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https://www.readbyqxmd.com/read/27882764/-acute-pancreatitis-in-pregnancy-complicated-by-rupture-of%C3%A2-aneurysm-of-artery-lienalis
#1
E Hostinská, K Huml, R Pilka
OBJECTIVE: We present a case of pregnant woman with acute pacreatitis in 38th week comlicated by acute rupture of aneurysm of artery lienalis. DESIGN: Case report. SETTING: Department of Gynaecology and Obstetrics, Faculty Hospital and Palacky University, Olomouc. CASE REPORT: 28-years-old primipara in 38th week of gestation was admitted to our department for acute pancreatitis caused by gallstones. Subsequent conservative treatment was complicated by rupture of aneurysm of lienal artery and haemorrhagic shock...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27179282/intestinal-permeability-and-systemic-endotoxemia-in-patients-with-acute-pancreatitis
#2
Mario Schietroma, Beatrice Pessia, Francesco Carlei, Paola Mariani, Federico Sista, Gianfranco Amicucci
BACKGROUND: The bacterial contamination of pancreatic necrosis in acute pancreatitis is supposed to occur through translocation of intestinal bacteria. The aim of this clinical study was to evaluate intestinal mucosa permeability and endotoxemia in patients with acute pancreatitis. METHODS: Sixtythree patients with acute pancreatitis were studied. Classification 42 patients had mild and 21 patients severe pancreatitis. Intestinal permeability was assessed at day 0, 1, 3, 7, 9 and 11 using the lactulose/mannitol differential absorption test...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/25823306/-choice-of-the-way-of-pancreaticodigestive-fistula-in-pancreaticoduodenal-resection
#3
COMPARATIVE STUDY
G M Barvanian
The author offered an algorithm of definition of optimal ways of pancreaticodigestive fistula formation in pancreaticoduodenal resection. It is based on the following factors such as tissue conditions of the pancreas gland stump, a diameter of pancreatic duct and compliance with cut dimensions of gland stump of anastomotic loop of the jejunum. A comparative analysis of pancreaticodigestive fistulas performance was made in 2 groups. An algorithm of choice of pancreaticodigestive anastomosis was applied in the main group (n = 35)...
2014: Vestnik Khirurgii Imeni I. I. Grekova
https://www.readbyqxmd.com/read/25468577/fluoroscope-guided-celiac-plexus-block-in-a-pregnant-patient-a-case-report
#4
Anuj Jain, Anil Agarwal, Chetna Shamshery, Sanjay Dhiraaj
A 28-weeks gestation pregnant patient with chronic pacreatitis and severe abdominal pain leading to impaired nutrition is presented. After detailed consideration of the case, fluoroscopic-guided celiac plexus neurolysis was performed. The block was performed using the transaortic approach as it reduces radiation exposure.
February 2015: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/24624452/retrospective-analysis-of-risk-factors-affecting-pacreatic-fistula-formation-after-the-closure-of-the-pancreatic-stump-with-sutures-in-distal-pancreatectomy
#5
Tarkan Unek, Tufan Egeli, Mucahit Ozbilgin, Naciye Cigdem Arslan, Huseyin Astarcioglu, Sedat Karademir, Gulsen Atasoy, Ibrahim Astarcioglu
BACKGROUND/AIMS: Development of pancreatic fistula after distal pancreatectomy is still a major problem. Various methods have been defined to prevent the development of the fistula. In this study, the results of suture closure of pancreatic duct and closure of pancreatic stump with “U” sutures passing through each other and the risk factors affecting the development of fistula are studied. METHODOLOGY: Fifty-one patients with prospectively collected data were included in the study...
