ABSTRACT
We report two patients with adenocarcinoma at angle of treitz who presented with upper GI(gastrointestinal) obstruction and underwent segmental resection of duodeno-jejunal junction. Preoperative investigations failed to reveal the nature of the lesion suggesting the elusive nature of these lesions, importance of clinical suspicion and decision-making.
Subject(s)
Adenocarcinoma/pathology , Adult , Aged , Duodenal Neoplasms/pathology , Female , Humans , Jejunal Neoplasms/pathology , MaleABSTRACT
Percutaneous endoscopic gastrostomy (PEG) was performed in 33 patient with head injury, one with laryngeal cancer, and one with gastric volvulus. The gastrostomy tube was prepared from 20 F Foley catheter and a plastic micropipette tip. The complications encountered included peritubal leak in three patients (9%) and abdominal wall hematoma in one patient (3%). There was no procedure-related mortality. We recommend PEG for tube enteral feeding in patients who have lost the swallowing reflex.
Subject(s)
Adult , Aged , Catheterization/methods , Craniocerebral Trauma/complications , Enteral Nutrition , Female , Gastroscopy/methods , Gastrostomy/methods , Humans , Laryngeal Neoplasms/complications , Male , Middle Aged , Stomach Volvulus/complicationsABSTRACT
We report a female patient who presented with an epigastric lump proved on open biopsy to be a carcinoid tumor. She had raised serum glucagon level and increased excretion of 5-hydroxy indolacetic acid in the urine. She refused surgery and was followed up at 3 monthly intervals. At 6 months the tumor had decreased considerably in size. At one year it was no longer palpable and ultrasound examination clarified that there was no tumor. This was confirmed by the finding of normal levels of 5-HIAA in the urine.