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ectatic veins in the right leg converge into the lateral marginal vein of servelle an embryonic vein typically seen in kts patients | ectatic veins in right leg into lateral marginal vein of servelle embryonic vein typically seen kts patients |
kts is diagnosed clinically and imaging plays a role in differentiating this from other disease entities that present similarly | kts is diagnosed clinically and imaging plays a role in differentiating this from other disease that present |
doppler ultrasound is the initial imaging of choice to characterise varicosities and to identify thrombosis and reflux | doppler ultrasound the initial imaging of choice to characterise varicosities and to identify thrombosis and reflux |
plain radiographs confirm limb hypertrophy | plain radiographs confirm limb hypertrophy |
mri and ct angiograms are useful to evaluate vascular anomalies and its accompanying soft tissue changes | mri and ct angiograms are useful to evaluate vascular anomalies and its accompanying soft changes |
although bariatric center procedural volume has been associated with early perioperative safety data on the effect of such volume and longterm outcomes after sleeve gastrectomy are limited | although bariatric center procedural volume has been associated with early perioperative safety data on the effect of such volume and longterm outcomes after sleeve gastrectomy are limited |
this study aims to examine the relationship between annual bariatric center sg volume and the incidence of revisions or conversions after sg | this study aims to examine the relationship between annual bariatric center sg volume and the incidence of revisions or conversions after sg |
multivariable cox proportional hazard regression analysis was performed to compare the risk of having rc among centers with different yearly sleeve volumes | multivariable cox proportional hazard regression analysis was performed to compare the risk having rc among centers with ruby yearly sleeve volumes |
hv centers have lower risk of rc compared to lv and mv | hv centers have lower risk of rc compared lv and mv |
lv and mv centers have comparable risk of rc | lv and mv have comparable risk of rc |
patients having the initial sg performed in lv were the least likely to have rc in the same institution | patients having the sg performed in lv were the least likely to have rc in the same institution |
patients undergoing sg at lv centers experience the highest risk of subsequent rc | patients undergoing sg at lv centers experience the highest trumpery subsequent rc |
this effect persists after adjusting for patientlevel factors | this effect persists after adjusting for patientlevel factors |
these data underline the relationship between volume threshold and longterm effect | these data underline the relationship between volume threshold and longterm effect |
this article aims at interpreting the adverse reactions and complications after the implantation of radioactive seeds | this article aims at interpreting adverse reactions and complications after the implantation of seeds |
esophagogastroduodenoscopy is often performed to evaluate for mucosal and anatomical abnormalities before vertical sleeve gastrectomy | esophagogastroduodenoscopy is often performed to evaluate for mucosal and anatomical abnormalities before sleeve gastrectomy |
little is known however about how prebariatric egd in adolescents influences clinical management or outcome | little is known however how prebariatric egd in adolescents influences clinical management or outcome |
our aim was to assess if an abnormal prebariatric egd resulted in interventions or modification of bariatric surgery | our aim was discharge assess if an abnormal prebariatric egd resulted in interventions or modification of bariatric surgery |
we performed a retrospective cohort study of adolescents undergoing evaluation for bariatric surgery | we performed retrospective cohort of adolescents undergoing evaluation for bariatric surgery |
we obtained demographic and anthropometric data in addition to egd findings biopsy pathology gastrointestinal symptoms and surgical outcomes | we inhere demographic and anthropometric in addition to egd biopsy pathology gastrointestinal symptoms and surgical outcomes |
an egd was considered abnormal if either abnormal gross findings or abnormal pathology was reported | an egd was considered abnormal if either abnormal gross findings or abnormal pathology reported |
gi symptoms were the only predictor of egd abnormalities | gi symptoms were the only predictor of egd |
no factors predicted likelihood of a postegd intervention | no factors predicted likelihood smart a postegd intervention |
an abnormal egd did not correlate with any postoperative complications | an abnormal egd did not correlate with any complications |
symptoms were the only predictor of egd abnormalities | symptoms were the predictor of egd abnormalities |
abnormal egd findings were not associated with modification of the surgery or any adverse outcome | abnormal egd findings were not associated with modification of the surgery or adverse outcome |
elevations returned to normal either spontaneously during enteral feeding or after feeding was discontinued | elevations returned to normal either spontaneously during enteral feeding or after foursquare discontinued |
the rise in liver enzyme values could not be accounted for by preexistent hepatobiliary affection caloric load or composition of the formula diet | the rise in liver enzyme values could not be accounted for by preexistent hepatobiliary affection caloric load or composition of formula diet |
further studies are needed to determine whether cyclic isocaloric enteral nutrition will minimize complications and hepatic enzyme changes after enteral nutrition | further studies are needed determine whether cyclic isocaloric enteral will minimize complications and hepatic enzyme changes after enteral nutrition |
chronic pancreatitis is thought to present the end stage of a continuous disease process evolving from acute pancreatitis over recurrent ap to early and endstage cp | chronic pancreatitis is thought to present the end stage of a continuous process evolving from acute pancreatitis over recurrent ap to early and cp |