October 2013: Hepato-gastroenterology
https://www.readbyqxmd.com/read/22712346/-role-of-early-biliary-and-pancreatic-decompression-by-minimally-invasive-procedure-in-acute-pancreatitis
#6
D Creţu, A Sabău, A Dumitra, D Sabău
INTRODUCTION: Acute pancreatitis is an acute inflammatory process of the pancreas, with variable involvement of other regional tissues or remote organ systems. MATERIALS AND METHODS: In an ongoing effort to search for optimal solution in the management of acute pancreatitis, a serious and unpredictable disease, even in the context of therapies that are part of modem therapeutic protocols line, we offer an original pathogenic and mininvasive therapeutic approach...
March 2012: Chirurgia
https://www.readbyqxmd.com/read/21705846/patient-side-assay-of-lipase-activity-correlating-with-pancreatic-lipase-immunoreactivity-in-the-dog
#7
Katsumi Ishioka, Noriyuki Hayakawa, Kentaro Nakamura, Kaoru Terashima
Pancreatitis is a common exocrine pancreatic disease in dogs, and the pancreatic lipase immunoreactivity (PLI) test is used for diagnosis. Enzyme catalytic assay is thought to have low specificity, but a lipase activity assay with increased specificity has been developed in human clinical chemistry. We measured serum lipase activity of 65 client-owned dogs using the newly developed FUJI DRI-CHEM slide and compared the results with their PLI concentrations. The results showed a good correlation (r = 0.91), and the normal and pancreatitis dogs identified based on the PLI values were correctly separated based on lipase activity...
November 2011: Journal of Veterinary Medical Science
https://www.readbyqxmd.com/read/19546603/-keep-at-it-accept-the-challenges-of-your-critics-an-interview-with-john-m-howard-md-professor-emeritus-division-of-general-surgery-university-of-toledo-toledo-ohio-usa-interview-by-mart%C3%A3-n-e-fern%C3%A3-ndez-zapico
#8
John M Howard
In this article, Professor John Howard shares with our readers his life experiences as a pancreatic surgeon-researcher and gives advice to junior pancreatologists starting a career in pancreatic research. Professor Howard made an outstanding contribution to the understanding of acute pacreatitis and he is a pioneer in the development of management approaches for pancreatic diseases.
2009: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
https://www.readbyqxmd.com/read/19093625/-comparision-between-a-bilio-pacreatic-diversion-with-or-without-gastroresection-after-2-years-of-follow-up-in-the-treatment-of-the-pathological-obesity
#9
Francesco Mittempergher, Ernesto Di Betta, Riccardo Nascimbeni, Claudio Casella
Malabsorptive bariatric procedures have a long history beginning with jejunoileal bypass, which was first performed in 1950s. The biliopancreatic diversion (BPD) has gained more prominence in Europe since its introduction by Scopinaro in 1976 The BPD has been modified and popularized by Hess in the United States and Marceau in Canada to include a sleeve gastrectomy and duodenal switch in order to decrease the incidence of marginal ulceration and iron deficiency anemia. Moreover the common channel was lengthened to 100 cm to decrease the incidence of long-term malnutrition...
July 2008: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/18609130/acute-edematous-and-necrotic-pancreatitis-in-a-porcine-model
#10
Sanna Meriläinen, Jyrki Mäkelä, Vesa Anttila, Vesa Koivukangas, Hanna Kaakinen, Eija Niemelä, Pasi Ohtonen, Juha Risteli, Tuomo Karttunen, Ylermi Soini, Tatu Juvonen
OBJECTIVE: It is unclear why pancreatitis progresses either to mild edematous disease or to severe necrotic disease. The aim of the study was to shed some light on this topic by investigating differences during the early stages of necrotic and edematous pancreatitis. MATERIAL AND METHODS: Piglets were randomized into two groups. Necrotic pancreatitis was induced with retrograde injection of 20% taurocholic acid (1 ml/kg), and edematous pancreatitis was induced with 0...
