糖尿病与甲状腺

在我们颈部甲状软骨下端，有一个长得像蝴蝶一样的腺体，横跨于气管前方，这个腺体叫做甲状腺。甲状腺属于内分泌器官，它的作用是调整机体代谢。一旦甲状腺功能失常，就会引起疾病。在1型或2型糖尿病患者之中，甲状腺疾病的发病率都比常人要高。     

Hybrid approach with laparoscopic wall-inversion surgery and single-incision intragastric surgery for intraluminal gastrointestinal stromal tumor: A case report

Laparoscopic wedge resection (LWR) for intraluminal gastrointestinal stromal tumor (GIST) leads to excessive resection of normal gastric wall. We report a case of GIST around the cardia successfully treated with full-thickness partial resection using a hybrid approach of laparoscopic surgery and single-incision intragastric surgery (SIIGS). A 69-year-old woman had a 5 cm intraluminal GIST at the posterior wall around the cardia. Submucosal injection of glycerin and indigo carmine was performed with transoral endoscopy. Circumferential seromuscular incision followed by placement of seromuscular sutures to invert the lesion into the stomach was performed under laparoscopy. By SIIGS, resection of the inverted mucosa and retrieval of the tumor were completed. A hybrid approach consisting of laparoscopic wall-inversion surgery and SIIGS was useful for intraluminal GIST and may expand the indications for laparoscopic wall-inversion surgery by removing size limitations.     

Leptin as an open secret in the physiopathology of rheumatic diseases

Clinical Rheumatology -