Retrospective study recommends endoscopy when diagnosing lymphocytic colitis or eosinophilic gastrointestinal disorder in children with abdominal pain
Acta Paediatrica,Volume 0, Issue ja, -Not available-.
Rationale: Pulmonary sarcomatoid carcinoma (PSC) is an uncommon type of non-small cell lung cancer, exhibiting aggressive behavior and resistance to the conventional chemoradiotherapy. To date, the optimal treatment for PSC has not been elucidated. Patient concerns: Three male patients including a 69-year-old smoker (Case 1), a 45-year-old non-smoker (Case 2), and a 69-year-old smoker (Case 3) were admitted because of cough, back pain, and loss of body weight respectively. Diagnoses: Radiographical examinations in these patients showed bulky intrathoracic lesions, which were pathologically diagnosed as PSC staging ...
ConclusionsOur study of published trials indicates that using low, as opposed to standard, IAP during laparoscopic cholecystectomy may reduce patients ’ post-operative pain, including shoulder pain, and length of hospital stay. Heterogeneity in the pooled estimates and high risk of bias of the included trials suggest the need for high-quality, adequately powered RCTs to confirm these findings.
Conclusions: In the largest study to date of symptomatic individuals under 50 years of age undergoing colonoscopy in the USA, advanced CRN was most often detected in the distal colon and was associated with anemia, but not with abnormal bowel habits or abdominal pain. We also found that patients with CRN under 50 years of age were more likely to be male, smokers, and obese. These findings should prompt further investigation of these risk factors alone and in combination.
To the Editor In the ESCAPE randomized clinical trial, Dr Issa and colleagues concluded that early surgery compared with an endoscopy-first approach resulted in significantly less pain over 18 months among patients with chronic pancreatitis. We are concerned about the generalizability of the finding.
Conclusions: There was no significant difference in terms of chronic pain between PG and FS group. The use of PG is effective in TEP.
To compare the outcome of cold snare polypectomy (CSP) vs hot snare polypectomy (HSP) regarding incomplete resection rates, postcolonoscopy abdominal pain and adverse events rates in 5-9mm colorectal polyps.
Rates of surgical intervention in Crohn ’s disease have declined. However, a significant proportion of patients still require surgical resection and have been shown to have higher post-op pain scores and analgesia requirements. The aim of this study was to assess sedation requirements and comfort scores of post-operative Crohn’s disea se patients at endoscopy.
Esophagogastric junction outflow obstruction (EGJOO) is a rare but increasingly recognized, newly described disorder typically presenting with dysphagia and chest pain. On manometry it is characterized by failure of the lower esophageal sphincter (LES) to relax with wet swallow reflected by an elevated integrated relaxation pressure (IRP), yet with some preserved esophageal peristalsis, thus not fulfilling the diagnostic criteria for achalasia. At present there is no well-defined management algorithm thus pharmacotherapy, botulinum toxin injection, pneumatic dilation, and surgical myotomy are all used in everyday care with mixed results.
Functional abdominal pain is commonly related to visceral hypersensitivity (VH) and recent studies have shown success in management of such patients with Amitriptyline. A subgroup of patients with chronic RUQ pain post cholecystectomy routinely fail medical management and are referred for evaluation of Sphincter of Oddi (SOD) dysfunction/papillary stenosis. The association of RUQ pain, dilated common bile duct (CBD) and elevated liver function tests (LFT ’s) is strongly suggestive of papillary stenosis as it has been shown to benefit the most from biliary sphincterotomy.
In this study we sought, for the first time, to quantitatively analyze ergonomic strain during live endoscopic procedures. We hypothesized that physician-specific factors such as hand size, experience level, specialty-type, and handedness would impact ergonomic performance.