2008: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/17464253/-ct-anatomy-of-the-normal-spleen-variants-and-pitfalls
#11
S Merran, P Karila-Cohen, V Servois
Normally, the spleen is located in the left hypochondrium. It is attached by the gastrosplenic and splenorenal ligaments. Its tissue composition made up of red pulp and white pulp explains the heterogenous aspect when contrast medium is injected in the arterial phase. This can make it difficult to detect intrasplenic masses. The adult spleen has no lobulations or incisures; however, the persistence of fissures separating the fetal spleen's lobules can indicate splenic lacerations in a trauma context. The ectopic spleen is a migration of the spleen from its normal anatomic location because its ligaments have not developed properly...
April 2007: Journal de Radiologie
https://www.readbyqxmd.com/read/16315964/-a-case-of-successful-resection-for-recurrent-intraductal-papillary-mucinous-adenocarcinoma
#12
Masaki Kashiwazaki, Yutaka Takeda, Yasunori Hasuike, Norikazu Masuda, Masakazu Ikenaga, Motohiro Hirao, Kazumasa Fujitani, Hideyuki Mishima, Toshiro Sawamura, Shoji Nakamori, Masashi Takeda, Yoshiyuki Mano, Toshimasa Tsujinaka
Intraductal papillary-mucinous neoplasms (IPMN) of the pancreas have recently been defined and classified by the World Health Organization. In addition, many cases of IPMN continue to be recognized frequently. We report a case of a 65-year-old female who underwent surgical resection of the pancreas twice within a period of 6 months for primary and recurrent IPMN. We first performed distal pancreatectomy with splenectomy for IPMN in the pacreatic body. A histopathological study revealed invasive adenocarcinoma and the negative margin of the pancreatic duct...
October 2005: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/12151826/safety-and-risks-of-laparoscopy-in-pregnancy
#13
REVIEW
Haya Al-Fozan, Togas Tulandi
PURPOSE OF REVIEW: The purpose of this review is to evaluate the indications, and the safety and efficacy of operative laparoscopy in pregnancy with a particular attention to the pregnancy outcome. RECENT FINDINGS: Hemodynamics changes during laparoscopic surgery in pregnancy are similar to those observed in the nonpregnant state. The procedure appears to be safe and reduces hospital admissions and frequency of premature labor. The safest time to perform laparoscopic surgery in pregnancy is at the second trimester...
August 2002: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/11397492/laparoscopic-cholecystectomy-in-patients-with-early-cirrhosis
#14
L Urban, G A. Eason, S ReMine, B Bogard, J Magisano, P Raj, D Pratt, T Brown
Traditionally, cholecystectomy in cirrhotic patients has been reserved for patients with severe biliary disease, because of the high morbidity and mortality in cirrhotic patients undergoing this procedure. Laparoscopic cholecytectomy (LC) was originally contraindicated in cirrhotic patients because of the associated portal hypertension and coagulopathy. This study examined the safety of LC in Child's class A patients.A review was conducted of all patients with cirrhosis who underwent cholecystectomy at our hospital between 1990 and 1998...
May 2001: Current Surgery
https://www.readbyqxmd.com/read/11185711/ct-arterial-portography-in-the-staging-of-pancreatic-malignancy
#15
S Varshney, C N Hacking, C D Johnson
BACKGROUND: Detection of metastatic liver disease and malignant involvement of major peripancreatic vessels is important to determine resectability of pacreatic malignancy. Computed tomography with arterial portography (CTAP) is the most sensitive method for detection of colorectal liver metastases; it can also detect malignant vascular involvement. We have assessed CTAP in patients with pancreatic cancer considered suitable for resection after standard ultrasonography (US) and computed tomography (CT) examination...
