Abstract
We examined disease activity, use of medication, need for surgery, and hospitalization before and after cannabis use in 30 patients (26 males) with CD. Disease activity was assessed by the Harvey Bradshaw index for Crohn's disease.
Of the 30 patients 21 improved significantly after t...
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PMID: 21910367
PDF is available here.
Abstract
The purpose of this study was to present results on cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) of appendiceal adenocarcinoid (AAC) with peritoneal carcinomatosis (PC), to assess drug sensitivity of AAC, as compared with colorectal cancer (CRC),...
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PMID: 21859562
PDF is available here.
Abstract
We initiated this medical record review in elderly patients with stage III colon cancer to measure compliance with these guidelines.
Medical records of 124 patients age ≥ 65 diagnosed with stage III colon cancer between 2003 and 2006 were reviewed. Metrics were developed and based...
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PMID: 21859563
PDF is available here.
Abstract
Civilian liver trauma is generally sustained by blunt injury, with management strategies increasingly focusing on selective non-operative strategies and endovascular intervention. Military liver trauma is more often ballistic in nature and almost always requiring operative interventi...
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PMID: 21805762
PDF is available here.
Patrizia P Matarazzo,
Gerdi G Tuli,
Daniele D Tessaris,
Francesca F Verna,
Ivana I Rabbone,
Antonella A Lezo,
Andrea A Brunati,
Mauro M Salizzoni,
Giulia G Carbonaro,
Massimo M Terzolo,
Giuseppe G Reimondo,
Mauro M Papotti and
Roberto R Lala
Abstract
We present a paediatric case of Cushing syndrome caused by ectopic ACTH secretion. This was caused by a large acinar cell carcinoma that developed in the pancreas of a 3-year-old girl....
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PMID: 21648297
PDF is available here.
Abstract
Most patients with hemorrhoidal disease may be treated conservatively Along the years several surgical options have been proposed. including closed open and semiclosed hemorrhoidectomy (HC), radiofrequency HC (LigaSure), piles' suture or Farag operation, manual and stapled haemorrhoi...
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PMID: 21682110
PDF is available here.
Abstract
Gastrointestinal stromal tumor (GIST) account for 1% of all gastrointestinal neoplasms and are the most common mesenchymal tumor of gastrointestinal tract. There are considered to originate fom the intestinal cell of Cajal, an intestinal pacemaker cell, characterized usually express...
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PMID: 21688472
PDF is available here.
Abstract
No randomized controlled trial has compared no rectopexy with rectopexy for external full-thickness rectal prolapse.
This study was performed to test the hypothesis that recurrence rates following no rectopexy are not inferior to those following rectopexy for full-thickness rectal prolapse.
This was...
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PMID: 21160310
PDF is available here.
Abstract
Significant concern exists regarding the effect of proctectomy on sexual function in patients with IBD. Little is known about gender-specific differences.
This study aimed to examine sexual function and quality of life in men and women with IBD before and after proctectomy.
This is a prospective coh...
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PMID: 21160316
PDF is available here.
Abstract
A low anterior resection procedure for removing a rectal tumor aims to preserve the sphincter and avoid a permanent stoma. Permanent stomas are primarily necessary in cases of poor anorectal function and local recurrence. The aim of this study was to clarify whether anastomosis-related complications...
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PMID: 21178857
PDF is available here.
Abstract
We performed 36 low anterior resections (6 intersphincteric) and 8 abdominoperineal resections with a median blood loss of 150 mL (range, 50-1000), a median operative time of 347 minutes (range, 155-510), and a median length of stay of 5 days (range, 3-36). The median lymph node yield was 14 (range,...
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PMID: 21178854
PDF is available here.
Abstract
The purpose of this study was to determine how patients with anal fistulas would rank clinical scenarios describing various management options for anal fistulas.
A survey was administered to 74 consecutive patients with anal fistulas. On each survey, 10 clinical scenarios describing various treatmen...
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PMID: 21178860
PDF is available here.
Abstract
The aim of this study was to document a population-based rate of abdominoperineal resections for adenocarcinoma of the rectum in the state of Victoria, Australia. It also determined whether surgeon caseload or specialist colorectal training affects this rate.
All resections for adenocarcinoma of the...
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PMID: 21178859
PDF is available here.
Abstract
Perineal rectosigmoidectomy was the most popular operation performed for rectal prolapse in the first half of the 20th century. However, high recurrence rates relegated it to a back-up role for elderly or other high-risk patients who were not candidates for an abdominal operation. Recent series (com...
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PMID: 21178855
PDF is available here.
Abstract
We sought to appraise and synthesize the available evidence regarding preoperative bowel preparation in patients undergoing elective colorectal surgery.
We searched MEDLINE, EMBASE and Cochrane Databases to identify randomized controlled trials (RCTs) comparing patients who received a bowel preparat...
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PMID: 21092431
PDF is available here.
