Journal articles: 'Fibroscopy'

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Krylovetskaya, M. A., I. G. Komarov, A. Yu Kontsevaya, and O. A. Malikhova. "Role of upper respiratory tract fibroscopy in patients with cervical lymph node metastases from squamous-cell carcinoma without the primary tumor found." Head and Neck Tumors (HNT) 10, no. 4 (January 16, 2021): 10–15. http://dx.doi.org/10.17650/2222-1468-2020-10-4-10-15.

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Background. The detection of primary tumor in patients with cervical lymph node metastases without the primary tumor found is very important, because its location often determines the treatment strategy. The study objective is to analyze the capabilities of upper respiratory tract fibroscopy for the detection of primary tumor in patients with cervical lymph node metastases from squamous-cell carcinoma without the primary tumor found.Materials in methods. A total of 70 patients with cervical lymph node metastases without the primary tumor found, in whom cytological examination of biopsy specimens collected from cervical lymph nodes revealed squamous-cell carcinoma, underwent upper respiratory tract fibroscopy in N.N. Blokhin National Medical Research Center of Oncology between January 2017 and May 2020.Results. In 24 out of 70 patients, fibroscopy helped to identify the primary tumor and collect biomaterial for morphological examination. Twelve patients were found to have oropharyngeal cancer; ten patients were diagnosed with nasopharyngeal cancer; and 2 patients had laryngopharyngeal cancer. Fifteen out of 24 patients had tumors less than 1.2 cm.Conclusion. Upper respiratory tract fibroscopy is a highly effective method for detecting small asymptomatic tumors. It can be recommended for the examination of patients with metastases from squamous-cell carcinoma without the primary tumor found, if the primary tumor is believed to be located in the upper respiratory tract

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González-Giraldo, Daniela, Carlos Eriel Largo-Pineda, and Mario Andrés Zamudio-Burbano. "Successful rescue with videolaryngoscopy after failed fibroscopy in anticipated difficult airway: case series." Colombian Journal of Anesthesiology 48, no. 2 (April 1, 2020): 96–99. http://dx.doi.org/10.1097/cj9.0000000000000139.

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Introduction: In the management of the anticipated difficult airway (DA), awake intubation is the strategy of choice. In this context, flexible fibroscopy is the tool most widely used as the first choice. However, there is always the rare case where it may fail. Important findings: Six successful rescue cases using videolaryngoscopy following failed fibroscopy in patients with anticipated DA, and 1 case of rescued extubation of an airway previously secured with fiberoptic bronchoscopy. Conclusion: Videolaringoscopy may be an adequate tool to use as a backup plan for the management of an anticipated DA.

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Della Volpe, Antonio, Pietro De Luca, Antonietta De Lucia, Francesco Martines, Piera Piroli, Luca D’Ascanio, Angelo Camaioni, Ignazio La Mantia, and Arianna Di Stadio. "Single-Center-Single-Blinded Clinical Trial to Evaluate the Efficacy of a Nutraceutical Containing Boswellia Serrata, Bromelain, Zinc, Magnesium, Honey, Tyndallized Lactobacillus Acidophilus and Casei to Fight Upper Respiratory Tract Infection and Otitis Media." Healthcare 10, no. 8 (August 13, 2022): 1526. http://dx.doi.org/10.3390/healthcare10081526.

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Some nutraceuticals have been studied as supportive treatment for fighting upper respiratory tract infection and middle ear disease. Our study aims at evaluating the effect of a specific oral supplementation in the treatment of pediatric otits media. The subjects were randomly assigned by the physician (single-blinded study) to one of three groups: Control Group (CG), Treatment Group 1 (TG1), or Treatment Group 2 (TG2). Both TG were treated with Flogostop Duo (for 20 days—TG1 or 30 days—TG2) in combination with the standard treatment, while CG underwent standard treatment only. The standard treatment was nasal aerosol with Fluticasone and Mucolytic, and nasal washing with hypertonic solution. All patients were analyzed by otoscopy, impedance, fibroscopy, and pure auditory test at the baseline (T0), after 20 days (T1) and 35 days (T2). 120 children were included in the study, 40 in the CG, 40 in the TG1, and 40 in the TG2. Both TG1 and TG2 presented statistically significant differences with respect to controls in otoscopy, impedance, fibroscopy, and PTA at T2. The otoscopy improved at T2 with statistically significant value only in TG2. The impedance and fibroscopy improved at T1 both in TG1 and TG2 compared to CG. A statistically significant improvement was observed in TG2 at T2 in comparison to both CG and TG1. Statistically significant differences were observed in PTA at T2 only compared with controls. This study confirmed the efficacy of nutraceutical as supporting therapy in the upper respiratory tract infection in children. In particular, the supplement containing Boswellia serrata and Bromelain, which are molecules with strong anti-inflammatory and pain-control capacities, could add the benefit without the adverse effects which are related to NSAID use.

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Porez, Florence, Marie Jullien de Pommerol, Peggy Krief, Françoise Conso, Dominique Stoll, and Ludovic de Gabory. "Assessment of Nasal Fibroscopy to Explore Olfactory Cleft." Otolaryngology–Head and Neck Surgery 145, no. 4 (May 27, 2011): 677–82. http://dx.doi.org/10.1177/0194599811410273.

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HORIKAWA, FERNANDO KENDI, JULIANA SEO, DARCIO KITAKAWA, CARLOS HENRIQUE HUEB, MARCELO MARTINSON RUIZ, DECIO DOS SANTOS PINTO, and ELIO HITOSHI SHINOHARA. "Calcifying Cystic Odontogenic Tumor: Biopsy Assisted by Fibroscopy." Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 117, no. 2 (February 2014): e144. http://dx.doi.org/10.1016/j.oooo.2013.11.062.

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Belabbes, F., S. Ibork, and F. Rouibaa. "Artificial Intelligence and Digestive Endoscopy: A Revolution for Gastroenterology." SAS Journal of Medicine 8, no. 11 (November 27, 2022): 836–38. http://dx.doi.org/10.36347/sasjm.2022.v08i11.012.

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Digestive endoscopy is experiencing a whole new era with the introduction of artificial intelligence. It is a very wide field of application, from upper to lower digestive endoscopy. Several systems have already emerged, whether for oesophago-gastro-duodenal fibroscopy, video-capsule endoscopic small bowel, and colonoscopy or hepatobiliary exploration. Morocco is considered a hub for Africa in the field of artificial intelligence; however the place of the latter in digestive endoscopy is still unclear.

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Deparis, O., P. Megret, M. Decreton, and M. Blondel. "Gamma radiation tests of potential optical fiber candidates for fibroscopy." IEEE Transactions on Nuclear Science 43, no. 6 (1996): 3027–31. http://dx.doi.org/10.1109/23.556901.

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Zaki, Fadoua Idrissi, Ahmed Mougui, and Imane El Bouchti. "Pneumomediastinum, a Rare Complication of Upper Gastrointestinal Fibroscopy: A Case Report." Scholars Journal of Medical Case Reports 10, no. 8 (August 3, 2022): 759–61. http://dx.doi.org/10.36347/sjmcr.2022.v10i08.001.

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Pneumomediastinum is defined by the presence of air in the mediastinum. It can be spontaneous or secondary to a trauma, its evolution is often favorable and its management is based on symptomatic treatment. Its diagnosis is based on the cervico-thoraco-abdominal scanner. This article presents a rare case of spontaneous pneumomediastinum discovered incidentally after upper gastrointestinal endoscopy.

