Background. A burn of the gastrointestinal tract due to the ingestion of corrosive substances is one of the most common causes leading to the development of persistent pathological changes. Objective. To analyze a clinical case of laparoscopic gastroenteroanastomosis in a patient with gastric outlet obstruction secondary to accidental acid ingestion. Material and methods. The laparoscopic gastroenteroanastomosis was successfully performed on a patient with gastric outlet obstruction secondary to accidental acid ingestion in October, 2019 at Grodno University Hospital. During the postoperative period, the patient was followed up and diagnostic observation was conducted. The patient’s medical record was analyzed as well. Results. The surgery proceeded uneventfully and lasted for 3 hours. Enteral feeding was initiated on the 3rd day after the operation and was delivered via a feeding tube using liquid diet. The postoperative period elapsed without complications. The patient was discharged from the hospital after nutritional status compensation on the 12th day after the operation. Conclusions. Laparoscopic gastroenteroanastomosis is a minimally invasive, easily tolerated and effective operation, and can be considered a good alternative to other modern surgical approaches to the treatment of post-burn pyloric stenosis.
Aim. To present the first experience of a successful endovascular recanalisation and stenting of chronic post-thrombotic occlusion of the inferior vena cava and both common iliac veins in Krasnodar Krai.Methods and materials. A man, 72 years old, was admitted with the complaints of intermittent claudication, pronounced edema of both lower limbs, compaction and hyperpigmentation of the skin of the lower legs. Using ultrasound and computed tomography angiography, chronic post-thrombotic occlusion of the inferior vena cava and common iliac veins was established. The severe course of post-thrombotic syndrome (15 points on the Villalta scale) and the failure of conservative treatment were regarded as indications for performing endovascular surgery. Through puncture accesses in both common femoral veins and in the right internal jugular vein, guides were introduced through the occlusion zone, and balloon angioplasty was performed, followed by stenting of the common iliac veins and the inferior vena cava.Results. In-hospital and 4-month treatment results were analysed. The postoperative period was uneventful. The patient noted a decrease in the feeling of heaviness and edema in the lower extremities, as well as an increase in walking distance. A follow-up examination was performed following 4 months. The functional status significantly improved. The Villalta score was 4 points (absence or mild post-thrombotic syndrome). Ultrasound examination and computed tomography angiography established the patency of the stents in the inferior vena cava and in the common iliac veins.Conclusion. Endovascular recanalisation and stenting of the inferior vena cava and common iliac veins is an effective treatment for severe post-thrombotic syndrome.
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