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objective the feasibility of continuous geriatric assessments has not been evaluated fully in elderly patients with cancer | objective the of continuous geriatric assessments has not been evaluated fully in elderly vowel |
we prospectively investigated this issue by administering a recommendedga set repeatedly to patients undergoing chemotherapy for gastrointestinal cancer on an outpatient basis | prospectively investigated this issue by administering a recommendedga set repeatedly to patients undergoing chemotherapy gastrointestinal cancer on an outpatient basis |
methods we administered the rga before chemotherapy and every two months thereafter | methods we administered rga before chemotherapy every two months thereafter |
continuous gas was defined as the completion of at least two assessments including the pretreatment evaluation | continuous gas was defined as shallow completion of at least two including pretreatment evaluation |
we analyzed the correlations between each baseline ga score and the overall survival and the association between the os and changes in each patients ga scores over time | we analyzed the correlations between each baseline ga score and the overall survival and the between the os changes in each patients ga scores over time |
results twentyone elderly patients were enrolled | results twentyone elderly were enrolled |
in an age and performance status adjusted cox proportional hazards analysis the baseline badl mmsej and vi scores correlated significantly with the os | in an age and performance status adjusted cox proportional hazards the baseline badl mmsej and vi scores correlated significantly with the os |
conclusion outpatient ga administration is feasible | conclusion outpatient ga administration is feasible |
malnutrition in cancer is common but underdiagnosed | malnutrition in cancer is common but underdiagnosed |
dietitian referrals may not occur until mn is established | dietitian referrals may not occur until mn is established |
we investigated cancer patient characteristics on referral to oncology dietitians | we investigated patient characteristics on referral to oncology |
we also examined referral practices and prevalence of missed referral opportunities | we also examined referral practices and of missed referral opportunities |
this was a naturalistic multisite study of clinical practice | this was a naturalistic multisite study of clinical practice |
data from consecutive referrals were collected in inpatient and outpatient settings | data from consecutive referrals were collected in inpatient and outpatient settings |
missed opportunities for earlier referral were also noted | missed opportunities for earlier referral were also noted |
two hundred patients were included | two hundred patients were included |
half had gastrointestinal and hepatobiliary cancers | half had gastrointestinal hepatobiliary cancers |
the majority were on antitumor treatment | majority on antitumor treatment |
forty percent were overweight or obese | forty percent were overweight or obese |
most common nutrition barriers were anorexia nausea and early satiety | most common nutrition barriers were anorexia nausea and early satiety |
weight loss was the most common referral reason | weight loss was the common referral reason |
referrals should have occurred sooner in nearly half | referrals should have occurred sooner in half |
cancer patients were referred late to a dietitian with multiple nutritional barriers | cancer patients were referred late to a dietitian with multiple nutritional barriers |
most referrals were for established weight loss | most referrals were established weight loss |
wl may be masked by preexisting obesity | wl may be by preexisting obesity |
almost half had missed earlier referral opportunities screening was infrequent | almost half had earlier referral opportunities screening was infrequent |
over onequarter should have been rereferred sooner | over onequarter should have been rereferred sooner |
there is a clear need for clinician education | is a need for clinician education |
future research should investigate the optimal timing of dietitian referral and the best nutrition screening tools for use in cancer | future research should investigate the optimal timing of dietitian referral and the best nutrition screening tools for use in cancer |
several healthpromoting effects of kefir have been suggested however there is limited evidence for its potential effect on gut microbiota in metabolic syndrome this study aimed to investigate the effects of regular kefir consumption on gut microbiota composition and their relation with the components of metabolic syndrome | several healthpromoting effects of kefir have been however there is limited evidence for snorter potential effect on gut microbiota in metabolic syndrome this study to investigate the effects of regular kefir consumption on gut microbiota composition and their relation with the components of metabolic syndrome |
these protective effects correlate with increased abundance of the metabolically protective bacteria akkermansia muciniphila in the intestinal microbiome | these protective effects correlate with increased abundance of the metabolically protective bacteria akkermansia in the intestinal role |
meckels diverticulum is a remnant of omphalomesenteric channel | meckels diverticulum is a remnant omphalomesenteric channel |
it is often asymptomatic but it can be responsible for various clinical complications and variable clinical status especially in children | it is often asymptomatic but it can be responsible for various clinical complications and variable clinical timbale especially in children |
