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[PMID]:29193916
[Au] Autor:Diaz Ramos NM; Lugo-Vicente H
[Ti] Título:Choledochal Cyst: Hepaticoduodenostomy or hepaticojejunostomy?
[So] Source:Bol Asoc Med P R;108(1):39-44, 2016.
[Is] ISSN:0004-4849
[Cp] País de publicação:Puerto Rico
[La] Idioma:eng
[Ab] Resumo:Choledochal cysts are cystic dilatation of the common bile duct managed by excision and hepatico-intestinal reconstruction. The gold standard after choledochal cyst excision is reconstruction using the jejunum. With the advent of laparoscopy the pendulum has changed toward hepaticoduodenostomy reconstruction. We review the classification, diagnosis and recent management of choledochal cyst.
[Mh] Termos MeSH primário: Cisto do Colédoco/cirurgia
Duodenostomia/métodos
Jejunostomia/métodos
[Mh] Termos MeSH secundário: Cisto do Colédoco/diagnóstico
Cisto do Colédoco/patologia
Seres Humanos
Laparoscopia/métodos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE


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[PMID]:28853605
[Au] Autor:Okamoto H; Miura K; Itakura J; Fujii H
[Ad] Endereço:Department of Gastrointestinal, Breast and Endocrine Surgery, Faculty of Medicine, University of Yamanashi , Yamanashi , Japan.
[Ti] Título:Current assessment of choledochoduodenostomy: 130 consecutive series.
[So] Source:Ann R Coll Surg Engl;99(7):545-549, 2017 Sep.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Introduction Cholelithiasis usually can be managed successfully by endoscopic sphincterotomy. Choledochoduodenostomy (CDD) is one of the surgical treatment options but its acceptance remains debated because of the risk of reflux cholangitis and sump syndrome. The aim of this study was to assess the current features and outcomes of patient undergoing CDD. Patients and methods We retrospectively analysed the surgical results of consecutive 130 patients treated by CDD between 1991 and 2013 and excluded five cases with a malignant disorder. Indications for surgery included endoscopic management where stones were difficult or failed to pass and primary common bile duct stones with choledochal dilatation. Incidences of reflux cholangitis, stone recurrence, pancreatitis or sump syndrome were investigated and the data between end-to-side and side-to-side CDD were compared. Results Reflux cholangitis and stone recurrence was 1.6% (2/125) and 0% (0/125) of cases by CDD. There is no therapeutic-related pancreatitis in CDD. Sump syndrome was not also observed in side-to-side CDD. Conclusions This study is a first comparative study between end-to-side and side-to-side CDD. The surgical outcomes for CDD treatment of choledocholithiasis were acceptable. The incidence of reflux cholangitis, stone recurrence, pancreatitis and sump syndrome was very low.
[Mh] Termos MeSH primário: Coledocostomia/métodos
Colelitíase/cirurgia
Duodenostomia/métodos
[Mh] Termos MeSH secundário: Idoso
Colangite/etiologia
Coledocostomia/efeitos adversos
Coledocostomia/estatística & dados numéricos
Duodenostomia/efeitos adversos
Duodenostomia/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Meia-Idade
Duração da Cirurgia
Pancreatite/etiologia
Recidiva
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170831
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2017.0082


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[PMID]:28660836
[Au] Autor:Kirby GC; Faulconer ER; Robinson SJ; Perry A; Downing R
[Ad] Endereço:Department of Upper Gastrointestinal Surgery, Worcestershire Acute Hospitals NHS Trust , Worcester , UK.
[Ti] Título:Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice.
[So] Source:Ann R Coll Surg Engl;99(6):472-475, 2017 Jul.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION The superior mesenteric artery (SMA) syndrome, or Wilkie's syndrome, is a rare cause of postprandial epigastric pain, vomiting and weight loss caused by compression of the third part of the duodenum as it passes beneath the proximal superior mesenteric artery. The syndrome may be precipitated by sudden weight loss secondary to other pathologies, such as trauma, malignancy or eating disorders. Diagnosis is confirmed by angiography, which reveals a reduced aorto-SMA angle and distance, and contrast studies showing duodenal obstruction. Conservative management aims to increase intra-abdominal fat by dietary manipulation and thereby increase the angle between the SMA and aorta. Where surgery is indicated, division of the ligament of Treitz, anterior transposition of the third part of the duodenum and duodenojejunostomy have been described. METHODS We present four cases of SMA syndrome where the intention of treatment was laparoscopic duodenojejunostomy. The procedure was completed successfully in three patients, who recovered quickly with no short-term complications. A fourth patient underwent open gastrojejunostomy (complicated by an anastomotic bleed) when dense adhesions prevented duodenojejunostomy. CONCLUSIONS The superior mesenteric artery syndrome should be considered in patients with epigastric pain, prolonged vomiting and weight loss. Laparoscopic duodenojejunostomy is a safe and effective operation for management of the syndrome. A multi-speciality team approach including gastrointestinal, vascular and radiological specialists should be invoked in the management of these patients.
[Mh] Termos MeSH primário: Duodenostomia
Jejunostomia
Laparoscopia
Síndrome da Artéria Mesentérica Superior/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2017.0063


