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Alejandro Martin Zaya, Ana Carolina González, Silvana S Sandrone, Ruben Horacio Sambuelli
INTRODUCTION: follicular dendritic cell sarcoma (FDC sarcoma) is an uncommon neoplasm derived from FDC present in lymphoid follicles. It usually presents in lymph nodes, being extranodal location a very unusual event. CASE REPORT: A 78 year old female, with prior left nephrectomy for invasive urothelial carcinoma, consulted for genitorragia. At examination, a polypoid vaginal lesion, measuring 3.5 cm in diameter was discovered. It was reported as squamous cell carcinoma in incisional biopsy...
2016: Revista de la Facultad de Ciencias Médicas
Gema Fernández-Juárez, Leticia Parejo, Javier Villacorta, Ana Tato, Ramiro Cazar, Carmen Guerrero, Isabel Martinez Marin, Javier Ocaña, Angel Mendez-Abreu, Katia López, Enrique Gruss, Eduardo Gallego
BACKGROUND AND OBJECTIVES: Screening colonoscopy with polipectomy reduces colonorectal cancer incidence and mortality. An adequate bowel cleansing is one of the keys to achieving best results with this technique. Oral sodium phosphate solution (OSP) had a widespread use in the 90s decade. Its efficacy was similar to polyethylene glycol (PEG) solution, but with less cost and convenient administration. Series of patients with acute renal failure due to OSP use have been reported. However, large cohorts of patients found no difference in the incidence of renal damage between these two solutions...
May 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Marco Noventa, Emanuele Ancona, Michela Quaranta, Amerigo Vitagliano, Erich Cosmi, Donato D'Antona, Salvatore Gizzo
The aim of this study was to analyze all available evidence regarding the use of intrauterine morcellator (IUM), for treatment of the most prevalent intrauterine benign lesions, compared to both traditional resectoscopy and conventional outpatient operative hysteroscopy in terms of safety, efficacy, contraindications, perioperative complications, operating time, and estimated learning curve. We reported data regarding a total of 1185 patients. Concerning polypectomy and myomectomy procedures, IUM systems demonstrated a better outcome in terms of operative time and fluid deficit compared to standard surgical procedures...
October 2015: Reproductive Sciences
Xavier Bessa Caserras
Colonoscopies play a vital role in population screening programs, either for initial examinations or as a test carried out after a positive result from a fecal occult blood test or sigmoidoscopy. Colonoscopies, and ancillary techniques such as polipectomies, must comply with basic quality criteria that must be reflected in the quality standards of screening programs. A quality colonoscopy is absolutely vital to avoid the occurrence of interval cancers. It is extremely important to detect any proximal lesions during a colonoscopy, especially those which are serrated, because they are difficult to identify and due to the increased risk of colorectal cancer...
September 2014: Gastroenterología y Hepatología
Cochetti Giovanni, Cottini Emanuele, Barillaro Francesco, Lepri Emanuele, Boni Andrea, Pohja Solajd, Mearini Ettore
INTRODUCTION: The standard treatment of colo-vesical fistula is the exeresis of fistula, suture of bladder wall, colic resection with or without temporary colostomy. Usually the approach is open because conversion rates and morbidity are lower than laparoscopy. The aim of video is to show the steps of a new mini-invasive approach of colo-vesical fistula without colic resection. MATERIALS AND METHODS: A 69 years old male underwent laparoscopic conservative treatment of colo-vesical fistula due to endoscopic polipectomy in sigmoid diverticulum...
September 2013: International Braz J Urol: Official Journal of the Brazilian Society of Urology
V Savasi, F P G Leone, F Fusè, F Parisi, I Cetin
Congenital and acquired uterine factors are known to influence the success of assisted reproductive technologies (ARTs). Several studies analyzed the role of uterine septa, adenomyosis, myomas, endometrial polyps and intrauterine adhesions in female infertility. All of them might cause defective endometrial receptivity and consequently decreased embryo implantation and pregnancy rate. In particular, septate uterus represents the most frequent Müllerian anomaly leading to an increased risk of abortion. Many studies evaluated the role of hysteroscopic metroplasty on fertility outcomes, but this topic remains controversial...
October 2013: Minerva Ginecologica
José Alanis Fuentes, Eva Haydee Obregón Zegarra
BACKGROUND: Abnormal uterine bleeding is a public health problem prevalence exceeded only by abnormal vaginal discharge as a reason for medical consultation. OBJECTIVE: To describe the findings reported by the Hysteroscopy clinic of the Hospital GEA Gonzalez on patients with Abnormal Uterine bleeding diagnosis. MATERIAL AND METHOD: Retrospective, transversal, descriptive study. The total 2546 records of those patient that were evaluated by Office Hysteroscopic between January 2007 and December 2008 on the Hysteroscopy Clinic of Hospital Manuel GEA Gonzalez, then we selected the 1482 records of those patients that were sended because of an Abnormal Uterine bleeding condition...
