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Eva Carlsson, Jeanette Fingren, Anne-Marie Hallén, Charlotta Petersén, Elisabet Lindholm
Despite advancements in the creation and care of stomas, ostomy and peristomal skin complications are common immediately following surgery as well as in the months and years thereafter. A prospective study to determine the prevalence of ostomy and peristomal skin complications and the influence of ostomy configuration on such complications was conducted 1 year after ostomy surgery among all patients at a university hospital in Sweden. All participants received regular (10 to 14 days post discharge, 6 weeks, 3 months, 6 months, and 1 year post surgery) ostomy follow-up care by a wound ostomy continence (WOC) nurse...
October 2016: Ostomy/wound Management
Shun-Mao Yang, Wei-Ling Hsiao, Jui-Hsiang Lin, Pei-Ming Huang, Jang-Ming Lee
BACKGROUND: Barbed sutures are widely used in various laparoscopic digestive surgeries. The purpose of this paper is to present our initial experience of laparoscopic percutaneous jejunostomy with unidirectional barbed sutures in esophageal cancer patients and compare it with our early cases using traditional transabdominal sutures. METHODS: A total of 118 esophageal cancer patients who underwent laparoscopic percutaneous jejunostomy were identified in a single institution in Taiwan from June 2014 to May 2016...
October 17, 2016: Surgical Endoscopy
Huawei Chen, Liwen Zhang, Pengfei Zhang, Deyuan Zhang, Zhiwu Han, Lei Jiang
A novel unidirectional liquid spreading surface with an inclined arc pitted groove, inspired by the continuous unidirectional liquid spreading mechanism on the peristome surface of N. alata, is explored and fabricated by two-step UV lithography. Its superior unidirectional liquid spreading capability to that of other surface patterns is demonstrated, and its unidirectional liquid spreading mechanism is investigated.
September 26, 2016: Small
Yuan Zhuang, John C Clamp, Zhenzhen Yi, Daode Ji
A new peritrichous ciliate, Cothurnia salina n. sp., collected from a brine pond of a salt factory in Yantai, China, was investigated based on live observations, silver staining method and molecular phylogenetic analysis. The diagnosis for this new taxon: body elongated columnar, in vivo 80-98 × 12-19 µm; lorica barrel-shaped, with aboral part heavily thickened; stalk extremely short, with approximately ½ of its length within the lorica; macronucleus wormlike, longitudinally oriented; single contractile vacuole ventrally located; pellicle with conspicuous parallel transverse striations, 62-73 from aboral trochal band to peristome and 32-38 from aboral trochal band to scopula; infundibular polykinety 3 (P3) consisting of two ciliary rows, which are equal length, parallel to each other and terminate adstomally between P1 and P2...
September 19, 2016: Zootaxa
John Slapcinsky, Fred Kraus
We describe a new stylommatophoran land snail of the family Partulidae from Palau. The new species has a combination of morphological and ecological characters that do not allow its placement in any existing partulid genus, so we describe a new genus for it. The new genus is characterized by a large (18-23 mm) obese-pupoid shell; smooth protoconch; teleoconch with weak and inconsistent, progressively stronger, striae; last half of body whorl not extending beyond the penultimate whorl; widely expanded and reflexed peristome; relatively long penis, with longitudinal pilasters that fuse apically into a fleshy ridge that divides the main chamber from a small apical chamber; and vas deferens entering and penial-retractor muscle attaching at the apex of the penis...
2016: ZooKeys
Fiona Davidson
Having a stoma can reduce a person's quality of life and cause distress. A survey of people in Ireland who have had a stoma for an average of 15 years found that, while they now have a similar quality of life to the general population, they have poorer mental health and a higher level of sexual dysfunction. Respondents want to talk about their experiences and may benefit from more opportunities to talk to others with a stoma or to stoma care nurses. While most patient information suggests that patients can return to their usual diet and their clothes, a majority of ostomates have to make changes in these areas; some dietary changes have implications for their health...
September 22, 2016: British Journal of Nursing: BJN
Anna Boyles, Sharon Hunt
It is estimated that around one in 500 people in the UK are living with a stoma, with approximately 21 000 operations that result in stoma formation being performed each year ( Colostomy Association, 2016 ). These people face a unique set of challenges in maintaining the integrity of their peristomal skin. This article explores the normal structure and function of skin and how the care and management of a stoma presents challenges for maintaining peristomal skin health. Particular focus is paid to the incidence of skin problems for those living with a stoma, whether it is temporary or permanent, and the factors that contribute to skin breakdown in this population...