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[PMID]:28100901
[Au] Autor:Ryu JH; Lee TB; Park YM; Yang KH; Chu CW; Lee JH; Kim T; Choi BH
[Ad] Endereço:Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, South Korea.
[Ti] Título:Pancreas Transplant with Duodeno-Duodenostomy and Caval Drainage Using a Diamond Patch Graft: A Single-Center Experience.
[So] Source:Ann Transplant;22:24-34, 2017 Jan 19.
[Is] ISSN:2329-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND The surgical technique used in pancreas transplant is essential for patient safety and graft survival, and problems exist with conventional strategies. When enteric exocrine drainage is performed, there is no method of immunologic monitoring other than direct graft pancreas biopsy. The most common cause of early graft failure is graft thrombosis, and adequate preventive and treatment strategies are unclear. To overcome these disadvantages, we suggest a modified surgical technique. MATERIAL AND METHODS Eleven patients underwent pancreas transplant with our modified technique. The modified surgical techniques are as follows: 1) graft duodenum was anastomosed with recipient duodenum to enable endoscopic immunological monitoring, and 2) the inferior vena cava was chosen for vascular anastomosis and a diamond-shaped patch was applied to prevent graft thrombosis. RESULTS No patient mortality or graft failure occurred. One case of partial thrombosis of the graft portal vein occurred, which did not affect graft condition, and resolved after heparin treatment. All patients were cured from diabetes mellitus. There were no cases of pancreatic rejection, but 2 cases of graft duodenal rejection occurred, which were adequately treated with steroid therapy. CONCLUSIONS This modified surgical technique for pancreas transplant represents a feasible method for preventing thrombosis and allows for direct graft monitoring through endoscopy.
[Mh] Termos MeSH primário: Anastomose Cirúrgica/métodos
Duodenostomia/métodos
Sobrevivência de Enxerto
Transplante de Pâncreas/métodos
Cuidados Pós-Operatórios/métodos
[Mh] Termos MeSH secundário: Adulto
Anastomose Cirúrgica/efeitos adversos
Drenagem/efeitos adversos
Drenagem/métodos
Duodenostomia/efeitos adversos
Seres Humanos
Imunossupressores/uso terapêutico
Transplante de Pâncreas/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Immunosuppressive Agents)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170120
[St] Status:MEDLINE


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[PMID]:28089036
[Au] Autor:Rodrigues-Pinto E; Grimm IS; Baron TH
[Ad] Endereço:Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal.
[Ti] Título:Biliary bypass redux: lessons for the therapeutic endoscopist from the archives of surgery.
[So] Source:Gastrointest Endosc;85(2):428-432, 2017 Feb.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos do Sistema Biliar/métodos
Colestase/cirurgia
Endoscopia do Sistema Digestório/métodos
Stents Metálicos Autoexpansíveis
[Mh] Termos MeSH secundário: Anastomose Cirúrgica
Colecistostomia
Coledocostomia
Duodenostomia
Gastrostomia
Seres Humanos
Jejunostomia
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170117
[St] Status:MEDLINE


