RESUMO
Male, 24 yo, obesity class 1. We place him a 6 month intragastric balloon. He keeps asymptomatic while taking PPIs, having lost 13 kg in 4 months. He starts on month 5 with epigastric pain, just after abandoning omeprazole on his own. The pain worsens in spite of restarting PPIs and we schedule an urgent retrieval of the balloon. Gastric ulcer perforation occurs during balloon removal and the patient is operated.
Assuntos
Balão Gástrico , Úlcera Gástrica , Dor Abdominal/etiologia , Balão Gástrico/efeitos adversos , Humanos , Masculino , Omeprazol/uso terapêutico , Inibidores da Bomba de Prótons/uso terapêutico , Úlcera Gástrica/etiologia , Adulto JovemRESUMO
Sixty year old female with hypertension and crampy abdominal pain episodes. Admitted to hospital (September-2020) by obstructive jaundice. MRCP: biliary dilation due to Todani Ic (fusiform) choledocal cyst (CC), distal sludge. ERCP: normal mucosa prominent papilla; biliary dilation compatible with CC; choledocholithiasis; 8-mm CHD filling defect. Sphincterotomy, removal of stones/sludge, brush-cytology of the filling defect (pathology: atypias). US: dilation resolution (CBD: 6.5 mm).
Assuntos
Cisto do Colédoco , Coledocolitíase , Colangiopancreatografia Retrógrada Endoscópica , Cisto do Colédoco/complicações , Cisto do Colédoco/diagnóstico por imagem , Cisto do Colédoco/cirurgia , Coledocolitíase/complicações , Coledocolitíase/diagnóstico por imagem , Coledocolitíase/cirurgia , Feminino , Humanos , Esgotos , Esfinterotomia EndoscópicaRESUMO
We present a case of intractable dysphagia in a 23-year-old female with type 1 esophageal atresia (EA) and subsequent postsurgical refractory esophageal strictures. The patient was referred due to increasing symptomatology and a slight response to balloon dilations. A biodegradable polydioxanone stent (ELLA) was placed, but this did not relieve the dysphagia. After the sequential placement of two siliconated polypropylene stents (Polyflex(TM), Boston Scientifics), the dysphagia was definitively relieved. To our knowledge, this is the first published case with a full resolution of dysphagia using this strategy in an adult patient
No disponible
Assuntos
Humanos , Feminino , Adulto Jovem , Transtornos de Deglutição/cirurgia , Atresia Esofágica/cirurgia , Stents , Recidiva , Implantação de Prótese/métodos , Anastomose Cirúrgica/métodos , Resultado do TratamentoRESUMO
We present a case of intractable dysphagia in a 23-year-old female with type 1 esophageal atresia (EA) and subsequent postsurgical refractory esophageal strictures. The patient was referred due to increasing symptomatology and a slight response to balloon dilations. A biodegradable polydioxanone stent (ELLA) was placed, but this did not relieve the dysphagia. After the sequential placement of two siliconated polypropylene stents (Polyflex™, Boston Scientifics), the dysphagia was definitively relieved. To our knowledge, this is the first published case with a full resolution of dysphagia using this strategy in an adult patient.
