Endoscopic internal drainage as first-line treatment for fistula following gastrointestinal surgery: a case series

Objective: The authors reviewed the recent literature regarding the treatment of catatonia as a syndrome of multiple etiologies. Given the historical and clinical association of catatonia with schizophrenia, the authors' examined the assumption that the first-line treatment of catatonia is antipsychotic medication. Methods: Articles published between January 1, 1985 and December 31, 1994 were located using the Paperchase® medical literature search system. Additionally, references from those identified articles were examined for possible inclusion in this review. To be included in this review, articles had to be written in English and report specific symptoms of catatonia to determine, retrospectively, if DSM-IV criteria for catatonia were met. Results: Seventy publications met inclusion criteria and reported on a total of 178 patients and included 270 separate treatment episodes. Most of the articles were case-reports, although a few case-series were identified. Multiple causes of catatonia were identified in these reports. The most commonly reported treatment for catatonia was with benzodiazepines which were effective in 70 percent of the cases, with lorazepam demonstrating the highest frequency of use and a 79 percent complete response rate. Electroconvulsive therapy (ECT) was also efficacious (85%) and was more likely to provide a positive outcome in cases of malignant catatonia. Antipsychotics demonstrated poor efficacy. Conclusions: Catatonia is a nonspecific syndrome with multiple etiologies. Treatment of catatonia should be based on the underlying cause when it is identifiable. Lorazepam appears to offer a safe, effective first-line treatment of catatonia. ECT should be considered when rapid resolution is necessary (e.g., malignant catatonia) or when an initial lorazepam trial fails.

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Left Renal Vein Stenting in Nutcracker Syndrome: Outcomes and Implications

Vascular and Endovascular Review ◽

10.15420/ver.2020.12 ◽

2020 ◽

Vol 3 ◽

Author(s):

Patrick Cherfan ◽

Efthymios D Avgerinos ◽

Rabih A Chaer

Keyword(s):

Renal Vein ◽

Left Renal Vein ◽

Case Series ◽

Flank Pain ◽

Nutcracker Syndrome ◽

Line Treatment ◽

First Line ◽

Extrinsic Compression ◽

First Line Treatment

Nutcracker syndrome refers to the symptomatic extrinsic compression of the left renal vein presenting most commonly as flank pain and haematuria. While surgery remains the first-line treatment, stenting is gaining more acceptance and there are now several published case series. This article highlights the outcomes of left renal vein stenting in the setting of nutcracker syndrome.

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Immunotherapy “Shock” a case series of PD-L1 100% and pembrolizumab first-line treatment

Respiratory Medicine Case Reports ◽

10.1016/j.rmcr.2017.08.017 ◽

2017 ◽

Vol 22 ◽

pp. 197-202 ◽

Cited By ~ 2

Author(s):

Paul Zarogoulidis ◽

Evaggelia Athanasiou ◽

Theodora Tsiouda ◽

Dimitrios Hatzibougias ◽

Haidong Huang ◽

...

Keyword(s):

Case Series ◽

Line Treatment ◽

First Line ◽

First Line Treatment

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Propranolol as First-Line Treatment in Orbital Infantile Haemangiomas: A Case Series

Orbit ◽

10.3109/01676830.2014.884148 ◽

2014 ◽

Vol 33 (3) ◽

pp. 178-183 ◽

Cited By ~ 9

Author(s):

M. Levitt ◽

A. D. Coumou ◽

L. Groeneveld ◽

N. J. M. Freling ◽

C. M. van der Horst ◽

...

Keyword(s):

Case Series ◽

Line Treatment ◽

First Line ◽

First Line Treatment ◽

Infantile Haemangiomas

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A Nine Case Series of Ultrasound-Guided Hydrostatic Reduction of Intussusception by Saline Enema

The ASEAN Journal of Radiology ◽

10.46475/aseanjr.v19i1.23 ◽

2013 ◽

Vol 19 (1) ◽

pp. 61-71

Author(s):

Sornsupha Limchareon ◽

Adisorn Boonyarit

Keyword(s):

Case Series ◽

Teaching Hospitals ◽

Line Treatment ◽

Ultrasound Guided ◽

First Line ◽

Hydrostatic Reduction ◽

Pneumatic Reduction ◽

Reduction Techniques ◽

Enema Reduction ◽

First Line Treatment

Non-surgical reduction of the intussusception is the first line treatment in children with intussusception. Among various radiological reduction techniques, barium enema reduction of the intussusception under fluoroscopy has been widely used in Thailand while pneumatic reduction under fluoroscopy has become popular in teaching hospitals. To our knowledge, ultrasound-guided hydrostatic reduction of the intussusception by saline enema (UGHSE) has never been used in Thailand. We reported 9 cases using UGHSE with 100% success rate without complication.

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Targeted Combination Antibiotic Therapy Induces Remission in Treatment-Naïve Crohn’s Disease: A Case Series

Microorganisms ◽

10.3390/microorganisms8030371 ◽

2020 ◽

Vol 8 (3) ◽

pp. 371 ◽

Cited By ~ 6

Author(s):

Gaurav Agrawal ◽

Annabel Clancy ◽

Rijata Sharma ◽

Roy Huynh ◽

Sanjay Ramrakha ◽

...

