esophagectomy are associated with high morbidity and mortality [1,2]. We pres− ent here a patient who had a subtotal esophagectomy with gastric interposition because of esophageal adenocarcinoma. Anastomotic leakage occurred and was treated by endoscopic applications of fi− brin glue. One month after discharge she presented with a large (2.5 cm ” 5 cm) ia− trogenic esophagotracheal fistula. Be−...

BACKGROUND The Guardian Laryngeal Mask Airway (G-LMA) is a new silicone-based single-use extraglottic device with the drainage port and a cuff pilot valve with pressure indicator. The aim of this study is to compare the clinical performance of this laryngeal mask airway with ProSeal laryngeal mask airway (P-LMA). METHODS In this prospective randomized study, we included adult patients with AS...

BACKGROUND Nutrition support is an important therapeutic measure in critically ill patients. Several studies have shown that the enteral route is preferable to the parenteral route. Insertion of a feeding tube beyond the ligament of Treitz combined with continuous gastric drainage will reduce regurgitation and probably also the rate of nosocomial pneumonia. This study was conducted to assess th...

Acute gastric remnant dilation is a rare postoperative complication of laparoscopic Roux-en-Y gastric bypass (LRYGB) occurring in 0–0.8% of cases [1–7]. It is usually associated with jejunojejunostomy obstruction or gastric remnant ulcer formation. The typical presenting symptoms include left upper quadrant abdominal pain, hiccups, and persistent tachycardia. It is managed by gastrostomy tube d...

INTRODUCTION Initially conceived as the first of two stages in operations such as gastric bypass or duodenal switch in high-risk patients, laparoscopic vertical sleeve gastrectomy has increasingly become the definitive procedure for treating obesity and its comorbidities. Although it is associated with excellent results and postoperative quality of life, a number of complications related to imp...

BACKGROUND In emergency medicine, the gastric tube (GT) has many purposes, however in prehospital settings, the only indication is gastric decompression. To date, there is lack of recommendation on the diagnostic methods to verify correct GT placement in prehospital. The aim of this study is to estimate diagnostic accuracy of ultrasound in confirming gastric tubes placement in a prehospital set...

Tube Feeding and Lethal Aspiration in Neurological Patients: A Review of 720 Autopsy Cases • A study of 720 autopsy cases from the Instituto Nacional de Neurologia, SSA (INN) and the Centro Hospitalario 20 de Noviembre ISSTE (CH 20 N) was made in order to investigate the frequency of aspiration in postmortem material of neurological cases. Aspiration occurred in 12.5% and 6.5%, respectively, of...

Gastric volvulus (GV) is a rare disease. The exact incidence of GV unknown and patients with chronic presentation may never be diagnosed. peak age group in the fifth decade. can classified as organo-axial mesentero-axial. Clinical gastric depends on rapidity onset degree rotation. This an interesting case report patient presenting abdominal pain since 48 hours, associated dyspnoea, nausea vomit...