Persistent Tuberculous Cystitis: The Most Common Indication for Nephrectomy in the Management of Urogenital Tuberculosis

1987 ◽  
Vol 13 (1-2) ◽  
pp. 57-61 ◽  
Author(s):  
V. Škutil ◽  
M. Obšitnik
Keyword(s):  
Common Indication ◽  
Urogenital Tuberculosis ◽  
Tuberculous Cystitis

scholarly journals Diagnostic yield and appropriate indication of upper endoscopy in Jordanian children

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eyad Altamimi ◽  
Yousef Odeh ◽  
Tuka Al-quraan ◽  
Elmi Mohamed ◽  
Naif Rawabdeh
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Yield ◽  
Failure To Thrive ◽  
University Hospital ◽  
P Value ◽  
Upper Endoscopy ◽  
Detection Rates ◽  
Common Indication ◽  
Histopathological Findings ◽  
Endoscopic Findings

Abstract Background Upper endoscopy is an essential tool for diagnosing pediatric gastrointestinal issues. This study aimed to assess the indications, diagnostic yields, concordance between histopathological and endoscopic findings and suitability of upper endoscopies performed at a tertiary university hospital in Jordan. Methods Hospital records of children who underwent upper endoscopy were retrospectively reviewed. Demographics, endoscopic details (e.g., indications, findings and any complications), and histopathological findings were collected. The relationship between endoscopic findings and histopathological abnormalities was reported. Results The study included 778 patients (age, 92.5 ± 54.5 months; 380 girls, 48.8%). The most common age group was children younger than 60 months (273 patients, 34.3%). The most common indication for endoscopy was abdominal pain, followed by vomiting and failure to thrive or weight loss. Normal upper endoscopy was reported in 411 patients (52.8%). Age below 60 months, abdominal pain, dysphagia/odynophagia, and heartburn were predictive of abnormal endoscopy in multivariate analysis with p-value 0.000, 0.048, 0.001 and 0.01 respectively. Abnormal endoscopy showed 67.3% sensitivity and 69.9% specificity to predict histopathological abnormalities. Of those performed, 13.6% endoscopies were described as inappropriate indication. The suitability of the procedure was a sensitive predictor for abnormal endoscopic and histopathological findings. Conclusions Abdominal pain is the most common indication for upper endoscopy in our population. It is associated with a higher chance of abnormal endoscopy. Concordance between endoscopic and histopathological findings is not high. Normal endoscopic findings shouldn`t discourage the endoscopist from obtaining tissue biopsies. Considering more biopsies may improve pathological detection rates. Compliance with established endoscopy guidelines may reduce unnecessary procedures.

A registry study on radial head arthroplasties in the Netherlands: Indications, types and short-term survival

2021 ◽  
pp. 175857322098784
Author(s):  
Arno A Macken ◽  
Ante Prkić ◽  
Koen LM Koenraadt ◽  
Iris van Oost ◽  
Anneke Spekenbrink-Spooren ◽  
...  
Keyword(s):  
Radial Head ◽  
Register Data ◽  
Implant Survival ◽  
Short Term ◽  
Term Survival ◽  
Arthroplasty Register ◽  
Common Indication ◽  
Radial Head Arthroplasty ◽  
Kaplan Meier ◽  
Short Term Survival

Background This study aims to use the Dutch Arthroplasty Register data to report an overview of the contemporary indications and implant designs, and report the short-term survival of radial head arthroplasty. Methods From the Dutch Arthroplasty Register, data on patient demographics, surgery and revision were extracted for radial head arthroplasties performed from January 2014 to December 2019. Implant survival was calculated using the Kaplan–Meier method. Results Two hundred fifty-eight arthroplasties were included with a median follow-up of 2.2 years. The most common indication was a fracture of the radial head (178, 69%). One hundred thirty-nine (68%) of the prostheses were of bipolar design, and the most commonly used implant type was the Radial Head System (Tornier; 134, 51%). Of the 258 included radial head arthroplasties, 16 were revised at a median of six months after surgery. Reason for revision was predominantly aseptic loosening (9). The overall implant survival was 95.8% after one year, 90.5% after three years and 89.5% after five years. Discussion For radial head arthroplasties, acute trauma is the most common indication and Radial Head System the most commonly used implant. The implant survival is 89.5% after five years.