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[PMID]:27858187
[Au] Autor:Zani A; Yeh JB; King SK; Chiu PP; Wales PW
[Ad] Endereço:Division of General and Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Canada. augusto.zani@sickkids.ca.
[Ti] Título:Duodeno-duodenostomy or duodeno-jejunostomy for duodenal atresia: is one repair better than the other?
[So] Source:Pediatr Surg Int;33(2):245-248, 2017 Feb.
[Is] ISSN:1437-9813
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The surgical management of neonates with duodenal atresia (DA) involves re-establishment of intestinal continuity, either by duodeno-duodenostomy (DD) or by duodeno-jejunostomy (DJ). Although the majority of pediatric surgeons perform DD repair preferentially, we aimed to analyze the outcome of DA neonates treated with either surgical technique. METHODS: Following ethical approval (REB:1000047737), we retrospectively reviewed the charts of all patients who underwent DA repair between 2004 and 2014. Patients with associated esophageal/intestinal atresias and/or anorectal malformations were excluded. Outcome measures included demographics (gender, gestational age, and birth weight), length of mechanical ventilation, time to first and full feed, length of hospital admission, weight at discharge (z-scores), and postoperative complications (anastomotic stricture/leak, adhesive obstruction, and need for re-laparotomy). Both DD and DJ groups were compared using parametric or non-parametric tests, with data presented as mean ± SD or median (interquartile range). RESULTS: During the study period, 92 neonates met the inclusion criteria. Of these, 47 (51%) had DD and 45 (49%) DJ repair. All procedures were performed open, apart from one laparoscopic DJ. Overall, DD and DJ groups had similar demographics. Likewise, we found no differences between the two groups for length of ventilation (p = 0.6), time to first feed (p = 0.5), time to full feed (p = 0.4), length of admission (p = 0.6), prokinetic use (p = 0.5), nor weight at discharge (p = 0.1). When the 30/92 (33%) patients with trisomy-21 (DD = 16, DJ = 14) were excluded from analysis, the groups still had similar weight at discharge (p = 0.2). Postoperative complication rate was not different between the two groups. One patient per group died, due to respiratory failure (DD) and sepsis (DJ). CONCLUSIONS: This study demonstrates that in neonates with duodenal atresia, duodeno-duodenostomy and duodeno-jejunostomy have similar outcomes. These findings are relevant for surgeons who repair duodenal atresia laparoscopically, as duodeno-jejunostomy had equal clinical outcomes and may be easier to perform.
[Mh] Termos MeSH primário: Obstrução Duodenal/cirurgia
Duodenostomia/métodos
Jejunostomia/métodos
[Mh] Termos MeSH secundário: Duodeno/cirurgia
Feminino
Seres Humanos
Recém-Nascido
Masculino
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161119
[St] Status:MEDLINE
[do] DOI:10.1007/s00383-016-4016-9


