Publications by authors named "Richard Dickerman"
Article Synopsis
- * The majority of patients were women (97%) with a mean age of 32 years; 63% experienced significant pain improvement post-surgery, and complications mainly involved mild cases (47% type 1 and 9% type 3) with 28% developing acute kidney injury.
- * The findings suggest that RAKAT is a viable surgical option for these conditions, demonstrating a complication rate comparable to other surgical methods without any recorded deaths or
Article Synopsis
- The Acute Pancreatitis Task Force developed quality indicators (QIs) for managing acute pancreatitis (AP), aiming to improve healthcare performance through evidence-based guidelines.
- A multidisciplinary panel of experts reviewed the literature and proposed a comprehensive list of QIs, resulting in 71 potential indicators being evaluated in a multi-round process.
- Ultimately, 40 QIs were deemed both valid and necessary, providing a framework for hospitals to ensure high-quality care and optimal patient outcomes in AP management.
Hernias and peritoneal dialysis (PD) catheter leaks are frequent complications in patients on PD. Transplant recipients have multiple risk factors for delayed wound healing, such as use of corticosteroids and sirolimus, and the presence of uremia and diabetes mellitus. We report a rare occurrence of incisional hernia attributable to internal wound dehiscence after PD catheter placement in a patient on sirolimus.
View Article and Find Full Text PDFHypothesis: Because of better survival following pancreaticoduodenectomy (PD), patients may develop complications due to PD and not due to malignancy per se. Exocrine insufficiency may be related to pancreatic duct obstruction or strictures attributable to duct-to-mucosa anastomosis, as in pancreaticojejunostomy. We propose a technique of managing a post-PD duct obstruction.
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- Higher pre-transplant levels of soluble CD30 (sCD30) are linked to a greater risk of post-transplant infections, with 43.1% of patients with high sCD30 developing infections compared to only 20.6% of those with low levels.
- The study also found that elevated sCD30 levels correlate with increased serum creatinine levels and a history of pre-transplant malignancies.
- Females showed a significantly higher sCD30 level (74%) compared to males (50%), suggesting that past pregnancies may contribute to a more active immune response.
Background: Reduced resident work hours over the last several years have led to inadequate exposure to hepatopancreaticobiliary (HPB) and complex upper gastrointestinal (UGI) surgical procedures. Therefore, residents are seeking additional training in this field. The purpose of this study is to determine the role of a new fellowship model in the training of general surgery residents in complex HPB/UGI diseases.
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- More than 230,000 patients in the U.S. are treated for end-stage renal disease (ESRD), but their trauma care needs haven't been thoroughly assessed.
- A study at a Level II trauma center over four years examined 59 ESRD patients, revealing they tend to be older and face higher complication and mortality rates than the general trauma population.
- Patients with ESRD undergoing trauma care require specialized attention, including access to dialysis and multidisciplinary services, due to their complex medical needs and significantly higher risk of serious outcomes.