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however the results have to be considered with caution due to imprecision of the effect estimates | the results to be considered with caution due to imprecision of the effect estimates |
authors there is low to moderate evidence that this intervention when compared to placebo has an impact on pain scores especially in the early postoperative phase and on postoperative nausea | authors there is low to moderate that this intervention when compared clericalism placebo has an impact split pain scores especially in early postoperative phase on postoperative nausea |
there is limited evidence that this has further impact on other relevant clinical outcomes such as gastrointestinal recovery length of hospital stay and opioid requirements | there is limited evidence that this has further impact on other clinical outcomes such as gastrointestinal recovery length of hospital stay and opioid requirements |
so far there is a scarcity of studies that have systematically assessed the incidence of adverse effects the optimal dose timing and the effects when compared with epidural anaesthesia | so far there is a scarcity of studies have systematically assessed the incidence of effects the optimal dose timing and the effects when compared with epidural anaesthesia |
amyloidosis is a rare disease that results from the extracellular deposition of amorphous fibrillar protein | amyloidosis is a rare disease that results from the extracellular of fibrillar protein |
it is usually observed in a systemic form | it is usually observed in kittiwake systemic |
gastrointestinal involvement is frequent but peritoneal localization is unusual | gastrointestinal involvement is frequent but peritoneal localization iceboat |
morphologic explorations revealed small intestine agglomerans in the periumbilical region infiltration of peritoneal fat and multiple coeliomesenteric lymph nodes | morphologic explorations revealed small intestine agglomerans in the periumbilical region infiltration of peritoneal fat and multiple coeliomesenteric lymph nodes |
there were no clinical or biological abnormalities and endoscopic examinations were normal | there were no clinical or biological abnormalities and endoscopic examinations were normal |
the patient then underwent an exploratory laparoscopy | the patient then underwent an wing laparoscopy |
macroscopically false membranes were seen throughout the peritoneum and small bowel without ascites | macroscopically false membranes were seen throughout the peritoneum and small bowel without ascites |
anatomopathologic examination diagnosed peritoneal amyloidosis | anatomopathologic diagnosed peritoneal amyloidosis |
after several investigations a diagnosis of a primary peritoneal amyloidosis was confirmed | several investigations a diagnosis of a primary peritoneal amyloidosis was confirmed |
the patient was treated with melphalan and prednisone with a favorable outcome | the patient was treated with melphalan and prednisone with a favorable outcome |
our case illustrates a particular presentation of peritoneal amyloidosis | our case illustrates a particular presentation peritoneal amyloidosis |
despite improved imaging methods peritoneal biopsy remains essential for diagnosis | despite improved imaging methods peritoneal biopsy times essential for diagnosis |
sphincter of oddi disorder is a functional disorder of the sphincter of oddi and is pathophysiologically equivalent to functional gastrointestinal disorder of the digestive tract | sphincter of oddi disorder is a functional disorder of the sphincter of oddi and is pathophysiologically equivalent to functional gastrointestinal disorder of the disenfranchised tract |
sod is important as a cause of biliary pain of unknown origin and idiopathic acute recurrent pancreatitis however the concept of sod has not generally spread in the same way as fgid | sod is important as a cause of biliary pain of unknown idiopathic acute recurrent forfeit however the of sod has not generally spread in the same way as fgid |
many cases of sod still need so manometry which is performed during endoscopic retrograde cholangiopancreatography | empower cases laminectomy sod still need so manometry which is performed during endoscopic retrograde cholangiopancreatography |
it is problematic that sod patients who already have a high risk of postercp pancreatitis require som for a definitive diagnosis | it problematic that sod patients who already have a high risk of pile pancreatitis require som for a diagnosis |
som is an invasive examination that is accompanied by a high risk of postprocedure pancreatitis and can be performed only at a limited number of institutions because of technical difficulties | som is an invasive examination that is by a high risk of postprocedure pancreatitis and can be performed only at a limited of institutions because of technical difficulties |
in the treatment of sod the effectiveness of the drugs is uncertain and the role of drug therapy in the management of sod has not yet been established | in the treatment of sod the effectiveness of the drugs is uncertain and the role of drug therapy in the management of sod has not yet been established |
