Search Results
Results 151 - 200 of 252
1 2 3 4 5 6 >
DiMaio Christopher J - - 2007
Nonvariceal upper gastrointestinal bleeding (NVUGIB) is an important condition facing gastroenterologists. The focus of this article is the management of NVUGIB, with a particular emphasis on the endoscopic modalities and techniques that are most effective for various bleeding etiologies. Attention also is given to medical management, risk assessment, and issues ...
Aduful Hk - - 2007
SummaryAnal fistula is a common cause of perianal sepsis in surgical practice. We share our experience in the management of a high fistula in ano caused by hidradenitis suppurativa an uncommon condition in Ghana.
Pal Kamalesh - - 2007
Obstruction of passage of a catheter through esophagus in a newborn is mostly diagnosed as esophageal atresia (EA) with or without tracheo esophageal fistula (TEF). Rarely a traumatic instrumentation may produce pharyngeal or upper esophageal perforation and attempt at passage of a catheter may produce a false passage submucosally called ...
Lau Stanley T - - 2007
The repair of inguinal hernia and hydrocele is one of the most common operations in a pediatric surgery practice. This work reviews current concepts in the management of the inguinal hernia and hydrocele. The authors describe current concepts of anesthetic management of children undergoing repair of inguinal hernia. The authors ...
Goldman S Yedida - - 2007
A bronchobiliary fistula is an abnormal communication between the biliary tree and the airway that can result in debilitating amounts of bilioptysis, or bile-stained sputum. The authors present an approach for the conservative management of a bronchobiliary fistula in a patient who failed traditional conservative therapy and refused surgical intervention.
Sung H Y - - 2007
We describe a case of esophageal perforation that resulted from a fishbone. A 71-year-old man had had a fishbone impacted in the lower esophagus for 2 days. At presentation, the bone was dislodged at endoscopy; one round opening in a deep ulceration was detected when the fishbone was removed. The ...
Bhattacharya Visweswar - - 2007
Conjunctivo dacrocysto rhinal fistula is an abnormal communication between the conjunctival sac and nose through the lacrimal sac. This is a rare and infrequent complication of acute dacrocystitis and only scanty literature is available. Its management requires two layered closure, one for nasal lining and the other for the conjunctiva. ...
Olutoye Oluyinka O - - 2006
Although the incidence of caustic ingestion is declining, the management of caustic esophageal strictures remains a challenge. Mitomycin C (MMC) inhibits fibroblast proliferation and is effective in reducing scar in animal experiments. We report the case of a child with a distal esophageal stricture from lye ingestion managed with MMC. ...
Thomas Giovana R - - 2006
Complete esophageal stenosis secondary to peptic stricture in the upper esophagus is rare. It is, however a serious medical problem that may require otolaryngologic intervention because of life-threatening dysphagia and weight loss. We report the case of an elderly patient who presented with an upper esophageal stricture, without the typical ...
Rozmiarek Andrew - - 2005
The surgical management of congenital diaphragmatic hernias has traditionally been via laparotomy or thoracotomy. Although laparoscopic and thoracoscopic repairs have been described, most reports are in older infants. We describe a method for primary thoracoscopic repair applied in the immediate neonatal period when no posterolateral rim of diaphragm exists. This ...
Fazel Ali - - 2005
Significant advances in endoscopic, radiologic, and surgical techniques have transformed the management of pancreatic pseudocysts. The present review focuses upon advances in the endoscopic management of pseudocysts and incorporation of these techniques into an overall management approach. Findings with endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography often guide the choice ...
Sobrino Marco Antonio - - 2004
A 90-year-old woman sustained a proximal esophageal perforation following transesophageal echocardiography. The perforation originated at the site of a Zenker's diverticulum and resulted in a false passage to the diaphragm. Initial management involved endoscopic placement of drains into the mediastinum in addition to bilateral chest drains and a gastrostomy. Following ...
Obi, AO; Federal Medical ...
Retained foley suprapubic catheters are a common occurrence in urologic practice. The gold standard is to remove the catheter by minimally invasive methods, with as little discomfort to the patients as possible and without leaving any fragments of latex, which could form a nidus for calculus formation. The procedure described ...
