Identify clinical manifestation and endoscopic imaging of upper gastrointestinal tract SMTs
Evaluate the effectiveness of endoscopic biopsy by mucosal incision for upper gastrointestinal tract SMTs
Clinical, endoscopic imaging and the value of endoscopic biopsy by mucosal in...AnhDuongNguyen8
Identify clinical manifestation and endoscopic imaging of upper gastrointestinal tract SMTs
Evaluate the effectiveness of endoscopic biopsy by mucosal incision for upper gastrointestinal tract SMTs
Ligation-assisted endoscopic enucleation for the diagnosis and resection of s...Enrique Moreno Gonzalez
Ligation-assisted endoscopic enucleation (EE-L) was developed for the pathological
diagnosis and resection of small gastrointestinal tumors originating from the muscularis
propria. The technique combines endoscopic band ligation and endoscopic enucleation. The aim of this study was to evaluate the efficacy and safety of EE-L in the diagnosis and
resection of gastrointestinal tumors originating from the muscularis propria.
Clinical, endoscopic imaging and the value of endoscopic biopsy by mucosal in...AnhDuongNguyen8
Identify clinical manifestation and endoscopic imaging of upper gastrointestinal tract SMTs
Evaluate the effectiveness of endoscopic biopsy by mucosal incision for upper gastrointestinal tract SMTs
Ligation-assisted endoscopic enucleation for the diagnosis and resection of s...Enrique Moreno Gonzalez
Ligation-assisted endoscopic enucleation (EE-L) was developed for the pathological
diagnosis and resection of small gastrointestinal tumors originating from the muscularis
propria. The technique combines endoscopic band ligation and endoscopic enucleation. The aim of this study was to evaluate the efficacy and safety of EE-L in the diagnosis and
resection of gastrointestinal tumors originating from the muscularis propria.
Effect of Transition to Stapled Anastomosis on Anastomotic Leak Rates and Ope...Ramzi Amri
Abstract, Academic Surgical Congress 2014:
See also: http://www.ncbi.nlm.nih.gov/pubmed/25472748
Introduction
Stapled gastrointestinal anastomosis has gained wide adoption among the surgical community for its ease, speed, and its applicability in laparoscopic surgery. Over the last decade, anastomotic stapling grew to become the commonplace technique for colon cancer surgery at our center. This abstract assesses whether the increasing adoption of anastomotic stapling affected the rate of anastomotic leaks and duration of surgery.
Methods:
All patients operated on at our center for colon cancer from 2004 through 2011 were included. Rates of anastomotic leaks were compared between hand-sewn and stapled anastomosis, calculating relative risks and using Fischer's exact test and Chi-square tests to assess for significance. Univariate and multivariate linear regression compared durations of surgery, with estimates of difference were expressed in minutes through the unstandardized B-coefficient.
Results:
A total of 1071 patients were included. The number of stapled anastomoses grew significantly from 31.6% in 2004 to 70.8% in 2011 (p<0.001).><0.001) but eventually significantly shorter (138 vs. 162.2 P=0.005). This difference remained significant after adjustment for ASA classification, procedure type, presence of adhesions and operating surgeon (B=28.0 minutes; 95%CI 12.2,43.8; P=0.001).
Conclusion
Stapled anastomoses did not increase anastomotic leak rates. If anything, leak rates appeared slightly lower. In addition, stapled anastomoses significantly shortened operation duration. With the benefit of being a tool that facilitates minimally invasive surgery, it is a safe way to improve efficiency, reduce costs and promotes faster and better recovery.
Indications to CTC are increasing
CTC is recommended in all cases of unfeasibility of colonoscopy
CTC is not ready for mass screening but is ideal for screening on an individual basis.
Presentazione a cura del Dottor Gianluca Ianiro - M.A.S.T.E.R. ECM in Gastroenterologia: Focus on: Microbiota e dintorni - Fondazione Santa Lucia - Roma
Background: The transanal one-stage endorectal pull-through (TOSEPT) procedure sometimes requires assistance by an abdominal approach to complete the operation. This study aims to rectify this by evaluating the impact of an assisted abdominal approach in the outcomes of the TOSEPT in children with HD.
