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Fetal Diagnosis and Therapy 2003We report 2 cases of umbilical cord ulcer associated with fetal jejunal atresia. Both of them developed a severe intrauterine hemorrhage, followed by fetal heart rate... (Review)
Review
We report 2 cases of umbilical cord ulcer associated with fetal jejunal atresia. Both of them developed a severe intrauterine hemorrhage, followed by fetal heart rate decelerations, and underwent emergency cesarean section. Bloody amniotic fluid and umbilical cord ulcers were observed in both cases. Although both cases were successfully resuscitated, neurological impairment and renal failure developed in 1 case due to prolonged asphyxia. In a review of the literature, umbilical cord ulcer was associated only with congenital duodenal atresia or jejunal atresia, but not with ileal atresia. Although the prenatal diagnosis of duodenal or upper jejunal atresia has been established, the prenatal diagnosis of this complication has not been reported. In such cases, detailed examination of the umbilical cord by ultrasonography may be useful for the prenatal diagnosis of this disease.
Topics: Adult; Female; Humans; Infant, Newborn; Intestinal Atresia; Jejunum; Pregnancy; Ulcer; Ultrasonography, Prenatal; Umbilical Cord
PubMed: 12711866
DOI: 10.1159/000069367 -
Canadian Medical Association Journal Oct 1960
Topics: Disease; Humans; Intestinal Diseases; Jejunal Diseases; Jejunum; Ulcer
PubMed: 13703981
DOI: No ID Found -
Edinburgh Medical Journal Sep 1948
Topics: Gastrointestinal Diseases; Gastrointestinal Tract; Humans; Peptic Ulcer; Ulcer
PubMed: 18100508
DOI: No ID Found -
Surgical Endoscopy Feb 1994Marginal ulcer is a well-known complication of gastroenterostomy. It occurs in 3% of patients post-Billroth II subtotal gastrectomy; it occurs in less than 1% if truncal...
Marginal ulcer is a well-known complication of gastroenterostomy. It occurs in 3% of patients post-Billroth II subtotal gastrectomy; it occurs in less than 1% if truncal vagotomy is included but in up to 30% of patients with gastroenterostomy without vagotomy. These ulcers occur at the anastomosis, but always on the jejunal side, and are known to develop complications of their own--e.g., intractable pain; hemorrhage, obstruction, perforation, and fistula formation. Prior to the advent of upper-GI endoscopy the main method of diagnosis was by history and upper GI series but the accuracy of the upper-Gi series was about 50% or less. Now that upper-GI endoscopy is available, the accuracy of diagnosis is 95% or better. Since truncal vagotomy has been widely adopted as an integral part of gastric surgery--e.g., antrectomy, hemigastrectomy, subtotal gastrectomy, and gastroenterostomy--the incidence of marginal ulcer has declined. The use of cimetidine, ranitidine, famotidine, omeprazole, sucralfate, and antacids has improved the medical management of duodenal ulcer to such a degree that in recent years there is much less need for surgical intervention and thus the incidence of marginal ulcer has declined even more. In addition, the H-2 blockers and omeprazole can be used in patients with marginal ulcer and achieve healing; therefore complications that so frequently required surgical intervention are much less frequent.(ABSTRACT TRUNCATED AT 250 WORDS)
Topics: Anastomosis, Surgical; Bezoars; Endoscopy, Gastrointestinal; Female; Gastroenterostomy; Humans; Jejunal Diseases; Jejunum; Middle Aged; Peptic Ulcer; Recurrence; Stomach; Vomiting
PubMed: 8165479
DOI: 10.1007/BF00316619 -
Obesity Surgery Mar 2024Obesity is a common disease among Kuwaitis. Multiple types of bariatric procedures are offered in Kuwait. R-Y gastric bypass is among the common surgeries performed....
BACKGROUND
Obesity is a common disease among Kuwaitis. Multiple types of bariatric procedures are offered in Kuwait. R-Y gastric bypass is among the common surgeries performed. Early and late complications must be recognized as early as possible to avoid undesirable consequences.
CASE PRESENTATION
Here, we present a case of a 48-year-old lady presented as acute abdominal pain and diagnosed as Jejuno-Jejunal anastomosis site ulceration / perforation taking place several years from surgery.
DISCUSSION
Etiology of late perforation can be attributed to ischemia. Computerized tomography (C.T.) scan is the gold standard for diagnosis. Management can be laparoscopic or open surgery depending on surgeon expertise. We performed a laparoscopic resection for the extended perforated jejunal recess and that was enough to resolve our patient's problem.
Topics: Female; Humans; Middle Aged; Gastric Bypass; Obesity, Morbid; Ulcer; Ischemia; Vascular Diseases; Laparoscopy; Anastomosis, Roux-en-Y
PubMed: 38349513
DOI: 10.1007/s11695-024-07088-6 -
Digestive Diseases and Sciences Sep 2015
Topics: Enteritis; Female; Humans; Ileal Diseases; Jejunal Diseases; Male; Ulcer
PubMed: 25939542
DOI: 10.1007/s10620-015-3674-0 -
Revista Espanola de Las Enfermedades... 1950
Topics: Humans; Intestinal Diseases; Jejunum; Skin Ulcer; Soft Tissue Injuries; Ulcer
PubMed: 14786727
DOI: No ID Found -
The British Journal of Surgery May 1982Ten patients severely disabled by post-gastrectomy syndromes were allocated to two treatment groups. Those with predominant dumping received a 10-cm antiperistaltic...
Ten patients severely disabled by post-gastrectomy syndromes were allocated to two treatment groups. Those with predominant dumping received a 10-cm antiperistaltic jejunal interposition; those with predominant bile vomiting received a 20-cm isoperistaltic interposition. After follow-up for a minimum of 3 years, 6 patients remained virtually asymptomatic (Visick grades 1 and 2). There were 2 deaths from myocardial infarction, 6 months and 2 years after remedial surgery. One patient developed a stomal ulcer after successful treatment of dumping. Jejunal interposition appears to be a safe and relatively successful procedure. A short antiperistaltic loop is recommended for early dumping; for bile vomiting a longer isoperistaltic segment is a satisfactory alternative to Roux-en-Y conversion.
Topics: Adult; Dumping Syndrome; Female; Humans; Jejunum; Male; Methods; Middle Aged; Peristalsis; Postgastrectomy Syndromes; Prospective Studies
PubMed: 7074337
DOI: 10.1002/bjs.1800690512 -
The Journal of Pharmacy and Pharmacology Feb 1969
Topics: Animals; Female; Indomethacin; Intestinal Diseases; Jejunum; Rats; Ulcer
PubMed: 4388092
DOI: 10.1111/j.2042-7158.1969.tb08211.x -
Zentralblatt Fur Allgemeine Pathologie... Dec 1951
Topics: Disease; Enteritis; Humans; Intestinal Diseases; Jejunal Diseases; Jejunum; Ulcer
PubMed: 14943215
DOI: No ID Found