Результаты поиска

[Surgical treatment and prognosis of rectovaginal fistulae according to their origin].

INTRODUCTION: The rectovaginal fistula is a rare entity with heterogenic causality. Its genesis seems to predict the extent of operative treatment and the prognostic outcome. The aim of this study was to present different surgical techniques in the treatment of rectovaginal fistulas and their results in correspondence to the genesis. MATERIAL AND METHODS: Between 1 / 2000 and 1 / 2010, the data of patients with rectovaginal fistulas were collected. The retrospective analysis included biographic and anamnestic data as well as clinical parameters, general and specific complications and postoper

[Obstructed defecation].

Adequate therapy of obstructed defecation (pelvic outlet obstruction) is often challenging, as the etiology and clinical symptoms include a wide range of disorders. Standardized diagnostic assessment has to differentiate between obstructed defecation caused by either pelvic outlet obstruction or slow transit constipation. Additionally, morphologic changes of colon, rectum, or the pelvic floor have to be separated from functional disorders. Providing defecography or dynamic MR of the pelvic floor, common causes of outlet obstruction such as sigmoidoceles, in which surgery is indicated, and rect

[Surgical management of abdominal aortic aneurysms with coexistent intestinal disease].

The management of patients suffering from abdominal aortic aneurysms with concomitant intestinal disease is demanding. Surgical procedures have to be evaluated meticulously with regard to morbidity and priority. We retrospectively investigated early and late results of nine patients (eight males, one female) with coincidental aortic and intestinal surgery during the last 9.5 years. The average age was 77 years (range 67-85). One-stage procedures were undertaken twice with implantation of aortic grafts to replace abdominal aortic aneurysms (AAA). During these emergency procedures, an aortoduode

Isolation and evaluation of susceptibility to sulphasalazine of Desulfovibrio desulfuricans strains from the human digestive tract.

Various genera of sulphate reducing bacteria (SRB) have been found in the human digestive tract. It is suggested that some of SRB species may be responsible for the development of the clinical symptoms of ulcerative colitis and other disease of large intestine. Sulphasalazine (salicyl-azo-sulphapyridine, SAS) is commonly used to treat patients with ulcerative colitis and Crohn disease. Above 30 samples of faeces or biopsy specimens from 25 patients (age 45 +/- 14 years; M/F, 13/12) suffering from gastrointestinal disorders were used for isolation of Desulfovibrio desulfuricans species. The mor

Chemotherapy-induced bowel ischemia: diagnostic imaging overview.

Cancer patients need multimodal therapies to treat their disease increasingly. In particular, drug treatment, as chemotherapy, immunotherapy, or various associations between them are commonly used to increase efficacy. However, the use of drugs predisposes a percentage of patients to develop toxicity in multiple organs and systems. Principle chemotherapy drugs mechanism of action is cell replication inhibition, rapidly proliferating cells especially. Immunotherapy is another tumor therapy strategy based on antitumor immunity activation trough agents as CTLA4 inhibitors (ipilimumab) or PD-1/PD-

Совпадение в полном тексте источника
… Abdominal CT with IV iodinated contrast showed sigmoid diverticulitis with colonic wall thickening and pericolic fat stranding Fig. 2 CT imaging in coronal and axial plane ( a and b ). … Patients with risk factors that could develop bowel perforation (history of diverticulitis, peptic ulcer disease, prior radiation exposure, previous bowel surgery) should be detected before therapy [ 85 – 87 ]. …

Temporary halo fixation and radiotherapy as alternative to long-construct spondylodesis in patients with multiple unstable cervical metastases.

