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https://www.readbyqxmd.com/read/27744659/endoscopic-management-of-gastroesophageal-reflux-disease-revisited
#1
Zaheer Nabi, D Nageshwar Reddy
Gastroesophageal reflux disease (GERD) is defined by the presence of troublesome symptoms resulting from the reflux of gastric contents. The prevalence of GERD is increasing globally. An incompetent lower esophageal sphincter underlies the pathogenesis of GERD. Proton pump inhibitors (PPIs) form the core of GERD management. However, a substantial number of patients do not respond well to PPIs. The next option is anti-reflux surgery, which is efficacious, but it has its own limitations, such as gas bloating, inability to belch or vomit, and dysphagia...
September 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27677712/personalized-treatment-of-patients-with-very-early-hepatocellular-carcinoma
#2
Alessandro Vitale, Markus Peck-Radosavljevic, Edoardo G Giannini, Eric Vibert, Wolfgang Sieghart, Sven Van Poucke, Timothy M Pawlik
Hepatocellular carcinoma (HCC), in its very early stage, is heterogeneous both in terms of liver function (i.e. presence or absence of portal hypertension, Model for End stage Liver Disease score, Child Pugh score 5 or 6, bilirubin level) and tumour characteristics (i.e. location, alpha-fetoprotein values, pathological features such as micro-vascular invasion, tumour grade and satellitosis). Existing evidence in comparing different curative options for patients with very early HCC is poor due to small sample sizes and lack of solid subgroup analyses...
September 24, 2016: Journal of Hepatology
https://www.readbyqxmd.com/read/27651639/clinicopathological-study-of-uterine-leiomyomas-a-multicentric-study-in-rural-population
#3
Maitri Raghavendra Kulkarni, Indranil Dutta, Dilip Kumar Dutta
BACKGROUND AND OBJECTIVES: Leiomyoma of uterus forms the most common type of benign tumor of uterus and also the most common pelvic tumor in women. The symptomatology continues to be variable. Surgery has for long been the main mode of therapy for the myomas. For women who wish to retain the uterus for future pregnancies or other reasons, myomectomy is preferred. Recent trend has been toward nonsurgical approaches like GnRH hormone analogs/agonists, RU 486, or selective uterine artery embolization, laparoscopic cryoablation, radiofrequency thermal ablation, and MRGUs...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27577937/simultaneous-microwave-coagulo-necrotic-therapy-mcn-and-laparoscopic-splenectomy-for-the-treatment-of-hepatocellular-carcinoma-with-cirrhotic-hypersplenism
#4
Tomoki Ryu, Yuko Takami, Norifumi Tsutsumi, Masaki Tateishi, Kazuhiro Mikagi, Yoshiyuki Wada, Hideki Saitsu
PURPOSE: To establish the efficacy and safety of simultaneous microwave coagulo-necrotic therapy (MCN) and laparoscopic splenectomy (Lap-Sp) for the treatment of hepatocellular carcinoma (HCC) with cirrhotic hypersplenism. METHODS: Seventeen patients with HCC and cirrhotic hypersplenism underwent simultaneous MCN and Lap-Sp at our institution between January, 2010 and July, 2015. Eight and nine patients had Child-Pugh class A and B liver cirrhosis, respectively...
August 30, 2016: Surgery Today
https://www.readbyqxmd.com/read/27553793/weight-regain-following-rygb-can-be-effectively-treated-using-a-combination-of-endoscopic-suturing-and-sclerotherapy
#5
Pietro Riva, Silvana Perretta, Lee Swanstrom
BACKGROUND: Obesity is a leading cause of morbidity and healthcare utilization. At the moment, the best treatment for obesity has shown to be laparoscopic gastric bypass. However, about a quarter of the patients experience substantial weight regain, which is difficult to treat, as revision surgery has higher risks than primary procedures. Endoscopic procedures, such as endoscopic suturing, are effective, safe and less invasive in addressing weight regain. METHODS: We conducted a retrospective analysis on 22 consecutive patients operated between 2011 and 2013 who had a significant weight regain after RYGB (mean follow-up 22 months), in order to evaluate the long-term outcomes of endoscopic gastro-jejunal revision after weight regain post-bypass surgery...
