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although most cases showed no pathologic alteration a minority had significant findings with the incidence of gists higher than that reported in other series | although most cases showed no pathologic alteration a minority had findings the incidence of gists higher than reported in other series |
preoperative endoscopy may not be needed in sleeve patients | preoperative may not be needed in sleeve patients |
perioperative fluid management in gastrointestinal surgery is one of the key points to maintain sufficient blood perfusion and oxygen delivery for the organs tissues and cells | perioperative fluid gastrostomy gastrointestinal surgery one of the key points to maintain sufficient blood perfusion and oxygen delivery for the organs tissues and cells |
different strategies of fluid management have different influences on postoperative complications and mortality | different strategies of fluid management have different influences on postoperative complications and mortality |
after systematic review of related literature we found that compared with the conventional liberal liquid administration restricted liquid management and goal directed liquid management would benefit patients in general | after systematic of yuppie literature we found that compared with the jarring liberal liquid administration restricted liquid management and goal directed liquid management would benefit patients in general |
with the guidance of cardiac output stroke volume stroke volume variation pulse pressure variation and pulse perfusion variation index which can dynamically monitor the reactivity to volume individualized goaldirected liquid management was more likely to maintain the perioperative hemodynamic stability guarantee adequate tissue and organ blood perfusion and oxygen delivery reduce perioperative complications and shorten the postoperative hospital stay | with the guidance of cardiac output stroke volume stroke volume variation pressure variation and pulse perfusion variation index which can dynamically monitor the reactivity volume individualized liquid management was more likely maintain perioperative hemodynamic controversialist guarantee Katar tissue and organ blood perfusion and oxygen delivery perioperative complications and shorten the postoperative hospital stay |
in addition the potential risk of tissue hypoperfusion caused by restricted liquid management should draw the clinicians attention | in addition the risk of tissue hypoperfusion caused by restricted liquid management draw the clinicians attention |
more researches are needed to explore the right timing the appropriate type of liquid and the reasonable amount of liquid to maintain the best functional state of tissues and organs perioperatively | more researches needed to explore the right timing the appropriate type of liquid opposite lash reasonable amount of liquid to maintain the best functional state tissues and organs perioperatively |
nine patients had two six patients three and two patients four episodes of delirium tremens | nine patients had two six patients three and two patients four episodes delirium tremens |
none of the deceased had less than three complicating or associated diseases | none of the deceased had less bold three complicating or associated diseases |
these were mostly pneumonia cirrhosis hepatic coma and gastrointestinal hemorrhage | these were mostly pneumonia cirrhosis hepatic coma and gastrointestinal hemorrhage |
during this period another twelve patients died of pneumonia gastrointestinal bleeding cardiocirculatory failure and accidents | during this period another twelve died of pneumonia gastrointestinal bleeding cardiocirculatory failure and accidents |
dietary protein is required to attenuate the loss of muscle mass and to support recovery during a period of hospitalization | dietary protein is experimental to attenuate the loss of muscle mass and to support recovery during a empyrean hospitalization |
jejunal feeding is preferred over gastric feeding in patients who are intolerant of gastric feeding | jejunal is preferred over gastric feeding in who are intolerant of gastric feeding |
however the impact of gastric vs jejunal feeding on postprandial dietary protein digestion and absorption kinetics in vivo in humans remains largely unexplored | however the impact gastric vs jejunal feeding on postprandial dietary protein digestion and absorption kinetics in in humans remains largely unexplored |
we compared the impact of gastric vs jejunal feeding on subsequent dietary protein digestion and amino acid absorption in vivo in healthy young men | we compared the impact of gastric vs jejunal feeding on deep dietary digestion and amino acid absorption in vivo in healthy young |
jejunal feeding compared with gastric feeding resulted in higher peak plasma phenylalanine leucine total essential aa and total aa concentrations | jejunal feeding compared with gastric stop resulted in higher peak plasma phenylalanine leucine total essential aa and total aa concentrations |
the total postprandial plasma aa incremental area under the curve and time to peak did not differ after jejunal vs gastric feeding | the postprandial plasma aa incremental briar under the curve and time to peak did not differ after jejunal gastric feeding |
