Fístula gastrocolocutánea: una infrecuente complicación de la gastrostomía endoscópica percutánea

Endoscopic percutaneous gastrostomy is a safe technique although with potential complications before which the clinician has to be on alert in order to early detect them even after a long period of normal functioning. Most of them represent minor problems. Gastrocolocutaneous fistula is a rare but severe complication favored by some risk factors such as previous post-surgical adherences, deformities of the spine, or excessive gastric inflation at the time of performing the technique. We present the case of a patient with PEG with this complication that occurred after the first tube replacement. Our goal was in two senses: on the one hand, to analyze the preventive aspects and basic guidelines for a safe PEG placement to minimize the risks; on the other hand, to alert on the possible presence of this entity to prevent a progressive nutritional impairment. This complication ought to be included in the differential diagnosis of the diarrhea syndrome in the patient carrying a PEG. The diagnostic techniques of choice are radiologic tests such as CT scan and contrast media administration through the tube. Surgical therapy should be reserved to patients with acute peritonitis in order to perform a new gastrostomy.

Convenient synthesis of heterobifunctional poly(ethylene glycol) suitable for the functionalization of iron oxide nanoparticles for biomedical applications.

A straightforward route is proposed for the multi-gram scale synthesis of heterobifunctional poly(ethylene glycol) (PEG) oligomers containing combination of triethyloxysilane extremity for surface modification of metal oxides and amino or azido active end groups for further functionalization. The suitability of these PEG derivatives to be conjugated to nanomaterials was shown by pegylation of ultrasmall superparamagnetic iron oxide (USPIO) nanoparticles (NPs), followed by functionalization with small peptide ligands for biomedical applications.

Horae ad usum Parisiensem.

F. 1 Calendrier avec saints parisiens. F. 14 Extraits des IV Évangiles. F. 21v Prières à la Vierge : « Obsecro te... », etc. F. 26 Heures de la Vierge, incompl. (usage de Paris). F. 97 Psaumes de la pénitence. F. 110 Litanies. F. 115 et 124 Heures de la Croix et du Saint-Esprit. F. 132 Office des morts (usage de Paris). F. 180 Les XV joies de la Vierge (en français). F. 186 Les VII requêtes à N.-S. (en français). F. 189 Prière à la Croix (en vers français).

decisiones Rotae ab anno 1376. ad annum 1381. sub certis quibusdam capitulis collectae : authore Guillelmo Horborch, Alemanno, et sacri palatii causarum Auditore

Mazarinaeus

statuta et privilegia Universitatis, sive Studii Aurelianensis

Faurianus

1.° Petri de Herentals, Canonici Praemonstratensis et Prioris Floreffiensis, chronicon ab orbe condito ad annum Christi 1385. — 2.° Anonymi chronica de translatione Imperii ad Germanos. — 3.° Bulla aurea Caroli IV. — 4.° Leges promulgatae in curia Metensi, per Carolum IV. Imperatorem, anno Domini 1356. — 5.° Forma coronationis Imperatoris et de benedictione et coronatione Imperatricis. — 6.° Gesta Romanorum Pontificum, à Cleto Papa ad annum Christi 1379. — 7.° Decretum donationis Constantini Magni de patrimonio ecclesiae : initium desideratur.

Colbertinus

Ptolemaei Lucensis historia ecclesiastica nova à Christo ad Bonifacium VIII. quatuor et viginti libris.

Colbertinus

1.° Andreis, id est, historia de receptione capitis sancti Andreae, Apostoli : authore Aenea Sylvio Picolomineo. — 2.° Ejusdem Aeneae Sylvii oratio habita in conventu Francofordensi, die martis 15. Octobris, anno 1454. — 3.° Ejusdem oratio habita in conventu Mantuano, pro decernendo in Turcos bello. — 4.° Decretum Pii II. de bello contra Turcos gerendo.

Colbertinus

1.° Chronica de narratione inchoationis et promotionis ordinis Cartusiensis. — 2.° Chronica de exordio ordinis Cartusiensis. — 3.° Bernardus de contemplatione. — 4.° Responsiones cujusdam Prioris majoris Cartusiae ad quemdam Monachum ejusdem ordinis Cartusiensis, Bonifacium nomine. — 5.° Miraculum de sancto Mauricio et Udone, Episcopo, editum anno 955. — 6.° Nonnulla ad vitam sancti Ludovici, Regis Francorum, spectantia. — 7.° Tractatus de approbatione et confirmatione ordinis Cartusiensis à sancta Romana Ecclesia : ad calcem subjicitur epistola concilii Basileensis ad Cartusienses. — 8.° Practica, quomodo procedi solet in electione Priorum ordinis Cartusiensis.

Colbertinus