keyword
https://read.qxmd.com/read/38521613/interdisciplinary-approach-to-expedited-outpatient-gastrostomy-tube-placement-in-head-and-neck-cancer-patients-a-single-center-retrospective-study
#21
JOURNAL ARTICLE
Pearce B Haldeman, Mansur A Ghani, Patricia Rubio, Minette Pineda, Joseph Califano, Assuntina G Sacco, Jeet Minocha, Zachary T Berman
RATIONALE AND OBJECTIVE: Treatment for head and neck cancer (HNC) can lead to decreased oral intake which often requires gastrostomy tube (g-tube) placement to provide nutritional support. A multidisciplinary team (MDT) consisting of interventional radiology (IR), HNC oncology and surgery, nutrition, and speech language pathology departments implemented an expedited outpatient g-tube placement pathway to reduce hospital stays and associated costs, initiate feeds sooner, and improve communication between care teams...
March 22, 2024: Academic Radiology
https://read.qxmd.com/read/38520633/a-method-for-treatment-of-deep-and-superficial-enteroatmospheric-fistulas-in-an-open-abdomen-chimneyvac-ten-years-experience
#22
JOURNAL ARTICLE
Arne Seternes, Lars Cato Rekstad, William Lossius, Hans H Wasmuth
BACKGROUND: Leakage of intestinal fluid is a challenging event when it appears in an open abdomen (OA) and surgical deviation does not seem possible. Intestinal contents in the abdominal cavity maintain inflammation and drainage is there for essential. We have developed a method, ChimneyVAC, to treat both deep and superficial enteroatmospheric fistulas (EAF) AIMS: To describe this innovative surgical technique and our 10-year experience. MATERIAL & METHODS: This single-center observational cohort study included all 16 consecutive patients treated with ChimneyVAC...
March 23, 2024: World Journal of Surgery
https://read.qxmd.com/read/38520580/predicting-the-risk-of-morbidity-by-glim-based-nutritional-assessment-and-body-composition-analysis-in-oncologic-abdominal-surgery-in-the-context-of-enhanced-recovery-programs-the-phase-angle-value-in-abdominal-surgery-phavas-study
#23
JOURNAL ARTICLE
Marta Sandini, Luca Gianotti, Salvatore Paiella, Davide P Bernasconi, Linda Roccamatisi, Simone Famularo, Matteo Donadon, Gabriele Di Lucca, Marco Cereda, Edoardo Baccalini, Giovanni Capretti, Gennaro Nappo, Amanda Casirati, Marco Braga, Alessandro Zerbi, Guido Torzilli, Claudio Bassi, Roberto Salvia, Emanuele Cereda, Riccardo Caccialanza
BACKGROUND: Preoperative nutritional status and body structure affect short-term prognosis in patients undergoing major oncologic surgery. Bioimpedance vectorial analysis (BIVA) is a reliable tool to assess body composition. Low BIVA-derived phase angle (PA) indicates a decline of cell membrane integrity and function. The aim was to study the association between perioperative PA variations and postoperative morbidity following major oncologic upper-GI surgery. PATIENTS AND METHODS: Between 2019 and 2022 we prospectively performed BIVA in patients undergoing surgical resection for pancreatic, hepatic, and gastric malignancies on the day before surgery and on postoperative day (POD) 1...
March 23, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38519337/con-the-harms-of-overfeeding-early-in-critical-illness
#24
JOURNAL ARTICLE
Andrew Gessouroun, Daniella DiNizo
Historically, several studies showed an association between malnutrition in critically ill patients and poor outcomes. As a result, the standard practice had been to provide patients with full nutrition as soon as possible to eliminate malnutrition, improve outcomes, and reduce mortality. However, several studies recently suggested that providing more calories and protein is not better in critical illness and may be harmful in certain disease states. This literature review and editorial describe the harms of maximal feeding early in critical illness...
October 13, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38518144/impact-of-eras-on-hysteromyomectomy-a-study-on-anxiety-depression-and-ovarian-function
#25
JOURNAL ARTICLE
Xiuyun Yu, Chenchen Wang, Liangmei Wang, Yuan Pang, Yin Zhang, Liping Qian, Hui Chen
OBJECTIVE: To analyze the application of the Enhanced Recovery After Surgery (ERAS) nursing mode in patients undergoing radical cystectomy with urinary diversion. METHODS: A retrospective analysis was conducted on clinical data of 72 patients with bladder cancer who underwent "robot-assisted laparoscopic radical cystectomy + urinary diversion" in Nanjing University Medical College Affiliated Gulou Hospital between January 2021 and January 2023. All patients met the complete inclusion criteria...
