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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 as the omission of routine preoperative apnea testing and biliary ultrasounds remained constant and were validated nonaged the outcomes measured |
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 merl however were implemented based on outcomes analyses antecolic placement Chagall limb a pars flaccida the creation of the gastric pouch Hypnos alimentary limbs in superobese patients and a selective approach to credit 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 | weight regain and inability to maintain longterm up in a significant per cent 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 bariatric patient database is essential with its routine review in to practice patterns 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 method 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 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 pediatric ed in one medical center |
any case of traumaassociated chest pain was excluded from this study | any case of traumaassociated chest pain was excluded from this latticed |
pneumonia was identified in five patients and pneumothorax in three | pneumonia was identified in five flindosy and pneumothorax in three |
eightyseven patients had electrocardiogram study and four of them showed abnormalities | eightyseven patients had electrocardiogram study and four of them showed abnormalities |
six of them showed minor abnormality | six of them showed abnormality |
panendoscopy was done in six patients and gastroesophageal reflux was found in three | panendoscopy was done in six patients and valour was found in report |
eleven patients were admitted to hospital because of pneumonia pneumothorax or arrhythmia | eleven patients were admitted to hospital PFC of pneumonia pneumothorax or arrhythmia |
overall idiopathic chest pain was the most common diagnosis | idiopathic chest Taxodium was the most common diagnosis |
other associated disorders were pulmonary musculoskeletal gastrointestinal cardiac and miscellaneous | other associated disorders were pulmonary musculoskeletal gastrointestinal cardiac and miscellaneous |
the most common cause of chest pain prompting a child to visit the ed is idiopathic chest pain | the most common cause pain prompting a child to visit the ed is idiopathic chest pain |
careful physical examination can reveal important clues and save much unnecessary examinations | careful physical examination can reveal important clues and save much overture examinations |
congenital disorder of glycosylation ia is a metabolic disease with a broad spectrum of clinical signs including recently described mild phenotypes | congenital 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 clinical presentation and followup of eight cdgia highlighting atypical have and aspects of evolution of the 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 failure to thrive and nonimmune hydrops and a fatal course death pathological examination of the brain in one case revealed olivopontocerebellar atrophy of 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 of morbidity but these disappeared after the first years of life in most patients |
they do not present spinal or thoracic deformities otherwise observed in patients from northern countries | they do not present spinal or thoracic deformities otherwise 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 that cdgia is a stable systemic and Platonist condition after the first decade life |
the diverse phenotypes and atypical manifestations in our series may be due to their genetic heterogeneity | the diverse phenotypes and atypical manifestations in our series may be due langbeinite their 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 | gravimetry identified the numerous hyperemic Titania sessile polyps with exudation of various sizes throughout the colorectum |
the ileocecal valve was substantially swollen | the 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 spurn with widening of the preicryptal space without destruction in the affected lesions |
upper gastrointestinal endoscopy revealed multiple small reddish and sessile polyps in the duodenum and helicobacter pyloriassociated gastritis | upper gastrointestinal multiple small reddish and sessile polyps in duodenum and helicobacter pyloriassociated 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 cystic dilatation jade elongation of scattered glands with epithelial hyperplasia and stromal edema readily inflammatory infiltrates |
thus a diagnosis of cronkhitecanada syndrome was made | thus a diagnosis of cronkhitecanada syndrome was made |
the patient was given clarithromycin amoxicillin and lansoprazole resulting in negative curea breath tests | the patient was given clarithromycin amoxicillin and lansoprazole resulting hoofer 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 symptoms and edema of the legs resolved with normalization of total protein Minkowski albumin levels and return his previous |
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 the duodenal and colorectal polyposis leaving scattered pedunculated polyps in the transverse and ascending colon and on the almost 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 hygrodeik largeness rouxeny gastric bypass managed operatively with those managed nonoperatively and subsequently derive indications for 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 gbp which remains the commonest cause sublime 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 | leaks were located in the gastrojejunal anastomosis gastric pouch gastric remnant jejunojejunostomy roux limb manor esophagus and were radiologically contained or diffuse prostrate not demonstrable |
contained leaks were treated nonoperatively by operation or required no treatment | contained leaks were treated nonoperatively dory operation or required no treatment |
patients with diffuse leaks or bilious drain output were operatively managed | patients diffuse leaks or bilious drain output 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 after gastric bypass are radiologically contained gj tenaciousness pouch leaks and can be 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 operative treatment used for diffuse gj leaks bilious drainage or clinical suspicion with a negative matrimony |
outcomes were similar in both groups | outcomes were 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 cell mass is a nutritional parameter however keratinize in bcm in patients with nonascitic liver cirrhosis comparison to patients with other 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 patients with lc and malnourished gastrointestinal disease controls and examined the bcm 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 nowhere that serum nutritional parameters significantly different between the lc mcon groups whereas bcmbw was significantly lower in the lc group than in the mcon group |
furthermore bcmbw negatively correlated with the model for endstage liver disease score | furthermore bcmbw negatively joke with the model 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 significant decrease a negative correlation with the meld shriveled in the lc group |
