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Anastomotic Ulcer


Presentation

  • An acute peptic ulcer-induced aortoenteric fistula was present at the anastomotic line. The literature on peptic ulcer-induced aortoenteric fistulas after esophagogastroplasty is reviewed.[ncbi.nlm.nih.gov]
  • We report the case of a 63-year-old male patient who presented 6 years after ileocolic resection, and also review the data of six similar cases described in the literature.[ncbi.nlm.nih.gov]
  • All patients presented with iron deficiency anemia with evidence of gastrointestinal (GI) blood loss and this was the indication for colonoscopy.[ncbi.nlm.nih.gov]
  • 62 year-old women, who had undergone subtotal colectomy 18 months previously for bleeding, who presented with recurrent gross bleeding and anemia. Colonoscopy demonstrated a bleeding ulcer at the ileocolic anastomosis.[endoatlas.com]
Infertility
  • Read more GYNECOLOGY AND OBSTETRICS TUBAL FACTOR INFERTILITY TUBAL FACTOR INFERTILITY Aetiology: (bilateral tubal block). 1. Congenital: aplasia or hypoplasia. 2. Traumatic: removal or ligation of the tubes...[meduweb.com]
Excitement
  • The newest technology of colon capsule endoscopy is included and exciting potential future developments are also considered.[books.google.de]
Irritability
  • The larger issues are internal controls of micro-erosions, presence/resistance to heliobacter pylori bacteria (can be hard to eradicate ; can recur), ingestion of nsaids ; other irritants, internal controls of local blood flow, emotions, etc. ...Read[healthtap.com]

Workup

Gastric Fistula
  • Further investigation was carried out by means of an upper GI series that revealed a sharpened contrast passage through the anastomosis; there was no gastro-gastric fistula .[aischannel.com]

Treatment

  • In case of AU recurrence, 56% continue with conservative treatment.[ncbi.nlm.nih.gov]
  • THE SURGICAL treatment of peptic ulcer disease of the stomach and duodenum continues to be critically reviewed.[jamanetwork.com]
  • If you have crohns, the ulcer could represent recurrent disease and escalating treatment should be considered. ...Read more Ulceration (Definition) Exact synonym so far as this pathologist is concerned.[healthtap.com]
  • These outputs include the seminal five volume magnum opus, Handbook of Behavior, Food and Nutrition (2011), the prophetic insight into the treatment of neurological disease, Nanomedicine and the Nervous System (2012), and the major reference works Comprehensive[books.google.ro]
  • DISCLAIMER : All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider.[ehealthme.com]

Prognosis

  • Seite 79 - T et al (1995) Mortality and morbidity rates, postoperative course, quality of life, and prognosis after extended radical lymphadenectomy for esophageal cancer, Comparison of threefield lymphadenectomy with two-field lymphadenectomy.[books.google.de]

Etiology

  • The markedly reduced bile acid absorption found in our case raises the possibility of an etiological role of bile acids in the development of ileocolic anastomotic ulcers.[ncbi.nlm.nih.gov]
  • The etiology of the ulcer, in most patients, remains speculative. The therapeutic approach to these ulcers is to discontinue all NSAIDs, treat underlying inflammatory bowel disease, if present, and supplement with oral iron.[ncbi.nlm.nih.gov]
  • In most patients, ulcer etiology remains speculative but may include small bowel Crohn’s disease and ingestion of nonsteroidal anti-inflammatory drugs.[ncbi.nlm.nih.gov]

Epidemiology

  • Farraye, MD, MSc is an Associate Professor of Medicine and Epidemiology at the Boston University School of Medicine in Boston, Mass.[books.google.de]
Sex distribution
Age distribution

Pathophysiology

  • Schirmer , Stacy Brethauer Springer Science & Business Media , 11 sept. 2008 - 523 pagini "Minimally Invasive Bariatric Surgery" covers the full spectrum of laparoscopic weight loss surgery and the pathophysiology of obesity.[books.google.ro]

Prevention

  • In an international survey among members of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), current preventative and therapeutic strategies in AU were analyzed. METHODS: An Internet-based survey was performed.[ncbi.nlm.nih.gov]
  • To prevent tension due to a large hiatus, relaxation of the diaphragmatic crura can be associated with the use of a mesh.[websurg.com]
  • […] gastro-oesophageal reflux disease, treatment and prophylaxis of NSAID-associated gastric and duodenal ulcers , Zollinger-Ellison syndrome, and in combination with appropriate antibacterial therapeutic regimens for the eradication of Helicobacter pylori and prevention[de.glosbe.com]
  • Hydroxocobalamin injections to prevent vitamin B12 deficiency. Acarabose can reduce the absorption of glucose and help prevent late dumping but it may also aggravate bloating and diarrhoea.[patient.info]
  • Vagotomy, partial gastrectomy, or both are required to treat the ulcer diathesis and prevent another recurrent ulcer. Results are excellent in benign disease. In general, the outlook for patients with a malignant fistula is poor.[for-surgeons.com]

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