March 22, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38518063/interventions-for-pancreatitis-new-approaches-knowledge-gaps-and-research-opportunities-summary-of-a-national-institute-of-diabetes-and-digestive-and-kidney-diseases-workshop
#26
JOURNAL ARTICLE
Anna Evans Phillips, Steven J Hughes, Dana K Andersen, Adam Bell, Randall Brand, Gregory A Coté, Adriana Cowdin, Nancy Diazgranados, Vikas Dudeja, Sinead N Duggan, Evan Fogel, Chris E Forsmark, A Jay Freeman, George Gittes, Phil A Hart, Christie Jeon, William Nealon, John Neoptolemos, Tonya M Palermo, Stephen Pandol, Kristen M Roberts, Martin Rosenthal, Vikesh K Singh, Dhiraj Yadav, David C Whitcomb, Nicholas Zyromski
There exists no cure for acute, recurrent acute or chronic pancreatitis and treatments to date have been focused on managing symptoms. A recent workshop held by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) focused on interventions that might disrupt or perhaps even reverse the natural course of this heterogenous disease, aiming to identify knowledge gaps and research opportunities that might inform future funding initiatives for NIDDK. The breadth and variety of identified active or planned clinical trials traverses the spectrum of the disease and was conceptually grouped for the workshop into behavioral, nutritional, pharmacologic and biologic, and mechanical interventions...
April 1, 2024: Pancreas
https://read.qxmd.com/read/38517993/multidisciplinary-management-based-on-clinical-nursing-pathway-model-for-the-treatment-of-hypertensive-intracerebral-hemorrhage-a-randomized-controlled-trial
#27
JOURNAL ARTICLE
Lan Zhang, Tingting Shen, Yan Zhou, Xing Xie, Jing Wang, Haixiao Gao
OBJECTIVE: To explore the effectiveness of multidisciplinary management based on a clinical nursing pathway model for the treatment of hypertensive intracerebral hemorrhage (HICH). METHODS: A total of 124 patients with HICH admitted to our hospital between February 2021 and June 2023 were selected as research subjects in this randomized, controlled, unblinded study. They were divided into Control-group and Study-group using a random number table method, with 62 cases in each group...
March 22, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38516737/management-of-a-complex-fistula-involving-abdominal-wall-small-bowel-colon-and-bladder
#28
JOURNAL ARTICLE
Mishal Gillani, Seth A Rosen
Successful surgical management of a chronic complex abdominal fistula requires thoughtful pre-operative evaluation and planning and often benefits from a multi-disciplinary approach. Initially, attention is focused on controlling sepsis and ensuring adequate hydration and electrolyte replacement. Next, efforts to optimize nutrition and engage the patient in prehabilitation are prioritized. Simultaneously, imaging is used to gain detailed assessment of anatomy. We present a challenging case involving a Jackson-Pratt (JP) drain from prior surgery causing a complex intra-abdominal fistula...
March 22, 2024: American Surgeon
https://read.qxmd.com/read/38516169/keratoconus-exploring-fundamentals-and-future-perspectives-a-comprehensive-systematic-review
#29
REVIEW
Sana Niazi, Zisis Gatzioufas, Farideh Doroodgar, Oliver Findl, Alireza Baradaran-Rafii, Jacob Liechty, Majid Moshirfar
BACKGROUND: New developments in artificial intelligence, particularly with promising results in early detection and management of keratoconus, have favorably altered the natural history of the disease over the last few decades. Features of artificial intelligence in different machine such as anterior segment optical coherence tomography, and femtosecond laser technique have improved safety, precision, effectiveness, and predictability of treatment modalities of keratoconus (from contact lenses to keratoplasty techniques)...
2024: Therapeutic Advances in Ophthalmology
https://read.qxmd.com/read/38515292/acute-fetal-metabolomic-changes-in-twins-undergoing-fetoscopic-surgery-for-twin-twin-transfusion-syndrome
#30
JOURNAL ARTICLE
Braxton Forde, Samuel Martin, Miki Watanabe-Chailland, Foong-Yen Lim
Fetuses undergo major surgical stress as well as fluid shifts secondary to both twin-twin transfusion (TTTS) as well as the fetoscopic surgery for treatment of TTTS. While the pathophysiology of TTTS is understood, the acute metabolic changes that fetuses experience from fetoscopic surgery are not. We sought to evaluate the changes in recipient metabolomic profile secondary to TTTS surgery. Amniotic fluid was collected at the beginning and end of four TTTS surgical cases performed from 12/2022-2/2023. Samples were immediately processed and evaluated via NMR-based Metabolomics Facility protocol...
