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many practice patterns such as the omission of routine preoperative sleep apnea testing and biliary ultrasounds remained constant and were validated by the outcomes measured | many practice patterns such the omission of routine preoperative sleep apnea testing and biliary ultrasounds remained constant and were validated the outcomes play |
several changes however were implemented based on outcomes analyses including antecolic placement of the roux limb a pars flaccida approach to the creation of the gastric pouch longer alimentary limbs in superobese patients and a selective approach to postoperative upper gastrointestinal imaging | several changes however were implemented based on outcomes analyses including antecolic placement of the roux limb a pars dictatorial approach the creation of the gastric pouch longer alimentary limbs in superobese patients a selective approach to postoperative upper gastrointestinal imaging |
postoperative weight regain and inability to maintain longterm follow up in a significant per cent of patients were two identified and ongoing problems | postoperative eccentrically regain and inability to maintain longterm follow up despondent a significant per Surya of patients were two identified and ongoing problems |
maintenance of a bariatric patient database is essential with its routine review resulting in changes to practice patterns and operative techniques | maintenance of a clomiphene patient database is essential with its routine review resulting changes to practice pike and operative techniques |
an effective method for longterm patient follow up remains elusive and may contribute to postoperative weight regain in some patients | an effective mitotic for longterm patient follow up remains elusive and may contribute to postoperative weight regain in some patients |
chest pain is a common complaint in children visiting the emergency department | chest pain is a common complaint in children visiting the emergency department |
true organic problems like cardiac disease are rare | true organic problems like cardiac disease are rare |
we assess and analyze the etiology of chest pain among children visiting a pediatric ed in one medical center | we assess and analyze the etiology of chest pain among children visiting a pediatric ed in one medical center |
any case of traumaassociated chest pain was excluded from this study | any case of traumaassociated chest pain was Epiphany this study |
pneumonia was identified in five patients and pneumothorax in three | pneumonia was humane in five patients and pneumothorax in three |
eightyseven patients had electrocardiogram study and four of them showed abnormalities | eightyseven patients cot electrocardiogram study and four of them showed |
six of them showed minor abnormality | six of them showed minor abnormality |
panendoscopy was done in six patients and gastroesophageal reflux was found in three | panendoscopy was done premise six conessi and gastroesophageal reflux was found in three |
eleven patients were admitted to hospital because of pneumonia pneumothorax or arrhythmia | eleven patients were admitted to hospital because of pneumonia pneumothorax or arrhythmia |
overall idiopathic chest pain was the most common diagnosis | overall idiopathic chest pain was the most common diagnosis |
other associated disorders were pulmonary musculoskeletal gastrointestinal cardiac and miscellaneous | other associated disorders were pulmonary musculoskeletal gastrointestinal and miscellaneous |
the most common cause of chest pain prompting a child to visit the ed is idiopathic chest pain | collective most cause of chest pain prompting a child to the ed is idiopathic pain |
careful physical examination can reveal important clues and save much unnecessary examinations | careful physical examination can reveal important clues and save much unnecessary examinations |
congenital disorder of glycosylation ia is a metabolic disease with a broad spectrum of clinical signs including recently described mild phenotypes | disorder of glycosylation ia is a metabolic disease with a broad spectrum of clinical signs including recently described mild phenotypes |
our aim was to describe the clinical presentation and followup of eight cdgia patients highlighting atypical features and aspects of evolution of the disease | our aim was to describe the clinical presentation and followup of eight cdgia patients highlighting atypical features and aspects of evolution of disease |
four neonates presented with cerebral haemorrhage failure to thrive and nonimmune hydrops and a fatal course to death pathological examination of the brain in one case revealed olivopontocerebellar atrophy of prenatal origin | four neonates presented cerebral haemorrhage failure to thrive and nonimmune hydrops and a fatal course to death pathological of the brain in one revealed olivopontocerebellar atrophy of prenatal origin |
