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Doctor insights on: Excision Ampulla Of Vater

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Gastrectomy); surgical removal of the gall bladder (cholecystectomy); or surgical removal of the pancreas (pancreatectomy), what's the difference?

Gastrectomy); surgical removal of the gall bladder (cholecystectomy); or surgical removal of the pancreas (pancreatectomy), what's the difference?

DIFFERENT ORGANS: Different organ will have different name for surgical operation if you operate on the stomach it will have a different name than the pancreas or the gallbladder they are separate organs is that what you want to know the question was really vague i hope that help. ...Read more

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Gall bladder and removal of stone at the junction of cystic duct and cbd via open surgery. Stone of 15mm in bile duct and bile leak after 10months?

Gall bladder and removal of stone at the junction of cystic duct and cbd via open surgery. Stone of 15mm in bile duct and bile leak after 10months?

Need ERCP: You may have retained stones inside bile ducts most likely in the common duct , ERCP and and retrieval possible in most of the time , see a GI specialist ...Read more

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Does surgery of primary cancer of the rectosigmoid junction require a colostomy?

Does surgery of primary cancer of the rectosigmoid junction require a colostomy?

Very rarely: There are 3 reasons why a stoma may be needed: 1-if the cancer is so close to the anus that removal would leave too little to re-connect to. Using modern techniques, this is very rare. 2-if the cancer caused complete blockage or perforation requiring emergency surgery, a temporary stoma may be necessary. 3-if we are concerned that the new connection may leak, we temporarily divert w/an ileostomy. ...Read more

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Can resection surgery at the junction of the small and large intestine cause chronic sibo? Assume the ileocecal valve was removed.

Can resection surgery at the junction of the small and large intestine cause chronic sibo? Assume the ileocecal valve was removed.

Define: I don't know what sibo is. In general, if the ileocecal valve is removed, some patients can have , at least temporarily, some looser stools or urgency. I usually suggest Imodium (loperamide) as needed, a good general diet, avoidance of large meals, and the inclusion of yogurt in the diet. If i'm missing the boat here, define sibo. Good luck. ...Read more

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CT-Prominent appendix ill-defined enhance soft tissue at base of appendix & stranding of adjacent omentum.Colonscpy/gastroscpy-chronic gastritis.Mean?

CT-Prominent appendix ill-defined enhance soft tissue at base of appendix & stranding of adjacent omentum.Colonscpy/gastroscpy-chronic gastritis.Mean?

Symptoms?: These results must be clinically correlated. I can explain what it means but ultimately no diagnoses can be made without a good history and physical. The CT basically- ill defined ... means they see something at the base of the appendix but it does really have definition (does not resemble anything particular), stranding- often represents inflammation, chronic gast.- stomach inflamed but not new. ...Read more

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What is atresia of the ampullary portion?

What is atresia of the ampullary portion?

Abnormal ending: Atresia means abnormal ending and can occur with any part of the GI tract. Ampullary portion is usually refers to the opening from the bile duct to the small intestine or less likely opening from pacreatic duct to small intestine. So abnormal ending or closed ending of either the bile duct or pancreatic duct. ...Read more

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Define transurethral resection of bladder neck?

Define transurethral resection of bladder neck?

Bladder neck incisio: Transurethral resection of the bladder neck ( TURBN ) should be a bladder neck incision in most all cases. It is often indicated for patients for symptoms of BPH with a small prostate gland. If a formal resection is done bladder neck scarring may occur. Sometimes TURBN is done for bladder neck contractures and should be best performed as an incision. ...Read more

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A voluminous lesion in the tail of the pancreas also encompassing the greater curvature of the stomach,12cm tumor.is dangerous fibroscopy?operated?

A voluminous lesion in the tail of the pancreas also encompassing the greater curvature of the stomach,12cm tumor.is dangerous  fibroscopy?operated?