March 22, 2024: Twin Research and Human Genetics: the Official Journal of the International Society for Twin Studies
https://read.qxmd.com/read/38515100/serum-lactate-normalization-time-associated-with-prolonged-postoperative-ileus-after-surgical-management-of-the-small-bowel-and-or-mesenteric-injuries
#31
JOURNAL ARTICLE
Naa Lee, Euisung Jeong, Yunchul Park, Younggoun Jo, Jungchul Kim, Hyunseok Jang
BACK GROUND: Determining the optimal timing of postoperative oral feeding in trauma patients who have undergone abdominal surgery with small bowel and/or mesenteric injuries is challenging. The aim of this study is to investigate serum lactate as a factor that can predict oral feeding tolerance and prolonged postoperative ileus (PPOI) in patients who underwent surgery for small bowel and/or mesenteric injury due to trauma. METHODS: The single center retrospective observational study was conducted on 367 patients who underwent surgery for small bowel and/or mesenteric injury between January 2013 and July 2021...
March 21, 2024: BMC Surgery
https://read.qxmd.com/read/38513525/impact-of-preoperative-sarcopenia-on-postoperative-complications-and-prognosis-in-patients-undergoing-robotic-gastric-cancer-surgery-a-propensity-score-matching-study
#32
JOURNAL ARTICLE
Ping'an Ding, Haotian Wu, Tongkun Li, Jiaxiang Wu, Li Yang, Jiaxuan Yang, Honghai Guo, Yuan Tian, Peigang Yang, Lingjiao Meng, Qun Zhao
BACKGROUND: Sarcopenia, defined as decreased muscle mass and function, correlates with postoperative morbidity and mortality in cancer surgery. However, sarcopenia's impact specifically following robotic gastrectomy for gastric cancer has not been clearly defined. This study aimed to determine the influence of sarcopenia on short- and long-term clinical outcomes after robotic gastrectomy for gastric cancer. METHODS: This retrospective study analyzed 381 gastric cancer patients undergoing robotic gastrectomy...
February 21, 2024: Nutrition
https://read.qxmd.com/read/38513305/breastfeeding-and-pre-pregnancy-bariatric-surgery-a-scoping-review
#33
REVIEW
Seyedeh Samira Mokhlesi, Vidanka Vasilevski, Linda Sweet
BACKGROUND: Bariatric surgery is a procedure for people with class II and III obesity who are unable to lose weight using traditional methods. The incidence rate of bariatric surgery in reproductive-age women is increasing rapidly, so the number of women who become pregnant after bariatric surgery is rising. AIM: To collate and synthesise available literature regarding breastfeeding following bariatric surgery. METHODS: This review was reported by the preferred reporting items for systematic reviews and meta-analysis extension for scoping reviews (PRISMA-Scr)...
March 20, 2024: Women and Birth
https://read.qxmd.com/read/38512349/robot-assisted-versus-laparoscopic-assisted-gastrectomy-among-malnourished-patients-with-gastric-cancer-based-on-textbook-outcome
#34
JOURNAL ARTICLE
Guang-Tan Lin, Jun-Yu Chen, Zhi-Xin Shang-Guan, Deng-Hui Fan, Qing Zhong, Dong Wu, Zhi-Yu Liu, Yi-Ming Jiang, Jia-Bin Wang, Jian-Xian Lin, Jun Lu, Qi-Yue Chen, Zhi-Hong Huang, Ju-Li Lin, Jian-Wei Xie, Ping Li, Chang-Ming Huang, Chao-Hui Zheng
BACKGROUND: Textbook outcome (TO) has been widely employed as a comprehensive indicator to assess the short-term prognosis of patients with cancer. Preoperative malnutrition is a potential risk factor for adverse surgical outcomes in patients with gastric cancer (GC). This study aimed to compare the TO between robotic-assisted gastrectomy (RAG) and laparoscopic-assisted gastrectomy (LAG) in malnourished patients with GC. METHODS: According to the diagnostic consensus of malnutrition proposed by Global Leadership Initiative on Malnutrition (GLIM) and Nutrition Risk Index (NRI), 895 malnourished patients with GC who underwent RAG (n = 115) or LAG (n = 780) at a tertiary referral hospital between January 2016 and May 2021 were included in the propensity score matching (PSM, 1:2) analysis...
