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pancreatitis AND aortic aneurysm

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https://www.readbyqxmd.com/read/27790959/igg4-related-syndrome-another-multiorgan-disease-in-the-interest-field-of-internal-medicine
#1
Antonino Tuttolomondo, Irene Simonetta, Domenico Di Raimondo, Tiziana Di Chiara, Roberta Conigliaro, Francesca Corpora, Valerio Vassallo, Antonio Pinto
BACKGROUND: IgG4-related disease is a rare, clinical and pathologic disease entity of unknown etiology. Its main features are increased serum concentrations of IgG4 > 1,35 g/l, lymphocyte and IgG4+plasma-cell infiltration within tissues, fibrosis or sclerosis. The classical presentation of IgG4-RSD is pancreatitis which is combined with the involvement of biliary ducts in 74 percent of patients. Extrapancreatic manifestations include: abdominal or mediastinal lymphadenopathy; the involvement of salivary glands and lacrimal glands, kidneys, lung, retroperitoneum...
2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/27738465/pancreatic-arcade-artery-aneurysm-a-rare-complication-after-replacement-of-thoracoabdominal-aortic-aneurysm
#2
Mitsuru Sato, Shunsuke Kawamoto, Yoshikatsu Saiki
Aneurysm in the pancreatic arcade artery is an uncommon event, and is usually associated with the condition of median arcuate ligament syndrome. The stenosis at the base of the celiac axis has been presumed to be attributable to a relative increase in flow and pressure within the pancreatic arcade, resulting in subsequent development of the aneurysm. We, herein, present a rare case with rapid development of a pancreatic arcade artery aneurysm immediately after the replacement of a thoracoabdominal aortic aneurysm...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27532120/extra-and-intraluminal-elastase-induce-morphologically-distinct-abdominal-aortic-aneurysms-in-mice-and-thus-represent-specific-subtypes-of-human-disease
#3
Albert Busch, Amina Holm, Nicole Wagner, Süleyman Ergün, Mathias Rosenfeld, Christoph Otto, Johannes Baur, Richard Kellersmann, Udo Lorenz
Topical application of elastase to induce arterial aneurysm formation is an emerging murine model of vascular disease. In the context of aortic abdominal aneurysm (AAA), angiotensin II infusion and porcine pancreatic elastase perfusion models are commonly used today. This study, therefore, compares matrix remodeling, inflammation, and angiogenesis as distinct features of aneurysms in two models treated with intra-/extraluminal elastase. C57BL/6 mice underwent intra-/extraluminal elastase application via laparotomy and were followed up for 4 weeks...
August 18, 2016: Journal of Vascular Research
https://www.readbyqxmd.com/read/27504274/unusual-variation-in-the-branching-pattern-of-the-celiac-trunk-and-its-embryological-and-clinical-perspective
#4
Shilpi Agarwal, Babita Pangtey, Neelam Vasudeva
Knowledge of variations in the branching pattern of Celiac Trunk (CT) is important for surgeries of stomach, duodenum, pancreas and hepatobiliary region, for abdominal aortic aneurysm, for liver transplant and chaemoembolization of hepatic tumours. An unusual variation in the branching pattern of CT was observed in 50-year-old male cadaver of Indian origin. CT divided into six branches out of which right & left inferior phrenic arteries originated as first two branches and left gastric artery as the third branch...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27444190/surgeon-specialization-and-operative-mortality-in-united-states-retrospective-analysis
#5
Nikhil R Sahni, Maurice Dalton, David M Cutler, John D Birkmeyer, Amitabh Chandra
OBJECTIVE:  To measure the association between a surgeon's degree of specialization in a specific procedure and patient mortality. DESIGN:  Retrospective analysis of Medicare data. SETTING:  US patients aged 66 or older enrolled in traditional fee for service Medicare. PARTICIPANTS:  25 152 US surgeons who performed one of eight procedures (carotid endarterectomy, coronary artery bypass grafting, valve replacement, abdominal aortic aneurysm repair, lung resection, cystectomy, pancreatic resection, or esophagectomy) on 695 987 patients in 2008-13...