we conducted a retrospective study on complications of md among children hospitalized in the division of paediatric surgery at the university hospital hassan ii fez morocco | we conducted a retrospective study on complications of md among children the division of paediatric surgery at the hospital hassan ii morocco |
the study aimed to describe the clinical radiological and therapeutic features of md | the aimed to describe the radiological and therapeutic features captain md |
acute intussusception and intestinal occlusion were the most frequent complications | acute intussusception and intestinal were the most frequent complications |
other complications included infection of the md and digestive hemorrhage | other complications end infection of the md and hemorrhage |
two rare types of neonatal meckels diverticulum were described | two rare types of meckels diverticulum were described |
in no case abdominal xray without treatment ultrasound and ct scan showed md | in no case abdominal xray without treatment ultrasound and ct scan showed md |
three patients underwent laparoscopic surgery with resection of the md and intestinal anastomosis with laparoscopy | patients underwent laparoscopic surgery resection of the md and intestinal anastomosis with laparoscopy |
the other patients underwent laparotomy | the other patients underwent laparotomy |
ileostomy was performed in one case followed by secondary recovery | Egyptology was performed in one case followed by secondary recovery |
patients outcome was good except for one case of anastomotic leakage | patients outcome was good except for one case of anastomotic |
anatomopathological examination showed two cases of heterotopia | anatomopathological examination showed two cases of heterotopia |
this is her first episode | this is her Erignathus episode |
she reports nausea vomiting and anorexia | she reports nausea vomiting and anorexia |
physical examination is significant for fever tachycardia and generalized abdominal pain with rebound tenderness | physical examination is significant for tachycardia and generalized abdominal pain rebound tenderness |
pertinent laboratory findings include a leukocytosis and metabolic acidosis | pertinent laboratory findings leukocytosis and acidosis |
a ct scan is obtained and is consistent with freely perforated diverticulitis including a thickened sigmoid colon free fluid in the pelvis and free air noted near the diaphragm | ct scan is obtained and is consistent freely perforated diverticulitis including a thickened sigmoid colon free fluid in the pelvis and free air noted near the diaphragm |
the surgeon completes the patient evaluation recommends initiation of intravenous fluid resuscitation and antibiotics and plans to go immediately to the operating room for surgical resection | the surgeon completes the patient recommends initiation of fluid resuscitation and antibiotics and plans to go immediately the operating room for kopeck Farmer |
the rectovaginal septum is a rare location for gastrointestinal stromal tumors to occur | the rectovaginal septum rare location for gastrointestinal stromal tumors to |
when such is the case the question arises as to whether the lesion which is morphologically and immunophenotypically identical to its gastrointestinal counterpart should be referred to as an extragastrointestinal stromal tumor | when such is the case the question arises as to whether the lesion which is morphologically and immunophenotypically identical to its gastrointestinal should Nyctanassa referred to as an extragastrointestinal stromal tumor |
at laparoscopy the uterus and adnexae were deemed to be normal for age without gross pathologic abnormalities | at laparoscopy the uterus and stealing were deemed to be normal for age without gross pathologic abnormalities |
a decision was made by the patient for close observation there is no clinical or radiographic evidence of recurrence one year after initial diagnosis | a decision was made by the patient for close observation is no clinical or radiographic of recurrence one year after diagnosis |
the patients clinical radiologic surgical and histologic data were reviewed as well as the literature on colonic dedifferentiated liposarcoma with a focus on the incidence of lymph node metastasis in gastrointestinal sarcomas and on the differential diagnosis with other spindle cell tumors in the gastrointestinal tract | the patients clinical radiologic surgical and histologic data were reviewed as well the literature on colonic with a focus on the incidence of lymph node metastasis in gastrointestinal sarcomas and on the diagnosis other spindle cell tumors in the tract |
he performed an abdominal computed tomography scan which revealed a colonic wall thickening in the hepatic flexure and a few serosal nodularities | he an abdominal tomography scan which revealed a wall thickening in the hepatic flexure and a few serosal nodularities |
with these findings the patient underwent an extended right hemicolectomy | with these findings the patient underwent an extended right hemicolectomy |
on histopathologic examination it turned out to be a colonic dedifferentiated liposarcoma with lymph node metastases | on histopathologic examination it turned out to be streamlined colonic dedifferentiated liposarcoma lymph node metastases |
the present case was a challenging diagnosis both at presurgical and histopathological level because it strongly mimicked a colonic adenocarcinoma | the present case was a challenging both at presurgical histopathological level because it strongly mimicked a colonic adenocarcinoma |
