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https://www.readbyqxmd.com/read/27488952/postoperative-ileus-in-search-of-an-international-consensus-on-definition-diagnosis-and-treatment
#1
Daniel Gero, Olivier Gié, Martin Hübner, Nicolas Demartines, Dieter Hahnloser
PURPOSE: Postoperative ileus (POI) is a frequent complication after abdominal surgery; nonetheless, it remains poorly defined. Our aim was to achieve an international consensus among leading colorectal surgeons on definition, prevention, and treatment of POI. METHODS: Thirty-five experts from five continents participated in a three-round Delphi process. Round 1 contained open-ended questions on POI and postoperative nausea and vomiting (PONV). Round 2 included closed-ended questions...
August 3, 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27403391/the-effect-of-sildenafil-on-recuperation-from-sciatic-nerve-injury-in-rats
#2
Mehmet Fatih Korkmaz, Hakan Parlakpınar, Mehmet Fethi Ceylan, Levent Ediz, Emine Şamdancı, Ersoy Kekilli, Mustafa Sağır
BACKGROUND: Severe functional and anatomical defects can be detected after the peripheral nerve injury. Pharmacological approaches are preferred rather than surgical treatment in the treatment of nerve injuries. AIMS: The aim of this study is to perform histopathological, functional and bone densitometry examinations of the effects of sildenafil on nerve regeneration in a rat model of peripheral nerve crush injury. STUDY DESIGN: Animal experiment...
March 2016: Balkan Medical Journal
https://www.readbyqxmd.com/read/24871780/pure-laparoscopic-right-hepatectomy-with-the-hanging-maneuver-for-multiple-hepatocellular-adenomas
#3
Safi Dokmak, Yacine Ben Safta, Fadhel Samir Ftériche, Béatrice Aussilhou, Jacques Belghiti
A 54-year-old woman with multiple telangiectatic hepatocellular adenoma without degeneration (>5 cm) underwent laparoscopic right hepatectomy with the hanging maneuver. The patient was installed in the supine position with the legs spread apart. Five trocars were used for the intervention. The liver hanging maneuver was performed up-to-down with a nasogastric tube and no prior mobilization of the right liver. Surgery lasted 270 min with 100 ml of blood loss and 15 min of hepatic pedicle clamping. The patient was discharged on postoperative day 7...
November 2014: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/21229692/-case-of-tracheal-agenesis-found-during-surgery
#4
Chisato Miyamoto, Tetsuro Mitsuse, Takefumi Akasaka, Kazuyuki Masuda, Akira Hashiguchi
We reported a case of tracheal agenesis (TA) that was diagnosed during surgery. A female infant, weighing 1,104 g, was born at the 29 weeks of gestation. She showed severe respiratory distress without crying. Oxygenation was improved by mask ventilation, but tracheal intubation was very difficult. Tracheoesophageal fistula (TEF) was suspected because significant amount of air from nasogastric tube was noticed. Physical examination and X-ray findings suggested Gross E type TEF, duodenal atresia and cloaca. On the second day of life, ligation of TEE gastrostomy and colostomy were scheduled...
December 2010: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/20537510/removal-of-a-self-knotted-feeding-jejunostomy-tube-in-a-patient-with-tongue-base-cancer
#5
S-C Jwo
The knotting of an intragastric tube is a rare complication, and knotting of a feeding jejunostomy tube is rarer, and the removal or replacement of the tube is difficult. There are many reports on the removal of intragastric knotted tubes, but these methods cannot be applied for the removal of knotted feeding jejunostomy tubes, which do not have a natural orifice as large as the mouth to facilitate the introduction of instruments to correct the complication or remove the knotted tube. This is a stressful situation and doctors have to adopt strategies to resolve this problem safely and effectively in the absence of strong evidence-based knowledge...
