1,721,338 research outputs found
Comment on "Predictive value of 18F-FDG PET/CT on survival in locally advanced rectal cancer after neoadjuvant chemoradiation"
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Una valutazione degli effetti di breve periodo di una modifica delle politiche agricole dell'Unione Europea sui sistemi agricoli rappresentativi di Puglia e Calabria
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Laparoscopic Approach to Epiphrenic Diverticula Under Endoscopic Assistance: A Technical Report
No full textIntroduction: Epiphrenic diverticulum is a rare disease caused by mucosa and submucosa herniation through the muscular layers of the esophageal wall. This study presents a case of a patient with a symptomatic epiphrenic diverticulum treated with surgery under endoscopic assistance. A review of the literature on this unusual condition was conducted, focusing on the pathogenesis, presentation, and surgical challenges. Methods: A 75-year-old woman who underwent an esophagogastroduodenoscopy (EGD) after experiencing worsening dysphagia for food and liquids. The EGD revealed a large epiphrenic diverticulum 36 cm from the upper incisor teeth. The presence of a diverticulum was verified by barium swallow, which revealed a 6 cm diameter epiphrenic diverticulum on the right side of the esophagus. Results: Patient underwent laparoscopic diverticulectomy associated with Heller’s myotomy and anterior partial fundoplication. A gastroscope was placed intraoperatively to calibrate the esophagus to prevent stenosis during diverticulectomy, and it was also used to check the integrity of the esophageal wall. The patient tolerated clear liquids on postoperative day 2. Postoperative course was complicated by right pleural effusion and fever managed with antibiotics and pleural drainage. Conclusion: Epiphrenic diverticulectomy in conjunction with management of the underlying motor dysfunction and avoidance of gastroesophageal reflux disease is an effective procedure. Laparoscopy is considered the approach of choice for the majority of patients. Endoscopic assistance during surgery can help the identification of the diverticulum and verify the integrity of the staple line
The laparoscopic approach to Acute Mesenteric Ischemia is today unclear and less debated (AMI). There are in fact no clinical evidences on this particular focus and only few articles can be found in several databases (pubmed, cochrane library, etc.), and the problem concerns both diagnostic and therapeutic utilization of the procedure. These considerations were already taken into account in 2012 EAES guidelines where the Grade of Recommendation (GoR) of laparoscopy in AMI was low in both diagnostic and therapeutic aspects. According to the new Oxford Classification [1], the use of laparoscopy in patients with suspicious or diagnosed AMI presents a weak GoR.
No full textThe laparoscopic approach to Acute Mesenteric Ischemia is today unclear and less
debated (AMI).
There are in fact no clinical evidences on this particular focus and only few
articles can be found in several databases (pubmed, cochrane library, etc.), and the
problem concerns both diagnostic and therapeutic utilization of the procedure.
These considerations were already taken into account in 2012 EAES guidelines
where the Grade of Recommendation (GoR) of laparoscopy in AMI was low in both
diagnostic and therapeutic aspects.
According to the new Oxford Classification [1], the use of laparoscopy in patients
with suspicious or diagnosed AMI presents a weak GoR
- …
