Boerhaave Syndrome Presenting as Gastric Emphysema

Publication date: Available online 28 March 2019Source: Cirugía Española (English Edition)Author(s): Patricia Ciriano Hernández, Irene Grao Torrente, Elena Viejo Martínez, Fernando Turégano Fuentes
Source: Cirugia Espanola - Category: Surgery Source Type: research

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Authors: Bang YS, Park C Abstract A recent achalasia guideline suggests that peroral endoscopic myotomy (POEM) is a safe option for achalasia that is as effective as Heller myotomy. It is recommended that POEM should be performed under general anesthesia. The incidence of adverse events such as bleeding, perforation, and carbon dioxide insufflation-related complications was lower in POEM under endotracheal general anesthesia than in POEM under sedation. Subcutaneous emphysema, pneumothorax, pneumomediastinum, pneumoperitoneum, and accompanying hemodynamic instability can be caused by carbon dioxide insufflation. Tr...
Source: Clinical Endoscopy - Category: Gastroenterology Tags: Clin Endosc Source Type: research
PMID: 31298928 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - Category: Respiratory Medicine Authors: Tags: Am J Respir Crit Care Med Source Type: research
Conclusions: Solid conclusions regarding the respiratory consequences of regular cannabis smoking are difficult to make due to a relative paucity of literature, confounding by concurrent tobacco smoking and reports of conflicting outcomes. Additional well-controlled clinical studies on the pulmonary consequences of habitual cannabis use are needed. PMID: 31298945 [PubMed - as supplied by publisher]
Source: The American Journal of Drug and Alcohol Abuse - Category: Addiction Authors: Tags: Am J Drug Alcohol Abuse Source Type: research
AbstractIntroductionSeveral studies have reported that single nucleotide polymorphisms (SNPs) in the gene encoding NF-E2-related factor 2 (Nrf2) contribute to airflow limitations in smokers without COPD. Although small airway lesions and emphysema contribute cooperatively to airflow limitation, the relationship between Nrf2 SNPs and the development of emphysema in smokers without COPD is not well understood.MethodsHealthy subjects who underwent an annual health checkup with computed tomography (CT) of the chest at Osaka City University Hospital were prospectively recruited. The percentage of low-attenuation area (%LAA) on ...
Source: Lung - Category: Respiratory Medicine Source Type: research
Exposure to pollutants had harmful effects similar to that from smoking.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Lungs Air Pollution Respiratory System Smoking and Tobacco Chronic Obstructive Pulmonary Disease Emphysema Source Type: news
Smoking and physical inactivity are important preventable causes of disability and early death worldwide. Reduced exercise tolerance has been described in smokers, even in those who do not fulfil the extant physiological criteria for chronic obstructive pulmonary disease (COPD) and are not particularly sedentary. In this context, it is widely accepted that exercise capacity depends on complex cardio-pulmonary interactions which support oxygen (O2) delivery to muscle mitochondria. Although peripheral muscular factors, O2 transport disturbances (including the effects of increased carboxyhemoglobin), and autonomic nervous sys...
Source: Frontiers in Physiology - Category: Physiology Source Type: research
Condition:   Pulmonary Emphysema Interventions:   Diagnostic Test: Lung ultrasound;   Diagnostic Test: Chest radiography;   Diagnostic Test: Pulmonary function tests;   Other: Clinical examination Sponsor:   University Hospital, Rouen Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
J Knee Surg DOI: 10.1055/s-0039-1693450There is a paucity of literature comparing the relative merits of open arthrotomy versus arthroscopy for the surgical treatment of septic knee arthritis. The primary goal of this study is to compare the risk of perioperative complications between these two surgical techniques. To this end, 560 patients treated for septic arthritis of the native knee with arthroscopy were statistically matched 1:1 with 560 patients treated with open arthrotomy. The outcome measures included major complications, minor complications, mortality, inpatient hospital charges, and length of stay (LOS). Major ...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research
Chronic obstructive pulmonary disease (COPD) is characterised by nonreversible proximal bronchial obstruction leading to major respiratory disability. However, patient phenotypes better capture the heterogeneously reported complaints and symptoms of COPD. Recent studies provided evidence that classical bronchial obstruction does not properly reflect respiratory disability, and symptoms now form the new paradigm for assessment of disease severity and guidance of therapeutic strategies. The aim of this review was to explore pathways addressing COPD pathogenesis beyond proximal bronchial obstruction and to highlight innovativ...
Source: European Respiratory Review - Category: Respiratory Medicine Authors: Tags: COPD and smoking Review Source Type: research
This study used 60 anonymized chest CT cases from a public database called “The Cancer Imaging Archive”. Eight thousand images from 40 cases were used for training. Eight hundred and 80 images from another 20 cases were used for quantitative and qualitative evaluation, respectively. Sparse-view CT images subsampled by a factor of 20 were simulated, and two CNNs were trained to create denoised images from the sparse-view CT. A CNN based on U-net with residual learning with four contracting and expanding paths (the preceding CNN) was compared with another CNN with eight contracting and expanding paths (the propos...
Source: Academic Radiology - Category: Radiology Source Type: research
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