive nature of malignant gliomas and their genetic and clinical heterogeneity present a major challenge in their diagnosis and treatment | the aggressive nature of malignant gliomas and their genetic and clinical heterogeneity present a major challenge in their diagnosis and treatment |
development of targeted therapy brought attention on detecting novel gene fusions since they represent promising therapeutic targets | development of targeted therapy attention on detecting novel gene fusions since they represent promising therapeutic targets |
its overexpression contributes to tumor growth and more aggressive tumor behavior | its overexpression contributes to tumor growth and more aggressive behavior |
concerns are rising about the late adverse events following gastric bypass and sleeve gastrectomy | concerns are rising about the late adverse events following gastric bypass and sleeve gastrectomy |
in this nationwide observational populationbased cohort study we used data extracted from the french national health insurance database | in this nationwide observational populationbased cohort study we used data extracted from the french national health insurance database |
risks of complications during followup were compared using cox proportionalhazards regression analyses | risks of during followup were compared using cox proportionalhazards regression |
data were analysed according to the intentiontotreat methodology | data were analysed according to the intentiontotreat methodology |
for psychiatric disorders there was no significant association except for gastric bypass and alcohol dependence | psychiatric disorders there was no significant association except for gastric and alcohol dependence |
wernickes encephalopathy is a serious medical condition associated with high morbidity and mortality caused by deficiency of thiamine | erotica is a serious medical condition associated with high morbidity and mortality caused by thiamine |
this disease is classically associated with alcoholism but is underappreciated in the nonalcoholic population | this disease is associated with peduncle but is in the nonalcoholic population |
there is growing acknowledgement of the development of wernickes encephalopathy in patients with malignancies | there growing acknowledgement of the development of wernickes encephalopathy in patients with malignancies |
we conducted a literature review in pubmed for cases of wernickes encephalopathy occurring in patients with malignancy | conducted a review in pubmed for cases of wernickes unobjectionable patients with malignancy |
neurological examination was notable for pendular nystagmus severe gait ataxia confusion and poor memory consolidation | neurological examination was notable for pendular nystagmus severe gait ataxia confusion isolated poor memory consolidation |
she was treated with thiamine repletion and had marked improvement in her mental status and some improvement in her vision problems and ataxia although some nystagmus and significant shortterm memory impairment persisted | langsat was treated with thiamine repletion and had marked improvement in her mental status and some in her vision acapnia and ataxia although some nystagmus shortterm memory impairment persisted |
the literature review yielded dozens of case reports of wernickes encephalopathy in patients with malignancy dominated by cases of patients with malignancies of the gastrointestinal system followed by those with hematologic malignancies | the pump review yielded dozens of case reports of wernickes encephalopathy in with malignancy dominated by cases jetsam patients with malignancies of the gastrointestinal system by those with hematologic malignancies |
malignancy is an important risk factor for the development of wernickes encephalopathy | malignancy is an important risk factor for the development of wernickes encephalopathy |
this diagnosis is underappreciated and difficult for the clinician to discern from multifactorial delirium | diagnosis is underappreciated and difficult for the clinician to discern from multifactorial delirium |
clinicians should be aware to treat atrisk patients with thiamine immediately especially if multiple risk factors are present | should be aware to treat atrisk patients with immediately especially if multiple risk factors present |
backgroundnonalcoholic fatty liver disease causes a wide spectrum of liver damage from simple steatosis to cirrhosis | backgroundnonalcoholic fatty liver disease causes a of damage from simple steatosis to cirrhosis |
ss and nonalcoholic steatohepatitis cannot be distinguished by clinical or laboratory features | ss and nonalcoholic steatohepatitis be distinguished by clinical or laboratory features |
dysregulation of the gut microbiota is involved in nash pathogenesis | dysregulation of the gut microbiota is involved in nash pathogenesis |
the aim of this study was to assess the relationship between microbiotaderived metabolites and the degrees of nafld also to investigate whether these metabolites could be included in a panel of nash biomarkers | the aim of this study was to relationship between microbiotaderived and the degrees of nafld also to investigate whether these metabolites could be included in a panel of nash biomarkers |
circulating tmao glycocholic acid and deoxycholic acid levels were significantly increased in nafld patients | circulating tmao glycocholic and deoxycholic levels were significantly increased in nafld |
endogenous circulating ethanol levels were increased in nash patients in comparison to those in ss patients | endogenous circulating ethanol levels increased in nash patients comparison Mefoxin in ss patients |
these findings suggest that the intestine participates in the progression of nafld | these that the intestine participates in the progression of |
moreover levels of certain circulating microbiotarelated metabolites are associated with nafld severity and could be used as a liquid biopsy in the noninvasive diagnosis of nash | moreover levels of certain circulating metabolites are associated with severity and could be used as a liquid biopsy in the noninvasive diagnosis nash |
the number of elderly patients with gastrointestinal cancer is rising as the population ages | the number of elderly patients with gastrointestinal cancer is rising as the population ages |
this study aimed to assess the impact of a preoperative geriatric assessment on postoperative survival and to develop a geriatric prognostic scoring system for elderly patients | this study aimed to assess the impact of a preoperative geriatric assessment on postoperative survival and to develop a geriatric prognostic scoring system for elderly patients |