Abstract
Patients undergoing upper digestive tract surgery are at risk for malnutrition and must be supported with careful nutritional management after a thorough assessment is performed. Parenteral nutrition is suitable for patients who cannot be fed enterally. However, total parenteral nutrition (TPN) has...
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PMID: 21174711
PDF is available here.
Abstract
We report our experience in the management of urethrorectal fistulae in children with emphasis on the complexity of this rare disease.
A retrospective review was performed in cases that underwent repair of urethrorectal fistula at our center between 1997 and 2007. Records were reviewed for age, hist...
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PMID: 21068625
PDF is available here.
Abstract
Operations were performed with general anesthesia as short-stay hospital procedures. The chronic fissure wounds healed in both groups regardless of surgical technique. Symptoms of mild anal incontinence (ie, soiling, flatus) were present 3 months after operation in 6 of 30 (20.0%) patients with late...
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PMID: 20940607
PDF is available here.
Abstract
Among 450 patients who underwent lung transplantation (LuT) between April 1994 and April 2009 at a single academic hospital, 75 received surgical consultation, and 52 underwent 65 abdominal operations. Operations included colectomy (17), cholecystectomy (14), exploratory laparotomy (10), ulcer repai...
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PMID: 21105627
PDF is available here.
Abstract
Our aim was to analyze surgical outcomes for patients with chronic pancreatitis. Data for patients undergoing operations for chronic pancreatitis between 1990 and 2009 were reviewed. Demographics, operative and perioperative data, and survival were catalogued. QoL was determined (Short Form 36 and E...
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PMID: 21105612
PDF is available here.
Abstract
Over the past two decades, surgery for complicated peptic ulcer disease has evolved to a "less-is-more" approach due predominately to improved medical therapy. This study sought to determine whether a nonresective operative strategy has been an effective and prudent approach. A 20-year retrospective...
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PMID: 21105630
PDF is available here.
Abstract
We conducted a MEDLINE literature search to give a current overview about the safety and efficacy of EBD and SP.
The initial search yielded 744 articles. Case reports, reviews and meta-analyses were excluded. Finally, 63 articles (SP, 40 articles; EBD, 23 articles) were used for the review. None of...
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PMID: 20628881
PDF is available here.
Abstract
A total of 3421 case records in our database met inclusion criteria. Median EtCO2 was 31 mmHg. Median LOS was 7 and 5 days for open and laparoscopic colon resections, and 3 and 2 days for open and laparoscopic hysterectomies, respectively. Regression analysis revealed a statistically significant ind...
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PMID: 20613537
PDF is available here.
Abstract
The purpose of the present study was to determine the factors affecting morbidity and mortality in geriatric patients undergoing abdominal surgery.
Ninety-two patients who had undergone acute abdominal surgery at >65 years of age were evaluated in terms of surgical indications, morbidity and mortali...
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PMID: 21038122
PDF is available here.
Abstract
We present here the anatomy and histopathology of kidneys from 11 patients with renal stones following small bowel resection, including 10 with Crohn's disease and 1 resection in infancy for unknown cause. They presented predominantly with calcium oxalate stones. Risks of formation included hyperoxa...
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PMID: 20428098
PDF is available here.
Abstract
Of the 10,969 patients, 25% received care at 30 CH, 35% received care at 94 CUGH, and 40% received care at 662 GH. Adjusted LOS were 2.41 days for CH, 2.75 days for CUGH, and 2.82 days for GH (P < .01). Adjusted mean charges were $11,160 for CH, $12,284 for CUGH, and $10,197 for GH (P = .01). CH had...
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PMID: 20553706
PDF is available here.
Abstract
Between 2004 and 2009, 323 CRC patients underwent a HALS procedure. Median age was 65 (53-73) years, 39% were women, and the median BMI was 27 (24-31) kg/m(2). Diagnoses included 194 colon cancers (CC, 56.7% stage I/II), 129 rectal cancers (RC, 62.7% stage I/II). Operative time was less for CC than...
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PMID: 20633732
PDF is available here.
Abstract
Overall 5-year survival rates of patients with F0, F1, F2, and F3 were 60%, 35%, 5%, and 0%, respectively. Significant differences were observed, except between F2 and F3. In 38 patients with F1, there were no significant differences between 13 patients with direct invasion to the liver, 4 patients...
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PMID: 20570306
PDF is available here.
Abstract
Of the 30,788 appendectomies, 1,984 (6.44%) patients had any morbidity, and 1,140 (3.70%) patients had a serious morbidity or died. Of the 5,824 cholecystectomies, 503 (8.64%) patients had any morbidity, and 371 (6.37%) patients had a serious morbidity or died. Of the 8,990 colorectal resections, 4,...
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PMID: 20633727
PDF is available here.
Abstract
Compliance with all 3 guidelines combined improved during the year preceding the study, after attention only, at both hospitals. Hospital-specific differences were found in the effectiveness of the intervention package on individual guidelines. Hospital 2 but not 1 improved in timing after the inter...