Thomson Bnj - - 2004
BACKGROUND: Pancreatico-bronchial fistulas are a rare complication of acute or chronic pancreatitis. Both conservative and surgical management have been described previously. CASE OUTLINE: The management of a 68-year-old woman with acute pancreatitis complicated by a pancreatico-bronchial fistula was reviewed. CT scanning and magnetic resonance cholangio-pancreatography demonstrated a pancreatic pseudocyst with ...
Tanaka Shotaro - - 2003
ATP-dependent glucokinase is suggested to have evolved from a hypothetical polyphosphate (polyP)-dependent glucokinase (polyP-GK) via a bifunctional polyP/ATP glucokinase (polyP/ATP-GK). Here we showed that polyP-GK is present in a polyP-accumulating bacterium, Microlunatus phosphovorus. The polyP-GK produced glucose-6-P(i) from glucose and polyP, but it could not phosphorylate glucose with ATP. The ...
Sager Jeffrey S - - 2003
We report a case of ventilator auto-triggering resulting from tuberculous bronchopleural fistula being managed with chest tube suction. Early recognition of bronchopleural fistula-related auto-triggering is extremely important. Auto-triggering can lead to serious adverse effects, including severe hyperventilation and inappropriate escalation of sedatives and/or neuromuscular blockers (administered to reduce spontaneous breathing ...
Mirza S - - 2003
We describe the use of a silicone septal button in the management of a patient who developed a large tracheo-oesophageal fistula following primary puncture as part of a total laryngectomy. The button was easily inserted, well tolerated and prevented leakage of solids into the trachea, allowing the patient to eat.
Copeland Benjamin J - - 2003
The appropriate management of labyrinthine fistulae has been debated in the literature for years. After several recent cases of labyrinthine fistulae at our institution, a review of the published data regarding hearing outcome with fistula management was undertaken. Results of this critical review were presented at departmental grand rounds. The ...
Agarwal A - - 2002
Bronchobiliary fistula is defined as the passage of bile in the bronchi and in the sputum (bilioptysis). This rare disorder is associated with significant morbidity. Authors review the anaesthetic management of bronchobiliary fistula and recommend the use of double lumen endotracheal tube even in cases with a closed/sealed bronchobiliary fistula.
Loubani M - - 2001
Oesophageal strictures regardless of aetiology are a difficult and challenging problem facing the oesophageal surgeon. Various methods and techniques have been described and are routinely used in clinical practice with varying rates of efficacy and complications. We describe here a novel graded atraumatic technique for the management of oesophageal strictures ...
Norris R L - - 2001
Airway emergencies sometimes require techniques other than basic management methods. Advanced techniques are needed to manage laryngeal edema or fracture, upper-airway hemorrhage, or other injuries that make ventilation or intubation from above impossible. Placing various endotracheal devices and performing surgical techniques such as needle cricothyrotomy and tracheostomy can be done ...
Roy J S - - 2001
A 68-yr-old man developed a tracheogastric fistula after esophageal resection with gastric interposition. We report the anesthetic management of this patient undergoing tracheal repair and fistula closure.
Luketic V A - - 2001
Each variceal bleed is associated with 20% to 30% risk of dying. Management of portal hypertension after a bleed consists of (1) control of bleeding and (2) prevention of rebleeding. Effective control of bleeding can be achieved either pharmacologically by administering somatostatin or octreotide or endoscopically via sclerotherapy or variceal ...
Dada V K - - 2001
We describe a technique of enlarging a small primary capsulorhexis. Two Sinskey hooks are introduced through the side ports. One hook is placed above the anterior capsulorhexis margin with its tip pointing down, and the other is placed beneath the anterior capsulorhexis margin with its tip pointing up. A small ...
Alvarez A A - - 2001
BACKGROUND: Cutaneous gastrointestinal (GI) fistulas are a challenging complication in the oncologic patient population. The fistulous effluent is difficult to manage and adversely alters quality of life. Nonsurgical management of enteric fistulas is successful in 30% of cases, requiring at least 4 to 6 weeks. Recently a new technology has ...
