scholarly journals New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive Cases

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Muhammad Shafique ◽  
Sheraz Yaqub ◽  
Erik S. Lie ◽  
Vegard Dahl ◽  
Frode Olsbø ◽  
...  
Keyword(s):  
Endoscopic Procedure ◽  
University Hospital ◽  
Endoscopic Removal ◽  
Single Center ◽  
Endoscopic Intervention ◽  
Safe Treatment ◽  
Single Center Experience ◽  
New Treatment

Aim. Large food bits can get stuck in the esophagus and must be removed by endoscopy. In some cases, this can be difficult or unsafe. We describe a new and safe treatment for such patients.Materials and Methods. 100 consecutive patients were referred to Akershus University Hospital with impacted food in the esophagus. In 36 patients (36%), the food passed spontaneously. In 59 (92%) of the remaining 64 patients, the food was removed by endoscopic intervention. In the last five patients, endoscopic removal was judged difficult or unsafe. These patients received the new treatment: one capsule Creon 10000 IU dissolved in 30 mL of Coca-Cola administered by a nasooesophageal tube four times daily for 2-3 days.Results. Of the 59 patients treated with endoscopic procedure, complications occurred in four (7%): three bleedings and one perforation of the esophagus. In five patients treated with Coca-Cola and Creon, the food had either passed or was soft after 2-3 days and could easily be removed.Conclusion. The treatment of choice of impacted food in the esophagus is endoscopic removal. In cases where this is difficult, we recommend treatment with Coca-Cola and Creon for 2-3 days before complications occur.

scholarly journals Low profile REBOA device for increasing systolic blood pressure in hemodynamic instability: single-center 4-year experience of use of ER-REBOA

2021 ◽  
Author(s):  
David T. McGreevy ◽  
Mitra Sadeghi ◽  
Kristofer F. Nilsson ◽  
Tal M. Hörer
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Hemodynamic Instability ◽  
Balloon Occlusion ◽  
University Hospital ◽  
Trauma Patients ◽  
Single Center ◽  
Hemorrhage Control ◽  
Single Center Experience ◽  
Low Profile

Abstract Background Hemodynamic instability due to torso hemorrhage can be managed with the assistance of resuscitative endovascular balloon occlusion of the aorta (REBOA). This is a report of a single-center experience using the ER-REBOA™ catheter for traumatic and non-traumatic cases as an adjunct to hemorrhage control and as part of the EndoVascular resuscitation and Trauma Management (EVTM) concept. The objective of this report is to describe the clinical usage, technical success, results, complications and outcomes of the ER-REBOA™ catheter at Örebro University hospital, a middle-sized university hospital in Europe. Methods Data concerning patients receiving the ER-REBOA™ catheter for any type of hemorrhagic shock and hemodynamic instability at Örebro University hospital in Sweden were collected prospectively from October 2015 to May 2020. Results A total of 24 patients received the ER-REBOA™ catheter (with the intention to use) for traumatic and non-traumatic hemodynamic control; it was used in 22 patients. REBOA was performed or supervised by vascular surgeons using 7–8 Fr sheaths with an anatomic landmark or ultrasound guidance. Systolic blood pressure (SBP) increased significantly from 50 mmHg (0–63) to 95 mmHg (70–121) post REBOA. In this cohort, distal embolization and balloon rupture due to atherosclerosis were reported in one patient and two patients developed renal failure. There were no cases of balloon migration. Overall 30-day survival was 59%, with 45% for trauma patients and 73% for non-traumatic patients. Responders to REBOA had a significantly lower rate of mortality at both 24 h and 30 days. Conclusions Our clinical data and experience show that the ER-REBOA™ catheter can be used for control of hemodynamic instability and to significantly increase SBP in both traumatic and non-traumatic cases, with relatively few complications. Responders to REBOA have a significantly lower rate of mortality.

scholarly journals Liver transplantation: a 10-year single center experience in Pernambuco- northeastern Brazil

2010 ◽  
Vol 13 (2) ◽  
pp. 1288-1292
Author(s):  
Luiz Eduardo C. Miranda ◽  
Paulo Sérgio Vieira de Melo ◽  
Diego Laurentino Lima ◽  
Bernardo Sabat ◽  
Américo Gusmão Amorim ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Survival Curve ◽  
Deceased Donor ◽  
Conventional Technique ◽  
University Hospital ◽  
Northeastern Brazil ◽  
Organ Shortage ◽  
Single Center ◽  
Liver Donor ◽  
Single Center Experience

