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Biodegradable Stents for Caustic Esophageal Strictures: Do They Work?

AbstractBiodegradable (BD) stents have been used for the management of various esophageal strictures (ES) but the experience of its use in caustic strictures is limited. The present study, aimed at evaluating efficacy of BD stents for the treatment of refractory caustic-induced ES, was a retrospective multi-center study conducted at three tertiary care centers in India wherein adult patients with refractory caustic induced strictures underwent placement of a BD stent. Patients were followed up for immediate complications and long term outcome. All 13 patients (39.3  ± 15.1 years) underwent successful BD stent placement. Retrosternal chest pain occurred in 2 patients and stent migration in 1 (7.6%) patient. At 3 months, restenosis with recurrence of dysphagia was seen in nine (69.2%) patients, at 6 months, 10 (77%) patients had dysphagia of whom three und erwent surgery and the remaining seven patients required dilatations. At 1 year, one patient remained asymptomatic while nine had dysphagia. The requirement for dilatation was once in 3 months in seven patients&once in a month in two patients. At 2  years, the requirement of dilatations was further reduced to once in 4–6 months in all patients. Over a 3 year follow up three (23%) patients had undergone surgery, one was free of symptoms while nine patients continued to be on periodic dilatation although the requirement had reduced to once in 4–6 mont...
Source: Dysphagia - Category: Speech Therapy Source Type: research

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Source: Topics in Pain Management - Category: Anesthesiology Tags: Article Source Type: research
Authors: Al-Mahrezi A PMID: 29026465 [PubMed]
Source: Oman Medical Journal - Category: Middle East Health Tags: Oman Med J Source Type: research
There are many things in life we can’t control—everything from tiny annoyances to tragedies. We can’t control if our grandmother gets cancer and passes away. We can’t control if we get cancer. We can’t control what others think, say or do. We can’t control what others think of us. We can’t control who our loved ones hang out with. We can’t control who we work with or who’s in charge. We can’t control Mother Nature, or today’s traffic. But, of course, we can control our reactions to all the things we can’t control. I’m sure you’ve heard that...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Health-related Inspiration & Hope Mental Health and Wellness Self-Help Stress control freak Controlling Behavior Coping Skills Disappointment Failure Perfectionism Resilience Source Type: blogs
CONCLUSION: This article presents a useful technique with low morbidity and mortality. Further investigation is needed, especially in our Mexico, where neuroendoscopical techniques are still in the development phase. PMID: 29026668 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
CONCLUSIONS: Over the past 17 years, opioids are still the most extensively used therapy, whereas we found only few trials investigating other drugs (e.g. paracetamol). Regional anesthesia techniques, especially thoracic epidural analgesia and intrathecal morphine administration, can effectively treat pain, but have not yet showed any significant impact on major clinical outcomes, with several concern related to their potential complications. To date multimodal analgesia with implementation of regional analgesia seems to be the best choice. In the future, better-designed studies should consider other drugs stratifying grou...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
Abstract Medicinal cannabis has already entered mainstream medicine in some countries. This systematic review (SR) aimed at evaluating the efficacy, acceptability and safety of cannabis‐based medicines for chronic pain management. Qualitative systematic review of SRs of randomized controlled trials with cannabis‐based medicines for chronic pain management. The Cochrane databases of SRs, Database of Abstracts of Reviews of Effects and PubMed were searched for SR published in the period January 2009 to January 2017. Assessment of the methodological quality of SR was performed by the AMSTAR checklist. Out of 748 papers id...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: Review Article Source Type: research
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