August 23, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27511444/radiofrequency-ablation-compared-with-laparoscopic-adrenalectomy-for-aldosterone-producing-adenoma
#6
S Y Liu, C M Chu, A P Kong, S K Wong, P W Chiu, F C Chow, E K Ng
BACKGROUND: Radiofrequency ablation (RFA) is an emerging treatment for primary aldosteronism owing to aldosterone-producing adenoma. Whether RFA could be an alternative treatment to laparoscopic adrenalectomy is unknown. METHODS: This was a retrospective comparative study in patients with aldosterone-producing adenoma undergoing either laparoscopic adrenalectomy or CT-guided percutaneous RFA between 2004 and 2012. Short-term outcomes and long-term resolution rates of primary aldosteronism (normalized aldosterone to renin ratio), hypokalaemia and hypertension (BP lower than 140/90 mmHg without antihypertensive medical therapy) were evaluated...
October 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27508328/laparoscopic-approach-for-thermoablation-microwave-in-the-treatment-of-hepatocellular-carcinoma-a-single-center-experience
#7
Salvatore Gruttadauria, Duilio Pagano, Alessandro Tropea, Davide Cintorino, Luisa Castellana, Pasquale Bonsignore, Calogero Ricotta, Gaetano Piccolo, Giovanni Vizzini, Angelo Luca
BACKGROUND: The surgical therapy of choice for hepatocellular carcinoma (HCC) is liver transplantation (LT) or hepatic resection, although only a small percentage of patients can undergo these procedures. Microwave thermal ablation (MWTA) can be an effective alternative treatment for HCC that complicates a cirrhotic liver disease, either as a final procedure or for downstaging patients on the waiting list for LT, or in combination with resective surgery to achieve oncological radicality...
October 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27498139/partial-nephrectomy-versus-ablative-therapy-for-the-treatment-of-renal-tumors-in-an-imperative-setting
#8
Jean-Alexandre Long, Jean-Christophe Bernhard, Pierre Bigot, Cecilia Lanchon, Philippe Paparel, Nathalie Rioux-Leclercq, Laurence Albiges, Thomas Bodin, François-Xavier Nouhaud, Romain Boissier, Pierre Gimel, Arnaud Méjean, Alexandra Masson-Lecomte, Nicolas Grenier, Francois Cornelis, Yohann Grassano, Vincent Comat, Quentin Come Le Clerc, Jérome Rigaud, Laurent Salomon, Jean-Luc Descotes, Christian Sengel, Morgan Roupret, Gregory Verhoest, Idir Ouzaid, Valentin Arnoux, Karim Bensalah
PURPOSE: To compare partial nephrectomy (PN) and percutaneous ablative therapy (AT) for renal tumor in imperative indication of nephron-sparing technique (NST). MATERIALS AND METHODS: Between 2000 and 2015, 284 consecutive patients with a kidney tumor in an imperative indication of NST were retrospectively included in a multicenter study. PN [open (n = 146), laparoscopic (n = 9), or robotic approach (n = 17)] and AT [radiofrequency ablation (n = 104) or cryoablation (n = 8)] were performed for solitary kidney (n = 146), bilateral tumor (n = 78), or chronic kidney disease (CKD) (n = 60)...
August 6, 2016: World Journal of Urology
https://www.readbyqxmd.com/read/27465326/laparoscopic-versus-traditional-open-splenectomy-for-hepatocellular-carcinoma-with-hypersplenism
#9
Han-Hua Dong, Bin Mei, Fei-Long Liu, Zhi-Wei Zhang, Bi-Xiang Zhang, Zhi-Yong Huang, Xiao-Ping Chen, Wan-Guang Zhang
This study aimed to examine the efficacy of the laparoscopic vs. traditional open splenectomy for hepatocellular carcinoma (HCC) with hypersplenism. Between 2002 and 2013, 51 Chinese HCC patients with hypersplenism underwent either simultaneous laparoscopic splenectomy plus anticancer therapies (Lap-S&A) (n=25) or traditional open splenectomy plus anti-cancer therapies (TOS&A) (n=26). The outcomes were reviewed during and after the operation. Anti-cancer therapies for HCC included laparoscopic hepatectomy (LH) and laparoscopic microwave ablation (LMA)...
August 2016: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/27444839/a-comparison-of-perioperative-outcomes-in-elderly-patients-with-malignant-liver-tumors-undergoing-laparoscopic-liver-resection-versus-radiofrequency-ablation
#10
Pinar Yazici, Muhammet Akyuz, Hakan Yigitbas, Cem Dural, Alexis Okoh, Nail Aydin, Eren Berber
BACKGROUND: Liver resection is the treatment option with the best chance for cure in patients with malignant liver tumors. However, there are concerns regarding postoperative recovery in elderly patients, which may lead to a preference of non-resectional therapies over hepatectomy in this patient population. Although laparoscopic liver resection (LLR) is associated with a faster recovery compared to open hepatectomy, there are scant data on how elderly patients tolerate LLR. The aim of this study was to analyze the perioperative outcomes of LLR in elderly patients with hepatic malignancies, with a comparison to laparoscopic RFA (LRFA)...
