scholarly journals Reduction of Late Complications After Irregularly Shaped Four-Field Whole Pelvic Radiotherapy Using Computed Tomographic Simulation Compared with Parallel-Opposed Whole Pelvic Radiotherapy

2000 ◽  
Vol 30 (4) ◽  
pp. 180-184 ◽  
Author(s):  
A. Yamazaki
Keyword(s):  
Late Complications ◽  
Pelvic Radiotherapy ◽  
Computed Tomographic

Endoscopic Management of Postbariatric Fistulae and Leaks

2015 ◽  
Author(s):  
Yana Cavanagh ◽  
Sohail N. Shaikh
Keyword(s):  
Bariatric Surgery ◽  
Diagnostic Algorithm ◽  
Therapeutic Endoscopy ◽  
Late Complications ◽  
Endoscopic Management ◽  
High Morbidity ◽  
Management Options ◽  
Radiographic Findings ◽  
Computed Tomographic ◽  
American Society

The number of bariatric procedures performed annually is increasing along with the number of complications. Gastrointestinal leak after bariatric surgery generally portends high morbidity and mortality, and its management depends on clinical and radiographic presentation. A leak is defined as an enteric defect with extravasation of luminal contents. Fistulae are abnormal connections between two epithelialized surfaces, are usually chronic, and may develop from long-standing leaks. Endoscopic therapies may offer an attenuated risk profile compared with surgical intervention and play a growing role in the management of postbariatric complications. Leak resolution may require multiple endoscopic sessions and modalities (e.g., stents, adhesives, plugs, clips, suturing, and VAC-assisted closure); therefore, it is critical to have appropriate follow-up and surveillance after therapeutic endoscopic intervention. This review discusses endoscopic leak and fistula management through endoscopic procedures, addressing indications and candidates for procedure, contraindications, recipient evaluation, and aspects of procedure, including proper timing, equipment, and types. Figures show Roux-en-Y gastric bypass, sleeve gastrectomy, management options for leaks after bariatric surgery, a diagnostic algorithm for leaks, upper gastrointestinal series performed with Gastrografin, and computed tomographic scans that demonstrate extraluminal air extending along the diaphragmatic surface of the spleen and a perisplenic gas and fluid-filled collection on the lateral margin. Tables list complications that follow bariatric surgery; an excerpt from the 2008 American Society for Gastrointestinal Endoscopy Guidelines; recommended equipment for endoscopic defect management; classification system based on duration after bariatric surgery; classification and approach to management based on clinical presentation and radiographic findings; summary of recommendations for pre-endoscopy, index endoscopy, therapeutic endoscopy, and posttherapeutic endoscopy; and early and late complications of stent placement. This review contains 7 highly rendered figures, 7 tables, and 104 references.

scholarly journals Diagnostic Accuracy of Ultrasound Versus Computed Tomographic Guided Fine Needle Aspiration Cytology

1970 ◽  
Vol 1 (1) ◽  
pp. 9-14 ◽  
Author(s):  
SMK Nahar Begum ◽  
ARMS Ekram ◽  
D Uddin ◽  
QT Islam ◽  
J Bhaduri
Keyword(s):  
Diagnostic Accuracy ◽  
Economic Status ◽  
Final Diagnosis ◽  
Needle Aspiration ◽  
Late Complications ◽  
Ct Guidance ◽  
Ct Guided ◽  
Computed Tomographic ◽  
Image Guided ◽  
The Poor

 Image guided FNAC of pulmonary lesions are widely applied now a days. Most of the lesions which are located nearer to the chest wall can be well visualized by ultrasonography. Whereas smaller lesions, deeply located ones, mediastinal or juxtra-hilar lesions may not be visualized sonographically. In those cases CT-guidance becomes beneficial. We report 127 FNACs done during a 2 year period. In considering the poor economic ability of the patient USG-guidance was preferred provided the lesion could be well visualized. Ultrasound guided method was successfully performed in majority of cases except a few where CT-guidance was necessary. After first aspiration an immediate cytological assessment was done by a quick staining method and in case of inadequacy of the specimen a second pass was made within an hour. Different pathological spectrum of diseases were diagnosed cytologically and was compared with their final diagnosis. Negligible immediate or late complications were noticed. Image guided FNAB of intra-thoracic masses can therefore be made with minimum complication, can allow the physician to decide the mode of treatment in a shortest possible time and in most of the cases an ultrasound guidance is sufficient enough considering the poor economic status of people in this subcontinent. Key Words : CT Guided FNAC; USG FNAC; Diagnostic Accuracy DOI: 10.3329/akmmcj.v1i1.7453 Anwer Khan Modern Medical College Journal 2010; 1(1): 09-14

scholarly journals Ultrasound and Computed Tomographic Guided Fine Needle Aspiration Cytology of Intrathoracic Lesions