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Valbuza, Juliana Spelta, Márcio Moysés de Oliveira, Edilson Zancanella, Cristiane Fiquene Conti, Lucila Bizari F. Prado, Luciane B. C. Carvalho, and Gilmar Fernandes do Prado. "Swallowing dysfunction related to obstructive sleep apnea: a nasal fibroscopy pilot study." Sleep and Breathing 15, no. 2 (January 13, 2011): 209–13. http://dx.doi.org/10.1007/s11325-010-0474-9.

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Richez, B., M. Bordes, F. Semjen, and A. M. Cros. "Pressure support ventilation versus spontaneously breathing pediatric patients during anesthesia for fibroscopy." European Journal of Anaesthesiology 23, Supplement 37 (June 2006): 177. http://dx.doi.org/10.1097/00003643-200606001-00635.

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Adua, Daniela, Bruno Gori, Luciano Stumbo, Ester Del Signore, and Flavia Longo. "Octreotide therapy in a patient with lung microcytoma." Clinical Management Issues 4, no. 1S (October 13, 2015): 3–7. http://dx.doi.org/10.7175/cmi.v4i1s.1064.

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We report the case of a 51-year-old woman with limited Small Cell Lung Cancer (SCLC). Cytological diagnosis has been made by fibroscopy. Chemotherapy schedule was cisplatin 30 mg/mq and VP-16 100 mg/mq days 1,2,3 q21 as first line treatment. The serum levels of cromogranine A and NSE (Neuron-Specific Enolase) were higher than normal; for this reason we prescribed, together with chemotherapy, octreotide LAR 30 mg every 28 days. Associated toxicity was easily manageable. Subsequent thoracic and panencefalic prophylactic radiotherapy improved tumour response and quality of life. We continued octreotide LAR 30 mg every 28 days even after the end of chemotherapy, as a maintenance therapy, checking periodically serum levels of NSE and cromogranine A. No side effects were observed.

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B, El marzouqi, Karmoun S, Amhoud K, Bouzoubaa T, Pr Abdelah E, Pr Boulanouar A, and Pr Berraho A. "Retinopathy of Valsalva Post Oesophageal-Gastroduodenal Fibroscopy: Case Report and Review of the Literature." Scholars Journal of Medical Case Reports 08, no. 02 (February 20, 2020): 254–57. http://dx.doi.org/10.36347/sjmcr.2020.v08i02.043.

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Lomas, Carmen, Oriol Roca, Antonio Álvarez, and Joan R. Masclans. "Fibroscopy in patients with hypoxemic respiratory insufficiency: Utility of the high-flow nasal cannula." Respiratory Medicine CME 2, no. 3 (2009): 121–24. http://dx.doi.org/10.1016/j.rmedc.2008.12.008.

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Largo Pineda, Carlos Eriel, Daniela González Giraldo, and Mario Andrés Zamudio Burbano. "Successful rescue with videolaryngoscopy after failed fibroscopy in difficult anticipated airway - case series report." Trends in Anaesthesia and Critical Care 30 (February 2020): e31. http://dx.doi.org/10.1016/j.tacc.2019.12.079.

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El Ammari, Jalal Eddine, Youness Ahallal, Oussama El Yazami Adli, Mohammed Jamal El Fassi, and My Hassan Farih. "Urachal Sinus Presenting with Abscess Formation." ISRN Urology 2011 (April 14, 2011): 1–3. http://dx.doi.org/10.5402/2011/820924.

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Urachal affections are rare. Their variable ways of presentation may represent a diagnostic challenge. Urachal sinuses are a rare type of these abnormalities. They are usually incidental findings and remain asymptomatic unless a complication (most commonly the infection) occurs. Infection of the urachal sinus would clinically present as purulent umbilical discharge, abdominal pain, and periumbilical mass. We report herein a case of infected urachal sinus in male adult. The diagnosis was suspected clinically and confirmed with ultrasonography and computed tomography scan. A preoperative cysto-fibroscopy showed normal aspect of the bladder and excluded sinus communication. An initial broad spectrum antibiotic therapy followed by complete excision of the sinus and fibrous tract without cuff of bladder has been therefore performed. The postoperative course was uneventful. No recurrence was observed after 18 months of followup. Histological examination did not reveal any sign of malignancy.

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Habibou rabiou, Idi Djibadje Haboubacar, El Fakhr kaoutar, Liberat Musoni, Hanane Ezzouine, and Boubaker Charra. "Myasthenia gravis in an old woman discovered during sedation for diagnostic digestive fibroscopy: Case report." Annals of Medicine and Surgery 69 (September 2021): 102809. http://dx.doi.org/10.1016/j.amsu.2021.102809.

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Moriwaki, Y., S. Arata, M. Iwashita, H. Toyoda, T. Kosuge, and N. Suzuki. "A case of cervical esophageal perforation after transnasal gastrointestinal fibroscopy using a small-caliber fiber." Endoscopy 43, S 02 (May 11, 2011): E147—E148. http://dx.doi.org/10.1055/s-0030-1256211.

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Danan, C., J. C. Janaud, E. Agudze, and G. Dassieu. "MICROFIBROSCOPY REDUCES THE INDICATIONS OF INTERVENTIONAL FIBROSCOPY OF THE LOW BIRTH WEIGHT PREMATURE NEWBORN. 1208." Pediatric Research 39 (April 1996): 204. http://dx.doi.org/10.1203/00006450-199604001-01230.

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Villalobos, Lizzet, Luis Aceves, and Gabriela Villalobos. "The orotracheal intubation in the obese patient with virtual rigid fibroscopy under deep neuromuscular blockade." Surgery for Obesity and Related Diseases 11, no. 6 (November 2015): S144. http://dx.doi.org/10.1016/j.soard.2015.08.221.

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Chakir, A., R. N. Tonguino, Y. Touibi, I. Elkouti, H. Yousfi, M. Sinaa, and T. Lamsiah. "EOSINOPHILIC ESOPHAGITIS IN ADULTS: A CASE SERIES AND LITERATURE REVIW." International Journal of Advanced Research 10, no. 12 (December 31, 2022): 515–20. http://dx.doi.org/10.21474/ijar01/15868.

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Eosinophilic esophagitis (EO) is an inflammation of the esophagus due to abnormal immune response to exogenous allergens.Currently there is an increase in diagnostic cases thanks to a better current recognition of symptoms. The esophago-gastro-duodenal fibroscopy must be carried out to make the diagnosis, confirmed by esophageal biopsies (more than 15 eosinophils per high magnification field). Our series includes 5 patients whose histological diagnosis is confirmed,3 men and 2 women with an average age of 47,4 .The clinical presentation is very variedwhich3 patients suffer from dysphagia, 2 patients with gastroesophageal reflux syndrome and 1 patient has dyspepsia, and chest pain. The endoscopic aspect is not pathognomonic, we repport a normal appearance, pseudotracheal aspect of the esophageal mucosa,a cottony appearance of the esophagus,an impassable stenosis of the esophagus, and an ulcerated esophagitis.All our patients responded well to the therapeutic protocol received with a good evolution.

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Medina, Blas, Marta Osorio, Ingrid Rodriguez, Blas Romero, and Nicolás Ottone. "Lingual Thyroid Gland: Diagnosis and Treatment." International Journal of Medical and Surgical Sciences 3, no. 4 (October 27, 2018): 1013–23. http://dx.doi.org/10.32457/ijmss.2016.038.

