The effects of diversion of intestinal contents on the progress of Crohn's disease of the large bowel

Size: px
Start display at page:

Download "The effects of diversion of intestinal contents on the progress of Crohn's disease of the large bowel"

Transcription

1 Gut, 1971, 12, The effects of diversion of intestinl contents on the progress of Crohn's disese of the lrge owel J. H. BURMAN, H. THOMPSON, W. T. COOKE, AND J. ALEXANDER WILLIAMS From the Nutritionl nd Intestinl Unit, The Generl Hospitl, Birminghm SUMMARY This study shows tht fecl diversion y ileostomy or colostomy results in n improvement in the ptient's generl helth which is sustntited y the hemtologicl nd iochemicl findings. However, in the owel distl to the diversion there is lwys histologicl evidence of mucosl nd trnsmurl disese nd complictions such s fistule my still occur. In only two ptients (7 %) ws restortion of owel continuity successful. Preliminry reports hve suggested tht in Crohn's disese of the colon diversion of intestinl contents y defunctioning ileostomy or colostomy would so 'rest' the distl disesed owel tht restortion of the fecl strem might e fesile lter (Truelove, Ellis, nd Wester, 1965; Oerhelmn, Kohtsu, Tylor, nd Kivel, 1968). Successful restortion of intestinl continuity ws reported recently in three out of 18 (16.6%,) ptients (Oerhelmn, Koht, Tylor, nd Porteous, 1970). This pper presents study of 29 ptients with Crohn's disese in whom defunctioning ileostomy or colostomy hs een performed. These ptients hve een reviewed in n ttempt to evlute: (1) the clinicl improvement fter diversion, (2) the degree of resolution of disese ctivity in the ypssed owel, nd (3) the fesiility nd success of restortion of continuity. Ptients There were 15 men nd 14 women in this study which extended from 1947 to 1969 with men follow up of 10 yers. All hd Crohn's disese of the lrge owel dignosed y rium studies, together with histologicl evidence. There ws evidence of previous smll owel disese in eight ptients nd concurrent smll owel disese ws oserved t opertion in seven. In ddition, smll owel disese developed susequently in six ptients etween eight months nd six yers fter colectomy. Three ptients in this series re ded: Received for puliction 29 Septemer one from cute hemorrhgic ileitis five yers fter pn-proctocolectomy, the second from multiple entero-enteric fistule one yer fter colectomy, nd the third from smll owel infrction seven yers fter closure of the colostomy. Methods Indices of generl helth efore nd fter diversion were tken from historicl records. Detils of weight nd hemogloin levels (24 ptients) were collected, together with vlues of serum lumin (21 ptients) nd serum seromucoid (15 ptients). An ssessment of disese ctivity in the defunctioned owel ws sought from the susequent course of events in ech cse either from sigmoidoscopy nd iopsy or from histologicl exmintion fter lter excision. At sigmoidoscopy mucosl ulcertion nd friility with contct leeding were tken to e criteri of continued ctivity of the disese. Histologiclly evidence of continued ctivity ws inferred from the presence of n inflmmtory cellulr infiltrte, mucosl ulcertion, sumucosl oedem nd firosis, or the presence of gint cells. Finlly, the presence nd progress of perinl disese ws oserved. Results THE EFFECT OF DIVERSION ON THE GENERAL HEALTH OF THE PATIENT Following diversion, ll ut one ptient showed improvement in generl helth. This ptient ecme 11 Gut: first pulished s /gut on 1 Jnury Downloded from on 7 My 2018 y guest. Protected y copyright.