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Case Series ◽

Line Treatment ◽

First Line ◽

Rapid Improvement ◽

Line Therapy ◽

Treatment Naïve ◽

First Line Treatment

Prospective trials of anti-mycobacterial antibiotic therapy (AMAT) have proven efficacious in Crohn’s disease (CD) but use as first-line treatment in CD has not been evaluated. This paper reports the outcomes of patients with CD treated with first-line AMAT. This paper consists of a case series of treatment-naïve CD patients who received AMAT as first-line treatment between 2007 and 2014 at a single center. AMAT treatment consisted of rifabutin, clofazimine and clarithromycin, plus either ciprofloxacin, metronidazole or ethambutol. Symptoms, inflammatory blood markers, colonoscopy and histology results, in addition to, the Crohn’s Disease Activity Index (CDAI) were tabulated from patients’ clinical records, and descriptive statistics were conducted. A Wilcoxon signed-rank test assessed the difference in CDAI scores before and while on AMAT. The statistical significance was set at 5%. Clinical remission (CDAI < 150) with rapid improvement in clinical symptoms and inflammatory markers was seen in all eight patients receiving AMAT as sole therapy by 6 weeks. In all eight patients, the median CDAI score decreased significantly, from 289 prior to treatment to 62 at the 12-month follow-up (p < 0.001). Follow-up colonoscopies showed healing of CD ulcers, no visible mucosal inflammation, restoration of normal vascular patterns and complete mucosal healing on histology samples. AMAT as first-line therapy demonstrated a rapid improvement of Crohn’s disease (not previously seen when used as second-line therapy).

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Oral eplerenone as a first line treatment in chronic central serous chorioretinopathy: A case series evaluation

Acta Ophthalmologica ◽

10.1111/j.1755-3768.2015.0629 ◽

2015 ◽

Vol 93 ◽

pp. n/a-n/a

Author(s):

D. Sendon ◽

M. Graber ◽

A. Chiche ◽

C. Rambaud ◽

M. Berguiga ◽

...

Keyword(s):

Central Serous Chorioretinopathy ◽

Case Series ◽

Line Treatment ◽

First Line ◽

Chronic Central Serous Chorioretinopathy ◽

Series Evaluation ◽

First Line Treatment

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Endoscopic Double-Pigtail Catheter (EDPC) Internal Drainage as First-Line Treatment of Gastric Leak: A Case Series during Laparoscopic Sleeve Gastrectomy Learning Curve for Morbid Obesity

Minimally Invasive Surgery ◽

10.1155/2020/8250904 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Gianni Lazzarin ◽

Marino Di Furia ◽

Lucia Romano ◽

Alessandra Di Sibio ◽

Carla Di Giacomo ◽

...

Keyword(s):

Morbid Obesity ◽

Sleeve Gastrectomy ◽

Laparoscopic Sleeve Gastrectomy ◽

Gastric Leak ◽

Pigtail Catheter ◽

Line Treatment ◽

Internal Drainage ◽

First Line ◽

Clinical Visit ◽

First Line Treatment

Objectives. The prevalence of morbid obesity has dramatically increased over the last several decades worldwide, currently reaching epidemic proportions. Gastric leak (GL) remains the potentially fatal main complication after sleeve gastrectomy (SG) for morbid obesity. To our knowledge, there are no standardized guidelines for GL treatment after laparoscopic sleeve gastrectomy (LSG) yet. The aim of this study was to represent our institutional preliminary experience using the endoscopic double-pigtail catheter (EDPC) as the method of internal drainage and propose it as first-line treatment in case of GL after LSG. Methods. One hundred and seventeen patients were admitted to our surgical department and underwent laparoscopic sleeve gastrectomy (LSG) for morbid obesity from March 2014 to June 2019. In 5 patients (4.3%) of our series, GL occurred as a complication of LSG. EPDC was the stand-alone procedure of internal drainage and GL first-line treatment. The internal pig tail was endoscopically removed from 30th to 40th POD in all cases. Results. Present data (clinical, biochemical, and instrumental tests) showed a complete resolution of GL, with promotion of a pseudodiverticula and complete re-epithelialization of leak. Follow-up was more strict than usual (clinical visit and biochemical test on 7th, 14th, and 21st day after discharge; a CT scan with gastrografin on 30th day from discharge if clinical visit and exams were normal). Conclusion. This was a preliminary retrospective observational study, conducted on 5 patients affected by GL as a complication of LSG for morbid obesity. EDPC maintains the safety, efficacy, and nonexpensive characteristic and may be proposed as better first-line treatment in case of GL after bariatric surgery.

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Application of the capsaicin 8% cutaneous patch in neuropathic pain of the head and face: A case series

Cephalalgia ◽

10.1177/0333102414550107 ◽

2014 ◽

Vol 35 (6) ◽

pp. 545-550 ◽

Cited By ~ 7

Author(s):

Charly Gaul ◽

Sonja Resch

Keyword(s):

Neuropathic Pain ◽

Facial Pain ◽

Case Series ◽

Additional Treatment ◽

Line Treatment ◽

First Line ◽

Head Region ◽

Affected Area ◽

Pain Syndromes ◽

First Line Treatment

Introduction Treatment of neuropathic or neuralgic head and facial pain due to dental, traumatic or surgical nerve lesions or post-herpetic neuropathy is often challenging. Cases We are reporting on four patients with neuropathic pain syndromes successfully treated with a capsaicin 8% patch in the affected area of the head or face. Discussion Treatment with the capsaicin 8% patch seems to be effective and safe for application to the facial and head region. The capsaicin 8% patch might be an additional treatment option if first-line treatment with anticonvulsants or antidepressants was ineffective or limited by side effects.

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