{"title":"Virtual Reality Technology and 3D Reconstruction in Hepatectomy","authors":"Li Chenggang, Z. Zhipeng","doi":"10.36959/621/614","DOIUrl":"https://doi.org/10.36959/621/614","url":null,"abstract":"Three-dimensional (3D) reconstruction can realize the accurate preoperative diagnosis of liver and intrahepatic tumors and can also help to complete the preoperative operation planning. 3D visual surgical navigation technology has been applied in liver surgery. Virtual reality (VR) technology is still in the primary stage of research and development. It can only simulate the operation of 3D reconstruction model of liver but cannot fully show the actual operation scene. With the development of computer technology and the further maturity of 3D reconstruction and VR technology, their application in liver surgery is showing a bright future.","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74750559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shousha Hend Ibrahim, Saad Yasmin, Saleh Doa'a A, Dabes Hosam, S. Mohamed
{"title":"Serum Alpha-Fetoprotein, Albumin and Previous Antiviral Treatment, Can Predict Non-Response to Direct Antiviral Therapy in Egyptian Patients with Chronic Hepatitis-C","authors":"Shousha Hend Ibrahim, Saad Yasmin, Saleh Doa'a A, Dabes Hosam, S. Mohamed","doi":"10.36959/621/613","DOIUrl":"https://doi.org/10.36959/621/613","url":null,"abstract":"Background & Aims: Direct acting antiviral therapies (DAAs), are currently the state of the art therapy of chronic Hepatitis C (CHC) giving hope particularly to patients with liver cirrhosis. The aim of the study was to investigate the ability to use baseline data as predictors of non-response to DAAs in patients with CHC. Methods: Baseline demographic and laboratory characteristics were collected for patients with CHC eligible for DAAs therapy. Patients were collected from March 2016 to October 2016 from Damanhur Viral Hepatitis Center (Boheira Governorate, Egypt). Monthly follow up was done during treatment to confirm safety, then at week 12 after the end of treatment to confirm sustained virological response (SVR) using routine laboratory data, ultrasonography, and quantitative HCV-PCR. Results: This observational study included 2446 patients with CHC who received DAAs (combined sofosbuvir and daclatasvir with or without ribavirin). Their mean age was 50 ± 9.5 year and 57.3% were females. About 47.4% were cirrhotic and 299 (12.2%) patients were treatment experienced. 96.24% patients achieved SVR-12. Baseline AFP was significantly higher in non-responders (14.3 ng/ml versus 9.5 ng/ml respectively, P-value < 0.001). Multivariate logistic regression analysis revealed that SVR-12 was significantly associated with being treatment naïve, having higher Albumin levels and having AFP level ≤ 10. Conclusions: The independent factors affecting SVR-12 were AFP level ≤ 10 ng, being treatment naïve, and serum albumin levels.","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88888378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
García Blanca Prieto, González Sara de la Mano, Castaño Sonia Yáñez, R. Arias, M. P. Carreño
{"title":"Mucocele of the Appendix: A Case Report","authors":"García Blanca Prieto, González Sara de la Mano, Castaño Sonia Yáñez, R. Arias, M. P. Carreño","doi":"10.36959/621/608","DOIUrl":"https://doi.org/10.36959/621/608","url":null,"abstract":"Appendicular mucocele is an infrequent entity that constitutes a descriptive term to define an enlarged cecal appendix with accumulation of mucus in its interior, which can be due to both neoplastic and non-neoplastic causes. Patients are usually asymptomatic, becoming an incidental finding. However, in other cases the symptoms are highly variable (abdominal pain, palpable abdominal mass, digestive bleeding...) and differential diagnosis can become a challenge. In this way, imaging studies as ultrasound (US), computed tomography (CT) or magnetic resonance imaging (MRI) play an important role in preoperative diagnosis, since they provide information that can be decisive when it comes to select the most appropriate surgical intervention modality. We report a case of a patient who presented an incidental mass in lower right quadrant that turned out to be an appendicular mucocele.","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84455915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jena Pradeep Kumar, Sarangi Rachita, B. Narendra, Sahoo Subrat Kumar, D. Kumar, Tripathy Bikasha Bihary, G. MohapatraSatyaSundar, Gupta Bini, Arora Narendra Kumar, Das Manoja Kumar