2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27429809/not-all-acute-abdomen-cases-in-early-pregnancy-are-ectopic-expect-the-unexpected-renal-angiomyolipoma-causing-massive-retroperitoneal-haemorrhage
#6
Muhammad Asim Rana, Ahmed F Mady, Nagesh Jakaraddi, Shahzad A Mumtaz, Habib Ahmad, Kamal Naser
Retroperitoneal haemorrhage (or retroperitoneal haematoma) refers to an accumulation of blood found in the retroperitoneal space. It is a rare clinical entity with variable aetiology including anticoagulation, ruptured aortic aneurysm, acute pancreatitis, malignancy, and bleeding from renal aneurysm. Diagnosis of retroperitoneal bleed is sometimes missed or delayed as presentation is often nonspecific. Multislice CT and arteriography are important for diagnosis. There is no consensus about the best management plan for patients with retroperitoneal haematoma...
2016: Case Reports in Critical Care
https://www.readbyqxmd.com/read/27423722/repair-of-a-contained-ruptured-paravisceral-aortic-aneurysm-using-a-surgeon-modified-fenestrated-endograft-and-development-of-an-aortogastric-fistula
#7
F Heidemann, H Diener, S Debus, D Perez, T Kölbel, N Tsilimparis
Complex aortic aneurysm such as paravisceral aneurysm represent a challenging condition especially in the case of rupture. The presence of an aortoenteric fistula in this setting is associated with a very high mortality and morbidity. We report the case of a 72-year-old patient with contained ruptured paravisceral aortic aneurysm who underwent surgeon-modified fenestrated EVAR (sm-fEVAR) with fenestrations for multiple renal arteries and the superior mesenteric artery. The patient successfully recovered from the repair but developed an aortogastric fistula on the basis of a pre-existing gastric ulceration so that second-stage atypical gastrectomy was conducted...
July 13, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27350843/acute-pancreatitis-complicated-by-rupture-of-abdominal-aortic-aneurysm
#8
Krzysztof Wachal, Zbigniew Krasiński, Krzysztof Szmyt, Jacek Białecki, Sylwia Sławek, Grzegorz Oszkinis
No abstract text is available yet for this article.
2016: Przegla̜d Gastroenterologiczny
https://www.readbyqxmd.com/read/27318339/-the-significance-of-a-4-183-da-peptide-of-dermcidin-protein-in-the-early-diagnosis-and-differential-diagnosis-of-acute-coronary-syndrome
#9
Feng Kai, Liu Lifeng, Song Haijing, Liu Xianhua, Xia Hu
OBJECTIVE: To investigate the predictive value of 4,183 Da peptide of dermcidin protein in the early diagnosis and differential diagnosis of ischemic heart disease. METHODS: A prospective controlled study was conducted. Serum samples were drawn from 161 patients with acute coronary'syndrome [ACS, including 46 patients with unstable angina (UA), 23 with acute non-ST elevation myocardial infarction, and 92 with acute ST segment elevation myocardial infarction], 111 subjects for routine physical examination, including 45 patients with hypertension history, 42 with coronary heart disease, 22 with diabetes, and 54 patients with non-ACS (including pulmonary embolism, aortic dissection, aneurysm, arrhythmia, myocarditis, coronary myocardial bridge, pleurisy, pneumothorax pneumomediastinum, rib fracture, reflux esophagitis, peptic ulcer, and pancreatitis) to serve as controls...
December 2015: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/27160753/a-case-report-of-igg4-related-syndrome-and-literature-review
#10
Antonino Tuttolomondo, Irene Simonetta, Domenico Di Raimondo, Roberta Conigliaro, Francesca Corpora, Valerio Vassallo, Antonio Pinto
BACKGROUND: IgG4-related disease is a rare, clinical and pathologic disease entity of unknown etiology. Its main features are increased serum concentrations of IgG4 > 1,35 g/l, lymphocyte and IgG4+plasma-cell infiltration within tissues, fibrosis or sclerosis. The classical presentation of IgG4-RSD is pancreatitis which is combined with the involvement of biliary ducts in 74 percent of patients. Extrapancreatic manifestations include: abdominal or mediastinal lymphadenopathy; the involvement of salivary glands and lacrimal glands, kidneys, lung, retroperitoneum...
