World journal of gastroenterology : WJG
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World J. Gastroenterol. · Oct 2012
Editorial ReviewEnhanced recovery programme in colorectal surgery: does one size fit all?
Enhanced recovery after surgery (ERAS) employs a multimodal perioperative care pathway with the aim of attenuating the stress response to surgery and accelerating recovery. It has been difficult to determine the relative importance of some of the individual components of these pathways such as epidural analgesia and laparoscopic colorectal surgery. Some argue that only a rigid adherence to the published ERAS protocol can achieve the proposed benefits of fast-track surgery. In this article, we explore some of the areas where the evidence base may be changing and ask whether a more flexible and individualised approach should be considered.
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World J. Gastroenterol. · Oct 2012
Endoscopic submucosal dissection for foregut neuroendocrine tumors: an initial study.
To evaluate the feasibility and efficacy of endoscopic submucosal dissection (ESD) for foregut neuroendocrine tumors (NETs). ⋯ ESD appears to be a safe, feasible, and effective procedure for providing accurate histopathological evaluations and curative treatment for eligible foregut NETs.
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World J. Gastroenterol. · Oct 2012
Anorectal functional outcome after repeated transanal endoscopic microsurgery.
To evaluate the status of anorectal function after repeated transanal endoscopic microsurgery (TEM). ⋯ The anorectal function after repeated TEM is preserved. Multiple TEM procedures are useful for resection of multi-polyps in the remaining rectum.
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World J. Gastroenterol. · Oct 2012
Exogenous carbon monoxide attenuates inflammatory responses in the small intestine of septic mice.
To determine whether the carbon monoxide (CO)-releasing molecules (CORM)-liberated CO suppress inflammatory responses in the small intestine of septic mice. ⋯ CORM-released CO attenuates the inflammatory cytokine production (IL-1β and TNF-α), and suppress the oxidative stress in the small intestine during sepsis by interfering with protein expression of ICAM-1 and iNOS.
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World J. Gastroenterol. · Oct 2012
Case ReportsTracheobronchial nodules and pulmonary infiltrates in a patient with Crohn's disease.
Crohn's disease is a granulomatous systemic disorder of unknown etiology. Obvious pulmonary involvement is exceptional. Tracheal involvement in Crohn's disease is even more unusual, only a few cases have been reported to date. ⋯ Repeated FOB showed that nodes in the trachea disappeared and the ones in the right upper lobe opening diminished obviously. Crohn's disease can be associated with several respiratory manifestations. The form of tracheal and bronchopulmonary involvement in Crohn's disease is rare and responded well to steroids.