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Thoracic Surgery Clinics

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https://www.readbyqxmd.com/read/30454927/a-tale-of-two-infections
#1
EDITORIAL
John D Mitchell
No abstract text is available yet for this article.
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454926/nontuberculous-mycobacterial-infections-in-cystic-fibrosis
#2
REVIEW
Stacey L Martiniano, Jerry A Nick, Charles L Daley
Nontuberculous mycobacteria (NTM) are important emerging cystic fibrosis (CF) pathogens, with estimates of prevalence ranging from 6% to 13%. Diagnosis of NTM disease in patients with CF is challenging, as the infection may remain indolent in some, without evidence of clinical consequence, whereas other patients suffer significant morbidity and mortality. Treatment requires prolonged periods of multiple drugs and varies depending on NTM species, resistance pattern, and extent of disease. The development of a disease-specific approach to the diagnosis and treatment of NTM infection in CF patients is a research priority, as a lifelong strategy is needed for this high-risk population...
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454925/mycobacterial-musculoskeletal-infections
#3
REVIEW
John I Hogan, Rocío M Hurtado, Sandra B Nelson
Although less common as causes of musculoskeletal infection than pyogenic bacteria, both Mycobacterium tuberculosis and nontuberculous mycobacteria can infect bones and joints. Although tuberculous arthritis and osteomyelitis have been recognized for millennia, infections caused by nontuberculous mycobacteria are being identified more often, likely because of a more susceptible host population and improvements in diagnostic capabilities. Despite advances in modern medicine, mycobacterial infections of the musculoskeletal system remain particularly challenging to diagnose and manage...
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454924/surgical-treatment-of-pulmonary-nontuberculous-mycobacterial-infections
#4
REVIEW
John D Mitchell
Adjuvant surgical resection in the setting of pulmonary nontuberculous mycobacterial (NTM) infection removes focal parenchymal disease thought to serve as a poorly perfused "reservoir" for organisms, thus resistant to standard antimicrobial therapy. Removal of these areas of damaged lung is felt to enhance the effectiveness of the medical treatment. In general, these operations are associated with low morbidity and mortality, although resections that are more extensive carry higher risk. Many of the planned operations may be performed with minimally invasive techniques...
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454923/medical-management-of-pulmonary-nontuberculous-mycobacterial-disease
#5
REVIEW
Julie V Philley, David E Griffith
Nontuberculous mycobacterial (NTM) lung infections are increasingly recognized as a cause of chronic pulmonary disease. This article focuses on the most common NTM species known to cause human lung disease and the treatment options currently available. The diagnosis of NTM lung disease is also discussed, emphasizing the necessity for treating clinicians to have sufficient familiarity of the mycobacteria laboratory to provide optimal patient management.
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454922/nontuberculous-mycobacteria-epidemiology-and-the-impact-on-pulmonary-and-cardiac-disease
#6
REVIEW
Wendi K Drummond, Shannon H Kasperbauer
This article reviews the current epidemiology of nontuberculous mycobacterial pulmonary disease and the impact on thoracic disease. The prevalence of nontuberculous pulmonary disease in the United States is much higher than that of Mycobacterium tuberculosis. Estimates support an annual increase in incidence of 8% per year. Nontuberculous mycobacteria are distinguished by 2 group designations, slowly growing mycobacteria, such as Mycobacterium avium complex, and rapidly growing mycobacteria, which includes Mycobacterium abscessus...
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454921/modern-collapse-therapy-for-pulmonary-tuberculosis
#7
REVIEW
Denis V Krasnov, Sergey V Skluev, Yana K Petrova, Dmitry A Skvortsov, Vladimir A Krasnov, Irina G Felker, Nikolay Grischenko
Multidrug-resistant tuberculosis (TB), extensively drug-resistant TB, and TB-human immunodeficiency virus (HIV) coinfection require a special approach in anti-TB treatment. Most patients cannot be successfully cured by conventional chemotherapy alone. They need a modern approach using minimally invasive therapeutic and surgical techniques. The novel approaches of collapse therapy techniques and minimally invasive osteoplastic thoracoplasty increase the effectiveness of complex anti-TB therapy. Achieving the required selective collapse of lung tissue in destructive pulmonary TB, especially in cases of drug resistance and/or HIV coinfection, leads to bacteriologic conversion, cavity closure, and successful cure...
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454920/surgical-resection-in-the-treatment-of-pulmonary-tuberculosis
#8
REVIEW
Piotr K Yablonskii, Grigorii G Kudriashov, Armen O Avetisyan
Surgery for tuberculosis is becoming more relevant today. This article discusses the main indications, contraindications, features of operations, and perioperative period. This information is useful for practicing surgeons and specialists in the treatment of pulmonary tuberculosis.
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454919/current-medical-management-of-pulmonary-tuberculosis
#9
REVIEW
Robert W Belknap
Tuberculosis (TB) remains a common cause of infection and disease in much of the world. The majority of disease occurs from reactivation months or years after initial infection and most often involves the lungs. Sputum smears for acid-fast bacilli remain the initial diagnostic test but have limited sensitivity and specificity. Nucleic acid amplification tests are more sensitive and specific and can detect some mutations that cause drug resistance. Treatment of TB resistant to rifamycins alone or in combination with isoniazid and other drugs remains difficult and should be done in consultation with an expert in treating drug-resistant disease...