September 2010: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/20005501/surgical-practice-evidence-or-anecdote
#6
COMPARATIVE STUDY
Brent S Izu, Benjamin Monson, Alex G Little, Paula M Termuhlen
OBJECTIVES: Our objective is to highlight a few surgical practices that are not based on evidence but are still taught in surgical education, and to assess our experience with these practices. DESIGN: We identified 3 practices (clamping of nasogastric tubes before removal, bowel preparation before elective colon resection, and elective sigmoid colectomy following 2 bouts of diverticulitis), identified the data supporting each practice, and administered a survey to faculty and residents at our institution...
September 2009: Journal of Surgical Education
https://www.readbyqxmd.com/read/18165451/an-evaluation-of-the-cut-and-push-method-of-percutaneous-endoscopic-gastrostomy-peg-removal
#7
Susan Merrick, Sarah Harnden, Shishir Shetty, Preeti Chopra, Philip Clamp, Suneil Kapadia
BACKGROUND: This study aimed to establish whether 15-Fr gauge percutaneous endoscopic gastrostomy (PEG) tubes can be safely removed by "cut and push." METHODS: Patients were prospectively recruited who were found to be without significant intestinal dysfunction requiring removal of Freka (Fresenius Kabi) 15-Fr gauge PEG tubes. The PEG tube was cut close to the stoma and the remnant pushed into the gastric lumen with a 14-Fr nasogastric tube. Patients were asked to observe their stool for the remnant...
January 2008: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/16440075/fatal-massive-hemorrhage-caused-by-nasogastric-tube-misplacement-in-a-patient-with-mediastinitis
#8
Pei-Yu Wu, Ting-Jui Kang, Chung-Kun Hui, Ming-Hui Hung, Wei-Zen Sun, Wei-Hung Chan
Nasogastric tube insertion is a routine procedure in medical care. However, misplacement of the tube can cause a variety of complications, which can be life threatening in some instances. We report a case of fatal hemorrhagic shock immediately after nasogastric tube insertion in a patient undergoing debridement by video-assisted thoracoscopic surgery for mediastinitis. Emergency endoscopy showed that the bleeding came from the nasogastric tube which had perforated the esophagus and possibly tore an intrathoracic large vessel...
January 2006: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/16160687/total-laparoscopic-abdominal-aortic-aneurysms-repair
#9
COMPARATIVE STUDY
M Coggia, I Di Centa, I Javerliat, P Alfonsi, M Kitzis, O A Goëau-Brissonnière
AIM: The aim of the study was to describe our experience of total laparoscopic abdominal aortic aneurysm (AAA) repair. METHODS: Between February 2002 and September 2004, we performed 49 total laparoscopic AAA repair in 45 men and 4 women. Median age was 73 years (range, 46-85 years). Median aneurysm size was 52 mm (range, 30-95 mm). ASA class of patients was II, III and IV in 16, 32 and 1 cases, respectively. We used the laparoscopic transperitoneal left retrocolic approach in 47 patients...
August 2005: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/15723741/early-enteral-feeding-in-newborn-surgical-patients
#10
RANDOMIZED CONTROLLED TRIAL
Gülşen Ekingen, Canan Ceran, B Haluk Guvenc, Ayse Tuzlaci, Hayrünisa Kahraman
OBJECTIVE: We report the results of a multicenter prospective trial of early enteral trophic feeding in a group of 56 neonates who required abdominal surgery for a variety of congenital anomalies. METHODS: In this clinical study, 33 neonates were fed in the early postoperative period (early enteral nutrition [EEN] group), and the remaining 23 (control [C] group) were fasted until resolution of postoperative ileus. Patients in the EEN group (Kocaeli feeding protocol) received 3 to 5 mL of breast milk every hour through a nasogastric feeding tube, starting a mean of 12 h (8 to 20 h) after surgery...