Purpose: The aim of this study is to analyze a ten-year single center experience in liver transplantation in Pernambuco - Northeastern region of Brazil. Methods: Data were retrospectively collected from medical records of 302 patients who underwent Orthotopic Liver Transplantation (OLT) between 1998 and 2008 at Oswaldo Cruz University Hospital, Pernambuco – Brazil. We analyzed just the outcomes and survival curve of 195 adult liver transplantation recipients from deceased donor. Results: Data concern liver donor, surgery technical aspects and liver transplantation recipients’ postoperative evolution are presented and discussed. This center has a significant experience in liver transplantation using conventional technique with no venovenous bypass. Efficient management of liver transplantation practice has made it feasible to keep the cold ischemia time within 6-7 hours. Because of the organ shortage, we have used a large amount of extended criteria liver donor. The survival 1-year rata was 76.4%. Conclusion: It is possible to provide a high-quality public medical assistance in an efficient and continuous manner in less developed areas of Brazil.

scholarly journals Endoscopy Challenges During the SARS-CoV- 2 Pandemic: A Single-Center Experience from Cairo University Hospital-Egypt

2021 ◽  
Vol 89 (9) ◽  
pp. 1839-1842
Author(s):  
MOHAMED B. HASHEM, M.D.; HEDY A. BADARY, M.D. ◽  
ISMAIL ANWAR, M.D.; SHERIF HAMDY, M.D. ◽  
MOHAMMAD S. ABDELBARY, M.D.; IMAN HAMZA, M.D.
Keyword(s):  
University Hospital ◽  
Single Center ◽  
Single Center Experience

scholarly journals Aggressive Treatment of Patients with Metastatic Colorectal Cancer Increases Survival: A Scandinavian Single-Center Experience

HPB Surgery ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Kristoffer Watten Brudvik ◽  
Simer Jit Bains ◽  
Lars Thomas Seeberg ◽  
Knut Jørgen Labori ◽  
Anne Waage ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Overall Survival ◽  
Neoadjuvant Chemotherapy ◽  
Cancer Biology ◽  
Treatment Strategies ◽  
Disease Free Survival ◽  
Single Center ◽  
Single Center Experience ◽  
New Treatment ◽  
Disease Free

Background. We examined overall and disease-free survivals in a cohort of patients subjected to resection of liver metastasis from colorectal cancer (CRLM) in a 10-year period when new treatment strategies were implemented. Methods. Data from 239 consecutive patients selected for liver resection of CRLM during the period from 2002 to 2011 at a single center were used to estimate overall and disease-free survival. The results were assessed against new treatment strategies and established risk factors. Results. The 5-year cumulative overall and disease-free survivals were 46 and 24%. The overall survival was the same after reresection, independently of the number of prior resections and irrespectively of the location of the recurrent disease. The time intervals between each recurrence were similar (11 ± 1 months). Patients with high tumor load given neoadjuvant chemotherapy had comparable survival to those with less extensive disease without neoadjuvant chemotherapy. Positive resection margin or resectable extrahepatic disease did not affect overall survival. Conclusion. Our data support that one still, and perhaps to an even greater extent, should seek an aggressive therapeutic strategy to achieve resectable status for recurrent hepatic and extrahepatic metastases. The data should be viewed in the context of recent advances in the understanding of cancer biology and the metastatic process.

scholarly journals Containment of a healthcare-associated COVID-19 outbreak in a university hospital in Seoul, Korea: A single-center experience

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0237692
Author(s):  
Sei Won Kim ◽  
Sung Jin Jo ◽  
Heayon Lee ◽  
Jung Hwan Oh ◽  
Jihyang Lim ◽  
...  
Keyword(s):  
University Hospital ◽  
Single Center ◽  
Single Center Experience ◽  
Healthcare Associated

Kidney-Pancreas Transplantation: Single-Center Experience at a University Hospital in Turkey

2005 ◽  
Vol 37 (7) ◽  
pp. 3205-3208 ◽  
Author(s):  
Y.K. Yakupoglu ◽  
A. Dinckan ◽  
A. Gurkan ◽  
M. Tuncer ◽  
O. Erdogan ◽  
...  
Keyword(s):  
Pancreas Transplantation ◽  
University Hospital ◽  
Single Center ◽  
Single Center Experience
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