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https://www.readbyqxmd.com/read/27905307/oriental-cholangiohepatitis-recurrent-pyogenic-cholangitis-a-case-series-from-the-netherlands-and-brief-review-of-the-literature
#1
K E Verweij, H van Buuren
Oriental cholangiohepatitis is a condition occurring in the Asian population, characterised by recurrent bacterial cholangitis and presence of calculi within the intrahepatic bile ducts, biliary strictures and an increased risk for cholangiocarcinoma. It is an uncommon disease in the West that may not always be considered. The therapeutic approach is multidisciplinary and highly individual, and includes antibiotic therapy, endoscopic and percutaneous biliary drainage with stone removal and dilation of strictures, and in selected cases surgical resection of affected liver segments...
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27904308/laparoscopic-transcystic-treatment-biliary-calculi-by-laser-lithotripsy
#2
Jun Liu, Lan Jin, Zhongtao Zhang
BACKGROUND AND OBJECTIVES: Laparoscopic transcystic common bile duct exploration (LTCBDE) is a complex procedure requiring expertise in laparoscopic and choledochoscopic skills. The purpose of this study was to investigate the safety and feasibility of treating biliary calculi through laparoscopic transcystic exploration of the CBD via an ultrathin choledochoscope combined with dual-frequency laser lithotripsy. METHODS: From August 2011 through September 2014, 89 patients at our hospital were treated for cholecystolithiasis with biliary calculi...
October 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/27901452/perioperative-characteristics-of-dogs-undergoing-open-versus-laparoscopic-assisted-cystotomy-for-treatment-of-cystic-calculi-89-cases-2011-2015
#3
Ameet Singh, Katie Hoddinott, Shauna Morrison, Michelle L Oblak, Brigitte A Brisson, Adam T Ogilvie, Gabrielle Monteith, John D Denstedt
OBJECTIVE To compare perioperative characteristics of dogs with cystic calculi treated via open versus laparoscopic-assisted cystotomy (LAC). DESIGN Retrospective case series. ANIMALS 89 client-owned dogs that underwent open cystotomy (n = 39) or LAC (50). PROCEDURES Medical records of dogs that underwent cystotomy between 2011 and 2015 were reviewed. History, signalment, surgery date, results of physical examination, results of preoperative diagnostic testing, details of surgical treatment, duration of surgery, perioperative complications, treatment costs, and duration of hospitalization were recorded...
December 15, 2016: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/27900939/incidence-and-implications-of-silent-hydronephrosis-following-percutaneous-nephrolithotomy%C3%A2
#4
Lawrence Dagrosa, Rachel Moses, Vernon Pais
OBJECTIVE: While routine renal imaging following ureteroscopy for urinary calculi has been recommended to screen for asymptomatic "silent" obstruction, the rate of silent obstruction following percutaneous nephrolithotomy (PCNL) remains poorly defined, and no consensus recommendations exist on routine postoperative imaging. At our institution, we sought to assess the incidence of silent hydronephrosis (SH), as a screen for obstruction, following PCNL. METHODS: The records of all 162 patients who met study inclusion criteria were reviewed...
November 30, 2016: Clinical Nephrology
https://www.readbyqxmd.com/read/27900222/surgical-outcomes-and-complications-of-tube%C3%A2-promedon-malleable-penile-prostheses-in-diabetic-versus-non-diabetic-patients-with-erectile-dysfunction
#5
Elnisr Rashed Mohamed, Ahmed Rashed Hammady, Mohamed Zaki Eldahshoury, Ahmed Mamdouh Elsharkawi, Ahmed Mahmoud Riad, Hazem Mohamed Elmogazy, Mohamed Mostafa Hussien, Wael Mohamed Gamal
OBJECTIVE: To evaluate surgical outcome, complications, and patients satisfaction with the Tube® (Promedon, Cordoba, Argentina) malleable penile prosthesis in diabetic and non-diabetic patients with refractory erectile dysfunction (ED). PATIENTS AND METHODS: The records of 128 eligible patients who received Tube malleable penile prostheses at our institute between September 2008 and October 2015 were reviewed. RESULTS: Of the 128 patients, who received Tube penile prostheses at our institute, 53 were diabetics and 75 were non-diabetics...
