Linear EUS is a fairly reliable method for the evaluation of patients with high suspicion for CBD stones. The usefulness of linear EUS in the evaluation of patients with low or moderate suspicion for CBD stones warrants further study.
Giant colonic diverticulum is an extremely rare condition in colonic diverticular disease. More than 90% of giant colonic diverticula are found in the sigmoid colon. Inflammatory and pseudodiverticula are the most frequent. Only one case of a true diverticulum of the transverse colon has been reported in the literature.Case ReportWe report a case of a 22-year-old woman presenting with constipation and meteorism from childhood. A plain abdominal X-ray showed a round radiolucent air-filled cyst. Barium enema revealed a single, large diverticulum of the transverse colon. An extended right hemicolectomy with primary end-to-end anastomosis was performed. The postoperative course was uneventful, and she was discharged in 1 week without any complications. Histopathology showed a true diverticulum containing all layers of the colon.
Vast majority of patients with moderate suspicion of CBDS and no stones on EUS with linear array can avoid invasive evaluation of biliary tree with ERC.
Artykuł poglądowy/Review paper Streszczenie W pracy zamieszczono krótki rys historyczny dotyczący czynnika martwicy nowotworów (tumor necrosis factor-TNF). Następnie omówiono jego budowę i źródła pochodzenia w organizmie, przedstawiono nadrodzinę TNF obejmującą wiele białek i pokrótce opisano ich wybrane funkcje. Szerzej omówiono działania receptorowe i efekty biologiczne TNF. Osobno opisano wpływ TNF na nowotwory i nieswoiste choroby zapalne jelit. Na koniec przedstawiono leki skierowane przeciw TNF, w tym terapie biologiczne i inne substancje mające wpływ na wydzielanie TNF w organizmie.
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