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The presence of ectopic thyroid gland is a rare entity. The lingual thyroid is the most frequent ectopy, predominating in women. This glandular tissue is capable of suffering all the pathologies that can affect the normotopic gland, being able to be symptomatic or asymptomatic. We present a case of lingual thyroid in a previously thyroidectomized patient who consulted for dyspnea and dysphagia in the Head and Neck Surgery Unit of the Otolaryngology Service of the Central Hospital of the Institute of Social Prevision, Asuncion, Paraguay. The patient received hormone replacement therapy, showing normal functional examination. Semiology allowed to observe a bulging of the base of the tongue. The fibroscopy showed a tongue-based tumor about 3 cm in diameter, which could be correctly evaluated with computed tomography. Suspicion of a lingual thyroid was performed with a scintigram demonstrating uptake in the oral cavity floor. Tumor excision was performed through a suprahyoid pharyngotomy, following a prophylactic tracheostomy. The Pathologic Anatomy report confirmed the diagnosis of ectopic colloid goitre.

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Suzuki, J., S. Hashimoto, K. Watanabe, and K. Takahashi. "Congenital vallecular cyst in an infant: case report and review of 52 recent cases." Journal of Laryngology & Otology 125, no. 11 (June 14, 2011): 1199–203. http://dx.doi.org/10.1017/s0022215111001368.

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AbstractObjectives:Vallecular cyst is uncommon in infants. We treated a female infant with vallecular cyst, and curious magnetic resonance imaging findings. We also review 51 other cases of vallecular cyst in infants reported over the past 23 years.Case report:A three-month-old female infant presented with congenital inspiratory stridor and failure to thrive. Flexible laryngoscopy and ultrasonography revealed a cystic mass in the vallecula. Magnetic resonance imaging findings were initially curious because of artefacts from breathing and swallowing. Marsupialisation of the cyst was performed. Post-operatively, the patient was immediately free of symptoms.Conclusion:Magnetic resonance imaging presents various difficulties in infants, but has the best diagnostic effectiveness. We recommend the use of magnetic resonance imaging, flexible fibroscopy and ultrasonography to enable extensive examination of suspected vallecular cysts in infants. Marsupialisation has a recurrence rate of only one in 39 cases, and its safety and effectiveness are well balanced. Thus, prompt marsupialisation of vallecular cyst is the recommended surgical procedure.

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Y, Lemfadli. "Gastrointestinal Stromal Tumor Revealed by Hemorrhagic Shock." Gastroenterology & Hepatology International Journal 7, no. 1 (March 4, 2022): 1–3. http://dx.doi.org/10.23880/ghij-16000189.

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Gastrointestinal stromal tumors (GISTs) are rare tumors of the digestive tract. The small intestine is the second most frequent localization of GIST after the stomach. We report a case of ileal stromal tumor. The patient was admitted with a picture of hemorrhagic shock due to massive rectal bleeding. The fibroscopy performed after stabilization was not objectified at the origin of the document while the CT scan objectified a mass of tissue density at the level of the right iliac fossa. Given the increasing evolution with the recurrence of patients to a target of a laparotomy for diagnostic and therapeutic purposes objectifying the tumor of the right iliac fossa at the expense of the ileum. The surgical procedure consisted of a major segmental resection of the tumor with ileo-ileal anastomosis. The anatomopathological study confirmed the diagnosis of stromal tumor with good evolution. Through a general review of the literature, we have described the various clinical, para-clinical, anatomopathological, prognostic and current therapeutic aspects specific to these tumors.

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Nkoth, Abel Fils, Christian Ngounouh Taheu, Angele Clarisse Okono Kabeyene, Sandra Germaine Gueuma Tchoumbou, Jean Paul Chedjou, Jean Thierry Belobo Ebogo, Isabelle Timba Dang Babagna, Michèle Tagni-Sartre, Wilfred Mbacham, and Roland Ndip Ndip. "Helicobacter pylori Infection and Predictors Risk Factors among Patients undergoing Gastro-duodenal Fibroscopy in Yaoundé, Cameroon." European Journal of Medical and Health Sciences 3, no. 4 (July 8, 2021): 28–32. http://dx.doi.org/10.24018/ejmed.2021.3.4.920.

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Background: Helicobacter pylori (H. pylori) infection affects more than half people worldwide particularly in African countries such as Cameroon. This study aimed to investigate the prevalence of H. pylori infection and predictors risk factors among patients undergoing gastro-duodenal fibroscopy at the Centre Medical, la Cathédrale of Yaoundé. Methods: A facility-based descriptive cross-sectional study involving 147 patients was conducted from October 2015 to April 2016. A structured questionnaire was used to collect information on socio-demographic factors and predictors of H. pylori infection. Gastric biopsies specimens were collected from the antrum and corpus using an Olympus GIF – Q30 fully immersible gastroscope respectively. The biopsies were screened for the presence of H. pylori by targeting the glmM gene using polymerase chain reaction (PCR). Statistical analysis was performed using SPSS v. 20 with p-value<0.05 considered statistically significant. Results: The mean age was 47.19 ±16.64 years and female were more represented with 88/147 (59.8%) versus (vs.) 59/147(40.1%) for male. The overall prevalence of H. pylori infection was 50/147 (34.01%; 95% CI: 26.41% - 42.28%). The prevalence of H. pylori infection was 22/59 (37.29%) in male vs. 28/88 (31.82%) in female and this prevalence increased with age and peaked among 30-50 years. Bivariate logistic regression analysis identified that, the regional group, particularly the Centre region (OR 2.55, p= 0.007) and West region (OR 2.67, p=0.005), the level of education (OR 1.18, p=0.001), source of income (OR 0.95, p=0.004), and alcohol consumption (OR 1.41, p=0.0001) were predictors risk factors of H. pylori infection. Conclusions: Our findings indicate a relatively high prevalence of H. pylori infection in Yaoundé. Factors such as regional group, level of education, source of income, and alcohol consumption predisposed the subjects to H. pylori infection.

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Martin, Julie, Flora Vayr, Christophe Paris, Sébastien Vergez, Peggy Krief, Amandine Luc, Julie Corvisier, Ludovic de Gabory, and Fabrice Herin. "Nasal fibroscopy as a routine screening procedure of sinonasal adenocarcinoma of woodworkers: French longitudinal case study." Head & Neck 40, no. 10 (May 13, 2018): 2193–98. http://dx.doi.org/10.1002/hed.25315.

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Kim, Sun Wook, Woohyun Kim, Yong-Hyun Cho, Tae-Jung Kim, Insuk Woo, and Dong Wan Sohn. "Primary signet ring cell carcinoma of the prostate treated by radical cystoprostatectomy and chemoradiotherapy." Canadian Urological Association Journal 10, no. 5-6 (May 12, 2016): 204. http://dx.doi.org/10.5489/cuaj.3122.

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Primary signet ring cell carcinoma (SRCC) of the prostate is very rare. Although SRCC is primarily found in the stomach and colon, it can also be found in the pancreas, breast, thyroid, bladder, and prostate. We recently diagnosed and treated a case of primary SRCC of the prostate. A 56-year-old Korean man was referred to our institution for evaluation of a one-month history of hematuria and recently identified bladder mass. Transurethral resection of the bladder tumour was performed and histological and immunohistochemical evaluation revealed a diagnosis of SRCC with tumour invading into the outer half of the deep muscularis propria. After three weeks, the patient had radical cystoprostatectomy with ileal conduit. Tumour involved both prostate and bladder, but the centre of the tumour was located in the prostate. Duodenoscopy and colon fibroscopy both indicated no evidence of tumour origin in the gastrointestinal (GI) tract. Overall, this tumour was regarded as primary SRCC of the prostate. Concurrent chemoradiotherapy (CCRT) using leucovorin and fluorouracil was initiated two months later. The patient eventually developed bone and liver metastases and died of hepatopathy.

