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West Indian med. j ; 43(2): 63-7, June 1994.
Artigo em Inglês | MedCarib | ID: med-7995


The Rapunzel Syndrome, a rare manifestation of trichobezoar, occurs when bolus gastrointestinal obstruction is produced by an unusual trichobezoar with a long tail that extends to or beyond the ileocaecal valve. A five-year-old Jamaican girl presented with this abnormality and was found at laparotomy also to have an ileo-ileal intussuception. For the Rapunzel Syndrome, we recommended bezoar extraction at laparotomy via multiple enterotomies. In addition, psychiatric evaluation and therapy is essential due to the commonly associated finding of underlying emotional stress. (AU)

Criança , Feminino , Bezoares , Obstrução Intestinal , Jamaica , Laparotomia/estatística & dados numéricos , Gastrostomia/estatística & dados numéricos , Ileostomia/estatística & dados numéricos , Jejuno , Tecido de Granulação , Fibrose
West Indian med. j ; 41(Suppl 1): 57, April 1992.
Artigo em Inglês | MedCarib | ID: med-6541


The modified Whipple gastro-pancreatico-duodenectomy has been the time-honoured surgical management of duodeno-pancreatic disease for the past five decades. A pylorus-sparing modification of this operation has become popular due to its low morbidity and the relative lack of the long-term nutritional sequelae usually associated with the more radical procedure. We report five cases with a proximal pancreatico-duodenectomy in whom the stomach, pylorus abd first 2 cm of duodenum were preserved. The indcations for the procedure were varied and included duodeno-pancreatic haemangioma (1), duodeno-pancreato-codochal trauma (1), chronic pancreatitis (1), papillary cystic tumour of the pancreas (1), and ampullary adenocarcinoma (1). All cases had gastrostomy decompression and post-operative enteral nutrition. Two patients required enteral feeding for twelve days, the other three settled rapidly and were discharged from hospital within ten days. There were no perioperative deaths or significant long-term morbidity. Most patients regained and maintained their pre-illness body weight within the first year of follow-up. We advocate the use of a pylorus-sparing pancreatico-duodenectomy in disease requiring duodeno-pancreatectomy inclusive of periampullary malignancies (AU)

Humanos , Pancreatopatias/cirurgia , Duodenopatias/cirurgia , Gastrostomia
West Indian med. j ; 36(1): 26-30, Mar. 1987.
Artigo em Inglês | MedCarib | ID: med-11684


A prospective analysis of 150 temporary tube gastrostomies performed over two 12 month periods is presented. All were carried out at the time of another abdominal surgical procedure and were intended for post-operative gastric decompression. The results were analysed with reference to the site and nature of the primary surgical procedure and to any tube-related complications. Gastrostomy was found to be safe, comfortable and effective method of achieving prolonged gastric decompression, and its use is recommended in selected patients (AU)

Adolescente , Adulto , Humanos , Idoso , Criança , Feminino , Masculino , Pessoa de Meia-Idade , Gastrostomia , Doenças do Sistema Digestório/cirurgia , Intubação Gastrointestinal , Cuidados Pós-Operatórios , Estudos Prospectivos , Fatores de Tempo , Jamaica