Surgery, Gastroenterology and Oncology

Background: Postcholecystectomy syndrome (PCS) is defined as a complex of hetero-geneous symptoms consisting of: pain in the right upper quadrant and the epigastrium,

dyspepsia which repeat or persist after cholecystectomy. The increased number of laparos-copic cholecystectomies worldwide led to an increased number of patients with PCS, which requires a new approach to this problem. The most frequent biliary manifestations of PCS are: bile duct injuries (BDI) and bilomas, or choledocholithiasis, subtotal cholecystectomy and ductus cysticus remnant.

Background: Globally, gastric cancer ranks second in terms of the incidence of cancer-

related fatalities. Gastric cancer ranks twelfth among all types of cancer in Egypt. Besides, the prevalence increases as age increases, with 55% of cases occurring in individuals aged 50 to 70. Complete resection, partial gastrectomy, or total gastrectomy is determined by the surgical margins, tumor location, stage, and histology. The degree of necessary regional lymphadenectomy has been a subject of contention. Neoadjuvant chemotherapy has the potential to enhance the ....[more]

Background: laparoscopic colorectal surgery is considered the gold standard approach for management of surgical disease of the colon. De-functioning ileostomy is commonly used in cases of laparoscopic proctectomy to reduce the complications of anastomotic leak. There are different methods for specimen extraction from different abdominal wounds. One of them is to extract the specimen from ileostomy site.

Methodology: This was a prospective analytical study conducted on 30 patients that underwent laparoscopic proctectomy with ....[more]

Highlights

• Incidence of Intra-thoracic Gastric Pouch Migration Following Laparoscopic Sleeve Gastrectomy was 16% in the current study.
• The most common presentation of ITSM was persistent vomiting followed by refractory GERD.
• Re-operation was needed to manage ITSM in 22 (out of 300 cases included in the study) (7.3%).
• Mean GERD-HRQL score improved after ITSM management from 47.13 to 29.19.

Background: Intra-thoracic sleeve migration (ITSM) is an....[more]

Background: Successful biliary cannulation is a crucial step in ERCP, and different techniques are employed to overcome challenging cannulation, aiming to enhance success rates and minimize post-ERCP complications, particularly post-ERCP pancreatitis. Our study aimed to compare the efficacy of needle knife fistulotomy (NKF) and double guide wire (DGW) techniques in addressing difficult biliary cannulation following repeated unintentional pancreatic duct cannulation during ERCP.

Methods: Forty subjects undergoing ERCP at Meno....[more]

Gastric cancer (GC) is a common malignancy with a high mortality rate. Survival has improved due to advances in curative and palliative treatments. Treatment gold-standard remains complete radical surgical resection.  Most recurrences happen in the first 2 years after surgery. Peritoneum is the most common site, but peritoneal late recurrences, as well bone metastases are rare. Both carry a dismal prognosis, with limited treatment options. We present a case of a GC late recurrence with peritoneal and bone metastases, 20 years after curative surgery. A 61-year-old male submitt....[more]

Although GISTs can occur in any part of the digestive tract, most gastrointestinal stromal tumors (GISTs) are found in the stomach. They are generally asymptomatic but may grow and form large masses. We report the case of a nearly asymptomatic patient with a large tumor (around 25 cm) that was successfully removed, followed by adjuvant treatment with tyrosine kinase inhibitor (TKI).

INTRODUCTION

Gastrointestinal stromal tumors (GISTs) are non-epithelial tumors of the gastrointestinal tract. These mesenchymal tumors acc....[more]

Hemorrhagic cholecystitis is a rare disease whose etiology is not fully understood. Risk

factors include biliary neoplasms, systemic diseases, uremia, coagulopathies. We present 2 cases of hemorrhagic cholecystitis, found intraoperatively on the background of gallbladder cancer.

Introduction

Hemorrhagic cholecystitis is relatively difficult to diagnose due to its rare occurrence and symptoms similar to those of other gallbladder diseases. Bleeding from the bile ducts first described by B. Nauyn i....[more]

Ovarian cysts (OC) are common in young women, with different aetiology according to their developmental stage and hormonal development. Although rare, hypothyroidism has been associated with OC development. We present a case of a 16-year-old patient diagnosed with a painful OC one year after total thyroidectomy (TT) due to papillary carcinoma) and severely increased levels of TSH despite thyroid hormonal oral therapy. After a non-complicated laparoscopic cystectomy, a mucinous cystadenoma was diagnosed. In the next two years, with better controlled levels of TSH, no contralateral ....[more]

Metastasis is a clinical manifestation of a malignant pathology and it is estimated that only 10% has a cutaneous presentation, which umbilical manifestation reduces to a 1-3%. One of its rarest kind being the Sister Mary Joseph nodule which typically presents by a palpable mass at the level of the umbilical scar, usually associated with advanced pathologies making it useful for clinical guidance and prognostic.

INTRODUCTION

Umbilical metastasis is a clinical manifestatiIon associated to advanced stage tumors, by being....[more]