CONTEXT When ERCP fails in the setting of combined biliary and duodenal obstruction, EUS-guided biliary drainage has emerged as an alternate method of biliary decompression. CASE REPORT We present a case of a 40-year-old man with advanced pancreatic cancer and a pre-existing duodenal wall stent who subsequently develops jaundice due to biliary obstruction. An ERCP was technically unsuccessful...

PURPOSE A duodenal stump fistula is one of the most severe complications after gastrectomy for gastric cancer. We aimed to analyze the risk factors for this problem, and to identify the methods used for its prevention and management. METHODS We retrospectively reviewed the clinical data of 716 consecutive patients who underwent curative gastrectomy with a duodenal stump for gastric cancer bet...

Physical examination disclosed a woman with dry skin and tongue. Temperature?97.6; pulse?116; respirations?20; blood pressure?116/70. Pyorrhoea waa marked. Chest, heart and lungs were normal. On inspection the abdomen disclosed a narrow subcostal angle below which fleeting peristalsis was visible. After drinking two teaspoonfuls of water, this was immediately markedly exaggerated; the movement ...

Annular pancreas is a relatively rare congenital diseasecaused by an embryologica1and anatomical disturbance in pancreas It may have no sympforns throughout the life and so occasionally discovered during an unrelevant surgery or autopsy but in most of the cases it shows itself as a duodenal obstruction during the in­fancy and childhood.Very rarely symptoms of the disease my be obser­ved in adul...

Two siblings with extrinsic duodenal obstruction caused by congenital peritoneal bands are reported. Attention is drawn to the unusual physical sign of halitosis as a presenting feature. It is suggested that this physical sign may be an indication for barium studies.

Percutaneous endoscopic gastrostomy (PEG) is a well-recognized procedure for providing enteral feeding and long-term enteral nutritional support. Although it is mostly well tolerated, complications, sometimes mechanical in nature, do occur. Rare, and often initially unrecognized, late complications of PEG tube placement are gastric outlet obstruction and duodenal obstruction. Simple adjustment ...

Infiltration of the antrum and small bowel with eosinophils has been reported to be the etiologic factor for intestinal obstruction in adults with eosinophilic gastroenteritis. We report a case of a breast-fed 8-month-old infant with eosinophilic gastroenteritis (EGE), who presented with severe hematemesis and congenital obstruction of the duodenum, to emphasize that not all obstructive symptom...