Blog
About

  • Record: found
  • Abstract: found
  • Article: found
Is Open Access

An unexpected cause of gastric submucosal lesion Translated title: Uma causa inesperada de lesão submucosal gástrica

Einstein (São Paulo)

Instituto Israelita de Ensino e Pesquisa Albert Einstein

Read this article at

Bookmark
      There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

      Related collections

      Most cited references 8

      • Record: found
      • Abstract: not found
      • Article: not found

      Gastrointestinal stromal tumours: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.

      (2014)
        Bookmark
        • Record: found
        • Abstract: found
        • Article: not found

        Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases.

        Ingested foreign bodies (FBs) present a common clinical problem. As the incidence of FBs requiring operative removal varies from 1% to 14%, it was decided to perform this study and compare the data with those from the world literature, as well as to outline an algorithm for management, including indications for surgery. We reviewed all patients with FB ingestion from 1973 to 1993. There were 542 patients with 1203 ingestions, aged 15 to 82 years. Among them, 69. 9% (n = 379) were jail inmates at the time of ingestion, 22.9% (n = 124) had a history of psychosis, and 7.2% (n = 39) were alcoholics or denture-wearing elderly subjects. Most foreign bodies passed spontaneously (75.6%; n = 410). Endoscopic removal was possible in 19. 5% (n = 106) and was not associated with any morbidity. Only 4.8% (n = 26) required surgery. Of the latter, 30.8% (n = 8) had long gastric FBs with no tendency for distal passage and were removed via gastrotomy; 15.4% (n = 4) had thin, sharp FBs, causing perforation; and 53.8% (n = 14) had FBs impacted in the ileocecal region, which were removed via appendicostomy. Conservative approach to FB ingestion is justified, although early endoscopic removal from the stomach is recommended. In cases of failure, surgical removal for gastric FBs longer than 7.0 cm is wise. Thin, sharp FBs require a high index of suspicion because they carry a higher risk for perforation. The ileocecal region is the most common site of impaction. Removal of the FB via appendicostomy is the safest option and should not be delayed more than 48 hours.
          Bookmark
          • Record: found
          • Abstract: found
          • Article: not found

          Soft Tissue Sarcoma, Version 2.2016, NCCN Clinical Practice Guidelines in Oncology.

          Soft tissue sarcomas (STS) are rare solid tumors of mesenchymal cell origin that display a heterogenous mix of clinical and pathologic characteristics. STS can develop from fat, muscle, nerves, blood vessels, and other connective tissues. The evaluation and treatment of patients with STS requires a multidisciplinary team with demonstrated expertise in the management of these tumors. The complete NCCN Guidelines for Soft Tissue Sarcoma (available at NCCN.org) provide recommendations for the diagnosis, evaluation, and treatment of extremity/superficial trunk/head and neck STS, as well as intra-abdominal/retroperitoneal STS, gastrointestinal stromal tumor, desmoid tumors, and rhabdomyosarcoma. This manuscript discusses guiding principles for the diagnosis and staging of STS and evidence for treatment modalities that include surgery, radiation, chemoradiation, chemotherapy, and targeted therapy.
            Bookmark

            Author and article information

            Affiliations
            Belo Horizonte Minas Gerais orgnameUniversidade Federal de Minas Gerais Brazil
            Contributors
            Role: ND
            Journal
            eins
            Einstein (São Paulo)
            Einstein (São Paulo)
            Instituto Israelita de Ensino e Pesquisa Albert Einstein (São Paulo, SP, Brazil )
            1679-4508
            2317-6385
            March 2017
            : 15
            : 1
            : 112-113
            S1679-45082017000100112 10.1590/s1679-45082017ai3772

            This work is licensed under a Creative Commons Attribution 4.0 International License.

            Counts
            Figures: 0, Tables: 0, Equations: 0, References: 8, Pages: 2
            Product
            Product Information: SciELO Brazil

            Comments

            Comment on this article