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https://www.readbyqxmd.com/read/28496536/percutaneous-endoscopic-gastrostomy-in-a-patient-with-continuous-intrathecal-baclofen-infusion-therapy
#1
Ezekiel Wong Toh Yoon, Masuki Kobayashi
Percutaneous endoscopic gastrostomy (PEG) is the method of choice in patients requiring long-term enteral tube feeding. In patients with intrathecal baclofen infusion therapy (IBT) pump implantation, infection via the skin and soft tissue may be an issue of concern. The introducer technique for gastrostomy tube insertion may be useful in reducing the risk of peristomal infection. Although the presence of a PEG tube has been reported as a risk factor for implantation site infection (for newly inserted IBT pumps), whether existing IBT pumps are at risk for infection during or after the placement of a PEG tube is not clear...
April 2017: Gastroenterology Research
https://www.readbyqxmd.com/read/28433044/-laparoscopic-diverting-ileostomy-in-rectal-cancer-surgery
#2
P Ihnát, P Vávra, P Guňková, A Zatloukal, S Czudek, P Zonča
INTRODUCTION: Low anterior resection (LAR) with total mesorectal excision (TME) represents the gold standard for patients with low rectal carcinoma. Protective ileostomy (PI) is commonly performed during LAR in an effort to protect low rectal anastomosis. The aim of this study is to analyse outcomes in our own patient population, focusing on morbidity associated with PI. METHOD: A retrospective clinical study of patients operated on between 2013 and 2015 was conducted in University Hospital Ostrava...
2017: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/28416390/fluoroscopy-guided-placement-of-pull-type-mushroom-retained-gastrostomy-tubes-in-102-patients
#3
G Kahriman, N Ozcan, H Donmez
PURPOSE: The purpose of this study was to evaluate the technical and clinical results of fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes. MATERIALS AND METHODS: This retrospective study included 102 patients (61 men, 41 women) with a mean age of 59years±16.3 (SD) (range, 18-94years) who had fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes. All procedures were performed after inflating the stomach with air via an orally inserted 5-Fr catheter by retrograde catheterization of the esophagogastric junction...
April 14, 2017: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/28411789/significant-cost-savings-from-treating-peristomal-irritant-contact-dermatitis-with-an-over-the-counter-spray
#4
Timothy C Michaelis, Brett C Neill, Vikas Patel, Daniel J Aires, Anand N Rajpara
No abstract text is available yet for this article.
May 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28391734/analysis-of-tracheostoma-morphology
#5
Maartje Leemans, Maarten J A van Alphen, Michiel W M van den Brekel, Edsko E G Hekman
OBJECTIVES: Existing fixation methods of automatic speaking valves (ASVs) suffer from shortcomings which partly are the result of insufficient conformity of the intratracheal fixation method's shape to the tracheostoma anatomy. However, quantitative data are lacking and will be helpful to analyse solutions for airtight fixation. This article provides such data. PATIENTS AND METHODS: The tracheostoma morphology was measured in computerized tomography scans of 20 laryngectomized patients...
April 10, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28363595/gastric-incarceration-in-a-peristomal-hernia
#6
Belén Martin Arnau, Jesús Bollo Rodriguez, Juan Carlos Pernas, Eduardo M Targarona
No abstract text is available yet for this article.
March 28, 2017: Cirugía Española
https://www.readbyqxmd.com/read/28362656/north-america-wound-ostomy-and-continence-and-enterostomal-therapy-nurses-current-ostomy-care-practice-related-to-peristomal-skin-issues
#7
Janice C Colwell, Laurie McNichol, Joy Boarini
PURPOSE: The purpose of this study was to describe the practice of 796 ostomy nurses in North America in 2014 related to peristomal skin issues. DESIGN: Descriptive study. SUBJECTS AND SETTING: Participants were 796 wound, ostomy, and continence (WOC) and enterostomal therapy (ET) nurses currently practicing in the United States or Canada and caring for patients with ostomies. The collection of data occurred in conjunction with an educational program on peristomal skin complications and practice issues and solicited the participant's perception on the incidence and frequency of peristomal skin issues as well as on practice patterns...
May 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28328643/implementation-of-an-evidence-based-and-content-validated-standardized-ostomy-algorithm-tool-in-home-care-a-quality-improvement-project
#8
Kimberly Bare, Jerri Drain, Monica Timko-Progar, Bobbie Stallings, Kimberly Smith, Naomi Ward, Sandra Wright
Many nurses have limited experience with ostomy management. We sought to provide a standardized approach to ostomy education and management to support nurses in early identification of stomal and peristomal complications, pouching problems, and provide standardized solutions for managing ostomy care in general while improving utilization of formulary products. This article describes development and testing of an ostomy algorithm tool.
