Surveillance of patients with ulcerative colitis

2021 ◽  
pp. 42-47
Author(s):  
Mark Abramovich Natanson
Keyword(s):  
Colorectal Cancer ◽  
Ulcerative Colitis ◽  
Surgical Treatment ◽  
High Probability ◽  
Surgical Intervention ◽  
Mortality Rates ◽  
First Year ◽  
Cost Of Treatment ◽  
Economic Issues ◽  
The World

Along with Crohn’s disease, ulcerative colitis occupies one of the leading places among the most dangerous and severe diseases of the gastrointestinal tract. Persons aged 20–40, belonging to the most active and efficient group of the population, are most susceptible to this pathology. All over the world, there is a steady trend towards an increase in the incidence of ulcerative colitis, and the complexity and high cost of treatment to some extent transfer this problem from a number of purely medical to the category of socio-economic issues. The maximum mortality rates are recorded during the first year of the disease due to cases of extremely severe fulminant course of the disease, as well as 10 years after its onset due to the high probability of developing colorectal cancer. The first report on the surgical treatment of ulcerative colitis in Russia belongs to V. A. Oppel, who in 1907, at the meeting of the Society of Russian Physicians, made a report on the topic: «On the issue of surgical treatment of chronic ulcerative colitis». Since then, surgical intervention continues to be one of the most effective methods of treating this disease.

scholarly journals The Changing Phenotype of Inflammatory Bowel Disease

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Carthage Moran ◽  
Donal Sheehan ◽  
Fergus Shanahan
Keyword(s):  
Colorectal Cancer ◽  
Inflammatory Bowel Disease ◽  
Surgical Treatment ◽  
Cancer Risk ◽  
Bowel Disease ◽  
Mortality Rates ◽  
Phenotypic Changes ◽  
Disease Mortality ◽  
Elderly Onset ◽  
Inflammatory Bowel

It is widely known that there have been improvements in patient care and an increased incidence of Inflammatory Bowel Disease (IBD) worldwide in recent decades. However, less well known are the phenotypic changes that have occurred; these are discussed in this review. Namely, we discuss the emergence of obesity in patients with IBD, elderly onset disease, mortality rates, colorectal cancer risk, the burden of medications and comorbidities, and the improvement in surgical treatment with a decrease in surgical rates in recent decades.

scholarly journals Colorectal cancer in the world: incidence, mortality and risk factors

2017 ◽  
Vol 4 (10) ◽  
pp. 1656 ◽  
Author(s):  
Hamidreza Sadeghi Gandomani ◽  
Seyed Majid Yousefi ◽  
Mohammad Aghajani ◽  
Abdollah Mohammadian-Hafshejani ◽  
Abed Asgari Tarazoj ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Medical History ◽  
Peer Review ◽  
Search Strategy ◽  
Mortality Rates ◽  
Incidence Rates ◽  
Screening Programs ◽  
The World ◽  
Peer Reviewers

A rapid literature search strategy was conducted for all English language literature published before July 2017. The search was conducted using the electronic databases PubMed, Scopus and Web of Science. The search strategy included the keywords ‘colorectal cancer’, ‘epidemiology’, ‘incidence’, ‘mortality’, ‘risk factor’, and ‘world’. In 2012, the highest CRC incidence rates were observed in the Republic of Korea, Slovakia and Hungary while the lowest incidence rates were seen in Singapore, Serbia and Japan. The highest CRC mortality rates in both sexes were seen in Central and Eastern Europe and the lowest mortality rates were found in Middle Division of Africa. The main risk factors for CRC include nutritional factors, past medical history, smoking, socioeconomic status, and family medical history. According to the increasing trend of CRC incidence and mortality in the world, implementation of prevention programs such as screening programs, diet modification, and healthy lifestyle education is necessary. Peer Review Details Peer review method: Single-Blind (Peer-reviewers: 02) Peer-review policy Plagiarism software screening?: Yes Date of Original Submission: 26 August 2017 Date accepted: 20 Sept 2017 Peer reviewers approved by: Dr. Lili Hami Editor who approved publication: Dr. Phuc Van Pham  

scholarly journals Modern aspects of surgical treatment of patients with atrial fibrillation. Development of uniform criteria for selecting patients for radiofrequency ablation

