المؤلفون: Massimo Sartelli, Fikri M. Abu-Zidan, Francesco M. Labricciosa, Yoram Kluger, Federico Coccolini, Luca Ansaloni, Ari Leppäniemi, Andrew W. Kirkpatrick, Matti Tolonen, Cristian Tranà, Jean-Marc Regimbeau, Timothy Hardcastle, Renol M. Koshy, Ashraf Abbas, Ulaş Aday, A. R. K. Adesunkanmi, Adesina Ajibade, Lali Akhmeteli, Emrah Akın, Nezih Akkapulu, Alhenouf Alotaibi, Fatih Altintoprak, Dimitrios Anyfantakis, Boyko Atanasov, Goran Augustin, Constança Azevedo, Miklosh Bala, Dimitrios Balalis, Oussama Baraket, Suman Baral, Or Barkai, Marcelo Beltran, Roberto Bini, Konstantinos Bouliaris, Ana B. Caballero, Valentin Calu, Marco Catani, Marco Ceresoli, Vasileios Charalampakis, Asri Che Jusoh, Massimo Chiarugi, Nicola Cillara, Raquel Cobos Cuesta, Luigi Cobuccio, Gianfranco Cocorullo, Elif Colak, Luigi Conti, Yunfeng Cui, Belinda De Simone, Samir Delibegovic, Zaza Demetrashvili, Demetrios Demetriades, Ana Dimova, Agron Dogjani, Mushira Enani, Federica Farina, Francesco Ferrara, Domitilla Foghetti, Tommaso Fontana, Gustavo P. Fraga, Mahir Gachabayov, Grelpois Gérard, Wagih Ghnnam, Teresa Giménez Maurel, Georgios Gkiokas, Carlos A. Gomes, Ali Guner, Sanjay Gupta, Andreas Hecker, Elcio S. Hirano, Adrien Hodonou, Martin Hutan, Igor Ilaschuk, Orestis Ioannidis, Arda Isik, Georgy Ivakhov, Sumita Jain, Mantas Jokubauskas, Aleksandar Karamarkovic, Robin Kaushik, Jakub Kenig, Vladimir Khokha, Denis Khokha, Jae Il Kim, Victor Kong, Dimitris Korkolis, Vitor F. Kruger, Ashok Kshirsagar, Romeo Lages Simões, Andrea Lanaia, Konstantinos Lasithiotakis, Pedro Leão, Miguel León Arellano, Holger Listle, Andrey Litvin, Aintzane Lizarazu Pérez, Eudaldo Lopez-Tomassetti Fernandez, Eftychios Lostoridis, Davide Luppi, Gustavo M. Machain V, Piotr Major, Dimitrios Manatakis, Marianne Marchini Reitz, Athanasios Marinis, Daniele Marrelli, Aleix Martínez-Pérez, Sanjay Marwah, Michael McFarlane, Mirza Mesic, Cristian Mesina, Nickos Michalopoulos, Evangelos Misiakos, Felipe Gonçalves Moreira, Ouadii Mouaqit, Ali Muhtaroglu, Noel Naidoo, Ionut Negoi, Zane Nikitina, Ioannis Nikolopoulos, Gabriela-Elisa Nita, Savino Occhionorelli, Iyiade Olaoye, Carlos A. Ordoñez, Zeynep Ozkan, Ajay Pal, Gian M. Palini, Kyriaki Papageorgiou, Dimitris Papagoras, Francesco Pata, Michał Pędziwiatr, Jorge Pereira, Gerson A. Pereira Junior, Gennaro Perrone, Tadeja Pintar, Magdalena Pisarska, Oleksandr Plehutsa, Mauro Podda, Gaetano Poillucci, Martha Quiodettis, Tuba Rahim, Daniel Rios-Cruz, Gabriel Rodrigues, Dmytry Rozov, Boris Sakakushev, Ibrahima Sall, Alexander Sazhin, Miguel Semião, Taanya Sharda, Vishal Shelat, Giovanni Sinibaldi, Dmitrijs Skicko, Matej Skrovina, Dimitrios Stamatiou, Marco Stella, Marcin Strzałka, Ruslan Sydorchuk, Ricardo A. Teixeira Gonsaga, Joel Noutakdie Tochie, Gia Tomadze, Lara Ugoletti, Jan Ulrych, Toomas Ümarik, Mustafa Y. Uzunoglu, Alin Vasilescu, Osborne Vaz, Andras Vereczkei, Nutu Vlad, Maciej Walędziak, Ali I. Yahya, Omer Yalkin, Tonguç U. Yilmaz, Ali Ekrem Ünal, Kuo-Ching Yuan, Sanoop K. Zachariah, Justas Žilinskas, Maurizio Zizzo, Vittoria Pattonieri, Gian Luca Baiocchi, Fausto Catena

