Background: This study was designed to evaluate the long-term results of sclerotherapy for the treatment of peritoneal inclusion cysts (PICs).
Methods: Twenty-nine patients with 30 PICs were included in the study. Sclerotherapy was performed with use of povidone-iodine in 13 PICs and ethanol in 17 PICs, until the drained volume was less than 5 mL. Patients were evaluated after 1 month, 4 months, and then every 6 months by clinical assessment and ultrasound examination.
Results: Sclerotherapy was technically successful for all 30 PICs. During the follow-up period of 7-94 months (mean: 38.0 months), the PICs completely disappeared in 15 lesions and the diameter of the cysts decreased more than 50% without symptoms for the other 12 lesions. The overall long-term success rate was 90.0% (27/30). There was no significant difference in the success rate between the use of povidone-iodine (92.3%, 12/13) and ethanol (88.2%, 15/17). Recurrence of a PIC occurred in three patients. Two PICs completely regressed without further recurrence after re-sclerotherapy. Remaining one was removed under surgery.
Conclusions: Sclerotherapy following catheter insertion is a safe, effective, and reliable method for the treatment of PICs. Long-term regular follow-up months may not be necessary.
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http://dx.doi.org/10.1007/s00261-009-9538-3 | DOI Listing |
Metab Brain Dis
January 2025
Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus N, Denmark.
Background & Aims: Hepatic encephalopathy (HE), one of the most serious prognostic factors for mortality in alcohol-related cirrhosis (ALD cirrhosis), is not recorded in Danish healthcare registries. However, treatment of HE with lactulose, the universal first-line treatment, can be identified through data on filled prescriptions. This study aimed to investigate if lactulose can be used as a surrogate marker of HE.
View Article and Find Full Text PDFTher Adv Med Oncol
January 2025
Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 67, Pisa 56126, Italy.
Background: Encorafenib plus cetuximab (EC) is the standard of care for pre-treated mutated metastatic colorectal cancer (mCRC). Depth of response (DpR) and early tumour shrinkage (ETS) previously showed a strong correlation with survival outcomes of first-line chemotherapy ± biological agents.
Objectives: We aimed to assess potential predictors of primary resistance to EC ± binimetinib (B) and relationships of DpR/ETS with survival outcomes and clinical characteristics.
J Med Internet Res
January 2025
Department of Center for Hemodialysis, The Second Hospital of Dalian Medical University, Dalian, China.
Background: Virtual reality (VR) training uses computer-generated simulations that enable users to engage with immersive virtual environments, simulating real-world activities or therapeutic exercises. This technology is increasingly recognized as a promising intervention to address the physical and psychological challenges faced by dialysis patients, who frequently experience diminished physical function, social isolation, and emotional distress associated with prolonged treatment regimens. Given the increasing prevalence of dialysis patients and the limitations of conventional rehabilitation approaches, VR presents a novel, interactive method that has the potential to enhance patient well-being and improve quality of life.
View Article and Find Full Text PDFJ Surg Res
January 2025
Division of Surgical Oncology, Koch Regional Perfusion Center, University of Pittsburgh, Pittsburgh, Pennsylvania.
Introduction: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) is increasingly performed in young patients with peritoneal surface malignancies. Important quality of life (QoL) questions arise; however, there is limited research on fertility experiences in young women with carcinomatosis or following CRS/HIPEC.
Methods: Retrospective review of a prospective database evaluating women less than 45 ys who underwent CRS/HIPEC at the University of Pittsburgh Medical Center from January 1998 to 2020.
BMC Nephrol
January 2025
Division of Nephrology, Department of Internal Medicine, Faculty of Health Sciences, University of the Free State, 205 Nelson Mandela Drive, Bloemfontein, 9300, South Africa.
Background: Continuous ambulatory peritoneal dialysis (CAPD) is one of the kidney replacement therapy (KRT) modalities used in patients with kidney failure. It is the preferred modality in most resource-limited settings as it is more accessible and cost-effective. CAPD technique failure remains a challenge and is associated with an increased risk of morbidity and mortality.
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