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Esophageal Rupture

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162. Proton Beam Therapy

, treatment protocol, location, or other such concerns. Conditions included in the evidence review are as follows: ? Cancers ? Bone tumors ? Brain, spinal, and paraspinal tumors ? Breast cancer ? Esophageal cancer ? Gastrointestinal cancers ? Gynecologic cancers ? Head and neck cancers (including skull base tumors) ? Liver cancer ? Lung cancer ? Lymphomas ? Ocular tumors ? Pediatric cancers (e.g., medulloblastoma, retinoblastoma, Ewing’s sarcoma) ? Prostate cancer ? Soft tissue sarcomas ? Seminoma (...) for the subgroup of patients with hereditary disease. Other harms are presented in detail for each condition type in the sections that follow. No comparative studies were identified for curative therapy of: breast, esophageal, gastrointestinal, gynecologic, and pediatric cancers; lymphomas, sarcomas, seminomas, and thymomas; arteriovenous malformations. 5 Proton Beam Therapy Approved January 14, 2016 No comparative studies were identified for salvage treatment of: brain/spinal/paraspinal, breast, esophageal

2016 Oregon Health Evidence Review Commission

164. Gastrointestinal stromal tumor of the esophagus: current issues of diagnosis, surgery and drug therapy Full Text available with Trip Pro

administration is downsizing of the GIST to reduce the extent of resection and to reduce the risk of intraoperative complications, including tumor rupture. The efficacy of neoadjuvant/adjuvant imatinib therapy for esophageal GISTs is poorly understood, because the reports are limited to case reports or case series with small numbers. More clinicopathological data and clinical trials for esophageal GIST are expected. (...) Gastrointestinal stromal tumor of the esophagus: current issues of diagnosis, surgery and drug therapy Gastrointestinal stromal tumors (GISTs) often arise in the stomach and small intestine, while esophageal GISTs are rare. Due to their rarity, clinicopathological data on esophageal GISTs are extremely limited, and this results in a lack of clear recommendations concerning optimal surgical management for esophageal GISTs. It is difficult to distinguish esophageal GIST from leiomyoma, the most

2018 Translational gastroenterology and hepatology

166. Avibactam sodium / ceftazidime (Avycaz)

Claforan Ceftazidime Fortaz, Tazicef Ceftriaxone Rocephin Cefepime Maxipime ß- l ac t am / ß-lactamase Inhibitor Combinations Ticarcillin clavulanate Timentin Ampicillin-sulbactam Unasyn Piperacillin-tazobactam Zosyn Ceftolozane-tazobactam Zerbaxa Fluoroquinolones Risk of tendonitis, tendon rupture, QTc prolongation, exacerbation of myasthenia gravis, CNS effects, peripheral neuropathy Ciprofloxacin Cipro Moxifloxacin Avelox Carbapenems Imipenem-cilastatin Primaxin Meropenem Merrem Ertapenem Envanz (...) Piperacillin-tazobactam Zosyn Ceftolozane-tazobactam Zerbaxa Fluoroquinolones Risk of tendonitis, tendon rupture, QTc prolongation, exacerbation of myasthenia gravis, CNS effects, peripheral neuropathy Levofloxacin Levaquin Ciprofloxacin Cipro Carbapenems Imipenem-cilastatin Primaxin Ertapenem Envanz Doripenem Doribax Monobactams Although used in pts with allergy to penicillins/cephalosporins, there are concerns about cross-reactivity with ceftazidime Aztreonam Azactam Aminoglycosides Risk

