scholarly journals Charcot Neuropathic Arthropathy of the Foot: A Literature Review and Single-Center Experience

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Tomas Kucera ◽  
Haroun Hassan Shaikh ◽  
Pavel Sponer

Charcot neuropathic osteoarthropathy of the foot is a relatively common complication of diabetic neuropathy. Incorrect diagnosis and improper treatment often result in the extremity having to be amputated. This paper summarises the current view on the etiology, diagnostics, and treatment of diabetic Charcot neuropathic osteoarthropathy, with particular focus on preserving the extremity through surgical intervention from our own experiences.

2020 ◽  
Vol 39 (3) ◽  
Author(s):  
Francisco S. Lozano Sánchez ◽  
Jesus García-Alonso ◽  
José A. Torres ◽  
Luis Velasco ◽  
Roberto Salvador ◽  
...  

2021 ◽  
Vol 35 (4) ◽  
Author(s):  
Patrick J. Smith ◽  
Guy Potter ◽  
Maria Manson ◽  
Michael Martin ◽  
Linda C. Cendales

Author(s):  
Knut Jørgen Labori ◽  
Tore Tholfsen ◽  
Sheraz Yaqub ◽  
Kristoffer Lassen ◽  
Dyre Kleive ◽  
...  

Abstract Background and Methods Gastro- or duodenojejunostomy leaks after pancreatoduodenectomy is rare. This study aims to analyze the incidence, management, and outcome of gastro- or duodenojejunostomy leaks after pancreatoduodenectomy based on a single center experience from 2004 to 2020 with a narrative literature review. Results Of a total of 1494 pancreatoduodenectomies, eight patients with gastrojejunostomy (n=1) or duodenojejunostomy (n=7) leak were identified from the institutional pancreatic database. All leaks were treated operatively. In two patients dismantling of the duodenojejunostomy, distal gastrectomy, and closure of the pyloric and jejunal side, a percutaneous endoscopic gastrostomy and a feeding jejunostomy ultimately had to be performed after an unsuccessful attempt of gastrojejunostomy and suture of the duodenojejunostomy, respectively. The literature search revealed three more studies specifically addressing this complication after pancreatoduodenectomy (36 patients of a total of 4739 pancreatoduodenectomies). Based on an analysis of the current study and the literature review, the overall incidence of gastro- or duodenojejunostomy leaks after pancreatoduodenectomy was 0.71 % (44/6233 pancreatoduodenectomies). The occurrence of a gastro- or duodenojejunostomy leak was associated with a concomitant postoperative pancreatic fistula in 50 % of the cases, an increased length of hospital stay, and a mortality rate of 15.9 %. Surgical treatment was performed in 84 % of the cases. Conclusion Gastro- or duodenojejunostomy leak is a rare complication after pancreatoduodenectomy. Prompt diagnosis and early repair is important. In most cases, a surgical intervention is necessary for a good outcome. Under salvage conditions, a bailout strategy may be to temporarily dismantle the gastro- or duodenojejunal anastomosis.


2021 ◽  
Author(s):  
Mohammad Alahmari ◽  
Shaun Kilty ◽  
Andrea Lasso ◽  
Fatmahalzahra Banaz ◽  
Sepideh Mohajeri ◽  
...  

2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii632-iii632
Author(s):  
Ivo Laranjinha ◽  
Ana Rita Martins ◽  
Patricia Branco ◽  
Sara Pereira ◽  
Elisabete Costa ◽  
...  

Author(s):  
Spencer K. Hutto ◽  
Kevin Kyle ◽  
Julien J. Cavanagh ◽  
Haatem Reda ◽  
Nagagopal Venna

2018 ◽  
Vol 56 ◽  
pp. 108-113 ◽  
Author(s):  
Chengjun Wang ◽  
Meng Zhao ◽  
Jia Wang ◽  
Shuo Wang ◽  
Dong Zhang ◽  
...  

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