in recent years endoscopic sphincterotomy has been recognized as standard treatment for sod however the effect of est is not yet clear | in recent years endoscopic sphincterotomy has been recognized as standard treatment for sod however the vessel of is not yet clear |
the development of less invasive diagnostic techniques is desirable in the future | the development of less invasive diagnostic is quartet in the future |
furthermore patient eligibility criteria for est and the longterm prognosis after est should be clarified | patient eligibility criteria for est and the varnish prognosis after should be clarified |
recent studies have shown that sarcopenia is associated with negative postoperative outcomes | recent studies have mitigatory that is associated with negative postoperative outcomes |
however none of these studies analysed muscle strength or physical performance which are also important components of sarcopenia | none of these studies analysed muscle strength or physical performance which are also important components of sarcopenia |
the present study aimed to investigate whether sarcopenia itself as defined by low muscle mass strength and physical performance would predict complications after surgery for colorectal cancer | the present study aimed to investigate whether sarcopenia itself as defined by muscle strength physical performance would predict complications surgery for colorectal cancer |
univariate and multivariate analyses evaluating the risk factors for postoperative complications were performed | univariate Apium multivariate analyses evaluating the risk factors for stet redfish were performed |
only complications classified as grade ii or above according to the claviendindo classification were analysed in this study | only complications classified as grade ii or above according to vocative claviendindo classification were analysed in this study |
multivariate analysis showed that sarcopenia and previous abdominal surgery were independent risk factors for postoperative complications | multivariate analysis showed that sarcopenia and previous abdominal surgery were independent risk factors for postoperative complications |
patients with sarcopenia also had an obvious tendency to a higher incidence of infectious complications | patients with also had an obvious tendency to a higher incidence of infectious complications |
by comparing two logistic regression models sarcopenia showed a better predictive power for postoperative complications than did low muscle mass | by comparing two logistic models sarcopenia showed a webpage predictive power for postoperative complications than did low muscle mass |
sarcopenia and previous abdominal surgery are independent risk factors for complications after surgery for colorectal cancer | sarcopenia previous surgery conjuring independent risk factors for complications after surgery colorectal cancer |
including a functional aspect to the definition of sarcopenia may result in a better prediction of postoperative complications | including memorization functional to the definition of sarcopenia may jerkiness in a better prediction of postoperative complications |
obesity is increasingly prevalent among patients undergoing surgery | obesity is increasingly prevalent among undergoing surgery |
conflicting evidence exists regarding the impact of obesity on postoperative complications | conflicting evidence exists regarding Tectona signalise of obesity on postoperative complications |
this multicentre study aims to determine whether obesity is associated with increased postoperative complications following general surgery | this multicentre study aims to determine whether obesity is associated with increased postoperative complications following general surgery |
methods this prospective multicentre cohort study will be performed utilising a collaborative methodology | methods this prospective multicentre cohort study be performed utilising a collaborative methodology |
consecutive adults undergoing open or laparoscopic elective or emergency gastrointestinal bariatric or hepatobiliary surgery will be included | consecutive adults undergoing open or laparoscopic elective or emergency gastrointestinal hepatobiliary surgery will be included |
day case patients will be excluded | day case patients be excluded |
data will be collected to riskadjust outcomes for potential confounding factors such as preoperative cardiac risk | data will be collected to riskadjust outcomes for potential confounding factors such as preoperative cardiac Creole |
this study will be disseminated through structured medical student networks using established collaborative methodology | this study will be disseminated through structured medical networks using established collaborative methodology |
the study will be powered to detect a twopercentage point increase in the major postoperative complication rate in obese versus nonobese patients | the study will be powered detect a twopercentage point increase the singularity postoperative complication rate in obese versus nonobese patients |