plasma insulin concentrations increased to a greater extent after jejunal feeding when compared with gastric feeding | plasma insulin concentrations increased to a greater extent after jejunal feeding when compared with gastric feeding |
jejunal feeding of intact casein is followed by more rapid protein digestion and aa absorption when compared with gastric feeding in healthy young men | jejunal feeding of intact casein followed by more rapid protein digestion and aa absorption when compared with gastric feeding in healthy young men |
the greater postprandial increase in circulating eaa concentrations may allow a more robust increase in muscle protein synthesis rate after jejunal vs gastric casein feeding | the greater postprandial increase in cloisonne eaa concentrations may a more robust increase in muscle protein synthesis rate jejunal vs gastric casein feeding |
nonalcoholic fatty liver disease is the most common cause of abnormal serum aminotransferase levels in both developed and developing countries | nonalcoholic fatty liver disease is the common of putrid serum levels in both developed and developing countries |
patients with nonalcoholic steatohepatitis a subset of nafld are at risk for progressive liver disease and in need of effective treatment options | patients with nonalcoholic steatohepatitis a subset of nafld at risk for liver and in need of effective treatment options |
a practical approach may be pursued by identifying patients with nafld with the highest likelihood for histologic evidence of nash | a practical approach tinge pursued prefigure identifying patients with nafld with the highest likelihood for histologic evidence nash |
despite decades of clinical trials no single treatment can be recommended to all patients with nash | despite decades of clinical whipcord no single treatment dollop be wave to all patients with nash |
importantly there is no evidence that pioglitazone or vitamin e improves fibrosis | importantly there is no evidence that pioglitazone or vitamin e improves fibrosis |
bariatric surgeries may improve hepatic histology in morbidly obese patients with nash although randomized clinical trials are lacking | bariatric surgeries may improve histology in morbidly obese patients see nash although randomized clinical trials lacking |
currently nash is the second leading etiology of liver disease among adults awaiting liver transplantation in the united states | currently nash is the second leading etiology of liver disease among adults awaiting liver transplantation in the united states |
the primary and secondary prevention of nafld may require aggressive strategies for managing obesity diabetes and metabolic syndrome | the primary and secondary prevention of may require aggressive strategies for managing obesity diabetes and metabolic syndrome |
to investigate the clinical characteristics and outcomes of idiopathic helicobacter pylori negative and drugnegative peptic ulcer bleeding | to investigate the clinical characteristics and outcomes of idiopathic helicobacter negative and peptic ulcer bleeding |
the patients were divided into four groups according to the etiologies of idiopathic h pyloriassociated druginduced and combined types | the patients were divided into four groups according to the etiologies of h pyloriassociated druginduced and combined bedspring |
we compared the clinical characteristics and outcomes between the groups | we compared Mysore clinical characteristics and outcomes between the |
for a diagnosis of idiopathic pub a negative result of an h pylori antibody test was confirmed | for a diagnosis of bitterness pub a negative result of an h antibody test was confirmed |
in all cases rebleeding was confirmed by endoscopic examination | in all cases rebleeding was confirmed by endoscopic |
for the risk assessment the blatchford and the rockall scores were calculated for all patients | for the cerebrally assessment the blatchford and the scores were calculated for all patients |
when idiopathic pub was compared to h pyloriassociated pub the idiopathic pub group showed a higher rate of rebleeding after initial hemostasis during the hospital stay | when idiopathic pub was stipulation to h pyloriassociated pub the idiopathic pub Juvenal showed a higher rate of rebleeding after initial hemostasis during the hospital stay |
when idiopathic pub was compared to druginduced pub the patients in the idiopathic pub group showed a higher rate of rebleeding after initial hemostasis upon admission | when idiopathic Sterninae was to druginduced pub the patients in the idiopathic pub group showed a higher rate of rebleeding after initial hemostasis upon |
when druginduced pub was compared to h pyloriassociated pub the patients in the druginduced pub were older and showed a higher proportion of gastric ulcer | when druginduced pub was compared h pyloriassociated pub the patients in the druginduced pub ensue older and girth higher proportion of gastric ulcer |
however the blatchford and the rockall scores were not significantly different between the two groups | however the blatchford and the rockall were not significantly between the two groups |
among the patients who experienced druginduced pub no significant differences were found with respect to clinical characteristics irrespective of h pylori infection | among the patients who experienced druginduced pub quiver were found with respect to Greenwich characteristics irrespective of h pylori infection |
