Tu1131 FACTORS ASSOCIATED WITH SURGICAL INTERVENTION FOLLOWING ENDOSCOPIC CLOSURE ATTEMPT OF IATROGENIC GASTROINTESTINAL TRACT PERFORATIONS: A MULTICENTER NORTH AMERICAN COHORT

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

Download Full-text

Campylobacter pylori: prospective analysis of clinical and histological factors associated with colonization of the upper gastrointestinal tract

European Journal of Clinical Investigation ◽

10.1111/j.1365-2362.1988.tb02403.x ◽

1988 ◽

Vol 18 (2) ◽

pp. 133-138 ◽

Cited By ~ 37

Author(s):

G. BÖRSCH ◽

G. SCHMIDT ◽

M. WEGENER ◽

M. SANDMANN ◽

R. ADAMEK ◽

...

Keyword(s):

Gastrointestinal Tract ◽

Upper Gastrointestinal Tract ◽

Campylobacter Pylori ◽

Prospective Analysis ◽

Factors Associated ◽

Histological Factors ◽

Upper Gastrointestinal

Download Full-text

Validation of WINROP for detecting retinopathy of prematurity in a North American cohort of preterm infants

Journal of American Association for Pediatric Ophthalmology and Strabismus ◽

10.1016/j.jaapos.2017.05.004 ◽

2017 ◽

Vol 21 (3) ◽

pp. 229-233 ◽

Cited By ~ 9

Author(s):

Jennifer L. Jung ◽

Brandie D. Wagner ◽

Emily A. McCourt ◽

Alan G. Palestine ◽

Ashlee Cerda ◽

...

Keyword(s):

Preterm Infants ◽

Retinopathy Of Prematurity ◽

North American ◽

North American Cohort

Download Full-text

One-year postoperative mortality rate among the elderly with hip fractures at a single tertiary care center

Annals of Saudi Medicine ◽

10.5144/0256-4947.2020.298 ◽

2020 ◽

Vol 40 (4) ◽

pp. 298-304

Author(s):

Khalid A. Alsheikh ◽

Firas M. Alsebayel ◽

Faisal Abdulmohsen Alsudairy ◽

Abdullah Alzahrani ◽

Ali Alshehri ◽

...

Keyword(s):

Postoperative Complications ◽

Mortality Rate ◽

Hip Fractures ◽

Surgical Intervention ◽

Care Center ◽

Tertiary Care ◽

The Elderly ◽

Tertiary Care Center ◽

Factors Associated ◽

One Year

ABSTRACT BACKGROUND: Hip fractures are one of the leading causes of disability and dependency among the elderly. The rate of hip fractures has been progressively increasing due to the continuing increase in average life expectancy. Surgical intervention is the mainstay of treatment, but with an increasing prevalence of comorbid conditions and decreased functional capacity in elderly patients, more patients are prone to postoperative complications. OBJECTIVES: Assess the value of surgical intervention for hip fractures among the elderly by quantifying the 1-year mortality rate and assessing factors associated with mortality. DESIGN: Medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: All patients 60 years of age or older who sustained a hip fracture between the period of 2008 to 2018 in a single tertiary healthcare center. Data was obtained from case files, using both electronic and paper files. MAIN OUTCOME MEASURES: The 1-year mortality rate for hip fracture, postoperative complications and factors associated with mortality. SAMPLE SIZE: 802 patients. RESULTS: The majority of patients underwent surgical intervention (93%). Intra- and postoperative complications were 3% and 16%, respectively. Four percent of the sample died within 30 days, and 11% died within one year. In a multivariate analysis, an increased risk of 1-year mortality was associated with neck of femur fractures and postoperative complications ( P =.034, <.001, respectively) CONCLUSION: The 1-year mortality risk in our study reinforces the importance of aggressive surgical intervention for hip fractures. LIMITATION: Single-centered study. CONFLICT OF INTEREST: None.

Download Full-text

Current state of heart surgery in relation to some views on modern surgical science

Kazan medical journal ◽

10.17816/kazmj78157 ◽

1927 ◽

Vol 23 (3) ◽

pp. 340-347

Author(s):

V. L. Bogolyubov

Keyword(s):

Internal Medicine ◽

Gastrointestinal Tract ◽

Biliary Tract ◽

Heart Surgery ◽

Surgical Intervention ◽

Progressive Movement ◽

Current State ◽

Long Time ◽

Sphere Of Influence

Modern surgery is taking over more and more organs, recapturing more and more areas of internal medicine. We see that in its great progressive movement surgery gradually involves within its sphere of influence a whole range of diseases that previously belonged exclusively to the sphere of internal medicine, such as some diseases of the gastrointestinal tract, biliary tract, lungs, etc. We see that even those organs, which until so recently were considered inaccessible to the art of the surgeon, are beginning to be subject to surgical intervention. Such last inviolable organ, on which the hand of the surgeon has not encroached for a long time, is the heart.

Download Full-text

Erratum to The Unsolved Link of Genetic Markers and Crohn’s Disease Progression: A North American Cohort Experience

Inflammatory Bowel Diseases ◽

10.1093/ibd/izz136 ◽

2019 ◽

Vol 25 (12) ◽

pp. e170-e170

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Disease Progression ◽

Genetic Markers ◽

North American ◽

North American Cohort

Download Full-text

Large Bowel Endometriosis Mimicking Colorectal Cancer

Case Reports in Medicine ◽

10.1155/2020/7014107 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Laís Marques Mota ◽

Bruno Salomão Hirsch ◽

Renato Seligman

Keyword(s):

Colorectal Cancer ◽

Gastrointestinal Tract ◽

Human Body ◽

Large Bowel ◽

Surgical Intervention ◽

Endometrial Tissue ◽

Differential Diagnoses ◽

Diagnostic Challenge ◽

Female Population ◽

Bowel Endometriosis

Endometriosis is characterized by the presence of endometrial tissue outside the uterus, with 1–7% prevalence in the female population. It is observed in various locations of the human body, and large bowel endometriosis is the most common extrapelvic site, affecting about 5 to 12% of all women who present endometriosis. This study aimed to report an interesting images related to stenosing large bowel endometriosis that was possible to be diagnosed only by surgical intervention. Hence, this pathology is a diagnostic challenge and should be remembered between differential diagnoses of nonspecific or even alarming symptoms of the gastrointestinal tract.

Download Full-text