The Experts below are selected from a list of 24 Experts worldwide ranked by ideXlab platform
Šileikytė Auksė - One of the best experts on this subject based on the ideXlab platform.
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Naujas perforavusio dvylikapirštės žarnos divertikulo gydymas atliekant Roux-en-Y duodenojejunostomiją
'Vilnius University Press', 2017Co-Authors: Šileikis Audrius, Šileikytė AuksėAbstract:Duodenum Diverticulum is the most common site for diverticular disease of small intestine. Symptomatic duodenal Diverticulum are 1% to 5%, which present with pain, bleeding, inflammation, cholestasis, cholangitis, obstruction, perforation, pancreatitis, or malignant transformation. The most difficult complication is perforation – 0.03%. Once duodenal diverticulitis perforation has been diagnosed, traditional management has been simple diverticulectomy and two layer closure of the Duodenum with drainage of the retroperitoneum. However, nowadays there is increase in case reports of successful conservative and different surgical treatment. We present our experience by treating duodenal diverticulitis with simple diversion by Roux-en-Y duodenojejunostomy according to Shigeru Fujisaki after unsuccessful conservative treatment
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Naujas perforavusio dvylikapirštės žarnos divertikulo gydymas atliekant Roux-en-Y duodenojejunostomiją
'Vilnius University Press', 2017Co-Authors: Šileikis Audrius, Šileikytė AuksėAbstract:Duodenum Diverticulum is the most common site for diverticular disease of small intestine. Symptomatic duodenal Diverticulum are 1% to 5%, which present with pain, bleeding, inflammation, cholestasis, cholangitis, obstruction, perforation, pancreatitis, or malignant transformation. The most difficult complication is perforation – 0.03%. Once duodenal diverticulitis perforation has been diagnosed, traditional management has been simple diverticulectomy and two layer closure of the Duodenum with drainage of the retroperitoneum. However, nowadays there is increase in case reports of successful conservative and different surgical treatment. We present our experience by treating duodenal diverticulitis with simple diversion by Roux-en-Y duodenojejunostomy according to Shigeru Fujisaki after unsuccessful conservative treatment.Dvylikapirštės žarnos divertikulai yra dažniausia divertikuliozės vieta plonojoje žarnoje. Nuo 1 % iki 5 % tokių divertikulų yra simptominiai ir pasireiškia skausmu, kraujavimu, uždegimu, cholestaze, cholangitu, obstrukcija, perforacija, pankreatitu ar piktybine transformacija. Pati sudėtingiausia komplikacija yra perforacija, kuri sudaro 0,03 %. Diagnozavus dvylikapirštės žarnos divertikulo perforaciją, tradicinis gydymas buvo paprasta divertikulektomija ir dvylikapirštės žarnos užsiuvimas dviem sluoksniais su retroperitoninio tarpo drenavimu. Pastaruoju metu aprašoma vis daugiau sėkmingų konservatyvaus ir kitokio chirurginio gydymo atvejų. Mes aprašome savo patirtį, susijusią su dvylikapirštės žarnos divertikulito gydymu atliekant Roux-en-Y duodenojejunostomiją Shigeru Fujisaki metodu po nesėkmingo konservatyvaus gydymo
Šileikis Audrius - One of the best experts on this subject based on the ideXlab platform.
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Naujas perforavusio dvylikapirštės žarnos divertikulo gydymas atliekant Roux-en-Y duodenojejunostomiją
'Vilnius University Press', 2017Co-Authors: Šileikis Audrius, Šileikytė AuksėAbstract:Duodenum Diverticulum is the most common site for diverticular disease of small intestine. Symptomatic duodenal Diverticulum are 1% to 5%, which present with pain, bleeding, inflammation, cholestasis, cholangitis, obstruction, perforation, pancreatitis, or malignant transformation. The most difficult complication is perforation – 0.03%. Once duodenal diverticulitis perforation has been diagnosed, traditional management has been simple diverticulectomy and two layer closure of the Duodenum with drainage of the retroperitoneum. However, nowadays there is increase in case reports of successful conservative and different surgical treatment. We present our experience by treating duodenal diverticulitis with simple diversion by Roux-en-Y duodenojejunostomy according to Shigeru Fujisaki after unsuccessful conservative treatment
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Naujas perforavusio dvylikapirštės žarnos divertikulo gydymas atliekant Roux-en-Y duodenojejunostomiją
'Vilnius University Press', 2017Co-Authors: Šileikis Audrius, Šileikytė AuksėAbstract:Duodenum Diverticulum is the most common site for diverticular disease of small intestine. Symptomatic duodenal Diverticulum are 1% to 5%, which present with pain, bleeding, inflammation, cholestasis, cholangitis, obstruction, perforation, pancreatitis, or malignant transformation. The most difficult complication is perforation – 0.03%. Once duodenal diverticulitis perforation has been diagnosed, traditional management has been simple diverticulectomy and two layer closure of the Duodenum with drainage of the retroperitoneum. However, nowadays there is increase in case reports of successful conservative and different surgical treatment. We present our experience by treating duodenal diverticulitis with simple diversion by Roux-en-Y duodenojejunostomy according to Shigeru Fujisaki after unsuccessful conservative treatment.Dvylikapirštės žarnos divertikulai yra dažniausia divertikuliozės vieta plonojoje žarnoje. Nuo 1 % iki 5 % tokių divertikulų yra simptominiai ir pasireiškia skausmu, kraujavimu, uždegimu, cholestaze, cholangitu, obstrukcija, perforacija, pankreatitu ar piktybine transformacija. Pati sudėtingiausia komplikacija yra perforacija, kuri sudaro 0,03 %. Diagnozavus dvylikapirštės žarnos divertikulo perforaciją, tradicinis gydymas buvo paprasta divertikulektomija ir dvylikapirštės žarnos užsiuvimas dviem sluoksniais su retroperitoninio tarpo drenavimu. Pastaruoju metu aprašoma vis daugiau sėkmingų konservatyvaus ir kitokio chirurginio gydymo atvejų. Mes aprašome savo patirtį, susijusią su dvylikapirštės žarnos divertikulito gydymu atliekant Roux-en-Y duodenojejunostomiją Shigeru Fujisaki metodu po nesėkmingo konservatyvaus gydymo
Haotian Chen - One of the best experts on this subject based on the ideXlab platform.
