Objective: This paper presents modifications to powered endoscopic dacryocystorhinostomy without stenting for the management of acquired nasolacrimal duct obstruction.
Study Design: A retrospective, non-randomised review.
Method: A total of 105 patients with epiphora secondary to acquired nasolacrimal duct obstruction were operated on by our modified powered endoscopic dacryocystorhinostomy approach.
Results: Of 105 patients, 100 (95.2 per cent) have remained asymptomatic. One patient with a narrow ostium had improved symptoms, while four patients continued to experience persistent symptoms (treatment failures).
Conclusion: The modified powered endoscopic dacryocystorhinostomy approach led to excellent results, without bone exposure and granulations, and with early mucosalisation.
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http://dx.doi.org/10.1017/S0022215115003278 | DOI Listing |
BMC Cancer
March 2025
Cancer Screening and Prevention Research Group (CSPRG), Department of Surgery and Cancer, Imperial College London, London, UK.
Background: Endoscopic examinations can reduce colorectal cancer (CRC) burden through early detection and removal of precancerous lesions; however, after initial endoscopy, some patients do not attend subsequent examinations.
Aims: To investigate the impact of patient experience of endoscopic screening on attendance at future examinations and distal CRC incidence.
Methods: In a cohort study including 40,141 participants who received flexible sigmoidoscopy (FS) screening in the UK FS Screening Trial, median follow-up was 16.
BMJ Open
March 2025
Department of Anesthesiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China
Introduction: Atelectasis is a common postoperative complication in patients with obesity, contributing to respiratory insufficiency, pneumonia and poor clinical outcomes. Studies have shown that driving pressure (DP)-guided individualised positive end-expiratory pressure can improve respiratory mechanics and oxygenation, while also reducing the incidence of atelectasis and other postoperative pulmonary complications (PPCs). However, the effect of this ventilation strategy on patients with morbid obesity remains unclear.
View Article and Find Full Text PDFJ Med Case Rep
March 2025
Department of Gastroenterology, Faculty of Medicine, University of Balamand, El Koura, Balamand, Lebanon.
Background: Eosinophilic esophagitis is a condition characterized clinically by symptoms related to esophageal dysfunction and histologically by a marked eosinophilic infiltrate in the esophageal mucosa. The most typical symptoms of eosinophilic esophagitis include intermittent dysphagia with episodic food impaction and heartburn with propensity for young individuals. The relationship between hiccups and eosinophilic esophagitis is unclear but has been described.
View Article and Find Full Text PDFAnnu Int Conf IEEE Eng Med Biol Soc
July 2024
Artificial intelligence & Computer vision have the potential to improve surgical training, especially for minimally invasive surgery by analyzing intraoperative and simulation videos for training or performance improvement purposes. Among these, techniques based on deep learning have rapidly improved, from recognizing objects, instruments, and gestures, to remembering past surgical steps and phases of surgery. However, data scarcity is a problem, particularly in surgery, where complex datasets and human annotation are expensive and time-consuming, and in most cases rely on direct intervention of clinical expertise.
View Article and Find Full Text PDFCureus
January 2025
Department of Pathology, Niigata City General Hospital, Niigata, JPN.
An 89-year-old woman was referred to our hospital with complaints of body weight loss and anemia. Lower gastrointestinal imaging revealed a 3.5-cm stenosis in the descending colon near the splenic flexure.
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