OALib 期刊
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Nov 14, 2018Open    AccessArticle

Sleeve Gastrectomy and Gastroesophageal Reflux Disease

Naoki Hashimoto
Sleeve gastrectomy (SG) is occupied over 25% of bariatric procedures, which becomes the second most commonly performed bariatric procedure after RYGB. But incidence of gastroesophageal reflux disease (GERD) after SG was reported to be 6.5% - 40%. SG is regarded to induce or exacerbate GERD in general. Therefore preoperative manometry and GIF should be routinely per-formed. Patients with a lowe

Nov 21, 2017Open    AccessArticle

Use of Vasopressive Amines in a Limited Resource Country

Anna Thiam, Lidwine Alakoua, Géorges Kinda, Aimé Bama, Larissa Kagambéga, Géorges Millogo, Jonas Kologo, Nvalentin Yaméogo, André K. Samandoulougou, Patrice Zabsonré
Introduction: Vasopressive amines are frequently used in cardioology. The aim of our work was to evaluate the practical modalities of use of amines in the cardiology department of University Hospital Yalgado Ouédraogo. Patients and Methods: We conducted a prospective observational study for 6 months, from 01 June to 31 November 2013, including all patients treated with vasopressive amines. We

Jan 23, 2017Open    AccessArticle

Antibiotics-First Strategy versus Appendectomy in the Management of Acute Appendicitis

Yubin Kou, Xiaoping Chen
Acute appendicitis is the most common cause of acute abdominal disorders requiring surgery. The mainstay of treatment is an appendectomy for more than 100 years. However, symptoms of acute appendicitis confuse many other conditions making diagnosis a challenge. In addition, as with all operations, postoperative complications exist, including wound infections, intra-abdominal abscesses, ileus and adhesions. For some specific patien

Jul 28, 2016Open    AccessArticle

Characteristics and Outcome of Trauma Patients in a Mixed ICU: A Retrospective Review

Henry Y. Embu, Samuel I. Nuhu, Erdoo S. Isamade, Daniel D. Kokong, Kenneth N. Ozoilo, Daniel O. Agbo

Background: Trauma is a major public health challenge in Nigeria and many victims of trauma are brought to the hospital critically ill, thereby increasing the burden of critical illness in the country. Aim: To characterize the pattern of injuries, causes and outcome among trauma patients admitted into the general ICU of a tertiary care hospital in north-central Nigeria. Materials and Methods: All trauma admissions into the ICU of Jos University Teaching Hospit


Jan 28, 2016Open    AccessArticle

Blunt Abdominal Trauma Combined with Postoperative Atelectasis and Mediastinal Shift: A Case Report

Suya Zhang, Hongshun Xu, Yubin Kou
Blunt abdominal trauma is a frequent emergency and is also associated with significant morbidity and mortality. Spleen is the commonest organ injured. In this study, we meet a special complication after splenectomy, atelectasis and mediastinal shift, and this is the complication with hemodynamic unstable. Without bronchoscopy, the patient is told to inspire deeply by blowing balloons with pressure 8 - 10 cm H2O and recovered uneventfully.

Jul 24, 2015Open    AccessArticle

Overwhelming Postsplenectomy Infection for Splenectomized HCV Patients

Naoki Hashimoto
Pegylated-interferon (IFN) plus ribavirin remains the most effective therapeutic regimen for patients with chronic hepatitis C interferon. Thrombocytopenia is a common side effect of this treatment, often leading to discontinuation of a potentially curative therapy. Splenectomy was a clinically effective treatment for hepatitis C virus-associated thrombocytopenia. Splenectomy in patients with hepatitis C cirrhosis is now safer prelude to antiviral treatment. Overwhelming post splenectomy infecti...

Nov 07, 2014Open    AccessArticle

Knee Surgery and Vascular Lesion: Cases Series and Literature Review

Stefano Rigotti, Luca Garriboli, Gianluca Piovan, Daniele Screpis, Antonio Jannello, Claudio Zorzi
Iatrogenic vascular injuries to the knee in orthopedic surgery are a major concern for surgeons and a major problem for patients. They are fortunately rare, but it is equally difficult to process. The first decisions taken as soon as you confirm the diagnosis are the most important for the patient’s recovery. We did a review of the cases in our center where they were present simultaneously in the Department of Orthopaedic Surgery and Vascular Surgery.