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Clinical Implementation of DIGEST as an Evidence-Based Practice Tool for Videofluoroscopy in Oncology: A Six-Year Single Institution Implementation Evaluation.
Dysphagia
June 2024
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1155 Pressler (CPB3.3253), Houston, Texas, 77030, US.
Clinical implementation of evidence-based practice (EBP) tools is a healthcare priority. The Dynamic Grade of Swallowing Toxicity (DIGEST) is an EBP tool developed in 2016 for videofluoroscopy in head and neck (H&N) oncology with clinical implementation as a goal. We sought to examine: (1) feasibility of clinical implementation of DIGEST in a national comprehensive cancer center, and (2) fidelity of DIGEST adoption in real-world practice.
View Article and Find Full Text PDFPolybacterial Iliopsoas Muscle Abscess as an Indication for Early Diagnosis of Crohn's Disease.
Am J Case Rep
November 2023
Department of General Medicine, Saga University Hospital, Saga, Japan.
BACKGROUND Crohn disease (CD) is a chronic, relapsing inflammatory bowel disease characterized by penetrations or fistulae in the gastrointestinal tract and abscesses in the surrounding tissues. Diagnosis of CD is difficult with an iliopsoas muscle abscess (IMA) as an initial presentation. CASE REPORT A 22-year-old Japanese man had right hip pain 17 days prior to admission.
View Article and Find Full Text PDF[Specimen extraction through natural orifices with Cai tubes in gastrointestinal surgery: a single-institute series of 234 cases].
Zhonghua Wei Chang Wai Ke Za Zhi
April 2023
Department of Gastrointestinal Surgery, Gastrointestinal Tumor Institute of Xiamen University School of Medicine, Xiamen Key Laboratory of Gastrointestinal Tumor, Zhongshan Hospital, Xiamen University, Xiamen 361004, China.
To investigate the feasibility of Cai tube-assisted natural orifice specimen extraction surgery (NOSES) in gastrointestinal surgery. This was a descriptive case-series study. Inclusion criteria: (1) colorectal or gastric cancer diagnosed by preoperative pathological examination or redundant sigmoid or transverse colon detected by barium enema; (2) indications for laparoscopic surgery; (3) body mass index <30 kg/m (transanal surgery) and 35 kg/m (transvaginal surgery); (4) no vaginal stenosis or adhesions in female patients undergoing transvaginal specimen extraction; and (5) patients with redundant colon aged 18-70 years and a history of intractable constipation for more than 10 years.
View Article and Find Full Text PDFSevere Paraesophageal Hiatal Hernia Repair During a Sleeve Gastrectomy Surgery in a Morbidly Obese Patient.
Cureus
March 2023
General Surgery, West Suburban Medical Center, Chicago, USA.
Article Synopsis
- - Morbid obesity raises the risk of developing paraesophageal and hiatal hernias, which can complicate treatment options in minimally invasive surgery due to their controversial nature.
- - While rare, these hernias can lead to severe complications, including a higher mortality rate that often necessitates surgical repair, especially in morbidly obese patients who face higher failure rates in repairs.
- - The case study highlights a 64-year-old woman with multiple health issues who underwent evaluation for laparoscopic sleeve gastrectomy and was found to have a severe type III paraesophageal hernia, along with gastritis caused by Helicobacter pylori.
Esophageal diverticula: from diagnosis to therapeutic management-narrative review.
J Thorac Dis
February 2023
General and Esophageal Clinic, Sf. Maria Clinical Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Background And Objective: Esophageal diverticulum (ED) is a relatively rare condition, characterized by high etio- and pathophysiological versatility, with an uncommon clinical impact, consequently requiring a complete and complex diagnostic evaluation, so that the therapeutic decision is "appropriate" to a specific case. The aim of the paper is, therefore, a reassessment of the diagnostic possibilities underlying the establishment of the therapeutic protocol and the available therapeutic resources, making a review of the literature, and a non-statistical retrospective analysis of cases hospitalized and operated in a tertiary center.
Methods: Thus, classical investigations (upper digestive endoscopy, barium swallow) need to be correlated with complex, manometric, and imaging evaluations with direct implications in therapeutic management.
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