2 12 cutely depressed. Of the 18 ptients with ccurte weight records, 15 gined weight, two lost weight, nd one remined the sme. In those ptients where records were ville, hemogloin vlues rose in every cse ut one (Fig. 1) nd serum lumin levels rose in ll ut three cses (Fig. 2). An nticipted fll in serum seromucoid levels took plce in every cse ut one; in only six ptients, however, did the vlues fll to the norml level (Fig. 3). Figures 1, 2, nd 3 show the verge of the vlues found up to two months efore diversion nd up to 12 months fter diversion in ech ptient. The Figures show ptients sudivided into those in whom some owel resection ws undertken t the time of diversion nd those in whom only diversion ws performed. Although the improvement oserved ws usully greter if some disesed owel ws lso resected, there is no significnt difference etween the two sugroups. PERIANAL DISEASE Perinl disese ws oserved in 10 ptients efore diversion. Two ptients hd fissure in no, seven hd fistul in no, nd one mn hd oth. diversion, over men follow-up period of 25 months, ll the fissures heled s did one fistul. However, in six ptients the fistul in no did not hel. Three ptients developed rectl stricture nd 15mO 100/ J. H. Burmn, H. Thompson, W. T. Cooke, nd J. Alexnder Willims in one (cse 11, Tle I) this ws the min indiction for the susequent proctectomy. Furthermore, four ptients who hd initilly not een oserved to hve perinl disese developed fistul in no fter diversion. Creful inquiry into the history efore diversion reveled no evidence of these ptients hving previously hd perinl disese. THE EFFECT OF DIVERSION ON THE DISEASE ACTIVITY OF THE BYPASSED BOWEL The defunctioned owel ws lter excised from 15 ptients fter n intervl of etween two nd 105 months (men 37 months) fter the diversion opertion. The indictions for this susequent resection, together with the opertive nd pthologicl descriptions of the owel removed, re shown in Tle I. In none of the excised specimens ws the defunctioned owel norml. Tle II shows the percentge frequency with which certin histologicl fetures were noted in these 15 cses efore nd fter diversion. While it will e pprecited tht these figures re crude mesurement, nonetheless they confirm the mcroscopic impression tht the defunctioned owel hd not returned to norml. A survey ws then mde of eight of the ptients in whom the rectl remnnt is still retined. Tle III shows the proportionte frequency with which sigmoidoscopic nd iopsy normlities were Fig. 1. Men hemogloin levels in g per 100 ml in ptients efore nd fter diversion of the fecl strem () when prt or ll of the disesed colon ws excised t the time of diversion nd () when no resection ws performed. Gut: first pulished s /gut on 1 Jnury Downloded from on 7 My 2018 y guest. Protected y copyright.

3 The effects of diversion of intestinl contents on the progress of Crohnt's disese of the lrge owel / Fig. 2. Men serum lumin levels in g per 100 ml efore nd fter diversion of the fecl strem () when prt or ll of the disesed colon ws excised t the time of diversion nd () when no resection ws performed Gut: first pulished s /gut on 1 Jnury Downloded from Fig. 3. Serum seromucoid levels in mg per 100 ml in ptients efore nd fter diversion of the fecl strem () when prt or ll of the disesed colon ws excised t the time of diversion nd () when no resection ws performed. on 7 My 2018 y guest. Protected y copyright.

