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Digestive surgery

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https://www.readbyqxmd.com/read/29439810/differential-expression-of-proteome-in-aqueous-humor-in-patients-with-and-without-glaucoma
#1
D Salamanca, J L Gómez-Chaparro, A Hidalgo, F Labella
OBJECTIVE: To determine quantitative and qualitative differences of aqueous humor proteome in patients with and without glaucoma. METHOD: Observational, descriptive and cross-sectional study of 12 patients (8 men; 4 women) with and without glaucoma. There are 3 groups of minority proteins with serum equimolar contribution of each of the patients. Specimens were obtained during cataract surgery from patients without glaucoma (performed with retrobulbar anaesthesia [cataract retrobulbar patient -CRP-;n=4] or topical [cataract topical patient -CTP-; n=4]), or from patients with glaucoma (performed with retrobulbar anaesthesia [glaucoma retrobulbar patient -GRP-; n=4])...
February 10, 2018: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/29435037/analysis-of-the-association-of-the-expression-of-kiss-1-in-colorectal-cancer-tissues-with-the-pathology-and-prognosis
#2
Xinkai Huo, Lei Zhang, Tao Li
Colorectal cancer is a common malignant tumor of the digestive tract with high morbidity and mortality rates. The aim of the present study was to examine the expression level of KiSS-1 in tumor tissues of patients with colorectal cancer, and to explore the relationship with the clinicopathology and prognosis of patients with colorectal cancer. Frozen tumor tissue and corresponding cancer-adjacent normal tissue specimens were selected from 56 patients with colorectal cancer who were treated in the Department of Surgery of our hospital from May 2009 to December 2011...
March 2018: Oncology Letters
https://www.readbyqxmd.com/read/29434496/neuroendocrine-tumor-arising-from-meckel-s-diverticulum-unexpectedly-diagnosed-after-diverticulectomy-and-in-which-multiple-lymph-node-metastases-were-found-after-reoperation-a-case-report
#3
Ken Sugezawa, Hiroaki Saito, Yusuke Kono, Yuki Murakami, Yuji Shishido, Hirohiko Kuroda, Tomoyuki Matsunaga, Yoji Fukumoto, Tomohiro Osaki, Yoshiyuki Fujiwara
A 47-year-old man with progressive anemia possibly due to digestive tract bleeding was referred to our hospital. Contrast-enhanced computed tomography of the abdomen showed a 2-cm tumor lesion arising near the small intestine. Enteroscopy revealed a 3-cm submucosal tumor at the ileum. A gastrointestinal stromal tumor of the small intestine was suspected, and the patient underwent surgery. During the operation, a diverticulum approximately 60 cm orad to the terminal ileum and a tumor at the top of the diverticulum were observed...
December 2017: Yonago Acta Medica
https://www.readbyqxmd.com/read/29432971/assessing-the-costs-of-disposable-and-reusable-supplies-wasted-during-surgeries
#4
V Chasseigne, G Leguelinel-Blache, T L Nguyen, R de Tayrac, M Prudhomme, J M Kinowski, P Costa
BACKGROUND: The management of disposable and reusable supplies might have an impact on the cost efficiency of the Operating Room (OR). This study aimed to evaluate the cost and reasons for wasted supplies in the OR during surgical procedures. METHODS: We conducted an observational and prospective study in a French university hospital. We assessed the cost of wasted supplies in the OR (defined by opened unused devices), the reasons for the wastage, and the circulator retrievals...
February 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29429591/early-stage-mucinous-ovarian-cancer-a-review
#5
Erin K Crane, Jubilee Brown
Mucinous ovarian carcinomas (MOCs) are an uncommon subset of epithelial neoplasms, both clinically and molecularly distinct from other ovarian cancers. Pathologic diagnosis proves challenging, and metastatic disease from other sites-especially the digestive tract-must be excluded. Fortunately, most patients are diagnosed at an early stage of disease and often present with large, unilateral adnexal masses. Survival for patients with stage IA disease approaches over 90%, and surgery alone is sufficient. Patients with stage IB-II disease should receive adjuvant treatment but the specific regimen is controversial...