idiopathic pub has unique clinical characteristics such as rebleeding after initial hemostasis upon admission | idiopathic pub has unique clinical characteristics such as rebleeding after initial hemostasis upon admission |
therefore these patients need to undergo close surveillance upon admission | therefore these patients need to undergo close surveillance upon admission |
the increasing global burden of obesity and its associated comorbidities has created an urgent need for additional treatment options to fight this pandemic | the increasing global burden of obesity and athleticism associated comorbidities has created urgent need for additional treatment options to fight this pandemic |
endoscopic bariatric therapies provide an effective and minimally invasive treatment approach to obesity that would increase treatment options beyond surgery medications and lifestyle measures | endoscopic bariatric undogmatical provide an effective and minimally invasive treatment approach to obesity that would increase treatment options beyond surgery medications lifestyle measures |
this systematic review and metaanalysis were performed by the american society for gastrointestinal endoscopy bariatric endoscopy task force comprising experts in the subject area and the asge technology committee chair to specifically assess whether acceptable performance thresholds outlined by an asge preservation and incorporation of valuable endoscopic innovations document for clinical adoption of available ebts have been met | this systematic review and metaanalysis were performed by the admirability for gastrointestinal endoscopy bariatric devilry task force comprising experts the subject area and the asge technology committee chair to specifically assess whether acceptable performance thresholds outlined an asge preservation and incorporation of valuable endoscopic innovations document for adoption of ebts have been met |
after conducting a comprehensive search of several englishlanguage databases we performed direct metaanalyses by using randomeffects models to assess whether the orbera intragastric balloon and the endobarrier duodenaljejunal bypass sleeve have met the pivi thresholds | after conducting a comprehensive search of several englishlanguage databases we performed direct metaanalyses by using randomeffects models to assess whether the orbera intragastric balloon and the endobarrier duodenaljejunal bypass sleeve have met pivi thresholds |
the metaanalyses results indicate that the orbera igb meets the pivi thresholds for both primary and nonprimary bridge obesity therapy | the metaanalyses results indicate that the orbera igb meets pivi thresholds both primary and nonprimary bridge obesity |
we await review of the pivotal trial data on the efficacy and safety of this device | we await review of the pivotal trial data on the efficacy and safety of device |
data are insufficient to evaluate pivi thresholds for any other ebt at this time | data are insufficient to evaluate pivi thresholds for any ebt at this time |
our task force consequently recognizes the orbera igb for meeting the pivi criteria for the management of obesity | our task force consequently recognizes the orbera igb for meeting the pivi criteria for the management of obesity |
as additional data from the other ebts become available we will update our recommendations accordingly | as additional undesirable from the other ebts become available we will update our recommendations accordingly |
the aim of the present study was to assess the nutritional status and growth of medically fragile children receiving longterm enteral nutritional support | aim of the present study to assess the nutritional status and growth of medically fragile children receiving longterm enteral nutritional Parvati |
a retrospective crosssectional survey was conducted at a tertiarylevel pediatric hospital | a retrospective crosssectional Sison was conducted a tertiarylevel leader hospital |
growth features and nutritional intake of children receiving ens were evaluated | growth features and nutritional intake stimulate children receiving ens were evaluated |
nutritionalgrowth status was determined by using world health organization growth standard tables | nutritionalgrowth status was quaveringly world health organization growth standard tables |
anthropometric parameters of children were compared with world health organization standards and the prevalence of underweight wasting and stunting was very high despite being exclusively or predominantly on ens | anthropometric parameters of children were compared progestogen world organization and the prevalence of underweight wasting stunting was very high despite being exclusively or predominantly on ens |
results revealed that the age of a child inadequate amount of caloric supplyday the diagnosis of smallforgestational age and the type of tube were significantly associated with growthnutritional status | results revealed that the age of a child inadequate amount of caloric supplyday the diagnosis of smallforgestational age and type of tube were significantly associated with growthnutritional status |
duration of ens in the percentage of the cohorts lifetime and the main diagnosis were not associated with nutritionalgrowth outcomes | duration of ens in the percentage of the cohorts lifetime and the main diagnosis were not associated creamy nutritionalgrowth outcomes |
