the loin pain hematuria syndrom lphs creat consider burden both patient afflict diseas those involv medic manag diagnosi date diagnosi lphs remain one exclus some specul regard extent actual patholog report ureteroscop find 2 case lphs these find provid object confirm under patholog difficulttomanag diseas process

Benjamin K. Canales

Andrew Windsperger

Stephen Lukasewycz

Manoj Monga

Endoscopic Findings in Loin Pain Hematuria Syndrome: Concentric Clot in Calyceal Fornices

background adequat bowel prepar essenti accur colonoscopi both oral sodium phosphat nap polyethylen glycolbas lavag pegels use predomin bowel cleans modal nap has gain popular due low drink volum lower cost the purpos random multicent observ blind studi compar three group cleans nap nap sennosid pegels sennosid refer toler accept cleanli patient method 355 outpati between 18 75 year were random three group receiv nap nap sennosid pegels sennosid gastroenterologist perform colonoscopi were blind type prepar all patient document toler advers event vital sign premed complet discomfort complic were record qualiti score 04 cleanli generat result the three group were similar regard age sex bmi indic colonoscopi comorbid drink volum 433 12 456 118 493 171 were favor nap 005 discomfort from ingest fluid record 398 versus 015 466 versus 147 546 differ toler accept between three group were statist signific differ advers event cleanli effect occur three group 113 the cleanli qualiti score 02 were calcul 777 867 852 conclus these data fail demonstr signific differ toler accept prepar qualiti between three type bowel prepar colonoscopi cleans nap superior pegels

S. Schanz

W. Kruis

O. Mickisch

B. Küppers

P. Berg

B. Frick

G. Heiland

D. Hüppe

B. Schenck

H. Horstkotte

A. Winkler

Bowel Preparation for Colonoscopy with Sodium Phosphate Solution versus Polyethylene Glycol-Based Lavage: A Multicenter Trial

situs inversus totali inherit condit character mirrorimag transposit thorac abdomin organ often coexist other anatom variat transposit organ impos special demand diagnost surgic skill surgeon report case 34yearold femal patient present left upper quadrant pain sign acut abdomen unknown situs inversus totali sever acut cholecyst diagnos unev laparoscop cholecystectomi perform posterior cystic arteri identifi ligat laparoscop cholecystectomi feasibl patient sever acut calculus cholecyst situs inversus totali howev surgeon should alert possibl anatom variat

Theodoros E. Pavlidis

Kyriakos Psarras

Apostolos Triantafyllou

Georgios N. Marakis

Athanasios K. Sakantamis

Laparoscopic Cholecystectomy for Severe Acute Cholecystitis in a Patient with Situs Inversus Totalis  and Posterior  Cystic Artery

seventyyearold male present sever myasthenia gravi episod obscur bleed there histori gastric ulcer lead billroth surgeri twentyf year ago upper endoscopi reveal patholog colonoscopi show few solitari diverticula trace old blood termin ileum capsul endoscopi pictur red smear upper jejunum diverticula were seen well suspect bleed jejun diverticulosi doubl balloon enteroscopi perform the complet jejun ascend loop about 100 jejunum through descend jejun loop could inspect larg diverticula fecolith were found both loop bleed had ceas the patient discharg neurolog optim therapi myasthenia gravi

I. Zuber-Jerger

E. Endlicher

F. Kullmann

Bleeding Jejunal Diverticulosis in a Patient with Myasthenia Gravis

bouveret syndrom rare condit gastric outlet obstruct result from migrat gallston through choledochoduoden fistula due larg size stone difficult locat which becom impact endoscop treatment unsuccess most patient requir surgeri report case elder male who present nausea hematemesi found scan endoscopi have obstruct gallston his duoden bulb after sever endoscop session use multipl instrument includ holmium yag laser electrohydraul lithotript fragment endoscop remov stone were success believ first case bouveret syndrom success treat endoscopi alon unite state describ difficulti encount which necessit vari innov therapeut techniqu

Jason N. Rogart

Melissa Perkal

Anil Nagar

Successful Multimodality Endoscopic Treatment of Gastric Outlet Obstruction Caused by an Impacted Gallstone (Bouveret&#x27;s Syndrome)

57 year old woman present emerg depart upper abdomin pain left side chest discomfort cardiac pulmonari caus could determin patient underw upper gastrointestin endoscopi inversion scope fundus subsequ fluoroscopi reveal diaphragmat hernia larg herniat gastric fundus immediat laparotomi show 3 orific diaphragm the orific widen partial necrosi incarcer fundus resect the patient recov fulli discharg 12 day after laparotomi

Hans  Bödeker

Steffen  Leinung

Henning  Wittenburg

Julia  Fischer

Ingolf  Schiefke

Niels  Teich

The Hole in the Stomach

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