|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Delayed gastric emptying following pancreaticoduodenectomy:Incidence,risk factors,and healthcare utilization显示文摘AIM To characterize incidence and risk factors for delayed gastric emptying(DGE) following pancreaticoduodenectomy and examine its implications on healthcare utilization. METHODS A prospectively-maintained database was reviewed. DGE was classified using International Study Group of Pancreatic Surgery criteria. Patients who developed DGE and those who did not were compared. RESULTS Two hundred and seventy-six patients underwent pancreaticoduodenectomy(PD)(> 80% pyloruspreserving, antecolic-reconstruction). DGE developed in 49 patients(17.8%): 5.1% grade B, 3.6% grade C. Demographic, clinical, and operative variables were similar between patients with DGE and those without. DGE patients were more likely to present multiplecomplications(32.6% vs 4.4%, ≥ 3 complications, P < 0.001), including postoperative pancreatic fistula(POPF)(42.9% vs 18.9%, P = 0.001) and intra-abdominal abscess(IAA)(16.3% vs 4.0%, P = 0.012). Patients with DGE had longer hospital stay(median, 12 d vs 7 d, P < 0.001) and were more likely to require transitional care upon discharge(24.5% vs 6.6%, P < 0.001). On multivariate analysis, predictors for DGE included POPF [OR = 3.39(1.35-8.52), P = 0.009] and IAA [OR = 1.51(1.03-2.22), P = 0.035].CONCLUSION Although DGE occurred in < 20% of patients after PD, it was associated with increased healthcare utilization. Patients with POPF and IAA were at risk for DGE. Anticipating DGE can help individualize care and allocate resources to high-risk patients. | Somala Mohammed George Van Buren II Amy Mc Elhany Eric J Silberfein William E Fisher | 2017 | World Journal of Gastrointestinal Surgery2017，9，3： | 13 |
| 2 | Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas显示文摘Pancreatic cysts include a variety of benign, premalignant, and malignant lesions. Endometrial cysts in the pancreas are exceedingly rare lesions that are difficult to diagnose pre-operatively. This report describes the findings in a 43-year-old patient with a recent episode of acute pancreatitis who presented with a large cyst in the tail of the pancreas. Imaging demonstrated a loculated pancreatic cyst, and cyst fluid aspiration revealed an elevated amylase and carcinoembryonic antigen. The patient experienced an interval worsening of abdominal pain, fatigue, diarrhea, and a 15-pound weight loss 3 mo after the initial episode of pancreatitis. With concern for a possible pre-malignant lesion, the patient underwent a laparoscopic distal pancreatectomy with splenectomy, which revealed a 16cm×12cm×4cm lesion. Final histopathology was consistent with an intra-pancreatic endometrial cyst. Here we discuss the overlapping imaging and laboratory features of pancreatic endometrial cysts and mucinous cystic neoplasms of the pancreas. | Michael A Mederos Nicole Villafane Sadhna Dhingra Carlos Farinas Amy Mc Elhany William E Fisher George Van Buren II | 2017 | World Journal of Gastroenterology2017，23，6： | 7 |
| 3 | Nationwide trends and predictors of inpatient mortality in 83884 transjugular intrahepatic portosystemic shunt显示文摘AIM: To evaluate and validate the national trends and predictors of in-patient mortality of transjugular intrahepatic portosystemic shunt(TIPS) in 15 years.METHODS: Using the National Inpatient Sample which is a part of Health Cost and Utilization Project, we identified a discharge-weighted national estimate of 83884 TIPS procedures performed in the United States from 1998 to 2012 using international classification of diseases-9 procedural code 39.1. The demographic, hospital and co-morbility data were analyzed using a multivariant analysis. Using multi-nominal logistic regression analysis, we determined predictive factors related to increases in-hospital mortality. Comorbidity measures are in accordance to the Comorbidity Software designed by the Agency for Healthcare Research and Quality.RESULTS: Overall, 12.3% of patients died during hospitalization with downward trend in-hospitalmortality with the mean length of stay of 10.8 ± 13.1 d. Notable, African American patients(OR = 1.809 vs Caucasian patients, P < 0.001), transferred patients(OR = 1.347 vs non-transferred, P < 0.001), emergency admissions(OR = 3.032 vs elective cases, P < 0.001), patients in the Northeast region(OR = 1.449 vs West, P < 0.001) had significantly higher odds of inhospital mortality. Number of diagnoses and number of