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1.
Zhonghua Wei Chang Wai Ke Za Zhi ; 23(1): 33-37, 2020 Jan 25.
Artigo em Chinês | MEDLINE | ID: mdl-31958928

RESUMO

The rapid development of computer technologies brings us great changes in daily life and work. Artificial intelligence is a branch of computer science, which is to allow computers to exercise activities that are normally confined to intelligent life. The broad sense of artificial intelligence includes machine learning and robots. This article mainly focuses on machine learning and related medical fields, and deep learning is an artificial neural network in machine learning. Convolutional neural network (CNN) is a type of deep neural network, that is developed on the basis of deep neural network, further imitating the structure of the visual cortex of the brain and the principle of visual activity. The current machine learning method used in medical big data analysis is mainly CNN. In the next few years, it is the developing trend that artificial intelligence as a conventional tool will enter the relevant departments of medical image interpretation. In addition, this article also shares the progress of the integration of artificial intelligence and biomedicine combined with actual cases, and mainly introduces the current status of CNN application research in pathological diagnosis, imaging diagnosis and endoscopic diagnosis for gastrointestinal diseases.


Assuntos
Inteligência Artificial , Gastroenteropatias/diagnóstico , Gastroenteropatias/terapia , Diagnóstico por Computador , Humanos , Aprendizado de Máquina , Terapia Assistida por Computador
2.
Immunology ; 159(2): 167-177, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31646612

RESUMO

Immune checkpoint inhibition with monoclonal antibodies is becoming increasingly commonplace in cancer medicine, having contributed to a widening of therapeutic options across oncological indications. Disruption of immune tolerance is the key mechanism of action of checkpoint inhibitors and although immune-related adverse events are a typical class effect of these compounds, the relationship between toxicity and response is not fully understood. Awareness and vigilance are paramount in recognizing potentially life-threatening toxicities and managing them in a timely manner. In this review article, we provide an overview of the clinical features, pathological findings and management principles of common immune-related toxicities, attempting to provide mechanistic insight into an increasingly common complication of cancer therapy.


Assuntos
Antineoplásicos Imunológicos/efeitos adversos , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Doenças do Sistema Endócrino/induzido quimicamente , Gastroenteropatias/induzido quimicamente , Tolerância Imunológica/efeitos dos fármacos , Imunoterapia/efeitos adversos , Pneumopatias/induzido quimicamente , Terapia de Alvo Molecular/efeitos adversos , Neoplasias/tratamento farmacológico , Animais , Doença Hepática Induzida por Substâncias e Drogas/imunologia , Doença Hepática Induzida por Substâncias e Drogas/metabolismo , Doença Hepática Induzida por Substâncias e Drogas/terapia , Doenças do Sistema Endócrino/imunologia , Doenças do Sistema Endócrino/metabolismo , Doenças do Sistema Endócrino/terapia , Gastroenteropatias/imunologia , Gastroenteropatias/metabolismo , Gastroenteropatias/terapia , Humanos , Pneumopatias/imunologia , Pneumopatias/metabolismo , Pneumopatias/terapia , Neoplasias/imunologia , Neoplasias/metabolismo , Fatores de Risco , Evasão Tumoral/efeitos dos fármacos
4.
Gastroenterology ; 158(1): 76-94.e2, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31593701

RESUMO

Since 2010, substantial progress has been made in artificial intelligence (AI) and its application to medicine. AI is explored in gastroenterology for endoscopic analysis of lesions, in detection of cancer, and to facilitate the analysis of inflammatory lesions or gastrointestinal bleeding during wireless capsule endoscopy. AI is also tested to assess liver fibrosis and to differentiate patients with pancreatic cancer from those with pancreatitis. AI might also be used to establish prognoses of patients or predict their response to treatments, based on multiple factors. We review the ways in which AI may help physicians make a diagnosis or establish a prognosis and discuss its limitations, knowing that further randomized controlled studies will be required before the approval of AI techniques by the health authorities.