4 14 Ptient Tle I Time etween Defunction nd Lter Resection (mth) J. H. Burmn, H. Thompson, W. T. Cooke, nd J. Alexnder Willims Resons for Lter Resection Anl stenosis, loss of lood nd pus per rectum Persistent nl nd perinl sepsis, rectovginl fistul Sigmoid colon originlly involved in ileocolic fistul. first stge disconnexion of fistul sigmoid ecme strictured. Sigmoidoplsty filed Developed fistul in no nd rectl stenosis Continued dischrge of pus from rectum. Brium enem showed nrrow indistensile hustrl colon, Sigmoidoscopy showed grnulr oedemtous mucos with purulent exudte (thought to e ulcertive colitis with ssocited risk of crcinom) Loss of pus nd lood per rectum (thought to e ulcertive colitis) Loss of pus nd lood per rectum, plple pelvic mss Filure of perinl lesions to suside Continuing perinl sepsis, loss of pus nd lood from rectum Fistul in no, nl stricture Continued perinl disese, rectl stenosis nd purulent rectl dischrge (thought to e ulcertive colitis) Following restortion of fecl strem severe excertion of rectl disese nd development of fistul t the old colostomy site Recurrence of Crohn's disese round the ileorectl nstomosis site fter restortion of fecl strem Severe recurrence of rectl disese two months fter restortion of fecl strem. Purulent rectl dischrge Rectl nd mucous fistul; dischrge of pus nd lood persisted. Sigmoidoscopy nd rectl iopsy showed ctive disese. Multiple perinl fistule developed fter diversion. Rtionle for the lter resection nd ppernces of the defunctioned lrge owel Anormlity Incidence (%/0) At Diversion Mcroscopic Mucosl ulcertion Liner ulcertion Colestone mucos Bowel wll thickening Histologicl Chronic inflmmtory cellulr infiltrtion Sumucosl oedem nd firosis Crypt scesses Epithelil cell follicles Gint cells Lymph node hyperplsi S0 27 At Resection Tle II Incidence of normlities in 15 ptients found in the colon t the diversion opertion nd susequently t the resection noted efore nd fter diversion. Although there is n overll improvement fter diversion, in none of these ptients were the findings entirely norml in the rested owel. Mcroscopic Description of Defunctioned Bowel t Time of Resection Thick, contrcted colon Moderte serosl inflmmtion, mucosl rugosity nd liner ulcertion, slight rectl pseudopolyposis Externlly norml except for stenosed sigmoid, loss of mucosl pttern t proximl end of specimen with firosis nd superficil ulcertion in rectosigmoid region Thickening nd scrring of colon, mucosl rugosity nd irregulr congestion of rectl mucos Thickened owel wll Thickened sigmoid colon dherent in pelvis Thickened dherent sigmoid colon with thickened mesentery Colon smll nd short, ulcerted mucos throughout colon Thickened colon with widespred mucosl ulcertion Sigmoid fixed in pelvis t old scess site Thickened mesentery nd glnds, thickened colon with loss of hustrtion, widespred mucosl ulcertion Defunctioning ileostomy performed, no colon pthology otined Grossly thickened mesentery nd lymph nodes, thickened oedemtous colon nd ileum, gross mucosl ulcertion Perirectl scess, colon wll thickened, mucos colestoned with pseudo polypi nd ulcertion Thickened contrcted colon, sigmoid fixed in pelvis, mucos ulcerted throughout THE FATE OF DIVERTED BOWEL WHEN RETURNED TO CONTINUITY Five ptients hve hd the owel continuity restored (from etween eight weeks nd 33 months fter diversion). Two re well with no symptoms. Of the remining three, one underwent proctectomy three months lter ecuse of severe recurrent proctitis, Findings No. of Ptients Diversion Sigmoidscopic Rectl stricture 1 4 Mucosl ulcertion 5 7 Mucosl iopsy Chronic inflmmtory cellulr infiltrtion 6 5 Sumucosl oedem nd firosis 5 1 Gint cells 2 1 Diversion' Tle III Sigmoidoscopy nd iopsy findings efore nd fter diversion in eight ptients still retining defunctioned owel 'Men period since diversion 25 months Gut: first pulished s /gut on 1 Jnury Downloded from on 7 My 2018 y guest. Protected y copyright.

5 The effects of diversion of intestinl contents on the progress of Crohn's disese of the lrge.owel 15 second required n emergency loop ileostomy two months fter ecuse of dirrhoe nd the development of colocutneous fistule, nd the third suffered ill helth for sevenyers, developing fistule oth entero-cutneous nd entero-vesicl, nd eventully died of mesenteric infrction. In the two successful cses recent sigmoidoscopy nd iopsy reveled frile mucos with histologicl evidence of chronic inflmmtory rection. NEOPLASIA Neoplsi hs not een oserved in ny ptient in this survey. Discussion In ll our ptients diversion of the fecl strem wy from n re of ctive colitis hs hd eneficil effect upon the ptient. Their generl helth hs improved nd this hs een orne out y the hemtologicl nd iochemicl evidence. The fct tht similr improvement occurs whether or not the disesed colon is resected suggests tht it is due to the fct tht feces re no longer pssing over the disesed owel. In only two ptients hs restortion of the fecl strem een successful, nd in none hve the histologicl findings t iopsy returned to norml. While it cn e rgued tht slight mucosl ulcertion nd chronic inflmmtory rection re non-specific chnges nd tht these ptients cn e controlled y medicl mens fter restortion of fecl flow, we hve only found this to e prcticle in two (7 %) in our series. Perinl disese hs developed de novo in four ptients fter diversion nd rectl stricture in three others. As result of our experience we feel tht there is only smll chnce tht 'resting' the lrge owel will led to heling in Crohn's colitis sufficient to llow restortion of the fecl strem. Requests for reprints to J.A.W., The Generl Hospitl, Birminghm, B4 6NH. References Oerhelmn, H. A., Jr., Kohtsu, S., Tylor, K. B., nd Kivel, R. M. (1968). Diverting ileostomy in the surgicl mngement of Crohn's disese of the colon. Amer. J. Surg., 115, Oerhelmn, H. A., Jr., Kohtsu, S., Tylor, K. B., nd Porteous, J. (1970). Diverting ileostomy for Crohn's disese of the colon. 4th World Congress of Gstroenterology, Copenhgen. Astrcts, p Truelove, S. C., Ellis, H., nd Wester, C. D. (1965). The plce of doule-rrelled ileostomy in ulcertive colitis nd Crohn's disese of the colon: A preliminry report. Brit. med. J., 1, Gut: first pulished s /gut on 1 Jnury Downloded from on 7 My 2018 y guest. Protected y copyright.