2020 ◽  
pp. 58-64
Author(s):  
I. A. Libov ◽  
I. M. Mayorov ◽  
L. P. Porunov
Keyword(s):  
Atrial Fibrillation ◽  
Surgical Treatment ◽  
Radiofrequency Catheter Ablation ◽  
High Probability ◽  
Surgical Intervention ◽  
Spiral Waves ◽  
Clinical Effects ◽  
Strategy Selection ◽  
Medication Treatment

The article discusses the issues concerning the treatment of patients with the atrial fibrillation (AF), analyzes the indications for execution, in the absence of the effect of medication treatment, radiofrequency catheter ablation (RFA) of the lung vein entries and electrical spiral waves in the atria or rotors, the clinical effects of this procedure, assesses the contribution of focal activity in maintaining the persistent AF. The influence of concomitant pathology and anatomical-morphological peculiarities of the heart on early and distant RFA results in patients with persistent AF is discussed. The success and efficacy of AF surgical treatment depends not only on the method and technology of the chosen procedure, but also on the risk factors for the recurrence of AF (so-called predictors). Radio-frequency ablation, being an invasive surgery, has its own spectrum of possible complications and high economic component, which predetermines the necessity to predict the efficiency of the procedure, i.e. preoperative determination of the patient group, in which this type of treatment will be justified, and the expected efficiency and safety – higher than the probability of complications. The study of this problem and the development of criteria for selecting patients with AF will allow predicting the effectiveness of surgical intervention with high probability, which in turn will contribute to the correct strategy selection.

scholarly journals POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORS

2017 ◽  
Vol 4 (2) ◽  
pp. 54-60 ◽  
Author(s):  
B. Ya. Alekseev ◽  
A. S. Kalpinskiy ◽  
I. A. Taraki ◽  
A. A. Mukhomed’yarova ◽  
K. М. Nyushko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
High Risk ◽  
Total Population ◽  
Surgical Intervention ◽  
Functional Results ◽  
Renal Tumors ◽  
Malignant Neoplasms ◽  
The World ◽  
Oncological Results ◽  
Low Incidence

Renal cell carcinoma (RCC) occupies one of the leading places in the world for morbidity among malignant neoplasms of the genitourinary system. The frequency of occurrence of bilateral RCC according to different authors is 2–6% of the total population of patients with RCC. Currently, the only effective method of treatment of bilateral RCC is surgical treatment. Patients with bilateral RCC are at high risk of dev eloping of local recurrence or progression of the disease after organ-preserving surgeries, which is why the surgeon is faced with a choice between a high risk of developing renal failure or relapse and/or progression of the disease, depending on the extent of the surgical intervention. According to the literature, in patients with bilateral RCC there was an increase in the incidence of papillary variant of RCC up to 19% and the presence of multifocal lesion. Surgical treatment of bilateral RCC is the only effective method to achieve satisfactory oncological results at a low incidence of complications. The m ost justified option for the treatment of bilateral RCC is the implementation of bilateral organ-preserving treatment, which allows achieving the optimal functional results. This article presents a clinical case of successful surgical treatment of a patient with bilateral RCC with multiple tumors.

scholarly journals The role of inflammation in pathogenesis and treatment of colorectal cancer

2018 ◽  
Vol 5 (4) ◽  
pp. 36-45
Author(s):  
T. N. Garmanova ◽  
M. I. Bredikhin ◽  
I. A. Tulina ◽  
P. V. Tsarkov
Keyword(s):  
Colorectal Cancer ◽  
Surgical Treatment ◽  
Immune Cells ◽  
Tumor Recurrence ◽  
Surgical Intervention ◽  
Factors Affecting ◽  
Inflammatory Status ◽  
Before And After ◽  
The Impact

One of the factors affecting the effectiveness of treatment and determining the prognosis of a patient with colorectal cancer may be inflammatory status both before and after surgical treatment. The review is devoted to the description of possible mechanisms of relationa between patient's inflammatory status and oncogenesis. Particular attention is paid to the ability of tumor cells to modify the immune cells from the antioncogenic to prooncogenic status. The paper makes an attempt to present a unified concept of the impact of postoperative complications on tumor recurrence in the light of the inflammatory response to surgical intervention.

