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Keywords surgical treatment of upper ga...

surgical treatment of upper gastrointestinal haemorrhage

https://read.qxmd.com/read/38471215/intravascular-papillary-endothelial-hyperplasia-masson-s-tumour-in-the-jejunum-a-case-report-of-unusual-gastrointestinal-bleeding
#1
Marcelis Jordan, Carminati Alessia, Koessler Thibaud, Toso Christian, Ris Frederic, Sleiman Marwan
INTRODUCTION: Intravascular papillary endothelial hyperplasia (IPEH), originally described by Pierre Masson in 1923, is a benign vascular lesion characterised by the reactive proliferation of endothelial cells. This tumour typically manifests on the fingers, head, neck, or trunk. However, involvement of other organ systems, including abdominal organs, is possible although exceedingly rare. CASE PRESENTATION: A 57-year-old male patient presented to the emergency department with a 24-h history of recurrent light-headedness...
March 11, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38458629/learning-curve-of-achieving-competency-in-emergency-endoscopy-in-upper-gastrointestinal-bleeding-how-much-experience-is-necessary
#2
JOURNAL ARTICLE
Gabriel Allo, Sonja Lang, Anna Martin, Martin Bürger, Xinlian Zhang, Seung-Hun Chon, Dirk Nierhoff, Ulrich Töx, Tobias Goeser, Philipp Kasper
OBJECTIVES: The management of upper gastrointestinal bleeding (UGIB) has seen rapid advancements with revolutionising innovations. However, insufficient data exist on the necessary number of emergency endoscopies needed to achieve competency in haemostatic interventions. DESIGN: We retrospectively analysed all oesophagogastroduodenoscopies with signs of recent haemorrhage performed between 2015 and 2022 at our university hospital. A learning curve was created by plotting the number of previously performed oesophagogastroduodenoscopies with signs of recent haemorrhage against the treatment failure rate, defined as failed haemostasis, rebleeding and necessary surgical or radiological intervention...
March 7, 2024: BMJ Open Gastroenterology
https://read.qxmd.com/read/38059545/external-validation-of-the-oakland-score-to-assess-safe-hospital-discharge-among-adult-patients-with-acute-lower-gastrointestinal-bleeding-in-a-single-new-zealand-centre
#3
JOURNAL ARTICLE
Mostafa Amer, James Boyd Haddow
BACKGROUND: Acute lower gastrointestinal bleeding (LGIB) is a common reason for hospital admission. However, the majority resolve spontaneously and only a minority require inpatient intervention. We aimed to describe the epidemiology and aetiology of acute LGIB admissions in our institution. We also aimed to validate the Oakland Score, which can identify patients at low risk of adverse outcome from LGIB, in our population and determine the proportion who could have safely avoided admission...
December 7, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/37554889/digestive-hemorrhage-and-fever-as-a-result-of-a-double-secondary-aortoenteric-fistula-following-the-repair-of-a-juxtarenal-abdominal-aortic-aneurysm-and-an-infection-of-the-aortobifemoral-bypass-graft-a-case-report
#4
JOURNAL ARTICLE
Amal A Abu Jheasha, Moutasem Ashhab, Osama N Dukmak, Mohamed Maraqa, Mohammad Emar, Fahmi Jubran, Rajai Alhusseini
UNLABELLED: A double secondary aortoenteric fistula (AEF) occurs in a patient who has had significant aortic surgery and is characterized by a direct connection between the gastrointestinal (GI) tract and the aorta at two separate sites. IMPORTANCE: During aortoc reconstructive surgery, the patient may present with a variety of unusual complaints, including fever and GI bleeding. These symptoms are indicative of problems, including the development of an aortoentric fistula, particularly when there is a double secondary fistula...
August 2023: Annals of Medicine and Surgery
https://read.qxmd.com/read/36997237/derivation-and-validation-of-a-novel-risk-score-to-predict-need-for-haemostatic-intervention-in-acute-upper-gastrointestinal-bleeding-london-haemostat-score
#5
JOURNAL ARTICLE
Isobel Marks, Imran Karim Janmohamed, Sadek Malas, Athina Mavrou, Thomas Banister, Nisha Patel, Lakshmana Ayaru
BACKGROUND: Acute upper gastrointestinal bleeding (AUGIB) is a common medical emergency, which takes up considerable healthcare resources. However, only approximately 20%-30% of bleeds require urgent haemostatic intervention. Current standard of care is for all patients admitted to hospital to undergo endoscopy within 24 hours for risk stratification, but this is difficult to achieve in practice, invasive and costly. AIM: To develop a novel non-endoscopic risk stratification tool for AUGIB to predict the need for haemostatic intervention by endoscopic, radiological or surgical treatments...
