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10篇 您的检索式：作者名="Gokulakkrishna Subhas"

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		题名	作者	年代	出处	被引量
	1	Gastric remnant twist in the immediate post-operative period following laparoscopic sleeve gastrectomy显示文摘Twist of stomach remnant post sleeve gastrectomy is a rare entity and difficult to diagnose pre-operatively. We are reporting a case of gastric volvulus post laparoscopic sleeve gastrectomy, which was managed conservatively. A 38-year-old lady with a body mass index of 54 underwent laparoscopic sleeve gastrectomy. Sleeve gastrectomy was performed over a 32 French bougie using Endo-GIA tri-stapler. On post-operative day 1, patient had nausea and non-bilious vomiting. An upper gastrointestinal gastrografin study on postoperative days 1 and 2 revealed collection of contrast in the fundic area of stomach with poor flow distally, and she vomited gastrograffin immediately post procedure. With the suspicion of a stricture in the mid stomach as the cause, the patient was taken back for a exploratory laparoscopy and intra-operative endoscopy. We found a twist in the gastric tube which was too tight for the endoscope to pass through. This was managed conservatively with a long stent to keep the gastric tube straight and patent. The stent was discontinued in 7 d and the patient did well. In laparoscopic sleeve gastrectomy the stomach is converted into a tube and is devoid of its supports. If the staples fired are not aligned appropriately, it can predispose this stomach tube to undergo torsion along its long axis. Such a twist can be avoided by properly aligning the staples and by placing tacking sutures to the omentum and new stomach tube. This twist is a functional obstruction rather than a stricture; thus, it can be managed by endoscopy and stent placement.	Gokulakkrishna Subhas Anupam Gupta Mubashir Sabir Vijay K Mittal	2015	World Journal of Gastrointestinal Surgery2015，7，11：	6
	2	Total laparoscopic removal of accessory gallbladder:A case report and review of literature显示文摘Accessory gallbladder is a rare congenital anomaly occurring in 1 in 4000 births, that is not associated with any specific symptoms. Usually this cannot be diagnosed on ultrasonography and hence they are usually not diagnosed preoperatively. Removal of the accessory gallbladder is necessary to avoid recurrence of symptoms. H-type accessory gallbladder is a rare anomaly. Once identified intra-operatively during laparoscopic cholecystectomy, the surgery is usually converted to open. By using the main gallbladder for liver traction and doing a dome down technique for the accessory gallbladder, we were able to perform the double cholecystectomy with intra-operative cholangiogram laparoscopically. Laparoscopic cholecystectomy was performed in 27-year-old male for biliary colic. Prior imaging with computer tomography-scan and ultrasound did not show a duplicated gallbladder. Intraoperatively after ligation of cystic artery and duct an additional structure was seen on its medial aspect. Intraoperative cholangiogram confirmed the patency of intra-hepatic and extra-hepatic biliary ducts. Subsequent dissection around this structure revealed a second gallbladder with cystic duct(H-type). Pathological analysis confirmed the presence of two gallbladders with features of chronic cholecystitis. It is important to use cholangiogram to identify structural anomalies and avoid complications.	Yaniv Cozacov Gokulakkrishna Subhas Michael Jacobs Janak Parikh	2015	World Journal of Gastrointestinal Surgery2015，7，12：	2
	3	Protective effect of methylprednisolone on warm ischemia-reperfusion injury in a cholestatic rat liver显示文摘	Gokulakkrishna Subhas Aditya Gupta Daniel Bakston Boris Silberberg Cathy Lobocki Lee Andrus Melissa Decker Vijay K. Mittal Michael J. Jacobs	2010	The American Journal of Surgery2010，，3：	1
	4	Topical gentamicin does not provide any additional anastomotic strength when combined with fibrin glue显示文摘	Gokulakkrishna Subhas Jasneet Singh Bhullar Jonathan Cook Asha Shah Boris Silberberg Lee Andrus Melissa Decker Vijay K. Mittal	2011	The American Journal of Surgery2011，，3：	1
	5	Oral Vitamin A Enhances the Effectiveness of Formalin 8% in Treating Chronic Hemorrhagic Radiation Proctopathy显示文摘	Purnal Patel Gokulakkrishna Subhas Aditya Gupta Yeon-Jeen Chang Vijay K. Mittal Alasdair McKendrick	2009	Diseases of the Colon & Rectum2009，，：	1
	6	Pancreatic Schwannoma: Literature Review显示文摘	Aditya Gupta Gokulakkrishna Subhas Vijay K. Mittal Michael J. Jacobs	2009	Journal of Surgical Education2009，，3：	1
	7	Spontaneous Isolated Superior Mesenteric Artery Dissection: A Case Report and Literature Review with Management Algorithm显示文摘	Gokulakkrishna Subhas Aditya Gupta Michal Nawalany William F. Oppat	2009	Annals of Vascular Surgery2009，，6：	1
	8	Spontaneous Isolated Superior Mesenteric Artery Dissection: A Case Report and Literature Review with Management Algorithm显示文摘	Gokulakkrishna Subhas Aditya Gupta Michal Nawalany William F. Oppat	2009	Annals of Vascular Surgery2009，，：	1
	9	A True Orthotopic Gastric Cancer Murine Model Using Electrocoagulation显示文摘	Jasneet Singh Bhullar Tafadzwa Makarawo Gokulakkrishna Subhas Ahmed Alomari Boris Silberberg Jacqueline Tilak Milessa Decker Vijay K. Mittal	2013	Journal of the American College of Surgeons2013，，1：	1
	10	A Novel Nonoperative Orthotopic Colorectal Cancer Murine Model Using Electrocoagulation显示文摘	Jasneet Singh Bhullar Gokulakkrishna Subhas Boris Silberberg Jacqueline Tilak Lee Andrus Milessa Decker Vijay K. Mittal	2011	Journal of the American College of Surgeons2011，，1：	1

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