scholarly journals RADICAL LUNG RESECTION IN TREATMENT OF PULMONARY TUBERCULOSIS

2017 ◽  
Vol 2 (2) ◽  
pp. 56-59
Author(s):  
PV V Rogozhkin ◽  
EA A Borodulina
Keyword(s):  
Surgical Treatment ◽  
Surgical Intervention ◽  
Lung Resection ◽  
Early Postoperative Period ◽  
First Year ◽  
Drug Resistant ◽  
Reactivation Process ◽  
Acute Condition

Aim - to analyze afterhistory of TB patients who had radical lung resection. Methods of research. On the basis of the results of surgical treatment of 273 patients in 2010-2011, two groups were formed: the first group - patients who were deregistered due to their recovery; the second group -patients who had tuberculous process reactivated after surgery as recurrence or acute condition. Results. The effectiveness of tuberculosis surgical treatment in long-term period was proved in more than 90% of cases. Reactivation process started in 7.7% of cases, in patients who had multiple and extensive drug resistant MTB (53.3%), in patients who had destruction in the lung tissue (62%); in patients with fibrous-cavernous tuberculosis (33.3%), with comorbidity (52.4%), with complications in the early postoperative period (9.5%). Reactivation occurred more often in cases of wide surgical intervention, including cases with follow-up remedial thoracoplasty. If there are indications for surgical treatment, it is better to decide upon surgery within the first year of supervision.

Spontaneous Perforation of the Extrahepatic Bile Ducts in an Infant

PEDIATRICS ◽  
1982 ◽  
Vol 70 (4) ◽  
pp. 601-603
Author(s):  
Dan Andersson ◽  
Ingemar Helin ◽  
Sven-Caspar Nettelblad ◽  
Clas-Göran Cederlund
Keyword(s):  
Surgical Treatment ◽  
Obstructive Jaundice ◽  
Biliary Atresia ◽  
Bile Ducts ◽  
Surgical Intervention ◽  
Rare Condition ◽  
First Year ◽  
Spontaneous Perforation ◽  
Extrahepatic Bile Ducts ◽  
First Year Of Life

Spontaneous perforation of the extrapepatic bile ducts, with an accumulation of bile in the peritoneal cavity, is a rare condition. Nevertheless, it is second in frequency to biliary atresia as the cause of obstructive jaundice during the first year of life.1 Although approximately 60 cases of this condition have been described in the literature, it is only occasionally listed in pediatric textbooks. Nevertheless, it is important that the condition be recognized in time to perform lifesaving surgical intervention. We therefore consider it instructive to present a patient with the classic features of this condition who was cured by surgical treatment on the 29th day of life.

Deletion mapping on chromosome 6 in colorectal cancer associated with ulcerative colitis

2001 ◽  
Vol 120 (5) ◽  
pp. A121-A122
Author(s):  
T EZAKI ◽  
M WATANABE ◽  
S FUNAKOSHI ◽  
M NAGANUMA ◽  
T AZUMA ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Ulcerative Colitis ◽  
Deletion Mapping ◽  
Chromosome 6

Engineering for good: A case of community driven engineering innovation

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Chinweike Eseonu ◽  
Martin A Cortes
Keyword(s):  
Engineering Students ◽  
Technology Innovation ◽  
Local Communities ◽  
First Year ◽  
Engineering Curriculum ◽  
Engineering Design Process ◽  
The World ◽  
The University ◽  
Social Consideration

There is a culture of disengagement from social consideration in engineering disciplines. This means that first year engineering students, who arrive planning to change the world through engineering, lose this passion as they progress through the engineering curriculum. The community driven technology innovation and investment program described in this paper is an attempt to reverse this trend by fusing community engagement with the normal engineering design process. This approach differs from existing project or trip based approaches – outreach – because the focus is on local communities with which the university team forms a long-term partnership through weekly in-person meetings and community driven problem statements – engagement.

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