Ticehurst F M - - 2001
BackgroundSpontaneous perforation of the bile ducts is a rare condition in adults. It is commonly secondary to gallstones, and the site of the perforation is nearly always extrahepatic. Intrahepatic perforation has only once been described in the literature to date.Case outlineWe report an unusual presentation of this condition with perforation ...
Varjavandi V - - 2000
Despite the numerous approaches described for the management of neonates with "long gap" esophageal atresia, controversy still exists as to the preferred method. Delayed primary anastomosis is probably the most frequently adopted practice, but often the native esophagus is abandoned, and the long gap is bridged by some form of ...
Teichman J M - - 2000
PURPOSE: During ureteroscopic basketing of ureteral calculi a stone may become engaged in the basket and the basket impacted in the ureter. We describe an endoscopic technique of managing the impacted basket and stone. MATERIALS AND METHODS: The ureteroscope is back loaded off of the basket, and passed into the ...
Thapar V K - - 2000
Esophageal perforation is a serious condition; a delay of more than 48 hours in initiation of treatment leads to increased morbidity and mortality. Management of such patients is a surgical dilemma. We successfully managed 4 patients (2-iatrogenic, 1-tuberculous, 1-Boerhaave's syndrome) with delayed presentation of esophageal perforation by esophageal exclusion and ...
Kirkpatrick J R - - 2000
Previous work from our laboratory demonstrated the feasibility of utilizing placental-derived collagen tissue matrix (CTM) as a bowel wall substitute. We reasoned that this technique would also be suitable in managing intestinal fistulae. To test this hypothesis, we created a chronic cecal fistula in rats and randomly managed some with ...
Pfau P R - - 1999
Endoscopic management of biliary tract disease continues to be influenced by new advances in technology and shaped by further examination of old controversies. This review covers and highlights recent world literature concerning biliary endoscopy and its effect on the management of biliary disorders. In particular, we examine the role and ...
Bleau B L - - 1999
An examination of the published literature with regard to background and endoscopic management. Methods that are reviewed include laser, polymer injection, sclerotherapy, ligation and novel new methods. Sclerotherapy is compared to other non-endoscopic management. Ligation and sclerotherapy are compared for effectiveness and complications. Information on endoscopic therapy of gastric varices ...
Memon M A - - 1999
The role of injection therapies in the management of esophageal and gastric varices are reviewed. Available radiographic, pharmacologic and alternative endoscopic methods are compared and contrasted with sclerotherapy. Recent studies regarding a combination of endoscopic band ligation and low volume sclerotherapy to achieve best eradication of esophageal varices are reviewed.
Tait I S - - 1999
BACKGROUND: For 25 years the optimal management of bleeding oesophageal varices has included endoscopic injection sclerotherapy (EIS) both to arrest bleeding and to prevent rebleeding. However, the recent innovation of endoscopic variceal ligation (EVL) may be a more effective treatment; this paper reviews its efficacy. METHODS: All Medline (National Library ...
Dagnone A. Joel - - 1998
While combined percutaneous and endoscopic techniques have been described previously as a means of dealing with the distally strictured ureter, this report confirms that these approaches can also be used successfully in the management of the very distally ligated ureter in the early post-injury period.
Holck D E - - 1998
Since its initial description by Vasconez et al in 1992, the endoscopic browlift has evolved into a popular method for addressing brow ptosis and forehead rejuvenation. The advantages of fewer incisions, less postoperative swelling, alopecia and prolonged scalp anesthesia, and more rapid rehabilitation have provided greater patient acceptance than the ...
Kurul S - - 1997
We present a new, simple technique for umbilical positioning in abdominoplasty. The technique is concluded to be a practical one, especially for staff in training.
Shimizu S - - 1997
The antibacterial activities of benzylpenicillin (PCG) alone or in combination with herbal medicines, Jyuzen-Taiho-Toh (JTT), Hotyu-Ekki-Toh (HET) and Tohki-Rikuoh-Toh (TRT), were examined against penicillinase (PCase)-producing organisms using an agar dilution method. All of the combinations of PCG and each herbal medicine substantially enhanced the activity of PCG against carbenicillin resistant ...
