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961.
Mitnala Sasikala D. Nageshwar Reddy Nitesh Pratap Sanjeev Kumar Sharma P. Reddy Balkumar Anuradha Sekaran Rupa Banerjee D. Bhaskara Reddy 《Indian journal of gastroenterology》2009,28(5):169-174
Background and Objective
The role of Mycobacterium avium ss paratuberculosis (MAP) in the etiopathology of Crohn’s disease (CD) remains controversial, because of conflicting reports demonstrating the presence of MAP-specific insertion sequence from intestinal biopsy tissues of patients clinically diagnosed for the disease. The present study was carried out to investigate the presence of MAP DNA in the intestinal tissues of CD patients to ascertain the relevance of MAP in Indian patients with CD. 相似文献962.
Vijayakumar Raju Muralidharan Srinivasan Chandrasekar Padmanaban Venkatadevanathan Muthubaskaran Rajpal Kanaklal Abhaichand 《Indian Journal of Thoracic and Cardiovascular Surgery》2011,27(1):36-38
Diagnostic evaluation of embolic neurologic events requires the consideration of cardiac causes. Lambl’s Excrescences (LE)are
filiform fronds that occur at sites of valvular closure due to “wear and tear” (Lambl Wien Med Wschr 6:244–247, 1856). The complex form of LE is “giant Lambl’s Excrescences” which results from the adherence of multiple adjacent excrescences
that grow large. We recently had young male adult who presented with features of posterior circulation stroke (basilar) and
detected to have two separate giant Lambl’s Excrescences on the aortic valve and treated successfully. 相似文献
963.
964.
Vijaya Kumar Muppiri Syed Nasheed Ali Kumar Ravinuthala Venkat Krishna Lanka Satya Rama 《Indian Journal of Thoracic and Cardiovascular Surgery》2011,27(4):161-164
Introduction
Combined aortic and mitral valve disease is usually of rheumatic origin. In these patients we often encounter problem of small valve annuli particularly with aortic annulus. It is still debated whether a small prosthesis should be used or aortic root should be enlarged to prevent Patient Prosthesis Mismatch (PPM). This study was undertaken to review our strategy and feasibility of Aortic Root Enlargement (ARE) in patient undergo Double Valve Replacement (DVR) to avoid mismatch without increase in cost of treatment, morbidity or mortality. 相似文献965.
966.
Sanjeev Singh Himanshu Pratap Saket Agarwal Aditya Singh Deepak Kumar Satsangi 《Indian Journal of Thoracic and Cardiovascular Surgery》2011,27(2):76-82
Background
The decision to preserve the pulmonary valve during intracardiac repair of Tetralogy of Fallot [TOF] is traditionally based on the intra-operative measurement of pulmonary annulus by a Hegar dilator as per Rowlatt’s table. We sought to evaluate if there can be flexibility in not using a transannular patch repair in Indian population with mildly hypoplastic pulmonary annulus. 相似文献967.
Sangeetha Jayaraman Somesh Balakrishnan Devaji Rao 《The Indian journal of surgery》2011,73(5):377-379
Development of a primary cancer after treatment of the first with radiotherapy or chemotherapy is well documented, but it
is common with hematological malignancies. Variety of reasons are suggested by various researchers, but a conclusive evidence
is not yet available. Excepting a few correlations like the tamoxifen therapy and endometrial cancer, angiosarcoma of the
breast following radiotherapy, occurrence of other metachronous malignancies seem to be dependent on genetic and environmental
factors. A patient with three primary malignancies is presented here. 相似文献
968.
Channel transurethral resection of prostate (TURP) is an accepted treatment for advanced carcinoma of prostate (CaP) to improve
quality of life. We are presenting a case of penile gangrene and urethrocutaneous fistula following TURP in a CaP. This is
the first case in literature to our knowledge. 相似文献
969.
Bikash Medhi Ajay Prakash Sujata Upadhyay Deonis Xess T. D. Yadav L. Kaman 《The Indian journal of surgery》2011,73(6):427-431
Diltiazem has been extensively studied in the treatment of chronic anal fissures, but efficacy in clinical practice is not
fully established. The aim of the present study was to evaluate the safety and efficacy of topical application diltiazem in
observational studies as well as in controlled clinical trials in the treatment of chronic anal fissures. A systematic literature
search was carried out from 1966 to 31 December, 2007 on PubMed, Medline, Embase and Cochrane database, using the appropriate
search words. We found six observational studies with 392 patients and five controlled clinical trials with 289 patients in
which topical diltiazem treatment was given. Efficacy was found to be very high in observational studies (56.88%), whereas
it was found to be modest in controlled clinical trials (29.41%). In observational studies, most of the patients reported
complete healing of fissures within 6–12 weeks, whereas in controlled trials healing was reported within 8 weeks, with tolerable
adverse effects of diltiazem. On the basis of the above studies, it can be concluded that topical application of diltiazem
is useful in the treatment of chronic anal fissure, but to fully establish its efficacy, larger prospective double-blind study
is required in the near future. 相似文献
970.
Nicola Crea Giacomo Pata Ernesto Di Betta Amin Titi Francesco Mittempergher 《Obesity surgery》2011,21(2):151-156
Although the appendix has been recognized as a preferential site for carcinoid tumors in obese patients, no definitive guidelines
are so far available regarding the management of these patients when candidates for bariatric surgery. This study was designed
to fill that gap. Between 2000-2008, 558 patients underwent bariatric procedures. Appendectomy was routinely performed in
477 cases. Their charts were retrospectively retrieved and histopathology responses on surgical specimens were recorded. We
aimed to assess: incidence of appendix carcinoid tumors (ACTs) and any possible risk-factor; modality of diagnosis (pre-,
intra- or post-operatively); impact on the planned bariatric procedure; treatment reserved to such cases. Typical ACTs were
diagnosed in 7 patients (1.4%) (median age: 33 years; median BMI: 49 kg/m2; males/females: 1/6). Four were diagnosed intra-operatively.
Because of dimensions (<2 cm) and absence of mesoappendiceal or serosal involvement, simple appendectomy was performed during
bariatric procedure, as planned. Three were diagnosed post-operatively (all <2 cm). In 1 case right hemicolectomy was performed
1 month later due to mesoappendiceal involvement. No appendectomy-related complication was encountered. All patients remained
tumor-free during follow-up (mean: 64 months; range, 25-92). Young age, female sex, high BMI and diabetes mellitus resulted
significantly associated with ACT. Our study sustains routine appendectomy or at least careful investigation of the appendix
during bariatric surgery. For tumors <2 cm without mesoappendiceal or serosal involvement, simple appendectomy proved sufficient.
Bariatric surgery did not have a negative effect on the treatment of malignancies that are discovered intra- or post-operatively. 相似文献