Juniper Publishers-Open Access Journal of Surgery

  Journal of Surgery -  JuniperPublishers  One in a thousand people have an acute gastrointestinal (GI) hemorrhage per year [1]. There are around 300,000 hospitalizations for GI bleeds, costing an estimated $2 billion per year [2-4]. Compared to lower gastrointestinal bleeding (LGIB), upper gastrointestinal bleeding (UGIB) is associated with a much higher mortality rate, with some studies suggesting a 30-day mortality rate of up to 14% [2,3]. A majority of these UGIB (67 - 80%) are attributed to gastric erosions/ulcers 6,17,18. However, of this morbid group of bleeds, a rare (1% or less), yet more serious cause is a Dieulafoy’s lesion (DFL). DFL, is an obscure type of bleeding that can cause life threatening hemorrhages with a mortality rate ranging from 28-67% [5,6]. DFL was first described by MT Gallard [7] in 1884 as a type of aneurysm and later clarified by P. G. Dieulafoy in 1898 who believed this was an early stage of ulceration [7-9]. DFL’s are a col...

  Journal of Surgery -  JuniperPublishers Mini Review From environment to patient Pseudomonas genus is known and studied from many years and it’s currently widely to the attention in microbiological and in medical clinical area for severe infections occur in patients who are already illness or who have a weak immune system, such as long term hospitalized subject. This bacteria group, normally is isolated in the environment, such as in soil, water, plants and in nosocomial area as well as in veterinary field such as intensive no controlled farming [1]. Pseudomonas spp. represents a Gram negative opportunistic pathogens bacteria group with a great, outstanding adaptability in the different environmental conditions. In fact, recentstudies by using the comparative genomics on different strains of P. aeruginosa isolated in human and veterinary field have identified some key genes involved in the shift environment-status vs. pathogen-status of these bacteria. In particular, these st...

  Journal of Surgery -  JuniperPublishers Abstract Coarctation of the aorta (CoAo) is a narrowing of the aorta in proximity to the ductus arteriosis that occurs in 1 of 2500 live births. It is a life-threatening condition that can present suddenly in neonates and infants. Despite great efforts, it remains one of the most difficult cardiac anomalies to diagnose prenatally. When severe, immediate surgical intervention is necessary at birth. Sometimes the condition is latent and patients are asymptomatic until childhood or adulthood. In this paper we explore the various interventions for infants and adults and discuss the stages at which surgical or endovascular techniques are recommended. Also included is a case report of a rare adult presentation of CoAo with concomitant cardiovascular disease. We discuss the possibility of treatment with 1-stage repair as well as introduce 2-stage repair as a new method for treating such patients. Go to Introduction Coarctation of the aorta (C...

  Journal of Surgery -  JuniperPublishers Abstract Background:  Severe acute pancreatitis is an acute abdominal disease that possesses a powerful systemic inflammatory response, and can progress quickly, going from the stage of local pancreatic damages to the dysfunction of several organs, with the development of multiple local and systemic complications. Aim:  In this article, a case of splenic perforation by abdominal drain will be described, as a late complication of pancreatic necrosectomy, in a patient with severe acute pancreatitis. Methods:  The information was obtained through data from medical records and photographic registers of the diagnosed methods to which the patient has been submitted, andrevision of medical literature. Results:  F.L.S, female, 54 years old, hospitalized at Health House São Lucas Hospital presenting intense abdominal pain and elevation of pancreatic enzymes. During the hospitalization, the patient developed a sepsis and a ne...