Discussion on: Surgical treatment for chronic postoperative inguinal pain-short term outcomes of a specialized center

The objective of this review study was to analyze the relationship between skeletal muscle mass and postoperative short-term outcomes morbidity in patients with Klatskin tumor who underwent surgical treatment. Low index skeletal muscle mass had a negative impact factor on postoperative morbidity following resection of Klatskin tumor and should therefore be considered as preoperative risk assessment. The further study of body composition in oncological patients allowed revealing the group of patients with high probability of postoperative complications and this factor needed to be added to future models predictive scale of short-term outcomes with the aim of making the most rational preoperative treatment algorithm.

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Elderly patients with head and neck cancer: short-term effects of surgical treatment on quality of life

Clinical Otolaryngology ◽

10.1046/j.1365-2273.2003.00718.x ◽

2003 ◽

Vol 28 (5) ◽

pp. 399-405 ◽

Cited By ~ 48

Author(s):

W. Derks ◽

J.R.J. De Leeuw ◽

G.J. Hordijk ◽

J.A.M. Winnubst

Keyword(s):

Quality Of Life ◽

Head And Neck Cancer ◽

Surgical Treatment ◽

Elderly Patients ◽

Head And Neck ◽

Neck Cancer ◽

Short Term ◽

Short Term Effects

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THE EFFICACY OF THE DIFFERENT ENDOSCOPIC TREATMENTS VERSUS SHAM, PHARMACOLOGIC OR SURGICAL METHODS FOR CHRONIC GASTROESOPHAGEAL REFLUX DISEASE: A SYSTEMATIC REVIEW AND META-ANALYSIS

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.201800000-65 ◽

2018 ◽

Vol 55 (3) ◽

pp. 296-305 ◽

Cited By ~ 4

Author(s):

Martin Andrés CORONEL ◽

Wanderley Marques BERNARDO ◽

Diogo Turiani Hourneaux de MOURA ◽

Eduardo Turiani Hourneaux de MOURA ◽

Igor Braga RIBEIRO ◽

...

Keyword(s):

Systematic Review ◽

Surgical Treatment ◽

Gastroesophageal Reflux Disease ◽

Gastroesophageal Reflux ◽

Reflux Disease ◽

Meta Analysis ◽

Short Term ◽

Significant Difference ◽

Objective Outcomes

ABSTRACT BACKGROUND: Endoscopic antireflux treatments for gastroesophageal reflux disease (GERD) are still evolving, and most of the published studies address symptom relief in the short-term. Objective - We aimed to perform a systematic review and meta-analysis focused on evaluating the efficacy of the different endoscopic procedures. METHODS: Search was restricted to randomized controlled trials (RCTs) on MedLine, Cochrane, SciELO, and EMBASE for patients with chronic GERD (>6 months), over 18 years old and available follow up of at least 3 months. The main outcome was to evaluate the efficacy of the different endoscopic treatments compared to sham, pharmacological or surgical treatment. Efficacy was measured by different subjective and objective outcomes. RESULTS: We analyzed data from 16 RCT, totaling 1085 patients. The efficacy of endoscopic treatments compared to sham and proton pump inhibitors (PPIs) treatment showed a significant difference up to 6 months in favor of endoscopy with no heterogeneity (P<0.00001) (I2: 0%). The subgroup analysis showed a statistically significant difference up to 6 months in favor of endoscopy: endoscopy vs PPI (P<0.00001) (I2: 39%). Endoscopy vs sham (P<0.00001) (I2: 0%). Most subjective and objective outcomes were statistically significant in favor of endoscopy up to 6 and 12 months follow up. CONCLUSION: This systematic review and meta-analysis shows a good short-term efficacy in favor of endoscopic procedures when comparing them to a sham and pharmacological or surgical treatment. Data on long-term follow up is lacking and this should be explored in future studies.

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SHORT-TERM RESULTS OF MINIMALLY INVASIVE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE BY RADIOFREQUENCY (STRETTA): FIRST BRAZILIAN SERIES OF CASES

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.201800000-51 ◽

2018 ◽

Vol 55 (suppl 1) ◽

pp. 52-55 ◽

Cited By ~ 1

Author(s):

Thiago Ferreira de SOUZA ◽

Eduardo GRECCO ◽

Luiz Gustavo de QUADROS ◽

Yael Duarte de ALBUQUERQUE ◽

Fernanda Oliveira AZÔR ◽

...

