Abstract：
AIM:Ischemic gastritis is poorly known by physicians and is often fatal if not correctly diagnosed. Here, we report on the clinical, endoscopic and imaging features and treatment outcomes for five ischemic gastritis patients. METHODS:This was a retrospective, single-centre study of patients treated for ischemic gastritis between January 2009 and April 2012. All patients underwent transluminal angioplasty or open revascularization surgery. RESULTS:Five patients (4 men, 1 female) were included in the present study. The condition was diagnosed in two cases of peritonitis with gastric or duodenal perforation, two cases of acute epigastric pain and one case of gastric bleeding, profuse vomiting and hypovolemic shock. Three of the five patients had endoscopically proven gastric ulcerations or necrosis. A computed tomography scan contributed to the diagnosis in all cases. The symptoms resolved in all cases after gastric revascularization via an aortohepatic bypass (N.=1), a renohepatic bypass (N.=1), a retrograde iliosuperior mesenteric bypass (N.=2) with associated celiac artery angioplasty (N.=1) and celiac and superior mesenteric artery angioplasty (N.=1). During follow-up, three patients died of starvation due to short bowel syndrome (N.=1) or metastatic lung cancer (N.=2). CONCLUSION:Ischemic gastritis is a component of celiac territory ischemia syndrome and is closely associated with chronic or acute mesenteric ischemia. Computed tomography always informs the diagnosis. The rapid healing observed here after revascularization confirmed the ischemic nature of the condition and the inappropriateness of gastric resection in this context.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Chambon JP,Bianchini A,Massouille D,Perot C,Lancelevée J,Zerbib Psubject
Has Abstractpub_date
2012-10-01 00:00:00pages
421-8issue
5eissn
0026-4733issn
1827-1626pii
R06125826journal_volume
67pub_type
杂志文章abstract：:Gastrointestinal carcinoids are infrequent but at the same time hardly rare tumours. They are often chance findings but, as is clearly reported in the literature, their potential malignancy should not be overlooked. They are most commonly localised in the appendix. The authors describe two case reports of carcinoid tu...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1993-03-15 00:00:00
abstract：:Obesity is the leading public health concern in the industrialized world with the advent of the very obese or "super obese" increasing exponentially. Bariatric surgery remains the only effective and enduring treatment for morbid obesity and can be safely accomplished in experienced centers. Surgery in the very obese m...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2010-12-01 00:00:00
abstract：:A case of a young male operated on for acute appendicitis due to a carcinoid of the base is reported. Since the tumor was infiltrating the resection margin of the appendix, the patient was later treated with a right hemicolectomy. Carcinoid tumor is unusual, but can be encountered several times during the career of a ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
abstract：:Seventeen cases of acute volvulus of the sigmoid colon are presented. Comparison with other series showed that the mortality rate for fixation with or without a shunt are more or less the same. Excellent results were obtained with the Paul Mikulicz method. An intention to use this method in all cases in the future, ir...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-08-15 00:00:00
abstract：:A retrospective series of 30 (2.8%) cases of cholelithiasis out of 1064 abdominal aortic aneurysmectomies is presented. 21 subjects underwent aneurysmectomy and prosthetic grafting combined with cholecystectomy. Complications related to the combined operation, early or late (6 months to 8 years follow-up was available...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:Liver disease secondary to hepatitis C infection is the most common indication for liver transplantation. Infection of the allograft begins at the time of transplantation. The histological progression of hepatitis C infection is greatly accelerated in liver transplant recipients when compared to the natural history in...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2003-10-01 00:00:00
abstract：:Abdomen and pelvic radiation therapy, as a complement to medical and surgery therapy in malignancies, may determine acute and chronic intestinal injuries. The acute intestinal effects of ionizing radiation are the necrosis of crypt epithelial cells and the cessation of the intestinal epithelium; late radiation injury ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：AIM:The main purpose of the trial was to evaluate the opinions expressed by a sample of subjects with permanent colostomy, as a result of the use of a new device designed for the execution of transtomal intestinal irrigation; their feedback was analyzed in relation to the concept of Quality of Life. METHODS:The device...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：2015-10-01 00:00:00
abstract：:A review of surgical treatment for cancer of the colon and rectum has shown that 5 of 87 patients were younger than 30 years old. The symptoms were abdominal pain and anemia and were present about 2 years before the hospital admission. The survival after the surgical treatment was, for all patients, 11 months. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-09-30 00:00:00
abstract：:Personal experience of a fairly rare disease is reported and it is stressed that the decisive factor in opting for surgery is the diameter of the colon, particularly the cecum, on the basis of direct X-ray of the abdomen. It is considered that cecostomy is not only the simplest operation but is also the one that offer...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-04-15 00:00:00
abstract：:The authors evaluate the incidence of varicocele after having examined 18,800 healthy white men members of the Italian Army Corps born in 1966 and visited in 1985. They found a varicocele in 775 patients (4.12%), in 5 was present bilaterally, and in 770 in the left side. In 45 patients the surgical treatment was alrea...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1990-03-31 00:00:00
abstract：:Among the anomalies of internal carotid artery, agenesis and aplasia recur with a low rate: only about sixty cases are reported in literature. We observed a case of aplasia of the left internal carotid in a 49 year old male suffering from hypertension and showing cerebro-vascular symptoms due to TSA pathology: it was ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：:Ganglioneuroma represents a benign neoplasia based on the sympathetic system, which should be assessed in the differential diagnosis of cervical tumefactions. The paper discusses the epidemiology and clinical aspects of this pathology and stresses the importance of taking these factors into account whenever a neoforma...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1990-10-15 00:00:00