scholarly journals Instability Is the Most Common Indication for Revision Hip Arthroplasty in the United States: National Trends From 2012 to 2018

2021 ◽  
Vol 11 ◽  
pp. 88-101
Author(s):  
Alex Upfill-Brown ◽  
Peter P. Hsiue ◽  
Troy Sekimura ◽  
Jay N. Patel ◽  
Micah Adamson ◽  
...  
Keyword(s):  
United States ◽  
Hip Arthroplasty ◽  
The United States ◽  
Revision Hip Arthroplasty ◽  
Common Indication ◽  
National Trends

Abstract 416: Pluripotent Stem Cell Signaling in Pediatric Heart Failure Patients

2016 ◽  
Vol 119 (suppl_1) ◽  
Author(s):  
Kathleen C Woulfe ◽  
Phillip Tatman ◽  
Anis Karimpour-Fard ◽  
Xuan Jiang ◽  
Karin Nunley ◽  
...  
Keyword(s):  
Heart Failure ◽  
Stem Cell ◽  
Cell Signaling ◽  
Dilated Cardiomyopathy ◽  
Pediatric Patients ◽  
Disease Process ◽  
Idiopathic Dilated Cardiomyopathy ◽  
Cytokine Signaling ◽  
Common Indication ◽  
Pediatric Heart Failure

Pediatric heart failure is a heterogeneous disease process with congenital heart disease being the most common indication for heart transplantation in infants, and dilated cardiomyopathy (DCM) the most common indication in older children. Due to limitations of studying pediatric populations, there is no specific therapy for children with DCM. Importantly, the application of proven adult therapies to pediatric patients with DCM has resulted in no substantial improvement in survival over the past three decades. Therefore, there is a clear need for new approaches to better understand this disease process. In this study, we investigated global cardiac transcriptome and circulating serum proteome changes in pediatric patients with idiopathic dilated cardiomyopathy (IDC) and non-failing controls. Changes were identified in cytokine signaling, signal transduction, and transcription in pediatric IDC patients when compared to non-failing controls. Interestingly, these changes closely resemble the induction of stem cell pluripotency and signaling in resting stem cell populations. Importantly, the transcriptome changes are age-specific and were not observed in adult IDC patients. In addition, the protein profile in serum from pediatric IDC patients identified several factors related to inflammation, and treatment of cardiomyocyte-derived induced pluripotent stem cells (iPSC) with pediatric IDC serum recapitulated pathologic changes in gene expression, including expression of genes altered in the failing pediatric heart. These findings suggest that pathologic changes in cardiomyocytes may be triggered by circulating factors present in the serum resulting in pluripotent and stem cell signaling. These results provide several novel targets for future research and therapeutic intervention.

Low profile sheaths in pediatric neurointervention: a multicenter experience

2021 ◽  
pp. neurintsurg-2021-017936
Author(s):  
Karen Chen ◽  
Demi Dawkins ◽  
Darren B Orbach ◽  
Beverly Aagaard-Kienitz
Keyword(s):  
Distal Embolization ◽  
Historical Cohort ◽  
Hospital Records ◽  
Common Indication ◽  
Tumor Embolization ◽  
University Of Wisconsin ◽  
Low Profile ◽  
Significant Difference ◽  
Chemotherapy Infusion ◽  
Groin Hematoma