March 2023: BMJ Open Gastroenterology
https://read.qxmd.com/read/36093301/an-unusual-differential-diagnosis-of-gastric-haemorrhage-a-rare-case-of-gastrosplenic-fistula
#6
JOURNAL ARTICLE
Claudia Cicchini, Simona Santarelli, Francesco Rocco Pugliese
A gastrosplenic fistula is a rare complication of primary splenic lymphoma and a rare cause of massive upper gastrointestinal haemorrhage. We report a case of a spontaneous gastrosplenic fistula secondary to splenic large B-cell lymphoma. The patient was admitted to the emergency department with haematemesis. Oesophagogastroduodenoscopy showed a deep gastric ulcer, and a subsequent CT scan revealed a gastrosplenic fistula. Gastric biopsy demonstrated gastric mucosa with infiltration by large lymphoid cells...
2022: European Journal of Case Reports in Internal Medicine
https://read.qxmd.com/read/35846862/immediate-coiling-of-a-gastroduodenal-arterial-bleeding-in-a-case-of-haemorrhagic-shock-without-haematemesis-a-case-report
#7
Donald Schweitzer, Sanne W De Boer, Roel M M Bogie, Daniel Keszthelyi, Dave H Schweitzer, Stefan A W Bouwense
Introduction: and importance: Upper gastrointestinal (GI) bleeding is common in the clinic. In combination with haemorrhagic shock, morbidity is high. Rapid diagnosis and treatment can save lives. With the introduction of precision imaging several treatment options are feasible. Up-to-date diagnosis and treatment requires expertise from interventional radiology, gastroenterology and surgery to form a dedicated intervention team. This is illustrated by a typical case. Case presentation: We report a 78-year-old otherwise healthy male with a severe diverticulum bleeding...
August 2022: Annals of Medicine and Surgery
https://read.qxmd.com/read/35787500/gastrocutaneous-fistula-and-gastrointestinal-bleeding-due-to-left-superior-epigastric-artery-haemorrhage-as-a-rare-complication-of-anterior-gastropexy
#8
JOURNAL ARTICLE
Patrícia Andrea-Ferreira, Jan Bech Pedersen, Henning Kold Antonsen
A woman in her 70s was referred to our institution with upper gastrointestinal (GI) bleeding 3 months after a Toupet fundoplication with anterior gastropexy, performed due to gastro-oesophageal reflux disease and a large paraoesophageal hernia. Clinical investigation revealed two ulcers, with one of them at the gastropexy site. A couple of weeks later, the patient presented with a gastrocutaneous fistula. Failure of conservative and endoscopic treatment of the fistula and GI bleeding demanded surgical treatment...
July 4, 2022: BMJ Case Reports
https://read.qxmd.com/read/34307572/successful-diagnosis-and-treatment-of-jejunal-diverticular-haemorrhage-by-full-thickness-enterotomy-a-case-report
#9
Hua-Chong Ma, Hui Xiao, Hao Qu, Zhen-Jun Wang
BACKGROUND: Jejunal diverticula are the rarest of all small bowel diverticula and usually have no classic clinical symptoms. Jejunal diverticular haemorrhage (JDH) is a rare complication and can be difficult to identify and manage, hence it always resulting in a diagnostic delay and unsatisfactory clinical outcomes. Although with the advances in endoscopic technology, no consensus have been reached on the diagnosis and management of JDH, the conventional surgical intervention still remains the mainstream for the management of JDH...
July 6, 2021: World Journal of Clinical Cases
https://read.qxmd.com/read/34212577/two-sides-of-one-coin-pan-gastrointestinal-kaposi-sarcoma-presenting-with-small-bowel-intussusception-and-severe-gastrointestinal-haemorrhage
#10
JOURNAL ARTICLE
D W Borowski, Y Lyeshchuk
We report a case of multi-focal pan-gastrointestinal Kaposi sarcoma in an HIV positive patient, presenting with two life-threatening complications of the disease, intestinal obstruction and upper gastrointestinal haemorrhage. The patient responded well to combined surgical and oncological treatment. The reported complications of the disease are regarded as relatively rare events, and this report aims to highlight the need for more intensive screening for Kaposi sarcoma in immune-compromised individuals.
