No abstract

Mortality, morbidity, liver function and regeneration were evaluated in dogs that had undergone simultaneous major resection of the liver and the pancreas. The 10-week survival rate was only 25% in the dogs that underwent 70% hepatectomy with more than 92% pancreatectomy, and many of them died of liver failure. Long-term survival was observed in more than 60% of the dogs after 70% hepatectomy with less than 92% pancreatectomy or after 40% hepatectomy with more than 92% pancreatectomy. The liver regeneration rate was reduced with the extent of the pancreatectomy, and the reduction was remarkable especially when more than 92% of the pancreas was resected. The frequency of diabetes was reduced when the pancreatectomy was combined with hepatectomy. Hyperlipemia and fatty liver were noted in all the dogs of the group that underwent more than 92% pancreatectomy alone. They were observed also in the postoperative diabetic groups but not in non-diabetic groups. The postoperative recovery of hepatic function and liver regeneration were delayed after simultaneous hepatectomy-pancreatectomy. Also, postoperative carbohydrate and lipid metabolism was better maintained in the hepatectomy-pancreatectomy groups than in the pancreatectomy-alone groups.

Our original scoring system makes it possible to predict not only the development of a wound infection and its severity after biliary tract surgery, but also the length of the postoperative hospital stay.

Neurotrauma is a frequent result of gymnastic formation accidents in children. Healthcare workers and teachers should recognize this type of injury, and public education that targets parents should be introduced.

We read with great interest the article by Kaya B. et al.(1) (Turk J Gastroenterol 2014; 25: 426-8) entitled "Pneumatosis cystoides intestinalis mimicking acute abdomen". The authors reported a case of pneumatosis cystoides intestinalis (PCI) with pneumoperitoneum.They insisted that uncomplicated PCI can be safely managed conservatively but that bowel necrosis, perforation, or persistent obstruction should be treated with surgery. We agree with their strategy for treating PCI, but little is known about long-term outcomes after conservative therapy. We present a case of PCI with pneumoperitoneum secondary to sigmoid volvulus following one year of follow-up.A 91-year-old female visited our hospital with complaints of high fever and abdominal pain. She was diagnosed as having acute pyelonephritis and PCI, which was incidentally diagnosed in the computed tomography (CT) scan that revealed a dilated colon and numerous cystic gas (Figure 1,2). Acute pyelonephritis improved with conservative therapy using antibiotics, and PCI disappeared. Then, she was followed up as an outpatient. Thirteen months later, she presented to our hospital again with complaints