37— the management of benign and malignant biliary strictures

... al: Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC) ... Rotterdam, The Netherlands Authors’ contributions MHD designed the study with EE, BF, PR, FCP, and HJS BF developed essential study documents EKG, PS, and PP supported the design of the study with their ... From another view, one of the secondary endpoints is to look for evidence of malignant transformation of the infused cells that would severely limit their further use Longterm persistence of MAPC...

Ngày tải lên: 18/06/2014, 22:20

... al: Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC) ... Rotterdam, The Netherlands Authors’ contributions MHD designed the study with EE, BF, PR, FCP, and HJS BF developed essential study documents EKG, PS, and PP supported the design of the study with their ... From another view, one of the secondary endpoints is to look for evidence of malignant transformation of the infused cells that would severely limit their further use Longterm persistence of MAPC...

Ngày tải lên: 20/06/2014, 04:20

... stenosis at the level of the anastomosis The pressure gradient across the inferior vena cava anastomosis was unremarkable at 1–2 mmHg There was no evidence of portal hypertension However, the overall ... seen in those over the age of 80; and (4) heriditary There are at least eight different proteins that have been recognized to cause the hereditary amyloidoses [2] Of these, the amyloidgenicTTR ... LV (130/8 mm Hg), AO (130/70 mm Hg) which limits further synthesis of the mutated protein, and thus halts further deposition in the organs The Val30Met mutation typically presents with neuropathy,...

Ngày tải lên: 11/08/2014, 10:23

... depends on the time of diagnosis after the initial injury and the type, extent and level of the injury The aim of the treatment is immediate management of the associated sepsis, fistula, and obstruction ... factor; the greater the level of the injury, the poorer the outcome after the procedure Other factors include the timing of the repair, the performance of preoperative cholangiography, the choice of ... procedure, the expertise of the surgeon performing the repair, and the presence of concomitant vascular injury [11] There are no data in the literature to show the exact incidence of recurrent...

Ngày tải lên: 11/08/2014, 19:21

... observed in the liver parenchyma and surgical margins were free of malignant cells After the successful resection of this unusual recurrence, the patient received six courses of adjuvant chemotherapy ... Puncture of the mass confirmed the presence of adenocarcinoma as well as a purulent collection complicating this lesion In spite of multiantibiotic treatment and drainage of the collection, the patient ... determinants of invasiveness and relapse Expression of EGFR, HER2 and VEGF has been correlated with disease recurrence and could be incorporated into the decision-making process of deciding adjuPage of...

Ngày tải lên: 09/08/2014, 04:21

... antigens Antibodies and cytokines also contribute to the immunologic attack The biliary epithelium and venous endothelium express MHC class I and II molecules and are the focus of the acute cellular ... induction therapy and like the other antibodies result in depletion of the cells that bear the cell surface protein which they bind Tolerance The development of an immunologic state wherein the recipient ... and reperfusion contribute to the initiation or maintenance of the alloimmune response The period of cold preservation, ischemia, and reperfusion leads to the differential expression of endothelial...

Ngày tải lên: 10/08/2014, 15:20

... inhabitant of the mucosal surfaces of the human upper respiratory tract [4] There is a possibility that the patient may have subsequently coughed up and swallowed the H parainfluenza, moving it into the ... on the palpable stone A CBD Ttube was placed, brought out through the lateral abdominal wall, and attached to the bile drainage bag No other stones remained in the CBD after the completion of ... via ERCP; therefore an open cholecystectomy and CBD exploration was performed If H parainfluenza was introduced during the ERCP, there was no evidence of perforation or abscess and the CBD was...

Ngày tải lên: 11/08/2014, 12:20

... One is the fetal, embryonic or prenatal type, and the other is the acquired or perinatal type The perinatal type is believed to account for 70-80% of all biliary atresia The etiology of biliary ... hypotheses have been put forward The first is called the ductal plate malformation theory, which assumes a congenital anomaly of the intrahepatic bile trees According to the other theory, the ... B19-AN85 and AB126271 for B19-AN87 Discussion The etiology of hepatitis remains obscure in 3-10% of cases in Europe [5] and the United States [6] and up to 30% of cases in Asia [7, 8] Particularly, the...

Ngày tải lên: 26/10/2012, 10:03

... because of the patient's often poor performance status, their increased susceptibility to infection and rejection, and the presence of anemia and renal dysfunction that lessen the tolerability of ... the diagnosis and management of hepatitis C in the peri-liver transplant period, as well as the management of the complications of chronic liver diseases Paul Martin M.D is Professor of Medicine ... Sinai School of Medicine New York and Associate Director of the Division of Liver Diseases He has a major interest in the management of viral hepatitis in organ transplantation and chronic kidney...

Ngày tải lên: 31/10/2012, 17:08

... developed) and improved the outcome of patients who became reinfected [13-17] The combination of HBIG and lamivudine enhanced prevention of HBV reinfection [14,18], and the advent of adefovir ... Globulin Monotherapy Long-term use of HBIG in the late 1980s in Europe and in the early 1990s in the U.S.A significantly reduced the rate of reinfection and improved both graft and patient survival ... Globulin and Lamivudine The combination of LAM therapy pre- and post-OLT with HBIG post-OLT has become the standard of care for most liver transplant programs (Table 2) Multiple studies showed that the...