BackgroundPediatric neurointervention is challenged by the appropriateness of adult catheters and devices. This multicenter report on the smallest groin access sheaths offers technical notes and clinical outcomes in the pediatric neurointerventional population.MethodsAll pediatric neurointerventional cases from 2019 to 2021 were reviewed for use of a 3.3F Pediavascular or a 4F Merit Prelude Ideal low profile sheath. Hospital records were reviewed for complications and technical notes and compared with arterial groin access with the 4F Terumo Pinnacle in infants less than 1 year old, before the low profile sheaths at one author’s institution were introduced.ResultsFrom January 1, 2019 to March 31, 2021 there were 347 procedures performed at Boston Children’s Hospital and University of Wisconsin. Forty-four procedures in 26 patients were identified in which a 3.3F (38 cases, 20 patients) or 4F (6 cases, 6 patients) sheath was used. The average age was 2.2 years (1.5 days to 18 years). Retinoblastoma intra-arterial chemotherapy infusion (18 of 44) was the most common indication. The remaining procedures comprised vein of Galen embolization (12), diagnostic cerebral angiography (13), and one preoperative tumor embolization. Morbidity included a groin hematoma and decreased pulses (4.5%). No major groin complications occurred. There was no statistically significant difference compared with the historical cohort (132 procedures), which had seven instances of decreased pulses (5.3%, p>0.05).ConclusionThe 3.3F Pediavascular and 4F Merit Prelude Ideal sheaths are easily incorporated into the pediatric neurointerventionalist’s armamentarium for infants and readily accommodate various microcatheters for distal embolization and catheterization.

Causes and Timing of Nonelective Reoperations after Bariatric Surgery: A Review of 1304 Cases at a Single Institution

2015 ◽  
Vol 81 (10) ◽  
pp. 969-973 ◽  
Author(s):  
Erin Thompson ◽  
Lisa Ferrigno ◽  
Jonathon Grotts ◽  
Jenna Knox ◽  
Samantha Sobelman ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Band ◽  
Biliary Disease ◽  
Single Institution ◽  
Index Procedure ◽  
Common Cause ◽  
Common Indication ◽  
Number Of Patients ◽  
Gastric Bands

As the number of patients undergoing bariatric procedures for weight loss increases, an understanding of the causes and timing of complications requiring reoperation is critical. The aim of our study was to characterize the type and timing of nonelective (NE) reoperations in these patients. Over five years, 1304 patients undergoing index procedures were identified: 769 laparoscopic Roux-en-Y gastric bypasses (LRYGB), 301 laparoscopic sleeve gastrectomies, and 234 laparoscopic adjustable gastric bands. We identified 117 NE reoperations, which were grouped by index procedure as well as whether they occurred early (≤90 days) or late (>90 days). In the laparoscopic adjustable gastric bands group, slipped gastric band was the most common indication for early (n = 2) and late (n = 2) reoperations. Biliary disease was the most common cause for early reoperations (n = 4), and the only cause for late reoperations (n = 2) after laparoscopic sleeve gastrectomies. For LRYGB, diagnoses differed between the early and late groups, with the most common early indications being bowel obstruction (n = 8) and anastomotic leak (n = 4) of the 18 early reoperations, and internal hernia (n = 36) and biliary disease (n = 17) of the 82 late reoperations. The vast majority of NE reoperations were performed laparoscopically (92%), with conversions and primarily open procedures only occurring in the LRYGB group.

Is Hard Failure Still a Common Indication for Revision Surgery in Adult Cochlear Implant Recipients?

2019 ◽  
Vol 40 (3) ◽  
pp. 321-327 ◽  
Author(s):  
Shawn M. Stevens ◽  
Hayden Dougherty ◽  
Lisa Wenstrup ◽  
Theresa Hammer ◽  
Tyler Cole ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Revision Surgery ◽  
Common Indication ◽  
Hard Failure

scholarly journals Comparison of endoscopic activity before and during the covid pandemic at a tertiary care hospital in South Punjab

2021 ◽  
Author(s):  
Farooq Mohyud Din ◽  
Muhammad Asif Gul ◽  
Nouman Hameed ◽  
Rizwan Hameed ◽  
Yasir Zaidi ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Tertiary Care ◽  
Healthcare Delivery ◽  
Absolute Number ◽  
Care Hospital ◽  
Common Indication ◽  
Endoscopic Procedures ◽  
Significant Difference ◽  
Internal Hemorrhoids ◽  
One Year

