Rational diagnostics of acute appendicitis.

[Rational diagnostics of acute appendicitis]. Chirurg. 2018 Oct 26;: Authors: Hoffmann M, Anthuber M Abstract Acute appendicitis is one of the most common abdominal emergencies. An accurate preoperative diagnosis is still a challenge in many cases. Patient history and clinical examination are the mainstay of diagnostics but other tools are also needed in order to reduce the number of misdiagnoses. Laboratory parameters and radiological imaging procedures are widely used and scoring systems can help in the risk stratification of patients with suspected appendicitis. In the USA most patients undergo preoperative computed tomography (CT) as the first-line examination, which can reduce the number of negative appendectomies to less than 5%; however, this practice results in substantial radiation exposure and is less accepted in Europe due to concerns about radiation-induced cancer in the often younger patients. Ultrasound is a valuable first-line imaging procedure and in experienced hands can achieve very good results. In patients with an equivocal diagnosis inpatient surveillance with close control of clinical and laboratory parameter represents a suitable method to reduce the number of negative explorations without resulting in an increase in the rate of perforation or morbidity. PMID: 30367207 [PubMed - as supplied by publisher]
Source: Der Chirurg - Category: Surgery Authors: Tags: Chirurg Source Type: research

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This study represents one of the largest cohorts and with a long follow-up. For tumors smaller than 10 mm appendicectomy was sufficient as a curative procedure, as revealed by the good outcome. This series presented a 100% disease-free survival. The indolent phenotype of appendix NENs is supported by the expression of markers that point towards a strong inhibition of cell replication and growth inhibition.
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Article Source Type: research
CONCLUSIONS: This Cochrane review has indicated that there are no RCTs to compare management options in this vital area, therefore trials should be undertaken as a matter of urgency. The problems with such randomised methods are standardising surgery and endotherapies in all sites, standardising histopathology in all centres, assessing which patients are fit or unfit for surgery and making sure there are relevant outcomes for the study (i.e. long-term survival (over five or more years)) and no progression of HGD. PMID: 32442322 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Authors: Dal Moro F, Terrosu G, Lorenzin D, Cherchi V, Goffo F, Lissandrello G, Ferraioli G, Zaborra C, Risaliti A Abstract We demonstrated that a complete left ureteral substitution with appendix is a feasible and safe technique. To our knowledge, this is the first case of a successful complete substitution of the left ureter with vermicular appendix in an adult patient reported in the literature. PMID: 32409238 [PubMed - as supplied by publisher]
Source: Progres en Urologie - Category: Urology & Nephrology Tags: Prog Urol Source Type: research
AbstractCommunicating research findings is an essential step in the research process. Often, peer-reviewed journals are the forum for such communication, yet many researchers are never taught how to write a publishable scientific paper. In this article, we explain the basic structure of a scientific paper and describe the information that should be included in each section. We also identify common pitfalls for each section and recommend strategies to avoid them. Further, we give advice about target journal selection and authorship. In the appendix, we provide an example of a high-quality scientific paper, with annotations ...
Source: Journal of Cancer Education - Category: Cancer & Oncology Source Type: research
AbstractBackgroundRight-sided colonic diverticulitis represents less than 5% of diverticulitis cases in North America. The purpose of this study was to describe the management and outcomes for patients with a first episode of right-sided diverticulitis in a North American center.MethodsThis was a retrospective cohort study, including all patients managed for right-sided diverticulitis at a single tertiary-care institution from 2000 to 2017. Patient demographics, disease characteristics, and treatment strategies were described. Short- (emergency surgery, operative morbidity, treatment failure) and long-term (recurrence, ele...
Source: World Journal of Surgery - Category: Surgery Source Type: research
Conclusion: In this article, we will discuss the clinical and imaging features of BL with the role of USG, CT scan and positron emission tomography/CT in the abdominopelvic imaging of pediatric patients.
Source: Journal of Cancer Research and Therapeutics - Category: Cancer & Oncology Authors: Source Type: research
BOSTON (CBS) – Doctors from Massachusetts hospitals combined to release a series of public service announcements on Thursday urging people who are suffering from serious conditions not to wait for treatment because of coronavirus fears. Doctors said a significant number people with serious ailments are avoiding treatment because they are concerned about being exposed to coronavirus. The series of PSAs will air on Boston television stations starting Thursday. “It’s important that people are cared for when they’re sick, whether that’s for COVID-19 or for something else,” Gov. Charlie Baker...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Featured Health Syndicated CBSN Boston Syndicated Local Cornavirus Coronavirus Gov. Charlie Baker Source Type: news
Dr. Laura Mulvey, 33, practices emergency medicine at Maimonides Medical Center in Brooklyn, New York. After spending six days receiving treatment in her own hospital, she is now recovering at home from what is presumed to be COVID-19, though her test was inconclusive. What follows is a lightly-edited transcript of her story as told to TIME. Early on, sometime in February, [COVID-19] was something that people were thinking about. And worried about. Certainly, the worries were not what they are now. But hospital-wise, we had a bit of an earlier jump on it, because we recognized that this was a potential threat. We’re ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized COVID-19 UnitedWeRise20Disaster Source Type: news
The ability to sense visceral pain during appendicitis is diminished with age leading to delay in seeking health care and poorer clinical outcomes. To understand the mechanistic basis of this phenomenon, we examined visceral nociception in aged mouse and human tissue. Inflamed and noninflamed appendixes were collected from consenting patients undergoing surgery for the treatment of appendicitis or bowel cancer. Supernatants were generated by incubating samples in buffer and used to stimulate multiunit activity in intestinal preparations, or single-unit activity from teased fibres in colonic preparations, of young and old m...
Source: Pain - Category: Anesthesiology Tags: Research Paper Source Type: research
We present this rare case of mass-like appendiceal actinomycosis treated with single-port laparoscopic method. PMID: 32178493 [PubMed - as supplied by publisher]
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research
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