Treatment Algorithm for Anal Fissure. Consensus Document of the Spanish Association of Coloproctology and the Coloproctology Division of the Spanish Association of Surgeons

Publication date: May 2018Source: Cirugía Española (English Edition), Volume 96, Issue 5Author(s): Antonio Arroyo, Elisa Montes, Teresa Calderón, Isabel Blesa, Manuela Elía, Gervasio Salgado, Juan García-Armengol, Fernando de-la-PortillaAbstractThe Spanish Association of Coloproctology and the Coloproctology Division of the Spanish Association of Surgeons propose this consensus document with a treatment algorithm for anal fissure that could be used for decision making. Non-surgical therapy and surgical treatment of anal fissure are explained, and the recommended algorithm is provided. The methodology used was: creation of a group of experts; search in PubMed, MEDLINE and the Cochrane Library for publications from the last 10 years about anal fissure; presentation at the 21st National Meeting of the Spanish Association of Coloproctology Foundation 2017 with voting for/against each conclusion by the attendees and review by the scientific committee of the Spanish Association of Coloproctology.ResumenDesde la Asociación Española de Coloproctología y la Sección de Coloproctología de la Asociación Española de Cirujanos se propone un documento de consenso sobre el algoritmo de actuación en el tratamiento de la fisura anal que pueda ser de utilidad en la toma de decisiones. En él se expone la actualidad en el tratamiento conservador, médico y quirúrgico, finalizando con un ...
Source: Cirugia Espanola - Category: Surgery Source Type: research

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Publication date: Available online 10 November 2019Source: Urology Case ReportsAuthor(s): Jonathan Kopel, Pranav Sharma, Irfan WarriachAbstractSolitary fibrous tumors (SFTs) are rare mesenchymal neoplasms found areas lining the pleura. First reported in 1931, there have been a total of 55 cases of SFTs of the kidney worldwide. In most cases, SFTs presents with hematuria, flank pain, and enlarging abdominal mass. In this case, we report a case of a patient who underwent a radical nephrectomy to remove an SFTs of the kidney with compression of the vena cava. This case further expands upon the importance of diagnosing and ass...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
AbstractHyperlipidemia and oxidative stress are indispensable features of chronic kidney disease (CKD) that favor the development of atherogenic plaques and cardiovascular disease (CVD). A number of vasoactive mediators including proprotein convertase subtilisin –kexin type 9 (PCSK9), endothelin-1, nitric oxide, and angiotensin II have fundamental roles in the pathophysiology of atherosclerotic events; moreover, their levels are affected by dyslipidemia and oxidative stress due to renal dysfunction. Therefore, therapeutic measures aimed at correcting dysl ipidemia and alleviating oxidative stress could potentially pr...
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
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Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
ConclusionsTrimetazidine did not exert significant renal protective effect on preventing CIN and in hosptial  major adverse clinical events in unselected patients undergoing PCI.
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
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Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
We examined the relationship between baseline MetS and renal dysfunction after a 3-year evaluation based on estimated glomerul ar filtration rate (eGFRCKDEPI) using the CKD-EPI equations modified by the Japan coefficient. CKD was defined as dipstick-positive proteinuria (>  or = 1 +) or a low eGFRCKDEPI (
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
ConclusionsFebuxostat presents a superior effect in delaying renal impairment progression compared with allopurinol in CKD patients complicated with HUA.
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
AbstractKidney injury molecule-1 (KIM-1) staining has been shown to be very useful in identifying acute proximal tubular injury, but its sensitivity, specificity and predicting values for the recovery of renal function after injury in renal biopsies have not been well established. In the first study, we randomly selected 184 renal biopsies from a wide age range of patients (children to elderly) with various renal diseases. KIM-1 staining scores were significantly correlated with serum creatinine (sCr) levels (P 
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
ConclusionIn renal cell carcinoma, rapid and successful drug development has resulted in multiple treatment options, requiring careful decision making for individual patients and have emphasized how newly developed therapies work.
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
Marc Rodwin of Suffolk University Law School reports that the French health system controls drug prices by determining maximum prices based on added therapeutic value and external reference pricing; employing negotiation to set prices and limit price increases; and capping total spending to a global budget.        
Source: The Commonwealth Fund: Publications - Category: International Medicine & Public Health Authors: Source Type: research
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