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Youssouf, Oumarou, Eudes Habib Evrard Mafata Ngonvon, JM Bambe Ouati, and Serge Magloire Camengo Police. "Les Lésions en Endoscopies Digestives Hautes à Bangui." European Scientific Journal, ESJ 18, no. 33 (October 31, 2022): 182. http://dx.doi.org/10.19044/esj.2022.v18n33p182.

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Introduction: La pathologie digestive haute est riche et variée. L’endoscopie digestive haute constitue l’examen de référence pour le diagnostic des pathologies digestives. Nous voulons déterminer l’importance des lésions rencontrées en fibroscopie digestive haute à Bangui Résultats: Au total 1233 lésions œsogastroduodénales ont été observées. Les anomalies les plus fréquentes étaient l’incontinence cardiale (467 cas soit 37,88%) et les anomalies inflammatoires (443 cas soit 35,93%). Six cas de cancer (0,61%) étaient observés au niveau gastrique. Les lésions étaient observées dans l’estomac dans 980 cas (79,48%), œsophage dans 196 cas (15,9%). Les lésions duodénales étaient observées dans 57 cas (4,62%). Les anomalies gastriques étaient dominées par les gastrites dans 417 cas (42,55%) alors que les lésions œsophagiennes et duodénales étaient dominées respectivement par les varices œsophagiennes dans 139 cas (70,92%) et les ulcères dans 55 cas (96,49%). Conclusion: La pathologie digestive haute est fréquente à Bangui. Les anomalies endoscopiques sont multiples dont les fréquentes sont les varices œsophagiennes et l’incontinence cardiale. L’extension de l’endoscopie dans les autres formations sanitaires sera bénéfique pour l’amélioration de la prise en charge des patients. Introduction: Upper digestive pathology is rich and varied. Upper digestive endoscopy is the reference examination for the diagnosis of digestive pathologies. We want to determine the importance of the lesions encountered in upper digestive fibroscopy in Bangui. Results: A total of 1233 esogastroduodenal lesions were observed. The most common abnormalities were heart incontinence (467 cases or 37.88%) and inflammatory abnormalities (443 cases or 35.93%). Six cases of cancer (0.61%) were observed at the gastric level. Lesions were observed in the stomach in 980 cases (79.48%), esophagus in 196 cases (15.9%). Duodenal lesions were observed in 57 cases (4.62%). Gastric abnormalities were dominated by gastritis in 417 cases (42.55%) while esophageal and duodenal lesions were dominated by esophageal varices in 139 cases (70.92%) and ulcers in 55 cases (96.49%) respectively. Conclusion: Upper digestive pathology is common in Bangui. Endoscopic abnormalities are multiple, the frequent of which are esophageal varices and heart incontinence. The extension of endoscopy in other health facilities will be beneficial for the improvement of patient care.

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Mokhlis, M. A., M. Allaoui, L. Alaoui, C. el M’hadi, M. R. Khmamouch, T. Mahfoud, K. Alaoui Slimani, M. Oukabli, R. tanz, and M. Ichou. "Gastric Metastatic Grade 3 Well-Differentiated Neuroendocrine Tumor: A Case Report." Scholars Journal of Applied Medical Sciences 10, no. 2 (February 13, 2022): 216–21. http://dx.doi.org/10.36347/sjams.2022.v10i02.012.

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Background: Neuroendocrine neoplasms (NENs) are rare tumors .They are defined by the expression of specific biomarkers. Progress in pathological diagnosis has allowed a better identification and classification of these tumors. The 2019-revised World Health Organization (WHO) classification of tumors of endocrine organs classifies grade 3 gastroenteropancreatic neuroendocrine neoplasm (GEP-NENs) into well-differentiated neuroendocrine tumors (NET G3) and poorly differentiated neuroendocrine carcinomas (NEC G3). There are few reported cases of NET G3 occurring in the stomach. Case presentation: A 63-year- man who suffers from dysphagia and Melaena. Fibroscopy revealed a ulcero-budding process of the cardia. Pathologic examination concluded on NET well-differentiated grade 3. Surgical exploration showed peritoneal carcinomatosis and histologically confirmed liver metastases. He underwent chemotherapy with modified folfox 4 protocol for 3 months with satisfactory clinico-morphological response. Conclusion: A definite diagnosis of NET G3 or NEC G3 must be made to determine the appropriate treatment strategy for patients with GEP-NEN G3. the efficacy of treatments for G3 NETs appear modest, as evidenced by the short PFS observed, therefore, more effective therapies are needed with Further case reports and case series. Keywords: Neuroendocrine tumor G3, stomach, modified FOLFOX 4.

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M, Nokra, Aitbatahar S, and Amro L. "Lung Cancer and Women." Scholars Journal of Applied Medical Sciences 10, no. 10 (October 21, 2022): 1761–64. http://dx.doi.org/10.36347/sjams.2022.v10i10.030.

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Lung cancer is a current public health problem, as its incidence continues to rise, especially in women. The aim of the study was to evaluate epidemiological, clinical and histological profile of women’s lung cancer. A retrospective study including women patients with a confirmed lung cancer followed at the Pneumology Department of University Hospital Center Mohammed VI of Marrakesh in Morocco between January 2016 and june 2021. 34 cases were included in the study. The average age of patients was 58 years. Active smoking was present in 15.4% and passive smoking in 40% of patients. Wood smoke exposure was found in 57.7% of patients. Intraparenchymal opacities were the most frequent radiological feature in 58% of cases. Chest CT scans, performed in all women, showed an intraparenchymal mass in 78% of cases. Histological confirmation was obtained by bronchial fibroscopy (56%), trans-parietal biopsy (28%), and pleural biopsy (16%). The most frequent histological type was adenocarcinoma (56.1%), followed by squamous cell carcinoma (36.3%) and small cell carcinoma (7.6%). The stage of the disease is metastatic in 51% of cases. The most frequent metastatic locations were pleura (38.5%), bone (23%), brain (15%), and liver (7.6%).

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Toky RAKOTOARIVO, Christian TOMBORAVO, Malala RAZAKANAIVO, and Florine RAFARAMINO. "Epidemiology of cancer in Antsiranana, northern Madagascar, 2021: First study in the oncology department." World Journal of Advanced Research and Reviews 15, no. 1 (July 30, 2022): 221–24. http://dx.doi.org/10.30574/wjarr.2022.15.1.0644.

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Introduction: In Madagascar, the heavy costs related to cancer generate a burden for the family and society. The only medical oncology service in the north of Madagascar has been operational since January 2021. Our objective was to describe the epidemiological and clinical aspects of cancers in northern Madagascar. Patients and methods: A descriptive retrospective study from January 01, 2021 to December 31, 2021. Newly deceased patients with histological evidence were included in the study. Results: Sixty cases of cancer were collected. The average age was 53 years old. Patients between the ages of 45 and 65 reached 53%. The sex ratio was 0.27. The Sakalava ethnic group predominated in 40% of patients. The majority (56%) lived in the city center. Gynecological cancers were the most frequent 61.5% (cervix 26.6%, breast 23.3%, uterus 8.3% and ovary 3.3%). Prostate cancer was the first cancer in men and represented 10% of our patients. No lung cancer was recorded during the study. All the anatomopathology results came from the Antananarivo laboratories. The mean time to diagnosis was 16 months. The cancer evolved in 83%. Patients requiring radiotherapy were referred to Antananarivo. Conclusion: improving cancer care requires awareness-raising and screening. The establishment of an anatomopathology unit and bronchial fibroscopy increased the number of cancers in Antsiranana.

