introduction: in ramadan, healthy adult muslims are obliged to fast. prolonged fasting increase gastric acid and pepsin levels, which promote the risk of duodenal ulcer perforation (dup). effects of ramadan fasting on dup have not been thoroughly studied yet, and the limited number of studies investigating the impact of ramadan fasting on dup yielded discrepant results. this study aimed to eval...

BACKGROUND The antenatal diagnosis of a combined esophageal atresia without tracheoesophageal fistula and duodenal atresia with or without gastric perforation is a rare occurrence. These diagnoses are difficult and can be suspected on ultrasound by nonspecific findings including a small stomach and polyhydramnios. Fetal magnetic resonance imaging adds significant anatomical detail and can aid i...

INTRODUCTION Blunt duodenal injuries do not occur often. A patient with damage to the duodenal tissue around the pancreatic and common bile duct presents a challenge to surgeons. The choice of procedure must be tailored to the nature of the defect and the amount of tissue lost. CASE PRESENTATION We describe the case of a 16-year-old Caucasian boy with a blunt duodenal injury after a motor veh...

Although cervical epidural abscess is rare, it should be strongly suspected in any patient with unexplainable neck pain and fever, especially when the patient has a predisposing factor for this infectious process. The authors report a case of cervical epidural abscess in a 39-yr-old man with an aorto-duodenal fistula, which complicated the interposition of artificial graft for abdominal aortic ...

A 50 yo female with PSC and a bleeding duodenal varix (DV) was evaluated for possible enbucrilate therapy. Endoscopically (Figure 1), the DV was high risk for rebleeding but the relative in-flow and out-flow were uncertain. CT (Figure 2) showed portal vein thrombosis (PVT) and the vascular anatomy of the DV to consist of inflow from the superior mesenteric vein (SMV) with outflow through the DV...

Carbenoxolone sodium is an effective agent promoting the healing of chronic gastric ulcers (Doll, Hill, Hutton, and Underwood, 1962; Doll, Hill, and Hutton, 1965; Horwich and Galloway, 1965; Turpie and Thomson, 1965). The drug is readily absorbed from the stomach and is largely excreted in bile (Iveson, Parke, and Williams, 1966). It is believed to have a local effect on the gastric mucosa thro...