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https://www.readbyqxmd.com/read/29394837/-a-case-of-resection-of-obstructive-colon-cancer-associated-with-aspiration-pneumonia-under-combined-epidural-spinal-anesthesia
#1
Kazuki Hayashi, Kohei Murata, Atsushi Naito, Yoshinori Kagawa, Kenji Kawai, Ryota Mori, Yohei Nose, Yasuki Akiyama, Takuya Sakamoto, Kohei Murakami, Tohru Masuzawa, Yoshiteru Katsura, Yoshiaki Ohmura, Atsushi Takeno, Yutaka Takeda
An 89-year-old woman was admitted to our hospital with vomiting, abdominal distension, and anorexia.A CT scan revealed an enhanced thickening lesion on the wall of the ascending colon, and intestinal expansion from the small intestine to the caecum.On colon fibroscopy, a round tumor was observed adjacent to the oral side of the hepatic flexure even though the end of the microscope could not progress toward the deeper regions.As the obstructive colon cancer was complicated by the presence of aspiration pneumonia, surgery could not be performed under general anesthesia...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29366494/proposal-for-an-algorithm-for-the-management-of-the-patient-s-airway-after-smoke-inhalation
#2
P Kot Baixauli, J E Morales Sarabia, L Rovira Soriano, J De Andrés Ibáñez
Smoke inhalation represents the leading cause of mortality and morbidity in burns patients. Given the injuries that can occur in the airway after this exposure, it is imperative to evaluate the need for orotracheal intubation in the emergency department and even in the place of first assistance by healthcare workers. Since the clinical signs are poor predictors of the severity of the lesion, in selected cases, it is advisable to perform a diagnostic fibroscopy. We present a case report of a patient with a smoke inhalation lesion in which the fibroscopy was determinant to proceed to intubation, and we propose an algorithm of action for the management of the airway in this type of patients...
January 20, 2018: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29317119/noninvasive-ventilation-during-endoscopic-procedures-rationale-clinical-use-and-devices
#3
REVIEW
Marina Pieri, Giovanni Landoni, Luca Cabrini
Endoscopic procedures, such as transesophageal echocardiography, gastroscopy, and airway fibroscopy, routinely are performed in a heterogenous population of patients for diagnostic/interventional purposes (eg, transfemoral aortic valve replacement, airway fibroscopies, and intubation). Sedation frequently is administered to achieve an appropriate degree of patient compliance and procedure success. Patients with reduced respiratory reserve or those who are overly sedated, however, may develop hypoxia and respiratory failure during endoscopies, necessitating premature termination of the examination itself...
September 27, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29162355/-hot-tub-lung-a-case-report
#4
M Vergez, S Honjoya, S Guérin, C Delacourt, G Benoist
Hot tub lung is a type of hypersensitivity pneumonitis caused by inhalational exposure to the Mycobacterium avium complex. We report the case of a 14-year-old boy presenting dyspnea with hypoxemia, whose medical history and clinical course helped make the diagnosis. Infectious causes were considered first, and antibiotics were initiated without success. Further questioning and explorations led to discussing a hypersensitivity pneumonitis diagnosis. Relapse after exposure to a hot tub enabled us to confirm hot tub lung...
November 18, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28987399/review-of-difficult-airway-management-in-thoracic-surgery
#5
M Granell, M J Parra, M J Jiménez, L Gallart, A Villalonga, O Valencia, M C Unzueta, A Planas, J M Calvo
The management of difficult airway (DA) in thoracic surgery is more difficult due to the need for lung separation or isolation and frequent presence of associated upper and lower airway problems. We performed an article review analysing 818 papers published with clinical evidence indexed in Pubmed that allowed us to develop an algorithm. The best airway management in predicted DA is tracheal intubation and independent bronchial blockers guided by fibroscopy maintaining spontaneous ventilation. For unpredicted DA, the use of videolaryngoscopes is recommended initially, and adequate neuromuscular relaxation (rocuronium/sugammadex), among other maneuvers...