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Pichon, Maxime, Bernard Freche, and Christophe Burucoa. "New Strategy for the Detection and Treatment of Helicobacter pylori Infections in Primary Care Guided by a Non-Invasive PCR in Stool: Protocol of the French HepyPrim Study." Journal of Clinical Medicine 11, no. 5 (February 22, 2022): 1151. http://dx.doi.org/10.3390/jcm11051151.

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Helicobacter pylori (Hp) infects half of the world population and is responsible for gastric, duodenal ulcers and gastric cancer. The eradication of Hp cures ulcers and prevents ulcer recurrences and gastric cancer. Antibiotic resistance of Hp, and particularly clarithromycin resistance, is the primary cause of treatment failure and is a major concern identified by the WHO as a high priority requiring research into new strategies. Treatments guided by the detection of antibiotic resistance have proven their medical and economical superiority. However, this strategy is severely hampered by the invasive nature of the fibroscopy, since antibiotic resistance detection requires gastric biopsies. The eradication of Hp involves primary care physicians. The objective of this study will be to evaluate the feasibility of a strategy for the management of Hp infection in primary care by a recently developed non-invasive procedure and its non-inferiority in eradication rates compared with the strategy recommended by the French National Authority of Health. The non-invasive procedure is a PCR on stool to detect Hp infection and mutations conferring resistance to clarithromycin allowing a treatment guided by the results of the PCR. We present the protocol of a prospective, multicenter, randomized, controlled interventional study in two arms.

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Razumovsky, A. Yu, and D. N. Strizhova. "Reconstructive surgeries on the larynx and cervical trachea in children." Russian Journal of Pediatric Surgery 24, no. 6 (February 18, 2021): 383–87. http://dx.doi.org/10.18821/1560-9510-2020-24-6-383-387.

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Introduction. One of the urgent problems in pediatric surgery and otorhinolaryngology is stenosis of the upper respiratory tract in children. Among many causes leading to airway narrowing , basic ones are: cicatricial stenosis, bilateral vocal cord paralysis and volumetric formations.Diagnostics. Currently, fibroscopy of the upper respiratory tract is a gold standard of this pathology examination.Methods. There are many surgical techniques to treat upper airway stenosis, but currently there is no any unified approach to the choice of surgical tactics. The given article presents an overview on modern techniques of reconstructive surgery which have demonstrated good and excellent results and a high percentage of decannulation. Among them, there are two basic ones - endoluminal surgery and open surgery. Recently, reports on the effectiveness of microsurgical interventions have been published , namely, reinnervation of the larynx to restore vocal cords. The most effective endoscopic surgeries in pediatrics are balloon dilation, bougienage and CO2- laser treatment. Patients with stenosis of stages III-IV, with extended stenosis, marked laryngomalacia, larynx and trachea deformity because of unsuccessful previous surgeries are recommended to have open reconstructive surgery. Laryngoplasty, laryngoplasty with T-tube and crico-tracheal resection are regarded as a choice option in case of ineffective previous surgeries.Conclusion. Thus, type of surgical intervention, indications and patient’s age for surgery are chosen individually for each patient with upper respiratory tract stenosis.

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S, Bouomrani. "Acute polyarthritis revealing celiac disease of the elderly." General Medicine and Clinical Practice 1, no. 1 (September 3, 2018): 01–03. http://dx.doi.org/10.31579/2639-4162/004.

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Introduction: Celiac disease (CD) is an autoimmune disease that typically occurs in childhood and young age. Late-onset forms (after 60 years) are rare and often underestimated in current medical practice, as is joint damage during this disease. We report an original case of CD in an elderly patient revealed by acute polyarthritis. Observation: A 62-year-old patient with no significant pathological history was explored for acute polyarthritis of both large and small joints. The physical examination noted synovitis of the hands and wrists without articular deformities, and a marked mucocutaneous pallor. The biology revealed a microcytic anemia at 8 g/dl with stigmas of malabsorption (low cholesterol and hypocalcemia). No inflammatory syndrome was noted. Joint X-rays were without abnormalities. Immunological tests for chronic inflammatory rheumatisms were negative. Gastroduodenal fibroscopy was performed and histological examination of duodenal biopsies showed diffuse villous atrophy with marked inflammatory infiltrate. Anti- endomysium and anti-transglutaminase antibodies were positive confirming the diagnosis of CD. Under gluten-free diet, the evolution was favorable with totally disappearance of articular signs. Conclusion: Joint manifestations during CD are rare. The revealing forms are exceptional and can make a differential diagnosis with chronic inflammatory rheumatism, in particular that associations with CD was described. CD deserves to be evoked in front of any unexplained arthritis of the elderly, even without any specific digestive symptomatology of this disease.

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Di Rocco, Federico, Vincent Couloigner, Patricia Dastoli, Christian Sainte-Rose, Michel Zerah, and Gilles Roger. "Treatment of anterior skull base defects by a transnasal endoscopic approach in children." Journal of Neurosurgery: Pediatrics 6, no. 5 (November 2010): 459–63. http://dx.doi.org/10.3171/2010.8.peds09325.

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Object The object of this study was to assess the efficacy and complications of endoscopic management of anterior skull base defects. Method The authors reviewed the medical records of 28 children (20 boys and 8 girls) undergoing endoscopic repair of anterior skull base defects in their tertiary referral center between 2001 and 2008; 18 cases were congenital and 10 cases posttraumatic. During the endoscopic procedure, rigid telescopes—2.7 or 4 mm in diameter, with 0° or 30° lenses—were used. In 23 patients the anterior skull base defect was sealed with fragments of middle turbinate (bone and mucosa). In the remaining 5 patients it was sealed with cartilage harvested from the nasal septum (3 cases) or from the auricle (2 cases), fibrin glue, and oxidized cellulose. A combined external and endoscopic approach was required in 3 cases because of the size and extensions of the encephalocele. Outcome was primarily assessed by means of clinical examination, nasal fibroscopy, and imaging. Results The mean duration of follow-up was 26.7 months (range 9–57 months). One patient treated by a combined approach died of meningitis 2 years after surgery. In the remaining 27 patients, there was no recurrence of CSF leak, meningitis, or encephalocele. An iatrogenic frontal or ethmoidal mucocele was observed in 4 cases. Conclusions The endoscopic approach is a minimally invasive, safe, and efficient technique for removing nasal encephaloceles in children.

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Bogaard, JM, FG van der Meche, RM Poublon, AZ Ginai, PI Schmitz, A. Bubberman, AM Slappendel, and H. Boot. "Indices from flow-volume curves in relation to cephalometric, ENT- and sleep-O2 saturation variables in snorers with and without obstructive sleep-apnoea." European Respiratory Journal 8, no. 5 (May 1, 1995): 801–6. http://dx.doi.org/10.1183/09031936.95.08050801.