2015 FDA - Drug Approval Package

169. Cirrhosis

with cirrhosis each year), and is more common in people with other evidence of decompensated liver disease [ ; ; ]. It is usually associated with a predisposing event, for example, constipation, dehydration, infection, gastrointestinal bleeding, or drugs (for example opiates, benzodiazepines, diuretics) [ ; ; ; ]. Haemorrhage from oesophageal varices The increase in portal pressure causes varices as a result of dilation of veins in the oesophagus and stomach [ ]. Rupture of varices and associated bleeding (...) , which can present as haematemesis or melaena, has a high mortality rate [ ; ]. Risk factors for rupture include size of varices, severity of liver disease, sepsis, and hepatocellular carcinoma [ ]. Gastro-oesophageal varices occur in around half of people with cirrhosis, but this is dependent on the clinical stage. Fewer people with compensated cirrhosis have varices (30–40%) compared with decompensated cirrhosis (up to 85%) [ ]. Infection People with cirrhosis are at increased risk of bacterial

2018 NICE Clinical Knowledge Summaries

171. Liver Disease and Pregnancy

, on their treatment with penicillamine, trientine, or zinc (strong recommen- dation, very low level of evidence). Pregnant women with suspected portal hypertension should undergo screening with upper endoscopy for esophageal varices in the second trimester (strong recommendation, low level of evidence). Pregnant women who are found to have large esophageal varices should be treated with beta-blockers and/or band ligation (conditional recommendation, very low level of evidence). Pregnant women with a history (...) , hemolysis, elevated liver enzymes, low platelets; HG, hyperemesis gravidarum; IHCP, intrahepatic cholestasis of preg- nancy. Liver Disease and Pregnancy © 2016 by the American College of Gastroenterology The American Journal of GASTROENTEROLOGY 7 whereas abdominal swelling or shock presentation can occur with hepatic rupture ( 61,62 ). Supportive management is appropriate for most contained hematomas. Surgery is indicated for those with enlarging hematomas or evidence of rupture with hemodynamic

2016 American College of Gastroenterology

172. Practice Guidelines for the Diagnosis and Management of Aspergillosis

accompanied by systemic antifungal therapy with voriconazole (strong recommendation; low-quality evidence) . What Are the Treatment Recommendations for Esophageal, Gastrointestinal, and Hepatic Aspergillosis? Recommendations 58. We suggest voriconazole and surgical consultation in attempts to prevent complications of hemorrhage, perforation, obstruction, or infarction (weak recommendation; low-quality evidence) . 59. We suggest antifungal therapy with voriconazole or a lipid formulation of AmB as initial

2016 Infectious Diseases Society of America

174. Pilot study on preventing anastomotic leakage in stapled gastroesophageal anastomosis Full Text available with Trip Pro

after firing the stapler, and, if found, manually repairing a rupture of the mucous membrane of the anastomosis.A rupture of the mucous membrane of the anastomosis was found in four out of the 101 patients and manually repaired. No postsurgical anastomotic leakage occurred. All patients recovered well and the average postoperative stay was 10.4 days. There was no mortality within 30 days after surgery.It is critical to inspect the integrality of the luminal mucous membrane of the anastomosis under (...) direct vision in order to prevent anastomotic leakage in surgical resection of esophageal and gastroesophageal junction malignancies.© 2017 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.

2017 Thoracic cancer

175. Vascular Graft Infections, Mycotic Aneurysms, and Endovascular Infections: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

the risk of infection and serious infection-related complications. The major complications of VGI include sepsis, amputation, disruption of infected anastomotic suture line with rupture or pseudoaneurysm formation, embolization of infected thrombi, reinfection of reconstructed vascular grafts, enteric fistulae to the small or large bowel, bacteremic spread of infection to other sites, and death. VGIs can be categorized broadly into those that occur in an extracavitary location, primarily in the groin (...) , abscess, sinus tract drainage, graft occlusion with distal ischemia, peripheral septic emboli, pseudoaneurysm formation, anastomotic rupture with hemorrhage (which may be life-threatening), erosion of the graft through the wound, and poor tissue incorporation of the graft. Late-onset infection (>2 months postoperatively) is less often characterized by signs of systemic sepsis. In these cases, the infection often is indolent, with local stigmata of groin erythema, painful swelling, sinus tract drainage

