A 74-year-old man who had undergone partial gastrectomy (Billroth I) for a gastric tumor 15 years previously was admitted to our hospital for post-stroke rehabilitation. Being dysphagic, he was transferred to our hospital with a nasogastric tube; however, long-term tube feeding was deemed necessary and, after careful evaluation, a percutaneous endoscopic gastrostomy (PEG) was performed in an in...

Background. Achalasia may lead to cachexia if not diagnosed in an early stage. Surgery in cachectic patients is hazardous and complications may result in a protracted recovery or even death. Different treatment options have been described. In this paper, we report a stepwise surgical laparoscopic approach which appears to be safe and effective. Methods. Over a one-year period, a patient with a ...

Direct percutaneous endoscopic jejunostomy (DPEJ) is an infrequent procedure as it is not always easy to obtain transillumination, being this the main reason for failure of this technique. In patients with previous surgery, this procedure is more complex and there are only 6 reported cases in pediatric population. In our case, we provide the use of an endoscopic triangulation system with "T" pe...

Tuberculosis of stomach and duodenum is very uncommon even in patients with pulmonary and intestinal tuberculosis. Its preoperative diagnosis still remains a challenging problem for surgeons. Herein, we report the case of isolated duodenal tuberculosis in a 42 year old male presenting with gastric outlet obstruction symptoms. Oesophago-gastro-duodenoscopy (UGIE) revealed fold thickening at D3 s...

Abstract Damage control surgery (DCS) is an abbreviated laparotomy used as a temporising measure in critically unwell patients who have limited physiological reserves to tolerate complex definitive surgeries. The aim of DCS address life-threatening haemorrhage and manage abdominal contamination. Following laparotomy, are continuously resuscitated intensive care unit until stability can be maint...