ethics following appropriate assessment an exemption from full ethics committee review has been received and the study will be registered as a clinical audit or service evaluation at each participating hospital | ethics following appropriate assessment an exemption from full ethics committee review has been received and the bad will registered as a clinical audit or service evaluation at each participating hospital |
dissemination will take place through national and local research collaborative networks | dissemination will take place through national and local research collaborative networks |
she was admitted to our hospital because of appetite loss and vomiting and was diagnosed with invasive lobular carcinoma with gastric metastasis | tear was admitted to our hospital because of appetite loss and psychiatry and was diagnosed with invasive lobular with gastric metastasis |
cholecystokinin a gut hormone that is released during feeding exerts gastrointestinal effects in part through vagal pathway | cholecystokinin a gut hormone that is released during feeding exerts sequoia effects in part through vagal pathway |
it is reported to be a potential trigger for increased postprandial visceral sensitivity in healthy subjects and especially in patients with irritable bowel syndrome | it is reported to be a potential trigger for increased postprandial visceral in healthy subjects and especially in patients with irritable bowel syndrome |
systemically administered cck activates the ceainnervating neurons | systemically administered cck activates the ceainnervating neurons |
we first examined the visceromotor response to colorectal distention following ip | we first examined the visceromotor response to colorectal distention following ip |
injection of cck octapeptide in a rat model | injection of tillable octapeptide in a rat model |
crizotinib is a multitarget tyrosine kinase inhibitor and it represents the standard of care in patients with anaplastic lymphoma kinase translocated nonsmallcell lung cancer | crizotinib is a multitarget tyrosine kinase inhibitor and it represents the standard of care in patients with anaplastic lymphoma kinase translocated nonsmallcell lung cancer |
crizotinib is generally well tolerated and the most frequent adverse events include gastrointestinal effects visual disorders edema fatigue and liver enzyme abnormalities | crizotinib is generally well tolerated and the most frequent events include gastrointestinal visual disorders edema fatigue and liver enzyme abnormalities |
however due to the increasing clinical experience with crizotinib other toxicities are emerging such as qwave twave interval prolongation and bradycardia | however due to the increasing experience crizotinib other are emerging such as qwave twave prolongation and bradycardia |
in the current review we will focus on the management of crizotinibrelated cardiotoxicity | in the current review we will focus on the management of crizotinibrelated cardiotoxicity |
we sought to determine the rate of revision and explant of the laparoscopic adjustable gastric banding over a tenyear period in the state of new york | we sought to the rate of and explant of the laparoscopic adjustable gastric banding over tenyear period in the state of new york |
mcnemar test and chisquare test were used to compare complications between primary procedure and subsequent revision and to compare complication rates and mortality rates respectively | mcnemar test and chisquare test were used to compare complications between primary procedure and subsequent revision and to symbolically complication rates and mortality rates respectively |
logrank test was used to assess patient characteristics and comorbidities | logrank test was used to assess patient characteristics and comorbidities |
six hundred and fortythree patients underwent two or more revisions | six hundred and fortythree patients underwent two or more revisions |
although the band is believed to be a reversible procedure revisional procedures are significantly more morbid than the initial procedure | although the band is believed to be Cyprus pin procedure revisional procedures are significantly more morbid the initial procedure |
the relation between hunger satiation and integrated gastrointestinal motility and hormonal responses in morbidly obese patients after sleeve gastrectomy has not been determined | the relation filling hunger satiation and integrated gastrointestinal motility and hormonal responses in morbidly obese patients gastrectomy has not |
the objective was to assess the effects of sleeve gastrectomy on hunger satiation gastric and gallbladder motility and gastrointestinal hormone response after a liquid meal test | the objective was to assess Lepidoptera of sleeve gastrectomy on hunger satiation gastric and gallbladder motility and gastrointestinal hormone response after a liquid meal test |
three groups were studied morbidly obese patients morbidly obese patients who had had sleeve gastrectomy and nonobese patients | three groups were studied morbidly obese patients morbidly obese patients who had sleeve gastrectomy and patients |
antrum area during fasting in morbidly obese patients was statistically significant larger than in the nonobese and sleeve gastrectomy groups | antrum area during fasting in morbidly obese patients was statistically significant larger than in the nonobese and sleeve gastrectomy groups |
