scholarly journals Histopathological characteristics of adrenal incidentalomas in a high volume unit, a 7-year experience

2014 ◽  
Vol 12 ◽  
pp. S37
Author(s):  
Michael Feretis ◽  
Philippa Orchard ◽  
Taw Chin Cheong ◽  
Chas Ubhi
Keyword(s):  
High Volume ◽  
Adrenal Incidentalomas ◽  
Volume Unit

scholarly journals Practice patterns and predictors of prophylactic endoscopic clip usage during polypectomy

2019 ◽  
Vol 07 (09) ◽  
pp. E1051-E1060 ◽  
Author(s):  
Nauzer Forbes ◽  
Robert J. Hilsden ◽  
Gilaad G. Kaplan ◽  
Matthew T. James ◽  
Cord Lethebe ◽  
...  
Keyword(s):  
Temporal Trends ◽  
High Volume ◽  
Healthcare Resource Utilization ◽  
Hierarchical Regression ◽  
Polyp Size ◽  
Endoscopic Clip ◽  
Delayed Bleeding ◽  
Endoscopic Clips ◽  
Reduce Risk ◽  
Volume Unit

Abstract Background and study aims Prophylactic endoscopic clips are commonly placed during polypectomy to reduce risk of delayed bleeding, although evidence to support this practice is unclear. Our study aimed to: (1) identify variables associated with prophylactic clip use; (2) explore variability between endoscopists’ clipping practices and (3) study temporal trends in prophylactic clip use. Patients and methods This was a retrospective cohort study in a high-volume unit dedicated to screening-related colonoscopies. Colonoscopies involving polypectomy from 2008 to 2014 were reviewed. The primary outcome was prophylactic clipping status, both at the patient level and per polyp. Hierarchical regression models yielded adjusted odds ratios (AORs) to determine predictors of prophylactic clipping. Results A total of 8,366 colonoscopies involving 19,129 polypectomies were included. Polyp size ≥ 20 mm was associated with higher clip usage (AOR 2.94; 95 % CI: 2.43, 3.54) compared to polyps < 10 mm. Right-sided polyps were more likely to be clipped (AOR 2.78; 95 % CI: 2.34, 3.30) relative to the rectum. Surgeons clipped less than gastroenterologists (OR 0.52; 95 % CI: 0.44, 0.63). From 2008 to 2014, the crude proportion of prophylactically clipped cases increased by 7.4 % (95 % CI: 7.1, 7.6) from 1.9 % to 9.3 %. Significant inter-endoscopist variability in clipping practices was observed, notably, for polyps < 10 mm. Conclusions Prophylactic clip usage was correlated with established risk factors for delayed bleeding. Significantly increased clip usage over time was shown. Given that evidence does not clearly support prophylactic clipping, there is a need to educate practitioners and limit healthcare resource utilization.

scholarly journals Building a model for day case hiatal surgery - Lessons learnt over a 10 year period in a high volume unit: A case series

2018 ◽  
Vol 54 ◽  
pp. 82-85 ◽  
Author(s):  
Pritesh Mistry ◽  
Shafquat Zaman ◽  
Iestyn Shapey ◽  
Markos Daskalakis ◽  
Rajwinder Nijjar ◽  
...  
Keyword(s):  
Case Series ◽  
High Volume ◽  
Day Case ◽  
Lessons Learnt ◽  
Volume Unit

Experience of a high volume unit in the surgical treatment of nonfunctioning neuroendocrine pancreatic tumors

Pancreatology ◽  
2013 ◽  
Vol 13 (4) ◽  
pp. e9
Author(s):  
E. Ramirez-Maldonado ◽  
J. Busquets-Barenys ◽  
T. Serrano-Piñol ◽  
N. Pelaez-Serra ◽  
L. Secanella-Medayo ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
High Volume ◽  
Pancreatic Tumors ◽  
Volume Unit ◽  
Neuroendocrine Pancreatic Tumors

scholarly journals Outcome of one year’s experience of thyroid surgery in a high volume center.