September 22, 2016: British Journal of Nursing: BJN
Ezekiel Wong Toh Yoon, Kaori Yoneda, Shinya Nakamura, Kazuki Nishihara
BACKGROUND AND STUDY AIMS: Percutaneous endoscopic gastrostomy (PEG) using the introducer technique is not only useful in patients with upper digestive tract stenosis but has been shown to reduce peristomal infection. In this study, we evaluated the safety and utility of a novel large-caliber introducer PEG kit (using 20 Fr size tube) compared with a push kit of similar size. PATIENTS AND METHODS: One hundred and thirty-six patients who received PEG at our hospital between January 2014 and December 2015 were retrospectively analyzed...
September 2016: Endoscopy International Open
Gaetano Luglio, Francesco Terracciano, Mariano Cesare Giglio, Michele Sacco, Roberto Peltrini, Viviana Sollazzo, Emanuela Spadarella, Cristina Bucci, Giovanni Domenico De Palma, Luigi Bucci
INTRODUCTION: Fecal diversion is considered an effective procedure to protect bowel anastomosis at high risk for leak. Some concerns exist regarding the risk for a significant morbidity associated to ileostomy creation itself and moreover to its closure. Surgical expertise and closure techniques are considered potential factors influencing morbidity. Aim of the study is to present a single-institution experience with ileostomy closures, in a teaching hospital, whereas ileostomy reversal is mainly performed by young residents...
September 6, 2016: International Journal of Colorectal Disease
Brienne D Cressey, Viswanath R Belum, Pamela Scheinman, Dianne Silvestri, Nancy McEntee, Vashti Livingston, Mario E Lacouture, Jonathan H Zippin
BACKGROUND: Peristomal dermatitis is a common complication for the >700 000 patients in the United States with an ostomy. The role of stoma skin care products in peristomal dermatitis is poorly understood. OBJECTIVE: To evaluate stoma skin care products as a cause of peristomal dermatitis. METHODS: A retrospective chart review of patients with peristomal dermatitis at four academic hospitals from January 2010 to March 2014 was performed...
August 31, 2016: Contact Dermatitis
Ezekiel Wong Toh Yoon, Kaori Yoneda, Shinya Nakamura, Kazuki Nishihara
BACKGROUND/AIMS: Although percutaneous endoscopic gastrostomy (PEG) is the method of choice for long-term enteral nutrition, feeding-related adverse events such as aspiration pneumonia and peristomal leakage can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes may help by circumventing gastric passage during enteral nutrition and improving drainage of gastric secretions. METHODS: 20 patients (12 males and 8 females) who received PEG-J after unsuccessful PEG feeding during a 6-year period in our institution were analysed retrospectively to evaluate the efficacy of large-bore jejunal feeding tubes in maintaining enteral nutrition...
2016: BMJ Open Gastroenterology
Naiara S Barbosa, Stanislav N Tolkachjov, Rokea A El-Azhary, Mark D P Davis, Michael J Camilleri, Marian T McEvoy, Alina G Bridges, David A Wetter
BACKGROUND: There are limited large case series of peristomal pyoderma gangrenosum (PPG), an uncommon cause of recalcitrant peristomal ulceration. OBJECTIVE: We sought to further characterize the clinical features, causes, treatments, and outcomes of PPG. METHODS: We conducted a retrospective chart review of patients with PPG seen at Mayo Clinic from January 1996 to July 2013. RESULTS: A total of 44 patients had PPG (mean age, 46 years; 32 women [73%]); 41 (93%) had inflammatory bowel disease...
November 2016: Journal of the American Academy of Dermatology
Ibrahim Erdim, Ali Ahmet Sirin, Bahadir Baykal, Fatih Oghan, Ali Guvey, Fatma Tulin Kayhan
INTRODUCTION: Tracheoesophageal peristomal fistulae can often be solved by reducing the size of the fistula or replacing the prosthesis; however, even with conservative techniques, leakage around the fistula may continue in total laryngectomy patients. Also, several techniques have been developed to overcome this problem, including injections around the fistula, fistula closure with local flaps, myofascial flaps, or free flaps and fistula closure using a septal perforation silicon button...