May 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28239571/comparison-of-elective-minimally-invasive-with-conventional-surgical-tracheostomy-in-adults
#9
Rajiv Ranganath Sanji, Chandrakiran Channegowda, Sanjay B Patil
Minimally invasive techniques were used for tracheostomy including small horizontal skin incision, limited soft tissue dissection and no suturing. A Retrospective analysis of case sheets of patients who underwent elective tracheostomy by the first and second authors at M S Ramaiah Hospitals in Bangalore between 1st May 2010 and 1st May 2015 was done to compare the result of elective conventional open surgical tracheostomy using midline vertical skin incision with minimally invasive tracheostomy using a short horizontal incision...
March 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28194815/peristomal-psoriasis
#10
C Marshall, S Woodmansey, C C Lyon
BACKGROUND: Psoriasis is a common skin condition, affecting 1.3-2.2% of the population. The prevalence of psoriasis has previously been reported as 11.2% in patients with Crohn disease (CD) and 5.7% in patients with ulcerative colitis. AIM: To assess the prevalence of psoriasis around stoma sites and identify the most effective treatment. METHODS: A departmental database of all patients attendings stoma clinic was accessed between 1 May 2003 and 15 October 2015...
February 13, 2017: Clinical and Experimental Dermatology
https://www.readbyqxmd.com/read/28138798/the-digestive-system-of-the-stony-coral-stylophora-pistillata
#11
M Raz-Bahat, J Douek, E Moiseeva, E C Peters, B Rinkevich
Because hermatypic species use symbiotic algal photosynthesis, most of the literature in this field focuses on this autotrophic mode and very little research has studied the morphology of the coral's digestive system or the digestion process of particulate food. Using histology and histochemestry, our research reveals that Stylophora pistillata's digestive system is concentrated at the corals' peristome, actinopharynx and mesenterial filaments (MF). We used in-situ hybridization (ISH) of the RNA transcript of the gene that codes for the S...
January 30, 2017: Cell and Tissue Research
https://www.readbyqxmd.com/read/28130790/antibiotic-prophylaxis-does-not-reduce-the-infection-rate-following-percutaneous-endoscopic-gastrostomy-in-infants-and-children
#12
Anne L van Els, J Joris van Driel, Cm Frank Kneepkens, Tim G J de Meij
AIM: Percutaneous endoscopic gastrostomy (PEG) is the standard for placing gastrostomy in children needing long-term enteral nutrition, with major and minor complications reported in up to 19% and 47.7% of children, respectively. We reviewed our experience with PEG, concentrating on the efficacy of antibiotic prophylaxis in reducing infectious complications. METHODS: We performed a retrospective, single-centre study that comprised all children up to 18 years of age who underwent a first PEG procedure in the VU University Medical Centre, Amsterdam, from 2008 to 2012...
May 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28106363/bioinspired-smart-peristome-surface-for-temperature-controlled-unidirectional-water-spreading
#13
Pengfei Zhang, Huawei Chen, Li Li, Hongliang Liu, Guang Liu, Liwen Zhang, Deyuan Zhang, Lei Jiang
Unidirectional liquid spreading without energy input has attracted considerable attention due to various potential applications such as biofluidics devices and self-lubrication. Introducing a surface wettable gradient or asymmetric nanostructures onto the surface has successfully harnessed the liquid to spread unidirectionally. However, these surfaces are still plagued with problems that restrict their practical applications: fixed spreading state for a fixed surface, and spreading slowly over a short distance...
February 2, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28054929/rare-complication-of-stomas-peristomal-necrotizing-fasciitis
#14
Kivanc Derya Peker, Burak M Ilhan
INTRODUCTION: A stoma formation is a frequently performed procedure in patients undergoing colorectal surgery. Although stoma formation is a simple process, it should be performed with caution. The aim of this study was to attract physicians' attention to this rare disease and also to identify the surgical and medical treatment options for peristomal necrotizing fasciitis as a rare complication. MATERIALS AND METHODS: Risk factors including age, sex, additional diseases, previous surgical procedures, source of infection, physical findings, and vital signs of 14 patients with peristomal necrotizing fasciitis over a period of 10 years from 2005 to 2015 were retrospectively evaluated...
