scholarly journals Случай дистальной резекции поджелудочной железы совместно со спленэктомией при оперативном вмешательстве по поводу прорастающей в поджелудочную железу опухоли поперечной ободочной кишки

2020 ◽  
pp. 99-102
Keyword(s):  
Elderly Patient ◽  
Small Intestine ◽  
Length Of Stay ◽  
Transverse Colon ◽  
Pancreatic Surgery ◽  
Septic Complications ◽  
Pancreatic Fistulas ◽  
Resection Of The Pancreas ◽  
Treitz Ligament

The article presents a case of successful distal resection of the pancreas together with splenectomy during surgery for a tumor of the transverse colon growing into the pancreas in an elderly patient. The main complications after pancreatic surgery are postoperative pancreatic fistulas, in which there is a risk of septic complications, arrosive bleeding, increased length of stay of patients in hospital and increased mortality [1, 12]. The novelty of the proposed invention, lies in the fact that: pancreatojejunoanastomosis is formed at a distance of 30 cm from the Treitz ligament, then enteroenteroanastomosis is formed between the adducting and diverting loops of the small intestine in the type of side – to-side two rows of sutures, the length of the anastomosis is 4 cm, at a distance of 50 cm from the Treitz ligament, to improve the passage of intestinal chime [2]. This method can be implemented in the practice of surgical hospitals.

scholarly journals Amylase quantification in the terminal Ileum following formation of an Ileostomy

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
D. A. Clark ◽  
T. Cuda ◽  
C. Pretorius ◽  
A. Edmundson ◽  
M. Solomon ◽  
...  
Keyword(s):  
Cohort Study ◽  
Small Intestine ◽  
Healthy Volunteers ◽  
Sample Size ◽  
Terminal Ileum ◽  
Pancreatic Surgery ◽  
Reference Range ◽  
Validation Cohort ◽  
Physiological Activity ◽  
Testing Methodology

Abstract Amylase is elevated in the foregut and has been used to confirm anastomotic integrity after pancreatic surgery. The physiological activity of pancreatic enzymes in the ileum has been studied in healthy volunteers but not quantitated with the simple and readily available amylase measurements employed with serum tests. We aim to quantitate the levels of amylase in the terminal ileum. This was a prospective, non-randomised, non-blinded, consecutive cohort study conducted at the Royal Brisbane and Women’s Hospital. Consecutive patients undergoing routine surgery with an ileostomy were invited to participate in the study. Ileostomy effluent was collected and analysed daily for the first 5 post-operative days. This validation cohort included 8 males and 3 females, with a mean age of 49 years. Median daily amylase levels ranged from 4470 U/L to 23,000 U/L, with no specimens falling within the laboratory serum reference range of 40 to 130 U/L. Two specimens were not available on day one post-operative due to complete ileus. The sample size of 11 patients is small but was considered sufficient given that 55 effluent specimens were anticipated for analysis. Amylase levels remain highly elevated as the enzyme transits through the length of the small intestine and measured in the terminal ileum, and can be readily quantitated by the existing testing methodology routinely available.

scholarly journals Small Intestine Artery False Aneurysm Embolization

2021 ◽  
Vol 9 (4) ◽  
pp. 666-669
Author(s):  
S. A. Prozorov
Keyword(s):  
Elderly Patient ◽  
Small Intestine ◽  
Blood Loss ◽  
False Aneurysm ◽  
Difficult Problem ◽  
Endovascular Embolization ◽  
Minimal Invasiveness ◽  
Aneurysm Embolization ◽  
Pseudo Aneurysm

Bleeding from an aneurysm of a small intestine artery is a formidable complication, the treatment remains a difficult problem. In this case, aneurysm embolization is indicated. The aim of the article is to describe the role of embolization in the treatment of bleeding in an elderly patient, to analyze the efficacy and risk. The advantage of the intervention is minimal invasiveness and low blood loss. The presented observation showed the effectiveness of endovascular embolization in the rupture of a pseudo-aneurysm.

scholarly journals A CASE OF PRIMARY VOLVULUS OF THE SMALL INTESTINE IN AN ELDERLY PATIENT

2010 ◽  
Vol 71 (7) ◽  
pp. 1795-1799 ◽  
Author(s):  
Ryutaro MORI ◽  
Koichiro MISUTA ◽  
Shinsuke SUZUKI ◽  
Mari SASAKI ◽  
Kazuya EGUCHI ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Small Intestine