December 2016: Arab Journal of Urology
https://www.readbyqxmd.com/read/27882009/functional-and-structural-abnormalities-of-the-kidney-and-urinary-tract-in-severely-malnourished-children-a-hospital-based-study
#6
Misbah Anjum, Khemchand N Moorani, Ifra Sameen, Muhammad Ayaz Mustufa, Shazia Kulsoom
OBJECTIVES: The association of malnutrition and systemic diseases like chronic kidney disease (CKD) is well known. Various urinary tract abnormalities may be associated with malnutrition. So objective of current study was to determine the frequency of functional and structural urinary tract abnormalities in severely malnourished children admitted in Nutritional Rehabilitation Unit (NRU) of a tertiary care facility, Karachi. METHODS: This descriptive cases series of 78 children was conducted in NRU from October 2014 - March 2015...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27868099/endourologic-and-open-ureterolithotomy-and-common-sheath-reimplant-for-large-bladder-and-distal-ureteral-calculi
#7
Madeline Cancian, Joseph Brito, Joseph Renzulli, Gyan Pareek
A twenty-eight-year-old female with a history of suprapubic pain and recurrent urinary tract infections presents for urology referral with a kidney, ureter, and bladder radiograph showing a 4.4 cm bladder calculus and 6.5 cm distal left ureteral stone. She underwent effective cystolitholapaxy of the bladder stone. Endourologic attempt (left ureteroscopy) was unsuccessful because of ureteral stone burden. Findings at ureteroscopy revealed a duplicated system on the left with the lower pole moiety joining just proximal to the ureteral orifice...
2016: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/27867851/percutaneous-endoscopic-treatment-for-urinary-stones-in-pediatric-patients-where-we-are-now
#8
Paolo Caione, Giuseppe Collura, Michele Innocenzi, Mauro De Dominicis, Simona Gerocarni Nappo, Nicola Capozza
BACKGROUND: Percutaneous nephrolithotomy (PCNL) has been adopted for pyelo-calyceal stones treatment in pediatric patients, starting from the 90's. Very recently, miniaturization of endoscopic instruments allowed less invasive procedures with low complication rate. We reviewed our experience on upper tract stone treatment utilizing two different percutaneous accesses, focusing on the recent new miniaturized devices offered for pediatric renal stones. METHODS: Patients presenting upper tract urinary stones observed from January 2011 to December 2015 and treated by percutaneous renal access were prospectively evaluated: age, sex, metabolic issues, associated abnormalities, treatment modalities, hospital stay and complication rate were recorded in a specific database...
October 2016: Translational pediatrics
https://www.readbyqxmd.com/read/27867850/minimal-access-surgery-in-the-management-of-pediatric-urolithiasis
#9
Ana Catarina Fragoso, Henry Steyaert, Pierre Arnaud, Ciro Esposito, Jose Estevao-Costa, Jean-Stephane Valla
BACKGROUND: In contrast to adult patients, a relatively large number of open surgical procedures are still needed in the treatment of urolithiasis in children. Since almost all open surgical techniques may be reproduced by minimal access surgery (MAS), there is a rationale to apply the latter in the management of pediatric urolithiasis. Our study aimed to assess the feasibility and outcome of MAS in the treatment of pediatric urinary calculi. METHODS: The charts of patients with urolithiasis submitted to MAS between 1994 and 2007 were retrospectively reviewed...
October 2016: Translational pediatrics
https://www.readbyqxmd.com/read/27859390/stone-tissue-differentiation-for-holmium-laser-lithotripsy-using-autofluorescence-clinical-proof-of-concept-study
#10
Birgit Lange, Dieter Jocham, Ralf Brinkmann, Jens Cordes
BACKGROUND AND OBJECTIVES: Holmium laser lithotripsy is the gold standard for intracorporeal fragmentation of urinary calculi. Usually, a visible beam is superimposed on the IR treatment laser as an aiming beam to guide the surgeon. In vitro tests showed that this aiming beam (532 nm, power <1 mW) excites strong fluorescence on human calculi. Tissue, in contrast, emitted much weaker fluorescence. If this is verified in vivo, the fluorescence signal induced by the aiming beam could be used to implement a feedback loop, preventing the Holmium laser being fired on tissue...