2020 ◽  
Vol 27 (10) ◽  
pp. 2081-2087
Author(s):  
Mohammad Sohail Asghar ◽  
Ahmad Kaleem ◽  
Ameer Afzal ◽  
Usama Shabbir ◽  
Jamal Anwar ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
High Volume ◽  
Cross Sectional Study ◽  
Complication Rates ◽  
Safe Procedure ◽  
Cross Sectional ◽  
Modes Of Presentation ◽  
Time Period ◽  
High Volume Center ◽  
Volume Unit

Objectives: This study was performed to take an overview of the modes of presentation of these disorders, demographic factors of presenting patients, procedures to deal with these disorders and complications associated with them in our surgical ward. Study Design: Cross Sectional Study. Setting: Department of North Surgery, Mayo Hospital Lahore Pakistan. Period: September 2018 to September 2019. Material & Methods: All adult patients of either gender who presented with benign or malignant thyroid disorders and were managed surgically during the study period were included. The data was recorded on a pre-designed proforma maintained at the department. Results: Out of 156 patients, there were 146(93.6%) females and 10(6.4%) males. The most commonly performed procedure was total thyroidectomy i.e 102 (65.3%) while hemi thyroidectomies being 41 (26.1%). We performed 4 neck dissections in this time period for malignancies. The mean hospital stay ranged from 1-12 days with a mean of 2.88±1.99 days. There was no in-hospital mortality. Temporary hypocalcemia was the most common early complication found in 32(20.5%) patients. Conclusion: Thyroid surgery is a safe procedure to be performed for teaching purposes in a high volume unit like ours with complication rates reaching near zero.

scholarly journals AB173. An audit of gastric polyp evaluation during oesophagogastroduodenoscopy in a high-volume unit

2020 ◽  
Vol 4 ◽  
pp. AB173-AB173
Author(s):  
Eoghan Burke ◽  
Mark Behan ◽  
Granit Ismaili ◽  
Rick Pretorius ◽  
Paul Balfe
Keyword(s):  
High Volume ◽  
Gastric Polyp ◽  
Volume Unit

Straight-to-test colonoscopy for 2-week-wait referrals improves time to diagnosis of colorectal cancer and is feasible in a high-volume unit

2017 ◽  
Vol 19 (9) ◽  
pp. 819-826 ◽  
Author(s):  
A. Banerjea ◽  
J. Voll ◽  
A. Chowdhury ◽  
A. Siddika ◽  
S. Thomson ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
High Volume ◽  
Time To Diagnosis ◽  
Volume Unit

scholarly journals Resection of hepatic colorectal metastases: Moving from a low volume to high volume unit

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e306
Author(s):  
N. Wylie ◽  
K. Rajkomar ◽  
A. Brown ◽  
M. Rodgers ◽  
J. Koea
Keyword(s):  
High Volume ◽  
Colorectal Metastases ◽  
Low Volume ◽  
Volume Unit

scholarly journals Evolution of Esophagectomy for Cancer Over 30 Years: Changes in Presentation, Management and Outcomes

2020 ◽  
Author(s):  
S. Michael Griffin ◽  
Rhys Jones ◽  
Sivesh Kathir Kamarajah ◽  
Maziar Navidi ◽  
Shajahan Wahed ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Enhanced Recovery ◽  
High Volume ◽  
Single Center ◽  
Long Term Outcomes ◽  
Changing Trends ◽  
Radio Therapy ◽  
Volume Unit ◽  
Esophagectomy For Cancer

Abstract Background Esophageal cancer has seen a considerable change in management and outcomes over the last 30 years. Historically, the overall prognosis has been regarded as poor; however, the use of multimodal treatment and the integration of enhanced recovery pathways have improved short- and long-term outcomes. Objective The aim of this study was to evaluate the changing trends in presentation, management, and outcomes for patients undergoing surgical treatment for esophageal cancer over 30 years from a single-center, high-volume unit in the UK. Patients and Methods Data from consecutive patients undergoing esophagectomy for cancer (adenocarcinoma or squamous cell carcinoma) between 1989 and 2018 from a single-center, high-volume unit were reviewed. Presentation method, management strategies, and outcomes were evaluated. Patients were grouped into successive 5-year cohorts for comparison and evaluation of changing trends. Results Between 1989 and 2018, 1486 patients underwent esophagectomy for cancer. Median age was 65 years (interquartile range [IQR] 59–71) and 1105 (75%) patients were male. Adenocarcinoma constituted 1105 (75%) patients, and overall median survival was 29 months (IQR 15–68). Patient presentation changed, with epigastric discomfort now the most common presentation (70%). An improvement in mortality from 5 to 2% (p < 0.001) was seen over the time period, and overall survival improved from 22 to 56 months (p < 0.001); however, morbidity increased from 54 to 68% (p = 0.004). Conclusions Long-term outcomes have significantly improved over the 30-year study period. In addition, mortality and length of stay have improved despite an increase in complications. The reasons for this are multifactorial and include the use of perioperative chemo(radio)therapy, the introduction of an enhanced recovery pathway, and improved patient selection.

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