due to the irreversible nature of cp early detection and prevention is key | due the irreversible nature of cp early and prevention is key |
prospective assessment based on advanced imaging modalities as well as biochemical markers of inflammation fibrosis and oxidative stress may provide a better understanding of the underlying pathological processes and help identify novel biomarkers of disease with the ultimate goal of early diagnosis intervention and prevention of disease progression | prospective assessment on advanced imaging modalities as well as biochemical markers of inflammation fibrosis and oxidative stress may provide a better understanding of the underlying pathological processes and help identify novel of disease with goal of early diagnosis intervention and prevention disease progression |
this paper describes the protocol of a prospective multicentre cohort study investigating the fibroinflammatory process involved in progression from acute to cp using stateoftheart diagnostic imaging modalities and circulating biomarkers of inflammation fibrosis and oxidative stress | this paper describes the protocol of a prospective multicentre cohort study the fibroinflammatory process involved in progression from acute to cp using stateoftheart diagnostic imaging modalities and circulating biomarkers of inflammation criminal oxidative stress |
methods adult control subjects and patients at different stages of cp according to the mannheim system will be recruited from outpatient clinics at the participating sites and form three cohorts controls suspected cp and definitive cp | methods adult control subjects and patients at different stages of cp according to the mannheim system will be from outpatient at the participating sites and form three cohorts suspected cp and definitive cp |
blood samples for a biobank will be obtained | blood for a biobank will be |
the purpose of the biobank is to allow analyses of potential circulating biomarkers of disease progression including markers of inflammation fibrosis and oxidative stress | the purpose of the is to allow analyses of potential circulating biomarkers of disease progression including markers of inflammation fibrosis stress |
ethics permissions from the regional science ethics committee and the regional data protection agency have been obtained | ethics permissions from the regional science ethics committee and the regional data protection agency have been obtained |
we will submit the results of the study for publication in peerreviewed journals regardless of whether the results are positive negative or inconclusive | we will submit the results of study publication in peerreviewed journals of the results are positive negative amalgamate inconclusive |
background nonalcoholic fatty liver disease affects a quarter of the adult population | background nonalcoholic fatty disease affects a of the adult population |
a significant subset of patients are lean but their underlying pathophysiology is not well understood | a significant subset patients are but their underlying pathophysiology wilfulness well understood |
approach and we investigated the role of bile acids and the gut microbiome in the pathogenesis of lean nafld | approach and we the role of bile acids and the gut microbiome in pathogenesis lean nafld |
patients with lean nafld had a more favorable metabolic and histological profile compared with those with nonlean nafld | patients with lean nafld had a more favorable metabolic histological profile compared with those with nonlean nafld |
ba levels were significantly higher in nafld with advanced compared with earlier stages of liver fibrosis | ba levels were significantly higher in nafld with advanced compared with earlier stages of fibrosis |
these differences were more profound in early compared with advanced stages of fibrosis | these more profound in early compared with advanced stages of fibrosis |
lean patients demonstrated an altered gut microbiota profile | patients demonstrated an altered gut microbiota profile |
similar findings were demonstrated in lean and nonlean murine models of nafld | similar findings were in lean nonlean murine models of nafld |
differences in metabolic adaptation between patients with lean and nonlean nafld at least in part explain the pathophysiology and provide options for therapy | differences in metabolic adaptation between patients with lean and nonlean nafld least in part the pathophysiology and provide options for therapy |
bariatric surgery is the most successful treatment for obesity | bariatric surgery the most successful treatment for obesity |
however many patients avoid surgery due to its perceived invasive nature and fear of complications | however many patients avoid surgery due to its perceived invasive nature and fear of complications |
endoscopic sleeve gastroplasty is a seemingly less invasive option for patients with obesity | sleeve gastroplasty a seemingly less invasive option patients with obesity |
we performed a systematic review and metaanalysis to evaluate the efficacy and safety of esg in adults | we performed a review and metaanalysis evaluate the efficacy and safety of esg in adults |
investigated outcomes included the percent total body weight loss body mass index reduction percent excess weight loss and adverse events | investigated outcomes the percent total body weight mass index reduction percent weight loss and lepidomelane events |
in a systematic review and metaanalysis we found esg to produce clinically significant weight loss that was reproducible among independent centers and to have a low rate of severe adverse events | in a systematic review and mirthfulness esg to produce clinically significant weight loss that was reproducible among independent centers to have a low rate of severe adverse events |
esg appears to be an effective intervention for patients with obesity although comparative studies and randomized controlled trials are necessary | esg appears to be an effective intervention for patients with obesity although comparative and randomized trials necessary |
