In recent years, self-expandable metallic stents (SEMSs) have emerged as a promising treatment alternative for the bridging and sealing of esophageal perforations and extensive anastomotic leaks after esophageal resection or total gastrectomy. A 56-year-old woman underwent a total gastrectomy with Roux-en-Y end-to-side esophagojejunostomy for a gastric signet ring cell carcinoma. Ten days later...

Meconium ileus (MI) presents at birth as small bowel obstruction. Distal Intestinal Obstruction Syndrome (DIOS) is a faecal obstruction of the ileocaecum after neonatal period. We undertook retrospective review all patients our CF Centre to characterise spectrum intestinal syndromes. 404 patients, 36(9%) had presented with MI. All pancreatic insufficiency; 21(58%) were male; 26(72%) required su...

A 62-year-old male was admitted due to acute severe upper abdominal pain. His medical history included conservatively treated paraesophageal hernia. Abdominal examination revealed upper abdomen tenderness. Difficulty in passing a nasogastric tube was observed. Chest X-ray showed a diaphragmatic hernia and Gastrografin swallow demonstrated an “upside-down stomach” as a result of organoaxial gast...

An 81-year-old man was admitted to our hospital with clinical deterioration 6 days after diagnostic gastroscopy. Computed tomography (CT) scan showed distal esophageal perforation, bilateral empyema, and a contrast leak into the right pleural cavity (▶Fig. 1). Bilateral video-assisted thoracoscopy was performed, evacuating the empyema, debriding the pleural spaces, and incising the mediastinal ...

BACKGROUND Superior mesenteric artery syndrome (SMAS) is a rare condition causing acute or chronic compression of the third part of the duodenum, due to a reduction in the aortomesenteric angle. Traditionally, an open duodenojejunostomy is recommended when conservative management fails. Laparoscopic duodenojejunostomy is a minimally invasive option that has been reported in up to 10 cases. We d...

A 50-year-old woman presented with severe chronic postprandial back pain. Upper endoscopy demonstrated that the diverticulum was located at the inferior duodenal angle without signs of ulceration or inflammation (Picture 1). Computed tomography showed no definite abnormalities, except for those observed in the diverticulum (Picture 2). Based on the symptoms, distention of the diverticulum was p...