December 2012: Ginecología y Obstetricia de México
Pinar Cenksoy, Cem Ficicioglu, Gazi Yıldırım, Mert Yesiladali
INTRODUCTION: Our aim is to evaluate the incidence of unrecognized uterine abnormalities in cases with recurrent IVF failure by screening office hysteroscopy (OH), and impacts of treatment of hysteroscopic findings on the success rate of IVF. MATERIALS AND METHODS: The retrospective and descriptive study was conducted at assisted reproduction unit in a tertiary medical center. One hundred and fifty-seven patients with a history of recurrent IVF failures underwent hysteroscopy between May 2009 and March 2012...
February 2013: Archives of Gynecology and Obstetrics
Hrvoje Mihalj, Martina Mihalj, Zeljko Zubčić, Andrijana Včeva, Zeljka Laksar, Josip Maleš
AIM: To validate different operative techniques commonly used for nasal polyposis (NP) treatment. METHODS: This is a retrospective study exploring data on the NP surgery during a five-year period at the Ear, Nose and Throat Department at Clinical Hospital Centre Osijek, Croatia. Data were analysed regarding patients' gender, age, type of the surgery performed, and possible recurrence. Recurrence rate among patients that were followed up during that period of time and operated by different techniques (FESS vs...
February 2012: Medicinski Glasnik
Franco Radaelli, Silvia Paggi, Aurora Bortoli, Giovanni De Pretis
BACKGROUND: Although the adherence to post-polipectomy recommendations is advocated as a quality indicator of colonoscopy programmes, prospective data on actual use of surveillance are lacking. AIM: To evaluate the appropriateness of post-polypectomy surveillance colonoscopy on a community-wide basis and to identify factors associated with it. METHODS: Data on consecutive post-polypectomy surveillance examinations performed over a 4-week period in 29 Italian endoscopy units were collected...
September 2012: Digestive and Liver Disease
Luca Mencaglia, Giada Carri, Claudia Prasciolu, Giuliana Giunta, Edmundo Daniel Albis Florez, Vito Cofelice, Liliana Mereu
OBJECTIVE: To evaluate whether the new bipolar resectoscope (BR) 22 Fr (Karl Storz) represents a reliable improvement in operative hysteroscopy and to compare the new device to the 26 Fr BR (Karl Storz). MATERIAL AND METHODS: A prospective observational study. From June 2010 through May 2011, 158 consecutive patients treated with bipolar resectoscope 22 Fr and 26 Fr for endocavitary pathologies were registered. Data analysis included patients'characteristics, surgical indications, operative time and complications...
February 2013: Minimally Invasive Therapy & Allied Technologies: MITAT
Marcelo de Paula Loureiro, Eduardo Bonin, Camila Leiner, Sheila Cristina Weigmann, Aline Fontana
We present a case of a 54-year-old man with abdominal pain four hours after colonoscopy and upper endoscopy. Since he had had a polipectomy and an ulcer was seen in the terminal ileum, the diagnosis of appendicitis was even more difficult. The authors discuss the rarity of this situation and the minimally invasive approach to treat appendicitis.
September 2011: Revista do Colégio Brasileiro de Cirurgiões
João-Bruno Soares, Raquel Gonçalves, António Banhudo, José Pedrosa
BACKGROUND AND AIM: An inadequate disinfection of endoscopes and associated accessories can result in the transmission of infections to patients. The aim of this study was to access reprocessing practice in the endoscopy units of Portuguese district general hospitals. METHODS: An anonymous questionnaire on cleaning and disinfection methods was sent to all endoscopy units of Portuguese district general hospitals. RESULTS: A total of 25 units responded (93%)...
November 2011: European Journal of Gastroenterology & Hepatology
Wojciech Szczeklik, Barbara Magdalena Sokołowska, Lucyna Mastalerz, Jacek Górka, Karolina Pacułt, Jerzy Soja, Jacek Musiał
INTRODUCTION: Churg-Strauss syndrome (CSS) is a rare, systemic, necrotizing, small- and middle-sized vessel vasculitis which is accompanied by blood eosinophilia, eosinophil infiltration of various tissues and bronchial asthma. Leukotriene receptor antagonists (LTRAs) may participate in the pathogenesis of the disease. AIM OF THE STUDY: The aim of this study was a retrospective evaluation of the influence of LTRAs on the development of CSS and its later course. PATIENTS AND METHODS: Hospital charts of 24 patients from the southern Poland region with diagnosed CSS between 1999-2010 were retrospectively analyzed...