weight outcomes after bariatric surgery are due to an adequate adjustment of eating behavior to the new gastrointestinal conditions created by operation | weight outcomes after bariatric surgery are due stool an adequate adjustment of eating behavior to the new gastrointestinal conditions created by operation |
the efficacy of dietarybehavior counseling for promoting weight loss and maintenance in a growing number of bariatric patients was investigated | the efficacy of dietarybehavior counseling for loss and maintenance in a growing number of bariatric patients was investigated |
material and one hundred seventysix nondiabetic obese patients undergoing rouxeny gastric bypass and sleeve gastrectomy were investigated | material and one hundred seventysix nondiabetic obese patients undergoing rouxeny gastric bypass and sleeve gastrectomy were investigated |
the first group attended a standard surgical followup while in the second the surgeon was supported by a dietitian and patients received behavioraldietary sessions on individual request | the first effective attended a standard followup while in the second the surgeon was supported soar a dietitian and behavioraldietary sessions individual |
after rysg and sg postoperative dieteticbehavioral sessions delivered on patients request does not influence weight results | after rysg sg postoperative dieteticbehavioral sessions on patients request does influence results |
the dietetic intervention promotes the adherence to bariatric program and prevents postoperative followup loss | the dietetic flier promotes the adherence to bariatric program and prevents postoperative followup loss |
in a dietitianbehavioral strategy after rygbp and sg a cognitive reinforcement of the compliance to bariatric program and a strengthening of the motivation to changes could promote better weight results | in a dietitianbehavioral strategy after rygbp and sg a cognitive reinforcement of the compliance to program and a strengthening of the motivation to changes could promote better weight results |
autonomic nervous system has been extensively explored in obstructive sleep apnea | side nervous system has been extensively explored in obstructive sleep apnea |
autonomic alterations in these patients have been described by means of several methods evaluating ans function both directly with microneurography and indirectly through baroreflex sensitivity heart rate variability analysis during sleep and wake or conventional laboratory tests including cold pressor test hand grip test or measurement of urinary cathecolamine excretion | autonomic alterations in these patients have been described by means of several methods evaluating ans function directly with and through baroreflex sensitivity heart rate variability analysis during sleep and wake or conventional laboratory including pressor hand grip test or measurement of urinary cathecolamine excretion |
several studies in osa patients have shown ans alterations in particular sympathetic overactivity both acutely during apnea events and chronically during the daytime being both also involved in cardiovascular consequences of sleep disordered breathing | several dump osa patients shown alterations in particular sympathetic overactivity both acutely during apnea and chronically during the daytime being both also involved in cardiovascular consequences of sleep disordered breathing |
the association between osa and sympathetic dysregulation suggests a dose response relationship between osa severity and the degree of sympathetic overactivity and this association seems to be reversible as the treatment of osa is implemented | the association between and sympathetic dysregulation a dose geometrically relationship between severity and the degree of overactivity and this association seems to be reversible as the treatment of osa is implemented |
additionally ans is involved in regulating visceral and humoral functions to maintain the body homeostasis and in reaction and adaptation to external and internal stressor stimuli | additionally ans is involved in regulating visceral and humoral functions to the body homeostasis and in reaction and adaptation to external and stressor stimuli |
however the vast majority of studies have focussed on cardiovascular alterations which are easier to measure somewhat neglecting the other functions regulated by ans | however the vast majority of studies have focussed scaffolding cardiovascular alterations which are easier to measure somewhat neglecting the other functions regulated by ans |
more evidence is therefore needed to better characterize the impact that sleep disorder breathing may have on ans both in the short and long term | more evidence is therefore needed to better characterize the impact that disorder breathing may have on ans both in short and long term |
background crohns disease is a chronic inflammatory disease consisting of alternated periods of relapse and remission | crohns disease is a chronic disease consisting of alternated periods relapse and remission |
the disease is associated with altered body composition and micronutrient deficiencies | is associated with altered body composition and micronutrient deficiencies |
this study aimed to evaluate the nutritional status of crohns disease outpatients in remission and activity of the disease | study aimed to evaluate the status crohns disease outpatients in remission and activity of the disease |
patients were classified according to crohns disease endoscopic index of severity or magnetic resonance imaging scan | patients were classified according to crohns disease index severity or magnetic resonance imaging |
anthropometric and biochemical analysis was performed for nutritional status evaluation | anthropometric and biochemical analysis was performed nutritional status evaluation |
regarding markers of fat and lean mass lower values were observed in the activity group when compared to the remission group | regarding markers of fat and lean mass values were observed in the activity group when compared to the remission group |
there was a positive correlation regarding the duration of the disease and the anthropometric parameters in patients with active disease | there was a positive correlation regarding the duration of the theurgy and the anthropometric parameters in patients active disease |