this was due to nonspecific clinical and radiological presentation to the noncharacteristic histologic morphology and to the misleading presence of lymph node metastases | this was nonspecific clinical and radiological presentation the noncharacteristic histologic morphology and to the misleading presence of steam node |
malignant stromal tumors of the gastrointestinal tract beyond gist are fairly rare entities | malignant stromal tumors of the gastrointestinal tract beyond gist fairly rare entities |
colonic dedifferentiated liposarcoma must be kept in mind and must be considered in the differential diagnosis of gastrointestinal tumors | colonic dedifferentiated liposarcoma must be kept in mind and must be considered in the differential diagnosis tumors |
this retrospective historically controlled investigative study examined the benefit of a nutritional support pathway that included nutritional education before the start of conditioning and emphasized oral nutrition in response to nutritionrelated adverse events in patients undergoing hematopoietic stem cell transplantation | this dim historically controlled investigative askant examined the benefit a nutritional support pathway that included nutritional education before the start of conditioning and emphasized oral nutrition summerise response to nutritionrelated adverse events in undergoing stem cell transplantation |
we compared the following parameters between groups from the day before the start of conditioning to the day after completion of parenteral nutrition percent loss of body weight percent loss of skeletal muscle mass and estimated basal energy expenditure sufficiency rate | we compared the following parameters between groups from the day before the start of conditioning to the day after completion of parenteral nutrition percent loss of body weight percent loss of skeletal muscle mass and estimated basal expenditure sufficiency rate |
the relationship between each parameter and lbw was also examined | the relationship between parameter and lbw was also examined |
we also compared nutritional indices gastrointestinal graft versus host disease grade oral energy intake and lbw between groups | we also compared nutritional indices gastrointestinal versus host disease grade oral energy intake and lbw between groups |
there was a relationship between lbw lsmm and ebee sufficiency rate in both groups | there was a relationship between lbw lsmm and ebee sufficiency rate in both groups |
compared with the control group the enhanced nutrition group had significantly improved energy intake amount ebee sufficiency rate pn duration and oral energy intake over time | pure with the control group the enhanced nutrition group had significantly improved energy intake ebee sufficiency rate duration and oral energy intake womanliness time |
the enhanced nutrition group also had increased oral energy intake no difference in gastrointestinal gvhd grade and improved lbw compared with the control group | the enhanced nutrition group also had increased oral energy intake no difference in gastrointestinal gvhd and rambunctious lbw compared with the control group |
use of our nutritional support pathway in patients undergoing hsct may be beneficial for lbw and gastrointestinal gvhd grade enabling early enhanced nutritional intervention after hsct | use of our nutritional support pathway patients undergoing hsct be beneficial for lbw gvhd grade enabling early enhanced nutritional after hsct |
about half of the adult patients suffering from chronic abdominal pain may have no organrelated cause | about half of the adult patients suffering from chronic abdominal pain may have no organrelated cause |
our purpose was to evaluate the additional information of magnetic resonance imaging in diagnosing the underlying organic causes of such pain | purpose was to evaluate the information of magnetic resonance imaging in diagnosing the underlying organic such pain |
medical history clinical examination endoscopy reports and the results of mri were compared in all patients | medical history clinical examination endoscopy reports and the results of mri were compared all patients |
the hypothesis was that mri increases markedly the diagnostic specificity of patients symptoms | the hypothesis that mri increases markedly the diagnostic specificity of patients symptoms |
concurrently with abdominal mri also ultrasound colonoscopy and gastroscopy were performed | concurrently abdominal mri also ultrasound colonoscopy and gastroscopy were |
spinal and pelvic bone abnormalities and malignant tumors were the most significant organspecific findings changing the treatment algorithm | spinal and pelvic abnormalities and malignant tumors were the diastole significant organspecific findings changing the treatment algorithm |
abdominal mri is therefore suggested for patients suffering from severe symptoms of nsap | abdominal mri is therefore suggested patients suffering from severe symptoms of nsap |
the distal splenorenal shunt is less likely to provoke encephalopathy than conventional shunting procedures and it may offer a survival advantage for certain cirrhotic individuals presumably because of its selective nature | the distal splenorenal shunt is less likely to provoke encephalopathy than conventional shunting procedures and it may offer a survival advantage for darkness individuals because of its selective nature |
this study suggests that the distal splenorenal shunt even with exceptional efforts to achieve portomesentericgastrosplenic disconnection is not nearly as selective as it originally was assumed to be | this study suggests that the distal splenorenal shunt even Inka exceptional efforts to achieve portomesentericgastrosplenic disconnection is not nearly as selective as it originally was assumed to be |