June 2021: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://read.qxmd.com/read/34118829/haemorrhagic-shock-secondary-to-a-diffuse-ulcerative-enteritis-after-ipilimumab-and-nivolumab-treatment-for-metastatic-melanoma-a-case-report
#11
Noémie Trystram, Pauline Laly, Philippe Bertheau, Barouyr Baroudjian, Thomas Aparicio, Jean-Marc Gornet
We provide a unique case of haemorrhagic shock complicating a corticosteroid-resistant diffuse ulcerative enteritis in a patient treated with a combination of an anti cytotoxic T-lymphocyte antigen-4 (CTLA4) and an anti programmed cell death protein 1 (PD-1) for metastatic melanoma. Immunotherapy has changed the perspective for the management of patients with metastatic melanoma but are also responsible for digestive complications mainly represented by immunomediated colitis. Digestive bleeding is common in patients with extensive colonic lesions but has never been described in enteritis independent of colitis...
February 2022: Annals of Palliative Medicine
https://read.qxmd.com/read/33768063/midthoracic-pain-sentinel-arterial-haemorrhage-and-exsanguination-after-a-symptom-free-interval-chiari-s-triad-is-diagnostic-of-arterio-oesophageal-fistula-a-life-threatening-cause-of-gastrointestinal-bleeding
#12
JOURNAL ARTICLE
Andra Glodean, Rainer Grobholz, Karim El-Hag, Mairi Ziaka, Jean-Paul Schmid
Introduction: Arterio-oesophageal fistulae are a very uncommon cause of severe gastrointestinal bleeding, and mostly result from an aberrant right subclavian artery and mediastinal surgery or prolonged endotracheal/nasogastric intubation. Material and Methods: We present the case of a patient with an oesophageal adenocarcinoma and haematemesis due to a subclavian arterio-oesophageal fistula after mediastinal radiotherapy. Conclusion: We discuss the rare, life-threatening condition of acute erosion of the left subclavian artery caused by an oesophageal tumour and presenting with Chiari's triad...
2021: European Journal of Case Reports in Internal Medicine
https://read.qxmd.com/read/31360454/rare-case-of-upper-gastrointestinal-bleeding-dieulafoy-s-lesion-of-duodenum-a-case-report
#13
JOURNAL ARTICLE
Pessia Beatrice, Romano Lucia, Giuliani Antonio, Gizzonio Domenico, Schietroma Mario, Carlei Francesco, Pietroletti Renato
Dieulafoy's lesion is an uncommon but important cause of recurrent upper gastrointestinal bleeding. Extragastric location of Dieulafoy's lesion is rare. We report a case of haemorrhagic shock due to delafoy ulcer of the duodenum. After the failure of endoscopic haemostatic treatment, and due to the hemodynamic instability, the patient was not a candidate for transarterial embolization, the emergency surgery was needed to stop the bleeding. Using minimally invasive technique, we were able to avoid radical surgery, in critical patient would have high mortality rate...
September 2019: Annals of Medicine and Surgery
https://read.qxmd.com/read/30563606/complicated-duodenal-jejunal-diverticulosis-case-report
#14
JOURNAL ARTICLE
M Minafra, R Laforgia, U Riccelli, A Volpi, C Punzo, G Carbotta, S Pisicchio, V Papagni, A Panebianco, N Palasciano
BACKGROUND: Bleedings such as melaena are related to diseases in the upper gastrointestinal tract. In 0.06% - 5% of cases these incidents are due to the presence of diverticula of the small intestine, which are asymptomatic and unrecognized in most patients and are only fully diagnosed in cases when complications occur. CASE REPORT: An 88-year old male patient presented with severe anaemia, asthenia and melaena in the previous days. An esophagogastroduodenoscopy (EGDS) was performed with evidence of stenosis in the second part of the duodenum and a blood clot in the posterior wall without signs of active bleeding...
November 2018: Il Giornale di Chirurgia
https://read.qxmd.com/read/29920412/unusual-site-for-primary-arterio-enteric-fistula-resulting-in-massive-upper-gastrointestinal-bleeding-a-case-report-on-presentation-and-management
#15
JOURNAL ARTICLE
Anthony Pio Dimech, Matthew Sammut, Kelvin Cortis, Nebosja Petrovic
INTRODUCTION: Communications between an artery and the bowel are termed arterio-enteric fistulae. These are uncommon and mainly involve the aorta and duodenum. They can cause fatal haemorrhage. A primary aorto-enteric fistula has several aetiologies, one of which is post-radiotherapy. CASE REPORT: 75-year old gentleman presented with acute upper gastrointestinal bleeding and haemorrhagic shock. He had a past history of right colonic cancer treated by resection and radiotherapy...