May 10, 2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/26994132/off-hour-admission-and-mortality-risk-for-28-specific-diseases-a-systematic-review-and-meta-analysis-of-251-cohorts
#11
Yanfeng Zhou, Wenzhen Li, Chulani Herath, Jiahong Xia, Bo Hu, Fujian Song, Shiyi Cao, Zuxun Lu
BACKGROUND: A considerable amount of studies have examined the relationship between off-hours (weekends and nights) admission and mortality risk for various diseases, but the results remain equivocal. METHODS AND RESULTS: Through a search of EMBASE, PUBMED, Web of Science, and Cochrane Database of Systematic Reviews, we identified cohort studies that evaluated the association between off-hour admission and mortality risk for disease. In a random effects meta-analysis of 140 identified articles (251 cohorts), off-hour admission was strongly associated with increased mortality for aortic aneurysm (odds ratio, 1...
March 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/26894432/heme-oxygenase-1-expression-affects-murine-abdominal-aortic-aneurysm-progression
#12
Junya Azuma, Ronald J Wong, Takeshi Morisawa, Mark Hsu, Lars Maegdefessel, Hui Zhao, Flora Kalish, Yosuke Kayama, Matthew B Wallenstein, Alicia C Deng, Joshua M Spin, David K Stevenson, Ronald L Dalman, Philip S Tsao
Heme oxygenase-1 (HO-1), the rate-limiting enzyme in heme degradation, is a cytoprotective enzyme upregulated in the vasculature by increased flow and inflammatory stimuli. Human genetic data suggest that a diminished HO-1 expression may predispose one to abdominal aortic aneurysm (AAA) development. In addition, heme is known to strongly induce HO-1 expression. Utilizing the porcine pancreatic elastase (PPE) model of AAA induction in HO-1 heterozygous (HO-1+/-, HO-1 Het) mice, we found that a deficiency in HO-1 leads to augmented AAA development...
2016: PloS One
https://www.readbyqxmd.com/read/26817611/pharmacologic-blockade-and-genetic-deletion-of-androgen-receptor-attenuates-aortic-aneurysm-formation
#13
John P Davis, Morgan Salmon, Nicolas H Pope, Guanyi Lu, Gang Su, Akshaya Meher, Gorav Ailawadi, Gilbert R Upchurch
BACKGROUND: Testosterone is theorized to play a major role in the pathophysiology of abdominal aortic aneurysms (AAAs) because this disease occurs primarily in men. The role of the androgen receptor (AR) in the formation of AAAs has not been well elucidated, and therefore, it is hypothesized that androgen blockade will attenuate experimental aortic aneurysm formation. METHODS: Aortas of 8- to 12-week-old male C57Bl/6 wild-type (WT) mice or male AR knockout (AR(-/-)) mice were perfused with purified porcine pancreatic elastase (0...
June 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26787788/role-of-cardiopulmonary-exercise-testing-as-a-risk-assessment-method-in-patients-undergoing-intra-abdominal-surgery-a-systematic-review
#14
REVIEW
J Moran, F Wilson, E Guinan, P McCormick, J Hussey, J Moriarty
BACKGROUND: Cardiopulmonary exercise testing (CPET) is used as a preoperative risk-stratification tool for patients undergoing non-cardiopulmonary intra-abdominal surgery. Previous studies indicate that CPET may be beneficial, but research is needed to quantify CPET values protective against poor postoperative outcome [mortality, morbidity, and length of stay (LOS)]. METHODS: This systematic review aimed to assess the ability of CPET to predict postoperative outcome...
February 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26655712/-management-of-abdominal-compartment-syndrome-after-transurethral-resection-of-the-prostate
#15
Megan M Gaut, Jaime Ortiz
Acute abdominal compartment syndrome is most commonly associated with blunt abdominal trauma, although it has been seen after ruptured abdominal aortic aneurysm, liver transplantation, pancreatitis, and massive volume resuscitation. Acute abdominal compartment syndrome develops once the intra-abdominal pressure increases to 20-25mmHg and is characterized by an increase in airway pressures, inadequate ventilation and oxygenation, altered renal function, and hemodynamic instability. This case report details the development of acute abdominal compartment syndrome during transurethral resection of the prostate with extra- and intraperitoneal bladder rupture under general anesthesia...