Background and purposeCurrently no minimally invasive surgical treatment exists to provide immediate stability for unstable cervical/cervicothoracic metastases. Long-construct spondylodesis carries a high complication risk and has severe impact on residual range of motion. This study explores temporary halo fixation and radiotherapy as an alternative to long-construct cervical spondylodesis.Materials and methodsThis retrospective cohort study included twenty patients with multiple unstable cervical metastases treated between 2013-2023. All patients underwent halo fixation for an intended durat

Совпадение в полном тексте источника
… One patient died due to perforated diverticulitis 43 days after start of treatment, before completion of the intended halo fixation period. Radiotherapy was initiated on average 7 days after halo fixation (range, −35–118 days). … Another patient died 43 days after start of halo fixation due to perforated diverticulitis. Table 4 Adverse events during treatment with halo fixation and radiotherapy. …

Health Care Utilization and Direct Costs Among Patients Diagnosed with Cluster Headache in U.S. Health Care Claims Data.

BACKGROUND: Cluster headache (CH) is a rare trigeminal cephalalgia that is associated with extremely painful unilateral headache attacks and … ral artery occlusion/unspecified with cerebral infarction, headache symptoms, syncope/collapse, and diverticulitis. CONCLUSIONS: These findings suggest that, from a payer perspective, CH patients incur significantly higher health care costs versus controls. However, these high costs were not exclusively headache-related. Extrapolating our cost findings to estim …

Efficacy of mesalazine in the treatment of symptomatic diverticular disease.

We aimed to improve symptoms by means of mesalazine in symptomatic colonic diverticular disease patients. One hundred seventy outpatients (98 M, 72 F; age, 67.1 years; range, 39-84 years) were assigned to four different schedules: rifaximin, 200 mg bid (Group R1: 39 pts), rifaximin, 400 mg bid (Group R2: 43 pts), mesalazine, 400 mg bid (Group M1: 40 pts), and mesalazine, 800 mg bid (Group M2: 48 pts), for 10 days per month. At baseline and after 3 months we recorded 11 clinical variables (upper/lower abdominal pain/discomfort, bloating, tenesmus, diarrhea, abdominal tenderness, fever, general

[Peritoneal dialysis in the aged].

INTRODUCTION: Patients older than 65 years represent the group of patients affected by end-stage renal failure characterized by the most rap … onic back pain, recent aortic prosthesis placement, severe periferal vascular disease and recurrent diverticulitis. Further potential disadvantages of peritoneal dialysis in the elderly are depression and physical and intellectual incapability of self-performing dialysis in the absence of an adequate assistant. Besides, pain, malnutrition and in-hospitalization …

Obesity Disease and Surgery.

Obesity is a medical disease that is increasing significantly nowadays. Worldwide obesity prevalence doubled since 1980. Obese patients are at great risk for complications with physical and psychological burdens, thus affecting their quality of life. Obesity is well known to have higher risk for cardiovascular diseases, diabetes mellitus, musculoskeletal diseases and shorter life expectancy. In addition, obesity has a great impact on surgical diseases, and elective surgeries in comparison to general population. There is higher risk for wound infection, longer operative time, poorer outcome, an

Совпадение в полном тексте источника
… Diverticulitis BMI, waist circumference, and waist-to-hip ratio significantly increase the risks of diverticulitis, diverticular bleeding [ 99 ], perforation [ 100 ], and recurrence [ 101 ]. … Obesity increases the risks of diverticulitis and diverticular bleeding. Gastroenterology. 2009;136(1):115–122. doi: 10.1053/j.gastro.2008.09.025. 100. Bose K. P., Khorshidi I., Southern W. N., Brandt L. J. The impact of ethnicity and obesity on the course of colonic diverticulitis. …

Unveiling the comorbidity burden of male breast cancer.

Male breast cancer (MBC) is a rare condition with unique characteristics compared to female breast cancer (FBC). Despite its scarceness, there is growing evidence that MBC should not be studied and treated as FBC due to factors like later diagnosis stage and distinct genetic makeup. Retrospective observational study in the EpiChron Cohort, selecting all the prevalent patients with breast cancer between 2010 and 2019. Logistic models were used to determine associated comorbidities. Between 2010 and 2019, 105 MBC and 11,657 FBC patients were found in the EpiChron Cohort. MBC patients had a high