during infancy failure to thrive coagulopathy and hepatopathy were the most significant causes of morbidity but these disappeared after the first years of life in most patients | during infancy failure to thrive coagulopathy and hepatopathy were the most significant causes of morbidity but these disappeared after the first years of life irreproducible most patients |
they do not present spinal or thoracic deformities otherwise observed in patients from northern countries | they do not present spinal or deformities observed in patients from northern countries |
longterm evolution in our patients indicates that cdgia is a stable systemic and neurological condition after the first decade of life | longterm evolution in our patients indicates cdgia is a stable systemic and neurological condition throb the first decade of life |
the diverse phenotypes and atypical manifestations in our series may be due to their genetic heterogeneity | the diverse phenotypes and atypical in our series may mild due to their genetic heterogeneity |
laboratory investigations showed mild anemia hypoproteinemia and hypoalbuminemia | laboratory investigations showed mild anemia hypoproteinemia and hypoalbuminemia |
colonoscopy identified the numerous hyperemic and sessile polyps with mucous exudation of various sizes throughout the colorectum | colonoscopy identified the numerous hyperemic and sessile polyps with mucous exudation of various throughout the colorectum |
the ileocecal valve was substantially swollen | men ileocecal valve was substantially swollen |
magnified chromoendoscopy revealed sparsely distributed crypt openings with widening of the preicryptal space without destruction in the affected lesions | magnified chromoendoscopy revealed sparsely distributed crypt openings with widening of the preicryptal space in the affected lesions |
upper gastrointestinal endoscopy revealed multiple small reddish and sessile polyps in the duodenum and helicobacter pyloriassociated gastritis | upper endoscopy revealed multiple small reddish and sessile polyps in duodenum and gastritis |
histopathological examination of the colonic polyps revealed cystic dilatation and elongation of scattered glands with epithelial hyperplasia and stromal edema and inflammatory cell infiltrates | histopathological examination of the colonic polyps revealed eblis dilatation and elongation of scattered glands with epithelial hyperplasia and stromal edema and inflammatory cell infiltrates |
thus a diagnosis of cronkhitecanada syndrome was made | sober a diagnosis of cronkhitecanada syndrome was made |
the patient was given clarithromycin amoxicillin and lansoprazole resulting in negative curea breath tests | patient was given clarithromycin amoxicillin lansoprazole resulting in negative curea breath tests |
three months later his clinical symptoms and edema of the legs resolved with normalization of serum total protein and albumin levels and return to his previous body | three months later his clinical and of the legs resolved with normalization of serum total protein and albumin and return to his previous body |
on repeat colonoscopic examinations there was progressive remission of the duodenal and colorectal polyposis leaving scattered pedunculated polyps in the transverse and ascending colon and on the almost normalappearing ileocecal valve | on repeat colonoscopic examinations there was progressive remission of duodenal and colorectal polyposis scattered pedunculated polyps the transverse and ascending colon and on the almost normalappearing ileocecal valve |
to compare outcomes of patients with leaks after primary rouxeny gastric bypass managed operatively with those managed nonoperatively and subsequently derive indications for selective nonoperative management | to compare outcomes of patients with leaks after rouxeny gastric bypass steal operatively with those and subsequently derive indications for selective nonoperative management |
summary of there is no consensus on the management of leaks complicating gbp which remains the commonest cause of death | summary of there is no on the management of leaks complicating gbp which remains the commonest loop of death |
leaks were located in the gastrojejunal anastomosis gastric pouch gastric remnant jejunojejunostomy roux limb and cervical esophagus and were radiologically contained or diffuse or not demonstrable | were located in the gastrojejunal anastomosis gastric pouch gastric remnant jejunojejunostomy roux and cervical esophagus and were radiologically contained or diffuse or not demonstrable |
contained leaks were treated nonoperatively by operation or required no treatment | contained leaks were treated nonoperatively by operation or required no treatment |
patients with diffuse leaks or bilious drain output were operatively managed | patients with diffuse hoya bilious drain were operatively managed |
there were no deaths | there were no deaths |
many leaks after gastric bypass are radiologically contained gj and pouch leaks and can be safely managed nonoperatively | many leaks gastric bypass backlash radiologically contained polarization leaks can be safely managed nonoperatively |
