We reviewed our experience with 23 patients submitted to small bowel transplantation between May 1990 and June 1992 at the University of Pittsburgh. Weights at operation and at latest follow-up, as well as the length of time required for complete adaptation to enteral feedings were obtained from the chart. Change in height was measured if the patient was less than 18 years old. Total serum prot...

BACKGROUND Stent palliation is the gold standard for gastric/duodenal cancer outlet obstruction. When stenting is impossible, feeding may be achieved through a gastrojejunostomy (PEG-J), but displacement of jejunal tube is frequent due to manipulation for feeding and drainage. Gastric outlet obstruction results on increased gastroesophageal reflux or extra-tube leakage. In order to reduce the j...

A 41-year-old woman was admitted with upper abdominal pain, vomiting and fever. Abdominal CT scan showed a colo-duodenal fistula with inflammatory thickening of the transverse colon. The patient's general health was poor because of hypoalbuminemia and coagulopathy. Endoscopy showed a fistula at the lower duodenal angle and the stomach was filled with refluxed stool. Ileostomy and percutaneous e...

BACKGROUND To assess the feasibility and safety of a pancreas preserving operative technique in the management of isolated complete pancreatic neck transection following blunt abdominal trauma. METHODS Two patients with isolated blunt fracture of the pancreatic neck underwent pancreas preserving procedure comprising of oversewing of the proximal pancreas and Roux-en-Y pancreatico jejunostomy ...

BACKGROUND McKeown-type esophagectomy combined with retrosternal reconstruction is a common surgical treatment for esophageal cancer. Various enteral feeding options are available post-esophagectomy, but no definitive preference exists. METHOD "Retrosternal Route Gastrostomy Feeding (RGF)" was developed as an alternative enteral feeding approach that requires few additional surgical intervent...

The benefits of enteral feeding in critically ill animals have been clearly established and include preservation of the mucosal integrity of the gut, reduction in rates of sepsis and augmentation of the host immune defense mechanisms. A multitude of tube types and techniques for tube insertion have been reported but fundamentally speaking, the decision for the type of enteral feeding required c...