Single-access transhiatal esophagectomy for cancer: are we on the right way?

Minimally invasive surgery has gained wide application since its introduction and has been applied to all aspects of general surgery. The common denominator in minimally invasive surgery is to perform the same operation as in the open approach. Single access surgery has the same goal by reducing the number and the size of access incisions.

A double-blind, parallel, multicenter comparison of L-acetylcarnitine with placebo on the attention deficit hyperactivity disorder in fragile X syndrome boys.

Attention deficit hyperactivity disorder (ADHD) is a frequent behavioral problem in young boys with fragile X syndrome (FXS), and its treatment is critical for improving social ability. The short-term efficacy of stimulant medications like methylphenidate (MPH) is well established in children with ADHD. FXS boys treated with MPH have improved attention span and socialization skills; however their mood becomes unstable at higher doses.

[Interstitial laser treatment of small hepatocarcinoma on cirrhosis without anesthesia: feasibility study].

Objective: We evaluated if interstitial laser photocoagulation (ILP) under ultrasound (US) guidance of intraparenchymal small HCC (<2 cm) in cirrhosis can be safely and effectively performed without any anesthesia.

Patients And Methods: Twelve cirrhotic patients with 14 nodules of HCC (diameter 1.2-2.

Dihydropyrimidine dehydrogenase deficiency and acute neurological presentation.

Dihydropyrimidine dehydrogenase (DPD) deficiency has been linked to 5-fluorouracil toxicity, but patients may present a wide clinical spectrum. We describe a 1-year-old Tunisian girl with a dramatic onset of neurological symptoms suggesting the possible triggering role of environmental factors.

Rett syndrome: photographic evidence of rapid regression.

Rett Syndrome is known to occur in females, around the second year, with loss of hand use, onset of stereotypes and acquired microcephaly. Such regression is often very rapid, but this has never been documented. In one of our patients, photographs taken at different times clearly demonstrate the rapid progression of first symptoms.