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In a group of 37 heavy snorers with obstructive sleep apnoea (OSA, Group 1) and a group of 23 heavy snorers without OSA (Group 2) cephalometric indices, ENT indices related to upper airway collapsibility, and nocturnal O2 desaturation indices were related to variables from maximal expiratory and inspiratory flow-volume (MEFV and MIFV) curves. The cephalometric indices used were the length and diameter of the soft palate (spl and spd), the shortest distance between the mandibular plane and the hyoid bone (mph) and the posterior airway space (pas). Collapsibility of the upper airways was observed at the level of the tongue base and soft palate by fibroscopy during a Muller manoeuvre (mtb and msp) and ranked on a five point scale. Sleep indices measured were the mean number of oxygen desaturations of more than 3% per hour preceded by an apnoea or hypopnoea of more than 10 s (desaturation index), maximal sleep oxygen desaturation, baseline arterial oxygen saturation (Sa,O2) and, in the OSA group, percentage of sleep time with Sa,O2 < 90%. The variables obtained from the flow-volume curves were the forced vital capacity (FVC), forced expiratory and inspiratory volume in 1 s (FEV1 and FIV1), peak expiratory and peak inspiratory flows (PEF and PIF), and maximal flow after expiring 50% of the FVC (MEF50). The mean of the flow-volume variables, influenced by upper airway aperture (PEF, FIV1) was significantly greater than predicted.(ABSTRACT TRUNCATED AT 250 WORDS)

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Youssouf, Oumarou, Eudes Habib Evrard Mafata Ngonvon, JM Bambe Ouati, and Serge Magloire Camengo Police. "Les Anomalies en Endoscopies Digestives Hautes à Bangui." European Scientific Journal, ESJ 8 (August 25, 2022): 257. http://dx.doi.org/10.19044/esj.2022.v8n0p257.

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La pathologie digestive haute est riche et variée. Les signes fonctionnels digestifs constituent les motifs fréquents de consultation tant en médecine générale qu’en gastro-entérologie. L’endoscopie constitue l’examen de référence pour le diagnostic et dans certains cas pour le traitement des pathologies digestives. Nous voulons déterminer les anomalies rencontrées en fibroscopie haute à Bangui. Méthodologie : Il s’agissait d’une étude transversale d’une durée de deux ans incluant les patients des deux sexes ayant réalisé l’endoscopie digestive haute (EDH) dont le compte rendu était complet. Résultats : Au total 1233 anomalies œsogastroduodénales ont été observées. Les anomalies les plus fréquentes étaient l’incontinence cardiale (467 cas soit 37,88%) et les anomalies inflammatoires (443 cas soit 35,93%). Six cas de cancer (0,61%) étaient observés au niveau gastrique. Les lésions étaient observées dans l’estomac dans 980 cas (79,48%), œsophage dans 196 cas (15,9%). Les lésions duodénales étaient observées dans 57 cas (4,62%). Les anomalies gastriques étaient dominées par les gastrites dans 417 cas (42,55%) alors que les lésions œsophagiennes et duodénales étaient dominées respectivement par les varices œsophagiennes dans 139 cas (70,92%) et les ulcères dans 55 cas (96,49%). Conclusion : La pathologie digestive haute est fréquente à Bangui. Les anomalies endoscopiques sont multiples dont les fréquentes sont les varices œsophagiennes et l’incontinence cardiale. L’extension de l’endoscopie dans les autres formations sanitaires sera bénéfique pour l’amélioration de la prise en charge des patients Introduction: The upper digestive pathology is rich and varied. Digestive functional signs are frequent reasons for consultation in both general medicine and gastroenterology. Endoscopy is the reference examination for the diagnosis and in some cases for the treatment of digestive pathologies. We want to determine the anomalies encountered in upper fibroscopy in Bangui. Methodology: This was a cross-sectional study lasting two years including patients of both sexes who had performed upper digestive endoscopy (EDH), the report of which was complete. Results: A total of 1233 esogastroduodenal abnormalities were observed. The most common anomalies were cardiac incontinence (467 cases or 37.88%) and inflammatory anomalies (443 cases or 35.93%). Six cases of cancer (0.61%) were observed at the gastric level. The lesions were observed in the stomach in 980 cases (79.48%), esophagus in 196 cases (15.9%). Duodenal lesions were observed in 57 cases (4.62%). Gastric abnormalities were dominated by gastritis in 417 cases (42.55%) while esophageal and duodenal lesions were respectively dominated by esophageal varices in 139 cases (70.92%) and ulcers in 55 cases (96.49%). %). Conclusion: Upper digestive pathology is common in Bangui. Endoscopic abnormalities are numerous, the most common of which are esophageal varices and cardiac incontinence. The extension of endoscopy in other health facilities will be beneficial for improving patient care

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Alabi Bouraïma, Fatiou, Spéro HR Hounkpatin, Marius C Flatin, Kadidjath Sake, François Avakoudjo, Djivédé Akanni, Hermine Ngamgne Deffo, and Wassi Adjibabi. "Management of foreign bodies in children’s upper digestive tract at Parakou, Benin." Journal of Otolaryngology-ENT Research 11, no. 6 (2019): 261–64. http://dx.doi.org/10.15406/joentr.2019.11.00445.

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Introduction: Foreign bodies (FB) of the upper digestive tract (UDT) are specific to children. The objective of this study was to report the epidemiological, diagnostic and course of foreign bodies of the digestive tract of children in Parakou. Method: This was a retrospective study conducted from January 2014 to December 2018, in the ENT departments of the regional teaching hospital of Borgou and the Boko Hospital. Included in this study were all children admitted for ingestion of foreign bodies whose age was under 15 years. Results: Thirty-seven cases of pharyngeal foreign bodies and the child's esophagus were recorded, 46% of the children's ENT foreign bodies (80cases) during the study period. The sex ratio was 1.64. The average age of children was 3.61±2.15 years with the extremes of 07 months and 08 years. Children under 4 were the most predominant of the series (70%). A proportion of 21/37 (56%) children had consulted in less than 24 hours. Hypersalivation was the main symptom (84.85% of cases). A cervico-thoracic X-ray was performed in all children. The most frequent location of foreign bodies were the hypopharynx and the mouth of the esophagus (75.68%). Fibroscopy with a rigid tube under general anesthesia in emergency condition had enabled the extraction of all the foreign bodies. Coin-type non-organic foreign bodies were the most common with 29 cases (78.4%). The course was favorable in 95% of the cases. Complications identified were necrotic lesions in the oesophagus mouth with laryngeal involvement and respiratory distress in a case of flat battery ingestion. Conclusion: Ingestion of foreign bodies is relatively common within children. The non-organic foreign bodies recovered were mainly the coins. The natural course was favorable in the majority of the cases. Nevertheless the presence of flat battery in the digestive tract is to be scared.

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Kerckx, Yannick, and Alain Van Muylem. "Axial distribution heterogeneity of nitric oxide airway production in healthy adults." Journal of Applied Physiology 106, no. 6 (June 2009): 1832–39. http://dx.doi.org/10.1152/japplphysiol.91614.2008.

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Model simulations of nitric oxide (NO) transport considering molecular diffusion showed that the total bronchial NO production needed to reproduce a given exhaled value is deeply influenced by its axial distribution. Experimental data obtained by fibroscopy were available about proximal airway contribution (Silkoff PE, McClean PA, Caramori M, Slutsky AS. Zamel N. Respir Physiol 113: 33–38, 1998), and recent experiments using heliox instead of air gave insight on the peripheral airway production (Shin HW, Condorelli P, Rose-Gottron CM, Cooper DM, George SC. J Appl Physiol 97: 874–882, 2004; Kerckx Y, Michils A, Van Muylem A. J Appl Physiol 104: 918–924, 2008). This theoretical work aimed at obtaining a realistic distribution of NO production in healthy adults by meeting both proximal and peripheral experimental constraints. To achieve this, a model considering axial diffusion with geometrical boundaries derived from Weibel's morphometrical data was divided into serial compartments, each characterized by its axial boundaries and its part of bronchial NO production. A four-compartment model was able to meet both criteria. Two compartments were found to share all the NO production: one proximal ( generations 0 and 1; 15–25% of the NO production) and one inside the acinus (proximal limit, generations 14–16; distal limit, generations 16 and 17; 75–85% of the NO production). Remarkably, this finding implies a quasi nil production in the main part of the conducting airways and in the acinar airways distal to generation 17. Given the chosen experimental outcomes and reliant on their accuracy, this very inhomogeneous distribution is likely the more realistic one that may be achieved with a “one-trumpet”-shaped model. Refinement should come from a more realistic description of the acinus structure.

