Incidence of abdominal wall metastasis complicating PEG tube placement in untreated head and neck cancer.

Background: Abdominal wall metastasis after PEG tube placement has been reported in patients with head and neck cancer. The incidence of this occurrence is unknown.

Objective: Evaluation of the incidence of abdominal wall metastasis as a complication of PEG tube placement in patients with head and neck cancer.

Reduction in the incidence of pancreatitis in patients undergoing sphincter of Oddi manometry: a successful quality improvement project.

Objective: Acute pancreatitis is a recognized complication of sphincter of Oddi manometry (SOM). Its frequency of occurrence has been reported in the range of 4 to 31%. In an earlier retrospective study performed at this institution, the incidence of pancreatitis was 9.

Endoscopic ambulatory surgery centers in the academic medical center. We can do it too!

A freestanding ambulatory surgery center (ASC) at an academic institution is an exception rather than the rule. It is a major challenge to the concept of the traditional academic medical center. Advantages and disadvantages are discussed, as well as the detailed planning process beginning with a well executed feasibility study, the hiring of consultants, and financing of the facility.

Total Parenteral Nutrition During Pregnancy in a Patient Requiring Long-Term Nutrition Support.

Background: Total parenteral nutrition (TPN) has been used successfully in preventing intrauterine growth retardation, premature labor, and perinatal morbidity and mortality associated with poor maternal nutrition. Parenteral nutrition support is provided in most instances for short intervals during pregnancy when oral intake is compromised, eg, hyperemesis gravidarum or during complications from comorbid conditions that develop or are exacerbated during pregnancy. Few reports describe continuous parenteral nutrition support from conception through labor and delivery.