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Subclinical dysphagia in persons with Prader-Willi syndrome.

Am J Med Genet A

February 2017

Department of Radiology, West Penn Allegheny Health System, Pittsburgh, Pennsylvania.

Prader-Willi Syndrome (PWS) is caused by a genetic imprinting abnormality resulting from the lack of expression of the paternal genes at 15q11-q13. Intellectual disability, low muscle tone, and life-threatening hyperphagia are hallmarks of the phenotype. The need for the Heimlich maneuver, death from choking, and pulmonary infection occur in a disproportionally high number of persons with PWS.

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Preliminary results of thoracoscopic Belsey Mark IV antireflux procedure.

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Section of Thoracic Surgery and the Minimally Invasive Center, University of Pittsburgh Medical Center, Pennsylvania, USA.

Laparoscopic Nissen fundoplication has replaced open approaches for refractory gastroesophageal reflux disease (GERD) in many major medical centers. Here we report our preliminary results of the Belsey Mark IV antireflux procedure performed by video-assisted thoracoscopy (VATS-Belsey). Fifteen patients underwent VATS-Belsey.

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Objective: To determine the rate of choking incidents among the psychiatric population of 4 inpatient facilities, classifying the incidents according to their probable etiology.

Method: All incidents recorded over 18 months were retrospectively analyzed for demographic variables, psychiatric and medical diagnoses, and drug therapy at the time of incident. Where possible, patients underwent psychiatric, neurological, and medical examination.

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