General Microscopic Changes

General Microscopic Changes Generl Microscopic Chnges 2 This chpter covers collection of microscopic chnges tht lck dignostic specificity ut occur in different specific diseses, s will ecome pprent in susequent chpters. Almost ll

More information

Tracheobronchitis with Dyspnea in a Patient with Ulcerative Colitis

Tracheobronchitis with Dyspnea in a Patient with Ulcerative Colitis CASE REPORT Trcheoronchitis with Dyspne in Ptient with Ulcertive Colitis Msy Hiyoshi 1,2, Kzushige Kwi 2, Mihoko Shiuy 3, Tsuyoshi Ozw 2, Junko Kishikw 2, Tkko Nirei 2, Toshiki Tnk 2, Junichiro Tnk 2,

More information

BENIGN ulceration along the greater curvature of the pars media of the

BENIGN ulceration along the greater curvature of the pars media of the BENIGN ULCERS OF THE GREATER CURVATURE OF THE STOMACH Report of Two Cses CHARLES H. BROWN, M.D. Deprtment of Gstroenterology nd ANTHONY D. INTRIERE, M.D.* BENIGN ulcertion long the greter curvture of the

More information

Bright Futures Medical Screening Reference Table 2 to 5 Day (First Week) Visit

Bright Futures Medical Screening Reference Table 2 to 5 Day (First Week) Visit Bright Futures Medicl Reference Tle 2 to 5 Dy (First Week) Visit Universl Action Metolic nd Verify documenttion of neworn metolic screening results, pproprite rescreening, nd needed follow-up. Document

More information

PNEUMOVAX 23 is recommended by the CDC for all your appropriate adult patients at increased risk for pneumococcal disease 1,2 :

PNEUMOVAX 23 is recommended by the CDC for all your appropriate adult patients at increased risk for pneumococcal disease 1,2 : PNEUMOVAX 23 is recommended y the CDC for ll your pproprite dult ptients t incresed risk for pneumococcl disese 1,2 : Adults ged

More information

The Dynamics of Varicella-Zoster Virus Epithelial Keratitis in Herpes Zoster Ophthalmicus

The Dynamics of Varicella-Zoster Virus Epithelial Keratitis in Herpes Zoster Ophthalmicus Chpter 2 The Dynmics of Vricell-Zoster Virus Epithelil Kertitis in Herpes Zoster Ophthlmicus The morphology of n individul VZV lesion reflects sequence of events triggered y the virus impct on cornel epithelil

More information

Studies on the site of fat absorption

Studies on the site of fat absorption Gut, 1961, 2, 168 Studies on the site of ft bsorption 2 blnces fter resection of vrying mounts of the smll intestine in mn Fronm C. C. BOOTH, D. ALLDIS, AND A. E. READ the Deprtments of Medicine nd Chemicl

More information

Invasive Pneumococcal Disease Quarterly Report July September 2018

Invasive Pneumococcal Disease Quarterly Report July September 2018 Invsive Pneumococcl Disese Qurterly Report July Septemer Introduction Since 17 Octoer 2008, invsive pneumococcl disese (IPD) hs een notifile to the locl Medicl Officer of Helth under the Helth Act 1956.