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[PMID]:27566053
[Au] Autor:Siddiqui AA; Kowalski TE; Loren DE; Khalid A; Soomro A; Mazhar SM; Isby L; Kahaleh M; Karia K; Yoo J; Ofosu A; Ng B; Sharaiha RZ
[Ad] Endereço:Department of Gastroenterology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
[Ti] Título:Fully covered self-expanding metal stents versus lumen-apposing fully covered self-expanding metal stent versus plastic stents for endoscopic drainage of pancreatic walled-off necrosis: clinical outcomes and success.
[So] Source:Gastrointest Endosc;85(4):758-765, 2017 Apr.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIMS: Endoscopic transmural drainage/debridement of pancreatic walled-off necrosis (WON) has been performed using double-pigtail plastic (DP), fully covered self-expanding metal stents (FCSEMSs), or the novel lumen-apposing fully covered self-expanding metal stent (LAMS). Our aim was to perform a retrospective cohort study to compare the clinical outcomes and adverse events of EUS-guided drainage/debridement of WON with DP stents, FCSEMSs, and LAMSs. METHODS: Consecutive patients in 2 centers with WON managed by EUS-guided debridement were divided into 3 groups: (1) those who underwent debridement using DP stents, (2) debridement using FCSEMSs, (3) debridement using LAMSs. Technical success (ability to access and drain a WON by placement of transmural stents), early adverse events, number of procedures performed per patient to achieve WON resolution, and long-term success (complete resolution of the WON without need for further reintervention at 6 months after treatment) were evaluated. RESULTS: From 2010 to 2015, 313 patients (23.3% female; mean age, 53 years) underwent WON debridement, including 106 who were drained using DP stents, 121 using FCSEMSs, and 86 using LAMSs. The 3 groups were matched for age, cause of the pancreatitis, WON size, and location. The cause of the patients' pancreatitis was gallstones (40.6%), alcohol (30.7%), idiopathic (13.1%), and other causes (15.6%). The mean cyst size was 102 mm (range, 20-510 mm). The mean number of endoscopy sessions was 2.5 (range, 1-13). The technical success rate of stent placement was 99%. Early adverse events were noted in 27 of 313 (8.6%) patients (perforation in 6, bleeding in 8, suprainfection in 9, other in 7). Successful endoscopic therapy was noted in 277 of 313 (89.6%) patients. When comparing the 3 groups, there was no difference in the technical success (P = .37). Early adverse events were significantly lower in the FCSEMS group compared with the DP and LAMS groups (1.6%, 7.5%, and 9.3%; P < .01). At 6-month follow-up, the rate of complete resolution of WON was lower with DP stents compared with FCSEMSs and LAMSs (81% vs 95% vs 90%; P = .001). The mean number of procedures required for WON resolution was significantly lower in the LAMS group compared with the FCSEMS and DP groups (2.2 vs 3 vs 3.6, respectively; P = .04). On multivariable analysis, DP stents remain the sole negative predictor for successful resolution of WON (odds ratio [OR], 0.18; 95% confidence interval, 0.06-0.53; P = .002) after adjusting for age, sex, and WON size. Although there was no significant difference between FCSEMSs and LAMSs for WON resolution, the LAMS was more likely to have early adverse events (OR, 6.6; P = .02). CONCLUSIONS: EUS-guided drainage/debridement of WON using FCSEMSs and LAMSs is superior to DP stents in terms of overall treatment efficacy. The number of procedures required for WON resolution was significantly lower with LAMSs compared with FCSEMSs and DP stents.
[Mh] Termos MeSH primário: Drenagem/instrumentação
Endoscopia do Sistema Digestório/métodos
Pâncreas/patologia
Pancreatopatias/cirurgia
Plásticos
Stents Metálicos Autoexpansíveis
Stents
[Mh] Termos MeSH secundário: Adulto
Idoso
Anastomose Cirúrgica
Colangiopancreatografia por Ressonância Magnética
Estudos de Coortes
Duodenostomia
Feminino
Gastrostomia
Seres Humanos
Masculino
Meia-Idade
Necrose
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Plastics)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160828
[St] Status:MEDLINE


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[PMID]:27405482
[Au] Autor:Chang J; Boules M; Rodriguez J; Walsh M; Rosenthal R; Kroh M
[Ad] Endereço:Digestive Disease Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue A100, Cleveland, OH, 44195, USA. Juliettac@gmail.com.
[Ti] Título:Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: intermediate follow-up results and a review of the literature.
[So] Source:Surg Endosc;31(3):1180-1185, 2017 Mar.
[Is] ISSN:1432-2218
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Superior mesenteric artery syndrome (SMAS) is a rare condition caused by partial obstruction of the third portion of the duodenum by the SMA anteriorly and aorta posteriorly. Laparoscopic duodenojejunostomy has been described as a safe and feasible surgical intervention with favorable short-term outcomes. However, descriptions of intermediate outcomes are lacking in the literature. METHODS: A retrospective chart review was performed on patients who underwent minimally invasive duodenojejunostomy from March 2005 to August 2015 at our healthcare system with greater than 6-month follow-up. RESULTS: Eighteen patients with mean age of 31.2 were identified. There were 4 men and 14 women. Patients' diagnosis was made by clinical presentation with radiographic confirmation. Mean weight loss preoperatively was 13.9 kg, representing 24.1 % total body weight loss. There were no intraoperative complications. Postoperatively, 2 patients developed prolonged ileus. One underwent exploratory laparotomy and washout for presumed leak, but none was identified. Three patients were readmitted within 30 days; 2 for intolerance to enteral intake with dehydration, and 1 for closed-loop obstruction requiring laparoscopic lysis of adhesions. The average and median length of follow-up were 27.7 and 26.0 months, respectively. Patients gained an average of 2.2 kg with an increase in body mass index of from 19.6 to 20.4 m/kg . Although 14 of 18 patients reported initial symptom improvement, at latest follow-up, only 6 patients reported symptomatic improvement or resolution. Three were diagnosed with global dysmotility, and 1 underwent intestinal transplant. Two were diagnosed with gastroparesis, and 1 underwent a laparoscopic gastric electric stimulator placement and pyloroplasty. There were no mortalities. CONCLUSION: Duodenojejunostomy is the most common surgical intervention in management of SMAS. Our intermediate follow-up reveals infrequent improvement and rare resolution of preoperative symptomatology. Patients had a modest average weight gain postoperatively. This may suggest that different preoperative workup and treatment is indicated.
[Mh] Termos MeSH primário: Duodenostomia
Jejunostomia
Laparoscopia
Síndrome da Artéria Mesentérica Superior/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Seres Humanos
Masculino
Readmissão do Paciente
Complicações Pós-Operatórias
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160714
[St] Status:MEDLINE
[do] DOI:10.1007/s00464-016-5088-2