المصدر: World Journal of Emergency Surgery, Vol 14, Iss 1, Pp 1-11 (2019)

مصطلحات موضوعية: Acute peritonitis, Source control, Early warning score, Emergency surgery, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9

الوصف: Abstract Background Timing and adequacy of peritoneal source control are the most important pillars in the management of patients with acute peritonitis. Therefore, early prognostic evaluation of acute peritonitis is paramount to assess the severity and establish a prompt and appropriate treatment. The objectives of this study were to identify clinical and laboratory predictors for in-hospital mortality in patients with acute peritonitis and to develop a warning score system, based on easily recognizable and assessable variables, globally accepted. Methods This worldwide multicentre observational study included 153 surgical departments across 56 countries over a 4-month study period between February 1, 2018, and May 31, 2018. Results A total of 3137 patients were included, with 1815 (57.9%) men and 1322 (42.1%) women, with a median age of 47 years (interquartile range [IQR] 28–66). The overall in-hospital mortality rate was 8.9%, with a median length of stay of 6 days (IQR 4–10). Using multivariable logistic regression, independent variables associated with in-hospital mortality were identified: age > 80 years, malignancy, severe cardiovascular disease, severe chronic kidney disease, respiratory rate ≥ 22 breaths/min, systolic blood pressure < 100 mmHg, AVPU responsiveness scale (voice and unresponsive), blood oxygen saturation level (SpO2) < 90% in air, platelet count < 50,000 cells/mm3, and lactate > 4 mmol/l. These variables were used to create the PIPAS Severity Score, a bedside early warning score for patients with acute peritonitis. The overall mortality was 2.9% for patients who had scores of 0–1, 22.7% for those who had scores of 2–3, 46.8% for those who had scores of 4–5, and 86.7% for those who have scores of 7–8. Conclusions The simple PIPAS Severity Score can be used on a global level and can help clinicians to identify patients at high risk for treatment failure and mortality.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s13017-019-0253-2Test; https://doaj.org/toc/1749-7922Test

الوصول الحر: https://doaj.org/article/3796a866967c4cd184a7bd24d4b702f5Test

المؤلفون: Alin Vasilescu, Delia Andriesi Rusu, Costel Bradea, Nutu Vlad, Corina Lupascu-Ursulescu, Irene Spiridon, Ana Trofin, Eugen Tarcoveanu, Cristian Lupascu

المصدر: Life; Volume 11; Issue 11; Pages: 1216

مصطلحات موضوعية: pancreatic ductal adenocarcinomas, pancreatic fistula, histological aspects

جغرافية الموضوع: agris

الوصف: Introduction: Malignant tumors are associated with a low incidence of postoperative pancreatic fistulas. The presence of peritumoral fibrosis is considered the protective factor for the development of postoperative pancreatic fistulas after pancreatic resections for pancreatic ductal adenocarcinomas. Methods: We analyzed a series of 109 consecutive patients with pancreatic resections for malignant pathology: pancreatic ductal adenocarcinomas and periampullary adenocarcinomas. The incidence of postoperative pancreatic fistulas has been reported in tumor histological type, in the presence of peritumoral fibrosis, and in the association between adenocarcinomas and areas of acute pancreatitis. The data obtained were processed with the statistical analysis program SPSS, and statistically significant p were considered at a value <0.05. Results: For the entire study group, the incidence of postoperative pancreatic fistulas was 11.01%. The lowest incidence was observed in the group of patients with pancreatic ductal adenocarcinomas (4.06% vs. 25.72% in the group with periampullary adenocarcinoma), with a p = 0.002. The presence of peritumoral fibrous tissue was observed in 49.31% of cases without pancreatic fistulas, and in 54.54% of cases that developed this postoperative complication (p = 0.5). Also, the peritumoral fibrous tissue had a uniform distribution depending on the main diagnosis (56.14% in pancreatic ductal adenocarcinoma group vs. 37.04% in periampullary adenocarcinoma group, with a p = 0.08). In the group of patients who associated areas of acute pancreatitis on the resections, the incidence of postoperative pancreatic fistulas was 7.8 times higher (30% vs. 3.8%, p = 0.026). Conclusions: Peritumoral fibrous tissue was not a factor involved in the developing of postoperative pancreatic fistulas. The association of adenocarciomas with areas of acute pancreatitis has led to a significant increase in postoperative pancreatic fistulas, which is a significant and independent risk factor.

