Clinical Evaluation of Continuous Renal Replacement Therapy in Combination with Ultrasound-Guided Percutaneous Transhepatic Gallbladder Drainage for Acute Severe Biliary Pancreatitis: a Retrospective Study

Conclusion: CRRT in combination with PTGD is more effective in the treatment of ASBP than CRRT alone.Kidney Blood Press Res 2017;42:1030 –1039
Source: Kidney and Blood Pressure Research - Category: Urology & Nephrology Source Type: research

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Endoscopic ultrasound (EUS) is increasingly used to investigate conditions that pose a diagnostic challenge e.g. a single episode of unexplained acute pancreatitis (AP), dilated common bile duct (CBD) and several abdominal pain syndromes. However, data on the utility of EUS for such indications is scarce. Our aim is to investigate the diagnostic yield of EUS in a tertiary referral unit and, uniquely, its effect on clinical outcome.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Monday abstract Source Type: research
Authors: Garber A, Frakes C, Arora Z, Chahal P Abstract Acute pancreatitis represents a disorder characterized by acute necroinflammatory changes of the pancreas and is histologically characterized by acinar cell destruction. Diagnosed clinically with the Revised Atlanta Criteria, and with alcohol and cholelithiasis/choledocholithiasis as the two most prominent antecedents, acute pancreatitis ranks first amongst gastrointestinal diagnoses requiring admission and 21st amongst all diagnoses requiring hospitalization with estimated costs approximating 2.6 billion dollars annually. Complications arising from acute panc...
Source: Gastroenterology Research and Practice - Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research
Endosc Int Open 2018; 06: E553-E557 DOI: 10.1055/a-0587-4827 Background and study aims Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is widely performed to obtain pathological evidence from several parts of the body. Major complications of EUS-FNA are bleeding, pancreatitis, and abdominal pain. Needle fracture is a rare complication of EUS-FNA and only a few relevant reports are available. Here, we report a case of needle fracture during EUS-FNA using a needle with a side hole. A 61-year-old man underwent EUS-FNA of the uncinate process of the pancreas to confirm malignancy. A 20-gauge needle with a...
Source: Endoscopy International Open - Category: Gastroenterology Authors: Tags: Case report Source Type: research
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 234. Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL Question 1: What is Stabler sign? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1709146611'));expand(document.getElementById('ddetlink1709146611')) Stabler...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Frivolous Friday Five appendicitis botulism cullen echinococcus granulosus ectopic pregnancy Francois Henri Hallopeau hair hydatid Kenya Rovsing's Selman Waksman Stabler's sign Trichotillomania trichotillomaniac water lily si Source Type: blogs
Conclusion Endoscopic ultrasound guided assessment and treatment of gastrointestinal duplication cysts is increasingly reported in adults. To the best of our knowledge, only one case of endoscopic treatment of duodenal duplication cyst, in an older child, has been reported thus far in the paediatric literature. In this paper, we review the current literature and discuss the therapeutic options of this rare condition.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
32  year old male presented with abdominal pain of one week duration. He was diagnosed with alcohol related necrotizing pancreatitis 10 weeks ago. Computed tomography (CT) of abdomen revealed a large, walled off necrosis (WON) compressing the stomach. The WON was divided into two parts by a thin sept um (Fig. 1A; arrows), as demonstrated on endoscopic ultrasound (EUS) also (Fig. 1B; arrows). Under EUS guidance the WON was punctured using a 19 G needle and thereafter the needle was pushed further inwards, piercing the dividing septum of WON also.
Source: Digestive and Liver Disease - Category: Gastroenterology Authors: Tags: Image of the Month Source Type: research
We report a patient with type I choledochal cyst(s) who had concomitant acute frank hemorrhagic pancreatitis. A 14-year-old male noted with a history of recurrent abdominal pain, fever and jaundice. Ultrasonography (US) of abdomen at the Emergency Department depicted distended gall bladder with wall thickening. Apparently dilated intrahepatic ducts (IHDs) and fusiform dilatation of the common bile duct (CBD), and mild dilatation of the pancreatic duct were also noted, suggesting a type I choledochal cyst( ). Computed tomography (CT) demonstrated calcifications in the uncinate process of the pancreas in addition to the simi...
Source: Journal of Medical Ultrasound - Category: Radiology Source Type: research
Abstract Most cases of acute pancreatitis are related to gallstones. More than 80% resolve within a few days. The diagnosis is based on upper abdominal pain, elevated lipase and/or amylase, and transabdominal ultrasound findings. Management requires early aggressive hydration, pain control, nutritional support, and monitoring for progression. Patients who develop hypovolemia, systemic inflammatory response, pancreatic necrosis, and organ failure have high mortality, risk of recurrence, and progression to chronic pancreatitis (CP). Genetic predisposition and repeated injury may be necessary for CP. Management requi...
Source: Primary Care - Category: Primary Care Authors: Tags: Prim Care Source Type: research
Question: A 58-year-old woman with a history of ulcerative colitis in clinical remission was referred for endosonographic evaluation of a periduodenal mass. She developed abdominal pain in the right upper quadrant and lost 15 lbs over the preceding 3 months. She denied jaundice. Laboratory studies were remarkable for an elevated alkaline phosphatase (ALP) of>1000 U/L (normal range, 38 –126) without elevation of aminotransferases or bilirubin. She had no history of cholelithiasis or pancreatitis, and no family history of pancreatic cancer.
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Clinical Challenges and Images in GI Source Type: research
Rationale: Parathyroid carcinoma is a rare endocrine malignancy. Acute pancreatitis as an initial manifestation of parathyroid carcinoma has been rarely reported. Patient concerns: A 22-year-old woman was admitted to emergency room with a sudden attack of severe epigastric pain. Diagnoses: Acute pancreatitis was diagnosed as elevated levels of serum amylase. During the work-up for acute pancreatitis, patient's abnormally increased serum calcium and bones destruction revealed by abdominal computed tomography (CT) scan raised the suspicion of hyperparathyroidism or malignancy. Elevated serum parathyroid hormone (PTH)...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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