January 2018: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/28943167/bordetella-bronchiseptica-infection
#6
M Ducours, P Rispal, M P Danjean, Y Imbert, E Dupont, E M Traissac, S Grosleron
OBJECTIVE: To collect data of all patients admitted to hospital with a positive test to Bordetella bronchiseptica between 2001 and 2015. METHODS: We performed a retrospective monocentric study of all hospitalized patients over the past 15 years with a positive test to B. bronchiseptica. RESULTS: Nine patients were included between 2001 and 2015; two presented with infectious relapses, i.e. a total of 14 positive test samples were observed...
November 2017: Médecine et Maladies Infectieuses
https://www.readbyqxmd.com/read/28904731/-management-for-esophageal-foreign-bodies-about-36-cases
#7
Seydou Togo, Moussa Abdoulaye Ouattara, Xing Li, Shang Wen Yang, Sékou Koumaré
Esophageal foreign bodies are a frequent reason for consultation in the Pediatric Emergency Department. However, they can occur at all ages. This study aims to highlight the clinical, paraclinical and therapeutic features of esophageal foreign bodies management at the Hospital in Mali. We conducted a prospective study of all cases of ingestion of foreign bodies between January 2011 and December 2014. A total of 36 patients underwent endoscopic or surgical treatment. The average age was 6 years (with a range from 14 months to 62 years)...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28451051/-gastric-trichobezoar-about-a-case
#8
Maryame Ezziti, Fouad Haddad, Mohamed Tahiri, Wafaa Hliwa, Ahmed Bellabah, Wafaa Badre, Rabii Haddouch, Khalid El Hattbi, Mohamed Rachid Elfriyekh, Abdelaziz Fadil
Trichobezoar is rare, most often asymptomatic condition which can be easily diagnosed using oesogastroduodenal fibroscopy. Treatment is usually based on surgery. We here report the case of a 16-year old girl who underwent gastric trichobezoar extraction via gastrotomy, without complications. The patient even underwent psychiatric treatment.
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28027480/neck-lymph-node-metastases-from-unknown-primary
#9
REVIEW
Alberto Daniele Arosio, Lorenzo Pignataro, Renato Maria Gaini, Werner Garavello
Metastatic cervical carcinoma from unknown primary is a metastatic disease in the lymph nodes of the neck without any evidence of a primary tumour after appropriate investigation. The condition is rare and definite evidence is lacking for both diagnosis and treatment. In this review of the literature, we tried to draw some clinical indications based on the few available studies. We ultimately came to the following conclusions: (1) a thorough and accurate diagnostic work-up should be systematically offered. It includes accurate inspection with fibroscopy, CT or MRI, fine needle aspiration, panendoscopy and positron emission tomography, (2) Patients with low-volume neck disease, N1 and N2a stage and without extracapsular extension on histopathological examination should receive single modality treatment...
February 2017: Cancer Treatment Reviews
https://www.readbyqxmd.com/read/28004477/revisiting-autoimmune-gastritis-in-children-and-adolescents-with-type-1-diabetes
#10
Alix Besançon, Bénédicte Michaud, Jacques Beltrand, Tania Goncalves, Jean-Philippe Jais, Michel Polak, Lucienne Chatenoud, Jean-Jacques Robert
OBJECTIVE: Assess the frequency of anti-H(+) /K(+) adenosine triphosphatase (ATPase) autoantibodies (AAB) and symptoms of autoimmune gastritis in children and adolescents with type 1 diabetes (T1D). RESEARCH DESIGN AND METHODS: Anti-H(+) /K(+) ATPase AAB were measured in 402 children and adolescents (210 boys and 192 girls, 11.1 ± 4.5 years) treated for T1D (screened positive for β-cell AAB), along with search of symptoms of anemia (hemoglobin, serum iron, and ferritin levels) and gastric pain...
