An Alternative Mesofemoral Shunt for Uncontrolled Variceal Bleeding
Yi-Ju Wu, Chih-Che Lin, Yu-Hung Lin, Chao-Long Chen, Wayne Huang and Yu-Feng Kao
Article Type: ORIGINAL ARTICLE | First Published: September 07, 2018
Portal hypertension can lead to life-threatening variceal bleeding (VB). Transjugular intrahepatic portosystemic shunt (TIPSS) is the standard choice for uncontrolled VB. Unavailable for TIPSS, we design a mesofemoral shunt (MFS) as an alternative method for control of VB. From March 2011 to November 2014, eleven patients with VB due to liver cirrhosis were enrolled. The MFS was created by connecting from superior mesenteric vein below transverse colon, via subcutaneous tunnel, to right femoral ...
Giant Brunner's Gland Adenoma - An Unusual Cause of Gastrointestinal Haemorrhage
F Mahmood, Adil Ahmed, Chung Shen, Sinead Cabezon, and Vittal Rao
Article Type: CASE REPORT | First Published: September 07, 2018
Brunner's gland adenoma is a rare benign tumour of the duodenum. Less than 200 cases have been reported in the literature. Usually asymptomatic, these lesions rarely manifest as upper gastrointestinal haemorrhage or duodenal obstruction. We report a 40-year-old gentleman who presented with melaena and iron deficiency anaemia. Duodenoscopy revealed a large pedunculated tumour in the duodenal bulb. Due to the huge size, the patient underwent surgical polypectomy through laparotomy and duodenotomy....
BMI in Penetrating Abdominal Injury: Correlation with Morbidity
Rajiv K Chander, Hoan K Bui, John Phair, Matthew Carnevale, Samuel Kigongo and Robert V Madlinger
Article Type: Research Article | First Published: August 10, 2018
In 1960, Shaftan, et al. recognized that mandatory laparotomy for penetrating abdominal injury (PAI) resulted in negative findings in approximately one-third of patients, with significant associated morbidity and mortality. This was underlined by a 37 percent negative laparotomy rate after mandatory laparotomy for truncal stab wounds. Superior critical care facilities, advances in interventional radiology and the increased availability of abdominal ultrasonography, focused abdominal sonography i...
Cadaver Pylorus Simulates Hypertrophic Pyloric Stenosis
Paul A Brisson, Cayla C DeLuca, Kaitlyn Lemes and Samuel C Purkey
Article Type: Original Article | First Published: August 08, 2018
Hypertrophic pyloric stenosis (HPS) is a disorder of infants that results in an abnormal thickening of the pyloric sphincter. Surgical division of the pyloric muscle fibers under general anesthesia is the standard treatment. There is currently no realistic simulation model of hypertrophic pyloric stenosis. Surgeons learn the procedure on live infants. Our objective was to determine if an adult embalmed cadaver pylorus, a readily available resource at most medical schools, could serve as a simula...