Совпадение в полном тексте источника
… 1088 | 9.30% Other upper respiratory disease | 8 | 7.62% | 995 | 8.50% Congestive heart failure; nonhypertensive | 8 | 7.62% | 648 | 5.60% Gout and other crystal arthropathies | 8 | 7.62% | 123 | 1.10% Asthma | 7 | 6.67% | 760 | 6.50% Chronic ulcer of skin | 7 | 6.67% | 566 | 4.90% Diverticulosis and diverticulitis … disorders; other back problems 8 (7.62) 1.21 (0.59-2.49) 0.72 (0.35-1.49) 0.376 Asthma 7 (6.67) 0.9 (0.42-1.95) 2.66 (1.23-5.77) 0.013* Chronic ulcer of skin 7 (6.67) 2.54 (1.18-5.48) 0.93 (0.43-2.04) 0.857 Heart valve disorders 6 (5.71) 5.95 (2.61-13.56) 2.99 (1.31-6.85) 0.010* Diverticulosis and diverticulitis …

[What is new in 2014 for the specialist in hospital internal medicine? The point of view of university hospital chief residents].

The year 2014 was rich in significant advances in all areas of internal medicine. Many of them have an impact on our daily practice and on the way we manage one problem or another. From the use of the ultrasound for the diagnosis of pneumonia to the choice of the site of venous access and the type of line, and the increasing complexity of choosing an oral anticoagulant agent, this selection offers to the readers a brief overview of the major advances. The chief residents in the Service of internal medicine of the Lausanne University hospital are pleased to share their readings.

Nivolumab plus docetaxel versus placebo plus docetaxel for androgen receptor pathway inhibitor-pretreated and chemotherapy-naive metastatic castration-resistant prostate cancer (CheckMate 7DX): a double-blind, randomised, phase 3 trial.

BACKGROUND: Androgen receptor pathway inhibitors (ARPIs) and docetaxel are established standards of care for chemotherapy-naive metastatic c … tributed to nivolumab plus docetaxel (three due to sepsis; one each due to Guillain-Barré syndrome, diverticulitis, myocarditis, liver injury, peritonitis, pneumonitis, pneumonia, and diarrhoea; and one due to unknown causes) and one was attributed to placebo plus docetaxel (due to pneumocystis). INTERPRETATION: Nivolumab plus docetaxel did not improve progress …

[Analysis of risk factors for prolonged postoperative ileus after segmental jejunectomy].

Objective: To explore the risk factors of prolonged postoperative ileus (PPOI) after segmental jejunectomy by propensity score matching (PSM). Methods: This study was designed as a case-control study. The inclusion criteria were as follows: (1) age >18 years; (2) receipt of segmental jejunal resection; (3) postoperative pathological diagnosis of benign jejunal lesions, including small intestinal polyps, small intestinal diverticulitis, small intestinal diverticula, benign small intestinal tumors, small intestinal ulcers, small intestinal hemangioma, small intestinal vascular malformation, and …

Acute Abdominal Pain as the Initial Presentation of an Acquired C1 Inhibitor Deficiency.

INTRODUCTION: Acquired angioedema (AAE), a rare cause of adult-onset non-urticarial mucocutaneous angioedema, can present as acute abdomen, a frequent complaint in the emergency room (ER), often leading to unnecessary and potentially harmful procedures. CASE PRESENTATION: We report a 47-year-old hypertense male, controlled with an angiotensin converting enzyme inhibitor (ACEI), who presented in the ER with progressively worsening abdominal pain, nausea, and vomiting, and a radiologic workup revealing small intestine thickening, initially diagnosed with ACEI-induced angioedema. However, furthe

Совпадение в полном тексте источника
… At this point, information obtained from clinical, analytical, and radiologic findings allowed exclusion of more frequent causes of acute abdomen, such as acute gastroenteritis, pancreatitis, cholecystitis/choledocholithiasis, appendicitis, diverticulitis, or gastrointestinal obstruction, and the main … In the case reported, the patients’ age and absence of personal and familiar history of urticaria and/or angioedema led the ER physician toward more common causes of acute abdomen, such as acute pancreatitis, diverticulitis, and appendicitis [ 5 ]. …