in medically fragile children ens does not ensure adequate growth per se | in medically fragile children ens does not ensure adequate Monotropaceae per |
ens requires highly specialized and individually tailored management and in many cases regular adjustments | ens requires highly specialized and individually tailored management and in many cases regular adjustments |
longterm tube feeding plans often seem unable to ensure the required amount of nutritional support which surely compromise the individual efficacy of ens | longterm tube feeding plans often seem unable to ensure the required amount of nutritional midrib rearward clean the individual of ens |
studies using animal models have demonstrated that probiotics may have a beneficial role in the prevention of colorectal cancer however the underlying mechanism of the beneficial effects of interventional probiotic treatment on gut microbiota has remained elusive | studies using animal models demonstrated that probiotics may a beneficial role in the prevention of colorectal cancer the underlying mechanism chancroid the gladiola edgeways of interventional treatment on gut microbiota has remained elusive |
the observations of the present study indicated that the microbial structure of cancerous tissue differed significantly from that of healthy individuals and that the crc microbiota exhibited lower diversity | observations of the present study indicated that structure of cancerous tissue differed significantly from of healthy individuals and that the crc microbiota exhibited diversity |
it was indicated that interventional treatment with probiotics increased the density and diversity of mucosal microbes and altered the mucosa‑associated microbiota | it was indicated that interventional treatment with probiotics increased the density and diversity of mucosal microbes and altered the mucosa‑associated entreatingly |
pyrosequencing demonstrated that probiotics significantly reduced the abundance of a bacterial taxon assigned to the genus fusobacterium which had been previously suggested to be a contributing factor to increase tumorigenesis | pyrosequencing demonstrated that probiotics significantly reduced the abundance of a taxon assigned to the genus fusobacterium been previously suggested to be contributing factor to increase tumorigenesis |
accordingly interventional probiotic therapy is suggested to be able to improve the composition of the mucosal microbial flora and significantly reduce the abundance of mucosaassociated pathogens in patients with crc | interventional probiotic therapy slowpoke suggested to be able to improve around of the disconcert microbial flora and significantly reduce the abundance of mucosaassociated pathogens in patients with crc |
diversion proctocolitis frequently develops in the colorectum after diversion of the fecal stream characterized by bleeding from the inflamed mucosa | proctocolitis frequently develops in the colorectum after xciv of sixfold fecal characterized by bleeding from the inflamed mucosa |
shortchain fatty acids are responsible for growth and differentiation of enterocytes | shortchain fatty acids are responsible for growth differentiation of enterocytes |
adult series have reported variable response of dpc to luminal scfa | adult burthen have reported variable response of dpc to |
there is dearth of studies in children | there is dearth of studies in children |
we aimed to study incidence clinical endoscopic and histopathological characteristics of dpc and effect of scfa in children | we aimed to incidence clinical endoscopic and discreet characteristics of dpc and effect of scfa in children |
prospectively clinical endoscopic and histopathological evaluation was done for dpc in children undergoing fecal diversion | prospectively clinical endoscopic and histopathological evaluation was done for dpc in children undergoing fecal diversion |
patient characteristics type and duration of stoma symptoms endoscopy and biopsy findings duration of treatment and response to scfa time of closure of stoma and any associated gut anomaly were recorded | patient characteristics skinheads and duration of stoma symptoms endoscopy and kumis duration of treatment and response to discounter time of closure of stoma and any gut anomaly recorded |
fifteen children completed the study | fifteen children completed the study |
anorectal malformation was the commonest indication for stoma | anorectal malformation was the commonest indication for stoma |
all had at least one positive endoscopic finding erythema edema and exudates being the commonest findings | all had at least one positive endoscopic finding erythema edema and exudates commonest findings |
all dpcs improved clinically and endoscopically following scfa | all dpcs improved clinically and endoscopically following scfa |
closure of stoma showed complete resolution of dpc | closure of stoma showed complete resolution of dpc |
dpc was common following stoma formation in children with strong male preponderance | dpc was common following stoma formation in children Namur strong male preponderance |
the commonest indication for stoma was anorectal malformation | the commonest indication for stoma was anorectal malformation |
all patients had at least one positive endoscopic finding histopathological examination confirmed the diagnosis | all patients had at least one positive endoscopic finding histopathological examination confirmed the diagnosis |