وصف الملف: application/pdf

العلاقة: Medical Research; https://dx.doi.org/10.3390/life11111216Test

الإتاحة: https://doi.org/10.3390/life11111216Test

المؤلفون: Massimo Sartelli, Gian L. Baiocchi, Salomone Di Saverio, Francesco Ferrara, Francesco M. Labricciosa, Luca Ansaloni, Federico Coccolini, Deepak Vijayan, Ashraf Abbas, Hariscine K. Abongwa, John Agboola, Adamu Ahmed, Lali Akhmeteli, Nezih Akkapulu, Seckin Akkucuk, Fatih Altintoprak, Aurelia L. Andreiev, Dimitrios Anyfantakis, Boiko Atanasov, Miklosh Bala, Dimitrios Balalis, Oussama Baraket, Giovanni Bellanova, Marcelo Beltran, Renato Bessa Melo, Roberto Bini, Konstantinos Bouliaris, Daniele Brunelli, Adrian Castillo, Marco Catani, Asri Che Jusoh, Alain Chichom-Mefire, Gianfranco Cocorullo, Raul Coimbra, Elif Colak, Silvia Costa, Koray Das, Samir Delibegovic, Zaza Demetrashvili, Isidoro Di Carlo, Nadezda Kiseleva, Tamer El Zalabany, Mario Faro, Margarida Ferreira, Gustavo P. Fraga, Mahir Gachabayov, Wagih M. Ghnnam, Teresa Giménez Maurel, Georgios Gkiokas, Carlos A. Gomes, Ewen Griffiths, Ali Guner, Sanjay Gupta, Andreas Hecker, Elcio S. Hirano, Adrien Hodonou, Martin Hutan, Orestis Ioannidis, Arda Isik, Georgy Ivakhov, Sumita Jain, Mantas Jokubauskas, Aleksandar Karamarkovic, Saila Kauhanen, Robin Kaushik, Alfie Kavalakat, Jakub Kenig, Vladimir Khokha, Desmond Khor, Dennis Kim, Jae I. Kim, Victor Kong, Konstantinos Lasithiotakis, Pedro Leão, Miguel Leon, Andrey Litvin, Varut Lohsiriwat, Eudaldo López-Tomassetti Fernandez, Eftychios Lostoridis, James Maciel, Piotr Major, Ana Dimova, Dimitrios Manatakis, Athanasio Marinis, Aleix Martinez-Perez, Sanjay Marwah, Michael McFarlane, Cristian Mesina, Michał Pędziwiatr, Nickos Michalopoulos, Evangelos Misiakos, Ali Mohamedahmed, Radu Moldovanu, Giulia Montori, Raghuveer Mysore Narayana, Ionut Negoi, Ioannis Nikolopoulos, Giuseppe Novelli, Viktors Novikovs, Iyiade Olaoye, Abdelkarim Omari, Carlos A. Ordoñez, Mouaqit Ouadii, Zeynep Ozkan, Ajay Pal, Gian M. Palini, Lars I. Partecke, Francesco Pata, Gerson A. Pereira Júnior, Tadeja Pintar, Magdalena Pisarska, Cesar F. Ploneda-Valencia, Konstantinos Pouggouras, Vinod Prabhu, Padmakumar Ramakrishnapillai, Jean-Marc Regimbeau, Marianne Reitz, Daniel Rios-Cruz, Sten Saar, Boris Sakakushev, Charalampos Seretis, Alexander Sazhin, Vishal Shelat, Matej Skrovina, Dmitry Smirnov, Charalampos Spyropoulos, Marcin Strzałka, Peep Talving, Ricardo A. Teixeira Gonsaga, George Theobald, Gia Tomadze, Myftar Torba, Cristian Tranà, Jan Ulrych, Mustafa Y. Uzunoğlu, Alin Vasilescu, Savino Occhionorelli, Aurélien Venara, Andras Vereczkei, Nereo Vettoretto, Nutu Vlad, Maciej Walędziak, Tonguç U. Yilmaz, Kuo-Ching Yuan, Cui Yunfeng, Justas Zilinskas, Gérard Grelpois, Fausto Catena

المصدر: World Journal of Emergency Surgery, Vol 13, Iss 1, Pp 1-10 (2018)

مصطلحات موضوعية: Acute appendicitis, Diagnosis, Management, Surgery, Antibiotics, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9

الوصف: Abstract Background Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments. Methods This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016–September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study. Results A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%. Conclusions The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s13017-018-0179-0Test; https://doaj.org/toc/1749-7922Test