Assuntos
Inteligência Artificial , Diagnóstico por Computador/métodos , Gastroenterologia/métodos , Gastroenteropatias/diagnóstico , Hepatopatias/diagnóstico , Tomada de Decisão Clínica/métodos , Sistemas de Apoio a Decisões Clínicas , Árvores de Decisões , Gastroenteropatias/mortalidade , Gastroenteropatias/terapia , Humanos , Hepatopatias/mortalidade , Hepatopatias/terapia , Prognóstico , Resultado do Tratamento
5.
Gastroenterology ; 158(1): 95-110, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31626754

RESUMO

Glycans are sequences of carbohydrates that are added to proteins or lipids to modulate their structure and function. Glycans modify proteins required for regulation of immune cells, and alterations have been associated with inflammatory conditions. For example, specific glycans regulate T-cell activation, structures, and functions of immunoglobulins; interactions between microbes and immune and epithelial cells; and malignant transformation in the intestine and liver. We review the effects of protein glycosylation in regulation of gastrointestinal and liver functions, and how alterations in glycosylation serve as diagnostic or prognostic factors, or as targets for therapy.


Assuntos
Gastroenteropatias/diagnóstico , Hepatopatias/diagnóstico , Biomarcadores/metabolismo , Gastroenteropatias/mortalidade , Gastroenteropatias/terapia , Trato Gastrointestinal/imunologia , Trato Gastrointestinal/metabolismo , Glicômica , Glicosilação/efeitos dos fármacos , Humanos , Fígado/imunologia , Fígado/metabolismo , Hepatopatias/mortalidade , Hepatopatias/terapia , Polissacarídeos/metabolismo , Prognóstico , Proteômica , Linfócitos T/efeitos dos fármacos , Linfócitos T/imunologia , Linfócitos T/metabolismo , Fatores de Tempo
6.
Harefuah ; 158(12): 822-825, 2019 Dec.
Artigo em Hebraico | MEDLINE | ID: mdl-31823539

RESUMO

INTRODUCTION: In the last decade, the number of bariatric surgery procedures increased dramatically in Israel similar to what has occurred worldwide. Bariatric surgery procedures have a proven efficacy in the treatment of morbid obesity. However, post-operative complications that involve the gastrointestinal tract may occur. Beyond the importance of early diagnosis and treatment, it is crucial to understand that we may decrease and prevent some of the complications by selecting the bariatric procedure according to the patient's medical background. This review addresses diagnosis, treatment and prevention of gastrointestinal diseases pre- and post-bariatric surgery procedures. Recommended pre-operative diagnostic procedures are listed including the eradication of helicobacter pylori and the protective effect of proton pump inhibitors. We reviewed the effect of specific bariatric procedures on gastroesophageal reflux disease and on intestinal motility. Prevention and treatment of nutritional deficits and metabolic complications are also discussed. Finally, this document was written by a panel of experts representing the attitudes of the Israeli Societies for Metabolic and Bariatric Surgery (ISMBS), Pharmaceutical (PSI), Study of Obesity and the Israeli Gastroenterology and Liver Diseases Association, all endorsed by the Institute for Quality in Medicine of the Israeli Medical Association (IMA).


Assuntos
Cirurgia Bariátrica , Gastroenteropatias/diagnóstico , Gastroenteropatias/terapia , Helicobacter pylori , Humanos , Israel , Obesidade Mórbida
7.
Medicine (Baltimore) ; 98(50): e18325, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31852124

RESUMO

INTRODUCTION: Functional constipation (FC) is one of the common gastrointestinal disorders that affects people of almost every age. Persistent FC significantly affects quality of life and well-being along with economic burden on patients as well as health care system. Therapeutic efficacy of currently used treatment strategies becomes limited shortly after their discontinuation as constipation occurs again as a result of inappropriate dietary habits. Previous studies have revealed that light vegetarian diet (LVD) can significantly improve both typical and atypical subtypes of major traditional Chinese medicine (TCM) FC syndrome such as gastrointestinal damp-heat syndrome. This protocol aims at exploratorily investigating effectiveness and safety of LVD following a rigorous clinical trial. METHODS AND DESIGN: Total 92 patients in each of the 2 subtypes will be recruited in China-Japan Friendship Hospital for participating in this prospective, placebo-controlled, randomized trial and exploratory study. The patients in each subtype will be randomly divided into 4 groups according to 1:1:1:1 ratio with allocation concealment, which are drug + diet group, drug group, placebo + diet group and placebo group. Patients in the group with diet intervention will be required to strictly follow the LVD. The study will continue for a period of 28 days, including a drug or placebo supervised intervention and a 14th-day telephone follow-up. During the intervention, patients will be required to record a designed diary for controlling the diet quality (DQ) and analyzing the defecation. The study will focus investigation of complete spontaneous bowel movements (CSBM) per week as its primary outcome and constipation-related symptom rating scale (CSS), TCM syndrome scale (TCMSS), 48-hour gastrointestinal transit time (48-hour GITT), high resolution anorectal manometry (HRAM) and fecal flora detection (FFD) will be included in secondary outcomes. Furthermore, the study will also determine safety, DQ and compliance indicators. ETHICS AND DISSEMINATION: This study has been approved by China-Japan Friendship Hospital clinical research ethics committee (No. 2017-46-1). A SPIRIT checklist is available for this protocol. TRIAL REGISTRATION NUMBER: ChiCTR1800019686 in Chinese Clinical Trial Registry (WHO ICTRP member).


