Surgery, Gastroenterology and Oncology

Remnant gastric cancer (RGC) is a rare but clinically significant malignancy that develops in the remaining part of the stomach after partial gastrectomy. In terms of diagnosis, therapy, and prognosis, it represents special difficulties. Although the precise cause of RGC is still unknown, several factors have been identified as potential risk factors, including Helicobacter pylori infection, prior gastric surgery, postoperative complications, and patient-related factors. Recent studies have given insight into certain genetic mutations, chromosomal abnormalities, and molecular path....[more]

Background: Surgery for intraductal papillary mucinous neoplasm (IPMN) is indicated according to the international consensus guidelines (ICG), but ICG frequently overestimates invasive cancer. Utility of 18F-Fluorodeoxyglucose positron emission tomography with computed tomography (FDG-PET/CT) to differentiate invasive carcinoma (i-IPMC) from dysplasia is not well recognized.

Methods: Patients who underwent pancreatectomy for pathologically confirmed IPMN at our institution between 2008 and 2022 were evaluated. For the comparison the patien....[more]

Background/Aim: Major complications of biliary surgery, such as laparoscopic cholecystectomy, include bile duct injury. Surgeons with extensive experience in the hepatobiliary system may find it difficult to address severe cases of bile duct injury. The purpose of this research was to assess various therapeutic approaches for bile duct injuries, and to determine which was superior in terms of injury type and presentation time (early or late), as well as improvement in quality of life.

Methods: Research on 80 patients was undertaken at XXX ....[more]

Highlights

-Blunt abdominal injuries are very common after traffic accidents.

-It is difficult to diagnose isolated duodenum injuries and they are generally associated with multiple organ injuries.

-Quick diagnosis and management are very important to prevent complications.

Abstract

Background and aim: Blunt abdominal trauma is hard to diagnose specially after accidents and is associated with high risk mandating quick diagnosis and management. The aim to determ....[more]

Background: Patients with intractable slow transit constipation (STC) have undergone single-incision clipless laparoscopic total colectomy (SCLTC) with ileorectal anastomosis (IRA) using a functional end-to-end anastomosis (FEEA) through a transsurgical wound under direct vision since 2017 because the rectal contents prevented intestinal reconstruction using double stapling technique. Since 2021, five patients have undergone intra-corporeal ileorectal anastomosis (IIRA) after SCLTC using our original procedure.

Methods: From January 2020 t....[more]

Background: Giant hiatal hernias (GHH) account for 5-10% of all hiatal hernias. Most patients are asymptomatic, while others have debilitating and persistent symptoms affecting quality of life (QoL). GHHs are usually associated with chronic digestive and gastroesophageal reflux symptoms and acute severe complications may occur. Surgical treatment is usually indicated in cases of failure of optimal medical treatment in smaller hernias, symptomatic patients with large hernias and asymptomatic patients with high risk for complications. Surgery is the treatment of cho....[more]

Introduction: Cervical cancer incidence is decreasing in the western world, but the disease remains the most common gynecological malignancy worldwide. About one-third of treatedwomen will have recurrence during follow-up, most often in the first two to three years after the initial treatment, leaving many with limited treatment options and poor prognosis.

Case report: We present a case of a 63-year-old female who was operated for cervical cancer, underwent post-operative radiochemotherapy and had a locoregional recurrence in an unusual lo....[more]

Introduction: We present an extremely rare case of gastric outlet obstruction (GOO) in a young male attributed to hydrops of the gallbladder resulting from recurrent episodes of acute acalculous cholecystitis. Remarkably, approximately one and half years prior to this presentation, the patient was diagnosed with confirmed acute acalculous cholecystitis and had tested positive for Covid 19 ,despite exhibiting no respiratory symptoms.

Case report: While it is established that Patients with acute acalculous cholecystitis can develop gallbladd....[more]

Introduction: Choledocholithiasis, the presence of gallstones within the common bile duct, is a challenging medical condition characterized by disruptions in cholesterol, bilirubin, and bile acid metabolism. Patients with choledocholithiasis present with a spectrum of symptoms, from intermittent upper abdominal pain, nausea, and vomiting to jaundice and more severe complications like pancreatitis.

Case report: This case study involves a 63-year-old female who presented at the emergency department with colicky pain, jaundice, and discomfort....[more]