February 8, 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29412834/targeted-intestinal-delivery-of-incretin-secretagogues-towards-new-diabetes-and-obesity-therapies
#6
Fiona M Gribble, Claire L Meek, Frank Reimann
A new strategy under development for the treatment of type 2 diabetes and obesity is to mimic some of the effects of bariatric surgery by delivering food-related stimuli to the distal gastrointestinal tract where they should enhance the release of gut hormones such as glucagon-like peptide-1 (GLP-1) and peptideYY (PYY). Methods include inhibition of food digestion and absorption in the upper GI tract, or oral delivery of stimuli in capsules or pelleted form to protect them against gastric degradation. A variety of agents have been tested in humans using capsules, microcapsules or pellets, delivering nutrients, bile acids, fatty acids and bitter compounds...
February 2018: Peptides
https://www.readbyqxmd.com/read/29405509/introduction-and-practical-approach-to-exocrine-pancreatic-insufficiency-for-the-practicing-clinician
#7
REVIEW
Mohamed O Othman, Diala Harb, Jodie A Barkin
AIMS: In exocrine pancreatic insufficiency (EPI), the quantity and/or activity of pancreatic digestive enzymes are below the levels required for normal digestion, leading to maldigestion and malabsorption. Diagnosis of EPI is often challenging because the characteristic signs and symptoms overlap with those of other gastrointestinal conditions. Additionally, there is no single convenient, or specific diagnostic test for EPI. The aim of this review is to provide a framework for differential diagnosis of EPI vs other malabsorptive conditions...
February 5, 2018: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/29399909/effects-of-patient-participation-in-the-management-of-daily-nursing-goals-on-function-recovery-and-resilience-in-surgical-patients
#8
J S Lee, E J Seo, J E Choi, J Min
AIMS AND OBJECTIVE: This study examines the effects of active patient participation in the management of daily nursing goals (DNG) on surgical patient recovery. BACKGROUND: Nursing processes involving patient participation enable nursing interventions solely based on individual needs and expectations. This permits the establishment of nurse-patient treatment goals and supports permanent and effective nursing interventions through evaluation activities. DESIGN: A quasi-experiment that relies on a nonequivalent pretest-posttest design for the control group...
February 5, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29398813/a-study-of-preoperative-autologous-blood-donation-timing
#9
Jun Zhou, Zhen Chen, Jing Jin, Qiu-Li Zhang
This study aims to determine the safe and effective autologous blood drawing time for preoperative autologous blood donation (PABDs) by comparing the outcome of two different schedules of PABDs. A total of 144 patients who underwent elective surgery (radical resection of digestive tract tumor, lumbarspinesurgery and Intracranial tumor resection) were retrospectively reviewed. 88 patients had donated autologous blood 2 days before the operation (group 1); 56 patients had donated autologous blood more than 3 days before the operation (group 2)...
January 2018: Indian Journal of Hematology & Blood Transfusion
https://www.readbyqxmd.com/read/29395886/-drug-administration-to-pediatric-patients-evaluation-of-the-nurses-preparation-habits-in-pediatric-units
#10
S Ménétré, M Weber, M Socha, S Le Tacon, I May, C Schweitzer, B Demoré
In hospitals, the nursing staff is often confronted with the problem of the preparation and administration of drugs for their pediatric patients because of the lack of indication, pediatric dosage, and appropriate galenic form. The goal of this study was to give an overview of the nurses' preparation habits in pediatric units and highlight their daily problems. This single-center prospective study was conducted through an observation of the nursing staff during the drug preparation process in medicine, surgery and intensive care units...