August 2000: International Journal of Pancreatology: Official Journal of the International Association of Pancreatology
https://www.readbyqxmd.com/read/9762441/isolation-of-differentially-expressed-genes-by-combining-representational-difference-analysis-rda-and-cdna-library-arrays
#16
M Geng, C Wallrapp, F Müller-Pillasch, M Frohme, J D Hoheisel, T M Gress
The difference products (DP) of representational difference analyses (RDA) were used as hybridization probes on cDNA arrays. The effectivity of RDA products obtained with increasing driver/tester ratios (DP 1 = 100:1, DP 2 = 800:1 and DP 3 = 400,000:1) to isolate differentially expressed genes was compared with the effectivity of conventional differential hybridizations. Pacreatic cancer and control tissues were used as a test system to isolate differentially expressed genes. The use of RDA products as hybridization probes showed two major advantages: (i) a reliable identification of true differential signals; and (ii) only one autoradiograph had to be analyzed, which eliminated the need for a laborious subtraction of signal intensities obtained with different cDNA probes...
September 1998: BioTechniques
https://www.readbyqxmd.com/read/9458955/-protein-energy-malnutrition-as-a-consequence-of-the-hospitalization-of-gastroenterologic-patients
#17
S J Papini-Berto, J B Dichi, I Dichi, C R Victória, R C Burini
The effects of the clinical and dietetics in patient managements on the protein-energy status of hospitalized patients were retrospectively (four yr) investigated in 243 adult (49 +/- 16 yr), male (168) and female (75) patients suffering from chronic liver diseases (42%), intestinal diseases with diarrhea (14%), digestive cancers (11%), chronic pancreatitis (10%), stomach and duodenum diseases (7%), acute pancreatitis (7%), primary protein-energy malnutrition (3%), esophagus diseases (3%), intestinal diseases with constipation 14 (2%) and chronic alcoholism (2%)...
January 1997: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/8882421/anti-ganglioside-antibodies-in-new-onset-type-1-diabetic-patients-and-high-risk-subjects
#18
C Tiberti, F Dotta, E Anastasi, P Torresi, G Multari, E Vecci, D Andreani, U Di Mario
Insulin dependent (type 1) diabetes mellitus appears to be a genetically determined autoimmune disease. Gangliosides have been implicated in type 1 diabetes as antigenic determinants recognized by islet cell antibodies (ICA) and shown to be able to modulate autoimmune phenomena in experimental diabetes. In order to explore in type 1 diabetes the humoral immune reactivity against gangliosides, taking into account their pancreatic localization and molecular characteristics, antibodies to gangliosides GM3, GM2, GM1, GD3, GD1a, GD1b, and GT1b have been investigated in sera from new onset type 1 diabetics and relatives of type 1 diabetic patients with or without insulin (CIAA) and/or islet cell autoantibodies...
1995: Autoimmunity
https://www.readbyqxmd.com/read/1092602/influence-of-exocrine-and-endocrine-pancreatic-function-on-intestinal-brush-border-enaymatic-activities
#19
W F Caspary, K Winckler, P G Lankisch, W Creutzfeldt
Digestive enzymatic activities (disaccharidases, alkaline phosphatase, peptide hydrolases) have been determined in the mucosa of 14 patients with chronic pancreatitis. All had an abnormal secretin-pancreozymin test. Four patients had insulin-dependent diabetes mellitus, four a pathological glucose tolerance test. Nine patients had steatorrhoea. Maltase, sucrase, and alkaline phosphatase activity was significantly elevated in patients with exocrine pancreatic insufficiency, whereas those of lactase, trehalase, and peptide hydrolase were normal...
February 1975: Gut
https://www.readbyqxmd.com/read/925746/pancreatitis-following-spinal-cord-injury
#20
M E Carey, F C Nance, H D Kirgis, H F Young, L C Megison, D G Kline
Six cases of pancreatitis following spinal cord injury are presented. No single, etiologically accepted mechanism already postulated to cause pancreatitis can account for all the cases reported. The authors hypothesize that spinal cord disruption may produce pacreatitis by sympathetic-parasympathetic nervous system imbalance resulting in over-stimulation of the sphincter of Oddi. This may lead to stasis of secretions with absorption of amylase into the systemic circulation, and structural pancreatic damage...
December 1977: Journal of Neurosurgery
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