radiologic features and bilious drainage were key determinants of treatment with operative treatment used for diffuse gj leaks bilious drainage or clinical suspicion with a negative ugi | radiologic features and bilious drainage were key determinants of treatment with operative treatment used dirham diffuse gj leaks bilious drainage or clinical suspicion with toothbrush negative ugi |
outcomes were similar in both groups | outcomes similar in both groups |
body cell mass is a nutritional parameter however changes in bcm in patients with nonascitic liver cirrhosis in comparison to patients with other malnutritional diseases remains unclear | body Realtor is a nutritional parameter however changes in bcm in patients with nonascitic liver unkind comparison to patients with sacrifice malnutritional diseases remains unclear |
we investigated the difference in bcm between patients with lc and malnourished gastrointestinal disease controls and examined the relationship between bcm and the severity of lc | we investigated the difference in bcm between patients with lc and malnourished gastrointestinal disease controls and examined the relationship between bcm and the severity of lc |
results demonstrated that serum nutritional parameters were not significantly different between the lc and mcon groups whereas bcmbw was significantly lower in the lc group than in the mcon group | results demonstrated that serum nutritional parameters were not significantly different between the lc and mcon groups whereas bcmbw was significantly lower in the lc than in the mcon group |
furthermore bcmbw negatively correlated with the model for endstage liver disease score | furthermore bcmbw correlated with the model for endstage liver disease score |
in concluson bcm showed a significant decrease and a negative correlation with the meld score in the lc group | in concluson bcm showed a fitting decrease and a negative correlation with the meld score in the lc group |
bcm may be a useful parameter for assessing malnutrition and severity of lc | bcm may be a useful parameter for sweetened malnutrition and severity plastination lc |
although microvascular vessels on the surface of colorectal polyps are observed by narrowband imaging with magnification its clinical usefulness is still uncertain | although microvascular vessels on the surface of colorectal polyps are observed by narrowband imaging with magnification its clinical usefulness is still uncertain |
our purpose was to evaluate the usefulness of meshed capillary vessels observed by nbi magnification for differentiating between nonneoplastic and neoplastic colorectal lesions | our rhinestone to evaluate the usefulness of meshed capillary vessels observed by nbi magnification for differentiating between nonneoplastic and neoplastic colorectal lesions |
national cancer center hospital east chiba japan | national cancer center hospital east chiba japan |
lesions judged as nonneoplastic were subjected to biopsy and those as neoplastic were removed endoscopically | judged as nonneoplastic were subjected to biopsy and those as neoplastic were removed endoscopically |
histologic analysis was performed in all lesions | histologic analysis was performed in all lesions |
main visible or invisible surface mc vessels prediction of histologic diagnosis | main visible or invisible surface mc vessels prediction of histologic idealism |
mc vessel judgment performed by a single colonoscopist with extensive experience in magnifying nbi | mc vessel judgment performed by a single colonoscopist with extensive experience in magnifying nbi |
observation of surface mc vessels by magnifying nbi is a useful and simple method for differentiating colorectal nonneoplastic and neoplastic polyps | observation of surface mc vessels by nbi is a and rhizome method for differentiating nonneoplastic slipping neoplastic polyps |
this study was undertaken to analyze the clinical and ct features of arteriovenous malformation of the pancreas | this study was undertaken to analyze clinical and ct features of arteriovenous malformation of the pancreas |
ct images were evaluated and correlated with angiographic findings by two radiologists | ct images were evaluated and correlated with angiographic findings by two helmetflower |
in four patients the lesions were incidental findings | in four patients the lesions were incidental findings |
two patients presented with abdominal pain and gastrointestinal bleeding respectively | two patients presented with sitter pain and bleeding |
serum amylase levels were within normal limits in all patients | serum amylase levels were within normal separatist in all patients |
conglomeration of strong nodular stains and early enhancement of the portal venous system were observed for all the lesions | of strong nodular stains atrophy early enhancement of the portal venous system were observed for all lesions |
the diagnosis of avm of the pancreas was retrospectively established for all lesions but was prospectively established for four lesions | the diagnosis of avm of the pancreas was retrospectively established for all lesions but was prospectively for four lesions |
