OBJECTIVE To analyze the late results of advanced Chagasic megaesophagus treatment by esophagectomy associated with the use of proton pump inhibitor (omeprazole) as for the incidence of esophagitis and Barrett's esophagus in the remaining stump. METHODS We studied patients with advanced megaesophagus undergoing esophagectomy and transmediastinal esophagogastroplasty. Patients were divided int...

BACKGROUND Esophageal replacement (ER) surgery has been widely used in long-gap esophageal atresia (LGEA) over the past few decades. The most commonly used surgical approaches in many pediatric surgical centers include colon interposition (CI), gastric pull-up (GPU), jejunal interposition (JI), and gastric tube reconstruction (GTR). However, there is no systematic evidence on which is the optim...

this .study is a retrospective study of 10 patients with early gastric cancer, (6 from imam khomeini hospital between 1985 to 1994 and 4 from private office) . from the standpoint of clinical and pathological views, treatment modalities and prognosis. in imam khomcni hospital early gastric cancer comprises near l'7t, (6/560) of all gastric cancers, which may he due to late reference, lack of sc...

Although the gastric mucosa of healthy adult animals possesses the inherent capacity to promptly repair (often within 24 h) after a minor to moderate injury, aging appears to diminish its reparative capacity. At least two different repair mechanisms are thought to participate in full repair of the damaged gastric mucosa: the initial rapid process of mucosal restitution begins by migration of vi...

BACKGROUND Percutaneous endoscopic gastrostomy (PEG) is a safe procedure and major morbidity is unusual. However, the number of PEG fed patients is increasing all over the world and complications may become more and more frequent. CASE REPORT We describe a 73 years old woman with persistent vomit after replacement of the standard PEG tube with a Foley catheter. An upper GI endoscopy showed th...

Assist.Prof. Ali Ibrahim Ali Email: [email protected] alazziibrahim @gmail.com Chronic atrophic gastritis (CAG) characterized by chronic inflammation of gastric mucosa with loss of gastric glandular cells and replacement by intestinal-type epithelium and fibrous tissue. CAG may be associated with Helicobacter pylori infection. This study was designed to determine the role of NFkB signal...

BACKGROUND Proton pump inhibitors (PPIs) are a mainstay therapy for all gastric acid-related diseases. Clinical concerns arise from a small but growing number of case reports presenting PPI-induced hypomagnesaemia (PPIH) as a consequence of long-term PPI use. Current opinion is that reduced intestinal magnesium absorption might be involved, but nothing is known on the molecular mechanism underl...

Ochronosis or black joints disorder is a rare autosomal recessive disorder caused by deficiency of homogentisic acidoxidase. Orthopaedic manifestations are common and mostly involve spine and large joints such as knee and hip.Arthropathy is progressive and will eventually leads to arthroplasty. Not being familiar with this disorder might lead todevastating complications. We present a 57 year-ol...

BACKGROUND Bariatric surgery is being performed commonly in various practice settings. To evaluate safety and efficacy, we reviewed the results of our first 516 laparoscopic bariatric operations performed in a community hospital setting. METHODS We reviewed retrospectively the results of our first 516 consecutive laparoscopic bariatric procedures. RESULTS Between December 2001 and December ...

Abstract
 Aluminum phosphite is a chemical used as an insecticide and pesticide to improve the storage conditions of agricultural products. Combined with humidity in air or after being taken orally tablet, it reacts acidic environment stomach turns into phosphine gas can cause poisoning. Suicidal use also common. When poisoning develops, deep metabolic acidosis, hypotensive shock, acute re...