الوصول الحر: https://doaj.org/article/c46cf9e4504347f784607d670593c4c2Test

المؤلفون: Sartelli, Massimo, Abu-Zidan, Fikri M., Labricciosa, Francesco M., Kluger, Yoram, Coccolini, Federico, Ansaloni, Luca, Leppäniemi, Ari, Kirkpatrick, Andrew W., Tolonen, Matti, Tranà, Cristian, Regimbeau, Jean-Marc, Hardcastle, Timothy, Koshy, Renol M., Abbas, Ashraf, Aday, Ullaş, Adesunkanmi, A.R.K., Ajibade, Adesina, Akhmeteli, Lali, Akn, Emrah, Akkapulu, Nezih, Alotaibi, Alhenouf, Altintoprak, Fatih, Anyfantakis, Dimitrios, Atanasov, Boyko, Augustin, Goran, Azevedo, Constança, Bala, Miklosh, Balalis, Dimitrios, Baraket, Oussama, Baral, Suman, Barkai, Or, Beltran, Marcelo, Bini, Roberto, Bouliaris, Konstantinos, Caballero, Ana B., Calu, Valentin, Catani, Marco, Ceresoli, Marco, Charalampakis, Vasileios, Jusoh, Asri Che, Chiarugi, Massimo, Cillara, Nicola, Cobos Cuesta, Raquel, Cobuccio, Luigi, Cocorullo, Gianfranco, Colak, Elif, Conti, Luigi, Cui, Yunfeng, De Simone, Belinda, Delibegovic, Samir, Demetrashvili, Zaza, Demetriades, Demetrios, Dimova, Ana, Dogjani, Agron, Enani, Mushira, Farina, Federica, Ferrara, Francesco, Foghetti, Domitilla, Fontana, Tommaso, Fraga, Gustavo P., Gachabayov, Mahir, Gérard, Grelpois, Ghnnam, Wagih, Giménez Maurel, Teresa, Gkiokas, Georgios, Gomes, Carlos A., Guner, Ali, Gupta, Sanjay, Hecker, Andreas, Hirano, Elcio S., Hodonou, Adrien, Hutan, Martin, Ilaschuk, Igor, Ioannidis, Orestis, Isik, Arda, Ivakhov, Georgy, Jain, Sumita, Jokubauskas, Mantas, Karamarkovic, Aleksandar, Kaushik, Robin, Kenig, Jakub, Khokha, Vladimir, Khokha, Denis, Kim, Jae Il, Kong, Victor, Korkolis, Dimitris, Kruger, Vitor F., Kshirsagar, Ashok, Lages Simões, Romeo, Lanaia, Andrea, Lasithiotakis, Konstantinos, Leão, Pedro, León Arellano, Miguel, Listle, Holger, Litvin, Andrey, Lizarazu Pérez, Aintzane, Lopez-Tomassetti Fernandez, Eudaldo, Lostoridis, Eftychios, Luppi, Davide, Machain V, Gustavo M., Major, Piotr, Manatakis, Dimitrios, Marchini Reitz, Marianne, Marinis, Athanasios, Marrelli, Daniele, Martínez-Pérez, Aleix, Marwah, Sanjay, McFarlane, Michael, Mesic, Mirza, Mesina, Cristian, Michalopoulos, Nickos, Misiakos, Evangelos, Gonçalves Moreira, Felipe, Mouaqit, Ouadii, Muhtaroglu, Ali, Naidoo, Noel, Negoi, Ionut, Nikitina, Zane, Nikolopoulos, Ioannis, Nita, Gabriela-Elisa, Occhionorelli, Savino, Olaoye, Iyiade, Ordoñez, Carlos A., Ozkan, Zeynep, Pal, Ajay, Palini, Gian M., Papageorgiou, Kyriaki, Papagoras, Dimitris, Pata, Francesco, Pędziwiatr, Michał, Pereira, Jorge, Pereira Junior, Gerson A., Perrone, Gennaro, Pintar, Tadeja, Pisarska, Magdalena, Plehutsa, Oleksandr, Podda, Mauro, Poillucci, Gaetano, Quiodettis, Martha, Rahim, Tuba, Rios-Cruz, Daniel, Rodrigues, Gabriel, Rozov, Dmytry, Sakakushev, Boris, Sall, Ibrahima, Sazhin, Alexander, Semião, Miguel, Sharda, Taanya, Shelat, Vishal, Sinibaldi, Giovanni, Skicko, Dmitrijs, Skrovina, Matej, Stamatiou, Dimitrios, Stella, Marco, Strzałka, Marcin, Sydorchuk, Ruslan, Teixeira Gonsaga, Ricardo A., Noutakdie Tochie, Joel, Tomadze, Gia, Ugoletti, Lara, Ulrych, Jan, Ümarik, Toomas, Uzunoglu, Mustafa Y., Vasilescu, Alin, Vaz, Osborne, Vereczkei, Andras, Nutu, Vlad, Walędziak, Maciej, Yahya, Ali I., Yalkin, Omer, Yilmaz, Tonguç U., Ünal, Ali Ekrem, Yuan, Kuo-Ching, Zachariah, Sanoop K., Žilinskas, Justas, Zizzo, Maurizio, Pattonieri, Vittoria, Baiocchi, Gian Luca, Catena, Fausto

