scholarly journals ENDOSCOPIC STENTING IN THE TREATMENT OF RECURRENT EPIPHRENIC DIVERTICULUM AFTER LAPAROSCOPIC DIVERTICULECTOMY. CLINICAL CASE REPORT

2021 ◽  
pp. 5-13
Author(s):  
E. A. Gallyamov ◽  
Yu. B. Busyrev ◽  
A. A. Gvozdev ◽  
A. B. Shalygin ◽  
A. V. Fedorov
Keyword(s):  
Clinical Case ◽  
Oral Feeding ◽  
Water Soluble ◽  
Endoscopic Stenting ◽  
Epiphrenic Diverticulum ◽  
Invasive Treatment ◽  
Rare Type ◽  
Anterior Fundoplication ◽  
Mediastinal Drainage ◽  
Esophageal Stenting

Epiphrenic diverticulum, also known as a pulsion diverticulum, is a rare type of esophageal diverticulum occurring in the distal 10 centimeters of the esophagus. They are most commonly 4-10 cm above the gastric cardia representing 10% of all esophageal diverticula. Laparoscopic diverticulectomy has become the treatment of choice. This clinical case study is dedicated to minimally invasive treatment of recurrent epiphrenic diverticulum after laparoscopic diverticulectomy. A 74-year-old male patient was admitted to the hospital with complaints of dysphagia, regurgitation and halitosis. The examination revealed a 5 cm epiphrenic diverticulum with sings of inflammation. Laparoscopic transchiatal diverticulectomy, the Dor (anterior) fundoplication, cruroraphia and mediastinal drainage were performed. The patient was discharged on the 11-th postoperative day. The patient exhibited dysphagia relapse during a 3-month follow-up. Taking into account the previous surgical treatment and the habitus endoscopic esophageal stenting was chosen as the technique of choice for management. Under intravenous anesthesia a partially covered metal self-expandable stent 10 cm x 1.8 cm was inserted into the distal esophagus. Next day control fluoroscopy showed stable stent position and no evidence of leakage. The water-soluble contrast agent reached stomach freely. The patient was discharged on the 2nd post-operative day. Within 4 months after having a stent placed, the patient feels well and oral feeding is satisfactory. In terms of literature search we have not come across any reference to the post-epiphrenic diverticulectomy recurrence treatment, so the management was chosen individually based on the comorbid status of the patient. The installation of a partially covered metal self-expandable stent allowed to promptly eliminate dysphagia and design features enabled to achieve stent stable position. A partially covered metal self-expandable stent can be considered effective in the post-epiphrenic diverticulectomy recurrence treatment.

scholarly journals Staged surgical treatment of the patient with chronic pancreatitis

2021 ◽  
Vol 26 (3) ◽  
pp. 149-155
Author(s):  
N. Yu. Kokhanenko ◽  
A. V. Glebova ◽  
O. G. Vavilova ◽  
A. A. Kashintsev ◽  
S. A. Kaliuzhnyi ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Clinical Case ◽  
Minimally Invasive Treatment ◽  
Gastric Fistula ◽  
Invasive Treatment ◽  
Head Of The Pancreas ◽  
Staged Treatment

A clinical case of successful surgical treatment of a patient with chronic pancreatitis, complicated by suppuration of a postnecrotic cyst and the formation of a cysto-gastric fistula. As a result of the conservative and minimally invasive treatment, the pseudocyst was drained, and the cystogastric fistula was closed. The staged treatment was completed by resection of the head of the pancreas with the formation of an anastomosis.

Endoscopic stenting of refractory benign esophageal strictures (review)

2021 ◽  
Vol 23 (5) ◽  
pp. 448-452
Author(s):  
Aleksej I. Ivanov ◽  
◽  
Aleksej I. Ivanov ◽  
Aleksej I. Ivanov ◽  
Vladimir A. Popov ◽  
...  
Keyword(s):  
Esophageal Stenosis ◽  
Individual Characteristics ◽  
Endoscopic Stenting ◽  
Current State ◽  
Stent Type ◽  
Anastomotic Strictures ◽  
Esophageal Strictures ◽  
Surgical Methods ◽  
Biodegradable Stents ◽  
Esophageal Stenting

Despite the fact that the overwhelming majority of benign esophageal strictures, although long-term, but effectively stop with the help of endoscopic recanalization, 10% of them recur. Such strictures are a major problem in thoracic surgery. Disabled surgical methods of treatment are associated with a sufficiently high mortality rate and do not guarantee the formation of new anastomotic strictures. Esophageal stenting against the background of a limited endoscopic arsenal of methods for recanalization of benign strictures is the last option. A lot of different models of esophageal stents with their own individual characteristics and features have appeared since the introduction of the first stents in clinical practice. All were investigated in an attempt to identify the optimal stent type and design for the treatment of refractory benign strictures. The review is devoted to the current state of stenting in recurrent benign esophageal stenosis. The review reflects the efficacy and disadvantages of various types of stents and their comparison with a focus on new biodegradable stents used in the treatment of benign esophageal strictures.