March 21, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38511171/clinical-characteristics-of-postoperative-necrotizing-enterocolitis-in-patients-with-congenital-jejunoileal-atresia-and-its-risk-factors
#35
JOURNAL ARTICLE
Xiaofeng Xiong, Wei Lu, Fuzhong Xing, Yuan Cai, Jixin Yang, Yuhang Yuan, Jiexiong Feng, Xuyong Chen
OBJECTIVE: To review postoperative necrotizing enterocolitis (NEC) in patients with jejunoileal atresia (JIA) and to explore the potential risk factors related to the concurrence of NEC. METHODS: Patients diagnosed with JIA who received surgical treatment from January 2016 to June 2021 were enrolled. Demographics, viral infection of the fetus, transfusion within 48 hours before NEC, sepsis before JIA repair, pathological and anatomical classification of JIA, combined malformation, occurrence time of NEC after the operation, treatment, and prognosis of patients were analyzed...
2024: World journal of pediatric surgery
https://read.qxmd.com/read/38510586/incidence-of-low-seroimmunity-to-hepatitis-b-virus-in-children-with-inflammatory-bowel-disease-a-single-center-experience
#36
JOURNAL ARTICLE
Hala H Mansour, Ayman E Eskander, Sara M Osman, Normeen H Rady
PURPOSE: Immunosuppressive therapy is frequently administered to patients with inflammatory bowel disease (IBD), which may make them more susceptible to infections like hepatitis B. METHODS: A cross-sectional study was conducted on patients aged 5-18 years diagnosed with IBD who visited a gastroenterology clinic along with controls who were the same age as the patients with IBD and were healthy overall. A logistic regression analysis using the independent variables of age, sex, race, disease phenotype, surgery, and medications and the dependent variable of adequate hepatitis B surface antibody (HBsAb) titers (>10 mIU/mL) was performed on quantitative serum HBsAb titers...
March 2024: Pediatric Gastroenterology, Hepatology & Nutrition
https://read.qxmd.com/read/38509737/the-impact-of-the-post-traumatic-facial-reconstruction-on-postoperative-weight-loss
#37
JOURNAL ARTICLE
Isabelle Gengler, Susie Min, Megan Jiang, Grace Zhang, Mekibib Altaye, Thomas Radulesco, Jerome R Lechien, Tsung-Yen Hsieh
Objectives: To identify risk factors and evaluate the impact of various facial fractures and reconstruction surgeries on postoperative weight change. Methods: Retrospective, monocentric study was performed at a tertiary care center. Medical history, type and mechanism of fracture, operative factors, and postoperative weights at follow-up appointments for 145 adult patients undergoing surgical repair for maxillofacial fractures were collected. Further information was obtained on postoperative diet and whether patients received maxillomandibular fixation (MMF)...
March 20, 2024: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/38509559/parenteral-nutrition-a-life-saving-intervention-for-4-months-in-short-bowel-syndrome-a-case-report-and-review-of-the-literature
#38
REVIEW
Saulius Švagždys, Ieva Smolskaitė, Rūta Vindžigalskytė
BACKGROUND: Short bowel syndrome (SBS) in adults is defined as having less than 180 to 200 cm of remaining small bowel. Many literature sources do not provide precise epidemiological data, and challenges in estimating the prevalence of SBS include its multifactorial etiology and varying definitions. The most common pathologies leading to SBS include Crohn disease, mesenteric ischemia, radiation enteritis, post-surgical adhesions, and post-operative complications...
March 21, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38506457/-pregnancy-and-bariatric-surgery-from-pre-conception-to-postpartum
#39
JOURNAL ARTICLE
Mélina Michel, Patricia Gilet, Styliani Mantziari, Jardena J Puder, Hélène Legardeur, Lucie Favre
Bariatric surgery is regularly offered to women of childbearing age. Pregnancy after such surgery should be planned and requires special attention. Some complications associated with obesity during pregnancy are reduced after bariatric surgery, but reduced dietary intake and malabsorption can cause nutritional deficiencies, that need to be carefully screened for and supplemented. Dietary management is recommended, and any unusual abdominal pain should be referred to a bariatric surgeon. We offer a summary of recommendations for appropriate follow-up of these pregnancies...
March 20, 2024: Revue Médicale Suisse
https://read.qxmd.com/read/38506233/distal-femoral-stress-fractures-has-high-operation-rates-in-adolescent-and-young-adult-athletes
#40
JOURNAL ARTICLE
Mikalyn T DeFoor, Edmund P Mullin, Rachel A Cuenca, Sarah N Pierrie
BACKGROUND: Although stress fractures of the distal femur are rare, symptoms can overlap with other peri-articular knee pathology, delaying diagnosis. Untreated stress fractures have the potential to progress into completed fractures with a higher likelihood for requiring surgery and longer recovery times in otherwise healthy adolescents and young adults. This case series represents the largest cohort of adolescent athletes with distal femoral stress fractures who presented with activity-related knee pain...
March 20, 2024: Journal of Pediatric Orthopedics
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