December 2016: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/27995184/semi-solid-feeds-may-reduce-the-risk-of-aspiration-pneumonia-and-shorten-postoperative-length-of-stay-after-percutaneous-endoscopic-gastrostomy-peg
#15
Ezekiel Wong Toh Yoon, Kaori Yoneda, Kazuki Nishihara
Background and study aims: Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia may result in prolonged hospitalization and postoperative mortality. This study evaluated the efficacy of using semi-solid feeds to reduce feeding-related adverse events and improve clinical outcomes. Patients and methods: Patients who received PEG for enteral nutrition at our hospital between January 2014 and December 2015 were allocated to a postoperative feeding protocol that used either liquid feed or semi-solid feed...
December 2016: Endoscopy International Open
https://www.readbyqxmd.com/read/27982472/a-switchable-cross-species-liquid-repellent-surface
#16
Yu Huang, Birgitt Boschitsch Stogin, Nan Sun, Jing Wang, Shikuan Yang, Tak-Sing Wong
A switchable cross-species liquid-repellent surface is developed that can rapidly switch between two distinct liquid-repellent modes: i) the superhydrophobic mode, modeled after lotus leaves, and ii) the slippery mode, modeled after the pitcher-plant peristome. Adaptive liquid repellency and programmable fog harvesting are demonstrated as application examples for the new switchable surface.
February 2017: Advanced Materials
https://www.readbyqxmd.com/read/27935357/comparing-ostomates-perceptions-of-hydrocolloid-and-silicone-seals-a-survey
#17
Keith Cutting
Most stoma flanges are made of hydrocolloid material. Hydrocolloid is a hydrophilic material that attracts water, potentially resulting in moisture becoming trapped between the flange and skin. Also, as hydrocolloids are absorbent, the material breaks down over time, and there is a risk that some of the adhesive can remain on the skin on removal. Unlike hydrocolloids, silicone comprises fully cross-linked silicone polymers whose properties have been engineered to manage moisture without breaking down (i.e. manage the transepidermal water loss (TEWL))...
December 8, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27935356/evaluation-of-a-new-ostomy-mouldable-seal-an-international-product-evaluation
#18
Chantal Tielemans, Rosalind Probert, Louise Forest-Lalande, Anne Steen Hansen, Søren Aggerholm, Teresa Adeltoft Ajslev
A new mouldable seal, Brava® Protective Seal, was evaluated by patients on aspects related to residue, durability, and preference. A total of 135 patients from four countries participated (Denmark, Germany, Japan and the USA) and the new product was compared to the patients' usual pouching systems. Less residue and easier skin cleansing was observed, which may benefit patient quality of life. The possible benefits of less residue for peristomal skin health need further investigation.
December 8, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27922026/percutaneous-gastrostomy-device-for-the-treatment-of-class-ii-and-class-iii-obesity-results-of-a-randomized-controlled-trial
#19
Christopher C Thompson, Barham K Abu Dayyeh, Robert Kushner, Shelby Sullivan, Alan B Schorr, Anastassia Amaro, Caroline M Apovian, Terrence Fullum, Amir Zarrinpar, Michael D Jensen, Adam C Stein, Steven Edmundowicz, Michel Kahaleh, Marvin Ryou, J Matthew Bohning, Gregory Ginsberg, Christopher Huang, Daniel D Tran, Joseph P Glaser, John A Martin, David L Jaffe, Francis A Farraye, Samuel B Ho, Nitin Kumar, Donna Harakal, Meredith Young, Catherine E Thomas, Alpana P Shukla, Michele B Ryan, Miki Haas, Heidi Goldsmith, Jennifer McCrea, Louis J Aronne
OBJECTIVES: The AspireAssist System (AspireAssist) is an endoscopic weight loss device that is comprised of an endoscopically placed percutaneous gastrostomy tube and an external device to facilitate drainage of about 30% of the calories consumed in a meal, in conjunction with lifestyle (diet and exercise) counseling. METHODS: In this 52-week clinical trial, 207 participants with a body-mass index (BMI) of 35.0-55.0 kg/m(2) were randomly assigned in a 2:1 ratio to treatment with AspireAssist plus Lifestyle Counseling (n=137; mean BMI was 42...
March 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/27876606/devastating-peristomal-pyoderma-gangrenosum-challenges%C3%A2-in%C3%A2-diagnosis-and-management
#20
James W T Toh, Ian Whiteley
No abstract text is available yet for this article.
November 19, 2016: Clinical Gastroenterology and Hepatology
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