December 22, 2016: Pediatric Diabetes
https://www.readbyqxmd.com/read/27790307/primary-signet-ring-cell-carcinoma-of-the-prostate-treated-by-radical-cystoprostatectomy-and-chemoradiotherapy
#11
Sun Wook Kim, Woohyun Kim, Yong-Hyun Cho, Tae-Jung Kim, Insuk Woo, Dong Wan Sohn
Primary signet ring cell carcinoma (SRCC) of the prostate is very rare. Although SRCC is primarily found in the stomach and colon, it can also be found in the pancreas, breast, thyroid, bladder, and prostate. We recently diagnosed and treated a case of primary SRCC of the prostate. A 56-year-old Korean man was referred to our institution for evaluation of a one-month history of hematuria and recently identified bladder mass. Transurethral resection of the bladder tumour was performed and histological and immunohistochemical evaluation revealed a diagnosis of SRCC with tumour invading into the outer half of the deep muscularis propria...
May 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/27687426/noninvasive-ventilation-during-spontaneous-breathing-anesthesia-an-observational-study-using-electrical-impedance-tomography
#12
Julien Bordes, Philippe Goutorbe, Pierre Julien Cungi, Marie Caroline Boghossian, Eric Kaiser
STUDY OBJECTIVE: To assess the effects of noninvasive ventilation (NIV) during spontaneous breathing anesthesia on functional residual capacity and ventilation distribution. DESIGN: Prospective and observational study. SETTING: Operating room, military teaching hospital. PATIENTS: Eighteen adult patients submitted to digestive endoscopic procedures under spontaneous breathing anesthesia. INTERVENTIONS: Anesthetic management was standardized...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27434478/the-inferior-turbinate-an-unusual-site-for-a-choanal-polyp-two-case-reports-and-a-review-of-the-literature
#13
REVIEW
Maya Adhami, Andre Coste, Virginie Escabasse, Frederique Chalumeau
Choanal polyps are unilateral sinonasal lesions that are classified according to their site of origin. The aim of this report is to highlight an unusual form of choanal polyp and to present a thorough literature review. To the best of our knowledge, only 6 cases of a choanal polyp originating in the inferior turbinate have been previously reported in the literature. We describe 2 new cases. One patient was a 14-year-old boy who presented with nasal obstruction, facial headaches, and obstructive sleep apnea; the other patient was a 70-year-old man who presented with right mucopurulent rhinorrhea and right nasal obstruction...
July 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/27334929/de-novo-gastric-cancer-after-liver-transplantation
#14
Chung-Sik Gong, Moon-Won Yoo, Beom-Su Kim, Shin Hwang, Ki-Hun Kim, Jeong-Hwan Yook, Byung-Sik Kim, Sung-Gyu Lee
BACKGROUND In South Korea, which has a high incidence of gastric cancer, the most common de novo malignancy associated with liver transplantation is gastric cancer. This study sought to identify clinicopathologic characteristics in gastric cancer patients after liver transplantation, and to help manage these cases. MATERIAL AND METHODS We investigated gastric cancer patients after liver transplantation at Asan Medical Center. We analyzed sex, age, cause of liver transplantation, initiating immunosuppressant, pre-transplantation gastric fibroscopy findings, time interval between transplantation and gastric cancer occurrence, follow-up period, existence of gastric cancer screening, Helicobacter pylori infection, family cancer history, gastric cancer treatment, cancer location, size of tumor, macroscopic gross type, WHO histologic type, Lauren's classification, TNM stage, and survival...
June 23, 2016: Annals of Transplantation: Quarterly of the Polish Transplantation Society
https://www.readbyqxmd.com/read/27262229/-management-of-gastrinoma
#15
REVIEW
Elisabeth Hain, Romain Coriat, Bertrand Dousset, Sébastien Gaujoux
Gastrinoma is a very rare tumor leading to gastrin hypersecretion and characterised by Zollinger-Ellisson syndrome (ZES) i.e. severe gastric and duodenal ulceration and profuse diarrhea. This disease can be sporadic or familial within a multiple endocrine neoplasia type 1 (MEN-1) syndrome. Diagnosis is based on hypergastrinemia/hypercholrhydria. Tumors are usually located in the duodeno-pancreas. Preoperative tumor location by CT, echoendoscopy and fibroscopy is not always possible because of the small size of the lesion that are frequently multiple...