abstract：:The extensive literature on the efficacy of chlorhexidine is reviewed. Personal experience with the substance in the daily and preoperative disinfection of the hands of medical and paramedical personnel in a surgical department, and the medication of surgical wounds, over a period of one year confirmed its low toxicit...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1977-10-31 00:00:00
abstract：:On the basis of the anatomophysiological assumption that the abdominal oesophagus is kept in its seat by the meso-oesophagus and that the complex functional role of the gastro-oesophageal junction is conditioned essentially by the inferior oesophageal sphincter under the influence of intra-abdominal and endogastric pr...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-05-15 00:00:00
abstract：:Nine years experience of anorectal surgery for Crohn-related lesion have been analysed. The series regards only 14 cases with pathology including ragade, abscesses and anocutaneous and retrovaginal fistulas. Treatment was as conservative as possible except for cases in which fistulizations led to sepsis as a result of...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-06-30 00:00:00
abstract：:Among 94 cases of pulmonary metastases treated by the exeresis of one or more nodules, 28 cases produced metastasis located in the lung only. Radical metastasectomy was performed on 250. Analysis of survival, also assessed in relation to every prognostic factor reveals the efficacy of surgical therapy even in iterativ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-09-30 00:00:00
abstract：:In a double blind, controlled clinical study, 40 patients, 20 of whom were subjected to mastectomy or quadrantectomy and 20 to inguinal hernioplasty, were randomly assigned to two treatment groups of 20 subjects each, balanced by type of operation. Treatment lasted 3 days and involved the administration of 3 supposito...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1990-12-01 00:00:00
abstract：:A case of intestinal occlusion is reported caused by volvulus of Meckel's diverticulum. The etiological and clinical aspects are discussed together with their implications in terms of suitable surgical therapy. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-06-30 00:00:00
abstract：AIM:The primary objective of the study was to compare the effect of laparoscopic-assisted (LPS) versus open surgery (LPT) for colorectal cancer on postoperative morbidity. The secondary objectives were to evaluate immune response and intestinal wall oxygen perfusion. METHODS:A total of 610 patients with colorectal can...
journal_title：Minerva chirurgica
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2006-08-01 00:00:00
abstract：:Esophagectomy is a surgical operation which requires technical expertise to decrease the morbidity and mortality frequently associated with this advance procedure. Various minimally invasive esophagectomy techniques have been developed to decrease the negative impact of esophageal resection. Recently, robotic assisted...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2013-10-01 00:00:00
abstract：:The paper reports two cases of adenocarcinoma of the appendix. Following a review of the literature on this neoplasia, it concludes that prognosis is poor on account of the early spread of the disease, the low ratio of suspected disease, and difficulties of diagnosis prior to surgery. The preferred surgical treatment ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-10-15 00:00:00
abstract：:A case of entero-vesical fistula in Crohn's disease is presented. Clinical manifestations, diagnostic means and surgical treatment of the lesion are discussed. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：:Of 220 patients operated for gastric cancer, 74 with subtotal gastrectomy and 145 with total gastrectomy (60 with lymphadenectomy), the results and indications for total gastrectomy extended with lymphadenectomy are analysed. The importance of lymph node emptying in relation to the possibility of breakdown of the lymp...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-05-15 00:00:00
abstract：:The authors report a case of severe revascularization syndrome which occurred following traumatic vascular lesion to a lower limb. They focus attention on the mechanisms which make this syndrome more frequent and more severe in traumatic lesions as opposed to that observed following acute arterial obstruction secondar...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：:The Authors report their clinical experience in superior mesenteric artery embolism: 10 arterial embolisms (71%) collected from a series of 14 obstructions of the superior mesenteric artery. The main interval from the beginning of the symptomatology to hospital admission was 48 h. Laparotomy was performed in all ten p...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-09-30 00:00:00
abstract：:Myocardial revascularization among patients with porcelain aorta is a real dilemma regarding bypass technique, choice of conduit and site of proximal anastomosis. The experience reported here is about two cases of patients (aged 28 and 73 years) with porcelain aorta. Both patients had successful myocardial revasculari...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2007-12-01 00:00:00
abstract：:A series of 234 patients who underwent Billroth I gastric resection for gastric and duodenal ulcerous lesions is reported. Special attention is paid to the immediate postoperative complications whose incidence was 5.5%. Particularly serious is the dehiscence of gastroduodenal anastomosis which requires emergency recon...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-02-15 00:00:00
abstract：:From October 1997 until March 1999, we performed this procedure in three patients suffering from suppurated echinococcal liver cyst. Trocar sites are approximately the same to those already known for laparoscopic cholecystectomy. A thoracostomy tube is inserted through the abdominal wall and under direct vision is for...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:Meckel's diverticulum occurs in approximately 2 percent of the population and may present at any age. Although Meckel's diverticulum may produce an intestinal obstruction or perforation, simulating an appendicitis, hemorrhage is its most important clinical presentation. From 1989 to 1994, Meckel's diverticulum was dis...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