Assuntos
Constipação Intestinal/terapia , Dieta Vegetariana/métodos , Gastroenteropatias/terapia , Adulto , Constipação Intestinal/fisiopatologia , Defecação , Feminino , Gastroenteropatias/fisiopatologia , Trato Gastrointestinal/fisiopatologia , Humanos , Masculino , Medicina Tradicional Chinesa , Estudos Prospectivos , Ensaios Clínicos Controlados Aleatórios como Assunto , Recuperação de Função Fisiológica , Índice de Gravidade de Doença , Síndrome , Resultado do Tratamento
9.
Vet Clin North Am Equine Pract ; 35(3): 419-432, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31587977

RESUMO

A review of common gastrointestinal disorders of donkeys and mules is presented. Clinically relevant aspects of donkey behavior, anatomy, and physiology are highlighted. Diagnosis, management, and treatment of conditions affecting the gastrointestinal tract from stomach to rectum, including liver and pancreas, are discussed.


Assuntos
Equidae , Gastroenteropatias/veterinária , Doenças dos Cavalos/diagnóstico , Animais , Gastroenteropatias/diagnóstico , Gastroenteropatias/metabolismo , Gastroenteropatias/terapia , Doenças dos Cavalos/metabolismo , Doenças dos Cavalos/terapia , Cavalos
10.
Zhongguo Zhen Jiu ; 39(10): 1055-8, 2019 Oct 12.
Artigo em Chinês | MEDLINE | ID: mdl-31621256

RESUMO

OBJECTIVE: To evaluate the effect on the inflammatory indexes of septic gastrointestinal dysfunction treated with acupuncture at Jiaji (EX-B 2). METHODS: A total of 118 patients of septic gastrointestinal dysfunction were randomized into an observation group and a control group, 59 cases in each one. In the control group, mosapride citrate was prescribed for oral administration, 5 mg each time, 3 times a day, bifidobacterium triple viable capsules, 420 mg each time, twice a day, intravenous drip with omeprazole, 40 mg, twice a day. Additionally, the antibiotics and the symptomatic treatment were selected rationally for maintaining the functions of the important organs, e.g. heart, lung, brain and kidney, and water-electrolyte balance. In the observation group, on the routine management as the control group, acupuncture at Jiaji (EX-B 2, T6-T12) was added, the needles were retained for 30 min in each treatment, once a day, 10 days as one course and 1 course was required. Separately, on the 1st, 3rd, 6th and 10th days of treatment, the white blood cell (WBC) count, the levels of hypersensitive C-reactive protein (hs-CRP) and procalcitonin (PCT) were observed, the enteral nutrition feeding dose and gastrointestinal dysfunction score before and after treatment as well as the clinical effect were assessed in the two groups. RESULTS: The differences were not significant in the indexes mentioned above on 1st and 3rd days of treatment between the two groups (P>0.05). On the 6th and 10th days of treatment, regarding the gastrointestinal dysfunction score and inflammatory indexes count, the results in the observation group were lower than the control group (all P<0.05), and feeding dose in the observation group was higher than the control group (P<0.05). After treatment, the gastrointestinal dysfunction scores and inflammatory indexes count were all reduced and feeding dose was increased as compared with those before treatment in the patients of the two groups (all P<0.05). After treatment, the total effective rate was 91.5% (54/59) in the observation group, higher than 76.3% (45/59) in the control group (P<0.05). CONCLUSION: Acupuncture at Jiaji (EX-B 2) points achieves the satisfactory effect on septic gastrointestinal dysfunction and reduces the inflammatory indexes count.