Weir J D - - 1997
To review current management techniques and describe an alternative technique for managing epistaxis in athletes. Nosebleeds are not usually considered a serious medical condition, but management can be a challenge. Traditional management techniques may place opposing athletes at risk for blood exposure. DESCRPTION: The purpose of this article is to ...
Waye J D - - 1997
The three most prominent advances in colonoscopic polypectomy are the submucosal injection of saline to ensure safety of polypectomy, the use of the small, or mini, snare for removal of most colon polyps, and the introduction of the argon plasma coagulator for the treatment of vascular abnormalities of the colon ...
Nicolle F V - - 1997
Conchal cartilage is an important source of cartilage for the rhinoplasty surgeon [Falces E, Gorney M: Plast Reconstr Surg 50:147, 1972; Hage J: Brit J Plast Surg 18:92, 1965; Juri J et al: Plast Reconstr Surg 63:377, 1979]. We describe a technique to harvest conchal cartilage which minimizes morbidity for ...
Reissman P - - 1997
We present an unconventional approach to the management of a severe stricture with complete luminal obliteration after a coloanal anastomosis which was protected with a diverting loop ileostomy. The colonoscope was inserted in an antegrade fashion into the defunctionalized limb of the loop ileostomy and advanced to the level of ...
Haruta I - - 1996
We present a patient with massive tarry stool, diagnosed as duodenal varices bleeding. Endoscopic ligation (EL) therapy was carried out for the varices, but because the possibility of re-bleeding remained, we treated the varices with balloon-occluded retrograde transvenous obliteration (BRTO), and duodenal varices were successfully decompressed without any complications. BRTO ...
Conners G P - - 1996
Management of the child with an esophageal coin has typically included an invasive coin removal procedure, usually endoscopy. Coins in the distal esophagus, however, often pass spontaneously into the stomach in the first 24 h after coin ingestion, suggesting that conservative management alone may be effective. Four children with distal ...
Pearson F G - - 1996
There have been innumerable approaches to the management of subglottic stenosis, which bear testimony to the difficulty in obtaining predictably satisfactory results. Management includes techniques of endoscopic dilation, laser resection, laryngofissure and stenting, and an ingenious array of plastic reconstructions with or without postoperative stenting. On occasion, permanent intubation with ...
Martineau P - - 1996
BACKGROUND: Octreotide is a long-acting analogue of somatostatin that exhibits good subcutaneous absorption. It reduces gastrointestinal and pancreatic secretions as well as relaxes the intestinal musculature. It has been hypothesized that octreotide could decrease fistula output, thus facilitating fluid and electrolytes management and possibly hasten fistula closure. DATA SOURCES: Relevant ...
Deschamps C - - 1996
Postpneumonectomy empyema with or without fistula is a serious complication. Management includes drainage, antibiotherapy, debridement closure of the bronchopleural fistula when present, and obliteration of the residual pleural space. Excellent results can be obtained in most patients using the Clagett procedure and its modification. A detailed description of each step ...
Iso Y - - 1996
A 44 year old man who had a 5-year history of recurrent duodenal ulcer with a choledochoduodenal fistula is reported. He showed bulbar stricture and was successfully treated with an truncal vagotomy and distal gastrectomy by Billroth II method, leaving the fistula intact. Choledochoduodenal fistula is an uncommon complication of ...
Foster D R - - 1995
The use of self-expanding prostheses in the management of malignant oesophageal strictures has become well established. The majority of benign peptic oesophageal strictures can be successfully managed using endoscopic or fluoroscopically guided balloon oesophageal dilatation combined with long-term drug therapy, particularly using proton pumper inhibitors. Although endoscopic oesophageal dilatation can ...
Madhavan S - - 1995
Stem-cuttings of Wedelia chinensis (Osbeck.) Merr. Were treated with different concentrations of IBA and GA. The results indicate that 100 ppm IBA treatment greatly enhances root production and quick establishment of the stem-cuttings.
1 2 3 4 5 6 >