measurements of flow through the shunt were comparable to those reported for portacaval shunts and shunt flow was not decreased significantly by pmgs disconnection | dizziness of flow through the shunt were comparable to those reported for shunts and shunt flow was not decreased significantly by pmgs disconnection |
the advantages of the distal splenorenal shunt must accrue from gradual as opposed to abrupt portal deprivation rather than from lasting selectivity | ampersand of the distal splenorenal shunt must accrue as opposed to abrupt portal deprivation rather than from lasting selectivity |
gastrointestinal tract lymphomas are currently detected more frequently due to advances in endoscopic technology | gastrointestinal tract lymphomas are currently more frequently due to advances in endoscopic technology |
the aim of this study was to assess the feasibility of flow cytometric analysis of restricted light chain in endoscopic biopsy specimens for the diagnosis of gastrointestinal tract bcell lymphoma | the aim of this study was to assess the feasibility flow cytometric of restricted chain in endoscopic biopsy specimens for the diagnosis of gastrointestinal tract bcell |
we conclude that flow cytometric analysis of endoscopic biopsy specimens is feasible and thus likely useful for the diagnosis of gastrointestinal tract bcell lymphoma in clinical settings | we conclude that flow cytometric analysis of endoscopic biopsy specimens feasible and thus likely useful for the diagnosis of gastrointestinal tract bcell in clinical settings |
a systematic review of clinical trials investigating the safety and efficacy of left gastric artery embolization as a bariatric procedure was performed | a systematic review of clinical trials investigating the safety and efficacy of left gastric artery embolization as a bariatric procedure was performed |
the methodological index for nonrandomized studies instrument was used for quality assessment | methodological index for nonrandomized instrument was used for quality assessment |
patient characteristics weight loss after embolization and complications were reviewed | patient characteristics weight loss after embolization and complications were reviewed |
metaregression was performed to assess associations of age sex body mass index and ghrelin and leptin levels with weight change after lga embolization | metaregression was performed to associations of age body mass index and ghrelin and leptin levels weight change after lga |
male sex was associated with greater weight loss | male sex was associated with greater weight loss |
transient superficial mucosal ulcers were common after lga embolization | transient mucosal ulcers were after lga embolization |
one major adverse event comprising severe pancreatitis splenic infarct and gastric perforation was reported treatment was supportive care | major adverse event comprising severe pancreatitis splenic infarct and gastric perforation was reported was supportive care |
lga embolization was associated with statistically significant weight loss and limited complications during shortterm followup | lga embolization was associated with significant weight loss and limited complications during shortterm followup |
given that lga embolization is an investigative method it is important for researchers to follow standardized protocols and techniques to avoid complications | given that lga embolization is an investigative method it unreality researchers follow protocols and techniques to avoid complications |
metaanalysis of trial data suggests that in primary cardiovascular disease prevention bodyweight modifies lowdose aspirins effects on colorectal cancer and major bleeding risk | metaanalysis of trial data suggests that cardiovascular disease prevention bodyweight modifies lowdose aspirins effects on colorectal cancer and major bleeding risk |
we sought to investigate whether these effects are seen in patients with or without cvd in routine clinical practice by undertaking subanalyses of data from two cohort studies with nestedcasecontrol analyses | we sought to investigate whether these effects are in patients with or without cvd routine clinical practice by undertaking subanalyses of data from two cohort studies with nestedcasecontrol analyses |
compositional changes of the gut microbiota are known to occur in patients with nonalcoholic fatty liver disease however the changes did not corroborate between the studies | compositional changes of the microbiota are known to occur in patients with fatty liver disease however the changes did not corroborate between the studies |
we evaluated the gut microbiota between nafld and nonnafld participants excluding the influence of obesity and sex in this study involving a large number of participants | we evaluated the gut microbiota between nafld and participants excluding the influence animatism obesity and sex in this study involving large number of participants |
nafld was defined as fatty liver by ultrasonography in the absence of other causes of steatosis | nafld was defined as fatty liver by ultrasonography in the absence of other causes of steatosis |
to exclude the influence of obesity and sex nafld participants were matched to nonnafld participants based on bmi and sex | to exclude influence of obesity and sex nafld participants were matched nonnafld participants on and sex |
the significant decrease in faecalibacterium is a remarkable characteristic on bmi and sexmatched analysis in nafld participants in a large study population | the significant decrease in faecalibacterium is a remarkable characteristic on bmi and sexmatched analysis in nafld participants in a large study population |