Publications by authors named "Shamel Ismail"
Purpose: Laparoscopic right hemicolectomy is the standard surgical approach for treatment of right-sided colonic neoplasms. Although performed within a strict Enhanced Recovery After Surgery (ERAS) program, patients still develop postoperative ileus. The aim of this study was to describe the factors responsible for postoperative ileus after right hemicolectomy in a patient population with over 80% ERAS adherence.
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- Both elective sigmoid resection and conservative treatments are valid options for managing recurrent and painful diverticulitis, making it crucial to understand their outcomes for better decision-making.
- A study conducted in five Finnish hospitals compared these two treatment methods over a two-year follow-up period, where 90 patients were randomized to either surgery or conservative treatment.
- Results showed that patients who had surgery reported a significantly better quality of life after one year, although some conservative treatment patients later needed surgery as well.
Importance: Diverticulitis has a tendency to recur and affect quality of life.
Objective: To assess whether sigmoid resection is superior to conservative treatment in improving quality of life of patients with recurrent, complicated, or persistent painful diverticulitis.
Design, Setting, And Participants: This open-label randomized clinical trial assessed for eligibility 128 patients with recurrent, complicated, or persistent painful diverticulitis in 6 Finnish hospitals from September 29, 2014, to October 10, 2018.
Criteria for difficult biliary cannulation: start to count.
Eur J Gastroenterol Hepatol
October 2019
Objective: In European Society of Gastrointestinal Endoscopy guidelines, biliary cannulation of native papilla is defined as difficult in the presence of >5 papilla contacts, >5 min cannulation time or >1 unintended pancreatic duct cannulation (5-5-2). The aim is to test 5-5-2-criteria in a single-center practice predicting the risk of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP), and to study the efficacy of transpancreatic biliary sphincterotomy (TPBS) as an advanced method for biliary cannulation.
Methods: Prospectively collected data of 821 patients with native papilla were analyzed.
Background: Endoscopic removal of benign tumours of papilla is increasing. Our aim was to evaluate the outcome of endoscopic resection of papillary tumours.
Methods: In the years 2000-2012, 61 papillectomies were performed in Helsinki University Central Hospital.