Hepato Gastroenterol
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Hepato Gastroenterol · Sep 2014
Multicenter StudyThe epidemiology and distribution of pathogens and risk factors for mortality in liver transplant recipients with Gram negative bacteremia.
More data on the epidemiology and distribution of pathogens and the risk factors for mortality in liver transplant recipients with Gram negative bacteremia are needed. METHODs: Among a cohort of 228 liver transplant recipients, we identified 35 patients with initial episodes of Gram negative bacteremia after operation. The association between the risk factors and Gram negative bacteremia related mortality was assessed. ⋯ The risk factors significantly associated with increased mortality due to Gram negative bacteremia in liver transplant recipients are decreased serum albumin level and septic shock.
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Hepato Gastroenterol · Sep 2014
ReviewEndoscopic ultrasound guided radiofrequency ablation in pancreas.
Radiofrequency ablation of the pancreas represents a more effective tumor-destruction method compared to other ablation techniques. The endoscopic ultrasound guided radiofrequency ablation is indicated for locally advanced, non-metastatic pancreatic adenocarcinoma, without the need of general anesthesia and fast recovery. ⋯ It has been successfully applied on insulinomas and pancreatic adenocarcinoma in humans, with few complications, such as duodenal bleeding or mild abdominal pain. Other side effects as biliary fistula, pancreatic fistula or acute pancreatitis seen in intraoperative settings of radiofrequency ablation, have not been reported in endoscopic ultrasound guided radiofrequency ablation.
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Hepato Gastroenterol · Sep 2014
Comparative StudyTiming of laparoscopic cholecystectomy for mild and moderate acute cholecystitis.
The timing of a laparoscopic cholecystectomy (LC) for acute cholecystitis (AC) remains controversial. Traditionally, LC for AC is performed within 3 days. We designed this study so that the cut-off time of LC for AC was within 7 days of admission, based on severity. ⋯ DLC had no advantage over ELC. ELC for AC is preferable in cost–effect. Even if the operation cannot be scheduled early, proper initial treatment, including percutaneous cholecystectomy with or without endoscopic nasal bile drainage for moderate AC, enables DLC a safe option.
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Hepato Gastroenterol · Sep 2014
Comparative StudyEffect of landiolol hydrochloride on tachyarrhythmia after esophagectomy.
The objective of this study was to evaluate the efficacy and safety of landiolol hydrochloride, a newly developed ultra-short-acting β1-selective blocker, for postoperative tachyarrhythmia after esophagectomy. ⋯ Landiolol hydrochloride can be effectively and safely used in patients who develop tachyarrhythmia after esophagectomy.
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Hepato Gastroenterol · Jul 2014
C-reactive protein as a prognostic factor for mortality in pneumonia patients with liver cirrhosis.
C-reactive protein (CRP) is considered a useful predictor of mortality from community- acquired pneumonia (CAP). Serum CRP concentration reflects its production in the liver, and impaired liver function may affect CRP level. The purpose of this study was to evaluate whether the initial CRP level is a prognostic factor for mortality from CAP in patients with liver cirrhosis (LC). ⋯ Higher initial serum CRP level is associated with lower mortality risk in CAP patients with LC.