Helicobacter pylori bacteremia: an unusual finding

We report a case of <em>Helicobacter pylori</em> transient bacteremia in a woman with ulcerated antral gastric cancer. The patient was hospitalized for laparoscopy and subtotal gastrectomy. After surgery she developed fever (39°C) and was empirically treated with levofloxacin. Blood cultures, collected and sent immediately to Laboratory, were positive for a spiral Gramnegative bacterium. This isolate was identified as <em>H. pylori</em> and the specific susceptibility test was performed. One day after the fever was decreased but antibiotic treatment with levofloxacin was continued and it was maintained until discharge. In summary, <em>H. pylori</em> transient bacteremia may occur as a rare complication after stomach surgery. Further studies are necessary to elucidate the potential role of <em>H</em>. <em>pylori</em> presence in blood.

OPTIMIZATION OF THE METHOD OF SUPRAPANCREATIC LYMPH NODE DISSECTION IN LAPAROSCOPY-ASSISTED GASTRECTOMY (IN THE FINAL ANALYSIS OF INTERNATIONAL CONFERENCES «SCHOOL OF STOMACH SURGERY»)

The article analyzed the methods of suprapancretic lymph node dissection in laparoscopic gastrectomy which were developed and applied in Japan. The authors described the details of operation technique. There were noted the advantages of medial approach for suprapancreatic lymph node dissection.

An unusual cause of hypoglycemia: A case report

Hypoglycemia is characterized by a reduction in plasma glucose concentration to a level that may induce symptoms or signs such as altered mental status or sympathetic nervous system stimulation. Glucose levels <55 mg/dL (3.0 mmol/L) with symptoms that are relieved promptly after the glucose level is raised document hypoglycemia. 1 Hypoglycemia is most convincingly documented by Whipple’s triad: (1) symptoms consistent with hypoglycemia, (2) a low plasma glucose concentration measured with a precise method (not a glucose monitor), and (3) relief of those symptoms after the plasma glucose level is raised[1]. Hypoglycemia is most commonly a result of the treatment of diabetes, however it can also be seen in patients with critical organ failure (hepatic, renal or cardiac failure), severe sepsis, pancreatic tumors, adrenal or pituitary insufficiency, alcohol use or who have had stomach surgery. There are very few case reports of patients presenting as hypoglycemia caused by panhypopituitarism. 2 The potentially life-threatening consequences of sudden, unexpected hy­poglycemia may endanger not only the affected person but others as well (eg, hypoglycemia in a driver of a motor vehicle). DOI: http://dx.doi.org/10.3126/jcmc.v4i2.10865 Journal of Chitwan Medical College 2014; 4(2): 48-50

Nutrition in gastrointestinal diseases

Mouth disorders 562 Dental health 564 Oesophageal disorders 566 Stomach disorders 570 Gastrectomy and stomach surgery 574 Small intestine disorders: introduction 577 Malabsorption: introduction 578 Steatorrhoea 580 Lactose intolerance 584 Inflammatory bowel disease 588 Coeliac disease 592 Intestinal failure and short bowel syndrome 596 Fistulae ...