1970 ◽  
Vol 20 (2) ◽  
pp. 110-115
Author(s):  
AMK Nahar Begum ◽  
ARMS Ekram ◽  
D Uddin ◽  
QT Islam ◽  
MM Alam ◽  
...  
Keyword(s):  
Economic Status ◽  
Final Diagnosis ◽  
Needle Aspiration ◽  
Late Complications ◽  
Ct Guidance ◽  
Aspiration Cytology ◽  
Computed Tomographic ◽  
Image Guided ◽  
The Poor ◽  
Needle Aspiration Cytology

Image guided FNAB of pulmonary lesions are widely applied now a days. Most of the lesions which are located nearer to the chest wall can be well visualized by ultrasonography. Whereas smaller lesions, deeply located ones, mediastinal or juxtra-hilar lesions may not be visualized sonographically. In those cases CT-guidance becomes beneficial. We report 127 FNABs done during a 2 year period. In considering the poor economic ability of the patient USG-guidance was preferred provided the lesion could be well visualized. Ultrasound guided method was successfully performed in majority of cases except a few where CT-guidance was necessary. After first aspiration an immediate cytological assessment was done by a quick staining method and in case of inadequacy of the specimen a second pass was made within an hour. Different pathological spectrum of diseases was diagnosed cytologically and was compared with their final diagnosis. Negligible immediate or late complications were noticed. Image guided FNAB of intra-thoracic masses can therefore be made with minimum complication, can allow the physician to decide the mode of treatment in a shortest possible time and in most of the cases an ultrasound guidance is sufficient enough to meet the poor economic status of people in this subcontinent. doi: 10.3329/taj.v20i2.3070 TAJ 2007; 20(2): 110-115

scholarly journals Enterovaginal and colovesical fistulas as late complications of pelvic radiotherapy

2018 ◽  
Vol 19 (5) ◽  
pp. 166-169 ◽  
Author(s):  
Masaya Iwamuro ◽  
Kou Hasegawa ◽  
Yoshihisa Hanayama ◽  
Hitomi Kataoka ◽  
Takehiro Tanaka ◽  
...  
Keyword(s):  
Late Complications ◽  
Pelvic Radiotherapy

Endoscopic Management of Postbariatric Fistulae and Leaks

2018 ◽  
Author(s):  
Yana Cavanagh ◽  
Sohail N. Shaikh
Keyword(s):  
Bariatric Surgery ◽  
Diagnostic Algorithm ◽  
Therapeutic Endoscopy ◽  
Late Complications ◽  
Endoscopic Management ◽  
High Morbidity ◽  
Management Options ◽  
Radiographic Findings ◽  
Computed Tomographic ◽  
American Society

The number of bariatric procedures performed annually is increasing along with the number of complications. Gastrointestinal leak after bariatric surgery generally portends high morbidity and mortality, and its management depends on clinical and radiographic presentation. A leak is defined as an enteric defect with extravasation of luminal contents. Fistulae are abnormal connections between two epithelialized surfaces, are usually chronic, and may develop from long-standing leaks. Endoscopic therapies may offer an attenuated risk profile compared with surgical intervention and play a growing role in the management of postbariatric complications. Leak resolution may require multiple endoscopic sessions and modalities (e.g., stents, adhesives, plugs, clips, suturing, and VAC-assisted closure); therefore, it is critical to have appropriate follow-up and surveillance after therapeutic endoscopic intervention. This review discusses endoscopic leak and fistula management through endoscopic procedures, addressing indications and candidates for procedure, contraindications, recipient evaluation, and aspects of procedure, including proper timing, equipment, and types. Figures show Roux-en-Y gastric bypass, sleeve gastrectomy, management options for leaks after bariatric surgery, a diagnostic algorithm for leaks, upper gastrointestinal series performed with Gastrografin, and computed tomographic scans that demonstrate extraluminal air extending along the diaphragmatic surface of the spleen and a perisplenic gas and fluid-filled collection on the lateral margin. Tables list complications that follow bariatric surgery; an excerpt from the 2008 American Society for Gastrointestinal Endoscopy Guidelines; recommended equipment for endoscopic defect management; classification system based on duration after bariatric surgery; classification and approach to management based on clinical presentation and radiographic findings; summary of recommendations for pre-endoscopy, index endoscopy, therapeutic endoscopy, and posttherapeutic endoscopy; and early and late complications of stent placement. This review contains 7 highly rendered figures, 7 tables, and 104 references.