Ngày tải lên: 02/11/2012, 11:17

... absorption of extremely strong wine, opened up the chest of two soldiers and after examining them, exchanged their hearts and transplanted them” The first reference to the concept of organ transplantation ... volume of the right lateral segments is greater than that of the left liver and at the same time >40% of the recipient’s standard liver volume.[124] Between January 2000 and April 2001, of 32 ... some of the mechanisms involved in the pathophysiology of I/R injury Due to the complexity of hepatic I/R injury, the present review summarizes the established basic concepts of the mechanisms and...

Ngày tải lên: 30/03/2014, 23:20

... absorption of extremely strong wine, opened up the chest of two soldiers and after examining them, exchanged their hearts and transplanted them” The first reference to the concept of organ transplantation ... volume of the right lateral segments is greater than that of the left liver and at the same time >40% of the recipient’s standard liver volume.[124] Between January 2000 and April 2001, of 32 ... some of the mechanisms involved in the pathophysiology of I/R injury Due to the complexity of hepatic I/R injury, the present review summarizes the established basic concepts of the mechanisms and...

Ngày tải lên: 27/06/2014, 11:20

... absorption of extremely strong wine, opened up the chest of two soldiers and after examining them, exchanged their hearts and transplanted them” The first reference to the concept of organ transplantation ... volume of the right lateral segments is greater than that of the left liver and at the same time >40% of the recipient’s standard liver volume.[124] Between January 2000 and April 2001, of 32 ... some of the mechanisms involved in the pathophysiology of I/R injury Due to the complexity of hepatic I/R injury, the present review summarizes the established basic concepts of the mechanisms and...

Ngày tải lên: 27/06/2014, 13:20

... from (1) The cut surface of the liver, (2) The site of the biliary anastomosis, (3) The site of the intestinal anastomosis, and (4) The exit site of a T tube (or other types of external stents) Anastomotic ... risk of HBV reactivation On the other hand, the concomitant presence of anti-HBs in the donor’s serum does not offer any protective effect Other factors as the Child-Pugh score and the type of ... clamped again, and the running suture of the medial aspect of the caval anastomosis is tied to the corner stitch The clamps on the vena cava and the portal vein are now removed, and the liver graft...

Ngày tải lên: 27/06/2014, 13:20

... A rare combination of an endocrine tumour of the common bile duct and a follicular lymphoma of the ampulla of Vater: a case report and review of the literature World Journal of Surgical Oncology ... in drafting and revising the manuscript AT participated in gathering the data and drafted the manuscript EK performed the appropriate histological analysis of the surgical specimens and provided ... depicting the dilatation and abrupt stenosis of the CBD, close to the ampulla of Vater (arrow) Endoscopic ultrasonography (EUS) demonstrated the duodenal ampulla of Vater thickened and the CBD...

Ngày tải lên: 09/08/2014, 01:24

... suture was placed around the orifice of the right hepatic vein and the hepatic venous trunk of the middle and left hepatic vein, respectively, to prevent the backflow of the contrast media Second, ... the bloodstream In spite of the presence of a direct connection to the hepatic veins, neither of the two positive cases showed microscopic hepatic venous invasion These results suggest that the ... to a portal vein (3) On the other hand, the mechanism of extrahepatic recurrence of HCC is still controversial, with the possibility of a direct route from HCC nodules to the systemic circulation...

Ngày tải lên: 09/08/2014, 02:21

... counterpart of pancreaticobiliary type of IPMN-P and columnar type was that of intestinal type [19] To the contrary, Zen et al., thought the oncocytic type as a variant of the pancreaticobiliary type and ... SJ carried out management of the patient, conceived of the study, participated in its design and coordination, and helped to draft the manuscript All authors read and approved the final manuscript ... encountered and excised for frozen section, and the result was free of tumor cell Therefore, further dissection of lymph node was not performed The tumor was adherent to but detachable from the left...

Ngày tải lên: 09/08/2014, 04:21

... preparation of manuscript and concept and design, ST preparation of manuscript and concept and design, TF preparation of manuscript and concept and design, KM preparation of manuscript and concept and ... due to other malignancies is caused by direct invasion of the PV and is usually connected to the main tumor, in the present case the connection between the BDC and PVTT was unclear and there was ... demonstrates the portal vein tumor thrombus MS preparation of the manuscript, concept and design and critically revising the manuscript YI preparation of manuscript and concept and design, TS...

Ngày tải lên: 09/08/2014, 07:21

... attached rigidly to the sidewall of the base plate http://www.ro-journal.com/content/2/1/21 The CT slice thickness and pitch were mm each in the area of the tumor, and mm each in the other areas Each ... appears to say that the CI should be less than 2.00 since the most patients (15/18 cases) without RP were covered This is a reflection of the number of beams and the spreading out of the prescribed ... might have had to set the leaves at the margin of the PTV according to the ongoing Radiation Therapy Oncology Group protocols There must be something wrong with either the way targets are irradiated...

Ngày tải lên: 09/08/2014, 10:21