Assuntos
Terapia por Acupuntura , Clorofenóis , Gastroenteropatias/terapia , Sepse , Pontos de Acupuntura , Estudos de Casos e Controles , Clorofenóis/uso terapêutico , Humanos , Agulhas
11.
Tech Vasc Interv Radiol ; 22(3): 119-124, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31623750

RESUMO

Endoscopy is an underutilized technique in the practice of interventional radiology. The objectives of this article are to discuss potential uses of interventional radiology-operated endoscopy and to outline basic endoscopy setup and equipment uses. Endoscopy represents a new frontier to the fluoroscopically-guided procedures in biliary, gastrointestinal, and genitourinary disease that interventional radiologists commonly perform. It shows promise to improve interventional radiology procedure success rates and reduce procedure-associated risk for patients. Endoscopy has been traditionally performed by gastroenterologists and urologists and is relatively new in the practice of interventional radiology. The hand-eye coordination and manual dexterity required to perform standard image-guided procedures places interventional radiologists in a unique position to introduce endoscopy into standard practice. A focused and collaborative effort is needed by interventional radiologists to learn the techniques required to successfully integrate endoscopy into practice.


Assuntos
Doenças Biliares/terapia , Endoscopia/tendências , Doenças Urogenitais Femininas/terapia , Gastroenteropatias/terapia , Doenças Urogenitais Masculinas/terapia , Radiografia Intervencionista/tendências , Doenças Biliares/diagnóstico por imagem , Competência Clínica , Difusão de Inovações , Endoscópios/tendências , Endoscopia/instrumentação , Endoscopia Gastrointestinal/tendências , Feminino , Doenças Urogenitais Femininas/diagnóstico por imagem , Gastroenteropatias/diagnóstico por imagem , Humanos , Masculino , Doenças Urogenitais Masculinas/diagnóstico por imagem , Destreza Motora , Radiografia Intervencionista/instrumentação , Radiologistas
12.
Tech Vasc Interv Radiol ; 22(3): 154-161, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31623756

RESUMO

Endoscopy is a technique used by interventional radiology (IR) in only a few centers throughout the United States. When used by IR, endoscopy is most well-known for its role in the treatment of hepatobiliary disease. However, its use with relation to pathology involving the gastrointestinal, genitourinary, and musculoskeletal systems is gaining momentum among IR. The purpose of this article is to demonstrate the potential benefits of IR endoscopy in nonbiliary intervention. A literature review, not requiring IRB approval, was performed via PubMed and Ovid Medline databases using the search terms "interventional radiology-operated endoscopy," "interventional endoscopy," "interventional radiology," "genitourinary," and "gastrointestinal." Literature describing IR endoscopy involving the gastrointestinal, genitourinary, and musculoskeletal systems were identified and described. Nine peer-reviewed articles were identified. While few studies were identified, a general theme suggesting a synergistic relationship between IR and endoscopy was noted. More studies are needed to better understand the role of endoscopy as a technique in the IR suite.


Assuntos
Endoscopia/métodos , Doenças Urogenitais Femininas/terapia , Gastroenteropatias/terapia , Doenças Urogenitais Masculinas/terapia , Doenças Musculoesqueléticas/terapia , Radiografia Intervencionista/métodos , Adulto , Endoscopia/efeitos adversos , Endoscopia Gastrointestinal , Feminino , Doenças Urogenitais Femininas/diagnóstico por imagem , Gastroenteropatias/diagnóstico por imagem , Humanos , Masculino , Doenças Urogenitais Masculinas/diagnóstico por imagem , Doenças Musculoesqueléticas/diagnóstico por imagem , Radiografia Intervencionista/efeitos adversos , Resultado do Tratamento
13.
Complement Ther Clin Pract ; 37: 68-72, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31491603

RESUMO

BACKGROUND AND PURPOSE: Somatic symptom disorder (SSD) refers to a significant impairment in daily activities due to a dysfunctional preoccupation with one or more physical symptoms. This study reports the effectiveness of herbal medicine (HM) on SSD patient. MATERIALS AND METHODS: A 58-year-old woman had somatic atypical gastrointestinal symptoms for 5 years; i.e., an uncomfortable feeling going from the stomach to the ear as well as related severe anxiety. A Korean medicine (KM) doctor presumed she had SSD and phlegm-dampness syndrome, consequently, Xiao Ban Xia Jia Fu Ling Tang was administered. Her anxiety symptoms were rated using the numerical rating scale and the Beck anxiety inventory. RESULTS: The somatic symptoms originating in the stomach and chest, as well as the severe anxiety, improved markedly after 2 months of KM treatment. CONCLUSION: HMs used for treating phlegm-dampness syndrome may be effective in treating conditions involving somatic symptoms and related anxiety.


