World journal of gastroenterology : WJG
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World J. Gastroenterol. · Oct 2011
Role of Kasai procedure in surgery of hilar bile duct strictures.
To assess the application of the Kasai procedure in the surgical management of hilar bile duct strictures. ⋯ The Kasai procedure combined with biliary stents may be appropriate for patients with hilar biliary stricture that cannot be managed by standard surgical methods.
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World J. Gastroenterol. · Sep 2011
Balanced propofol sedation administered by nonanesthesiologists: The first Italian experience.
To assess the efficacy and safety of a balanced approach using midazolam in combination with propofol, administered by non-anesthesiologists, in a large series of diagnostic colonoscopies. ⋯ A balanced sedation protocol provided a minimalization of the dose of propofol needed to target a moderate sedation for colonoscopy, resulting in a high safety profile for non-anesthesiologist propofol sedation.
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World J. Gastroenterol. · Aug 2011
Ketamine and midazolam sedation for pediatric gastrointestinal endoscopy in the Arab world.
To evaluate the safety and effectiveness of intravenous ketamine-midazolam sedation during pediatric endoscopy in the Arab world. ⋯ Ketamine-midazolam sedation appears safe and effective for diagnostic pediatric gastrointestinal endoscopy in the Arab world for children aged > 1 year and weighing > 10 kg without co-morbidities.
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World J. Gastroenterol. · Aug 2011
Case ReportsSimultaneous bile duct and portal venous branch ligation in two-stage hepatectomy.
Hepatectomy is an effective surgical treatment for multiple bilobar liver metastases from colon cancer; however, one of the primary obstacles to completing surgical resection for these cases is an insufficient volume of the future remnant liver, which may cause postoperative liver failure. To induce atrophy of the unilateral lobe and hypertrophy of the future remnant liver, procedures to occlude the portal vein have been conventionally used prior to major hepatectomy. ⋯ Despite successful induction of liver volume shift as well as the following procedure, the patient died of subsequent liver failure after developing recurrent tumors. We discuss the first case in which simultaneous ligation of the portal vein and the biliary system was successfully applied as part of the first step of two-stage hepatectomy.
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World J. Gastroenterol. · Jul 2011
Randomized Controlled TrialSymptom-based tendencies of Helicobacter pylori eradication in patients with functional dyspepsia.
To investigate whether there were symptom-based tendencies in the Helicobacter pylori (H. pylori) eradication in functional dyspepsia (FD) patients. ⋯ The efficacy of H. pylori eradication has symptom-based tendencies in FD patients. It may be effective in the subgroup of FD patients with epigastric pain syndrome.