background rhinoplasty is one of the most common surgeries of the plastic surgery and as well as ear, throat and nose. intra-operative bleeding during surgery is one of the most important factors that may impair the surgeon’s job. providing a clean blood-free surgical filed makes the operation faster, easier and with a better quality. one way to achieve this goal is to induce hypotension. this ...

Among the various diagnostic modalities for small bowel hemangioma, video capsule endoscopy (VCE) and double-balloon enteroscopy (DBE) can be recommended as part of the work-up in patients with obscure gastrointestinal bleeding (OGIB). DBE is superior to VCE in the accuracy of diagnosis and therapeutic potential, while in most cases total enteroscopy cannot be achieved through only the antegrad...

Patients with altered anatomy such as a Roux-en-Y anastomosis often present with various pancreaticobiliary problems requiring therapeutic intervention. However, a conventional endoscopic approach to the papilla is very difficult owing to the long afferent limb and acute angle of a Roux-en-Y anastomosis. Balloon-assisted enteroscopy can be used for endoscopic retrograde cholangiopancreatography...

The acute angulation of Roux-en-Y (R-Y) limb precludes endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) even using a balloon enteroscopy. Here, we describe a case of successful single balloon enteroscopy (SBE)-assisted ERCP using a rendezvous technique in a patient with sharply angulated R-Y limb in a 79-year-old woman who had bile duct stones. Method. At first, a gui...

how to cite this article: khoddami m, akbarzadeh a, mordai a, bidari zerehpoush f, alipour h, samadzadeh s, alipour b.diagnostic accuracy of frozen section of central nervous system lesions: a 10-year study. iran j child neurol. 2015 winter;9(1):25-30.   abstract objective definitive diagnosis of the central nervous system (cns) lesions is unknown prior to histopathological examination. to dete...

Pancreatic and gastric heterotopias are rare clinical entities which have been identified throughout the entire length of the gastrointestinal tract. Combined gastric and pancreatic heterotopias, although unusual, have been described in the duodenum and jejunum, and in other structures, including Meckel's diverticulum and the ampulla of Vater. We report a novel case of pancreatic and gastric he...

OBJECTIVES Lipomas are the second most common benign tumors of the small bowel, and most lipomas are asymptomatic. However, lipomas with diameters of >20 mm tend to be symptomatic, for example, to cause bleeding, obstructive jaundice, abdominal pain, intestinal obstruction, intussusception, and/or perforation. METHODS/RESULTS We report a case of massive gastrointestinal bleeding from a jejuna...