Assuntos
Ansiedade/terapia , Preparações de Plantas/administração & dosagem , Plantas Medicinais/química , Transtornos Somatoformes/terapia , Feminino , Gastroenteropatias/psicologia , Gastroenteropatias/terapia , Humanos , Sintomas Inexplicáveis , Pessoa de Meia-Idade
14.
Rev Gastroenterol Mex ; 84(3): 303-309, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31383293

RESUMO

INTRODUCTION AND AIMS: Probiotics are effective in gastrointestinal disease management. In Mexico, there are no studies on the use and prescription of probiotics by healthcare professionals. Our aim was to evaluate probiotic use and prescription on the part of gastroenterologists and nutritionists. MATERIALS AND METHODS: An online survey questionnaire was sent to members of the Asociación Mexicana de Gastroenterología (n = 1042), the Asociación Mexicana de Nutriología (n = 220), and healthcare professionals registered at the Fourth International Symposium: Intestinal Microbiota (n = 1328). RESULTS: Response was 34% (997 questionnaires answered) and 570 (64%) of the respondents were women. Mean participant age was 36.2 years (range 18-83). Thirty-six percent of the participants were gastroenterologists, 46% were nutritionists, and 18% were chemists and microbiologists. Seventy-one percent of the respondents knew the Food and Agriculture Organization (FAO) definition of probiotics and recommended them «always¼ (64.9%), «rarely¼ (31.7%), and «never¼ (3.6%). Gastroenterologists indicated probiotics for the treatment of disease (56.5%) and nutritionists for health maintenance (39%). Ninety-seven percent of the gastroenterologists and 98% of the nutritionists evaluated probiotics as effective in gastrointestinal symptom management and considered them safe. The majority of the respondents did not know which probiotic strain was contained in the commercial probiotic product. CONCLUSIONS: The survey results showed that the participating gastroenterologists and nutritionists understood the concept of probiotics, recommended them frequently, and considered them safe. The gastroenterologists prescribed probiotics as therapeutic agents and the nutritionists to maintain health. There was a lack of knowledge about the microbial composition of the products containing probiotics available in Mexico.


Assuntos
Gastroenterologistas/estatística & dados numéricos , Nutricionistas/estatística & dados numéricos , Probióticos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Uso de Medicamentos/estatística & dados numéricos , Feminino , Gastroenteropatias/terapia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Internet , Masculino , México , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
15.
World J Gastroenterol ; 25(30): 4051-4060, 2019 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-31435163

RESUMO

Since its original application, gastrointestinal (GI) endoscopy has undergone many innovative transformations aimed at expanding the scope, safety, accuracy, acceptability and cost-effectiveness of this area of clinical practice. One method of achieving this has been to reduce the caliber of endoscopic devices. We propose the collective term "Miniature GI Endoscopy". In this Opinion Review, the innovations in this field are explored and discussed. The progress and clinical use of the three main areas of miniature GI endoscopy (ultrathin endoscopy, wireless endoscopy and scanning fiber endoscopy) are described. The opportunities presented by these technologies are set out in a clinical context, as are their current limitations. Many of the positive aspects of miniature endoscopy are clear, in that smaller devices provide access to potentially all of the alimentary canal, while conferring high patient acceptability. This must be balanced with the costs of new technologies and recognition of device specific challenges. Perspectives on future application are also considered and the efforts being made to bring new innovations to a clinical platform are outlined. Current devices demonstrate that miniature GI endoscopy has a valuable place in investigation of symptoms, therapeutic intervention and screening. Newer technologies give promise that the potential for enhancing the investigation and management of GI complaints is significant.


Assuntos
Tecnologia Biomédica/tendências , Endoscopia Gastrointestinal/tendências , Desenho de Equipamento/tendências , Gastroenteropatias/diagnóstico , Miniaturização/métodos , Tecnologia Biomédica/métodos , Endoscopia Gastrointestinal/instrumentação , Endoscopia Gastrointestinal/métodos , Gastroenteropatias/terapia , Humanos , Invenções , Programas de Rastreamento/instrumentação , Programas de Rastreamento/métodos , Programas de Rastreamento/tendências
16.
Curr Gastroenterol Rep ; 21(9): 47, 2019 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-31368086

RESUMO

PURPOSE OF REVIEW: To discuss the different forms of enteral nutrition, while outlining available evidence for its use in specific conditions and how enteral nutrition composition may or may not influence relevant outcomes. RECENT FINDINGS: Enteral nutrition formulas were originally conceived as a liquid form of nutrition for individuals who otherwise could not consume adequate calories through solid food. Over time, the emergence of specialty formulas marketed to benefit specific diseases or conditions has led to a broad range of potentially confusing options. While most options have theoretical benefit for their marketed conditions, the evidence demonstrating practical benefit is not consistent. Overall, the certainty of evidence for specialty formulas remains low or very low. In most instances, one could begin with standard polymeric formula, except in cases where disease-specific formulas are recommended. Much research is nonetheless still needed to clarify whether some disease-specific formulas are truly beneficial or merely theoretical features.