July 21, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27346068/laparoscopic-cryoablation-of-angiomyolipomas-in-adolescents-and-young-adults-a-report-of-four-cases-associated-with-tuberous-sclerosis-and-1-case-of-sporadic-origin
#11
Karina Trelborg, Tommy Kjærgaard Nielsen, Ernst Øyvind Østraat, Lars Henning Olsen
INTRODUCTION: Renal angiomyolipomas (AMLs) can be of sporadic origin or associated with tuberous sclerosis (TS). TS-associated AMLs often present in childhood, tend to be bilateral and multiple, and often exhibit a faster growth rate with an increased risk of hemorrhage. Renal cryoablation is well described in adults, whereas experiences with adolescents and young adults are limited. We present here for the first time a series of renal AMLs within adolescents and young adults treated with laparoscopic assisted cryoablation (LCA)...
June 11, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27285103/early-laparoscopic-radiofrequency-ablation-for-spontaneous-rupture-of-hepatocellular-carcinoma
#12
Jun Gao, Yiming Zhou, Qingshuai Zhang, Jian Kong, Shan Ke, Xuemei Ding, Shaohong Wang, Wenbing Sun
AIMS: To evaluate the technical and clinical outcomes of early laparoscopic radiofrequency (RF) ablation for spontaneously ruptured hepatocellular carcinoma (HCC). METHODS: From April 2005 to July 2015, ten patients with spontaneously ruptured HCC treated by laparoscopic RF ablation in our hospital were included in the study. The post treatment outcomes were recorded and analyzed. RESULTS: The mean size of the 10 HCCs was 6.6 ± 2.2 cm (4...
July 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27120941/assessment-of-ovarian-reserve-in-patients-with-ovarian-endometriosis-following-laparoscopic-enucleation-of-a-cyst-accompanied-by-co%C3%A2-laser-ablation-or-electroablation
#13
Ewa Posadzka, Agnieszka Nocuń, Robert Jach, Michał Nessler, Katarzyna Nessler, Marta Kiałka
INTRODUCTION: Endometriosis affects about 5-15% of women in the reproductive period. One of the most important complications of pelvic endometriosis is infertility. OBJECTIVE: The assessment of ovarian endometriosis therapy with the use of combined laparoscopic techniques (cyst enucleation with electroablation/CO2 laser ablation) and their influence on the preservation of the ovarian reserve. MATERIALS AND METHOD: Fifty-eight patients aged 19-40 with diagnosed ovarian endometriosis underwent pre-surgical assessment of their ovarian reserve consisting of antral follicle count (AFC), basal ovarian volume (BOV) and FSH level...
2016: Przegla̧d Lekarski
https://www.readbyqxmd.com/read/27119957/-focal-therapy-for-small-renal-masses-observation-ablation-or-surgery
#14
J J Wendler, B Friebe, D Baumunk, A Blana, T Franiel, R Ganzer, B Hadaschik, T Henkel, K U Köhrmann, J Köllermann, T Kuru, S Machtens, A Roosen, G Salomon, H P Schlemmer, L Sentker, U Witzsch, U B Liehr, J Ricke, M Schostak
BACKGROUND: The rising incidence of renal cell carcinoma, its more frequent early detection (stage T1a) and the increasing prevalence of chronic renal failure with higher morbidity and shorter life expectancy underscore the need for multimodal focal nephron-sparing therapy. DISCUSSION: During the past decade, the gold standard shifted from radical to partial nephrectomy. Depending on the surgeon's experience, the patient's constitution and the tumor's location, the intervention can be performed laparoscopically with the corresponding advantages of lower invasiveness...
May 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27021911/current-status-of-minimally-invasive-surgery-for-renal-cell-carcinoma
#15
REVIEW
Zachary L Smith
Over the last three decades, the incidence of renal cell carcinoma (RCC) has continuously risen, generally attributed to the increased use of cross-sectional imaging across all medical disciplines. Fortunately, despite this rising incidence, the estimated 5-year relative survival rate has improved. This survival improvement likely parallels the stage migration of the last two decades toward an increased incidence of small renal masses (SRMs). However, this survival improvement may be secondary to improved surgical techniques and medical therapies for these malignancies...