Cystadenoma: This size lesion expanding to stomach can not be the classic adenoCa. It is probably an islet cell neoplasm or more likely cystadenoma. Since the latter almost always converts to carcinoma, resection of distal pancreas, spenectomy since splenic vein always involved and partial gastectomy must be performed. Laparotomy should be used and depending on path, chemo may be needed PO. ...Read more

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What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

None: There is no rx for adhesions themselves. If they cause a bowel obstruction then that will be treated with a tube through the nose to decompress the bowel and no food for a few days. If that doesnt work then surgery may be required. ...Read more

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MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

Nonspecific: I believe that the ductal findings are nonspecific. Sludge in the gall bladder can cause abdominal distress and indigestion. A gastroenterologist would sit down with the radiologist and review the images and decide whether more imaging studies like an MRI or liver biopsy are advisable depending upon your symptoms or lack of symptoms. ...Read more

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In MRI: found head pancreatic cyst developing a fistula running in ventral direction into the mesentery of the Colon transversum, meaning? & reasons?

In MRI: found head pancreatic cyst developing a fistula running in ventral direction into the mesentery of the Colon transversum, meaning? & reasons?

Ask your doctor: I assume that you have a doctor who ordered the MRI for you. He/she is expected to address your questions and concerns. So tell us what you know and what more you want to know?. A cyst in the Pancreas can develop without any obvious reasons(why do people become ill?). It is just like any ailments that can devlop for no obvious reasons. If it is causing you any local symptoms, you may need an opera ...Read more

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CT Scan found mesenteric spiculated fibrous mass wrapped around gastric antrum & transverse colon. Type of diagnostic test? Type of Surgeon? Thanks

CT Scan found mesenteric spiculated fibrous mass wrapped around gastric antrum & transverse colon. Type of diagnostic test? Type of Surgeon? Thanks

An MRI is next 2 try: 2 diagnose the growth. Next most likely would be a biopsy. If a needle biopsy is opted for it is done by a radiologist who has special training in interventional radiology. Another way is to have it done laparoscopically, the mass does not sound like it is excisable. Surgeon if needed is a general surgeon. ...Read more

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Small pleomorphic adenoma(<2cm) on postero inferior part of superficial parotid gland.traditional incision needed?anyone do micro parotidectomy in ct?

Small pleomorphic adenoma(<2cm) on postero inferior part of superficial parotid gland.traditional incision needed?anyone do micro parotidectomy in ct?

Traditional incision: Pleomorphic adenoma of the superficial lobe of parotid requires removal of the superficial lobe. This operation is not performed on the lobe per se but on identifying the facial nerve and its branches and lifting the lobe off the nerve. The incision is designed to give landmarks that define the trunk of the nerve as it comes out of the stylomastoid foramen. Procedure this way is under 1 hr. ...Read more

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What does diffuse dilatation of common bile duct & mild dilatation of hepatic ducts mean? Maximal luminal (phenobarbital) diam. of common is 14-15mm. MRI sched. Liver

What does diffuse dilatation of common bile duct & mild dilatation of hepatic ducts mean? Maximal luminal (phenobarbital) diam. of common is 14-15mm. MRI sched. Liver

Dilated bile duct: The bile duct is the duct the drains bile out of the river and into the intestines. Dilated bile duct can be a sign of pancreatic, bile duct, liver,or gallbladder disease. It is an important sign, and it definitely needs to be evaluated until a cause is identified and taken care of. Do not hesitate to get the MRI and follow up with your doctor on the results. Good luck. ...Read more

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What does it mean?Ct scan-distended proximal portion duodenum w/transition point in the mid aspect of the third portion of duod sugest SMA syndrome

What does it mean?Ct scan-distended proximal portion duodenum w/transition point in the mid aspect of the third portion of duod sugest SMA syndrome

Depends on symptoms: Are you being evaluated for digestive problems such as bloating after meals? Sma syndrome often occurs in people who have undergone rapid weight loss or have been in a supine position for a long period secondary to surgery or orthopedic procedures.. See the following: http://www.Iffgd.Org/site/gi-disorders/other/sma-syndrome. ...Read more

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Is 2 yr f/u after 1.5cm peicemeal removal of SA in ascending colon on target? &2 tubular adenomas from sigmoid removed,all 3 LGD. Precancer or benign?

Sounds right.: Tubular adenomas do occasionally progress to become cancers. Depends upon size and appearance under the microscope. If there is low grade dysplasia then there is no rush to re-scope. However they do need to be watched ( just like you would watch a funny mole on your skin.) Listen to your doc about the appropriate interval for repeating the colonoscope. ...Read more