2016 American Heart Association

176. Polyhydramnios in singleton pregnancies

OR: Odds ratio PPROM: Preterm primary rupture of membranes RR: Relativ risiko SDP: Single deepest pocket SDVP: Single deepest vertical pocket SF: Symfysefundus UL: Ultralyd 3 Indholdsfortegnelse: Nøgleord: 1 Indledning: 1 Arbejdsgruppens medlemmer: 1 Relevante koder: 1 Anvendte forkortelser: 1 Indledning: 5 Guideline: 6 Definition: 9 Diagnostik/målemetoder: 9 Klinisk vurdering: 9 Fostervandsvolumen i forhold til GA: 9 Metodevalg: 10 Grænser for AFI og DVP: 13 Fysiologi vedrørende fostervandets volumen (...) system. In: Thurnburn GD, Harding R, editors. Textbook of fetal physiology. Oxford: Oxford University Press, 1994:140-167 24. Brace RA, Wlodek ME, Cock ML, et al. Swallowing of lung liquid and amniotic fluid by the ovine fetus under normoxic and hypoxic conditions. Am J Obstet Gynecol 1994;171:764-770. 25. Kunisaki SM, Bruch SW, Hirchkl RB, et al. The diagnosis of fetal esophageal atresia and its implications on perninatal outcome. Pediatr Surg Int 2014;10:971-7. 26. Spaggiari E, Faure G, Rosseau V

2016 Nordic Federation of Societies of Obstetrics and Gynecology

177. Cardiac Arrest in Pregnancy

management. Supraglottic airway placement is the preferred rescue strategy to facilitate ventilation after failed intubation. Supraglottic airway devices with an esophageal drain provide access to the stomach to relieve air and stomach contents and may reduce the risk of regurgitation and aspiration pneumonitis. Subsequent exchange with a definitive airway with fiberoptic guidance may be considered for women with ROSC. If oxygenation and ventilation are not successful with a supraglottic device or ETT

2015 American Heart Association

178. Acute Nonspecific Chest Pain ? Low Probability of Coronary Artery Disease

: chest radiography, multidetector computed tomography (MDCT), magnetic resonance imaging (MRI), ventilation/perfusion (V/Q) scans, cardiac perfusion scintigraphy, transesophageal and transthoracic echocardiography, positron emission tomography (PET), spine and rib radiography, barium esophageal and upper GI studies, and abdominal ultrasound (US) [5,6]. Traditionally, most of these examinations have been performed during the ED visit, but there is a trend to perform outpatient testing. Variant: Acute (...) are low [8]. Thoracic calcifications, if present, can indicate pericardial disease, ventricular aneurysm, intracardiac thrombi, or aortic disease. Although chest radiographs are often normal for the presence of PE, the presence of a Hampton hump, Westermark sign, or pulmonary artery enlargement can suggest PE [9]. Mediastinal air can indicate a ruptured viscus or subpleural bleb or other acute pathology. In addition, widening of the mediastinum or an enlarged heart or aortic knob, as well as ill

2015 American College of Radiology

179. Management of Ingested Foreign Bodies in Children: A Clinical Report of the NASPGHAN Endoscopy Committee

clinical studies may be necessary to clarify aspects based on expert opinion instead of published data. Thus, these guidelines may be revised as needed to account for new data, changes in clinical practice, or avail- ability of new technology. Key Words: aortoesophageal ?stula, button battery, esophageal food impaction, foreign body ingestion, magnet, superabsorbent (JPGN 2015;60: 562–574) I n 2000 the American Association of Poison Control Centers documented that 75% of the>116,000 ingestions reported (...) of mercury, compiled data on battery ingestions published by the National Capital Poison Center in 1992 of>2300 BB ingestions during a 7-year period found no deaths and only a 0.1% prevalence of major effect (defined as life-threatening or disabling; in this series, there were 2 patients with esophageal stricture) (4). During the ensuing 18 years, however, that clinical experience changed dramatically with a follow-up paper from the National Capital Poison Center in 2010 (5). In this cohort of>8600 BB

2015 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

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