June 2016: Current Urology Reports
https://www.readbyqxmd.com/read/26901132/laparoscopic-radiofrequency-ablation-for-large-subcapsular-hepatic-hemangiomas-technical-and-clinical-outcomes
#16
MULTICENTER STUDY
Jun Gao, Jian-Song Ji, Xue-Mei Ding, Shan Ke, Zong-Hai Xin, Chun-Min Ning, Shi-Gang Guo, Xiao-Long Li, Yong-Hong Dong, Wen-Bing Sun
OBJECTIVES: The aim of this study was to evaluate the technical and clinical outcomes of using laparoscopic radiofrequency (RF) ablation for treating large subcapsular hepatic hemangiomas. METHODS: We retrospectively reviewed our sequential experience of treating 124 large subcapsular hepatic hemangiomas in 121 patients with laparoscopic RF ablation. RESULTS: The mean diameter of the 124 hemangiomas was 9.1 ± 3.2 cm (5.0-16.0 cm). RF ablation was performed successfully in all patients...
2016: PloS One
https://www.readbyqxmd.com/read/26715883/analysis-of-liver-directed-therapies-in-u-s-cancer-patients
#17
O B Alese, S Kim, Z Chen, S S Ramalingam, T K Owonikoko, B F El-Rayes
BACKGROUND: The liver is a common site of primary and metastatic cancer. Liver-directed therapies are commonly used to treat cancer involving the liver. We report on the patterns, predictors, and outcomes of liver-directed therapies in hospitalized cancer patients in the United States. METHODS: Data were obtained from all U.S. states that contributed to the Nationwide Inpatient Sample maintained by the Agency for Healthcare Research and Quality between 2006 and 2010...
December 2015: Current Oncology
https://www.readbyqxmd.com/read/26648676/laparoscopic-radiofrequency-thermal-ablation-for-uterine-adenomyosis
#18
Stefano Scarperi, Giovanni Pontrelli, Colette Campana, Martin Steinkasserer, Alfredo Ercoli, Luca Minelli, Valentino Bergamini, Marcello Ceccaroni
BACKGROUND AND OBJECTIVES: Symptomatic uterine adenomyosis, unresponsive to medical therapy, is a challenging condition for patients who desire to preserve their uterus. This study was an evaluation of the feasibility and efficacy of laparoscopic radiofrequency thermal ablation of symptomatic nodular uterine adenomyosis. METHODS: Fifteen women with symptomatic nodular adenomyosis, who had no plans for pregnancy but declined hysterectomy, underwent radiofrequency thermal ablation...
September 2015: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/26495184/prenatal-therapy-of-large-placental-chorioangiomas-case-report-and-review-of-the-literature
#19
Pardis Hosseinzadeh, Alireza A Shamshirsaz, Pouya Javadian, Jimmy Espinoza, Manisha Gandhi, Rodrigo Ruano, Darrell L Cass, Oluyinka A Olutoye, Michael A Belfort
Objective To review techniques and outcomes of different prenatal treatments for large placental chorioangiomas. Study Design Presentation of a case of laparoscopic-assisted laser coagulation and a systematic review of the literature for articles related to intervention for placental chorioangioma. Results A total of 37 cases of definitive (n = 23) and supportive therapy (n = 14) were evaluated, including one case treated in our center. Approximately 35% of the patients had a spontaneous preterm delivery in definitive treatment group versus 36% in the supportive group...
October 2015: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/26417642/surgical-salvage-of-thermal-ablation-failures-for-renal-cell-carcinoma
#20
Juan A Jiménez, Zhiling Zhang, Juping Zhao, Robert Abouassaly, Amr Fergany, Michael Gong, Jihad Kaouk, Venkatesh Krishnamurthi, Robert Stein, Andrew Stephenson, Steven C Campbell
PURPOSE: Cryoablation and radio frequency ablation are attractive modalities for small renal masses in patients with substantial comorbidities. However, salvage extirpative therapy for local recurrence after thermal ablation can be challenging due to associated perinephric fibrosis. MATERIALS AND METHODS: Patients with thermal ablation refractory tumors requiring surgical salvage from 1997 to 2013 were identified and retrospectively reviewed. RESULTS: A total of 27 patients were treated surgically after cryoablation (18) or radio frequency ablation (9) failed...
March 2016: Journal of Urology
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