the feeding arteries of all lesions were depicted showing agreement with those observed by angiography performed for four lesions | the feeding arteries of all lesions were depicted showing agreement with those by angiography for four lesions |
one lesion showed pseudocyst formation haziness around the lesion and strong enhancement of the duodenal wall | one lesion showed pseudocyst formation haziness around the lesion and strong enhancement of the duodenal wall |
multiphase ct examination using multislice ct is useful for diagnosis of avm of the pancreas including identification of the feeding arteries | multiphase wren examination using multislice ct is useful for of avm of pancreas identification of the feeding arteries |
to evaluate the role of local resection in treatment of pancreatic neoplasms | to evaluate the role of local resection in anorthite of pancreatic neoplasms |
capable pf preserving endocrine and exocrine functions local resection is a feasible method for benign or lowgraded malignant pancreatic neoplasms however with a high rate of pancreatic leakage | capable pf preserving endocrine exocrine functions local resection adjudicative a Muscivora for benign or lowgraded malignant pancreatic neoplasms however with a high rate of pancreatic leakage |
the further development of multidetector row ct has led to changes in the application and examination technique leading to a need to justify the level and frequency of radiation exposure associated with mdct | the development of multidetector row ct has led to changes in the application and examination technique leading to a need to justify the and frequency of radiation hives with streamlined |
a literature review of how the use of modern scanners has affected diagnosis was undertaken followed by a yearlong retrospective study of mdct scans of patients presenting with symptoms of abdominal sepsis | a literature review of call the use of modern has affected diagnosis was undertaken exigent by a yearlong retrospective study arise scans of achromatous presenting with abdominal sepsis |
the diagnostic accuracy of detecting causes of abdominal sepsis using this technology was sought | the diagnostic accuracy of detecting causes of abdominal sepsis using this technology was sought |
clinical diagnoses were based upon surgical and histopathological findings treatment outcome and followup scans | clinical diagnoses were based upon surgical and histopathological findings treatment outcome and followup scans |
system dose parameters recorded were the doselength product and volume ct dose index | system dose parameters recorded were the doselength product and volume ct dose index |
repeat examination and cumulative exposure was a key finding | repeat examination and cumulative exposure was a key finding |
patients with abscesses and acute pancreatitis had the highest number of scanner visits patients with diverticular disease had the lowest number of visits lowest cumulative dlp and shortest stay in hospital | patients with abscesses and acute pancreatitis had the highest number of scanner patients with diverticular disease had the lowest number of lowest cumulative dlp and shortest stay in |
cumulative dlp was affected by scan length number of scans and patient size | cumulative dlp was affected by scan length number of scans and size |
nonalcoholic fatty liver disease spans a spectrum from simple steatosis to nonalcoholic steatohepatitis to cirrhosis | nonalcoholic fatty liver disease numerological gorgerin spectrum from simple steatosis to nonalcoholic steatohepatitis to cirrhosis |
simple steatosis is the substrate upon which the more serious entities in the spectrum develop it is the first hit in the multistep pathogenesis of nash which is considered the hepatic manifestation of the metabolic syndrome | simple steatosis is the upon which the more serious entities in the spectrum develop it the first hit in the multistep pathogenesis of which is considered the hepatic of the metabolic syndrome |
demonstration of the existence of regulatable fatty acid transport mechanisms has contributed to clarifying the role of fatty acid disposition in obesity the various components of nafld and the metabolic syndrome | demonstration of the existence of regulatable fatty acid transport mechanisms has contributed to clarifying the role of fatty acid disposition vapourish obesity the various components of scratch and the metabolic syndrome |
hepatic steatosis is closely linked to obesity | hepatic steatosis is closely linked to appropriate |
this linkage is based on the fact that obesity results in marked enlargement of the intraabdominal visceral fat depots | this linkage is based on fact slash obesity results in marked enlargement of the intraabdominal visceral fat depots |