Penetrating Civilian Craniocerebral Gunshot Wounds: A Protocol of Delayed Surgery

Neurosurgery ◽  
2005 ◽  
Vol 57 (2) ◽  
pp. 293-299 ◽  
Author(s):  
W Adriaan Liebenberg ◽  
Andreas K. Demetriades ◽  
Matthew Hankins ◽  
Carl Hardwidge ◽  
Bennie H. Hartzenberg
Keyword(s):  
Vegetative State ◽  
Gunshot Wounds ◽  
Infectious Complications ◽  
Late Complications ◽  
High Rate ◽  
Poor Grade ◽  
Computed Tomographic ◽  
Poor Outcome ◽  
Unique Approach ◽  
Gcs Score

ABSTRACT OBJECTIVE: Several factors have led to our unique approach of delayed definitive débridement. We wanted to evaluate the effectiveness of our management and compare it with the existing data in the literature. METHODS: We retrospectively reviewed the records of 194 patients presenting between January 1996 and October 2003 with penetrating craniocerebral gunshot wounds. After exclusion criteria, 125 patients qualified. RESULTS: Of the patients, 88.8% were male. The mean age was 24.9 ± 10.9 years. In 70.4% of patients, the presenting Glasgow Coma Scale (GCS) score was 3 to 8. Only 38 (30.4%) of the 125 patients survived, with poor outcome in 2 and good outcome in 36. Bilaterally fixed and dilated pupils and bihemispheric tract on computed tomographic scan were significantly related to poor outcome. There were 49 surgical procedures performed on 27 of the patients, with a mortality rate of 7.4%. Of the 38 survivors, 13 underwent no surgery. Average time to surgery was 11.04 days. Total rate of infection was 8%, and it did not influence outcome. No patient presenting with a GCS score of 3 or 4 survived. Seventeen patients attended follow-up, for a total of 3609 days (average, 212 d) and very few late complications. CONCLUSION: Our supportive care of patients is not optimal. We should have saved more of our patients who presented with GCS scores of 14 and 15 who subsequently died. We have been able to report unconventionally late surgical management of two-thirds of survivors, with no surgery in one-third of survivors. Despite a high rate of infectious complications, infection did not lead to death or disability. Our protocol rarely leads to patients surviving in a permanently vegetative state. In the future, we would perform early surgery for patients who present awake and continue our current management for poor-grade patients. In this way, we will improve the number of good outcomes without increasing the population of severely damaged and dependent survivors.

Lumbar lateral canal entrapment: Clinical, radiculographic and computed tomographic findings

1988 ◽  
Vol 39 (1) ◽  
pp. 144-149 ◽  
Author(s):  
I STOCKLEY ◽  
C GETTY ◽  
A DIXON ◽  
I GLAVES ◽  
H EUINTON ◽  
...  
Keyword(s):  
Computed Tomographic ◽  
Lateral Canal

Diagnostic workup and endovascular treatment of popliteal artery trauma

VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Cheong J. Lee ◽  
Rory Loo ◽  
Max V. Wohlauer ◽  
Parag J. Patel
Keyword(s):  
Vascular Injury ◽  
Gold Standard ◽  
Imaging Techniques ◽  
Computed Tomographic Angiography ◽  
Vascular Trauma ◽  
Endovascular Techniques ◽  
Computed Tomographic ◽  
Arterial Injuries ◽  
Arterial Trauma ◽  
Peripheral Arterial

Abstract. Although management paradigms for certain arterial trauma, such as aortic injuries, have moved towards an endovascular approach, the application of endovascular techniques for the treatment of peripheral arterial injuries continues to be debated. In the realm of peripheral vascular trauma, popliteal arterial injuries remain a devastating condition with significant rates of limb loss. Expedient management is essential and surgical revascularization has been the gold standard. Initial clinical assessment of vascular injury is aided by readily available imaging techniques such as duplex ultrasonography and high resolution computed tomographic angiography. Conventional catheter based angiography, however, remain the gold standard in the determination of vascular injury. There are limited data examining the outcomes of endovascular techniques to address popliteal arterial injuries. In this review, we examine the imaging modalities and current approaches and data regarding endovascular techniques for the management popliteal arterial trauma.

Early and Late Complications of Orbital Fractures

1988 ◽  
Vol 15 (2) ◽  
pp. 239-253 ◽  
Author(s):  
Craig R. Dufresne ◽  
Paul N. Manson ◽  
Nicholas T. Iliff
Keyword(s):  
Late Complications ◽  
Orbital Fractures
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