العلاقة: World Journal of Emergency Surgery, T. 14; https://ruj.uj.edu.pl/xmlui/handle/item/146432Test

الإتاحة: https://doi.org/10.1186/s13017-019-0253-2Test
https://ruj.uj.edu.pl/xmlui/handle/item/146432Test

المؤلفون: Cristian Lupascu, Corina Lupascu-Ursulescu, Eugen Tarcoveanu, Felicia Crumpei, Oana Lovin, Ramona Cadar, Irene Spiridon, Mihaela Blaj, Alin Vasilescu, Ciprian Vasiluta, Nutu Vlad, Mihai Zabara, Ana Maria Trofin, Delia Rusu-Andriesi

المصدر: Chirurgia (Bucharest, Romania : 1990). 117(4)

مصطلحات موضوعية: Ki-67 Antigen, Treatment Outcome, Duodenal Neoplasms, Carcinoma, Humans, Surgery, Adenocarcinoma, Tumor Suppressor Protein p53, Prognosis

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::77aca1404f16e31f40781c4cb80f0009Test
https://pubmed.ncbi.nlm.nih.gov/36049099Test

المؤلفون: Cristian Lupascu, Ana Trofin, Mihai Zabara, Alexandra Vornicu, Ramona Cadar, Nutu Vlad, Oana Apopei, Valentin Grigorean, Corina Lupascu-Ursulescu

المصدر: Gastroenterology Research and Practice, Vol 2017 (2017)

مصطلحات موضوعية: Diseases of the digestive system. Gastroenterology, RC799-869

الوصف: Introduction. During the past decades, the safety of pancreatoduodenectomy has improved, with low mortality and reduced morbidity, particularly in centers with extensive experience. Emergency pancreatoduodenectomy is an uncommon event, for treatment of pancreaticoduodenal trauma, bleeding, or perforation. We herein present a single center experience concerning nontrauma emergency pancreatoduodenectomy for pancreaticoduodenal bleeding. Methods. From January 2007 to December 2015, from a population of 134 PD (70 males and 64 females, mean age 62.2, range 34–82), 5 patients (3.7%; 2 males and 3 females, mean age 64, range 57–70) underwent one-stage emergency pancreatoduodenectomy for uncontrollable nontrauma pancreaticoduodenal bleeding in our tertiary center. Results. All the 5 patients underwent a backwards Whipple with a morbidity of 60% and a mortality of 20% (1/5). The other 4 patients were recovered and discharged with a median postoperative length of stay of 17 days (range 14–23). Conclusion. Emergency pancreatoduodenectomy is a definitive life-saving procedure allowing for a rapid control of bleeding when other less invasive approaches (transcatheter arterial embolization or interventional endoscopy) are exhausted, unavailable, or unsafe. It should be particularly considered in neoplastic disease and tailored by surgeons with a high level of experience in pancreatic surgery.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1687-6121Test; https://doaj.org/toc/1687-630XTest

الوصول الحر: https://doaj.org/article/814bbd5e29b849bab90defc5f863fa95Test

المؤلفون: Florin Mihai, Carol Stanciu, Laura Huiban, Ana-Maria Singeap, Anca Trifan, Tudor Cuciureanu, Stefan Chiriac, Nutu Vlad, Mihai Danciu

المصدر: World Journal of Clinical Cases

مصطلحات موضوعية: medicine.medical_specialty, Gastrointestinal bleeding, Computed tomography, Video capsule endoscopy, 03 medical and health sciences, 0302 clinical medicine, Intussusception (medical disorder), Case report, otorhinolaryngologic diseases, medicine, medicine.diagnostic_test, business.industry, General Medicine, Lipoma, medicine.disease, digestive system diseases, body regions, stomatognathic diseases, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Radiology, business, Intussusception, Obscure gastrointestinal bleeding