July 21, 2016: Brazilian Journal of Otorhinolaryngology
Adli Metussin, Rusanah Sia, Suriawati Bakar, Vui Heng Chong
Percutaneous endoscopic gastrostomy tube is the modality of choice for long-term enteral nutrition. In the event that replacement tubes are not available, urinary catheters can be used to maintain patency of the gastrostomy tract. This study reports our experience in a nurse-led service using Foley catheters as temporary gastrostomy tubes and the associated complications. Patients who had used Foley catheter as gastrostomy tube over a 2-year period (Jan 2011 to December 2012) were studied. Twenty-one patients had used Foley catheters as a temporary gastrostomy tube, and 12 (57...
July 2016: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
Rebekah M Mack, Benjamin Staiger, Daniel K Langlois, Stephen J Mehler, Nathaniel Lam, Trevor Moore, Andrew Brown, Matthew W Beal
OBJECTIVE: To develop and describe a technique for percutaneous radiologic gastrojejunostomy tube placement in the dog. DESIGN: Prospective technique development study. SETTING: University teaching hospital. ANIMALS: Six healthy adult male Beagles. INTERVENTIONS: Following anesthetic induction, fluoroscopic and ultrasound guidance were used to identify an appropriate gastropexy site on the left lateral abdomen...
September 2016: Journal of Veterinary Emergency and Critical Care
I Latour-Álvarez, E García-Peris, M M Pestana-Eliche, M García-Bustínduy
No abstract text is available yet for this article.
July 5, 2016: Actas Dermo-sifiliográficas
Jason B Samarasena, Nathaniel H Kwak, Kenneth J Chang, John G Lee
BACKGROUND AND AIMS: When PEG tube feeding is complicated by anatomic obstruction, dysmotility, or aspiration, a need arises for feeding beyond the pylorus. The currently available percutaneous gastrojejunostomy (PEG-J) kits have issues with the jejunal extension portion migrating back into the stomach. The aim of this study was to evaluate the feasibility and safety of a novel technique that creates PEG-J tubes by combining an adult percutaneous gastrostomy (PEG) tube with a pediatric PEG tube, the PEG-Pedi-PEG procedure...
June 18, 2016: Gastrointestinal Endoscopy
Masoomeh Khajehnoori, Tim O'Brien
Peristomal pyoderma gangrenosum (PPG) is a rare subtype of pyoderma gangrenosum that is difficult to diagnose and treat. It is characterized by the rapid progression of painful necrotic ulcer surrounding an area of abdominal stoma. It is almost exclusively associated with inflammatory bowel disease even after bowel surgery and is associated with significant morbidity. Diagnosis of pyoderma gangrenosum is based on exclusion of other disorders replicating some of its clinical features and histopathological evidence...
2016: Journal of Surgical Case Reports
J B Cornille, S Pathak, I R Daniels, N J Smart
INTRODUCTION Parastomal hernia (PSH) is a common problem following stoma formation. The optimal technique for stoma formation is unknown although recent studies have focused on whether placement of prophylactic mesh at stoma formation can reduce PSH rates. The aim of this study was to systematically review use of prophylactic mesh versus no mesh with regard to occurrence of PSH and peristomal complications. METHODS A systematic search was performed using PubMed, Embase™ and the Cochrane Library to identify randomised controlled trials that analysed placement of prophylactic mesh versus no mesh at time of initial surgery...
June 8, 2016: Annals of the Royal College of Surgeons of England
Hong-Li Ding, Pei Wang, Zhou-Xing Qian, Jun-Hong Lin, Wei-Chuan Zhou, Chung-Chi Hwang, Hong-Mu Ai
The camaenid land snail genus Camaena is widely distributed throughout Southeast Asia. Thirteen species are found in China alone. Among these, Camaena cicatricosa (Müller, 1774) is the most widely distributed species, including four subspecies, Camaena cicatricosa ducalis (Ancey, 1885), Camaena cicatricosa inflata (Möllendorff, 1885), Camaena cicatricosa obtecta (Fischer, 1898) and Camaena cicatricosa connectens (Dautzenberg & Fischer, 1906). The systematics of these taxa is revised herein based on comparative shell morphology and anatomy as well as analyses of DNA sequences of two mitochondrial genes (COI, 16S rRNA) and one nuclear marker, ITS2...
2016: ZooKeys
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