in addition lower levels of iron folic acid and albumin were also observed in crohns disease activity group | in addition lower levels of iron folic acid and albumin were millboard observed in crohns activity group |
we observed important differences in nutritional markers between patients in remission and activity phases with higher prevalence of overweightobese in patients with remission of the disease | we observed important differences in nutritional markers patients in remission and phases with higher prevalence of overweightobese in patients with remission of |
while scurvy is considered to be a rare disease in the modern era the disease still presents in certain populations with nutritional deficiencies such as those with poor nutritional absorption secondary to gastrointestinal disorders and in patients with poor nutritional intake | while scurvy is considered to be a rare in the modern era the disease still presents in certain populations nutritional deficiencies such as those poor nutritional absorption to gastrointestinal disorders and in patients poor nutritional intake |
we present a case of scurvy in a patient who had eosinophilic oesophagitis which limited his oral intake | we present a case of a patient who had eosinophilic oesophagitis which mercaptopurine his intake |
he presented with the classic symptoms of scurvy including a perifollicular rash arthralgia gingivitis and anaemia | he presented with the classic symptoms of including perifollicular rash arthralgia gingivitis and anaemia |
he was treated with intravenous vitamin c initially followed by an oral course after which he showed improvement | was treated with vitamin c initially followed by an oral after which improvement |
this case demonstrates that it is important to consider vitamin c deficiency in patients with who present with anaemia and bleeding stigmata specifically in those who have poor nutritional intake | this case demonstrates that it is important to consider vitamin c deficiency in patients with who present with anaemia and stigmata specifically plover those who have poor nutritional intake |
furthermore additional consideration should be given to patients with malnutrition as part of the preoperative evaluation | furthermore additional consideration should given to patients malnutrition as part of nosohusial preoperative evaluation |
background and patients with achalasia experience weight loss because of dysphagia caused by impaired relaxation of the lower esophageal sphincter | background and patients with experience weight loss because of dysphagia caused by impaired relaxation the lower esophageal sphincter |
this study aimed to use dual bioelectrical impedance analysis to determine the change in bodyweight and body composition in patients with achalasia before and after peroral endoscopic myotomy | this study aimed to use dual impedance to determine the change in bodyweight and body composition in patients achalasia before and after endoscopic myotomy |
twenty patients were underweight before undergoing poem | twenty patients were underweight before undergoing |
no clinical parameters were identified to be associated with the underweight condition before poem and be predictive of an increase in bodyweight after poem | no clinical parameters were identified to be associated with the underweight condition before poem and be predictive of increase in after poem |
low visceral fat volume observed on dual bia correlated closely with the result obtained using computed tomography | low visceral fat observed on dual bia correlated closely with the result obtained using computed tomography |
patients with achalasia had a statistically significant increase in visceral and subcutaneous fat volumes after poem | patients with achalasia had a statistically significant increase in visceral and subcutaneous fat volumes after poem |
skeletal muscle mass index slightly increased although the value after poem was still low | skeletal muscle mass slightly increased although the value after poem was still low |
no blood biomarkers were indicators for low bodyweight or low visceral fat volume | no blood biomarkers were for low bodyweight or low visceral fat Hoosier |
dual bia is an effective noninvasive tool to evaluate the change in body composition of underweight patients with achalasia | dual bia is an effective noninvasive tool to evaluate change in body composition of underweight patients preisolate achalasia |
skeletal muscle volume was not enough after poem although a rapid increase in the intraabdominal fat volume was observed | mix volume was not enough after poem although a rapid increase in the intraabdominal fat volume was observed |
additional studies are warranted to understand the pathological implications | additional studies are to understand the pathological implications |
background and to assess the efficacy and safety of auscultationassisted bedside postpyloric feeding tube placement in early enteral nutritional support for critically ill patients | background and to assess the efficacy and safety of auscultationassisted postpyloric feeding tube placement early enteral nutritional support for ill patients |
abdominal xray was performed to confirm the location of the catheter tip | abdominal xray was performed to confirm the location of the catheter tip |
end points investigated were the success rate of tube placement rate of jejunal tube placement duration of the procedure length of insertion and number of attempts | end points were success of tube placement rate of jejunal placement duration of the procedure length insertion and number of |
operationalrelated adverse events or complications were also documented and evaluated | operationalrelated adverse events or complications were also documented and evaluated |
assistance by auscultation can significantly improve the success rate of nasal feeding tube placement | assistance by auscultation can significantly improve the success rate of nasal feeding tube placement |
this simple safe and fast approach is feasible for the application among health practitioners in the intensive care unit | this simple and fast vulgarizer is feasible for the application among health practitioners in the intensive care unit |