الوصف: BACKGROUND Intestinal lipomas are rare benign gastrointestinal (GI) tumors, usually asymptomatic, but may become symptomatic as the result of some complications such as intussusception, intestinal obstruction, volvulus or bleeding. They can occur at any site along the entire GI tract, more frequent in colon and rarely in small intestine. The patient reported here is a very rare case of jejunal lipoma, ulcerated and intussuscepted, diagnosed in an adult investigated for a chronic iron deficiency anemia (IDA), and successfully managed by segmental jejunal resection. CASE SUMMARY A 63-year-old male was referred to “St. Spiridon” Hospital, Institute of Gastroenterology and Hepatology, Iasi, to investigate an obscure GI bleeding with an IDA. After upper GI endoscopy and colonoscopy were performed, excluding potentially bleeding lesions, videocapsule endoscopy was then carried out, revealing fresh blood and a protruding lesion in proximal jejunum, findings confirmed by a single-balloon enteroscopy. Multiple biopsies were taken from the lesion, but histological results were inconclusive. Then, contrast - enhanced computed tomography was performed showing jejunal polypoid mass with homogenous fat density, suggestive for lipoma. A week later a laparotomy was performed revealing the intussuscepted jejunal segment which was resected en bloc, and sent for further histopathologic analysis. The patient made an uneventful recovery and was discharged seven days later, and at six months follow-up he had no complains and his hemoglobin returned to normal value. CONCLUSION Lipomas are very rarely located in the jejunum, usually asymptomatic, but they may lead to complications such as intussusception and bleeding. Surgical resection remains the treatment of choice.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::df218ae87f0a561f33c13d6da52e6d82Test
https://doi.org/10.12998/wjcc.v7.i22.3765Test

المؤلفون: Anyfantakis, Dimitrios, Sartelli, Massimo, Abu-Zidan, Fikri, Labricciosa, Francesco, Kluger, Yoram, Coccolini, Federico, Ansaloni, Luca, Lepaniemi, Ari, Kirkpatrick, Andrew, Tolonen, Matti, Trana, Cristian, Regimbeau, Jean-Marc, Hardcastle, Timothy, Koshy, Renol, Abbas, Ashraf, Aday, Ullas, Adesunkanmi, A.R.K., Ajibade, Adesina, Akhmeteli, Lali, Akn, Emrah, Akkapulu, Nezih, Alotaibi, Alhenouf, Altintoprak, Fatih, Atanasov, Boyko, Augustin, Goran, Azevedo, Constanca, Bala, Miklosh, Balalis, Dimitrios, Baraket, Oussama, Baral, Suman, Barkai, Or, Beltran, Marcelo, Bini, Roberto, Bouliaris, Konstantinos, Caballero, Ana, Calu, Valentin, Catani, Marco, Ceresoli, Marco, Charalampakis, Vasileios, Jusoh, Asri, Chiarugi, Massimo, Cillara, Nicola, Cobos Cuesta, Raquel, Cobuccio, Luigi, Cocorullo, Gianfranco, Colak, Elif, Conti, Luigi, Cui, Yunfeng, De Simone, Belinda, Delibegovic, Samir, Demetrashvili, Zaza, Demetriades, Demetrios, Dimova, Ana, Dogjani, Agron, Enani, Mushira, Farina, Federica, Ferrara, Francesco, Foghetti, Domitilla, Fontana, Tommaso, Fraga, Gustavo, Gachabayov, Mahir, Gerard, Gelpois, Ghnnam, Wagih, Gimenez Maurel, Teresa, Gkiokas, Georgios, Gomes, Carlos, Guner, Ali, Gupta, Sanjay, Hecker, Andreas, Hirano, Elcio, Hodonou, Adrien, Hutan, Martin, Ilaschuk, Igor, Ioannidis, Orestis, Isik, Arda, Ivakhov, Georgy, Jain, Sumita, Jokubauskas, Mantas, Karamarkovic, Aleksandar, Kaushik, Robin, Kenig, Jakub, Khokha, Vladimir, Khokha, Denis, Kim, Jae, Kong, Victor, Korkolis, Dimitris, Kruger, Vitor, Kshirsagar, Ashok, Lages Simoes, Romeo, Lanaia, Andrea, Lasithiotakis, Konstantinos, Leao, Pedro, Leon Arellano, Miguel, Listle, Holger, Litvin, Andrey, Lizarazu Perez, Aintzane, Lopez-Tomassetti Fernandez, Eudaldo, Lostoridis, Eftychios, Luppi, Davide, Machain V, Gustavo, Major, Piotr, Manatakis, Dimitrios, Marchini Reitz, Marianne, Marinis, Athanasios, Marrelli, Daniele, Martinez-Perez, Aleix, Marwah, Sanjay, McFarlane, Michael, Mesic, Mirza, Mesina, Cristian, Michalopoulos, Nickos, Misiakos, Evangelos, Goncalves Moreira, Felipe, Mouaqit, Ouadii, Muhtaroglu, Ali, Naidoo, Noel, Negoi, Ionut, Nikitina, Zane, Nikolopoulos, Ioannis, Nita, Gabriela-Elisa, Occhionorelli, Savino, Olaoye, Iyiade, Ordonez, Carlos, Ozkan, Zeynep, Pal, Ajay, Palini, Gian, Papageorgiou, Kyriaki, Papagoras, Dimitris, Pata, Francesco, Pędziwiatr, Michał, Pereira, Jorge, Pereira Junior, Gerson, Perrone, Gennaro, Pintar, Tadeja, Pisarska, Magdalena, Plehutsa, Oleksandr, Podda, Mauro, Poillucci, Gaetano, Quiodettis, Martha, Rahim, Tuba, Rios-Cruz, Daniel, Rodrigues, Gabriel, Rozov, Dmytry, Sakakushev, Boris, Sall, Ibrahima, Sazhin, Alexander, Semiao, Miguel, Sharda, Taanya, Shelat, Vishal, Sinibaldi, Giovanni, Skicko, Dmitrijs, Skrovina, Matej, Stamatiou, Dimitrios, Stella, Marco, Strzałka, Marcin, Sydorchuk, Ruslan, Teixeira Gonsaga, Ricardo, Noutakdie Tochie, Joel, Tomadze, Gia, Ugoletti, Lara, Ulrych, Jan, Umarik, Toomas, Uzunoglu, Mustafa, Vasilescu, Alin, Vaz, Osborne, Vereczkei, Andras, Nutu, Vlad, Walędziak, Maciej, Yahya, Ali, Yalkin, Omer, Yilmaz, Tonguc, Unal, Ali, Yuan, Kuo-Ching, Zachariah, Sanoop, Zilinskas, Justas, Zizzo, Maurizio, Pattonieri, Vittoria, Baiocchi, Gian, Catena, Fausto