Methods: A retrospective study was conducted at surgical pediatric department of Hue central hospital. All consecutive medical records of patients operated on for HD in our department between June 2010 and June 2018 were retrieved and analysed.
Self-Assessment Module concerning Diagnostic Imaging Modalities' role in Gastric cancer detection,evaluation and staging. Gastric cancer radiographic features. The Quiz includes MCQs, Pictorial questions and clinical case.
Effect of Transition to Stapled Anastomosis on Anastomotic Leak Rates and Ope...Ramzi Amri
Abstract, Academic Surgical Congress 2014:
See also: http://www.ncbi.nlm.nih.gov/pubmed/25472748
Introduction
Stapled gastrointestinal anastomosis has gained wide adoption among the surgical community for its ease, speed, and its applicability in laparoscopic surgery. Over the last decade, anastomotic stapling grew to become the commonplace technique for colon cancer surgery at our center. This abstract assesses whether the increasing adoption of anastomotic stapling affected the rate of anastomotic leaks and duration of surgery.
Methods:
All patients operated on at our center for colon cancer from 2004 through 2011 were included. Rates of anastomotic leaks were compared between hand-sewn and stapled anastomosis, calculating relative risks and using Fischer's exact test and Chi-square tests to assess for significance. Univariate and multivariate linear regression compared durations of surgery, with estimates of difference were expressed in minutes through the unstandardized B-coefficient.
Results:
A total of 1071 patients were included. The number of stapled anastomoses grew significantly from 31.6% in 2004 to 70.8% in 2011 (p<0.001).><0.001) but eventually significantly shorter (138 vs. 162.2 P=0.005). This difference remained significant after adjustment for ASA classification, procedure type, presence of adhesions and operating surgeon (B=28.0 minutes; 95%CI 12.2,43.8; P=0.001).
Conclusion
Stapled anastomoses did not increase anastomotic leak rates. If anything, leak rates appeared slightly lower. In addition, stapled anastomoses significantly shortened operation duration. With the benefit of being a tool that facilitates minimally invasive surgery, it is a safe way to improve efficiency, reduce costs and promotes faster and better recovery.
Indications to CTC are increasing
CTC is recommended in all cases of unfeasibility of colonoscopy
CTC is not ready for mass screening but is ideal for screening on an individual basis.
Presentazione a cura del Dottor Gianluca Ianiro - M.A.S.T.E.R. ECM in Gastroenterologia: Focus on: Microbiota e dintorni - Fondazione Santa Lucia - Roma
Background: The transanal one-stage endorectal pull-through (TOSEPT) procedure sometimes requires assistance by an abdominal approach to complete the operation. This study aims to rectify this by evaluating the impact of an assisted abdominal approach in the outcomes of the TOSEPT in children with HD.
Methods: A retrospective study was conducted at surgical pediatric department of Hue central hospital. All consecutive medical records of patients operated on for HD in our department between June 2010 and June 2018 were retrieved and analysed.
Self-Assessment Module concerning Diagnostic Imaging Modalities' role in Gastric cancer detection,evaluation and staging. Gastric cancer radiographic features. The Quiz includes MCQs, Pictorial questions and clinical case.
2011 Debate on Chromoendoscopy for IBD colitis surveillanceRupert Leong
Chromoendoscopy and other advanced endoscopic imaging techniques are becoming the standard of care in the surveillance of dysplasia. At the 2011 Australian Gastroenterology Week, the use of advanced imaging techniques was compared against four quadrant random biopsies at a breakfast debate.