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a false positive i 131 finding of Duodenum Diverticulum in thyroid cancer evaluation by spect ct a case report
Medicine, 2018Co-Authors: Rang Wang, Ke Zhou, Haotian ChenAbstract:RATIONALE: Iodine-131 (I-131) is a sensitive marker for the detection of differentiated thyroid cancer (DTC). I-131 whole-body scintigraphy (WBS) has been used widely in evaluation of DTC patient. However, I-131 WBS exists many false-positive uptake of I-131 because radioiodine uptake can also be seen in healthy tissue or in a variety of benign and malignant non-thyroidal tumors. PATIENT CONCERNS: A 44-year-old woman with a papillary thyroid carcinoma for the purpose of ablation therapy after a total thyroidectomy. I-131 WBS showed intensive uptake by thyroid remnant. Meanwhile, a focus of increased activity was seen in right upper abdomen. DISGNOSES, INTERVENTIONS AND OUTCOMES: Based on an I-131 single-photon emission computed tomography/computed tomography (SPECT/CT) fusion imaging combining a Tc-99m pertechnetate dynamic SPECT scan and SPECT/CT fusion imaging with oral administration of iodine contrast agent, a descending Duodenum Diverticulum was diagnosed. This patient was then treated with conservative treatment, such as diet regulation, rest, appropriate use of antacids and antispasmodic agents, etc. So far, she recovered uneventfully with no any complications. LESSONS: Duodenum Diverticulum is a rare false-positive uptake of I-131, it might be a diagnostic challenge when there are many false-positive uptake of I-131 in evaluation of DTC. So it must be significant to be familiar with these physiologic and pathologic variants of I-131 uptake and make further efforts to accurately interpret radioiodine scintigraphy results.
Auksė Sileikytė - One of the best experts on this subject based on the ideXlab platform.
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novel treatment by roux en y duodenojejunostomy for perforated Duodenum Diverticulum
Lietuvos chirurgija, 2017Co-Authors: Audrius Sileikis, Auksė SileikytėAbstract:Duodenum Diverticulum is the most common site for diverticular disease of small intestine. Symptomatic duodenal Diverticulum are 1% to 5%, which present with pain, bleeding, inflammation, cholestasis, cholangitis, obstruction, perforation, pancreatitis, or malignant transformation. The most difficult complication is perforation – 0.03%. Once duodenal diverticulitis perforation has been diagnosed, traditional management has been simple diverticulectomy and two layer closure of the Duodenum with drainage of the retroperitoneum. However, nowadays there is increase in case reports of successful conservative and different surgical treatment. We present our experience by treating duodenal diverticulitis with simple diversion by Roux-en-Y duodenojejunostomy according to Shigeru Fujisaki after unsuccessful conservative treatment.
Rang Wang - One of the best experts on this subject based on the ideXlab platform.
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a false positive i 131 finding of Duodenum Diverticulum in thyroid cancer evaluation by spect ct a case report
Medicine, 2018Co-Authors: Rang Wang, Ke Zhou, Haotian ChenAbstract:RATIONALE: Iodine-131 (I-131) is a sensitive marker for the detection of differentiated thyroid cancer (DTC). I-131 whole-body scintigraphy (WBS) has been used widely in evaluation of DTC patient. However, I-131 WBS exists many false-positive uptake of I-131 because radioiodine uptake can also be seen in healthy tissue or in a variety of benign and malignant non-thyroidal tumors. PATIENT CONCERNS: A 44-year-old woman with a papillary thyroid carcinoma for the purpose of ablation therapy after a total thyroidectomy. I-131 WBS showed intensive uptake by thyroid remnant. Meanwhile, a focus of increased activity was seen in right upper abdomen. DISGNOSES, INTERVENTIONS AND OUTCOMES: Based on an I-131 single-photon emission computed tomography/computed tomography (SPECT/CT) fusion imaging combining a Tc-99m pertechnetate dynamic SPECT scan and SPECT/CT fusion imaging with oral administration of iodine contrast agent, a descending Duodenum Diverticulum was diagnosed. This patient was then treated with conservative treatment, such as diet regulation, rest, appropriate use of antacids and antispasmodic agents, etc. So far, she recovered uneventfully with no any complications. LESSONS: Duodenum Diverticulum is a rare false-positive uptake of I-131, it might be a diagnostic challenge when there are many false-positive uptake of I-131 in evaluation of DTC. So it must be significant to be familiar with these physiologic and pathologic variants of I-131 uptake and make further efforts to accurately interpret radioiodine scintigraphy results.