العلاقة: https://ruj.uj.edu.pl/xmlui/handle/item/103762Test; eng

الإتاحة: https://doi.org/10.1186/s13017-019-0253-2Test
https://ruj.uj.edu.pl/xmlui/handle/item/103762Test

المؤلفون: Lucian Savin, Marius, Mihai, Florin, Gheorghe, Liliana, Lupascu Ursulescu, Corina, Negru, Dragos, Maria Trofin, Ana, Zabara, Mihai, Nutu, Vlad, Cadar, Ramona, Blaj, Mihaela, Lovin, Oana, Crumpei, Felicia, Lupascu, Cristian

المصدر: Medicina (1010660X); Jul2021, Vol. 57 Issue 7, p1-13, 13p

مصطلحات موضوعية: PANCREATIC fistula, PANCREATICODUODENECTOMY, COMPUTED tomography, SURGICAL complications, LENGTH of stay in hospitals

مستخلص: Background and Objectives: Postoperative pancreatic fistula after cephalic pancreatoduodenectomy (CPD) is still the leading cause of postoperative morbidity, entailing long hospital stay and costs or even death. The aim of this study was to propose the use of morphologic parameters based on a preoperative multisequence computer tomography (CT) scan in predicting the clinically relevant postoperative pancreatic fistula (CRPF) and a risk score based on a multiple regression analysis. Materials and Methods: For 78 consecutive patients with CPD, we measured the following parameters on the preoperative CT scans: the density of the pancreas on the unenhanced, arterial, portal and delayed phases; the unenhanced density of the liver; the caliber of the main pancreatic duct (MPD); the preoperatively estimated pancreatic remnant volume (ERPV) and the total pancreatic volume. We assessed the correlation of the parameters with the clinically relevant pancreatic fistula using a univariate analysis and formulated a score using the strongest correlated parameters; the validity of the score was appreciated using logistic regression models and an ROC analysis. Results: When comparing the CRPF group (28.2%) to the non-CRPF group, we found significant differences of the values of unenhanced pancreatic density (UPD) (44.09 ± 6.8 HU vs. 50.4 ± 6.31 HU, p = 0.008), delayed density of the pancreas (48.67 ± 18.05 HU vs. 61.28 ± 16.55, p = 0.045), unenhanced density of the liver (UDL) (44.09 ± 6.8 HU vs. 50.54 ± 6.31 HU, p = 0.008), MPD (0.93 ± 0.35 mm vs. 3.14 ± 2.95 mm, p = 0.02) and ERPV (46.37 ± 10.39 cm3 vs. 34.87 ± 12.35 cm3, p = 0.01). Based on the odds ratio from the multiple regression analysis and after calculating the optimum cut-off values of the variables, we proposed two scores that both used the MPD and the ERPV and differing in the third variable, either including the UPD or the UDL, producing values for the area under the receiver operating characteristic curve (AUC) of 0.846 (95% CI 0.694–0.941) and 0.774 (95% CI 0.599–0.850), respectively. Conclusions: A preoperative CT scan can be a useful tool in predicting the risk of clinically relevant pancreatic fistula. [ABSTRACT FROM AUTHOR]