{"title":"Epidemiology of Intussusception among Children Under-Two Years of Age from 2010-2017 in Odisha, India","authors":"Jena Pradeep Kumar, Sarangi Rachita, B. Narendra, Sahoo Subrat Kumar, D. Kumar, Tripathy Bikasha Bihary, G. MohapatraSatyaSundar, Gupta Bini, Arora Narendra Kumar, Das Manoja Kumar","doi":"10.36959/621/607","DOIUrl":"https://doi.org/10.36959/621/607","url":null,"abstract":"Background: Intussusception is an adverse event associated with rotavirus vaccines (RVV). RVV was introduced phase-wise in India since April 2016. Background intussusception rates are needed to document changes with RVV introduction. We describe the epidemiology of intussusception among children aged under-two years in Odisha, India. Methods: This bidirectional surveillance (retrospective from July 2010 to March 2016 and prospective from April 2016 to September 2017) at three hospitals in Odisha recruited children aged 2-23 months with intussusception. Data on sociodemography, immunization, clinical, treatment and outcome were collected. Incidences of intussusception among infants and children > 1 year were estimated. Results: 371 children with intussusception (retrospective, n = 266; prospective, n = 105) were recruited. Among them, 78.7% were infants with median age 8 (IQR 6-12) months and 70.6% were males. Abdominal pain (60.9%), vomiting (55.5%), and bloody stools (53.4%) were the leading symptoms and triad was observed in 51.8% cases. 57.4% cases underwent surgery and 16.0% were managed by reduction. Nine (2.4%) children died. 71.4% cases met Brighton criteria Level-1. Intussusception cases increased 2014 onwards and the pooled incidence was estimated to be 5 (3.9-7.9) cases per 100000 infants per year. Conclusions: Intussusception in children was observed prior to rotavirus vaccination in Odisha, India. The risk factors for rising intussusception in children need further evaluation.","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88930642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systemic Disseminated Tuberculosis Mimicking Malignancy","authors":"Wen Cai-hong, Lang Bo-juan, Liu Wei","doi":"10.36959/621/609","DOIUrl":"https://doi.org/10.36959/621/609","url":null,"abstract":"A 35-year-old man presented to the outpatient department with a 1-month history of diarrhea, abdominal pain and weight loss. He had no documented medical history. Physical examination was unremarkable. Computed tomography (CT) of the abdomen showed multiple lesions of liver, which was difficult to distinguish from tumor. Considering the ill-defined liver lesions in this patient, 18F-FDG PET-CT was assessed and revealed extensive multi-organ metastases, including several lesions in the liver, lung, vermiform appendix, and multiple Case Report","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79087671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Garzón Guiteria, MT Garzón Guiteria, P. Arias Rodriguez, JM Garrido Pedraz
{"title":"Liver Abscess Secondary to Ingestion of Chicken Bone","authors":"P. Garzón Guiteria, MT Garzón Guiteria, P. Arias Rodriguez, JM Garrido Pedraz","doi":"10.36959/621/611","DOIUrl":"https://doi.org/10.36959/621/611","url":null,"abstract":"Ingestion of foreign bodies is very common in routine clinical practice. They are usually secreted spontaneously, but in a small percentage they cause complications such as gastrointestinal perforations that can migrate causing abscesses. Given the nonspecific symptoms of these patients, it is important to take an anamnesis and complete the clinical suspicion with radiological tests (CT), requiring exploratory laparotomy for definitive diagnostic confirmation.","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"358 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84891279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rodríguez Piedad Arias, Guiteria María Teresa Garzón, Seguí Andrea Verdú, Morán Patricia Carreño, González Sara de la mano, Guiteria Pilar Garzón