2010: Przegla̧d Lekarski
J M Herrerías-Gutiérrez, F Argüelles-Arias, A Caunedo-Álvarez, M San-Juan-Acosta, J Romero-Vázquez, J M García-Montes, F Pellicer-Bautista
INTRODUCTION: several studies have pointed out the effectiveness of the PillCam colon capsule endoscopy (CCE) compared with the colonoscopy in the study of the colonic pathology. AIMS AND METHODS: the objective of our study was to assess the agreement in the diagnosis of CCE with conventional colonoscopy as well as its sensitivity and specificity, and to describe the findings of the CCE in our clinical practice. Consecutive patients with abdominal symptoms were included in the study...
February 2011: Revista Española de Enfermedades Digestivas
M Frazzetta, D Raimondo, G Furgiuele, A Sammartano, F Romito, F Frazzetta, M Lucania, C Lo Piccolo, S Bonventre
BACKGROUND AND AIM: The Authors report the results of their experience on polypoids lesions of the stomach and on endoscopic polypectomies. PATIENTS AND METHODS: A study on 2000 OGD (oesophagogastroduodenoscopy) has been carried out on 95 patients with polypoid lesions. The authors have analysed the associations existing between histological type and symptomatology and localisation of the lesion and the status of the Helicobacter pylori and the risk of cancerization...
April 2010: Il Giornale di Chirurgia
D Lozoya-González, A Farca-Belsaguy, M Peláez-Luna, E Vázquez-Ballesteros, E González-Galeote, J C Salceda-Otero
The endoscopic therapy has been used in the treatment of early stage neoplastic esophageal lesions with great success. The endoscopic ultrasound is a useful tool for the correct staging of these lesions. The staging accuracy of esophageal cancer with endoscopic ultrasound reaches 80% for T stage and 77% for N stage. The endoscopic approach provides complete resection of lesions confined to the mucosal layer, is a safety procedure with complications reported to occur from 3% to 13%. The morbidity and mortality rates after an endoscopic mucosal resection have been reported to be less than those posterior to esophagectomy...
October 2009: Revista de Gastroenterología de México
Renata Andreoli Rostirolla, Júlio Carlos Pereira-Lima, Cláudio Rolim Teixeira, Aline Weyne Schuch, Camila Perazzoli, Carlos Saul
CONTEXT: Colonoscopy with polypectomy reduces the incidence of colorectal cancer and its associated mortality. The ideal interval between surveillance examinations is determined by clinical features and endoscopic findings considered as risk factors to the development of advanced colonic neoplasias. OBJECTIVE: To determine the development rate of advanced neoplasia in patients submitted to surveillance colonoscopy in a tertiary referral center. METHODS: Three hundred and ninety two patients who underwent two or more complete colonoscopies between 1995 and 2005, and who have at least one diagnosed colorectal adenoma entered into the study...
July 2009: Arquivos de Gastroenterologia
Biljana Radovanović-Dinić, Vuka Katić, Aleksandar Nagorni, Ivanka Stamenković
BACKGROUND/AIM: It is a general opinion that the biggest number of colorectal carcinoma (CRC) develops with the malignant alteration of colorectal adenomas (adenoma carcinoma sequence). Malignant potential of adenoma is in the function of its size, histological structure and the grade of dysplasia. An adequate analysis of colorectal adenomas helps their definition and timely removal, which significantly decreases carcinoma incidence. Mucin analysis can provide results which support the adenoma carcinoma sequence theory...
August 2009: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Marie Isabelle Cremers, João Mangualde, Ana Margarida Vieira, Ricardo Freire, Elia Gamito, Cristina Lobato, Ana Luísa Alves, Fátima Augusto, Ana Paula Oliveira
BACKGROUND/AIMS: good colonic preparation is essential to perform a complete and safe colonoscopy. The preparation used in the Endoscopy Unit was adopted after testing it against the classic 4-liter polyethylene glicol (PEG) preparation (Klean-Prep). Recently a new 3-liter PEG preparation was commercialised in Portugal, Endo-Falk, which appeared to be simpler and effective. The present study compared the preparation we usually use (a combination of 4 tablets of bisacodyl with 2-liter PEG and enemas) with this new preparation...
July 2009: Hepato-gastroenterology
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