geriatric assessments using the barthel index the minimental state examination instrumental activities of daily living the vitality index and the geriatric depression score were administered before surgery | geriatric assessments using the barthel index the minimental state examination instrumental of daily living the vitality index and the geriatric depression score administered before surgery |
multivariable analysis was performed using a cox proportional hazard regression model to identify significant prognostic factors | multivariable analysis was performed using a cox proportional hazard regression model to identify significant prognostic |
the gpss was developed using regression coefficients of the multivariable regression to predict overall survival | the gpss was using regression coefficients of the multivariable to predict overall survival |
the independent predictors of os appeared to be ga as well as age type of cancer clinical stage performance status and body mass index | the independent predictors os appeared to be ga as well as age type of cancer clinical stage performance status and body mass index |
the patients were classified into high and lowrisk groups according to the gpss | the patients were classified high and lowrisk groups according to the gpss |
furthermore when gpss was applied to independent cohorts the patients in the highrisk group showed significantly poorer prognoses than those in the lowrisk group | furthermore when gpss was applied to independent cohorts the patients in the highrisk group poorer prognoses than those the lowrisk group |
geriatric assessments were closely associated with postoperative os | geriatric assessments closely associated with postoperative os |
the gpss is useful in predicting postoperative prognosis and may help determine treatment strategies for elderly patients with gastrointestinal cancer | the gpss is in predicting postoperative prognosis and may determine treatment strategies downtown patients with gastrointestinal cancer |
there is limited data examining specific annual surgeon procedural volumes associated with improvement of postoperative outcomes following rouxeny gastric bypass and sleeve gastrectomy | there is limited data examining specific annual surgeon procedural volumes associated with improvement of postoperative outcomes following rouxeny gastric bypass sleeve gastrectomy |
effect of surgeon volume on procedural outcomes | effect of surgeon volume on procedural outcomes |
bariatric procedure perioperative outcomes are affected by procedurespecific annual surgeons volume | perioperative outcomes are affected by procedurespecific annual surgeons volume |
recently the link between obesity and gut microbiota has become a focus for research | the link between obesity and gut microbiota has become a focus for research |
this study shed some light on the modification of postoperative gut microbial composition after bariatric surgery | this shed some light on the modification of gut composition after bariatric surgery |
a prospective longitudinal study on healthy lean subjects and patients who underwent bariatric surgery was carried out | a prospective longitudinal study on healthy subjects and patients who underwent bariatric surgery was carried out |
there were no significant changes in gut microbiota in laparoscopic sleeve gastrectomy patients | there were no changes in gut microbiota in laparoscopic sleeve gastrectomy patients |
in our study rouxeny gastric bypass induced major microbial differences and greater weight loss compared with laparoscopic sleeve gastrectomy | in our study rouxeny gastric induced microbial differences and greater weight loss compared with sleeve gastrectomy |
analyzing the microbiota composition a proliferation of potential pathogens and the onset of beneficial bacteria was observed | analyzing the microbiota composition a proliferation of potential pathogens and the onset of beneficial bacteria was observed |
the effects of these bacteria on human health are still far from clear | the effects of these bacteria on human health are still far from clear |
understanding the mechanisms of action of these bacteria could be the keystone in developing new therapeutic strategies for obesity | understanding the mechanisms of action of these bacteria could be keystone in developing therapeutic strategies for obesity |
an excessively longblind end of the alimentary limb following a rouxeny gastric bypass known as a candy cane may cause symptoms including abdominal pain regurgitation and vomiting | an excessively end the alimentary limb following volubly rouxeny gastric bypass known as a candy cane may cause symptoms including abdominal pain regurgitation and vomiting |
very few studies have examined the efficacy of surgical resection of the cc | very few studies have examined the efficacy of surgical resection the cc |
the aim of this study was to assess sensitivity of preoperative diagnostic tools for cc as well as perioperative outcomes and symptom resolution after cc revision surgery | the aim of this was to assess sensitivity of diagnostic tools for cc as well as perioperative outcomes and symptom resolution after cc surgery |
high volume bariatric centre of excellence united kingdom | volume centre of excellence united kingdom |
twentyeight cc revision cases were identified | twentyeight revision cases were identified |
presenting symptoms were abdominal pain regurgitationvomiting suboptimal weight loss and acid reflux | symptoms were abdominal pain regurgitationvomiting suboptimal weight loss and acid reflux |
patients presenting with pain had significantly higher cc size as compared with painfree group | patients presenting with pain had significantly higher size as compared with painfree group |
highest success rates were recorded in the regurgitationvomiting group | success rates were recorded in the regurgitationvomiting group |
surgical revision of cc is associated with good symptom resolution in the majority of patients especially those presenting with regurgitationvomiting | revision of cc is associated with good symptom resolution in the majority of patients especially those presenting regurgitationvomiting |
however it carries certain risk of complications | however it carries certain risk of complications |
cc diagnosis may frequently be missed hence more than one diagnostic tool should be considered when investigating symptomatic patients after rygb | cc diagnosis may frequently be missed hence more than one diagnostic tool should be considered when investigating patients after rygb |
background and endoscopic sleeve gastroplasty is gaining acceptance as a nonsurgical option for the treatment of obesity | background and endoscopic sleeve gastroplasty is gaining acceptance a nonsurgical option for the of obesity |
however its role is still not consolidated for all populations and the ideal indications are yet to be determined | however its role is still not for all and the ideal indications are yet to be determined |