More information

Colonoscopic decompression of childhood sigmoid and cecal volvulus

Colonoscopic decompression of childhood sigmoid and cecal volvulus CASE REPORT Colonoscopic decompression of childhood sigmoid nd cecl volvulus Irj Shhrmin 1, Ali Bzi 1,2, Dnil Edti 3, Krim Rostmi 3, Mojt Delrmns 1,2 1 Peditric Digestive nd Heptic Reserch Center, Zol

More information

Anus,Rectum and Colon

Anus,Rectum and Colon JOURNAL OF THE Anus,Rectum nd Colon http://journl-rc.jp CASE REPORT Anl Cnl Dupliction Associted with Prescrl Cyst in n Adult Tkyuki Toyong 1), Hiromitsu Mtsud 1), Ryuichi Miu 1), Yohei Toming 1), Keiji

More information

Input from external experts and manufacturer on the 2 nd draft project plan Stool DNA testing for early detection of colorectal cancer

Input from external experts and manufacturer on the 2 nd draft project plan Stool DNA testing for early detection of colorectal cancer Input externl experts nd mnufcturer on the 2 nd drft project pln Stool DNA testing for erly detection of colorectl cncer (Project ID:OTJA10) All s nd uthor s replies on the 2nd drft project pln Stool DNA

More information

Check your understanding 3

Check your understanding 3 1 Wht is the difference etween pssive trnsport nd ctive trnsport? Pssive trnsport is the movement of prticles not requiring energy. Movement of prticles in ctive trnsport uses energy. 2 A gs tp in the

More information

EFFECTS OF AN ACUTE ENTERIC DISEASE CHALLENGE ON IGF-1 AND IGFBP-3 GENE EXPRESSION IN PORCINE SKELETAL MUSCLE

EFFECTS OF AN ACUTE ENTERIC DISEASE CHALLENGE ON IGF-1 AND IGFBP-3 GENE EXPRESSION IN PORCINE SKELETAL MUSCLE Swine Dy 22 Contents EFFECTS OF AN ACUTE ENTERIC DISEASE CHALLENGE ON IGF-1 AND IGFBP-3 GENE EXPRESSION IN PORCINE SKELETAL MUSCLE B. J. Johnson, J. P. Kyser, J. D. Dunn, A. T. Wyln, S. S. Dritz 1, J.

More information

SUPPLEMENTARY INFORMATION

SUPPLEMENTARY INFORMATION SUPPLEMENTARY INFORMATION doi:10.1038/nture11225 Numer of OTUs sed on 3% distnce Numer of 16s rrna-sed V2-V4 tg sequences LF MF PUFA Supplementry Figure 1. High-ft diets decrese the richness nd diversity

More information

Severe Gummy Smile with Class II Malocclusion Treated with LeFort I Osteotomy Combined with Horseshoe Osteotomy and Intraoral Vertical Ramus

Severe Gummy Smile with Class II Malocclusion Treated with LeFort I Osteotomy Combined with Horseshoe Osteotomy and Intraoral Vertical Ramus 2013 67 1 5560 Severe Gummy Smile with Clss II Mlocclusion Treted with LeFort I Osteotomy Comined with Horseshoe Osteotomy nd Introrl Verticl Rmus Osteotomy * 56 Shimo et l. Act Med. Okym Vol. 67, No.

More information

27 June Bmnly L. WALTER ET AL.: RESPONSE OF CERVICAL CANCERS TO IRRADIATION

27 June Bmnly L. WALTER ET AL.: RESPONSE OF CERVICAL CANCERS TO IRRADIATION 27 June 1964 Bmnly MEDICAL JOURNAL L. WALTER ET AL.: RESPONSE OF CERVICAL CANCERS TO IRRADIATION x 1,638.) FIG. 2.-Foci of sme tumour s in Fig. 1 contining vible tumour cells with scnty cytoplsm, reltively

More information

EFFECT OF ATRIAL FIBRILLATION ON CARDIAC OUTPUT

EFFECT OF ATRIAL FIBRILLATION ON CARDIAC OUTPUT Brit. Hert J., 1965, 27, 719. EFFET OF TRIL FIBRILLTION ON RDI OUTPUT BY P. B. HLMOS* ND G.. PTTERSON From the Royl Victori Hospitl, Belfst Received Octoer 12, 1964 The introduction y Lown, mrsinghm, nd

More information

chapter 3. Squamous intraepithelial lesions: cytology histology correlation

chapter 3. Squamous intraepithelial lesions: cytology histology correlation chpter 3. Squmous intrepithelil lesions: cytology histology correltion CHAPTER 1 This chpter discusses the nturl history of cervicl precncer, HPV nd oncogenesis, cytology nomenclture, nd the cytologicl

More information

particular contribution to the debate should be as uniform as possible.

