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...

Mycotic aortic aneurysms account for 1–3% of all aortic aneurysms. The management of this disease is controversial. Since open surgical repair is associated with high morbidity and mortality rates, endovascular aneurysm repair is an alternative treatment method with promising early and midterm outcomes, although its long-term durability is unknown.Secondary aortoenteric fistulas may occur iatro...

mycotic aortic aneurysms account for 1–3% of all aortic aneurysms. the management of this disease is controversial. since open surgical repair is associated with high morbidity and mortality rates, endovascular aneurysm repair is an alternative treatment method with promising early and midterm outcomes, although its long-term durability is unknown. secondary aortoenteric fistulas may occur iatr...

Laparoscopic repair of perforated duodenal ulcers is safe and effective in centers with experience and increasingly performed by laparoscopic surgeons. However, the role of laparoscopy for the management of large duodenal perforations (>1 cm) is unclear. To date, no experience has been reported with emergency laparoscopic repair of large perforations for gastroduodenal ulcers. The commonest rea...

BACKGROUND The aim of this study was to report our experience with duodenal injuries and determine if primary repair and/or tube duodenostomy are valid options for definitive operative repair of severe duodenal injuries. METHODS Sixty-seven patients who underwent surgery for duodenal injuries were evaluated. Management of duodenal injury was classified as primary repair and tube decompression...

INTRODUCTION Laparoscopic duodenal atresia repair is an advanced procedure performed in select pediatric surgical centers. Recently, sub-6mm endosurgical staplers have been introduced, facilitating and accelerating the creation of intracorporeal intestinal anastomoses. PRESENTATION OF CASE We performed a laparoscopic duodenojejunostomy in a one-day-old child with duodenal atresia due to annul...

Hepatic artery aneurysms are a rare cause of upper gastrointestinal hemorrhage and may represent significant problems in both diagnosis and management. We report a 70 year old patient with gastrointestinal bleeding from a fistula between a 7 cm hepatic artery aneurysm and the duodenum. He underwent successful surgical management with endoaneurysmorrhaphy and duodenal wall repair.

PURPOSE In the search of a new material to repair duodenal wounds, a trial was conducted to assess the behavior of human amniotic membrane in the repair of the duodenal wall in rats. METHODS Fifty Wistar rats weighing between 250 and 350g, male, were submitted to duodenotomy and randomly distributed into two groups. Group A (n=8) had no treatment and was used as the control group. In Group B ...

BACKGROUND Duodenal leak remains a major cause of morbidity and graft loss in pancreas transplant recipients. The role and efficacy of surgical and image-guided interventions to salvage enterically drained grafts with a duodenal leak has yet to be defined. METHODS We investigated the incidence, treatment, and outcome of duodenal leak in 426 pancreas transplantation recipients from 2000 to 201...

PURPOSE Despite the great advances in laparoscopic techniques, most active general surgeons do not apply laparoscopic surgery in the treatment of duodenal ulcer perforation when facing a real-life emergency. Therefore, our study was designed to evaluate the feasibility of laparoscopic surgery in duodenal ulcer perforation, and provide a step-by-step protocol with tips and recommendations for le...