BACKGROUND Superior mesenteric artery (SMA) syndrome occurs when the third portion of duodenum becomes tightly compressed between the SMA and the abdominal aorta (AA). Several causes of the SMA syndrome have been postulated such as marked weight loss, external compression of the abdomen, anatomic variation, and surgical alterations of anatomy. This is an autopsy case of a subject with atypical ...

S39 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 VID-THER-01 Endoscopic ultrasound-guided hepaticogastrostomy: Problems and solutions; some unsuccessful and then the right one! Nilay Mehta, Ajay Chocksey Vedanta Hospital, Ahmedabad, Gujarat, India A 36-year-old male presented with obstructive jaundice and acute pancreatitis. Both imaging and an upper gastrointestinal endoscopy ...

S39 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 VID-THER-01 Endoscopic ultrasound-guided hepaticogastrostomy: Problems and solutions; some unsuccessful and then the right one! Nilay Mehta, Ajay Chocksey Vedanta Hospital, Ahmedabad, Gujarat, India A 36-year-old male presented with obstructive jaundice and acute pancreatitis. Both imaging and an upper gastrointestinal endoscopy ...

BACKGROUND AND STUDY AIMS Congenital duodenal web (CDW) is an uncommon cause of duodenal obstruction and endoscopic balloon dilatation has been reported in just eight pediatric cases to date. Here we are reporting three cases of CDW managed successfully with balloon dilatation. CASES AND METHODS In 2014 we diagnosed three cases of CDW on the basis of typical radiological and endoscopic findin...

S39 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 VID-THER-01 Endoscopic ultrasound-guided hepaticogastrostomy: Problems and solutions; some unsuccessful and then the right one! Nilay Mehta, Ajay Chocksey Vedanta Hospital, Ahmedabad, Gujarat, India A 36-year-old male presented with obstructive jaundice and acute pancreatitis. Both imaging and an upper gastrointestinal endoscopy ...

In this retrospective study carried out covering the period, 1978-1991, 62 neonates were seen, diagnosed and treated for intestinal atresia which included: duodenal atresia and stenosis, small bowel atresia and atresia of large bowel. Locations of obstruction were duodenal in 17 patients, jejunal in 25 patients, jejuno-ileal in 5 and colon in two. Duodenal atresia was noted in 9 infants and duo...

A 56-year-old male with metastatic unresectable cholangiocarcinoma presented to our clinic with worsening nausea and vomiting. Prior to presentation, the patient underwent placement of a palliative metal biliary stent and an uncovered self-expandable metal stents (UCSEMS) through the pylorus and duodenum for gastric outlet obstruction (GOO) from tumor burden. However, the patient subsequently d...

Hepatobiliary manifestations of strongyloidiasis are rare. A case is described of biliary obstruction associated with the presence of Strongyloides stercoralis in the duodenal mucosa and 250 microns rhabditiform larvae in bile. Biliary obstruction resulted from papillary stenosis, which resolved after treatment with thiabendazole. It is proposed that papillary stenosis may be responsible for ob...

EDITORIAL SYNOPSIS The causes of obstruction in 100 cases diagnosed clinically as 'pyloric stenosis' showed that the majority of cases were duodenal ulcer stenosis, with prepyloric carcinoma as second in frequency. In the earlier stages the obstruction is overcome by hyperactivity of the gastric muscle but later on muscular failure occurs with gastric atony and retention of food. This is revers...

Inverted intraduodenal diverticulum is a rare congenital abnormality usually arising near the ampulla of Vater. We describe a case of an inverted duodenal diverticulum in a patient that presented with an upper recurrent intestinal obstruction that required surgery. Recognition of the entity and its anatomic relationships to the ampulla of Vater is essential to the prevention of iatrogenic compl...