November 12, 2016: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/27856356/percutaneous-nephrolithotomy-pcnl-a-critical-review
#11
REVIEW
Arvind P Ganpule, Mohankumar Vijayakumar, Ankur Malpani, Mahesh R Desai
INTRODUCTION: Percutaneous nephrolithotomy (PCNL) is the preferred treatment of choice for renal calculi. PCNL has evolved remarkably since the eighties when it was first described. APPROACH: Approach might be by either supine or prone and the access is made with the help of either fluoroscopy or ultrasound. Recently endoscopy and ipad guided puncture have also been described. MINIATURIZATION: The traditional PCNl were sung tracts upto 40 fr initially and the most common used was around 30 fr till recently...
November 14, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27855586/urolithiasis-in-renal-allografts-complications-and-outcomes
#12
Frank Friedersdorff, Nasrin El-Bandar, Jonas Busch, Barbara Erber, Kurt Miller, Tom Florian Fuller, Kurt Miller
OBJECTIVES: Urinary calculi rarely occur in renal transplant. However, because of peculiarities shown with renal allografts, a prudent approach is necessary to prevent further complications or even graft failure. There are no well-established guidelines for uro?ithiasis in renal grafts regarding adequate therapy selection. In the present article, different therapeutic interventions are discussed, including in 1 case a pyelovesicostomy as an uncommon intervention. MATERIALS AND METHODS: We retrospectively reviewed data of 1115 patients who underwent renal transplant between January 2002 and December 2014 for urolithiasis in different databases...
November 18, 2016: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/27848095/endemic-bladder-calculi-in-children
#13
Neveen A Soliman, S Adibul Hasan Rizvi
Urinary calculi are being recognized more frequently in children and the urinary bladder is the most common site for stone formation in the lower urinary tract. Bladder calculi are grouped into three basic categories: primary idiopathic/endemic, secondary, and migrant. The incidence of vesical calculi has declined significantly in the last 70 years in developed nations owing to improvements in nutrition and socioeconomic conditions, but it is still high in developing nations. Primary idiopathic/endemic bladder calculi typically occur in children, in the absence of urinary tract infection (UTI), urinary stasis, or foreign body, and diet lacking in animal proteins is the major contributor factor...
November 15, 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/27847293/clinical-value-of-crystalluria-and-quantitative-morphoconstitutional-analysis-of-urinary-calculi
#14
REVIEW
Vincent Frochot, Michel Daudon
Crystalluria is a marker of urine supersaturation with substances deriving from metabolic disorders, inherited diseases or drugs. The investigation of crystalluria must be done according to a protocol which includes the delivery to the laboratory of a proper urine sample, the use of a microscope equipped with polarized light, the accurate knowledge of urine pH, and a comprehensive examination of the crystals, which is based on their identification, quantification and size measurement. For unusual crystals, infrared spectroscopy may also be needed...
November 12, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27846839/combination-therapy-only-shows-short-term-superiority-over-monotherapy-on-ureteral-stent-related-symptoms-outcome-from-a-randomized-controlled-trial
#15
Qinyu Liu, Banghua Liao, Ruochen Zhang, Tao Jin, Liang Zhou, Deyi Luo, Jiaming Liu, Hong Li, Kunjie Wang
BACKGROUND: Controversy remains on the superiority of combination therapy over monotherapy on ureteral stent-related symptoms (SRSs). We tend to explore if there is a necessity of combination therapy. METHODS: One hundred cases of unilateral upper urinary tract calculi with stent insertion (pre and post flexible ureteroscopy) were randomized into 4 groups, given non-treatment, solifenacin, tamsulosin or combination respectively. Eight times of follow-ups were given after each insertion...