NGHIÊN CỨU KẾT QUẢ PHẪU THUẬT NỘI SOI TRONG ĐIỀU TRỊ VIÊM PHÚC MẠC TOÀN THỂ DO VIÊM RUỘT THỪA.Viêm ruột thừa (VRT) là một cấp cứu ngoại khoa thường gặp nhất.Tại Pháp,Mỹ hàng năm có khoảng 250.000 – 300.000 trường hợp cắt ruột thừa, chiếm 43% cáctrường hợp cấp cứu bụng đến khám và điều trị tại các khoa cấp cứu. Ở Việt nam, tỉ lệ viêm ruột thừa cấp chiếm 40-45% các trường hợp mổ cấp cứu. Bệnh xảy ra ở mọi lứa tuổi với tỷ lệ mắc bệnh trong đời là 6-9%[1]. Viêm ruột thừa có bệnh cảnh đa dạng, dễ lầm với các hội chứng lâm sàng khác, chẩn đoán càng muộn thì tỷ lệ biến chứng và tỷ lệ tử vong càng cao. Viêm phúc mạc ruột thừa (VPMRT) chiếm tỉ lệ 10 – 20% các trường hợp VRT cấp, thường gặp nhiều ở đàn ông (với tỷ lệ 2/3), hay gặp ở BN trên 40 tuổi
Il ruolo dell'ecoendoscopia nella diagnosi delle lesioni solide pancreatiche ...Gastrolearning
Gastrolearning II modulo/4a lezione
Il ruolo dell'ecoendoscopia nella diagnosi delle lesioni solide pancreatiche
Prof. A. Larghi - Università Cattolica Sacro Cuore (Roma).
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
2024.06.01 Introducing a competency framework for languag learning materials ...
Clinical, endoscopic imaging and the value of endoscopic biopsy by mucosal incision for upper gastrointestinal submucosal tumours
1. Kieu Van Tuan, Nguyen Anh Duong, Pham Thi Van Ngoc,
Pham Van Tuyen et al, Bach Mai hospital
CLINICAL, ENDOSCOPIC IMAGING AND THE VALUE OF
ENDOSCOPIC BIOPSY BY MUCOSAL INCISION FOR UPPER
GASTROINTESTINAL SUBMUCOSAL TUMOURS
1
6. Aim of study
1. To identify clinical manifestation and
endoscopic imaging of upper gastrointestinal
tract SMTs.
2. To evaluate the effectiveness of endoscopic
biopsy by mucosal incision for upper
gastrointestinal tract SMTs.
6
7. Object and method
107 patients with upper GI tract SMTs were
examined in Bach Mai hospital from 11/2014 to
7/2015.
SMTs > 1 cm were done with endoscopic
biopsy by mucosal incision.
Prospective study.
7
9. Endoscopic biopsy technique by mucosal incision
Incision about 5-10 mm on the surface of SMT with
pre-cut needle knife.
Tumour sample were collected by biopsy forcep
through the incision.
Hemoclips will be used to close the incision in case of
necessity.
9
12. Clinical findings: age, causes of admission
Age 21-83
Causes of admission Number of
patients
Rate %
Health check 64 59,8
Abdominal pain 33 30,8
Dysphagia 3 2,8
Anemia 2 1,9
Blood stool 5 4,7
Total 107 100%
Sato (2005): nausea (63,8%), hemorrage (10,6%) and abdominal pain 8,5%.
12
13. Endoscopic findings
Tumor sites
Tumor located Number of
patients
Rate %
Esophagus 29 27,1
Stomach 62 57,9
Duodenum bulb 7 6,6
Duodenum 9 8,4
Total 107 100
13
14. Endoscopic findings
Tumor size
Size
Site
<10 mm 10-20 mm >20 mm Tổng
Esophagus 15 (51,7%) 11 (38%) 3 (10,3%) 29 (100%)
Stomach 29 (46,8%) 20 (32,2%) 13 (21%) 62 (100%)
Duodenum 8 (50%) 7 (43,75%) 1 (6,25%) 16 (100%)
Total 52 (48,6%) 38 (35,5%) 17 (15,9%) 107 (100%)
Average tumor size on esophagus is 14 mm (10-25mm), stomach is 23
mm (10-40 mm). JungHo Kim (2013): 21,8 mm
im (2013): 21,8 mm
14
27. CONCLUSION
9,4% of patients have clinical symptoms caused by SMTs
SMTs of upper GI tract are mainly found on stomach
(57,9%).
Average sizes of tumors on esophagus and stomach are
14 mm and 23 mm respectively.
Pathology:
• Esophagus: leiomyoma (78,57%)
• Stomach: GIST (37,0%) and leiomyoma (29,6%)
Successful rate of the biopsy method: 87,2%
No serious complication were found in this study
27