Keyword(s):

Surgical Treatment ◽

Gastroesophageal Reflux Disease ◽

Gastroesophageal Reflux ◽

Minimally Invasive ◽

Treatment Failure ◽

Reflux Disease ◽

Endoscopic Therapy ◽

Symptom Control ◽

Short Term ◽

Invasive Treatment

ABSTRACT BACKGROUND: New endoscopic treatments for gastroesophageal reflux (GERD) are developed every year and are indicated in cases that are refractory to conventional therapies as well as after surgical treatment failure. OBJECTIVE: To present the first cases of endoscopic therapy for GERD performed in Brazil. METHODS: Use of radiofrequency with the Stretta procedure in symptomatic volunteers diagnosed with GERD. RESULTS The technique was performed in three patients after they were included in the study protocol. No patient had complications, and all patients were discharged on the same day, either without medication or taking it sporadically for symptom control. CONCLUSION: Endoscopic treatment for GERD using radiofrequency was effective in the cases presented herein with no technical complications.

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The Short-Term Effectiveness of Non-Surgical Treatment in Reducing Levels of Interleukin-1β and Proteases in Gingival Crevicular Fluid From Patients With Type 2 Diabetes Mellitus and Chronic Periodontitis

Journal of Periodontology ◽

10.1902/jop.2008.080132 ◽

2008 ◽

Vol 79 (11) ◽

pp. 2143-2150 ◽

Cited By ~ 39

Author(s):

Fernanda O.B. Correa ◽

Daniela Gonçalves ◽

Carlos M.S. Figueredo ◽

Anders Gustafsson ◽

Silvana R.P. Orrico

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Surgical Treatment ◽

Chronic Periodontitis ◽

Gingival Crevicular Fluid ◽

Short Term ◽

Crevicular Fluid ◽

Non Surgical Treatment

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Surgery for Parkinson disease in the United States, 1996 to 2000: practice patterns, short-term outcomes, and hospital charges in a nationwide sample

Journal of Neurosurgery ◽

10.3171/jns.2003.99.5.0863 ◽

2003 ◽

Vol 99 (5) ◽

pp. 863-871 ◽

Cited By ~ 60

Author(s):

Emad N. Eskandar ◽

Alice Flaherty ◽

G. Rees Cosgrove ◽

Leslie A. Shinobu ◽

Fred G. Barker

Keyword(s):

Surgical Treatment ◽

Parkinson Disease ◽

Practice Patterns ◽

The United States ◽

Hospital Charges ◽

Short Term ◽

Content Type ◽

The Us ◽

Fine Print ◽

Deep Brain

Object. The surgical treatment of Parkinson disease (PD) has undergone a dramatic shift, from stereotactic ablative procedures toward deep brain stimulaion (DBS). The authors studied this process by investigating practice patterns, mortality and morbidity rates, and hospital charges as reflected in the records of a representative sample of US hospitals between 1996 and 2000. Methods. The authors conducted a retrospective cohort study by using the Nationwide Inpatient Sample database; 1761 operations at 71 hospitals were studied. Projected to the US population, there were 1650 inpatient procedures performed for PD per year (pallidotomies, thalamotomies, and DBS), with no significant change in the annual number of procedures during the study period. The in-hospital mortality rate was 0.2%, discharge other than to home was 8.1%, and the rate of neurological complications was 1.8%, with no significant differences between procedures. In multivariate analyses, hospitals with larger annual caseloads had lower mortality rates (p = 0.002) and better outcomes at hospital discharge (p = 0.007). Placement of deep brain stimulators comprised 0% of operations in 1996 and 88% in 2000. Factors predicting placement of these devices in analyses adjusted for year of surgery included younger age, Caucasian race, private insurance, residence in higher-income areas, hospital teaching status, and smaller annual hospital caseload. In multivariate analysis, total hospital charges were 2.2 times higher for DBS (median $36,000 compared with $12,000, p < 0.001), whereas charges were lower at higher-volume hospitals (p < 0.001). Conclusions. Surgical treatment of PD in the US changed significantly between 1996 and 2000. Larger-volume hospitals had superior short-term outcomes and lower charges. Future studies should address long-term functional end points, cost/benefit comparisons, and inequities in access to care.