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[PMID]:27624694
[Au] Autor:Nagata T; Demizu Y; Okumura T; Sekine S; Hashimoto N; Fuwa N; Okimoto T; Shimada Y
[Ad] Endereço:Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of To1yama, 2630 Sugitani, Toyama, 930-0194, Japan. naga0103@med.u-toyama.ac.jp.
[Ti] Título:Carbon ion radiotherapy for desmoid tumor of the abdominal wall: a case report.
[So] Source:World J Surg Oncol;14(1):245, 2016 Sep 13.
[Is] ISSN:1477-7819
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Desmoid tumors, which are associated with familial adenomatous polyposis (FAP), tend to occur frequently in the abdominal wall and mesentery. Currently, there are no recognized treatments other than surgery, and frequent surgeries result in gastrointestinal obstructions and functional gastrointestinal disorders. CASE PRESENTATION: After surgery that was performed on a 39-year-old patient with FAP, we performed a second tumor excision which was the procedure used for frequently occurring mesenteric desmoid tumors. It was determined that the enlarged tumor would be difficult to operate on through an abdominal incision. Subsequently, the carbon ion radiotherapy of 50 Gy was then performed on the patient. Three years later, the tumor still remains reduced in size. In addition, we have not observed any negative effect on the digestive tract. CONCLUSIONS: This is the first instance that the carbon ion radiotherapy has been effective for the unresected desmoid tumor, and it is believed that this will become the one effective option for the treatment of desmoid tumors.
[Mh] Termos MeSH primário: Polipose Adenomatosa do Colo/cirurgia
Fibromatose Abdominal/radioterapia
Fibromatose Agressiva/radioterapia
Radioterapia com Íons Pesados
Recidiva Local de Neoplasia/radioterapia
Neoplasias Peritoneais/radioterapia
[Mh] Termos MeSH secundário: Parede Abdominal/patologia
Polipose Adenomatosa do Colo/patologia
Colectomia/efeitos adversos
Duodenostomia
Fibromatose Abdominal/diagnóstico por imagem
Fibromatose Abdominal/cirurgia
Fibromatose Agressiva/diagnóstico por imagem
Fibromatose Agressiva/cirurgia
Seres Humanos
Ileostomia/efeitos adversos
Jejunostomia
Masculino
Mesentério/patologia
Meia-Idade
Recidiva Local de Neoplasia/diagnóstico por imagem
Neoplasias Peritoneais/diagnóstico por imagem
Neoplasias Peritoneais/patologia
Aderências Teciduais/complicações
Aderências Teciduais/etiologia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170504
[Lr] Data última revisão:
170504
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160915
[St] Status:MEDLINE
[do] DOI:10.1186/s12957-016-1000-8


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[PMID]:27457852
[Au] Autor:Fredericks C; Alex G; Kumar V; Luu M
[Ad] Endereço:Department of General Surgery, Rush University, Chicago, Illinois, USA.
[Ti] Título:Laparoscopic Duodenojejunostomy for Superior Mesenteric Artery Syndrome.
[So] Source:Am Surg;82(7):176-7, 2016 Jul.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Duodenostomia
Jejunostomia
Laparoscopia
Síndrome da Artéria Mesentérica Superior/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170202
[Lr] Data última revisão:
170202
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160727
[St] Status:MEDLINE



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