Prognostic factors in primary adenocarcinoma of the small intestine: 13-year single institution experience

<p>Abstract</p> <p>Background</p> <p>Adenocarcinoma of the small bowel is a relatively rare malignancy as compared to the other malignancies of the gastrointestinal tract. Nonspecific presentation and infrequent occurrence often leads to a delay in diagnosis and consequent poor prognosis. Various other factors are of prognostic importance while managing these tumors.</p> <p>Methods</p> <p>The medical records of a total of 27 patients treated for adenocarcinoma of the small bowel at Providence Hospital and Medical Centers from year 1990 through 2003 were reviewed retrospectively. Data were analyzed using SPSS software (version 10.0; SPSS, Inc., Chicago, IL). Survival analyses were calculated using the Kaplan Meier method with the log rank test to assess the statistical significance. The socio-demographics (age, gender) were calculated using frequency analyses.</p> <p>Results</p> <p>The patients included nine males and eighteen females with a median age at diagnosis of 62 years. Only 48% of the patients had an accurate preoperative diagnosis while another 33% had a diagnosis suspicious of small bowel malignancy. None of the patients presented in stage 1. The cumulative five-year survival was 30% while the median survival was 3.3 years. There was no 30-day mortality in the postoperative period in our series.</p> <p>Conclusion</p> <p>The univariate analysis demonstrated that tumor grade, stage at presentation, lymph nodal metastasis and resection margins were significant predictors of survival.</p

Laparoscopic-assisted resection of a giant colonic diverticulum: a case report

a case repor

Adenocarcinoma arising in a cystic duplication of the small bowel: case report and review of literature

Enteric duplications are rare, but can occur anywhere along the digestive tract. Most of the patients become symptomatic in early childhood and only a few cases of adult patients have been reported in literature. Here we report a unique case of an adenocarcinoma arising in a coincidentally found cystic duplication of the small bowel

Gluteus Maximus Transfer for Trendelenburg Gait Following Total Hip Arthroplasty

Introduction: Lateral approach total hip arthroplasty (THA) accounts for 12% of the total hip reconstructions performed annually. Approximately 4.4% of these patients experience postoperative rupture of the gluteus medius (routinely take down and repaired during the surgery), resulting in loss of abduction and a contralateral hip drop with a Trendelenburg gait. While functional muscle transfer has been proposed for use at the time of implant revision surgery, to our knowledge, no report exists of dynamic repair in patients with a functioning implant and early muscle rupture. Case: A 47-year-old female presented to clinic with MRI proven rupture of the gluteus medius and failed secondary surgical repair. The patient noted significant discomfort with activities of daily living. A review of the literature was performed, and joint decision-making was utilized to consent for a superior gluteus maximus transfer. An interdisciplinary team (plastic and orthopedic surgery) performed the surgery with modifications to a technique previously described. Results: Surgery was performed in 2 hours and 49 minutes. Postoperative course was uneventful. At 4 months post-op, the patient has a significant increase in abduction strength. The patient is able to stand without hip drop and continues extensive physical therapy for balance and gait given the 2 years of atrophy and maladaptation. The patient reports improvement in quality of life and physical therapy notes indicate improvement across all gait, stance, and strength studies. Conclusion: The superior gluteus maximus muscle transfer for gluteus medius ruptures a viable option in patients with Trendelenburg gait, warranting further clinical study.https://scholarlycommons.henryford.com/merf2019caserpt/1108/thumbnail.jp

Prognostic factors in primary adenocarcinoma of the small intestine: 13-year single institution experience-3

<p><b>Copyright information:</b></p><p>Taken from "Prognostic factors in primary adenocarcinoma of the small intestine: 13-year single institution experience"</p><p>http://www.wjso.com/content/6/1/12</p><p>World Journal of Surgical Oncology 2008;6():12-12.</p><p>Published online 31 Jan 2008</p><p>PMCID:PMC2253527.</p><p></p