1
|
Zhang Z, Mei Y, Cheng H, Wu X. Portal vein thrombosis secondary to postoperative gastric cancer: Report of two cases. J Int Med Res 2019; 48:300060519892417. [PMID: 31840542 PMCID: PMC7782953 DOI: 10.1177/0300060519892417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Few cases of portal vein thrombosis secondary to gastric cancer surgery have been reported. Here we report the diagnosis and management of two such cases. Case 1: Gastric carcinoma with acute hematemesis was detected by endoscopy in the gastric body of a 48-year-old woman. Histologic examination revealed signet-ring cell carcinoma with marked invasion of the vessels and nerves. Laparoscopic partial gastrectomy and Roux-en-Y gastrogastrostomy were performed. One month after surgery, imaging examination showed the formation of thrombi in the main portal vein and the right hepatic vein. Case 2: Gastric carcinoma with pyloric obstruction was clinically diagnosed in a 66-year-old woman. Laparoscopic partial gastrectomy and Billroth Roux-en-Y gastrogastrostomy were again performed. Two months after surgery, an abdominal imaging examination detected a thrombus in the right hepatic vein. Clinicians should consider portal vein thrombosis in patients with hyperthermia combined with an abnormal increase in procalcitonin.
Collapse
Affiliation(s)
- Zhen Zhang
- Department of Gastrointestinal Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China
| | - Yan Mei
- Health Management (Physical Examination) Center, Inner Mongolia Autonomous Region People's Hospital, Hohhot, China
| | - Haidong Cheng
- Department of Gastrointestinal Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China
| | - Xinlin Wu
- Department of Gastrointestinal Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China
| |
Collapse
|
2
|
Loncar G, Bozic B, Neskovic AN, Cvetinovic N, Lainscak M, Prodanovic N, Dungen HD, von Haehling S, Radojicic Z, Trippel T, Putnikovic B, Markovic-Nikolic N, Popovic V. Androgen status in non-diabetic elderly men with heart failure. Aging Male 2017; 20:215-224. [PMID: 28696825 DOI: 10.1080/13685538.2017.1350155] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
PURPOSE We aimed at evaluating androgen status (serum testosterone [TT] and estimated free testosterone [eFT]) and its determinants in non-diabetic elderly men with heart failure (HF). Additionally, we investigated its associations with body composition and long-term survival. METHODS Seventy three non-diabetic men with HF and 20 healthy men aged over 55 years were studied. Echocardiography, 6-min walk test, grip strength, body composition measurement by DEXA method were performed. TT, sex hormone binding globulin, NT-proBNP, and adipokines (adiponectin and leptin) were measured. All-cause mortality was evaluated at six years of follow-up. RESULTS Androgen status (TT, eFT) was similar in elderly men with HF compared to healthy controls (4.79 ± 1.65 vs. 4.45 ± 1.68 ng/ml and 0.409 ± 0.277 vs. 0.350 ± 0.204 nmol/l, respectively). In HF patients, TT was positively associated with NT-proBNP (r= 0.371, p = 0.001) and adiponectin levels (r = 0.349, p = 0.002), while inverse association was noted with fat mass (r = -0.413, p < 0.001). TT and eFT were independently determined by age, total fat mass and adiponectin levels in elderly men with HF (p < 0.05 for all). Androgen status was not predictor for all-cause mortality at six years of follow-up. CONCLUSIONS In non-diabetic men with HF, androgen status is not altered and is not predictive of long-term outcome.
Collapse
Affiliation(s)
- Goran Loncar
- a Department of Cardiology , Zvezdara University Medical Center , Belgrade , Serbia
- b Faculty of Medicine , University of Belgrade , Belgrade , Serbia
| | - Biljana Bozic
- c Institute for Medical Research , Military Medical Academy , Belgrade , Serbia
- d Institute for Physiology and Biochemistry , University of Belgrade , Belgrade , Serbia
| | - Aleksandar N Neskovic
- b Faculty of Medicine , University of Belgrade , Belgrade , Serbia
- e Department of Cardiology , University Hospital Zemun , Belgrade , Serbia
| | - Natasa Cvetinovic
- a Department of Cardiology , Zvezdara University Medical Center , Belgrade , Serbia
| | - Mitja Lainscak
- f Departments of Cardiology, Research and Education , General Hospital Celje , Celje , Slovenia
- g Faculty of Medicine , University of Ljubljana , Ljubljana , Slovenia
| | - Nenad Prodanovic
- h Clinic for Rheumatology and Clinical Immunology , Military Medical Academy , Belgrade , Serbia
| | - Hans-Dirk Dungen
- i Department of Cardiology, Campus Virchow , Charité Universitätsmedizin Berlin , Berlin , Germany
| | - Stephan von Haehling
- j Innovative Clinical Trials, Department of Cardiology and Pneumology , University of Medicine Göttingen , Germany
- k Applied Cachexia Research, Department of Cardiology , Charité-University Medical School, Campus Virchow-Klinikum Berlin , Germany
| | - Zoran Radojicic
- l Institute for Statistics, Faculty of Organizational Sciences , University of Belgrade , Belgrade , Serbia
| | - Tobias Trippel
- i Department of Cardiology, Campus Virchow , Charité Universitätsmedizin Berlin , Berlin , Germany
| | - Biljana Putnikovic
- b Faculty of Medicine , University of Belgrade , Belgrade , Serbia
- e Department of Cardiology , University Hospital Zemun , Belgrade , Serbia
| | - Natasa Markovic-Nikolic
- a Department of Cardiology , Zvezdara University Medical Center , Belgrade , Serbia
- b Faculty of Medicine , University of Belgrade , Belgrade , Serbia
| | - Vera Popovic
- b Faculty of Medicine , University of Belgrade , Belgrade , Serbia
- m Institute of Endocrinology , Clinical Center of Serbia , Belgrade , Serbia
| |
Collapse
|