February 2005: Nutrition
https://www.readbyqxmd.com/read/12875295/case-report-rectal-adminstration-of-ivermectin-to-a-patient-with-strongyloides-hyperinfection-syndrome
#11
Philip E Tarr, Peter S Miele, Kenneth S Peregoy, Margo A Smith, Franklin A Neva, Daniel R Lucey
Strongyloides hyperinfection syndrome may be complicated by paralytic ileus that interferes with the absorption of oral anti-helminthics. We report on the administration of ivermectin as a rectal enema preparation to a renal transplant recipient with Strongyloides hyperinfection syndrome and progressive ileus. Attempts at treatment using nasogastric albendazole and ivermectin were unsuccessful despite clamping the nasogastric tube after drug administration. Ivermectin tablets were ground to a powder, resuspended in a commercially available suspending agent, and administered per rectum...
April 2003: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/9887229/gastrostomy-using-a-gastrofix-as-an-alternative-for-nasogastric-tubes-in-ovarian-cancer-surgery
#12
F Amant, P Berteloot, I Vergote
OBJECTIVE: The aim of this study was to evaluate the use of a gastrostomy instead of a nasogastric tube following surgery for advanced ovarian cancer. DESIGN: This was a retrospective observational study. SETTING: The study was performed in a university teaching hospital. PARTICIPANTS: Thirty-four women undergoing debulking surgery for ovarian carcinoma participated. METHODS: In order to increase patients' comfort during the first postoperative days we inserted for gastric decompression a transcutaneous instead of a transnasal tube following debulking surgery...
December 1998: Gynecologic Oncology
https://www.readbyqxmd.com/read/9549748/twelve-hours-of-gastric-ventilation-a-recipe-for-disaster-a-suggested-remedy
#13
D E Crockett, R Tays, J G Brock-Utne
A forty-three-day-old infant was intubated by the Neonatal Intensive Care Unit (NICU) staff. A nasogastric tube was in place for the duration. The patient's vital signs remained stable during 12 h of positive pressure ventilation. A Broviac catheter placement was scheduled in the NICU. The position of the tracheal tube (TT) was not verified prior to induction of anaesthesia. After the induction, the patient's condition deteriorated. The TT was found to be positioned within the oesophagus. A near catastrophe was successfully averted by discovering the malpositioned TT and replacing it with a properly positioned TT...
1998: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/9474085/laparoscopically-assisted-abdominal-aortic-aneurysm-repair-first-20-cases
#14
R G Kline, A J D'Angelo, M H Chen, V J Halpern, J R Cohen
PURPOSE: Laparoscopic surgery decreases postoperative pain, shortens hospital stay, and returns patients to full functional status more quickly than open surgery for a variety of surgical procedures. This study was undertaken to evaluate laparoscopic techniques for application to abdominal aortic aneurysm (AAA) repair. METHODS: Twenty patients who had AAAs that required a tube graft underwent laparoscopically assisted AAA repair. The procedure consisted of transperitoneal laparoscopic dissection of the aneurysm neck and iliac vessels...
January 1998: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/8917027/a-prospective-study-of-simplified-omeprazole-suspension-for-the-prophylaxis-of-stress-related-mucosal-damage
#15
J O Phillips, M H Metzler, M T Palmieri, R E Huckfeldt, N G Dahl
OBJECTIVES: To determine the efficacy, safety, and cost of simplified omeprazole suspension in mechanically ventilated critically ill patients who have at least one additional risk factor for stress-related mucosal damage. DESIGN: Prospective, open-label study. SETTING: Surgical intensive care and burn unit at a university tertiary care center. PATIENTS: Seventy-five adult, mechanically ventilated patients with at least one additional risk factor for stress-related mucosal damage...
November 1996: Critical Care Medicine
https://www.readbyqxmd.com/read/8866087/a-prospective-randomized-study-of-abdominal-aortic-surgery-without-postoperative-nasogastric-decompression
#16
RANDOMIZED CONTROLLED TRIAL
S G Friedman, S A Sowerby, C A Del Pin, L A Scher, A J Tortolani
Nasogastric decompression following abdominal aortic aneurysmectomy or bypass, for 3-4 days, is a routine part of postoperative care in many centers. A prospective randomized study of 80 patients undergoing abdominal aortic surgery was performed in order to determine the necessity of prolonged nasogastric decompression. Patients were divided evenly between removal of the nasogastric tube upon tracheal extubation and retention of the tube until the passage of flatus. Preoperative risk factors, aortic cross-clamp time, estimated blood loss, length of procedure, length of intensive care unit stay, numbers of days with nasogastric tube, number of days until clear liquid and regular diets commenced, and the length of hospital stay were recorded for all patients...
