Hepato Gastroenterol
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Hepato Gastroenterol · May 2008
Usefulness of a selective neutrophil elastase inhibitor (sivelestat) in septic ARDS patients after gastrointestinal surgery.
The usefulness of a neutrophil elastase inhibitor (sivelestat) was evaluated for treating septic acute respiratory distress syndrome (ARDS) after gastrointestinal surgery. ⋯ In conclusion, sivelestat may be effective against septic ARDS. The effectiveness of the drug could be determined based on improvement in oxygenation ability on day 3 of drug administration.
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Hepato Gastroenterol · May 2008
Oily chemoembolization combined with degradable starch microspheres for HCC with cirrhosis.
To assess efficacy of transcatheter arterial chemoembolization (TACE) combined with degradable starch microspheres (DSM) for patients with liver cirrhosis and hepatocellular carcinoma (HCC). ⋯ From these results we conclude that TACE-DSM therapy is useful for protecting liver function in patients with cirrhosis and unresectable HCC.
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Hepato Gastroenterol · May 2008
Comparative StudyThe use of different diagnostic modalities in diagnosing fistula-in-ano.
In this study, a comparison was made of the accuracy and clinical usefulness of clinical investigation, fistulography, and endorectal ultrasound with and without hydrogen peroxide in preoperative classification of the fistula-in-ano. ⋯ In this study, endorectal ultrasound with H2O2 was the most accurate diagnostic modality in the preoperative assessment of the fistula-in-ano. As it can provide valuable information that can influence the type of operative procedure, and because it is relatively cheap and available in almost all hospitals, it should be used prior to operative treatment in all patients with a fistula-in-ano.
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Hepato Gastroenterol · May 2008
Hepatectomy and pancreatectomy with combined vascular resection in patients with hepato-biliary and pancreas diseases at a single cancer institute.
In advanced cancers of hepatobiliary and pancreatic lesions, major vascular resection and reconstruction are necessary to accomplish curative resection, which may provide better patient outcomes. ⋯ Complete surgical resection (R0) combined with main vascular resection could be safely performed in many patients with disease of the hepatobiliary and pancreas, which achieved longer survival in some patients even in the advanced stage.