January 29, 2018: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29394855/-a-case-of-perforation-peritonitis-with-multiple-duodenal-and-intestinal-malignant-lymphomas
#11
Tomoya Hatakeyama, Kazuki Sakai, Atsushi Matsumura, Shiro Ogino, Toshikazu Akami, Shinji Okano, Yuji Ueda, Takeshi Mazak
Malignant lymphomas of the duodenum and small intestine are relatively rare, but are clinically important, as they may result in perforation peritonitis. Here, we report a case of perforation peritonitis caused by multiple duodenal and small intestinal malignant lymphomas. An 84-year-old man was diagnosed with malignant lymphoma of the duodenum. Although chemotherapy was planned, emergency surgery was performed to treat perforation peritonitis. Laparoscopic observation revealed that the perforation was not in the duodenum, but in the ileum...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29394744/-single-incision-laparoscopic-ileocecal-resection-for-small-intestinal-malignant-lymphoma-a-case-report
#12
Akira Ishikawa, Takahiko Tanigawa, Sanae Hosomi, Yoshihiro Mori, Ichiro Higuchi, Yosuke Akiyama, Yasunori Hasuike
A 76-year-old man with the chiefcomplaint ofmelena visited our hospital. A mass was palpable in the right lower abdomen. We diagnosed the illness as small intestinal malignant lymphoma in the terminal ileum and performed a single incision laparoscopic ileocecal resection "TANKO-ICR" with D3 lymph node dissection with the idea ofobtaining a wide visualization and surgical field. The Aesculap®internal organ retractor(B BRAUN)is very useful in such cases. We grasped the pedicle of the ileocecal artery using the retractor and pulled out the nylon line connected to the retractor by using ENDO CLOSETM (COVIDIEN)to extraabdomen for drawing the pedicle...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29394553/-a-case-of-primary-neuroendocrine-carcinoma-of-the-duodenal-bulb
#13
Akiko Suto, Daisuke Kudo, Keinosuke Ishido, Norihisa Kimura, Taiichi Wakiya, Satoko Morohashi, Hiroshi Kijima, Kenichi Hakamada
A 82-year-old man with anemia underwent upper endoscopy, and a hemorrhagic type 1 tumor was detected on the posterior wall of the duodenal bulb. This patient was diagnosed with neuroendocrine carcinoma(NEC)using biopsy. Distant metastasis was not found on imaging. He was referred to our department for the purpose of surgical therapy and underwent pancreaticoduodenectomy. Based on pathological findings, we diagnosed this patient as having NEC. No postoperative adjuvant chemotherapy was administered, but outpatient clinical follow-up was performed...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29393164/interaction-between-medical-treatment-and-minimally-invasive-surgical-treatment-for-the-malignancies-of-the-digestive-tract
#14
Hiroyuki Kato, Hiroyuki Ono, Yasuo Hamamoto, Hitoshi Ishikawa
Recently, endoscopic diagnosis and treatment methods for early cancer in the digestive tract have made rapid progress. As for surgery, laparoscopic and thoracoscopic techniques have achieved rapidly advancing development in the last 2 decades. Early detection of the malignant lesion and the evolution of endoscopic and surgical device enabled in performing the minimally invasive surgery. Collaboration of medical treatment and minimally invasive surgery for advanced cancer is ongoing in the case of some conditions and in a few institutes...
