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https://www.readbyqxmd.com/read/28054929/rare-complication-of-stomas-peristomal-necrotizing-fasciitis
#1
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
#2
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
#3
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: (1) the superhydrophobic mode, modeled after lotus leaves, and (2) the slippery mode, modeled after the pitcher plant peristome. Adaptive liquid repellency and programmable fog harvesting have been demonstrated as application examples for the new switchable surface.
December 16, 2016: Advanced Materials
https://www.readbyqxmd.com/read/27935357/comparing-ostomates-perceptions-of-hydrocolloid-and-silicone-seals-a-survey
#4
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
#5
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
#6
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...
December 6, 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/27876606/devastating-peristomal-pyoderma-gangrenosum-challenges%C3%A2-in%C3%A2-diagnosis-and-management
#7
James W T Toh, Ian Whiteley
No abstract text is available yet for this article.
November 19, 2016: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27833247/malignant-tumors-of-the-larynx-clinicopathologic-profile-and-implication-for-late-disease-presentation
#8
Ayotunde James Fasunla, Oluwole Agboola Ogundoyin, Paul Adekunle Onakoya, Onyekwere George Nwaorgu
BACKGROUND: Malignant laryngeal tumors are uncommon. Late presentation of the disease may worsen management outcomes. We described the epidemiologic, clinicopathologic profile, and management outcomes of laryngeal tumors in a tertiary health institution in Nigeria. MATERIALS AND METHODS: An 11-year retrospective review of medical records of patients managed for malignant laryngeal tumor at the University College Hospital, Ibadan, Nigeria, was performed. RESULTS: There were 97 patients comprising 74 (76...
September 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/27832466/cost-effectiveness-analysis-of-the-temporary-percutaneous-ileostomy-for-faecal-diversion-after-colorectal-resection-in-elderly
#9
W Bugiantella, F Rondelli, L Mariani, A Polistena, A Sanguinetti, N Avenia, E Mariani
BACKGROUND: Conventional loop ileostomy (CLI) is a suitable procedure for transitory faecal diversion after colorectal anastomosis, but it causes relevant morbidities (dehydration, discomfort, peristomal infections) and requires a second operation to be closed. We already described an alternative technique of temporary percutaneous ileostomy (TPI), which can be removed without surgery. AIMS: We analyse the outcomes and the costs of the TPI in protecting low colorectal anastomosis in elderly, compared to the CLI...
November 10, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27828996/biogeography-and-character-evolution-of-the-ciliate-genus-euplotes-spirotrichea-euplotia-with-description-of-euplotes-curdsi-sp-nov
#10
Mitchell J Syberg-Olsen, Nicholas A T Irwin, Claudia Vannini, Fabrizio Erra, Graziano Di Giuseppe, Vittorio Boscaro, Patrick J Keeling
Ciliates comprise a diverse and ecologically important phylum of unicellular protists. One of the most specious and best-defined genera is Euplotes, which constitutes more than 70 morphospecies, many of which have never been molecularly tested. The increasing number of described Euplotes taxa emphasizes the importance for detailed characterizations of new ones, requiring standardized morphological observations, sequencing of molecular markers and careful comparison with previous literature. Here we describe Euplotes curdsi sp...
2016: PloS One
https://www.readbyqxmd.com/read/27818679/prophylactic-mesh-application-during-colostomy-to-prevent-parastomal-hernia-a-meta-analysis
#11
REVIEW
JunJia Zhu, YuWei Pu, XiaoDong Yang, DeBao Zhang, Kui Zhao, Wei Peng, ChunGen Xing
Background. Parastomal hernia is a common complication after stoma formation, especially in permanent colostomy. The present meta-analysis aimed to evaluate the effectiveness of prophylactic mesh application during permanent colostomy for preventing parastomal hernia. Methods. Randomized controlled trials comparing outcomes in patients who underwent colostomy with or without prophylactic mesh application were identified from PubMed, EMBASE, Science Citation Index, and the Cochrane Libraries. Results. This meta-analysis included 8 randomized controlled trials with 522 participants...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/27768579/the-prevalence-of-ostomy-related-complications-1-year-after-ostomy-surgery-a-prospective-descriptive-clinical-study
#12
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
https://www.readbyqxmd.com/read/27752817/laparoscopic-percutaneous-jejunostomy-with-intracorporeal-v-loc-jejunopexy-in-esophageal-cancer
#13
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
https://www.readbyqxmd.com/read/27717132/a-novel-bioinspired-continuous-unidirectional-liquid-spreading-surface-structure-from-the-peristome-surface-of-nepenthes-alata
#14
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
https://www.readbyqxmd.com/read/27701318/a-new-peritrich-ciliate-from-a-hypersaline-habitat-in-northern-china
#15
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
https://www.readbyqxmd.com/read/27667931/revision-of-partulidae-gastropoda-stylommatophora-of-palau-with-description-of-a-new-genus-for-an-unusual-ground-dwelling-species
#16
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
https://www.readbyqxmd.com/read/27666111/quality-of-life-wellbeing-and-care-needs-of-irish-ostomates
#17
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
https://www.readbyqxmd.com/read/27666105/care-and-management-of-a-stoma-maintaining-peristomal-skin-health
#18
REVIEW
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
https://www.readbyqxmd.com/read/27652307/percutaneous-endoscopic-gastrostomy-peg-using-a-novel-large-caliber-introducer-technique-kit-a-retrospective-analysis
#19
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
https://www.readbyqxmd.com/read/27599702/ileostomy-reversal-with-handsewn-techniques-short-term-outcomes-in-a-teaching-hospital
#20
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...
January 2017: International Journal of Colorectal Disease
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