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Rachel M Clark, Laurel W Rice, Marcela G Del Carmen
OBJECTIVES: Thirty-day readmission rate has been proposed as metric of quality and remains an ongoing clinical concern in the primary treatment of patients with advanced-stage ovarian epithelial ovarian cancer. We conducted a review of the literature to identify rates, risk factors, and predictors for 30-day readmission in this population. METHODS: A 10-year period MEDLINE (PubMed) search of English literature studies published between January 01, 2008-January 01, 2018 was performed to identify appropriate studies for review...
June 18, 2018: Gynecologic Oncology
Jie Xia, WeiJia Xie, Li Chen, Daren Liu
RATIONALE: Abdominal cocoon is a condition in which intestinal obstruction results from the encasement of part or whole of the small bowel by a thick fibrous membrane, giving the appearance of a cocoon. The preoperative diagnosis is difficult to be made and the treatment is still controversial. PATIENT CONCERNS: Here we describe the case of a 62-year-old male presented with a 24-h history of continual colicky abdominal pain, which was accompanied with nausea and vomiting...
June 2018: Medicine (Baltimore)
Shinban Liu, Nicholas Morin, George Ferzli
No abstract text is available yet for this article.
June 15, 2018: BMJ Case Reports
Maria Escolino, Francois Becmeur, Amulya Saxena, Holger Till, Lorenzo Masieri, Giuseppe Cortese, George W Holcomb, Ciro Esposito
BACKGROUND: Analyzing the recent literature, it seems that the use of irrigation increases the incidence of intra-abdominal abscesses (IAAs) and infectious complications in perforated appendicitis. The aim of this study was to compare peritoneal irrigation and suction versus suction only during laparoscopic appendectomy (LA) for perforated appendicitis in children. MATERIALS AND METHODS: We retrospectively reviewed the records of 699 patients (460 boys and 239 girls, average age 9...
June 15, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Fathima Z Kamil Faiz, Sasha Mehrabian, Mahak Saad, Gabriel M Aisenberg
Elevated serum pancreatic enzymes have been described among patients with small bowel obstruction (SBO) initially misdiagnosed as having pancreatitis. We studied whether serum lipase elevation carries prognostic value in patients with SBO. Patients with SBO and at least one serum lipase level measured were included. Demographic, laboratory, and imaging information, as well as need for surgery or intensive care unit and mortality, were evaluated. Of 344 patients, 38 (11%) had elevated serum lipase levels. Patients with radiographic diagnosis of pancreatitis were excluded...
July 2018: Proceedings of the Baylor University Medical Center
Michael A Avallone, Peter N Dietrich, Shanta T Shepherd, Mona Lalehzari, R Corey O'Connor, Michael L Guralnick
INTRODUCTION: Classic surgical teaching advocates for closure of the mesenteric defect (MD) after bowel anastomosis but the necessity is controversial. We sought to evaluate the necessity of MD closure at the time of harvest of ileum for genitourinary reconstructive surgery (GURS) by analyzing the incidence of early and late gastrointestinal adverse events (GIAE) in patients with and without MD closure. MATERIALS AND METHODS: A retrospective review was conducted on patients undergoing urologic reconstruction with ileum to identify incidence of ileus, small bowel obstruction (SBO), gastrointestinal (GI) fistula and stoma complications...
June 2018: Canadian Journal of Urology
Huma Faiz Halepota, Muhammad Arif Mateen Khan, Noman Shahzad
OBJECTIVE: To determine the sensitivity and specificity of computed tomography scan for diagnosing small bowel obstruction among children. METHODS: The retrospective diagnostic test accuracy study was carried out at the Aga Khan University Hospital, Karachi, and comprised data of all patients aged 2-16 years who presented with clinical features of small bowel obstruction and underwent computed tomography scan of abdomen from January 2001 to December 2015Data was analyzed using SPSS19...
May 2018: JPMA. the Journal of the Pakistan Medical Association
Amrit K Kamboj, Gregory R Stroh, Rory L Smoot, David O Prichard
No abstract text is available yet for this article.
June 5, 2018: Gastroenterology
Ryo Ataka, Shinsuke Sato, Kazuyosi Matsubara, Masakazu Takagi, Ichiro Chihara, Naoki Kohei, Koji Yoshimura
A 74-year-old man presented at our hospital with complaints of abdominal pain, nausea, and vomiting. He had undergone laparoscopic radical cystectomy and ileal conduit for urinary bladder cancer 1 month earlier. The patient had abdominal distention, resonant sounds on percussion, and diffuse abdominal tenderness without rebound or guarding. Abdominal CT revealed dilated jejunal loops herniated through a cord-like structure. Based on these findings, emergency surgery was performed, and intestinal dilatation into the space between the ureter, the ileal conduit, and the sacral bone was detected...
June 7, 2018: Asian Journal of Endoscopic Surgery
J Davies, J Parmar, I Finlay, J Day
Small bowel obstruction (SBO) is one of the most common causes for an acute surgical admission. Most of the time SBO is a result of common causes such as postoperative adhesions. However, rare and unusual causes of SBO do exist which can be challenging for surgeons. We report a first documented case of SBO caused by a remnant of the vas deferens in a 24-year-old patient with a history of gastroschisis and left orchidectomy. Clinical presentation, investigations, imaging and management of this case are described...
June 6, 2018: BMJ Case Reports
Hiroyuki Kubo, Atsushi Ikeda, Tsuyoshi Otani, Yasuhide Ishikawa
No abstract text is available yet for this article.