February 1, 2018: Digestion
https://www.readbyqxmd.com/read/29390561/gastrointestinal-malignant-neoplasms-disguised-as-pneumatosis-cystoids-intestinalis-a-case-report-and-literature-review
#15
Tingting Liu, Shaoheng Zhang, Hua Mao
RATIONALE: Pneumatosis cystoids intestinalis (PCI) is a rare disease in which gas develops in the mucosa or submucosa of the digestive tract. The etiology and pathogenesis of this disease, at present, remain unclear, and gastrointestinal malignant neoplasms may be a potentially important cause. Herein, we report a case of mantle cell lymphoma presenting as PCI as well as present a literature review of cases of suspect PCI that was definitively diagnosed as gastrointestinal neoplasms. In doing so, we highlighted cases of neoplastic pathogenesis that present as PCI...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390459/successful-treatment-of-an-acute-infective-endocarditis-secondary-to-fish-bone-penetrating-into-left-atrium-caused-by-granulicatella-adiacens-and-candida-albicans-a-case-report
#16
Ya Ling Tong, Ting Ting Qu, Jia Xu, Nai Yun Chen, Mei Fang Yang
RATIONAL: Infective endocarditis caused by a foreign body of the upper digestive tract is rare. We report a rare case of Granulicatella adiacens and Candida albicans coinfection acute endocarditis combined with systematic embolization caused by a fish bone from the esophagus penetrating into the left atrium. PATIENT CONCERN: A 42-year-old woman was admitted to our hospital because of fever, abdominal pain, headache, and right limb weakness. DIAGNOSES: Clinical examination indicated endocarditis and systemic embolisms secondary to a fish bone from the esophagus penetrating into the left atrium...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29382997/leech-related-aeromonas-veronii-complex-infection-after-reconstruction-with-a-microvascular-forearm-flap
#17
Benjamin Beger, Friederike von Loewenich, Elisabeth Goetze, Maximilian Moergel, Christian Walter
Medical leeches (Hirudo medicinalis) in plastic and reconstructive surgery are often used for the treatment of vascular failure after microvascular surgery. Leeches are a reservoir for bacteria of the Aeromonas group that help digesting the blood meal. In some cases these bacteria are able to cause severe wound infections that can lead to loss of tissue transplants. We report about a patient with a common microvascular forearm flap after resection of an oral squamous cell carcinoma which got infected by Aeromonas spp...
March 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29381824/transversus-abdominis-plane-tap-block-in-laparoscopic-colorectal-surgery-improves-postoperative-pain-management-a-meta-analysis
#18
Elisabeth Hain, Léon Maggiori, Justine Prost À la Denise, Yves Panis
AIM: Transversus abdominis plane (TAP) block is a locoregional anesthesia technique of growing interest in abdominal surgery. However, its efficacy following laparoscopic colorectal surgery is still debated. This meta-analysis aimed to assess the efficacy of TAP-block after laparoscopic colorectal surgery. METHOD: All comparative studies focusing on TAP-block after laparoscopic colorectal surgery have been systematically identified through the MEDLINE database, reviewed and included...
January 30, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29374618/does-computed-tomography-based-virtual-colonoscopy-improve-the-accuracy-of-preoperative-assessment-based-on-mri-in-women-managed-for-colorectal-endometriosis
#19
Claudia Mehedințu, Lăcrămioara Aurelia Brîndușe, Elvira Brătilă, Michele Monroc, Ebticem Lemercier, Olivier Suaud, Cecile Collet-Savoye, Horace Roman
STUDY OBJECTIVE: To evaluate whether combining Computed Tomography-based virtual Colonoscopy (CTC) with Magnetic Resonance Imaging (MRI) improves preoperative assessment of colorectal endometriosis. DESIGN: Retrospective study using prospectively recorded data (Canadian Task Force classification II-2). SETTING: University tertiary referral center. PATIENTS: Seventy-one women treated for colorectal endometriosis managed between June 2015 and May 2016...
January 25, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29368097/sudden-development-of-adult-onset-type-ii-citrullinemia-after-total-gastrectomy-a-case-report
#20
Ryuji Komine, Keisuke Minamimura, Akihiro Watanabe, Atushi Shimizu, Kazuhiko Mori, Toru Hirata, Takashi Kobayashi, Sotaro Akatsuka
BACKGROUND: Adult-onset type II citurullinemia is an autosomal recessive disorder characterized by recurrent encephalopathy with hyperammonemia resulting from high plasma citrulline and ammonium levels. This report describes a rare case of adult-onset type II citurullinemia that occurred in a patient who only had the heterozygote mutation, and had never presented with any symptoms before surgery. CASE PRESENTATION: A 56-year-old man underwent a total gastrectomy for stomach cancer...
January 25, 2018: Surgical Case Reports
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