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Duodenal varices are ectopic portosystemic shunts that do not tend to result in gastrointestinal bleeding. Balloon-occluded retrograde transvenous obliteration is an established treatment for gastric varices. We report a 60-year-old man with melena due to ruptured duodenal varices originating at an inferior pancreaticoduodenal vein; drainage was into a gonadal vein. His ruptured duodenal varice...

temesis and multiple episodes of melena. He had a history of chronic lymphocytic leukemia and traumatic rupture of the spleen leading to splenectomy and splenic artery embolization 6 years earlier. Esophagogastroduodenoscopy (EGD) revealed a large submucosal mass (7 × 5 cm) with an ulcerated overlying area associated with clot in the duodenal bulb (●" Fig. 1). The ulcer was treated with epineph...

Reports about superior mesenteric vein thrombosis in childhood are very rare and have not been associated with gastrointestinal bleeding. We describe two cases of severe bleeding from the upper and lower gastrointestinal tract in children who had undergone complex abdominal surgery at considerable time before. The first child had a tracheoesophageal fistula, corrected by division, gastrostomy i...

PURPOSE Gastric cancer (GC) remains one of the most frequent cancers worldwide. After total gastrectomy it is necessary to reconstruct the upper part of the digestive tract. The double tract (DT) method is the optimal reconstruction procedure aftertotal gastrectomy for patients with gastric cancer. METHODS In General Hospital "Sveti Vracevi" in Bijeljina, from January 2006 to January 2009 37 ...

UNLABELLED Upper gastrointestinal bleeding (UGIB) remains a common disease affecting 100 to 170 per 100 000 adults per year and causing thereby a significant burden to healthcare resources. Despite the improvements in the management of this disorder, the associated mortality ranges from 5 to 14%. Since the general management of UGIB is not uniform, the main objective of this work is to provide ...

Introduction During damage control surgery for blunt abdominal traumata simultaneous duodenal perforations can be missed making secondary sufficient surgical treatment challenging. Endoluminal vacuum (EndoVAC™) therapy has been shown to be a revolutionary option but has anatomical and technical limits. Presentation of the case A 59-year old man with hemorrhagic shock due to rupture of the mes...

BACKGROUND Small bowel diverticula are usually asymptomatic and rare. Their importance is based on the fact that they carry the risk of serious complications. OBJECTIVE To study the implications and the therapeutic approach regarding small bowel diverticulosis. METHODS The medical records of 54 patients with diverticular disease of the small bowel, including Meckel's and duodenum diverticul...