Hereditary mixed polyposis syndrome (HMPS) is a rare condition of unknown genetic origin. The paper presents 25-year clinical follow up in a female patient with multiple gastrointestinal tract polyps of varied histology. They most likely served as sites of multiple colorectal cancers development. The clinical course is interesting in terms of diagnostics and therapy. The patient required extend...

BACKGROUND The definition of prolonged length of stay (LOS) during acute care remains unclear among surgically and conservatively treated patients with intracerebral hemorrhage (ICH). METHODS Using a population-based quality assessment registry, we calculated change points in LOS for surgically and conservatively treated patients with ICH. The influence of comorbidities, baseline characterist...

Background: Proximal humeral fracture-dislocations (PHFD) are a special entity in proximal humeral fracturetreatment. The aim of this study is to present our minimally invasive plate osteosynthesis (MIPO) technique throughan anterolateral deltoid split approach. In addition, we performed a retrospective cohort study analyzing the patientreported functional outcome and complica...

The celiac trunk is a main splanchnic artery that supplies the intra-abdominal organs of upper gastrointestinal system. Anatomic variations are encountered in 10% population, but can pose challenges to many surgical and interventional procedures. We present here case hexafurcation discovered preoperatively after image staging for gastric cancer. branches were: left right inferior phrenic artery...

AIM Benign cystic teratoma of the pancreas often appears to be potentially malignant in preoperative staging. The final diagnosis is generally obtained after surgical removal. Reliable prediction is mandatory for differential treatment. MATERIALS AND METHODS A Medline query was performed for the terms cystic teratoma, dermoid cyst and pancreas. Data were analyzed for patient characteristics, ...

BACKGROUND Laparoscopic pancreaticoduodenectomy is rarely performed, and it has not been particularly successful due to its technical complexity. The objective of this study is to highlight how robotic surgery could improve a minimally invasive approach and to expose the usefulness of robotic surgery even in complex surgical procedures. CASE PRESENTATION The surgical technique employed in our...

Introduction: Morbid obesity is an growing problem in the United States. As the incidence of morbid obesity increases, so does the number of surgical procedures for weight loss. Surgeons must learn to manage common complications of these procedures. Case Descriptions and Operative Technique: We present two cases of massive upper gastrointestinal hemorrhage secondary to marginal ulcers eroding i...

Varices most commonly occur and bleed in the gastro-esophageal region but ectopic varices can arise at extra-gastro-esophageal locations in the gastrointestinal tract like duodenum, jejunum, ileum, colon, rectum, biliary tree and at the site of a surgical ostomy. These varices pose diagnostic as well as therapeutic challenges during endoscopic procedures. Ectopic varices can also occur outside ...

Acute upper gastrointestinal tract hemorrhage represents a frequent morbidity which can be localized and treated endoscopically. When endoscopic treatment alone is failing, radiological or surgical treatment may be warranted. A case history will be presented regarding a rare cause of intestinal hemorrhage with an extraordinary course of illness.

Interventional Endoscopy (IE) involves the use of endoscopic equipment with other contemporary imaging modalities, such as fluoroscopy and/or ultrasound, to perform diagnostic and therapeutic procedures in virtually any part of the body accessed endoscopically (gastrointestinal, biliary, respiratory, urinary tract, etc). Interventional radiology (IR) mainly uses fluoroscopy alone (with or witho...