How the recurrence of biliary pancreatitis can be prevented? A case report and literature review.

Diagnosis and treatment of recurrent acute pancreatitis remains a complex issue in clinical practice. Repeated episodes of pancreatitis are usually seen in a gland with a normal morphology during diagnosis, so it is believed that such a clinical entity is characterized by recurrent episodes of pancreatitis in the normal pancreas. The evaluation of patients with recurrent acute pancreatitis requires systematic identification or removal of correctable factors. In this study, we aimed to present a case of acute pancreatitis with six attacks in the light of the literature

Strangulated paraesophageal hernia: A case report.

Hiatal hernia has a risk for volvulus and strangulation. Paraesophageal hernia (type II hiatal hernia) is seen as the most risky group because of having a focal defect. In this study, we aimed to present a case with strangulated paraesophageal hernia which was surgically treated in an emergent basis

A rare cause of gastrointestinal phytobezoars: diospyros lotus

<p>Abstract</p> <p>Aim</p> <p>Diospyros Lotus (“Wild Date Palm of Trabzon or Persimmon”), which has been proven to cause phytobezoars, is a widely consumed fruit in the Black Sea and Northeast Anatolia regions of Turkey. The aim of the present study was to investigate the effects of Diospyros Lotus together with other predisposing factors, on the development of gastrointestinal phytobezoars and to discuss the treatment results in comparison to the literature.</p> <p>Material and method</p> <p>The records of 13 patients, who had been admitted to the General Surgery Clinic of Düzce Atatürk State Hospital between August 2008 and August 2011, were retrospectively reviewed. Demographic characteristics, predisposing factors, clinical and radiological findings, diagnostic and therapeutic methods, and the outcomes of the patients were recorded from the patient files. Written informed consent was obtained from each patient for publication of this research article and accompanying images.</p> <p>Results</p> <p>All the patients had a history of consuming Diospyros Lotus. Of the patients, 30,7% had a history of previous gastric surgery, 30,7% had diabetes mellitus and 23% had dental implants. None of the patients had hypothyroidism, which is another predisposing factor for phytobezoars.</p> <p>The phytobezoars were located in the stomach alone in 23% of the patients, whereas 15,3% was detected in the jejunum and stomach, 15,3% was detected in the jejunum alone, and 46,1% was detected in the ileum alone. All patients were treated with surgery, and there were no deaths.</p> <p>Conclusion</p> <p>Gastric phytobezoars are rare. Preventive measures have particular importance in the management of this condition, which is difficult to treat. For this purpose, excessive consumption of herbal nutrients containing a high amount of indigestible fibers such as Diospyros Lotus should be avoided in patients with a history of gastrointestinal surgery or poor oral and dental health.</p