1. Clinical Approach to Diarrhea in Long Term Care Hospitals
Diarrhea is common in long term care hospitals but at many times get underdiagnosed. Symptomatic treatment of diarrhea is sometimes effective but tends to relapse after treatment is seized and also side effects are seen. The root cause of diarrhea must be evaluated in order to treat diarrhea effectively and efficiently. Here are some commonly encountered causes of diarrhea in long term care hospitals and how to approach.
1.1. Background: Fecal calprotectin (FC) is increased in gastrointestinal inflammation due to increased permeability of the gastrointestinal mucosa. It could be used to differentiate between different gastrointestinal disorders.
1.2. Purpose: The aim of the present study was to examine the relationship between fecal calprotectin and different pediatric gastrointestinal diseases and to investigate if it could be helpful in differentiation between different GI diseases.
Melanoma is the most common metastatic tumor of the gastrointestinal (GI) tract and its diagnosis is rare during life since its symptoms are non-specific. The endoscopic gastric metastases appearance is heterogenous with no typical pattern. We report a patient who presented three different morphologies of metastatic gastric melanoma although the patient remained asymptomatic. This finding shows the importance of early upper digestive endoscopy in patients diagnosed with melanoma even in the absence of gastrointestinal symptoms.
Gastric cancer was until the 1980s the most frequent diagnosed cancer all around the world, and it still remains even nowadays one of the most frequent and aggressive malignant tumors, having the power to cause annually an amazingly high number of deaths and affected people. Even if it went through some difficult phases for more 11 years, the stomach surgery managed to become today quite well defined even if it is not yet fully outlined.
1.1. Objectives: Little is known about the effect of antibiotic treatment on the gut microbiota in children with chronic pancreatitis (CCP). Our objective was to identify the effect of antibiotic treatment on the gut microbiota in children with chronic pancreatitis (CCP), the main gut microbiota genera and characterize the patients’ functional mutations after using antibiotics.
Sulfasalazine is an immunomodulatory drug used in the treatment of various dysimmune diseases including the intestinal bowel disease. Sulfasalazine is known to cause sulfasalazine-induced hypersensitivity syndrome (SIHS), also known as drug reaction with eosinophilia and systemic symptoms (DRESS).
Self-Expandable Metal Stents for the Management of Gastric Outlet Obstruction: Experience from A Tertiary-Care Facility in Pakistan
Gastric outlet obstruction is commonly considered as advanced malignancies of the stomach, duodenum, pancreas, hepatobiliary, and ampullary regions. Surgical bypass and chemotherapy are the common treatment modalities for gastric obstruction. This study was done to determine the outcomes of self-expandable metal stents in patients with gastric outlet obstruction.
DOI : http://dx.doi.org/10.47829/JJGH.2021.7903
Mesenteric ischemia is a dreadful complication with a high mortality rate. Early diagnosis and management is mandatory to improve prognosis.
We report a 72-year-old woman who has undergone a bioprosthetic aortic valve replacement. She presented an abdominal pain associated to an occlusive syndrome. Angio-CT scan has found initially a functional bowel obstruction without mesenteric ischemia. 3 days later, she became febrile and her abdominal distension increase. The fellow up Angio-CT scan revealed a pneumoperitoneum suggestive of a bowel perforation. A diagnostic laparotomy had found two ischemic ileal perforations. The ischemic origin was confirmed by histo-pathological examination. She underwent segmental ileal resection with end-to-end anastomosis. The follow up was favourable.
DOI : http://dx.doi.org/10.47829/JJGH.2021.7902
Endoscopic Radiofrequency Ablation of Fiatula in Ano (VAAFT-Fistura) In The Era of Surgical Innovation. A Serial Prospective Evaluation of 10 Patients
1.1. Background: Fistula in-ano is an abnormal chronic infected tunnel ( tract ) between the rectum or the anal canal and perianal skin usually ,with granulation tissue which connecting a primary orifice ( internal ) to a secondary one ( external) .This morbid antity represents a dilemma for both ,patients and surgeon-proctologists because of postoperative issues occurrence such as fecal incontinence .The surgical management of this infectious condition has emerged nowadays ,by emphasing new surgical techniques that preserve anal sphincter’s integrity and functional Over the last decade, numerous techniques sparing anal sphinters have gained popularity such as endoscopic approach ( VAAFT ), Laser, fibrin glue, transanal advancement flap repair [1, 6]. In the same perspective, we are presenting in this paper, our preliminary outcomes of a combination of endoscopic approach (VAAFT) with Radifrequency Ablation of the fistula’s tract that we nicknamed with the acronym of VAAFT-FisTura).
Endoscopic Pilonidal Sinus Treatment Combined To Radiofrequency Ablation (Epsit-Fistura), A Perspective of Surgical Innovation
1. Backround and Aim
Pilonidal Sinus also known as pilonidal cyst dease, sacrococcygeal fistula, intergluteal pilonidal disease is, a common disease of the sacrococcygeal region affecting mosly obese and sedentary young individuals of both genders.
DOI : http://dx.doi.org/10.47829/JJGH.2021.7901