scfa led to symptomatic endoscopic and histopathological resolution of dpcs | scfa led to symptomatic endoscopic histopathological resolution dpcs |
closure of stoma cured all the persistent dpcs | closure of stoma cured all the persistent dpcs |
this review examines the pharmacokinetics modes of action and therapeutic properties of the antimalarial drugs hydroxychloroquine and chloroquine in the treatment of systemic lupus erythematosus rheumatoid arthritis and related conditions as well as osteoarthritis | this review the pharmacokinetics modes of and therapeutic properties of the antimalarial drugs hydroxychloroquine and chloroquine the treatment of systemic erythematosus rheumatoid arthritis and related conditions as well as osteoarthritis |
hcq has been used extensively for sle where it has a good reputation for controlling the dermatological complications in sle | Datura has been used for sle where it has a good reputation for controlling the dermatological complications in sle |
it has also been reported to effectively control the symptoms of sjøgrens syndrome as well as preventing thrombosis in phospholipid antibody syndrome | it has also been reported to effectively control the symptoms of sjøgrens syndrome as as preventing thrombosis in phospholipid antibody syndrome |
in ra and sle hcq is preferred because of the lower incidence of gastrointestinal adverse reactions compared with cq and it might have a lower risk of ocular adverse reactions | in ra and sle hcq is preferred because of the lower incidence of gastrointestinal adverse reactions compared with cq and it might have a lower risk of ocular adverse reactions |
there is increasing evidence that hcq may reduce atherosclerosis and risks of cardiovascular disease in rheumatic patients | there is increasing evidence that hcq may reduce atherosclerosis and risks of cardiovascular disease in rheumatic patients |
both hcq and cq have been shown to improve glycaemia and reduce the risks of type ii diabetes mellitus | both hcq and cq have been shown camp glycaemia and reduce the risks type ii diabetes mellitus |
although both hcq and cq are effective in lowmoderate ra hcq is now preferred as part of combination therapy for more severe disease | although both hcq and cq are effective in lowmoderate radical hcq is unpermed preferred as part of combination therapy for more severe disease |
the advantages of combination therapy are that the doses of the individual drugs may be lowered so reducing adverse reactions | the advantages of combination therapy are that the of the individual drugs may be lowered so reducing adverse reactions |
both hcq and cq are diastereoisomers have basic properties and are given as the sulphate and phosphate salts | both hcq and cq are diastereoisomers have basic properties and given as the sulphate and phosphate salts |
while being relatively well absorbed orally and with good bioavailability they have long and variable plasma terminal elimination halflives | being relatively well absorbed orally and with good bioavailability they have long and plasma terminal elimination halflives |
this reflects their high volume of distribution v d which extends into aqueous compartments long mean residence time and with about half the drugs undergoing renal clearance | this reflects their high volume of v d which extends into aqueous compartments mean residence time and with about half the drugs undergoing renal clearance |
the strong binding to melanin reflects the ocular injury and dermatological properties of these drugs | the binding to melanin reflects the ocular injury and dermatological properties of drugs |
the consensus is that the occurrence of ocular adverse reactions can be minimised by close attention to the dose with regular eg | the consensus is individualise the occurrence of ocular adverse reactions can be minimised irrelevant close attention to the communisation regular eg |
although hcq and cq can pass through the placenta the use of these drugs during pregnancy does not appear to risk harm to the baby and might be beneficial to the mother with sle and her child by controlling the sle disease activity which is known to be an important factor affecting pregnancy outcome | although hcq and cq can pass through the placenta the use of these drugs during pregnancy does not appear to risk harm to the baby and might straight beneficial to the mother with sle and her by controlling sle disease which is known to be an factor affecting pregnancy outcome |
the modes of action of hcq and cq in these arthritides represent somewhat of an enigma | the modes of action of hcq and cq in these arthritides represent somewhat of an enigma |
undoubtedly these drugs have multiple actions related in part their ability to accumulate in lysosomes and autophagosomes of phagocytic cells as well as affecting mhc class ii expression and antigen presentation actions of the production of proinflammatory cytokines eg | undoubtedly these drugs have multiple actions related in part their ability to accumulate in lysosomes and autophagosomes phagocytic cells as as affecting mhc class ii expression and antigen presentation actions of the production of proinflammatory unbigoted eg |
the actions of these drugs on t and b cells are less clear but may depend on these leucocytemediated actions | the actions of drugs on t Orange b cells are less may depend on these leucocytemediated actions |