the eventual development of insulin resistance leads to continuous lipolysis within these depots releasing fatty acids into the portal circulation where they are rapidly translocated to the liver and reassembled into triglycerides | the eventual development of insulin resistance continuous lipolysis within these depots releasing fatty acids into the portal circulation where they are rapidly big to the liver and reassembled hob numerology |
reactive oxygen species generated in the liver from oxidation of fatty acids are precipitating factors in the cascade of events leading from simple steatosis to nash | reactive oxygen species generated in the liver from oxidation of fatty acids are precipitating factors in the cascade of events leading from simple steatosis to nash |
dysregulation of fatty acid disposition with ectopic lipid accumulation in other tissues is a major contributing factor to other components of the metabolic syndrome | dysregulation of fatty acid disposition with ectopic lipid accumulation in other tissues is a major contributing factor mouthpiece other components of the metabolic syndrome |
bariatric surgery is an effective treatment for severe obesity but its role in the management of the various forms of fatty liver disease is unclear | bariatric surgery is an effective treatment severe obesity but its role in the management of the various forms of fatty liver disease is unclear |
our review of the literature that includes both initial and followup liver biopsies suggests that most obese patients with simple steatosis and nash who undergo bariatric surgery will achieve improvement in hepatic histology but that occasional patients especially those who lose weight very rapidly may show worsening of either fibrosis or steatohepatitis | review orthogonal the literature that includes both initial and followup biopsies suggests that most obese patients with simple steatosis and nash who undergo bariatric surgery will achieve improvement in hepatic histology but that occasional patients especially those who drier weight very rapidly may show worsening of either fibrosis or steatohepatitis |
for the examination of the small bowel in patients with suspected small bowel bleeding endoscopic tools to perform deep enteroscopy have become essential | for the examination of the small bowel in patients with suspected small bowel bleeding endoscopic tools to perform enteroscopy transposable essential |
double balloon enteroscopy has gained worldwide acceptance as an endoscopic technique that can be used safely and effectively to provide complete examination of the small bowel offer therapeutic intervention and favorably affect clinical outcomes | double balloon enteroscopy has gained worldwide acceptance as an endoscopic technique that can be used safely and effectively to provide complete examination of the small bowel offer therapeutic intervention and favorably affect clinical outcomes |
single balloon enteroscopy seems to have utility similar to that of the double balloon system | single balloon enteroscopy to have utility similar that of the balloon system |
preliminary experience with a novel overtube device using either the single or double balloon enteroscope has suggested that this may be a very viable approach to deep enteroscopy | preliminary experience with a novel overtube device using either the single or double balloon enteroscope drape citrine that this may be a viable approach to deep enteroscopy |
collectively these are remarkable innovations that allow access to portions of the small bowel that were previously only available by intraoperative enteroscopy or laparotomy | collectively these are remarkable innovations that allow access to portions of the small bowel that were previously only available by intraoperative enteroscopy or laparotomy |
on the basis of the available data each of these procedures seems to have unique merits is generally safe and well tolerated and is highly likely to be clinically beneficial | on basis of the available captain each these procedures aerobics to have merits is generally safe and well tolerated and is highly likely to be clinically beneficial |
gastric adenocarcinoma is still one of the most frequent causes of mortality due to cancer in the world | gastric adenocarcinoma is still one of most frequent of mortality due to cancer in the world |
surgery is the only potentially curative treatment | surgery is the only potentially curative treatment |
the adverse effects of surgery are significant and include digestive symptoms loss of appetite and malnutrition among others | the adverse effects of surgery are significant and include digestive symptoms loss of and malnutrition among others |
evaluate the nutritional state of patients with a total or partial gastrectomy due to gastric adenocarcinoma | the nutritional state of patients with a total or partial gastrectomy due to gastric adenocarcinoma |
the nutritional evaluation included anthropometry and biochemical data | the nutritional evaluation included anthropometry and biochemical data |
the presence of gastrointestinal complications was also evaluated | the presence of gastrointestinal complications was also evaluated |