November 15, 2016: BMC Urology
https://www.readbyqxmd.com/read/27845548/safety-and-efficacy-of-pneumatic-lithotripters-versus-holmium-laser-on-multiple-ureteral-calculi
#16
Hakan Ercil, Ergun Alma, Okan Bas, Umut Unal, Nevzat Can Sener, Ediz Vuruskan, Aykut Buğra Senturk, Zafer Gokhan Gurbuz
BACKGROUND: Different energy sources can be used for ureteroscopic stone fragmentation, such as pneumatic, ultrasonic, laser or electrohydraulic. The aim of this study was to compare the efficacy and safety of pneumatic lithotripters versus Ho: YAG laser in the treatment of multiple stones in the distal ureter. METHODS: A retrospective evaluation was done using the data of patients to whom ureteroscopic lithotripsy (URL) was applied for ureter stones in our clinic...
November 2016: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/27832704/re-pre-and-post-operative-predictors-of-infection-related-complications-in-patients-undergoing-percutaneous-nephrolithotomy
#17
Ibrahim Halil Bozkurt, Ismail Basmaci, Tarık Yonguc
In the recent study only the patients with SIRS and positive post-operative blood or urine culture was accepted as sepsis. International Sepsis Definitions Conference defines "sepsis" as a clinical syndrome defined by the presence of both infection and a systemic inflammatory response. Infection is defined as a pathological process caused by invasion of normally sterile tissue or fluid or a body cavity by pathogenic micro-organisms [2]. In this regard, we believe that it would be more appropriate to define the SIRS cases with positive stone cultures as "patients with sepsis", additionally...
November 10, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27825989/antilithiatic-effect-of-peucedanum-grande-c-b-clarke-in-chemically-induced-urolithiasis-in-rats
#18
B N Kumar, Abdul Wadud, Nasreen Jahan, Ghulamuddin Sofi, Humaira Bano, Shaikh Ajij Ahmed Makbul, Sadique Husain
ETHNOPHARMACOLOGICAL RELEVANCE: Duqu (Peucedanum grande C. B. Clarke) has been used by Unani physicians since ancient times in retention of urine, renal and bladder calculi, nephritis and other associated disorders in different dosage forms. AIM OF THE STUDY: The aim of the study was to evaluate the antiurolithiatic activity of Peucedanum grande C. B. Clarke in experimental model. MATERIALS AND METHODS: The experiment was carried out in male Sprague Dawley rats divided into 5 groups of 8 animals each...
November 5, 2016: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/27824261/extracorporeal-shockwave-lithotripsy-versus-flexible-ureteroscopy-for-the-management-of-upper-tract-urinary-stones-in-children
#19
Lucas Freton, Benoit Peyronnet, Alexis Arnaud, Lauranne Tondut, Juliette Hascoët, Benjamin Pradere, Gregory Verhoest, Edouard Habonimana, Olivier Azzis, Benjamin Fremond, Karim Bensalah
OBJECTIVE: To compare the efficacy and morbidity of extracorporeal shockwave lithotripsy (ESWL) and flexible ureteroscopy (F-URS) for the management of upper urinary tract stones in children. METHODS: All ESWL and F-URS performed in children in a single-institution between 2000 and 2014 were reviewed retrospectively. Only procedures performed to treat upper tract urinary stones (upper ureter or kidney) were included in this study. Preoperative and perioperative outcomes were compared between the ESWL and F-URS groups...
November 8, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27822940/national-practice-pattern-and-time-trends-in-treatment-of-upper-urinary-tract-calculi-in-korea-a-nationwide-population-based-study
#20
Jinsung Park, Beomseok Suh, Myung Shin Lee, Seung Hyo Woo, Dong Wook Shin
Despite high prevalence of upper urinary tract calculi (UUTC), there are few studies regarding patterns of care in Asian populations. We investigated treatment patterns and time trends in patients with newly diagnosed UUTC in Korea using the National Health Insurance database that includes de-identified claims from a random 2% sample of the entire population (> 1 million people). A total of 14,282 patients who received active treatments, including shock wave lithotripsy (SWL), ureteroscopic surgery (URS), percutaneous nephrolithotomy (PNL), and uretero/pyelolithotomy (UPL), for newly diagnosed UUTC between 2003 and 2013 were included...
December 2016: Journal of Korean Medical Science
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