BACKGROUND AND OBJECTIVES Idiopathic hypertrophic pyloric stenosis, in adults, is a rare disease. Partial gastrectomy, gastroenterostomy, pyloromyotomy, pyloroplasty and endoscopic dilatation have all been recommended with variable results. A 54-year-old white female is presented with the onset of symptoms of idiopathic hypertrophic pyloric stenosis one year prior to operation. Two endoscopic p...

Unicentric Castleman disease is a rare condition of lymphoid hyperplasia, of which only 15% of cases occur in the abdomen. We report a 66-year-old man who presented with complaints of abdominal pain. Computed tomography scans revealed nephrolithiasis and a homogeneous calcified mass between the pancreas and stomach and several para-pancreatic nodes. Direct visualization during exploratory lapar...

A 45-year-old woman had refractory Epstein–Barr virus-associated gastroparesis. Despite lifestyle modification and medication therapy, the patient had recurrent hospitalizations for gastroparesis. Management also included four previous sessions of endoscopic botulinum toxin injection. Despite transient symptomatic improvement, the patient’s symptoms had recurred. She was not a candidate for sur...

A PREVIOUS PAPER 1 reviewed the anaesthetic management of 441 patients operated on for pyloric stenosis at the Hospital For Sick Children, Toronto, from 1957 to 1960 inclusive. This paper covers an additional 537 patients treated surgically from 1961 to 1965, and compares the two groups. The entire series comprises 978 cases. The incidence of pyloric stenosis in the western world varies from 2 ...

Kimberly J. Kolkhorst, DO Jeffrey Gill, MD, University of South Florida, Department of Gastroenterology, Tampa, Florida We report the case of a 62-year-old female with a history migraines and non-steroidal anti-inflammatory drug (NSAID) use who presented to the emergency department with epigastric abdominal pain associated with intermittent nausea and vomiting for two months. Initial esophagoga...