Presentation
A total of 41% of patients presented H. pylori reinfection at the gastric remnant after Roux-en-Y anastomosis, which increased parallel to the length of follow-up. [ncbi.nlm.nih.gov]
Entire Body System
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Wound Infection
Postoperative complications included leak from the duodenal stump (2), intraabdominal abscess (2), anastomotic leak (1), wound infection (1), and bowel obstruction (1); re-operation was required in 4 patients. [ncbi.nlm.nih.gov]
The postoperative complications including wound infection, anastomotic leakage, anastomotic stricture, intestinal obstruction, intra-abdominal abscess and bleeding were compared. [journals.plos.org]
Gastrointestinal
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Early Satiety
Amongst the most frequently cited symptoms are: 48% reporting early satiety 26% epigastric fullness 26% epigastric pain 43% reflux 22% diarrhoea 17% nausea. [inmo.ie]
Patients who have early satiety (feeling of fullness after eating), abdominal discomfort, and vomiting may have bile reflux gastritis (also called bilious vomiting), which is also surgically correctable. Many patients also experience weight loss. [medical-dictionary.thefreedictionary.com]
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Loss of Appetite
Loss of appetite was rarely observed; early after the operation the majority of patients were consuming a normal diet and regularly consumed less than five meals per day (83.6%). [ncbi.nlm.nih.gov]
Musculoskeletal
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Myopathy
Exclusion criteria were diabetes mellitus, neurologic disease, myopathy, recent viral enteritis history, concomitant therapy influencing gastrointestinal motility and severe comorbidity. [ncbi.nlm.nih.gov]
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Muscle Weakness
Efforts should be made to prevent perioperative attacks of muscle weakness when planning anesthesia for patients with this kind of disorder. [ncbi.nlm.nih.gov]
Treatment
METHODS: Patients who diagnosed with gastric cancer and received treatment at six academic referral centers were investigated for the incidence and time of cholelithiasis and the degree of CBD dilatation after treatment by analysis of 5-year follow-up [ncbi.nlm.nih.gov]
Prognosis
Univariate analysis and multivariate analysis was used to identify significant prognostic factors correlated with LN metastasis and prognosis. [ncbi.nlm.nih.gov]
Prognosis after Distal Subtotal Gastrectomy: The prognosis for a positive end result following distal subtotal gastrectomy is good. [orangecountysurgeons.org]
Etiology
It is proposed that reflux bile gastritis might have played an important etiologic role in the development of these recurring hyperplastic polyps. [ncbi.nlm.nih.gov]
Laparoscopic port-site metastases: Etiology and prevention. Gynecol Oncol 2003;91:179-89. 2. Döbrönte Z, Wittmann T, Karácsony G. Rapid development of malignant metastases in the abdominal wall after laparoscopy. Endoscopy 1978;10:127-30. 3. [jmedscindmc.com]
Enterocutaneous fistulae: etiology, treatment, and outcome - a study from South India. Saudi J Gastroenterol. 2011 Nov-Dec. 17 (6):391-5. [Medline]. [Full Text]. WILLIAMS JA, STAMMERS FA. [emedicine.medscape.com]
Epidemiology
Epidemiology of perforated peptic ulcer: age- and gender- adjusted analysis of incidence and mortality. World J Gastroenterol 2013; 19:347–354. 16. Mulvany MJ. Protecting against vascular disease in brain. [journals.lww.com]
Poor survival for US Pacific Islander cancer patients: evidence from the Surveillance, Epidemiology, and End Results database: 1991 to 2004. J Clin Oncol. 25, 5738–5741 (2007). 3. [nature.com]
Pathophysiology
The etiology and pathophysiology of this rare process are discussed with an emphasis on the difficulty in diagnosis of posterior gastric perforation into the lesser sac. [ncbi.nlm.nih.gov]
The mechanism of diabetes control after gastrointestinal bypass surgery reveals a role of the proximal small intestine in the pathophysiology of type 2 diabetes. Ann Surg 2006; 244:741–749. 29. Drucker DJ. [journals.lww.com]
Prevention
After NG tube is removed, intake is advanced gradually to prevent gastric irritation and distension. [nurseslabs.com]
Efforts should be made to prevent perioperative attacks of muscle weakness when planning anesthesia for patients with this kind of disorder. [ncbi.nlm.nih.gov]
Efficacy of surgical measures in preventing port-site recurrences in a porcine model. Surg Endosc 2001;15:121-5. [Figure 1] [Table 1] [jmedscindmc.com]
Additional sutures of 3-0 silk were then placed high along the greater curvature to prevent any acute obstruction of the small bowel. [aapc.com]