{"title":"Intestinal Malrotation as a Cause of Chronic Recurring Abdominal Pain in Adult with Caudal Regression Syndrome","authors":"Rodríguez Piedad Arias, Guiteria María Teresa Garzón, Seguí Andrea Verdú, Morán Patricia Carreño, González Sara de la mano, Guiteria Pilar Garzón","doi":"10.36959/621/610","DOIUrl":"https://doi.org/10.36959/621/610","url":null,"abstract":"During embryological development, the midgut undergoes a process of growth and lengthening, which begins at week 5 of gestation and ends shortly after birth and also includes herniation in the umbilical cord, rotation, reduction and fixation. Rotation occurs counterclockwise around the superior mesenteric artery and ends at week 12, at which time the intestine re-enters the abdominal cavity and is attached to the parietal peritoneum, with different anchor points. If the rotation is not correct, a good fixation is not possible. The second, third, and fourth portions of the duodenum, the ascending and descending colon, attach to the retroperitoneum. The duodenojejunal junction is fixed by the ligament of Treitz and the small intestine by a wide meso that extends from that ligament to the ileocecal valve [1-3].","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"123 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80187809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Herrero-Maceda Maria del Rosario, Ojeda-Yuren Alicia S, C. Eira, Castro-Narro Graciela
{"title":"Hepatitis B Virus Infection in Pregnant Women","authors":"Herrero-Maceda Maria del Rosario, Ojeda-Yuren Alicia S, C. Eira, Castro-Narro Graciela","doi":"10.36959/621/606","DOIUrl":"https://doi.org/10.36959/621/606","url":null,"abstract":"The chronic infection HBV is a worldwide public health trouble with high morbidity and mortality. The vertical transmission (pregnancy) has consequences for mother and baby. During pregnancy, cell-mediated immunity is suppressed, possibly because of an increase in adrenal corticosteroids, estrogens, and progesterone, thereby allowing the woman to tolerate the semiallogenic fetus. The characteristics and predictors of postpartum hepatitis flares in women with chronic hepatitis B are Serum Alanine Aminotransferase and Hepatitis B DNA Flares in Pregnant and Postpartum Women. HBV DNA and ALT monitoring every 4-6 weeks during first and second trimesters, as well as every 4 weeks during third trimester, and at postpartum months 3 and 6 should be considered in women with CHB (chronic hepatitis B). Initial assessment requires a determination of the need for treatment of chronic HBV, independent of pregnancy. This will determine the need for treatment during pregnancy and after delivery. For women without active or advanced chronic HBV infection, antiviral therapy can be deferred until post-partum. However, all women need to be assessed in the second trimester for consideration of antiviral therapy for prevention of mother-to-child transmission. Women with HBV DNA above 200,000 IU/mL warrant antiviral therapy with tenofovir, telbivudine or lamivudine in the third trimester. Tenofovir is the preferred drug during pregnancy. The management of this population with HBV is important in order to decrease the vertical transmission.","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"194 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83094962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Cholecystitis in a True Left-Sided Gallbladder - A Case Report","authors":"S. Barreto, D. Parker, P. Shin","doi":"10.36959/621/602","DOIUrl":"https://doi.org/10.36959/621/602","url":null,"abstract":"biliary and vascular anatomy, cholecystectomy for left-sided gallbladders have a higher than normal risk of bile duct injury. We present our experience in a patient who pre sented with phlegmonous acute cholecystitis affecting a true left-sided gallbladder. Abstract We describe our experience with a 69-year-old gentleman who presented with phlegmonous acute cholecystitis affecting a left-sided gallbladder. The cholecystectomy was successfully completed by a total laparoscopic approach. Through this Case report we highlight the possibility of occurrence of such an entity (true left-sided gallbladder), the risks entailed, and to stress the need to abandon surgical hubris in favour of wisdom in the interest of patient safety should the situation appear unclear and overtly challenging to the surgeon.","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91157138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Complete Inhibition of Clostridium difficile with a Probiotic Juice Beverage","authors":"Robins Howard F, Kamarei A Reza","doi":"10.36959/621/600","DOIUrl":"https://doi.org/10.36959/621/600","url":null,"abstract":"","PeriodicalId":92206,"journal":{"name":"HSOA journal of gastroenterology & hepatology research","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80132280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}