November 2015: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/26614151/management-of-abdominal-compartment-syndrome-after-transurethral-resection-of-the-prostate
#16
Megan M Gaut, Jaime Ortiz
Acute abdominal compartment syndrome is most commonly associated with blunt abdominal trauma, although it has been seen after ruptured abdominal aortic aneurysm, liver transplantation, pancreatitis, and massive volume resuscitation. Acute abdominal compartment syndrome develops once the intra-abdominal pressure increases to 20-25 mmHg and is characterized by an increase in airway pressures, inadequate ventilation and oxygenation, altered renal function, and hemodynamic instability. This case report details the development of acute abdominal compartment syndrome during transurethral resection of the prostate with extra- and intraperitoneal bladder rupture under general anesthesia...
November 2015: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/26284801/-in-process-citation
#17
Zoltán Oláh, László Hidi, László Entz, Zoltán Szeberin
INTRODUCTION: The adequate exposure of the upper abdominal aorta and its side branches are essential for vascular reconstruction of this region. Besides the traditional transperitoneal, retroperitoneal approach or thoracolaparotomy, left medial visceral rotation (MVR) is an option to explore this hardly accessible region. We present our MVR experiences in aortic surgery. METHODS: Using median or subcostal laparotomy we mobilised the left colon, the spleen, the pancreas and performed dissection in the retroperitoneal area leaving the left kidney in place...
August 2015: Magyar Sebészet
https://www.readbyqxmd.com/read/26236417/endovascular-stent-graft-treatment-of-giant-celiac-artery-pseudoaneurysm
#18
Sedat Alpaslan Tuncel, Aytaç Gülcü, Erdem Yılmaz, Taner Çiftçi, Ahmet Yiğit Göktay
BACKGROUND: Visceral artery aneurysms (VAAs) comprise an uncommon but life-threatening vascular disease. When rupture is the first clinical presentation, mortality rate reaches 70%. Increased use of cross-sectional imaging has led to a greater rate of diagnosis (40-80%) of asymptomatic VAAs. In the past, surgery was the treatment of choice for VAAs carrying high risk of mortality and morbidity. CASE REPORT: A 22-year-old man, who had undergone gastric, pancreatic and aortic surgery 2...
2015: Polish Journal of Radiology
https://www.readbyqxmd.com/read/26136816/microbial-colonization-of-open-abdomen-in-critically-ill-surgical-patients
#19
Suvi Kaarina Rasilainen, Mentula Panu Juhani, Leppäniemi Ari Kalevi
INTRODUCTION: This study was designed to describe the time-course and microbiology of colonization of open abdomen in critically ill surgical patients and to study its association with morbidity, mortality and specific complications of open abdomen. A retrospective cohort analysis was done. METHODS: One hundred eleven consecutive patients undergoing vacuum-assisted closure with mesh as temporary abdominal closure method for open abdomen were analyzed. Microbiological samples from the open abdomen were collected...
2015: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/26122411/endovascular-repair-of-a-false-aneurysm-developing-from-igg4-related-periaortitis-during-corticosteroid-therapy
#20
Akihiko Ikeda, Kisato Mitomi, Taisuke Konishi, Kanji Matsuzaki, Tomoaki Jikuya, Yuji Hiramatsu
Immunoglobulin G4 (IgG4)-related disease is a systemic autoimmune disease that can affect various organs. Corticosteroid therapy is generally an effective treatment; however, IgG4-related aortic lesions pose a risk of aortic rupture related to corticosteroid use. Here, we report a case of IgG4-related periaortitis complicated with a false aneurysm during corticosteroid therapy. Although endovascular repair was successfully performed, autoimmune pancreatitis and sclerosing cholangitis emerged after surgery. The multiple lesions associated with IgG4-related disease were resolved through continuous corticosteroid therapy...
October 2015: Annals of Vascular Surgery
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