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المؤلفون: Ali Guner, Dimitrios Balalis, Ajay Pal, Fatih Altintoprak, Robin Kaushik, Iyiade Olaoye, Marianne Reitz, Mario Faro, Silvia Costa, Giulia Montori, Adamu Ahmed, Andras Vereczkei, Massimo Sartelli, Gia Tomadze, Carlos A. Gomes, Samir Delibegovic, Nickos Michalopoulos, Zeynep Ozkan, Ioannis Nikolopoulos, Gianfranco Cocorullo, Athanasio Marinis, Charalampos Seretis, Margarida Ferreira, Francesco Pata, Konstantinos Bouliaris, Padmakumar Ramakrishnapillai, Boris Sakakushev, Seckin Akkucuk, Giuseppe Novelli, Nutu Vlad, George Theobald, Boiko Atanasov, Tonguç U. Yilmaz, Miklosh Bala, Daniel Rios-Cruz, Wagih M. Ghnnam, Mouaqit Ouadii, Oussama Baraket, Sumita Jain, Georgy Ivakhov, Roberto Bini, Nadezda Kiseleva, Tadeja Pintar, Pedro Leão, Daniele Brunelli, Andreas Hecker, Marcelo Beltran, Matej Skrovina, Saila Kauhanen, Dmitry Smirnov, Eudaldo López-Tomassetti Fernandez, Andrey Litvin, Koray Das, Gian M. Palini, Aleksandar Karamarkovic, Salomone Di Saverio, Alain Chichom-Mefire, Varut Lohsiriwat, Gian L. Baiocchi, Gerson A. Pereira Júnior, Asri Che Jusoh, Gustavo P. Fraga, Piotr Major, Lali Akhmeteli, Michael McFarlane, Konstantinos Pouggouras, Ewen Griffiths, Arda Isik, Alfie Kavalakat, Jan Ulrych, Mustafa Y. Uzunoğlu, Deepak Vijayan, Aleix Martinez-Perez, Konstantinos Lasithiotakis, Giovanni Bellanova, Viktors Novikovs, Miguel Leon, Mahir Gachabayov, Martin Hutan, Marco Catani, Renato Bessa Melo, Charalampos Spyropoulos, Cui Yunfeng, Myftar Torba, Carlos A. Ordoñez, Lars I. Partecke, Ana Dimova, Eftychios Lostoridis, Magdalena Pisarska, Francesco M. Labricciosa, Aurelia L. Andreiev, Radu Moldovanu, Zaza Demetrashvili, Michał Pędziwiatr, Evangelos Misiakos, Abdelkarim Omari, Adrian Castillo, Francesco Ferrara, Cristian Tranà, Orestis Ioannidis, John Agboola, Isidoro Di Carlo, Alexander Sazhin, Marcin Strzałka, Cesar F. Ploneda-Valencia, Tamer El Zalabany, Elif Colak, Raghuveer Mysore Narayana, Elcio S. Hirano, Jakub Kenig, Ricardo A. Teixeira Gonsaga, Nereo Vettoretto, Adrien Hodonou, Vladimir Khokha, Dimitrios Anyfantakis, Federico Coccolini, Cristian Mesina, Ionut Negoi, Vinod Prabhu, Victor Kong, Maciej Walędziak, Ashraf Abbas, Luca Ansaloni, Vishal Shelat, Dimitrios Manatakis, Mantas Jokubauskas, Dennis Kim, Jean-Marc Regimbeau, Peep Talving, Kuo-Ching Yuan, Jae I. Kim, Sanjay Gupta, Alin Vasilescu, Aurélien Venara, Gérard Grelpois, Teresa Giménez Maurel, Georgios Gkiokas, Desmond Khor, Ali Mohamedahmed, James Maciel, Hariscine K. Abongwa, Sten Saar, Nezih Akkapulu, Justas Zilinskas, Fausto Catena, Raul Coimbra

المساهمون: kirurgia, Surgery, PET tutkimus, PET Research, tyks, vsshp, tyks, vsshp, 2607309

الوصف: Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments. Methods: This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study. Results: A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%. Conclusions: The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.

العلاقة: 13; ARTN 19; World Journal of Emergency Surgery; 19; https://www.utupub.fi/handle/10024/155092Test; URN:NBN:fi-fe2021042719211

الإتاحة: https://www.utupub.fi/handle/10024/155092Test