scholarly journals The Synthesis of Europium-Doped Calcium Carbonate by an Eco-Method as Free Radical Generator Under Low-Intensity Ultrasonic Irradiation for Body Sculpture

2021 ◽  
Vol 9 ◽  
Author(s):  
Che-Yung Kuan ◽  
Yu-Ying Lin ◽  
I-Hsuan Yang ◽  
Ching-Yun Chen ◽  
Chih-Ying Chi ◽  
...  
Keyword(s):  
Crystal Structure ◽  
Electron Microscope ◽  
Calcium Carbonate ◽  
The Body ◽  
Water Soluble ◽  
Tetrazolium Salt ◽  
Invasive Treatment ◽  
Low Intensity ◽  
Low Intensity Ultrasound ◽  
Body Sculpture

Body sculpture is a common method to remove excessive fat. The diet and exercise are the first suggestion to keep body shape; however, those are difficult to keep adherence. Ultrasound has been developed for fat ablation; however, it could only serve as the side treatment along with liposuction. In the study, a sonosensitizer of europium-doped calcium carbonate (CaCO3: Eu) would be synthesized by an eco-method and combined with low-intensity ultrasound for lipolysis. The crystal structure of CaCO3: Eu was identified by x-ray diffractometer (XRD). The morphology of CaCO3: Eu was analyzed by scanning electron microscope (SEM). The chemical composition of CaCO3: Eu was evaluated by energy-dispersed spectrophotometer (EDS) and inductively coupled plasma mass spectrometer (ICP-MS). The electronic diffraction pattern was to further check crystal structure of the synthesized individual grain by transmission electron microscope (TEM). The particle size was determined by Zeta-sizer. Water-soluble tetrazolium salt (WST-1) were used to evaluate the cell viability. Chloromethyl-2′,7′-dichlorofluorescein diacetate (CM-H2DCFDA) and live/dead stain were used to evaluate feasibility in vitro. SD-rat was used to evaluate the safety and efficacy in vivo. The results showed that CaCO3: Eu had good biocompatibility and could produce reactive oxygen species (ROS) after treated with low-intensity ultrasound. After 4-weeks, the CaCO3: Eu exposed to ultrasound irradiation on SD rats could significantly decrease body weight, waistline, and subcutaneous adipose tissue. We believe that ROS from sonoluminescence, CO2-bomb and locally increasing Ca2+ level would be three major mechanisms to remove away adipo-tissue and inhibit adipogenesis. We could say that the combination of the CaCO3: Eu and low-intensity ultrasound would be a non-invasive treatment for the body sculpture.

A Conservative Technique for Repairing Class IV Composite Restorations

2017 ◽  
Vol 42 (1) ◽  
pp. E10-E15 ◽  
Author(s):  
VC Ruschel ◽  
SC Stolf ◽  
S Shibata ◽  
LN Baratieri
Keyword(s):  
Clinical Case ◽  
Composite Resin ◽  
Central Incisor ◽  
Invasive Treatment ◽  
Maxillary Central Incisor ◽  
Repair Technique ◽  
Composite Resin Restoration ◽  
Composite Resin Restorations ◽  
The Right ◽  
Class Iv

SUMMARY Composite resin may make a restoration noticeable as time passes, on account of its color instability. The repair technique is a minimally invasive treatment for class IV composite resin restorations that show unsatisfactory coloration. Thus, the objective of the present article was to report a clinical case involving a conservative technique used for repairing a class IV composite resin restoration in the left maxillary central incisor and the replacement of a class IV restoration in the right maxillary central incisor.

Clinical Case of Rare Type V Osteogenesis Imperfecta

2015 ◽  
Vol 12 (1) ◽  
pp. 79-84 ◽  
Author(s):  
G.T. Yakhyaeva ◽  
◽  
T.V. Margieva ◽  
L.S. Namazova-Baranova ◽  
K.V. Savost'yanov ◽  
...  
Keyword(s):  
Osteogenesis Imperfecta ◽  
Clinical Case ◽  
Rare Type ◽  
Type V

scholarly journals Management of Enamel Hypomineralization with Resin Infiltration Technique: A Clinical Case Report

2020 ◽  
pp. 117-124
Author(s):  
Soner Şişmanoğlu DDS, PhD
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Clinical Case ◽  
Composite Resin ◽  
Psychosocial Problems ◽  
Invasive Treatment ◽  
Resin Infiltration ◽  
Anterior Teeth ◽  
Infiltration Technique ◽  
Composite Resin Restorations

Defects that occur during the development of anterior teeth are often associated with aesthetic problems. Although enamel hypomineralization does not significantly increase the risk of caries, it causes patients to experience psychosocial problems. A 23-year-old female patient presented to our clinic complaining of white opacity and discolorations in her anterior teeth.  After the systemic and dental anamnesis of the patient, minimally invasive treatment of resin infiltration was planned. In addition, anterior composite resin restorations with impaired color matching was renewed. The patient was recalled 13 months after the treatment. A significant decrease was observed in the appearance of enamel hypomineralizations. The patient was satisfied with the outcome of the treatment. Furthermore, the durability of the treatment after 13 months is satisfactory.