Assuntos
Nutrição Enteral , Cuidados Críticos/métodos , Diabetes Mellitus/terapia , Nutrição Enteral/classificação , Nutrição Enteral/métodos , Gastroenteropatias/terapia , Humanos , Nefropatias/terapia , Pneumopatias/terapia , Obesidade/terapia
18.
Zhonghua Wai Ke Za Zhi ; 57(8): 591-595, 2019 Aug 01.
Artigo em Chinês | MEDLINE | ID: mdl-31422628

RESUMO

Objective: To investigate the etiology, treatment method and prevention of gastrointestinal complications(GCs) after endovascular and open repair of abdominal aortic aneurysm (AAA). Methods: The clinical data of 716 cases who were diagnosed as AAA and underwent endovascular(EVAR) or open repair (OR) from Department of Vascular Surgery, Beijing Anzhen Hospital, Capital Medical University April 2009 to March 2017 were collected and analyzed retrospectively. There were 608 males (84.9%)and 108 females(15.1%), aging of 69.4 years (range: 52-86 years). There were 539 cases(75.3%) underwent EVAR and 177 cases(24.7%) underwent OR. The morbidity of GCs and mortality of GCs, such as acute pancreatitis, cholecystitis, ischemic colitis, intestinal obstruction and peptic ulcer, between EVAR and OR group were compared. The treatment of the GCs and the prognosis of the patients were reported. Results: The morbidity of GCs in EVAR and OR group were 4.6%(25/539)and 35.0%(62/177), respectively. There were 10 cases and 28 cases suffering from acute pancreatitis in EVAR and OR group, respectively; 4 cases and 6 cases suffering from cholecystitis in the two groups; 6 cases and 13 cases suffering from ischemic colitis in the two groups; 5 cases suffering from intestinal obstruction in OR group; 5 cases and 10 cases suffering from peptic ulcer in the two groups. Two patients died in EVAR group, and the peri-operative mortality was 0.37%, one died of ischemic colitis with acute myocardial infarction, the other died of ischemic colitis with septic shock. Six patients died in OR group, and the peri-operative mortality was 3.39%, two patients died of acute pancreatitis with intestinal necrosis, one patient died of cholangitis with peritonitis and septic shock, three patients died of ischemic colitis with acute renal failure or septicemia. Conclusions: The etiology of peri-operative GCs after AAA repair may include inferior mesenteric artery occlusion or ligation, pancreas injury, organ hypoperfusion and so on.


Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Gastroenteropatias/terapia , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Idoso , Idoso de 80 Anos ou mais , Procedimentos Endovasculares/efeitos adversos , Procedimentos Endovasculares/métodos , Feminino , Gastroenteropatias/etiologia , Gastroenteropatias/prevenção & controle , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Resultado do Tratamento , Procedimentos Cirúrgicos Vasculares/métodos
20.
Otolaryngol Clin North Am ; 52(5): 937-948, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31400814

RESUMO

The early efforts of pediatric airway surgeons, gastroenterologists, and pulmonologists to optimize surgical outcomes involved evaluating multiple organ systems for diseases negatively affecting surgery. This resulted in coordinated clinics with multiple services, ancillary testing, and endoscopic procedures, known as aerodigestive programs. These programs have nationally increased the value of care, with multidisciplinary experts delivering organized and efficient care to children with complex needs. This article describes the origin and value of aerodigestive programs within the modern health care landscape, serving as a primer for providers and administrators investigating how to facilitate aerodigestive or similar programs.


Assuntos
Serviços Técnicos Hospitalares/organização & administração , Gastroenteropatias/terapia , Equipe de Assistência ao Paciente/organização & administração , Doenças Respiratórias/terapia , Criança , Análise Custo-Benefício , Eficiência Organizacional , Humanos , Comunicação Interdisciplinar , Modelos Organizacionais , Desenvolvimento de Programas , Sistema Respiratório/cirurgia
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