August 1996: Cardiovascular Surgery: Official Journal of the International Society for Cardiovascular Surgery
https://www.readbyqxmd.com/read/8428471/association-between-gastric-intramucosal-ph-and-splanchnic-endotoxin-antibody-to-endotoxin-and-tumor-necrosis-factor-alpha-concentrations-in-patients-undergoing-cardiopulmonary-bypass
#17
L W Andersen, L Landow, L Baek, E Jansen, S Baker
OBJECTIVES: To determine the association between gastric intramucosal pH, a minimally invasive marker reflecting the adequacy of oxygen delivery to the gastrointestinal tract, and splanchnic endotoxin, antibody to endotoxin, and tumor necrosis factor (TNF)-alpha concentrations in patients undergoing cardiopulmonary bypass. DESIGN: Single-arm, prospective study. SETTING: University hospital. PATIENTS: Adults (n = 10) free of hepatic, pulmonary, and renal disease undergoing nonemergent coronary artery bypass surgery...
February 1993: Critical Care Medicine
https://www.readbyqxmd.com/read/7996299/clostridium-difficile-infection-a-common-clinical-problem-for-the-general-internist
#18
REVIEW
G M Caputo, M R Weitekamp, A E Bacon, C Whitener
Considering the current wide use of antimicrobial agents, the general internist is commonly faced with the patient at risk for diarrhea due to C. difficile. The diagnosis should be considered for any patient with diarrhea who has received any type of antibiotic therapy in the preceding 4-6 weeks. Symptoms may range from a minor bout of diarrhea to fulminant and fatal colitis. Diagnosis usually requires demonstration of the toxin in stool; culture of the organism and fiberoptic endoscopy may play an adjunctive role in selected clinical settings...
September 1994: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/7694985/bioavailability-of-medication-delivered-via-nasogastric-tube-is-decreased-in-the-immediate-postoperative-period
#19
A B Elfant, S M Levine, S R Peikin, B Cencora, L Méndez, M J Pello, U M Atabek, J B Alexander, R K Spence, R C Camishion
BACKGROUND: A study was performed to determine bioavailability of medication delivered via nasogastric tube in patients after abdominal surgery. METHODS: Acetaminophen (20 mg/kg) was administered to each patient per os at least 48 hours prior to abdominal surgery and via nasogastric tube 3 hours postoperatively. The nasogastric tube was clamped for 30 minutes after drug administration, prior to resuming suction. Serum levels of acetaminophen were measured 0, 40, and 90 minutes after each dose...
April 1995: American Journal of Surgery
https://www.readbyqxmd.com/read/6650804/-erosion-hemorrhage-from-an-esophago-aortic-fistula-in-congenital-anomaly-of-the-thoracic-aorta-as-a-fatal-complication-of-a-stomach-tube
#20
E Jungck, K Püschel
UNLABELLED: A 6 year old boy was admitted to ICU because of severe polytrauma. He was ventilated for 4 weeks using a nasotracheal tube (high-volume-low-pressure cuff) and fed by nasogastric tube for 6 weeks. After this time severe haemorrhage from the oesophagus occurred, caused by an oesophago-aortic fistula. Bleeding could be stopped by a Sengstaken-Blakemore-tube. The child died during emergency thoracotomy as a result of ventricular fibrillation after clamping of the aorta. Autopsy revealed a malformation of the aortic arch (type II B 4a according to Kirklin and Clagett 1950)...
October 1983: Der Anaesthesist
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