Search results for "gastrectomy"
showing 9 items of 39 documents
Minimally invasive gastrectomy: time to change practice?
2020
Image of the Month—Quiz Case
2008
Do we understand the pathophysiology of GERD after sleeve gastrectomy?
2020
Gastroesophageal reflux disease (GERD), a prevalent problem among obese individuals, is strongly associated with obesity and weight loss. Hence, bariatric surgery effectively improves GERD for many patients. Depending on the type of bariatric procedure, however, surgery can also worsen or even cause a new onset of GERD. As a consequence, GERD remains a relevant problem for many bariatric patients, and especially those who have undergone sleeve gastrectomy (SG). Affected patients report not only a decrease in physical functioning but also suffer from mental and emotional problems, resulting in poorer social functioning. The pathomechanism of GERD after SG is most likely multifactorial and tr…
A body weight loss- and health-promoting gut microbiota is established after bariatric surgery in individuals with severe obesity
2020
Obesity has reached an epidemic level worldwide, and bariatric surgery (BS) has been proven to be the most efficient therapy to reduce severe obesity-related comorbidities. Given that the gut microbiota plays a causal role in obesity development and that surgery may alter the gut environment, investigating the impact of BS on the microbiota in the context of severe obesity is important. Although, alterations at the level of total gut bacteria, total gene content and total metabolite content have started to be disentangled, a clear deficit exists regarding the analysis of the active fraction of the microbiota, which is the fraction that is most reactive to the BS. Here, active gut microbiota…
Histologische und histoautoradiographische Untersuchungen zur Wanddicke und zum Zellumsatz am interponierten Hundedünndarm nach totaler Gastrektomie
1979
Total gastrectomy was performed on purebred beagle dogs and a 30--40 cm jejunal segment was grafted isoperistaltically between oesophagus and duodenum. Histological and histoautoradiographical examinations were carried out and the wall-thickness and the cell-transformation rate in the interponate determined. Despite the isoperistaltic substitute-stomach a muscular wall-hypertrophy of 140% of the interponated jejunum was found. The reason for this hypertrophy is thought to be the result of adhesions and the functional mechanical demands. Histoautoradiographical examinations confirmed that the regeneration time in the substitute-stomach decreased by 70% compared with the normal jejunum. The d…
PS01.162: IS THERE A DIFFERENCE IN SURVIVAL BETWEEN YOUNGER AND OLDER GASTRIC CANCER (INCLUDING AEG II AND AEG III) PATIENTS AFTER GASTRECTOMY?
2018
Abstract Background The incidence of gastric cancer decreases in the western world, however, it remains one of the most common diseases (1). There is just little data from Europe comparing the outcome of young and elderly gastric cancer patients. This study compares, depending on the age of 266 patients, the outcome of 266 consecutive gastrectomy cases due to gastric cancer Methods 266 consecutive patients with gastric cancer received a gastrectomy between 2008–2016 at our comprehensive cancer centre. The mean age of the patients in this study was 64 years old (21- 93 years). All patients were followed up regarding survival. The patients were separated in 6 different groups, depending on th…
Sekundäre Achalasie bei niedrigmalignem Non-Hodgkin-Lymphom und Leiomyomatose der Kardia
2008
A 28-year-old man had been dysphagic for 9 months with a weight loss of 4 kg. A preliminary diagnosis of primary achalasia was made on the basis of typical radiological and manometric findings. Despite balloon dilatation of the cardia the symptoms did not improve and further diagnostic tests were performed. Ultrasound demonstrated a 4 cm tumour below the cardia. But its type and possible malignancy remained uncertain even at laparotomy. But as a malignant tumour was suspected a gastrectomy and omentectomy with removal of the local and regional lymph nodes were performed. After this the symptoms regressed and postoperative food intake was without problem. Histological examination of the surg…
Mirizzi syndrome in a patient with partial gastrectomy with Billroth II anastomosis: A case report
2020
Highlights • Obstructive jaundice may be a challenge for differential diagnosis. • Mirizzi Syndrome may simulate clinical and radiological presentation of common bile duct stones. • ERCP hardly achieves cannulation of biliary duct in altered anatomy, so gastroscope may be a correct choice in these cases. • Surgical treatment is essential in Mirizzi Syndrome.
Dzīves kvalitāte pacientiem pēc gastrektomijas
2020
Bakalaura darba tēma: “Dzīves kvalitāte pacientiem pēc gastrektomijas”. Tēmas aktualitāte: Kuņģa vēzis ir ļaundabīgs kuņģa epitēlija audzējs ar mazsimptomātisku strauju augšanu, vispārīgu izplatību un sliktu prognozi. Latvijā saslimšana ar kuņģa vēzi vīriešiem ir trešajā, bet sievietēm ceturtajā vietā starp audzējiem. (1) Kuņģa vēža diagnozes primāri iereģistrēto gadījumu skaits Latvijā uz 2017. gadu sastādīja 524 iedzīvotājus, no kuriem vīrieši ir 291 un sievietes – 233. (2) Kuņģa vēža gadījumā absolūtas indikācijas ir ķirurģiskajai ārstēšanai. Viens no radikāliem operācijas veidiem ir gastrektomija – pilna kuņģa izgriešana. (1) Darba mērķis: Noskaidrot dzīves kvalitāti pacientiem pēc gast…