A retrospective study of 40 patients with dumping syndrome treated with EGJR, the procedure reduced symptoms in about 85% of patients with no complications recorded within 30 days, first author Catherine Tsai reports
A 19-year-old primigravid presented with an unrepaired PDA and a history of IE treated 7 years prior, with positive blood cultures and vegetations on the pulmonic valve and pulmonary artery seen on transthoracic echocardiogram. It showed a small-sized PDA with a Qp : Qs of 1.18 and vegetations on the pulmonic valve and pulmonary artery and she was empirically treated as culture-negative Infective Endocarditis and given 2 weeks of ceftriaxone.
The authors (Dalmonte G. MD, Annicchiarico A. MD, Petracca G. L. MD, Cinieri F. G. MD, Marchesi F. Ph.D. MD) are performing a bilateral inguinal hernia repair laparoscopically using a single mesh.
An 84-year-old male presented with cycling episodes of severe hypertension and hypotension after an elective cardiac catheterization. Workup of the labile blood pressure revealed a large suprarenal mass and free serum metanephrines (MN) 104 nmol/L and normetanephrines (NMN) of 24 nmol/L, confirming the diagnosis of a pheochromocytoma. The patient’s labile blood pressure was a challenge to manage medically and improved only after aggressive hydration and an alpha-adrenergic antagonist.
Transplant surgeon Andrew Cameron answers frequently asked questions about treatment options for severe alcoholic hepatitis, including the possibility of a liver transplant.
A 66-year-old female presented with a 2-year history of dysphagia. Her physical examination was unremarkable. CT scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture.
On July 4, 2019, the FDA’s Dr. Binita Ashar shared updates related to the FDA's activities during an international meeting on breast implants in Amsterdam, the Netherlands.
A 30-year-old man presented with Thyroglossal duct carcinoma originating in the hyoid bone. Computed tomography demonstrated a mass in the hyoid bone that expanded the cortical bone of the hyoid. The mass had a central solid component with calcification and a marginal cystic component. It was removed surgically and additional thyroid suppression therapy was administered after surgery.
Dr. Kavanagh, Eye Associates of South Texas with offices in Seguin, San Antonio is the first ophthalmologist in South Texas (San Antonio), to implant Dextenza a steroid-releasing device by Ocular Therapeutix to decrease pain and inflammation for 30 days after cataract surgery. Possibly saving the patient having to put in 120 drops for steroid over a month period. The techniques of insertion are discussed, as well as Dr. Kavanagh's preferred technique of placing Dextenza before cataract surgery instead of after.
According to a new report from the independent national healthcare watchdog organization, majority hospitals do not meet the Leapfrog Group's minimum hospital or surgeon volume standards for safety and they also do not have adequate policies to monitor appropriateness. Out of the eight high risk procedures that were assessed, very few hospitals met the volume standard for patient safety especially in cases of open abdominal aortic aneurysm repair and esophageal resection.