procedures showed positive correlations with in-hospital death(OR = 1.249 per one increase in number of procedures). Patients diagnosed with acute respiratory failure(OR = 8.246), acute kidney failure(OR = 4.359), hepatic encephalopathy(OR = 2.217) and esophageal variceal bleeding(OR = 2.187) were at considerably higher odds of in-hospital death compared with ascites(OR = 0.136, P < 0.001). Comorbidity measures with the highest odds of in-hospital death were fluid and electrolyte disorders(OR = 2.823), coagulopathy(OR = 2.016), and lymphoma(OR = 1.842).CONCLUSION: The overall mortality of the TIPS procedure is steadily decreasing, though the length of stay has remained relatively constant. Specific patient ethnicity, location, transfer status, primary diagnosis and comorbidities correlate with increased odds of TIPS in-hospital death. | Edward Wolfgang Lee Andrew Kuei Sammy Saab Ronald W Busuttil Francisco Durazo Steven-Huy Han Mohamed M El-Kabany Justin P Mc Williams Stephen T Kee | 2016 | World Journal of Gastroenterology2016，22，25： | 7 |
| 4 | A prospective feasibility study of sub-millisievert abdominopelvic CT using iterative reconstruction in Crohn’s disease显示文摘 | Siobhan B O’Neill Patrick D Mc Laughlin Lee Crush Owen J O’Connor Sebastian R Mc Williams Orla Craig Anne Marie Mc Garrigle Fiona O’Neill Jackie Bye Max F. Ryan Fergus Shanahan Michael M Maher | 2013 | European Radiology2013，，： | 2 |
| 5 | Enhanced binding of Sp1/Sp3 transcription factors mediates the hyperoxia-induced increased expression of the lung typeⅠ cell gene T1alpha显示文摘 | Cao YX Ramirez MI Williams MC | 2003 | J Cell Biochem2003，89，5： | 1 |
| 6 | Comparison of the effects if Tai Chi and resistance training on bone metabolism in the elderly:a feasibility study显示文摘 | Shen CL Williams JS Chyu MC | | 0，，： | 1 |
| 7 | Shih: from the cover: DNA-nano- tube-induced alignment of membrane proteins for NMR structure determination显示文摘 | Shawn MC William M | 2007 | PNAS2007，104，6： | 1 |
| 8 | Influence of snail mucus trails and first snail meal on the behavior of malacophagous sciomyzid larvae显示文摘 | Robert Dillon Tracy Hynes Rory Mc Donnell Christopher David Williams Michael J. Gormally | 2014 | Biological Control2014，，： | 1 |
| 9 | Investigations into Using the Nematode Caenorhabditis elegans for Municipal and Industrial Wastewater Toxicity Testing 显示文摘 | Hitchcock DR Black MC Williams PL | 1997 | Ateh Environ Contam Toxicol1997，33，3： | 1 |
| 10 | 18F-fluoride positron emission tomography for identifi cation of ruptured and high-risk coronary atherosclerotic plaques:a prospective clinical trial显示文摘 | Joshi NV Vesey AT Williams MC | 2014 | Lancet2014，383，9918： | 1 |
| 11 | Incidence of opportunistic and other in-fections in HIV-infected children in the HAART era显示文摘 | Gona P Van Dyke RB Williams PL Dankner WM Chemcff MC Nachman SA | 2006 | JAMA2006，296，3： | 1 |
| 12 | An improved method for isolating type Ⅱ cells in high yield and purity显示文摘 | Dobbs LG Gonzalez R Williams MC | 1986 | Am Rev Respir Dis1986，134，1： | 1 |
| 13 | Ultrasonic locating devices for central venous cannulation meta - analysis 显示文摘 | HIND D CALVERT N Mc WILLIAMS R | 2003 | BMJ2003，，： | 1 |
| 14 | Corporate Social Responsibility and Financial Perforamnce Debate显示文摘 | Mc Williams Siegel | 2000 | Strategic Management Journal2000，，21： | 1 |
| 15 | Acceleration, creation, and depletion of wind-driven, baroclinic Rossby waves over an ocean ridge 显示文摘 | Tailleux R Mc Williams J C | 2000 | Journal of Physical Oceanography2000，30，： | 1 |
| 16 | History of knee injuries and knee osteoarthritis:a meta-analysis of observationalstudies显示文摘 | Muthuri S G Mc Williams D F Doherty M | 2011 | Osteoarthritis Cartilage2011，19，11： | 1 |
| 17 | AllometricScaling of Strength Measurements to Body size显示文摘 | Folland J P Mc Cauley T M Williams A G | 2008 | European Journal of Applied Physiology2008，102，6： | 1 |
| 18 | The effect of bottom pressure decoupling on the speed of extratropical, baroclinic Rossby waves 显示文摘 | Tailleux R Mc Williams J C | 2001 | Journal of Physical Oceanography2001，31，： | 1 |
| 19 | Long- term experience with transvenous catheter pulmonary embolectomy 显示文摘 | GREENFIELD LJ PROCTOR MC WILLIAMS DM | 2004 | J Vasc Surg2004，18，： | 1 |
| 20 | Protein kinase C inhibits cyclic adenosine monophosphate generation by histamine and truncated glucagon like peptide 1 in the human gastric cancer cell line HGT-1显示文摘 | Mc Kenna P Williams JM Gespach CP | 1993 | Gut1993，34，7： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员