RESUMO
Esophageal and gastric pouch dilatations are not uncommon after laparoscopic adjustable gastric banding for morbid obesity. Most of the cases are treated by gastric band deflation or removal. We report here the case of a 44-year-old woman with vomiting and severe dysphagia persisting despite gastric band removal, in relation with a scar stenosis and a gastric pouch trapped in the thorax, treated by laparoscopic surgery. This case underlines the usefulness of high-resolution manometry in the diagnostic work-up of these often difficult cases.
Assuntos
Transtornos de Deglutição/etiologia , Gastroplastia/efeitos adversos , Obesidade Mórbida/cirurgia , Gastropatias/complicações , Adulto , Constrição Patológica/complicações , Constrição Patológica/patologia , Constrição Patológica/cirurgia , Remoção de Dispositivo , Feminino , Humanos , Gastropatias/patologia , Gastropatias/cirurgia , Vômito/etiologiaRESUMO
BACKGROUND: Transcatheter local thrombolytic therapy in patients with portosplanchnic venous thrombosis has been used in few cases. CASE REPORTS: Here, we present our single-center experience with transcatheter thrombolytic therapy in three patients with extensive refractory portal and transjugular intrahepatic portosystemic shunt (TIPS) thrombosis. Thrombolytic therapy was successful for all three patients. Two patients developed minor procedure-related bleeding. CONCLUSION: Local thrombolysis could be proposed in case of TIPS thrombosis for patients in whom the venous flow cannot be restored by using conventional anticoagulant therapy and stent mechanical revision.
Assuntos
Cateterismo , Derivação Portossistêmica Transjugular Intra-Hepática/efeitos adversos , Terapia Trombolítica/métodos , Trombose/tratamento farmacológico , Trombose/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The chemical, microbiological and sensory stability of a dried salted product prepared from sardines and cereals was evaluated during a 12-week storage period. The product is named NUTRIPEZ and was produced in 20 kg/lots, both with and without smoke treatment. The product was stored under both tropical and room conditions in Mexico City, and packaged in two types of flexible packaging. Rancidity analyses were done by the peroxide value, TBA test and sensory evaluation. The results demonstrated that both the smoking of the product and the cellopolyal packaging, offered the best protection against oxidation.