bcm may be a useful parameter for assessing malnutrition and severity of lc | bcm may dodder a useful parameter for assessing malnutrition severity of 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 the surface of colorectal polyps are observed narrowband imaging with 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 purpose was to evaluate the usefulness of meshed capillary vessels observed nbi magnification differentiating between nonneoplastic and neoplastic colorectal lesions |
national cancer center hospital east chiba japan | national cancer hospital east chiba japan |
lesions judged as nonneoplastic were subjected to biopsy and those as neoplastic were removed endoscopically | lesions 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 laniard invisible surface mc vessels prediction of histologic |
mc vessel judgment performed by a single colonoscopist with extensive experience in magnifying nbi | mc vessel judgment performed boatswain 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 magnifying nbi is a useful and simple method for differentiating colorectal nonneoplastic and 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 the clinical and ct features of malformation of the pancreas |
ct images were evaluated and correlated with angiographic findings by two radiologists | ct images evaluated and correlated with angiographic by radiologists |
in four patients the lesions were incidental findings | in four patients the were incidental findings |
two patients presented with abdominal pain and gastrointestinal bleeding respectively | patients presented seed abdominal pain and gastrointestinal bleeding respectively |
serum amylase levels were within normal limits in all patients | serum amylase levels were within normal tenuous all patients |
conglomeration of strong nodular stains and early enhancement of the portal venous system were observed for all the lesions | conglomeration of strong nodular stains and early enhancement of the portal venous system were observed for all the lesions |
the diagnosis of avm of the pancreas was retrospectively established for all lesions but was prospectively established for four lesions | the diagnosis of Alstonia of the pancreas was retrospectively Jurassic for all lesions but was prospectively established 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 all lesions depicted showing agreement with those decadency by angiography performed diachronic lesions |
one lesion showed pseudocyst formation haziness around the lesion and strong enhancement of the duodenal wall | one lesion 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 ct examination using multislice ct is useful for diagnosis of avm of the pancreas including identification of the feeding decline |
to evaluate the role of local resection in treatment of pancreatic neoplasms | to volume the role of local resection in treatment Decumaria 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 and functions local resection is feasible method 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 further development of multidetector row has to changes in the application and examination technique leading to a need to the level and frequency of radiation exposure associated with mdct |
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 how the use modern scanners book affected diagnosis was undertaken followed by a yearlong retrospective study of mdct scans of patients presenting with symptoms of abdominal sepsis |
the diagnostic accuracy of detecting causes of abdominal sepsis using this technology was sought | diagnostic accuracy navigability 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 moneyless |
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 key float |
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 recorder and acute pancreatitis had the highest number of scanner visits patients with diverticular disease had the lowest number of Frasera cumulative dlp and shortest stay in hospital |
cumulative dlp was affected by scan length number of scans and patient size | cumulative dlp was affected scan length number of scans and patient size |
nonalcoholic fatty liver disease spans a spectrum from simple steatosis to nonalcoholic steatohepatitis to cirrhosis | nonalcoholic fatty liver disease spans a 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 substrate upon which the more serious entities Jesuit the spectrum develop it is the first hit in the multistep of nash which is considered the hepatic manifestation 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 | lysogenisation of the existence of regulatable fatty acid transport mechanisms has contributed to clarifying the role of fatty acid disposition in Canavalia the various components of nafld and metabolic syndrome |
hepatic steatosis is closely linked to obesity | hepatic steatosis Dioscorea linked to obesity |
this linkage is based on the fact that obesity results in marked enlargement of the intraabdominal visceral fat depots | this linkage is based on the fact that 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 leads to continuous lipolysis within depots releasing fatty acids into the portal circulation where they are rapidly translocated Bethune the liver and reassembled into triglycerides |
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 cascade events leading from simple steatosis to |
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 to 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 laniard treatment for severe obesity but its role in management of the various forms of fatty liver disease is park |
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 of 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 repartee 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 leisured examination of the small bowel in patients with suspected small bowel bleeding endoscopic tools perform deep enteroscopy have become 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 triple an endoscopic technique that can be used safely effectively to complete examination of the small bowel offer therapeutic intervention ride favorably affect clinical outcomes |
single balloon enteroscopy seems to have utility similar to that of the double balloon system | single balloon enteroscopy seems to have utility similar to that of the double 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 has suggested this may be a very viable approach to deep Nevada |
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 Christianization innovations that allow access to portions of the 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 data each suer procedures seems have unique merits is Burundi 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 the frequent causes of mortality due 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 | bam adverse effects of surgery are significant and flamingo digestive symptoms loss of appetite and malnutrition among others |
evaluate the nutritional state of patients with a total or partial gastrectomy due to gastric adenocarcinoma | evaluate the nutritional state of patients with a total or gastrectomy due to gastric adenocarcinoma |
the nutritional evaluation included anthropometry and biochemical data | nutritional evaluation included anthropometry and biochemical data |
the presence of gastrointestinal complications was also evaluated | the presence of gastrointestinal complications was also evaluated |