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Marciello, Francesca, Olaf Mercier, Piero Ferolla, Jean-Yves Scoazec, Pier Luigi Filosso, Alain Chapelier, Gianluca Guggino, et al. "Natural History of Localized and Locally Advanced Atypical Lung Carcinoids after Complete Resection: A Joined French-Italian Retrospective Multicenter Study." Neuroendocrinology 106, no. 3 (August 17, 2017): 264–73. http://dx.doi.org/10.1159/000480015.

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Background: The natural history and the best modality of follow-up of atypical lung carcinoids (AC) remain ill defined. The aim of this study was to analyze recurrence-free survival (RFS) after complete resection (R0) of stage I-III pulmonary AC. Secondary objectives were prognostic parameters, the location of recurrences, and the modality of follow-up. Methods: A retrospective review of 540 charts of AC patients treated between 1998 and 2008 at 10 French and Italian centers with experience in lung neuroendocrine tumor management was undertaken. The exclusion criteria were MEN1-related tumor, history of another cancer, referral after tumor relapse, and being lost to follow-up. A central pathological review was performed in each country. Results: Sixty-two patients were included. After a median follow-up time of 91 months (mean 85, range 6-165), 35% of the patients experienced recurrence: 16% were regional recurrences and 19% were distant metastases. Median RFS was not reached. The 1-, 3-, and 5-year RFS rate was 90, 79, and 68%, respectively. In univariate analysis, lymph node involvement (p = 0.0001), stage (p = 0.0001), mitotic count (p = 0.004), and type of surgery (p = 0.043) were significantly associated with RFS. In multivariate analysis, lymph node involvement was significantly associated with RFS (HR 95% CI: 0.000-0.151; p = 0.004). During follow-up, somatostatin receptor scintigraphy, fibroscopy, and abdominal examination results were available for 22, 12, and 25 patients, respectively. The median time interval for imaging follow-up was 10 months. Conclusions: After complete resection of AC, recurrences were observed mostly within the first 5 years of follow-up, within bronchi, mediastinal nodes, the liver, and bones. In R0 patients, lymph node involvement could help to stratify follow-up intervals. Suboptimal imaging is evidenced.

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Rehman, Saeed Ur, Azhar Saeed, Adnan Ghafoor, Shafqat Ur Rehman Orakzai, Ajmaal Jami, and Amanullah Khokhar. "Comparison of Prognostic Scores for Upper Gastrointestinal Bleeding in the Hepato-Gastro-Enterology Department." Pakistan Journal of Medical and Health Sciences 16, no. 9 (September 30, 2022): 784–87. http://dx.doi.org/10.53350/pjmhs22169784.

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Objectives: The goal of this study is to assess the relative value of individual UGIB prognostic scores in predicting patient outcomes. Patients and Methods: This study was a descriptive cross-sectional analysis of data collected before. Included were patients admitted to the Al Tibri Medical college and hospital Malir Karachi Center and Fauji foundation Rawalpindi with upper GI bleeding and treated in the Gastroenterology Division. Analyses in this study compared the predictive power of five different prognostic scores (the Glasgow Coma Scale, modified Glasgow Coma Scale, coagulation risk score, and acute ischemic stroke severity score; together, these scores are known as GBS, mGBS, FRS, CRS, and AIMS65) for the occurrence of death and rebleeding within 42 days. ROC (Receiver Operating Characteristic) curves were used to compare the various scores. Results: A total of 314 individuals were enrolled in the study, with a male-to-female sex ratio of 2.48. In 70.94% of cases, fibroscopy revealed UGIB due to portal hypertension unrelated to peptic ulcer disease. The "FRS" score was the most reliable predictor of mortality or rebleeding for all patients. Compared to other scores, the "FRS" provided the best reliable forecast of whether or not patients would have spots. The "FRS" score was the most reliable one for predicting mortality. Patients deemed to be at low risk (below the threshold value) had a mortality rate of 2.2% according to the "FRS," 9.3% according to the "CRS," 0% according to the "GBS" (p = 0.565), 50% according to the "mGBS," and 11.42% according to the "AIMS65." The predictive value of UGIB scores was higher for incidental portal hypertension. Conclusion: Upper gastrointestinal hemorrhage cases can be accurately predicted using the "FRS" and "CRS" scores. But in the setting of portal hypertension, these scores did badly. UGIB Keywords: Prognostic Scores, Upper Gastrointestinal Bleeding, Rockall, Glasgow-Blatchford

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Benjelloun, N., M. Salihoun, I. Serraj, M. Acharki, and N. Kabbaj. "Small-Bowel Capsule Endoscopy: Indications and Results in Endoscopy Unit." Saudi Journal of Medical and Pharmaceutical Sciences 8, no. 5 (May 25, 2022): 257–62. http://dx.doi.org/10.36348/sjmps.2022.v08i05.008.

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Small-bowel capsule endoscopy (SBCE) is used widely because of its non-invasive and patient-friendly nature. SBCE can visualize entire small-intestinal mucosa and facilitate detection of small-intestinal abnormalities. Indications for SBCE are obscure gastrointestinal bleeding, Crohn’s disease, small-intestinal polyps, tumors and celiac disease. Materials and methods: We report a study from September 2018 to February 2022, including 59 patients who underwent SBCE type PillCam SB3®. All our patients previously had a normal endoscopic assessment (oesogastro-duodenal fibroscopy and ileo-colonoscopy). CT enterography and MR enterography realized in 54.2% of cases were normal. The preparation used is PEG (2l the day before and 0.5l after ingesting the capsule) with clear broth the day before the examination and 10 days off oral iron if taken. Results: The mean age was 53.9 years, with a female predominance (sex ratio: 0.52). 16.9% of the patients had a history of heart disease, 8.4% are chronic renal failure, 5% are followed for Crohn's disease and 3.3% for celiac disease. 10.1% of patients were on anticoagulants and 5% on antiplatelet agents. The indication for SBCE was Obscure gastrointestinal bleeding (OGIB) in 86,3%, Crohn's disease (CD) in 5%, celiac disease in 3,3%, chronic diarrhea in 3,3%, and unexplained edematoascites syndrome in 1,6%. SBCE found small bowel angiodysplasia lesions in 40.6% of patients, small bowel inflammatory lesions in 15% of patients, a submucosal tumor appearance in 6.7% of patients and active small bowel bleeding in 5% patients. The examination did not objectivate small bowel lesion in 25.4% of patients. Non-small bowel lesions have been demonstrated in the form of gastric (16.9% of cases) and cecal (10.1% of cases) angiodysplasia responsible for OGIB. Conclusion: In our study, SBCE showed lesions in 74,6% of cases; dominated by angiodysplasia followed by inflammatory lesions and submucosal tumors and whose indication was essentially OGIB. Enteroscopy with biopsies or with therapeutic gesture, remains essential in the management of these patients.