2018: International Journal of Surgery Case Reports
https://read.qxmd.com/read/29894924/surgical-treatment-of-postoperative-laparostomy-and-pyloroduodenostomy-case-report
#16
JOURNAL ARTICLE
António Bernardes, Catarina Melo, Sandra Ferraz
INTRODUCTION: Postoperative duodenal-cutaneous fistula represents a rare and very complex problem. In most cases operative management becomes necessary, but only after local and systemic stabilization and sepsis control. CASE PRESENTATION: A 39-year-old man was admitted for surgical management of laparostomy and pyloro-duodenostomy of the first (DI) and second (DII) duodenal segments with one year of evolution, as a complication of several surgical interventions...
2018: International Journal of Surgery Case Reports
https://read.qxmd.com/read/27888865/advances-in-gastrointestinal-bleeding
#17
JOURNAL ARTICLE
Ángel Lanas
The main innovations of the latest meeting of the Gastroenterological Association (2016) concerning upper gastrointestinal bleeding from the clinician's perspective can be summarised as follows: a) The Glasgow-Blatchford scale has the best accuracy in predicting the need for surgical intervention and hospital mortality; b) Prognostic scales for non-variceal upper gastrointestinal bleeding are also useful for lower gastrointestinal bleeding; c) Preliminary data suggest that treatment with hemospray does not seem to be superior to current standard treatment in controlling active peptic ulcer bleeding; d) Either famotidine or a proton pump inhibitor may be effective in preventing haemorrhagic recurrence in patients taking aspirin, but this finding needs to be confirmed in further studies; e) There was confirmation of the need to re-introduce antiplatelet therapy as early as possible in patients with antiplatelet-associated gastrointestinal bleeding in order to prevent cardiovascular mortality; f) Routine clinical practice suggests that gastrointestinal or cardiovascular complications with celecoxib or traditional NSAIDs are very low; g) Dabigatran is associated with an increased incidence of gastrointestinal bleeding compared with apixaban or warfarin...
September 2016: Gastroenterología y Hepatología
https://read.qxmd.com/read/26592837/refractory-gastric-antral-vascular-ectasia-a-new-endoscopic-approach
#18
JOURNAL ARTICLE
C Zulli, A Del Prete, M Romano, F Esposito, M R Amato, P Esposito
Gastric antral vascular ectasia (GAVE) is an uncommon disorder observed in patients with liver cirrhosis, causing upper gastro-intestinal haemorrhage. GAVE is diagnosed through esophagogastroduodenoscopy and is characterized by the presence of visible columns of red tortuous enlarged vessels along the longitudinal folds of the antrum (i.e., so-called watermelon stomach). Pharmacological, endoscopic and surgical approaches have been proposed for the treatment of GAVE. Endoscopy represents the gold standard for GAVE treatment...
November 2015: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/26291047/laparoscopic-management-of-a-cystic-artery-pseudoaneurysm-in-a-patient-with-calculus-cholecystitis
#19
JOURNAL ARTICLE
Sofronis Loizides, Asad Ali, Richard Newton, Krishna Kumar Singh
INTRODUCTION: Pseudoaneurysm of the cystic artery is very rare. In the majority of cases it has been reported as a post-operative complication of laparoscopic cholecystectomy, however it has also been associated with the presence of acute cholecystitis or pancreatitis. When these pseudoaneurysms rupture they can lead to intraperitoneal bleeding, haemobilia and upper gastrointestinal haemorrhage. Radiological as well as open surgical approaches have been described for control of this rare pathology...
2015: International Journal of Surgery Case Reports
https://read.qxmd.com/read/26011833/can-the-principles-of-oncological-surgery-be-complied-with-in-haemorrhagic-gastric-cancer
#20
COMPARATIVE STUDY
X Pucheanu, M Beuran
AIM: To discover if in the case of bleeding gastric cancer the principles of oncological surgery could be applied to gastric cancer. METHODS: We studied two groups of patients, one with haemorrhagic gastric cancer and the second with uncomplicated gastric cancer. We took into account gender, age, number of days from admission to surgery, tumour location, type of intervention,haemoglobin on admission, haemorrhage externalization pathway, comorbidities, intervention type, extension of lymphadenectomy, stage, tumour type degree of differentiation there of, number of excised lymph nodes, perineural and vascular invasion, preoperative transfusion, postoperative complications, deaths...
March 2015: Chirurgia
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