Introduction: Coronavirus disease 2019 (COVID-19) has resulted in dramatic changes to healthcare delivery. Endoscopic activity has had frequent disruptions during this pandemic. The objective of the study was to see the influence of pandemic over the endoscopic activity. Methods: This retrospective analysis of endoscopic activity was undertaken at Nishtar Hospital Multan. Procedural analysis was done in the three months immediately after covid lockdown (1st April till 30th June 2020) and was compared to a similar period one year back. Results: Five hundred and fifty-four (68.5%) patients underwent endoscopic procedures during the three months of pre-COVID era, while this number reduced to half (n=255, 31.5%) patients during the covid pandemic. Even though the absolute number of Esophagogastroduodenoscopies (EGDs) reduced during the pandemic, patients were more likely to undergo EGDs during the COVID pandemic in contrast to the era before the pandemic (79% versus 66%, p = 0.002). The most common indication for EGD was upper gastrointestinal bleeding (UGIB). The percentage of EGDs done for UGIB rose from almost 60% to 80% during the covid pandemic (p < 0.001). The most common findings were esophageal varices and portal gastropathy (non-significant difference during and before the pandemic). Percentage of ERCPs done for obstructive jaundice doubled during the COVID pandemic (33% versus 65%, p = 0.002).The most common indication for sigmoidoscopy or colonoscopy was lower gastrointestinal bleeding. However, no significant difference was found before and during the covid pandemic (41.7% and 45.8% respectively, p=0.72). Internal hemorrhoids were the most common endoscopic finding. Colon cancer diagnosis reduced from 10% to undetected during the pandemic period. Conclusion: COVID pandemic resulted in a considerable reduction in all types of endoscopic procedures. The majority of procedures were done for emergency indications like gastrointestinal bleeding. Rates of cancer detection were significantly reduced. MeSH: Endoscopy, COVID-19, Gastroenterology

scholarly journals A Multicenter Study Analyzing the different Indications of Hysteroscopy in General Population and the Complication Rate: An Experience of 11 Years

2015 ◽  
Vol 7 (1) ◽  
pp. 37-43
Author(s):  
Rahul Manchanda ◽  
Soma Ghoshal ◽  
BC Manjula
Keyword(s):  
General Population ◽  
Multicenter Study ◽  
Complication Rate ◽  
Air Embolism ◽  
Abnormal Uterine Bleeding ◽  
Endometrial Biopsy ◽  
Indian Region ◽  
Uterine Perforation ◽  
Common Indication ◽  
The Common

ABSTRACT Study objectives An assessment of the common indications for hysteroscopy (either diagnostic or therapeutic), in multiple hospitals especially in the North Indian region, over the period of past 11 years. To do an analysis of the common intraoperative diagnosis and the different types of surgeries performed therefore. To estimate the incidence of complications in the same patient population over the same time period and describe their nature. Data collection Records were collected from twelve hospitals spread mainly over North Indian region, pertaining to all those patients who underwent hysteroscopy during the period from July 2003 to October 2014. Total cases analyzed was 1834. Design Retrospective analytic study. Patients All those patients who underwent hysteroscopy of all ages referring to the above mentioned hospitals during the period from July 2003 to October 2014. Results Of the 1834 hysteroscopic procedures, 588 (32.06%) were diagnostic hysteroscopies and 1246 (67.93%) were therapeutic hysteroscopies. The most common indication for hysteroscopy was abnormal uterine bleeding (28.14%) closely followed by the second most common indication, which was for infertility check-up (26.67%). The most common hysteroscopic intervention was endometrial biopsy. The second most common intervention and the most common therapeutic hysteroscopic procedure was polypectomy; and the third most common Hysteroscopic procedure was intrauterine adhesiolysis. The main complication as found in our present study was found to be uterine perforation (0.21%), followed by false passage. Air embolism also occurred in one patient. How to cite this article Ghoshal S, Manchanda R, Manjula BC. A Multicenter Study Analyzing the different Indications of Hysteroscopy in General Population and the Complication Rate: An Experience of 11 Years. J South Asian Feder Obst Gynae 2015;7(1):37-43.

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