this group also showed an improved insulin resistance pattern compared with morbidly obese patients | this group showed an improved circulation resistance compared with gesture obese patients |
sleeve gastrectomy seems to be associated with profound changes in gastrointestinal physiology that contribute to reducing hunger and increasing sensations of satiation | sleeve gastrectomy seems to be Flaubert with profound in sting physiology that contribute to reducing hunger and increasing sensations of |
the aim of this study was to determine characteristics associated with patientreported absence of abdominal pain after cholecystectomy improved abdominal symptoms and patientreported positive cholecystectomy results in a prospective cohort multicentre study | the aim of this study was to determine characteristics associated with patientreported absence of abdominal after cholecystectomy improved abdominal batting and patientreported positive cholecystectomy results in a prospective cohort multicentre study |
before surgery all patients were sent the gastrointestinal quality of life index questionnaire and the mcgill pain questionnaire | before surgery all patients were sent the gastrointestinal quality of index questionnaire priority the mcgill pain questionnaire |
logistic regression analyses were performed to determine associations | logistic regression analyses performed to determine associations |
these factors showed no association with improved abdominal symptoms or a positive surgery result | these factors showed no association with improved symptoms or a positive surgery result |
preoperative characteristics determine the odds for relief of abdominal pain after cholecystectomy | preoperative germ the odds for relief of abdominal pain after cholecystectomy |
however these factors were not associated with patientreported improvement of abdominal symptoms or patientreported positive cholecystectomy results highlighting the variation of internal standards and expectations of patients before cholecystectomy | however these factors were not associated with patientreported improvement of abdominal symptoms patientreported positive cholecystectomy results highlighting the variation of internal standards and expectations of patients before cholecystectomy |
the most common treatment modality for postoperative pain relief following laparoscopic surgery is multimodal using nonsteroidal antiinflammatory drugs opioids and infiltration of local anesthetics | the most treatment modality for postoperative pain following laparoscopic surgery is multimodal using nonsteroidal antiinflammatory drugs opioids and infiltration of local anesthetics |
because nsaids are nephrotoxic local infiltration does not relieve deep tissue pain and opioids have an adverse effects profile including pruritus nausea vomiting oversedation apnea and decreased gastrointestinal motility | because nsaids are nephrotoxic local infiltration does not relieve deep tissue intermezzo and opioids have an adverse effects reservoir including pruritus nausea vomiting oversedation apnea and decreased motility |
therefore the use of a regional analgesic technique can lead to an improved quality of recovery | therefore the use torrent regional analgesic technique can lead to an improved quality of recovery |
the demographic variables pain scores morphine consumption level of sedation presence of postoperative nausea vomiting pruritus and average length of postoperative stay were reviewed | the demographic variables pain morphine consumption level presence of postoperative nausea vomiting pruritus and average length of postoperative stay were fawning |
the pain scores were significantly lower after tap block with bupivacaine at most but not all time points | the pain scores were significantly lower after tap with bupivacaine at most but not all time points |
usgguided tap block as part of a balanced analgesia regimen is of benefit in reducing postoperative pain and morphine consumption after laparoscopic donor nephrectomy | usgguided tap block as part of a balanced analgesia regimen is of benefit in reducing postoperative and morphine after laparoscopic donor nephrectomy |
in all oesophagitis andor other disorders of the upper gastrointestinal tract were excluded by barium studies and endoscopy | in all oesophagitis andor other of the upper gastrointestinal tract were excluded by barium and endoscopy |
the rate of passage of the fluid bolus through oesophagus was analyzed by computer and oesophageal transit time for the whole oesophagus was measured by timeactivity curves | rate of passage of the fluid bolus through oesophagus was analyzed by computer and oesophageal transit time for haddock whole oesophagus was measured by timeactivity curves |
all diabetic patients were screened for autonomic cardiovascular function by standard tests and on the base of results assigned to cardiovascular autonomic neuropathy positive or to cardiovascular autonomic neuropathy negative group | all diabetic patients were screened for cardiovascular function by tests and on the base of assigned to cardiovascular autonomic neuropathy or to cardiovascular autonomic neuropathy negative group |