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454918/the-global-fight-against-tuberculosis
#10
REVIEW
Charles L Daley
An estimated 1.7 billion (23%) of the world's population is infected with Mycobacterium tuberculosis leading to more than 10 million new tuberculosis (TB) cases each year. TB is one of the top 10 causes of death globally and is the leading cause of death from a single infectious disease agent. The World Health Organization's ambitious End TB Strategy aims to achieve a 95% reduction in TB deaths and 90% reduction in TB incidence rates by 2035.
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454917/tuberculosis-in-children
#11
REVIEW
Tania A Thomas
Mycobacterium tuberculosis is the leading cause of death worldwide from a single bacterial pathogen. The World Health Organization estimates that annually 1 million children have tuberculosis (TB) disease and many more harbor a latent form. Accurate estimates are hindered by under-recognition and challenges in diagnosis. To date, an accurate diagnostic test to confirm TB in children does not exist. Treatment is lengthy but outcomes are generally favorable with timely initiation. With the End TB Strategy, there is an urgent need for improved diagnostics and treatment to prevent the unnecessary morbidity and mortality from TB in children...
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30454916/history-of-pulmonary-tuberculosis
#12
REVIEW
A Thomas Pezzella
Tuberculosis (TB) parallels the history of human development from the Stone Age to the present. TB continues to be in the top 10 causes of global human mortality over that period. This article highlights the history of pulmonary TB from the onset of human existence to the present. Despite its long history, TB was slowly identified as a major cause of disease, and defined causation and significant treatment strategies advances over the past 150 years. TB remains a major challenge for definitive global prevention and cure...
February 2019: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30268305/innovations-in-and-around-the-foregut
#13
Brian E Louie
No abstract text is available yet for this article.
November 2018: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30268304/erratum
#14
(no author information available yet)
No abstract text is available yet for this article.
November 2018: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30268303/best-practices-for-training-educating-and-introducing-new-techniques-and-technology-into-practice
#15
REVIEW
Monisha Sudarshan, Shanda H Blackmon
Adoption of new practices is challenging to the surgeon innovator given lack of standardized processes for implementation. Credentialed surgeons who want to apply new practices need to ensure adequate training depending on the procedure and underlying skills. A competent and motivated team needs to be identified and appropriate privileging sought for the procedure from the local institution. Planning for meticulous monitoring of outcomes ensures continuous safety and quality surveillance. Patients need complete transparency when being informed about a novel practice with information on comparison to standard of care treatments...
November 2018: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30268302/the-role-of-intraoperative-fluorescence-imaging-during-esophagectomy
#16
REVIEW
Simon R Turner, Daniela R Molena
Intraoperative fluorescence imaging (FI) with indocyanine green has several potential uses during esophagectomy. Intravascular injection for enhancing the visualization of conduit vascularity and assessing macro and microperfusion has the most literature support and may help reduce anastomotic leaks. Peritumoral injection has been reported for use in identifying sentinel nodes during lymphadenectomy and intralymphatic injection may be used to help preserve or ligate the thoracic duct. The authors' own technique of FI for conduit assessment is described...
November 2018: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30268301/the-role-of-novel-functional-probes-in-the-evaluation-and-treatment-of-esophageal-disease
#17
REVIEW
Ezra N Teitelbaum, Christy M Dunst
The understanding of esophageal function and dysfunction in a variety of disease states has been driven largely by the introduction of a variety of measurement technologies. Included in these are contrast esophagram, computed tomography, high-resolution manometry, and 24-hour pH monitoring. Two novel measurement technologies, the functional lumen imaging probe (FLIP) and mucosal impedance (MI) catheter have recently introduced and studied. This review will discuss the technological basis of these tools and the evidence behind their application in the measurement of esophageal anatomy, physiology, and histology pertaining to a number of diseases, including gastroesophageal reflux disease, achalasia, and esosinophilic esophagitis...
November 2018: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30268300/endoluminal-therapies-for-esophageal-perforations-and-leaks
#18
REVIEW
Jeffrey R Watkins, Alexander S Farivar
Esophageal perforation has historically been a devastating condition resulting in high morbidity and mortality. The use of endoluminal therapies to treat esophageal leaks and perforations has grown exponentially over the last decade and offers many advantages over traditional surgical intervention in the appropriate circumstances. New interventional endoscopic techniques, including endoscopic clips, covered metal stents, and endoluminal vacuum therapy, have been developed over the last several years to manage esophageal perforation in an attempt to decrease the related morbidity and mortality...
November 2018: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30268299/management-of-the-difficult-hiatal-hernia
#19
REVIEW
Matthew Rochefort, Jon O Wee
The ideal operative solution to giant paraesophageal hernias involves a complex evaluation of the functional anatomy and the intraoperative assessment of both esophageal length and crural closure tension. The addition of surgical adjuncts such as extended transmediastinal dissection, Collis gastroplasty, and mesh reinforcement are all necessary, on an individualized basis, to address these 2 primary causes of hernia recurrence. We discuss the options available.
November 2018: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/30268298/endoluminal-approaches-to-gastroesophageal-reflux-disease
#20
REVIEW
Marissa Anne Mayor, Hiran Chrishantha Fernando
Endoluminal antireflux procedures were pioneered in the 1980s as an alternative to the more invasive Nissen fundoplication. Recent advances in device design and technique have generated renewed interest. Herein we review available data for currently available devices used for endoluminal therapy for GERD.
November 2018: Thoracic Surgery Clinics
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