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At least 415 records · Page 23Linked to original sources

Acute gastric dilatation revisited.

First described by S.E. Duplay in 1833, acute gastric dilatation has since been well documented in the literature. Several theories of the pathogenesis of acute gastric dilatation have been postulated. In 1842, Karl Freiherr von Rokitansky described the superior mesenteric artery syndrome, followed by W. Brinton in 1859 with the atonic theory. C.R. Morris et al. introduced debilitation and anesthesia as predisposing factors. Although rare, gastric necrosis is the most severe consequence of acute gastric dilatation. Vascular insufficiency secondary to increased intragastric pressure is the critical factor. We report an unusual case of acute gastric dilatation with subsequent necrosis of uncertain etiology.

Acute Disease↗

In utero sonographic findings in a fetus with a hereditary multiple intestinal atresia.

Hereditary multiple intestinal atresia is a rare syndrome with an autosomal recessive pattern of inheritance. We described the antenatal sonographic appearance of a case of hereditary multiple intestinal atresia. A markedly dilated cystic mass noncommunicating with the stomach was observed in the right upper quadrant of the fetal abdomen by an ultrasound scan at 30 weeks of gestation. Real-time sonographic evidence of strong peristaltic activity was not demonstrated. The infant weighing 2315 g was delivered at 35 week's gestation with Apgar scores of 7 and 9 at 1 and 5 minutes, respectively. At laparotomy, a prepyloric septal atresia, multiple-level small intestinal atresias and a rectal diaphragm were discovered. The infant died 52 days after the operation. The sonographer should be aware that a proximal bowel distention can be associated with hereditary multiple intestinal atresia in patients with a family history of an affected sibling.

Adult↗

[Anastomotic false-diverticulum causing an atypical dumping syndrome. A case report].

Aim of the study is to evaluate the causes of dumping syndromes following partial gastrectomies, and to report an unusual feature of dumping. A case of early dumping due to diverticular-like dilation of gastro-jejunal anastomosis is described with preoperative imaging and intraoperative picture. The surgical correction led to complete clinical remission; the common causes and physiopathological bases of dumping are reviewed and the role of en-Y gastro-jejunal reconstruction is underlined in order to reduce the risk of developing the syndrome.

Anastomosis, Roux-en-Y↗

Epidemiology of gastric dilatation-volvulus in the military working dog program.

Examination of case records of 914 military working dogs which died during the period January 1, 1987-December 31, 1989, revealed 31 deaths (3.4%) due to gastric dilatation-volvulus (GDV) or its complications. The fata episode of GDV was the only reported occurrence of this condition in 81% of the dogs. Male German shepherd dogs, 6-10 years of age, that were fed a medicated high-energy ration once per day, predominated. Dogs in this study that had a prior history of acute gastric dilatation (AGD) or GDV, and that were decompressed by non-surgical means, eventually died of GDV. A comparison with dogs surviving an AGD or GDV episode from the same time period showed most to have had surgical decompression and gastropexy.

Acute Disease↗

[Experience with non-vascular dilatation using balloon catheters].

The authors have summed up a long-term experience of dilatation of stenosis of the esophagus, stomach, duodenum, biliary and urinary tracts using high-pressure balloon catheters. The procedure and a choice of adequate balloon catheters were optimized. The method was used for a great variety of nosological entities, and long-term therapeutic results (up to 5 yrs) were studied. A high efficacy and relative safety of the procedure was shown.

Catheterization↗

[Gastric necrosis secondary to acute gastric dilatation in children].

We present a new case of acute dilatation gastric with fundus, in a three years old girl with Beckwith Syndrome and infection respiratory disease. The diagnosis and treatment were done early we performed a Friederich of necrosis wall and simple suture. The evolution postoperative was satisfactory.

Acute Disease↗

Circumcostal gastropexy for preventing recurrence of gastric dilatation-volvulus in the dog: an evaluation of 30 cases.

Follow-up evaluation (mean, 13.7 months) was obtained in 30 dogs with gastric dilatation-volvulus that were surgically treated with circumcostal gastropexy. Evaluation was performed by questionnaire (29 dogs), radiographic contrast studies (23 dogs), and necropsy (6 dogs). The gastropexy was thought to be intact in all 23 dogs examined radiographically. Necropsy of 6 dogs dying from causes unrelated to gastric dilatation-volvulus (mean of 12.7 months after surgery) revealed an intact gastropexy site in each dog. Only 1 (3.3%) dog had clinical recurrence of gastric dilatation after surgery. Five additional dogs dying postoperatively were necropsied and had intact gastropexy sites.

Animals↗

Cardiac dysrhythmias associated with gastric dilatation-volvulus in the dog.

Of 16 dogs treated medically and surgically for gastric dilatation-volvulus, 11 developed electrocardiographic evidence of ventricular dysrhythmias. Seven of these dogs had ventricular dysrhythmias for the first time during their hospitalization after surgery. The ventricular dysrhythmias included ventricular premature depolarizations, slow ventricular rhythms, paroxysmal ventricular tachycardia, ventricular tachycardia, and multifocal ventricular tachycardia. Two of these dogs had electrocardiographic evidence of atrial premature depolarizations at the time of hospitalization. Treatment with lidocaine hydrochloride or procainamide hydrochloride was successful in reestablishing sinus rhythm in 9 of the 11 dogs with ventricular dysrhythmias.

Animals↗

Plasma gastrin immunoreactivity in dogs with acute gastric dilatation-volvulus.

Plasma gastrin immunoreactivity was measured by radioimmunoassay in 45 dogs with acute gastric dilatation-volvulus (GDV). Significant increases (P less than 0.05) were found in dogs with acute GDV and in the fasted state after surgical treatment and recovery. The data suggested that dogs that have had GDV may have preexisting high plasma gastrin immunoreactivity. In dogs with acute GDV, plasma gastrin immunoreactivity was not found to be helpful in formulating prognosis. Circumcostal gastropexy did not affect plasma gastrin immunoreactivity.

Acute Disease↗

Formal dilation after gastric partitioning.

The use of the endoscopy, the biopsy forceps used as a guidewire and a tape wrap added to the endoscope for dilation have been utilized to evaluate and treat stomal stenosis following gastric partitioning in five patients without further complication or morbidity. A tapered dilator may be created during the procedure by wrapping the endoscope with electrical tape to obtain the necessary diameter for widening of the stomal opening. This maneuver has effectively removed the risk of reoperation and prolonged hospitalization for the postoperative patient with narrowing of the stoma.

Dilatation↗

Bleeding gastric varices and gastric torsion secondary to a wandering spleen.

We are reporting a patient who presente with upper gastrointestinal bleeding which was in part caused by a wandering spleen. Endoscopy revealed erosions of gastric varices in the presence of gastric torsion. At surgical exploration the spleen was present in the pelvis. The twisted and elongated splenic pedicle resulted in a markedly dilated venous system of the proximal stomach and the engorged spleen. The literature of the wandering spleen is reviewed.

Adolescent↗