scholarly journals Paraneoplastic Vasculitis in a Patient with Astrocytoma of the Brain

2021 ◽  
Vol 11 (1) ◽  
pp. 67-71
Author(s):  
A. V. Yagoda ◽  
A. V. Rybas ◽  
E. N. Danilova ◽  
Yu. V. Gromova
Keyword(s):  
Clinical Case ◽  
Leukocytoclastic Vasculitis ◽  
Clinical Manifestations ◽  
Necrotizing Vasculitis ◽  
Rare Type ◽  
Pulmonary Hypertension Syndrome ◽  
Significant Stenosis ◽  
Idiopathic Pulmonary Hypertension ◽  
Breast And Prostate Cancer ◽  
The Brain

Clinical case of paraneoplastic vasculitis аssociated a brain tumor was presented. Paraneoplastic vasculitis is a rare type of paraneoplastic syndrome. The frequency of detection of paraneoplastic vasculitis in cancer patients is 0.01-5%. In 70% of cases, the manifestation of vasculitis is observed long before the clinical manifestations of the tumor. Most studies report so-called leukocytoclastic vasculitis (allergic) or allergic angiitis. Vasculitis is usually accompanied by slowly progressing tumors such as breast and prostate cancer. It also develops with of stomach cancer, lung cancer, kidney adenocarcinoma, epithelioma, sarcoma, cholangiocarcinoma, other solid tumors, multiple myeloma, non-Hodgkin’s lymphoma. The nosological forms of paraneoplastic vasculitis include called polyarteritis nodosa, hemorrhagic vasculitis, Wegener’s granulomatosis, non-specific aortoarteritis, idiopathic pulmonary hypertension syndrome, thrombovasculitis, allergic hemorrhagic vasculitis, cutaneous vasculitis, systemic necrotizing vasculitis with increased ANCA titer. The patient suffered from paraneoplastic vasculitis with the development of amyloidosis of vascular tissues and arterial hypertension. The progression of the vascular process led to damage of the arteries of the brain and heart, the development of ischemic stroke and hemodynamically significant stenosis of the coronary arteries, the development of acute myocardial infarction complicated by acute heart failure, which caused death. The clinical significance of the case lies in the fact that paraneoplastic vasculitis, which was developed due to a brain astrocytoma with the formation of amyloidosis was firstly described.

scholarly journals 1211 An Ameloblastoma Or Intra-Oral Basal Cell Carcinoma? A Clinical Case Report

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Crummey ◽  
A Amini
Keyword(s):  
Case Report ◽  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Clinical Case ◽  
Correct Diagnosis ◽  
Benign Neoplasm ◽  
Rare Type ◽  
Histological Appearance ◽  
Rare Lesion

Abstract A basal cell ameloblastoma is an uncommon benign neoplasm and has a similar histological appearance to basal cell carcinoma of the skin. This clinical case report will discuss an ameloblastoma originating in the maxilla and of the baseloid variant. The objective of report is to highlight the possibility of misdiagnosis from this challenging case. A 34-year-old male was referred to the maxillofacial department with recurrent nasal regurgitation following dental extraction from the left maxilla 1 year previous. Clinically there was an oro-antral fistula visible and initial CT showed cystic lesion in the left maxilla likely to represent an odontogenic cyst. The patient underwent extraction and enucleation, where the diagnosis of the amelobalstoma was established with need of resection. Partial maxillectomy and primary closure with buccal fadpad was performed in the second stage and histological results showed a 6mm completely excised basal cell carcinoma within the oral mucosa and no bony invasion. Due to this extremely unusual results, secondary histological review was requested, and conclusion was a fully excised basal cell ameloblastoma. Following the procedure and subsequent reviews, the patient has no evidence of oro-antral fistula or recurrence of this rare type of neoplasm. A basal cell ameloblastoma variant is a rare lesion and due to its’ similar histological appearance to a basal cell carcinoma, can lead to a misdiagnosis. The aim of the report is to show the unusual presentation and findings along the way to correct diagnosis in this case.

scholarly journals Hybrid management of acute severe necrotizing biliary pancreatitis complicated by abdominal sepsis and necrotic and fl uid collections in the abdominal cavity

2020 ◽  
Vol 174 (2) ◽  
pp. 99-104
Author(s):  
D. V. Mizgirev ◽  
A. M. Epshtein ◽  
S. S Pozdeev ◽  
V. N. Pozdeev ◽  
L. A. Neledova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Necrotizing Pancreatitis ◽  
Abdominal Sepsis ◽  
Biliary Pancreatitis ◽  
Invasive Treatment ◽  
Fluid Collections ◽  
Hybrid Management

The article presents a clinical case of successful hybrid minimally invasive treatment of acute severe biliary necrotizing pancreatitis complicated by acute infected necrotic and fluid collections, abdominal sepsis. Endoscopic transgastric sequestrectomy in combination with polypositional percutaneous drainage and staged sanitation and drainage interventions allowed to avoid the traditional surgical treatment.

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