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El Yamine, Othmane, Nassima Fakhiri, Dounia Benkiran, Rachid Boufettal, Farid Chehab, Nabila El Gasmi, Fatima Zahrae Cheikhna, Mohamed Tahiri, and Wafaa Badre. "Small Bowel Adenocarcinoma Simulating Superior Mesenteric Artery Syndrome (SMAS): A Case Report." European Journal of Medical and Health Sciences 3, no. 4 (July 20, 2021): 3–5. http://dx.doi.org/10.24018/ejmed.2021.3.4.922.

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The adenocarcinoma of the small intestine is a rare tumor of all gastrointestinal cancers often occurs on a predisposing ground we report the case of a 40-year-old patient chronic smoker has 1 pack year weaned 2 years ago, alcoholic weaned 5 years ago whose symptomatology dates back to 3 months by the appearance of epigastralgia and vomiting post prandial, Complicated by a high occlusive syndrome made of post prandial vomiting with abdominal pain all evolving in a context of alteration of general state made the patient was addressed to the service of digestive cancer surgery and liver transplantation of CHU Ibn Rochd Casablanca. The patient had an abdominal CT scan which showed duodenojejunal distension with incarceration of an undistended loop at the level of the aorto-mesenteric clamp. The patient was sent to the operating room in emergency, he underwent a segmental Greco-Resection of 15 cm taking away a jejunal mass under laparoscopy with extra corporal anastomosis latero-lateral jejuno-jejunal with at the exploration one notes the presence of a tumoral mass of 3cm mobile at the level of the 2nd loop jejunal stenosing responsible for a jejunal distension upstream measuring 4cm in diameter. The anatomopathological study of the specimen showed a moderately differentiated and invasive adenocarcinoma, classified as pT3N1Mx. The postoperative follow-up was marked by a deep venous thrombosis involving the ileo-femoral-popliteal axis of the ilio-femoral-popliteal trunk on day 2 postoperatively, for which the patient was put on low molecular weight Heparin at a curative dose with compression stockings and monitoring. The patient had resumed transit in the form of gas on postoperative day 3, with a correct assessment, and was declared discharged on postoperative day 6. The patient's file was discussed in a multidisciplinary consultation meeting and the decision was to undergo adjuvant chemotherapy and oesogastroduodal fibroscopy (FOGD) and colonoscopy to look for predisposing diseases.

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Casans-Francés, R., A. T. Roberto-Alcácer, T. A. Martínez-Mejía, and M. A. Gómez-Ríos. "Model of conversion of analogical fibroscope to digital wireless fibroscope." Revista Española de Anestesiología y Reanimación (English Edition) 66, no. 4 (April 2019): 235–36. http://dx.doi.org/10.1016/j.redare.2018.12.006.

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Pottecher, Julien, Éric Noll, Sylvain Boet, and Pierre Diemunsch. "Fibroscopie virtuelle." Le Praticien en Anesthésie Réanimation 15, no. 4 (September 2011): 253–55. http://dx.doi.org/10.1016/j.pratan.2011.07.003.

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Allakhverdieva, G. F., G. Т. Sinyukova, V. N. Sholokhov, Т. Yu Danzanova, О. А. Saprina, and Е. А. Gudilina. "Ultrasound diagnosis of oropharyngeal squamous cell carcinoma and ultrasound evaluation of treatment efficacy (changes in tumor volume)." Head and Neck Tumors (HNT) 9, no. 3 (October 31, 2019): 12–23. http://dx.doi.org/10.17650/2222-1468-2019-9-3-12-23.

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The study objective is to assess the capabilities of ultrasonography in the diagnosis of oropharyngeal squamous cell carcinomas and in the evaluation of treatment efficacy (changes in tumor volume).Materials and methods. This study included 98 patients (27 (27.5 %) females and 71 (72.5 %) males aged between 20 and 78 years with oropharyngeal tumors; of them, 12 (12.2 %) patients had recurrent tumors. Sixty-seven (68.4 %) participants had their tumors located in the tonsils; 31 (31.6 %) patients had tumors of the root of the tongue; 47 (48.0 %) patients presented with tumors invading adjacent tissues; 57 (58.2 %) patients had their lymph nodes involved. Thirty-two patients were operated at the first stage of treatment, whereas 66 (67.3 %) individuals received induction chemotherapy followed by sequential chemoradiotherapy. Treatment efficacy was evaluated 2 weeks following the completion of the second course of induction chemotherapy. We assessed tumor volume, its structure, type and intensity of vascularization, and the number and size of lymph nodes affected by metastasis. Ultrasonography findings were compared with the results of fibroscopy, X-ray computed tomography (CT) and magnetic resonance imaging (MRI) performed 2 weeks following the completion of the second course of induction chemotherapy (no later than 7–10 days).Results. The disagreement between histology and ultrasonography findings reflecting tumor volume (of either newly diagnosed or recurrent tumor) was statistically insignificant. The results of X-ray CT were more likely to be in agreement with histology than the ultrasonography results (85.0 % vs 70.0 %); however, this difference was not statistically significant. Data of X-ray CT and ultrasonography on the tumor volume demonstrated no significant difference between them. MRI and ultrasonography findings on the tumor volume were consistent in 50 % of cases. We identified the most common changes in the structure of the oropharyngeal tumors typical of positive and negative dynamics after 2 courses of induction chemotherapy. Patients with positive dynamics demonstrated a significant decrease in tumor volume detected by all diagnostic methods used (ultrasonography, X-ray CT, and MRI). There was a significant negative correlation between the efficacy of treatment assessed by ultrasonography and the grade of therapeutic pathomorphosis assessed by histology (r = –0.69; р = 0.0014).Conclusion. The accuracy of ultrasonography for the estimation of oropharyngeal tumor volume and its spread is comparable with that of X-ray CT and MRI. The disagreement between these methods was statistically insignificant. Ultrasonography is a more sensitive method for the evaluation of patient response to treatment than clinical data.

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Videau, M., K. Rghioui, B. Mottet, A. Sainfort, and I. Lefort. "Analyse comparative de coût entre les fibroscopes bronchiques à usage unique et réutilisables : le fibroscope à usage unique, est-ce que ça vaut le coût ?" Annales Pharmaceutiques Françaises 75, no. 6 (November 2017): 473–79. http://dx.doi.org/10.1016/j.pharma.2017.07.004.

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Plaza, Caroline. "La fibroscopie bronchique." L'Aide-Soignante 31, no. 192 (December 2017): 22–23. http://dx.doi.org/10.1016/j.aidsoi.2017.10.008.

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Lenfant, F., D. Pean, M. de Mesmay, A. Maurice, S. Decagny, C. Lejus, and O. Langeron. "Utilisation d’un fibroscope à usage unique pour la formation sur labyrinthe à l’intubation sous fibroscope." Annales Françaises d'Anesthésie et de Réanimation 33, no. 1 (January 2014): 12–15. http://dx.doi.org/10.1016/j.annfar.2013.11.001.

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Homasson, Jean-Paul. "Fibroscopie bronchique et interventionnelle." EMC - Traité de médecine AKOS 1, no. 1 (January 2006): 1–6. http://dx.doi.org/10.1016/s1634-6939(06)75511-9.

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Dargent, François. "Fibroscopie chez les carnivores domestiques." Bulletin de l'Académie Vétérinaire de France, no. 3 (2001): 273. http://dx.doi.org/10.4267/2042/62598.

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Journal articles on the topic 'Fibroscopy'

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