particular contribution to the debate should be as uniform as possible. AN EXPERIENCE IN THE USE OF EMETINE IN THE TREATMENT OF AMCEBIC DYSENTERY. V?y A. WHITMORE, M.D., CAPTAIN, I.M.S. Pthologist, G'enl. HosptlRngoon. [>* this short ccount results use emetine in tretment

More information

Histometry of thyroids containing few and multiple

Histometry of thyroids containing few and multiple J Clin Pthol 1986;39:483-488 Histometry of thyroids contining few nd multiple nodules M AL-MOUSSA, J SWANSON BECK From the Deprtment ofpthology, The University ofdundee, Ninewells Hospitl nd Medicl School,

More information

Identical twins with borderline lepromatous leprosy mimicking extensive alopecia areata: A rare presentation

Identical twins with borderline lepromatous leprosy mimicking extensive alopecia areata: A rare presentation Lepr Rev (2018) 89, 301 305 CASE REPORT Identicl twins with orderline lepromtous leprosy mimicking extensive lopeci ret: A rre presenttion RUBINA JASSI*, KRISHNA DEB BURMAN**, BHAVYA SWARNKAR** & RADHIKA

More information

INFLUENCE OF DIFFERENT STRAINS AND WAYS OF INOCULATION ON THE RABBIT S RESPONSE TO EXPERIMENTAL INFECTION WITH PASTEURELLA MULTOCIDA

INFLUENCE OF DIFFERENT STRAINS AND WAYS OF INOCULATION ON THE RABBIT S RESPONSE TO EXPERIMENTAL INFECTION WITH PASTEURELLA MULTOCIDA Pthology nd Hygiene INFLUENCE OF DIFFERENT STRAINS AND WAYS OF INOCULATION ON THE RABBIT S RESPONSE TO EXPERIMENTAL INFECTION WITH PASTEURELLA MULTOCIDA Kulcsár G. 1, Fáián K. 1 *, Brn T. 1, Virág Gy.

More information

Localized IgG4-related Cholecystitis Mimicking Gallbladder Cancer

Localized IgG4-related Cholecystitis Mimicking Gallbladder Cancer CASE REPORT Loclized IgG4-relted Cholecystitis Mimicking Gllldder Cncer Tdhis Inoue 1, Fumihiro Okumur 1, Tkshi Mizushim 1, Hirotd Nishie 1, Hiroysu Iwski 1, Kiki Ane 1, Tknori Ozeki 1, Kent Kchi 1, Shigeki

More information

J Neurogastroenterol Motil, Vol. 24 No. 4 October, 2018

J Neurogastroenterol Motil, Vol. 24 No. 4 October, 2018 JNM J Neurogstroenterol Motil, Vol. 24 No. 4 October, 18 pissn: 93-879 eissn: 93-887 https://doi.org/1.556/jnm185 Journl of Neurogstroenterology nd Motility Originl Article Quntittive Anlysis of Distribution

More information

Dr. Javier Polo Vice President Research & Development

Dr. Javier Polo Vice President Research & Development Efecto de l suplementción con concentrdo de inmunoglobulins prtir del suero bovino en l Microbiot y su contribución l slud intestinl y l sistem nervioso centrl Dr. Jvier Polo Vice President Reserch & Development

More information

Meat and Food Safety. B.A. Crow, M.E. Dikeman, L.C. Hollis, R.A. Phebus, A.N. Ray, T.A. Houser, and J.P. Grobbel

Meat and Food Safety. B.A. Crow, M.E. Dikeman, L.C. Hollis, R.A. Phebus, A.N. Ray, T.A. Houser, and J.P. Grobbel Met nd Food Sfety Needle-Free Injection Enhncement of Beef Strip Loins with Phosphte nd Slt Hs Potentil to Improve Yield, Tenderness, nd Juiciness ut Hrm Texture nd Flvor B.A. Crow, M.E. Dikemn, L.C. Hollis,

More information

Copy Number ID2 MYCN ID2 MYCN. Copy Number MYCN DDX1 ID2 KIDINS220 MBOAT2 ID2

Copy Number ID2 MYCN ID2 MYCN. Copy Number MYCN DDX1 ID2 KIDINS220 MBOAT2 ID2 Copy Numer Copy Numer Copy Numer Copy Numer DIPG38 DIPG49 ID2 MYCN ID2 MYCN c DIPG01 d DIPG29 ID2 MYCN ID2 MYCN e STNG2 f MYCN DIPG01 Chr. 2 DIPG29 Chr. 1 MYCN DDX1 Chr. 2 ID2 KIDINS220 MBOAT2 ID2 Supplementry