May 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
Si-Jie Yang, Xuesong Ding, Bao-Hang Han
Proton exchange membrane fuel cells (PEMFC), emerging as green and sustainable energy sources, have attracted extensive attention in recent decades. Porous organic polymers (POPs), which feature in high surface area values, tunable pore sizes, excellent thermal and chemical stabilities, and the flexibility to incorporate specific functional groups, have recently displayed their striking images as potential electrolytes for fuel cells. In this work, BO-CMP-1 and BO-CMP-2 that possess rich π-structure and permanent porosity and have high thermal and chemical stability were synthesized through Suzuki-Miyaura coupling reaction...
June 7, 2018: Langmuir: the ACS Journal of Surfaces and Colloids
Richa Patel, Neil P Borad, Aziz M Merchant
BACKGROUND: Small bowel obstruction (SBO) continues to be a common indication for acute care surgery. While open procedures are still widely used for treatment, laparoscopic procedures may have important advantages in certain patient populations. We aim to analyze differences in outcomes between the two for treatment of bowel obstruction. METHODS: The American College of Surgeons National Surgical Quality Improvement Program was used to find patients that underwent emergent or non-elective surgery for SBO...
June 4, 2018: Surgical Endoscopy
Abdul Hussain Azizi, Zaina S Inam, Timothy J Farrell
Small bowel adenocarcinoma (SBA) is a rare cancer in the general population, but the incidence increases in patients with Lynch syndrome. The present case describes a 57-year-old white woman with a history of colon cancer status posthemicolectomy and diagnosis of Lynch syndrome. Twenty years after her operation, the patient presented with vague abdominal discomfort and constipation, and underwent an exploratory laparotomy which revealed a stage 3A SBA. Genetic testing of the specimen provided evidence of microsatellite instability and faulty DNA repair supporting aetiology of Lynch syndrome...
June 4, 2018: BMJ Case Reports
Anjali K Pahuja, Mahammood Suhail Mundodan
An adolescent patient diagnosed with disseminated abdominal desmoplastic small round cell tumour (DSRCT) was taken up for systemic chemotherapy, debulking surgery, stem cell transplant followed by whole abdominopelvic radiotherapy using intensity-modulated radiotherapy. Following this, the patient developed multiple episodes of small bowel obstruction, a known complication of abdominal surgery and radiotherapy. The patient expired due to the complications of bowel obstruction 13 months after the completion of radiotherapy...
June 4, 2018: BMJ Case Reports
Kristen Zeitler, Ripal Jariwala, Ricardo Restrepo-Jaramillo, Shyam Kapadia, Beata Casanas, Sally Alrabaa, Chakrapol Sriaroon
Severe Strongyloides stercoralis , such as hyperinfection syndrome, carries a high mortality risk. Even with appropriate treatment, patients may experience infectious complications and failure of therapy. Currently, there are no Food and Drug Administration-approved parenteral therapies available for treatment in patients who develop gastrointestinal complications from hyperinfection, including small bowel obstruction. A veterinary form of ivermectin is available as a subcutaneous injection, although current literature in humans is limited...
June 4, 2018: BMJ Case Reports
Long-Zhi Zheng, Wei Lin, Jian Guo, Si-Zeng Chen
No abstract text is available yet for this article.
June 5, 2018: Balkan Medical Journal
F Yang, S H Zhang, S W Kim, C X Ren, M Tian, L Cheng, J J Song, J Chen, F Chen, W T Guan
Encapsulation of fat may facilitate digestion and absorption of fat in nursery pigs. Two experiments were conducted to evaluate (1) effects of encapsulation of palm oil and coconut oil on growth performance, feed intake, feed efficiency, and blood parameters, and (2) effects of encapsulation of palm oil and coconut oil on apparent total tract digestibility (ATTD) of nutrients, and the activity of digestive enzymes in nursery pigs. In Exp. 1, 540 pigs (28 d of age, 8.23 ± 0.22 kg BW) were allotted to 5 treatments based on a randomized complete block design (as-fed basis)...
May 31, 2018: Journal of Animal Science
Alexandra Hofer, Christoph Herwig, Oliver Spadiut
Complex raw materials are widely used as supplements in biopharmaceutical production processes due to their positive effect on biomass growth and productivity at low cost. However, their use negatively impacts process reproducibility due to high lot-to-lot variability which contradicts current regulatory guidelines. In this study we investigated crude soy bean oil (SBO) which is a common complex raw material for filamentous fungi. We demonstrated that lecithin, which we define as phosphatidylcholines, is in fact the key material attribute in crude SBO positively affecting fungal growth and consequently productivity...
June 1, 2018: AMB Express
Erik Stenberg, Ingmar Näslund, Eva Szabo, Johan Ottosson
BACKGROUND: Closure of mesenteric defects during laparoscopic gastric bypass surgery markedly reduces the risk for small bowel obstruction due to internal hernia. However, this procedure is associated with an increased risk for early small bowel obstruction and pulmonary complication. The purpose of the present study was to evaluate whether the learning curve and subsequent adaptions made to the technique have had an effect on the risk for complications. METHODS: The results of patients operated with a primary laparoscopic gastric bypass procedure, including closure of the mesenteric defects with sutures, during a period soon after introduction (January 1, 2010-December 31, 2011) were compared to those of patients operated recently (January 1, 2014-June 30, 2017)...
June 1, 2018: Langenbeck's Archives of Surgery
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