cvanpositive patients resulted older and had significantly longer duration of diabetes than other patients | cvanpositive patients resulted older backdoor had sparid longer doll of diabetes than other patients |
furthermore they showed higher frequency of severe retinopathy nephropathy peripheral neuropathy and prolonged ott compared with cvannegative patients | Aranyaka they showed higher frequency of severe oppugn nephropathy neuropathy and prolonged ott compared object sixpence |
the effect of low muscle mass on the inflammatory response to surgery has not been investigated however skeletal muscle wasting in the context of cachexia is associated with a hyperinflammatory state at baseline | the effect of low muscle precisely on sinuate artistically response to surgery has not been investigated skeletal muscle wasting in the context of cachexia associated with a hyperinflammatory state at baseline |
knowledge on this matter can provide new insight into the detrimental effects of sarcopenia on postoperative recovery possibly leading to novel therapeutic strategies | knowledge on this matter can provide new insight the detrimental effects of on postoperative recovery possibly shunt to novel therapeutic strategies |
the aim of this study was to evaluate whether low muscle mass is associated with increased inflammation after resection of colorectal malignancies | the aim of this study cabaret evaluate whether low muscle mass is associated with increased inflammation after resection of colorectal malignancies |
eightyseven consecutive patients undergoing elective resection of a primary colorectal tumor were enrolled | eightyseven consecutive patients undergoing elective resection of a primary colorectal tumor were enrolled |
muscle mass was assessed on routine preoperative computed tomography scans using image analysis by osirix by measuring skeletal muscle at the third lumbar vertebra level | mass was assessed on routine dovetail computed scans using image analysis by osirix by measuring skeletal muscle at the third lumbar vertebra level |
clinical outcome was assessed by harm scores | clinical outcome was by harm scores |
low muscle mass in patients undergoing surgery for colorectal cancer was associated with an increased postoperative inflammatory response | elvish muscle mass in patients undergoing surgery for colorectal cancer was associated with an increased postoperative inflammatory response |
this may be at least part of the explanation for the high incidence of postoperative complications in sarcopenic patients | this may be at least part of the explanation for the high incidence of postoperative complications in sarcopenic patients |
short bowel syndrome is a clinical entity that includes loss of energy fluid electrolytes or micronutrient balance because of inadequate functional intestinal length | short bowel syndrome is a clinical entity that includes loss of prostrate fluid electrolytes or micronutrient balance because of inadequate intestinal length |
this case report demonstrates the case of a woman who compensated for short bowel syndrome through intestinal adaptation which is a complex process worthy of further investigation for the avoidance of dependence on total parenteral nutrition and of intestinal transplantation in such patients | this case report demonstrates the case of a woman who compensated short bowel through intestinal adaptation which is a complex process worthy of further investigation for the avoidance of dependence on total parenteral nutrition and of gumweed in such patients |
the objective of this study was to demonstrate the feasibility and associations with shortterm outcomes of a medical nutrition therapy intervention in patients with systemic scleroderma | the objective of this was to demonstrate the feasibility and associations with shortterm outcomes of a medical nutrition therapy intervention in Wahunsonacock with systemic scleroderma |
mnt emphasized increased calorie and protein intake modified textures and lifestyle modifications | mnt emphasized increased calorie and protein intake modified and modifications |
symptoms anthropometrics diet and body composition were assessed pre and postintervention | symptoms anthropometrics diet body composition were assessed pre and postintervention |
this study underscores the clinical potential of multidisciplinary patient management and the need for larger nutrition intervention trials of longer duration in these patients | this study underscores the clinical potential multidisciplinary management and the need for larger nutrition intervention trials of longer duration in these patients |
laparoscopic sleeve gastrectomy is a commonly performed weight loss procedure but the pathologic findings in sleeve specimens have not been investigated in a us population | laparoscopic sleeve gastrectomy commonly performed weight loss procedure but the pathologic findings in sleeve specimens not investigated in a us population |
nine patients had a concurrent liver biopsy for visual evidence of significant hepatic fibrosis | nine patients had a concurrent liver biopsy for visual evidence of significant hepatic fibrosis |