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Management of Biliopancreatic Limb Bleeding after Roux-en-Y Gastric Bypass: A Case Report
Christophe Riquoir,Luis Antonio Díaz,David Chiliquinga,Roberto Candia,Fernando Pimentel,Alex Arenas 대한소화기내시경학회 2021 Clinical Endoscopy Vol.54 No.5
The Roux-en-Y gastric bypass is one of the most extensive surgical treatments for obesity. The treatment of upper gastrointestinalbleeding after Roux-en-Y gastric bypass is complex due to the difficulty of accessing the excluded gastric antrum and duodenal bulb. There is no consensus regarding the management of this complication. While various techniques have been described to accessthe biliopancreatic limb, double-balloon enteroscopy is the most commonly used. If double-balloon enteroscopy is unavailable, apediatric colonoscope may be used as an alternative; however, its use in such cases has not been described. We report the case of a50-year-old male patient who underwent gastric bypass 13 years ago and was admitted for a second episode of upper gastrointestinalbleeding. The initial approach using upper endoscopy, colonoscopy, and abdominal computed tomography angiography did notreveal the cause of gastrointestinal hemorrhage; therefore, an endoscopic study of the biliopancreatic limb was performed using apediatric colonoscope. A Forrest Ib ulcer was found in the duodenal bulb, and endoscopic therapy was administered. The evolutionwas found to be satisfactory.
Hybrid Polyester Composites Reinforced with Curauá Fibres and Nanoclays
Gilberto García del Pino,Antonio Claudio Kieling,Abderrezak Bezazi,Haithem Boumediri,Juliana Fontolan Rolim de Souza,Francisco Valenzuela Díaz,Jose Luis Valin Rivera,Jamile Dehaini,Tulio Hallak Panzer 한국섬유공학회 2020 Fibers and polymers Vol.21 No.2
This work investigates a hybrid polyester composite consisted of Curauá natural fibres and organophilic clay nanoparticles. A Taguchi method is used to identify the effects of fibre fraction (10, 20 and 30 wt%), alkaline treatmentconcentration (NaOH, 2.5, 5 and 10 wt%), treatment time (2, 4 and 8 h) and nanoparticle content (2.5, 5 and 10 wt%) on the mechanical behaviour of the hybrid composites under tension and three-point bending. X-ray, FTIR and microstructural analysis are performed to assess the treated and untreated fibre surfaces. The optimum combination of the process parameters for the tensile and flexural properties is: fibre content at 30 wt%, NaOH concentration at 5 wt%, treatment time at 8 h and nanoclay inclusions at 5 wt%. A mean tensile and flexural strength of 36.13 MPa and 32.55 MPa are obtained, whichrepresents percent increases of 39.22 % and 25.43 % compared to the polyester polymer in pristine condition.