The motor function of the stomach was investigated in 45 patients who were subjected to periarterial sympathectomy of the celiac trunk and its branches for the abdominal pain syndrome. Changes in the motility were studied in near and late terms after operation (1-2 years). The elevated tonus of the stomach was found to be even in the initial hypokinesis and of spastic character in the initially normal tonus. The increased peristaltic activity was noted in late terms. The changes of the gastric motility were responsible for the outcomes of operations.
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ARP Rheumatol
July 2024
Universidade Nova de Lisboa, Lisbon, Portugal.
Objective: To perform a systematic literature review (SLR) aimed at evaluating the efficacy and safety of pharmacological and non-pharmacological treatments for Raynaud's phenomenon (RP) and digital ulcers (DU) in patients with systemic sclerosis (SSc) and other connective tissue diseases (CTD), in order to inform the Portuguese recommendations for managing RP and DU in these patients.
Methods: A SLR was conducted until May 2022 to identify studies assessing the efficacy and safety of pharmacological and non-pharmacological interventions for RP and DU in SSc and other CTD. Eligible study designs included randomized controlled trials (RCTs), controlled clinical trials, and their extensions for assessing efficacy and safety of interventions.
Objective: This study assesses the efficacy of distal periarterial sympathectomy in treating chronic digital ischemia by evaluating clinical outcomes of surgery.
Methods: A systematic literature review of distal sympathectomy for chronic digital ischemia was conducted. Data extracted included study design, patient statistics, aetiology, follow-up duration, sympathectomy level, and surgical outcomes.
Rheumatology (Oxford)
August 2024
Department of Plastic and Reconstructive Surgery, CHA University Bundang Medical Center, Seongnam-si, Gyeonggi-do, Korea.
Objective: Patients with secondary RP show a wide range of symptoms depending on the condition of vascular structures. If the symptoms are localized to specific fingers and angiography reveals a discrete segment of occlusion of a proper digital artery, we perform proper digital artery reconstruction with an interposition vein graft. The objective of this study was to evaluate the results of the surgery in patients with chronic hand ischaemia.
View Article and Find Full Text PDFPlast Reconstr Surg
June 2024
Medical Imaging and Intervention, Institute for Radiologic Research, Chang-Gung Memorial Hospital, Linkou Branch.
Background: In periarterial sympathectomy for intractable Raynaud phenomenon, the extent of adventitectomy and postoperative outcomes and hand perfusion assessment tools remain debatable. The authors evaluated the outcome of neurectomy of the nerve of Henle combined with ulnar tunnel release and periarterial adventitectomy in the treatment of refractory Raynaud phenomenon using objective measurements and patient-reported outcomes.
Methods: Nineteen patients with 20 affected hands were prospectively enrolled and underwent the proposed procedures from 2015 to 2021.
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