Gastric T-cell lymphoma associated with hemophagocytic syndrome

BACKGROUND: Lymphoma-associated hemophagocytic syndrome (LAHS) occurs in mostly extra nodal non-Hodgkin's lymphoma. LAHS arising from gastrointestinal lymphoma has never been reported. Here we report a case of gastric T-cell lymphoma-associated hemophagocytic syndrome. CASE PRESENTATION: A 51-year-old woman presented with pain, redness of breasts, fever and hematemesis. Hematological examination revealed anemia. Gastroscopy revealed small bleeding ulcers in the stomach and the computed tomography scan showed liver tumor. She underwent total gastrectomy for gastrointestinal bleeding and the histopathology revealed gastric T-cell lymphoma. She continued to bleed from the anastomosis and died on the 8th postoperative day. Autopsy revealed it to be a LAHS. CONCLUSIONS: If Hemophagocytic syndrome (HPS) occurs in lymphoma of the gastrointestinal tract, bleeding from the primary lesion might be uncontrollable. Early diagnosis and appropriate treatment are needed for long-term survival

A Simple and Safe Procedure to Repair Rectal Prolapse Perineally Using Stapling Devices

Rectal prolapses are not life-threatening, however the bleeding and fecal incontinence associated with them significantly erode quality of life and can cause concern among patients' caregivers in nursing homes. Many procedures have been reported that repair rectal prolapses, and the procedure used depends on the severity of the prolapse; however, the treatments are yet to be established. Here we report a simple and safe procedure to repair rectal prolapse perineally using stapling devices. We performed this procedure on 5 patients within a short time. All patients were followed up for over 24 months and none had any recurrences of their rectal prolapses. No complications occurred during the operations and postoperative periods. Most patients who have prolapses are elderly and fragile, so the treatment must be easy, safe, and rapid. While rectal prolapse is not life-threatening, the goal of treatment is to alleviate its symptoms. The procedure we describe is consistent with this concept. We suggest that this procedure, which uses surgical stapling devices, might be a better option for the treatment of complete rectal prolapse. We will continue to surgically correct complete rectal prolapses and investigate the long-term outcomes of the procedure

Clinical Survey of the Results on Colorectal Surgery in the Elderly

From 1978 to 1996, 69 patients who were 80 years of age or older (Group Ⅰ), 75 patients who were between 75 and 79 years of age (Group Ⅱ) and 618 patients who were between 50 and 69 years of age (Group Ⅲ) received surgical treatment for colorectal cancer in our department, A retrospective comparative study of the three groups was made to assess the relevant pathological and surgical factors, preoperative co-existent disease and postoperative complications, postoperative mortality and survival rates, Statistically significant differences were observed in lymph node dissection, the frequency of preoperative co-existent disease, and the frequency of total postoperative complications between Group Ⅰ and Group Ⅲ. The total perioperative mortality rates and 3 years survival rates of the three groups were not significantly different, These results led us to the conclusion that a better prognosis for elderly patients can be achieved if surgery is performed.Therefore, better management and a better rationale governing operative procedures are needed for the treatment of colorectal cance