Editor-in-Chief, Deputy Editor 2017-2019

 

Editor-in-Chief:

Tom MOREELS

 

Deputy Editor:

Nicolas LANTHIER

 

Letters



Aorto-gastric fistula caused by an esophageal stent used in the treament of bariatric surgery's complications


Price: €10,00

We recently observed an unusual complication related to the use of an esophageal stent. MM, man of 52 years, with history of diabetes type 2, dyslipidemia, arterial hypertension and ischemic heart disease, underwent in 1999 of an adjustable ring gastroplasty to correct morbid obesity. He also underwent a cholecystectomy and an appendectomy complicated by peritonitis. On May 2013, a gastric bypass was performed to treat recurrence of obesity. This procedure was complicated in June by epigastric pain and vomiting. Gastro-jejunal anastomosis stenosis and gastro-gastric fistula were quickly diagnosed. An endoscopic balloon dilation was performed. In July, regarding recurrence of stenosis and fistula persistence, we decided to implant a Niti-S Beta Taewong type esophageal stent (1). [Product Details...]



Irvingia gabonensis (African Mango) : Innocent Magic Formula ?


Price: €10,00

The trend over the past 20 years has shown an increase in the prevalence of obesity of six to seven percent every 10 years (1). Conventional dietary and behavioral treatment have failed in long-term management of obesity and dietary supplements to treat obesity appeal to many patients as a magic formula who desire weight loss. One of the most commonly used dietary supplement is Irvingia gabonensis (African mango) (IG), a mango-like fruit that comes from the forest tree found in West Africa( 2,3). It has been widely used by the general populationto manage obesity. IG works by inhibiting adipogenesis by increasing adiponectin levels, decreasing leptin levelsand down-regulating peroxisome proliferator- activatedreceptor gamma (PPAR-gamma) which is responsiblefor the differentiation of adipocytes. In addition, IG has also been used to treat hypercholesterolemia (3). Although many people have taken IG capsules, the issue of potential toxicity at the usual doses has not been reported. [Product Details...]



Non-surgical treatment of a giant ileal lipoma by endoloop ligation (loop-and-let-go)


Price: €10,00

Endoloop (detachable snare loop) was first developed by Pontecorvo and Pesce in 1986 (1). It is mainly used in the endoscopic mechanical hemostasis of postpolypectomy bleeding. Herein we present a novel application of endoloop ligation and review some important hints about its use. A 56-year-old man underwent colonoscopy at another hospital because of hematochezia necessitating two units of blood transfusion which showed a giant ileal pedunculated polyp. Biopsies revealed non-specific findings. He was referred to our hospital for surgical treatment. Colonoscopy demonstrated that the polyp was originating approximately from the last 10th cm of the terminal ileum, had a thick stalk, extending through the ileocecal valve into the proximal ascending colon and filling approximately half of its volume. It had a smooth and patchy hyperemic-hemorrhagic surface. After giving information about the advantage and disadvantages of the procedure and obtaining consent of the patient, the polyp was tightly ligated at the base of its stalk by using an endoloop (MAJ-254, Olympus) through a standart, single accessory channel colonoscope. Polyp mucosa was congested soon after after ligation. The procedure was performed in an outpatient setting and no immediate complications were observed. The patient was discharged one hour after the procedure and informed to follow his stool and bring the polyp in a biopsy specimen bottle. [Product Details...]



Retrieval of impacted esophageal stent in the ileum with double balloon enteroscopy : a novel technique


Price: €10,00

A 36-year-old man presented with a two day history of epigastric abdominal pain and vomiting. His medical history was significant for a sleeve gastrectomy in 2010 complicated by post-operative gastroesophageal junction leak with four prior attempts at endoscopic stent therapy with OverStitch™ fixation. A plain film of the chest identified three proximally placed self-expandable stents at 25 cm from entry. Additionally, one Niti-S stent ( Taewong Medical, Seoul, Korea) was noted to have migrated distally to the ileum. Esophagogastroduodenoscopy (EGD) was carried out and the three proximal stents were removed under fluoroscopic guidance. [Product Details...]


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