Abstract Background Less than 1% of intestinal obstruction is accounted for by gallstone ileus. Gallstone ileus a mechanical resulting from impaction within the gastrointestinal tract. Under 3% are caused in duodenum or pylorus, which can give rise to gastric outlet obstruction, described Bouveret 1896. Surgical intervention involves removal stone either gastrotomy duodenotomy, associated with ...

to make judgments about awareness or consciousness based on these results; however, it is clear that she not only perceived visual stimuli, but also processed them to recognise content that was not based on primary image attributes such as colour, brightness, size, or movement. Further studies may more closely correlate functional imaging with behavioural assessment, electrophysiological findin...

BACKGROUND The stapled gastrojejunostomy of the laparoscopic Roux-en-Y gastric bypass (LRYGBP) can be created by linear and circular stapling techniques. In the circular-stapled technique, the anvil of the stapler can be introduced into the gastric pouch transabdominally or pulled down the esophagus (transorally) by attachment to a modified gastric tube. The purpose of this study is to determin...

Twenty-three consecutive patients with duodenal ulceration complicated by pyloric stenosis who came under the care of one surgeon were treated by highly selective vagotomy (HSV) combined with digital dilatation of the stenosis through a gastrotomy. No form of drainage procedure was used. Thus the antral "mill" and the pyloric sphineter were left intact. Since the stenosis is usually distal to ...

New Appliances £DIRmAH 707 in length, and at its distal end has a tapering mount 0-236 in. (6 mm.) in length. At its proximal end there is a female Luer lock fitting, which can be firmly attached to a Luer or Luer lock syringe (see photograph). Our technique of primary operative cholangiography follows very closely that of Schulenburg (1966). Two points are worth mentioning. Firstly, if the sup...

Natural orifice transluminal endoscopic surgery (NOTES) is the integration of laparoscopic minimally invasive surgery techniques with flexible endoscopy technology. It has emerged as a promising new alternative to conventional minimal invasive surgery such as laparoscopic or robotic surgery. NOTES initially focused on a transgastric approach, but the technique remains experimental because of in...

A 57-year-old woman with a medical history of hiatal hernia, peptic ulcer disease, alcoholism, and schizophrenia was admitted to the emergency department with epigastric pain and fever. The patient had not been taking her prescribed proton pump inhibitors. A peptic ulcer perforation (1.5cm) in the hiatal hernia sac was discovered during gastroscopy, and an attempt to close the perforation with ...

Palliation of incurable oesophageal carcinoma is important, because radical ablation carries a high mortality and because the unpleasant alternative of terminal complete oesophageal obstruction needs to be avoided. The ideal palliative technique would provide normal swallowing for the patient's remaining days by a technique which was quick, safe, painless, needing only a short inpatient stay an...

Background: Bariatric surgery is currently the most effective method to ameliorate co-morbidities as consequence of morbidly obese patients with BMI over 35 kg/m2. Endoscopic techniques have been developed to treat patients with mild obesity and ameliorate comorbidities, but endoscopic skills are needed, beside the costs of the devices. Aim: To report a new technique for internal gastric pli...