November 2016: La Presse Médicale
https://www.readbyqxmd.com/read/27241821/laryngeal-and-phrenic-nerve-involvement-in-a-patient-with-hereditary-neuropathy-with-liability-to-pressure-palsies-hnpp
#16
A Cortese, G Piccolo, A Lozza, A Schreiber, I Callegari, A Moglia, E Alfonsi, D Pareyson
Lower cranial and phrenic nerve involvement is exceptional in hereditary neuropathy with liability to pressure palsies (HNPP). Here we report the occurrence of reversible laryngeal and phrenic nerve involvement in a patient with HNPP. The patient recalled several episodes of reversible weakness and numbness of his feet and hands since the age of 30 years. His medical history was uneventful, apart from chronic obstructive pulmonary disease (COPD). At age 44, following severe weight loss, he presented with progressive dysphonia and hoarseness...
July 2016: Neuromuscular Disorders: NMD
https://www.readbyqxmd.com/read/27200129/-endoscopic-contribution-in-the-dilatation-of-caustic-esophagus-stenosis
#17
COMPARATIVE STUDY
Togo Seydou, Ouattara Moussa Abdoulaye, Li Xing, Sanogo Zimogo Zi, Koumaré Sekou, Yang Shang Wen, Sankare Ibrahim, Toure Cheik Ahmed Sekou, Maiga Ibrahim Boubacar, Jacque Saye, Dakouo Dodino Jerome, Toure Ousmane Dantoumé, Yena Sadio
INTRODUCTION: The aim of this work was to present the contribution of the endoscopy in the management of esophageal dilatation for caustic esophageal stenosis (CES). METHODS: This was a descriptive and prospective study in the thoracic surgery department at the Hospital of Mali. A total of 46 cases of CES is recorded and divided into 4 groups according to the topography of the esophageal lesions. For the different methods of dilatation the number of performed endoscopic support was determined to understand the contribution of endoscopic means in the success of dilatation for CES...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/26724246/initial-evaluation-and-management-of-the-critical-burn-patient
#18
C Vivó, R Galeiras, Ma D P del Caz
The major improvement in burn therapy is likely to focus on the early management of hemodynamic and respiratory failures in combination with an aggressive and early surgical excision and skin grafting for full-thickness burns. Immediate burn care by first care providers is important and can vastly alter outcomes, and it can significantly limit burn progression and depth. The goal of prehospital care should be to cease the burning process as well as prevent future complications and secondary injuries for burn shock...
January 2016: Medicina Intensiva
https://www.readbyqxmd.com/read/26634589/allergic-rhinitis-and-adenoid-hypertrophy-in-children-is-adenoidectomy-always-really-useful
#19
L Colavita, M Miraglia Del Giudice, G Stroscio, C Visalli, T Alterio, C Pidone, M R Pizzino, T Arrigo, R Chimenz, C Salpietro, C Cuppari
Allergic rhinitis (AR) and adenoid hypertrophy (AH) are common in children and are often associated with each other. Recent studies have shown improvement of respiratory symptoms and reduction in the adenoid volume after anti-allergic medical therapy (intranasal corticosteroids, antihistamines). The aim of our retrospective study is to evaluate the effectiveness of adenoidectomy on respiratory symptoms in pediatric patients with AR. We recruited 404 pediatric patients with AR, and we divided them into 4 groups (1...
April 2015: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/26322449/analysis-of-predisposing-factors-for-complications-of-percutaneous-tracheostomy
#20
Ivan Domènech, Paula Cruz Toro, Jordi Tornero, Ana Giordano, Àngela Callejo
Since the turn of the century, percutaneous tracheostomy (PT) has become an alternative to the classic open technique and is an elective procedure in intensive care units at most centers. We conducted a prospective study to identify and quantify the complication rate with PT and to analyze this procedure's association with potential risk factors. Our study population was made up of 114 patients-83 men (72.8%) and 31 women (27.2%), aged 18 to 81 years (mean: 57 ± 15)-who underwent PT at our center over an 18-month period...
August 2015: Ear, Nose, & Throat Journal
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