More information

Pancreatic Adenocarcinoma Presenting as Acute Large Bowel Obstruction: Case Report

Pancreatic Adenocarcinoma Presenting as Acute Large Bowel Obstruction: Case Report IMAGES IN CLINICAL MEDICINE Surg. Gstroenterol. Oncol. 2018;23(3):204-208 DOI: 10.21614/sgo-23-3-204 Pncretic Adenocrcinom Presenting s Acute Lrge Bowel Ostruction: Cse Report Inês Cmpos Gil 1, Din Prente

More information

Associations of Psoriatic Arthritis and Cardiovascular Conditions in a Large Population

Associations of Psoriatic Arthritis and Cardiovascular Conditions in a Large Population ville online: www.kp.org/permnentejournl Originl rticle Associtions of Psoritic Arthritis nd Crdiovsculr Conditions in Lrge Popultion Svetln Kondrtiouk, DO Ntli Udltsov, PhD Arthur L Kltsky, MD Astrct

More information

Prosthetic Valve Dysfunction 35 Years after Mitral Valve Replacement with a Starr-Edwards Caged-disc Valve

Prosthetic Valve Dysfunction 35 Years after Mitral Valve Replacement with a Starr-Edwards Caged-disc Valve CASE REPORT Prosthetic Vlve Dysfunction 35 Yers fter Mitrl Vlve Replcement with Strr-Edwrds Cged-disc Vlve Tetsuro Yokokw 1, Tkhiro Ohr 1, Seiji Tkshio 1, Mri Skmoto 1,YukoWd 1, Kenji Nkmur 1, Hiroyuki

More information

A Study of Serological Markers of Hepatitis B and C Viruses in Istanbul, Turkey

A Study of Serological Markers of Hepatitis B and C Viruses in Istanbul, Turkey Originl Pper Med Princ Prct 2003;12:184 188 DOI: 10.1159/000070757 Received: Decemer 15, 2001 Revised: Decemer 21, 2002 A Study of Serologicl Mrkers of Heptitis B nd C Viruses in Istnul, Turkey S. Erden

More information

C reactive protein: an aid to assessment and

C reactive protein: an aid to assessment and C rective protein: n id to ssessment nd monitoring of cute pncretitis J Clin Pthol 1984;37:27-211 AD MAYR,* MJ McMAHON,* MARGART BOWN,t H COOPRt From the *University Deprtment ofsurgery, Generl Infrmry,

More information

Cows' milk sensitive enteropathy in cystic fibrosis

Cows' milk sensitive enteropathy in cystic fibrosis Archives of Disese in Childhood, 1989, 64, 1251-1255 Cows' milk sensitive enteropthy in cystic fibrosis S M HILL, A D PHILLIPS, M MEARNS, AND J A WALKER-SMITH Acdemic Deprtment of Child Helth, Queen Elizbeth

More information

Invasive Pneumococcal Disease Quarterly Report. July September 2017

Invasive Pneumococcal Disease Quarterly Report. July September 2017 Invsive Pneumococcl Disese Qurterly Report July September 2017 Prepred s prt of Ministry of Helth contrct for scientific services by Rebekh Roos Helen Heffernn October 2017 Acknowledgements This report

More information

Abnormalities of total serum magnesium concentration

Abnormalities of total serum magnesium concentration J Vet Intern Med 2002;16:217 221 Prevlence nd Incidence of Serum Mgnesium Anormlities in Hospitlized Cts Jeffrey Toll, Hollis Er, Nichole Birnum, nd Thoms Schermerhorn Totl serum mgnesium concentrtion

More information

Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair Diagnosed and Followed with Endoscopy

Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair Diagnosed and Followed with Endoscopy CASE REPORT Aortoesophgel Fistul fter Thorcic Endovsculr Aortic Repir Dignosed nd Followed with Endoscopy Disuke Chi 1,2, Norihiro Hnt 1, Ysumitsu Arki 1, Mnu Swy 1, Tetsuro Yoshimur 1, Mshiko Aoki 3,

More information

Effects of physical exercise on working memory and prefrontal cortex function in post-stroke patients