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PMID: 20494387
PDF is available here.
Abstract
The publications reviewed revealed DVSS to offer certain advantages with respect to Heller myotomy, gastrectomy, and cholecystectomy. However, these results should be interpreted with caution until randomized clinical trials are performed and, with respect to oncologic indications, studies include v...
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PMID: 20622659
PDF is available here.
Abstract
The study demonstrated that ITC failures are ubiquitous across surgical care pathway and there is an imminent need to modify current ITC practices. Standardization of ITC through use of checklists, protocols, or information technology is essential to reduce these communication failures....
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PMID: 20647920
PDF is available here.
Abstract
Hypoalbuminemia is an independent risk factor for the development of SSI following gastrointestinal surgery and is associated with deeper SSI and prolonged inpatient stay....
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PMID: 20647925
PDF is available here.
Abstract
We describe a case of a 47-year-old man with interdigitating dendritic cell sarcoma (IDCS) in the ileum. He was admitted to a hospital due to ileus. The ileal tumor, measuring 2cm, was detected and resected with regional lymphadenectomy. At that time, a pathologic diagnosis of malignant peripheral n...
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PMID: 20399026
PDF is available here.
Abstract
To compare overlapping repair with end-to-end repair of obstetric tears and to investigate which procedure results in a higher rate of flatal incontinence.
One-hundred forty-nine primiparous women sustaining a complete third- or a fourth-degree tear of the perineum were assigned randomly to a primar...
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PMID: 20567163
PDF is available here.
Abstract
Our results support the use of the TERPT method rather than the Duhamel pull-through for rectosigmoid HD....
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PMID: 20393896
PDF is available here.
Abstract
In 223 patients, operated on for postoperative abdominal hernia, which had occurred on the peritoneal adhesion disease background, there were studied the rules of an early adhesion ileus formation, depending on severity and localization of the adhesion process. There was elaborated and applied a com...
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PMID: 20825088
PDF is available here.
Abstract
Primary, well-differentiated neuroendocrine (carcinoid) tumors of the extrahepatic biliary ducts are an uncommon cause of biliary obstruction. As compared to cholangiocarcinomas, which are more commonly seen at this location, these tumors tend to behave less aggressively, and only one-third metastas...
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PMID: 20586641
PDF is available here.
Abstract
The incidences of sepsis and septic shock exceed those of pulmonary embolism and myocardial infarction. The risk factors for mortality include age older than 60 years, the need for emergency surgery, and the presence of any comorbidity. This study emphasizes the need for early recognition of patient...
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PMID: 20644134
PDF is available here.
Abstract
All the patients had a complete resection (R0), with no postoperative morbidity and mortality. Among the SD group, GIST was classified as low risk in two patients, intermediate risk in two, and high risk in one, according to the Fletcher scale, (vs two high risk patients in the PD group). With a med...
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PMID: 20533599
PDF is available here.
Abstract
At a 12-mo follow-up, significant improvement in the constipation scoring system, ODS score system, symptom severity score, visual analog scale and quality of life (P < 0.0001) was observed. The symptoms of constipation improved in 90% of patients at 12 mo after surgery. The self-reported definitive...
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PMID: 20503455
PDF is available here.
Abstract
We report our experience with stapled intestinal anastomoses in the neonate at the University of Mississippi Medical Center. All patients from the neonatal intensive care unit who had a stapled intestinal anastomosis between February 2007 and May 2008 were identified. A stapled side-to-side function...
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PMID: 20583524
PDF is available here.
Abstract
We performed a three-stage reconstruction of the airway and alimentary tract in an infant with tracheal agenesis. This procedure involved a double cervical esophagostomy followed by an anastomosis of the upper mid-esophagus and carinal trachea. Finally, the esophagus was reconstructed by an anastomo...
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PMID: 20494075
PDF is available here.
Abstract
We report a series of four male patients with the unusual but debilitating symptoms of obstructed defecation (OD) after PPH. Presenting symptoms included evacuation difficulty, rectal pain, and urgency. All had scarring and stenosis at their PPH anastomotic staple line with a resultant ball-valve ef...
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PMID: 20583519
PDF is available here.
Abstract
We describe the use of Malecot catheters and early mobilization of skin and subcutaneous tissue flaps to manage enteroatmospheric fistulae. All of our patients were discharged from the hospital and did not develop any complications from the procedure. All of our patients' fistulae ultimately closed....
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PMID: 20583522
PDF is available here.
Abstract
Cost data were available for 835 patients undergoing ileal pouch-anal anastomosis. Seven hundred fifteen (86%) had a diverting ileostomy, and the ileostomy was omitted in 120 (14%). Patients without an ileostomy had a longer length of stay (8.7 vs 6.0 days; P < .001) and a 15% greater cost (P < .001...
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PMID: 20485004
PDF is available here.