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Modern Views on Ethyopathogenesis and Achalasia Treatment

Effective Pharmacotherapy ◽

10.33978/2307-3586-2021-17-28-62-70 ◽

2021 ◽

Vol 17 (28) ◽

pp. 62-70

Author(s):

E.R. Valitova ◽

◽

T.I. Yanova ◽

V.V. Polyakova ◽

O.I. Berezina ◽

...

Keyword(s):

Surgical Treatment ◽

Gold Standard ◽

Heller Myotomy ◽

Lymphocytic Infiltration ◽

Neuromuscular Disorder ◽

Term Effect ◽

High Rate ◽

Short Term ◽

High Resolution Manometry ◽

Esophageal Sphincter

Achalasia is a chronic neuromuscular disorder of esophagus with supposed autoimmunity, genetic disturbancies and viral infection. The disease is characterized by poor relaxation of lower esophageal sphincter and absent of body peristalsis. The inflammation, eosinophilic and lymphocytic infiltration may play role in loss of inhibitory ganglion in the myenteric plexus. High resolution manometry is a gold standard for diagnosis of achalasia, because it distinguish three types of disorder. The aim of treatment of achalasia is to reduce symptoms, such as dysphagia. The most effective modality of surgical treatment are Heller myotomy and peroral endoscopy myotomy. The pneumodilation is less preferable because of short-term effect and high rate of relapse. The relapse after surgical treatment can be present and correlates increase with the time after intervention

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Longitudinal Analysis of Visual Outcomes After Surgical Treatment of Adult Craniopharyngiomas

Neurosurgery ◽

10.1227/neu.0b013e318262146b ◽

2012 ◽

Vol 71 (3) ◽

pp. 715-721 ◽

Cited By ~ 12

Author(s):

Young-Hoon Kim ◽

Chae-Yong Kim ◽

Jin Wook Kim ◽

Yong Hwy Kim ◽

Jung Ho Han ◽

...

Keyword(s):

Surgical Treatment ◽

Visual Impairment ◽

Tumor Recurrence ◽

Significant Risk ◽

Tumor Control ◽

Total Removal ◽

Short Term ◽

Visual Outcomes ◽

Short And Long Term

Abstract BACKGROUND: Craniopharyngiomas (CRPs) often cause visual deterioration (VD) due to the close vicinity of the optic apparatus. OBJECTIVE: To evaluate longitudinal visual outcomes after surgery of CRP and determine the prognostic factors thereof. METHODS: One hundred forty-six adult patients who underwent surgery for newly diagnosed CRP were retrospectively reviewed. There were 87 male patients (60%), and the median age was 41 years (range, 18–75). The mean follow-up duration was 88.7 months (range, 24–307). A visual impairment score was used to assess the short-term (<1 month) and long-term (>2 years) visual outcomes. RESULTS: Gross total removal was performed in 53 patients (36%), and tumor recurrence occurred in 40 patients (27%). The average preoperative, short- and long-term visual impairment scores were 44.4, 38.5, and 38.1, respectively, on a 0- to 100-point scale (with 100 indicating the worst vision). Short- and long-term VD occurred in 28 (19%) and 39 patients (27%), respectively. Subtotal removal (STR) alone (P = .010; OR = 4.8), short-term VD (P < .001; OR = 39.7), and tumor recurrence (P < .001; OR = 28.2) were significant risk factors for long-term VD in the multivariate analysis. Patients undergoing STR alone had higher tumor recurrence rates in comparison with those who underwent gross total removal or STR with adjuvant therapy (P < .001). CONCLUSION: Short-term VD secondary to the surgical insult and the recurrence of the tumor were strong predictors of long-term visual outcomes after surgical treatment for CRP. STR alone may be an ineffective strategy for achieving tumor control and optimal visual outcomes in patients with CRP.

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