Impact of an orthogeriatrician on length of stay of elderly patient with hip fracture

2020 ◽  
Vol 31 (11) ◽  
pp. 2161-2166
Author(s):  
C. Aletto ◽  
R. Aicale ◽  
G. Pezzuti ◽  
F. Bruno ◽  
N. Maffulli
Keyword(s):  
Elderly Patient ◽  
Hip Fracture ◽  
Length Of Stay

Association of Increasing Frailty with Detrimental Outcomes after Pancreatic Resection

2018 ◽  
Vol 84 (4) ◽  
pp. 512-519 ◽  
Author(s):  
Rodney Lane Guyton ◽  
Catalina Mosquera ◽  
Konstantinos Spaniolas ◽  
Timothy L. Fitzgerald
Keyword(s):  
Length Of Stay ◽  
Distal Pancreatectomy ◽  
Pancreatic Resection ◽  
Odds Ratio ◽  
Pancreatic Surgery ◽  
Significant Risk ◽  
Median Length ◽  
Risk Of Death ◽  
Frail Patients ◽  
The Impact

An association between detrimental outcomes and frailty has been documented; however, the impact specific to pancreatic surgery is unknown. Using NSQIP data, patients were classified as non-, mildly, moderately, or severely frail. A total of16,028 patients were included inthe study; most of the patients were white (78.5%) and underwent pancreaticoduodenectomy (PD) (67%). Complications occurred in 17.6 per cent cases, and the median length of stay (LOS) was 11.89 days. Prolonged LOS and mortality occurred in 9.1 and 2.3 per cent of the cases. In the PD group, most of the patients were mildly frail (40.6%), followed by nonfrail (39.83%), whereas in the distal pancreatectomy (DP) group, the majority were nonfrail (43.82%), followed by mildly frail (39.37%) ( P < 0.0001). The 30-day complications, mortality, and LOS were significantly higher in patients undergoing PD compared with DP (19.5 vs 14.3%, 2.8 vs 1.2%, and 13.4 vs 8.7 days, respectively; P < 0.0001). PD conferred a significantly higher risk of death in all frailty groups compared with DP [nonfrail: odds ratio (OR) 1.76, mildly frail: OR 1.03, moderately frail: OR 2.03, P < 0.05], with the exception of severely frail patients. Compared with DP, PD conferred a significant risk of complication in all the frailty groups. Increases in frailty are associated with poorer outcomes after pancreatectomy.

scholarly journals Delayed mesh infection and mesh penetrating the transverse colon and small intestine after abdominal incisional hernia repair

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Kodai Tomioka ◽  
Toshihiro Fujioka ◽  
Tohru Satoh ◽  
Hidetoshi Makita ◽  
Rika Tsukui ◽  
...  
Keyword(s):  
Small Intestine ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Transverse Colon ◽  
Late Onset ◽  
Abdominal Cavity ◽  
Mesh Fixation ◽  
Incisional Hernia Repair ◽  
Mesh Infection ◽  
Mesh Removal

Abstract The occurrence of late-onset mesh infection and mesh invasion into the intestine after abdominal incisional hernia repair is extremely rare. Herein, we describe the first case of late-onset mesh infection and mesh penetrating the transverse colon and small intestine 5 years after incisional hernia repair using an expanded polytetrafluoroethylene mesh. The symptom was drainage from the reddish wound, and computed tomography scan revealed intestinal prolapse with local wall thickening. The mesh removal and small intestine and colon resection were conducted because the small intestine and transverse colon formed a mass containing the mesh inside. The events were caused by the lack of mesh fixation, and the dislodged mesh penetrating the intestinal tract caused the infection. For mesh infections in which conservative treatment is not effective, mesh removal and organ excision should not be delayed regardless whether there is a strong adhesion of the abdominal cavity.

scholarly journals An Assessment and outcome of hepato-biliary-pancreatic surgery for a elderly patient

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S433
Author(s):  
Y. Katsuki ◽  
Y. Sakurai ◽  
K. Arai
Keyword(s):  
Elderly Patient ◽  
Pancreatic Surgery

Extra-organ sources of parasympathetic innervation of the small intestine in the treitz ligament region

1993 ◽  
Vol 24 (4) ◽  
pp. 265-270
Author(s):  
V. A. Bagaev ◽  
L. V. Filippova ◽  
G. N. Akoev ◽  
F. N. Makarov
Keyword(s):  
Small Intestine ◽  
Parasympathetic Innervation ◽  
Treitz Ligament
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