Effects of physical exercise on working memory and prefrontal cortex function in post-stroke patients Effects of physicl exercise on working memory nd prefrontl cortex function in post-stroke ptients M Moriy, C Aoki, K Sktni Grdute School of Helth Sciences Reserch, Mjor of Physicl Therpy, TeikyoHeisei

More information

The Selective Arterial Calcium Injection Test is a Valid Diagnostic Method for Invisible Gastrinoma with Duodenal Ulcer Stenosis: A Case Report

The Selective Arterial Calcium Injection Test is a Valid Diagnostic Method for Invisible Gastrinoma with Duodenal Ulcer Stenosis: A Case Report Hiroshim J. Med. Sci. Vol. 65, No. 1, 13~17, Mrch, 2016 HIJM 65 3 13 The Selective Arteril Clcium Injection Test is Vlid Dignostic Method for Invisile Gstrinom with Duodenl Ulcer Stenosis: A Cse Report

More information

The Metabolic Syndrome is Associated with Increased Risk of Colorectal Adenoma Development: The Self-Defense Forces Health Study

The Metabolic Syndrome is Associated with Increased Risk of Colorectal Adenoma Development: The Self-Defense Forces Health Study The Metolic Syndrome nd Colorectl Adenom Development RESEARCH COMMUNICATION The Metolic Syndrome is Associted with Incresed Risk of Colorectl Adenom Development: The Self-Defense Forces Helth Study Tkko

More information

Breast carcinomas: why are they missed?

Breast carcinomas: why are they missed? O r i g i n l A r t i c l e Singpore Med J 2006; 47(10) : 851 Brest crcinoms: why re they missed? Muttrk M, Pojchmrnwiputh S, Chiwun B ABSTRACT Introduction: Mmmogrphy hs proven to e n effective modlity

More information

Original Article. D. Mège, a M. N. Figueiredo, a,b G. Manceau, a L. Maggiori, a Y. Bouhnik, c Y. Panis a. Abstract. 1.

Original Article. D. Mège, a M. N. Figueiredo, a,b G. Manceau, a L. Maggiori, a Y. Bouhnik, c Y. Panis a. Abstract. 1. Journl of Crohn's nd Colitis, 2016, 898 904 doi:10.1093/ecco-jcc/jjw040 Advnce Access publiction Februry 13, 2016 Originl Article Originl Article Three-stge Lproscopic Ilel Pouch-nl Anstomosis Is the Best

More information

Multidrug resistance gene and its relationship to ulcerative colitis and immune status of ulcerative colitis

Multidrug resistance gene and its relationship to ulcerative colitis and immune status of ulcerative colitis Multidrug resistnce gene nd its reltionship to ulcertive colitis nd immune sttus of ulcertive colitis Y.J. Zhng 1, J.J. Xu 1, P. Wng 2 nd J.L. Wng 1 1 Deprtment of Gstroenterology, The First Affilited

More information

Rectal biopsy as a prognostic guide in Crohn's colitis

Rectal biopsy as a prognostic guide in Crohn's colitis J. clin. Path., 1977, 30, 126-131 Rectal biopsy as a prognostic guide in Crohn's colitis M. WRD ND J. N. WEBB From the Gastrointestinal Unit, Department ofpathology, Western General Hospital and University

More information

Recurrent Giant Phyllodes Tumour in a Young Female: A Case Report

Recurrent Giant Phyllodes Tumour in a Young Female: A Case Report CASE REPORT J. Trnsl. Med. Res 2016;21(3):210-214 DOI: 10.21614/jtmr-21-3-96 Recurrent Gint Phyllodes Tumour in Young Femle: A Cse Report Mhim Koshriy 1, Ashish Shrm 1, Ajy Gehlot 1, Surhi Grg 1, M.C.

More information

Non-invasive Diagnosis of Liver Clinical Condition by Real-time Tissue Elastography and Shear Wave Measurement : Get More Accessible by One Probe

Non-invasive Diagnosis of Liver Clinical Condition by Real-time Tissue Elastography and Shear Wave Measurement : Get More Accessible by One Probe XXXXXXXXXX Non-invsive Dignosis of Liver Clinicl Condition y Rel-time Tissue Elstogrphy nd Sher Wve Mesurement : Get More Accessile y One Proe Norihis Yd Mstoshi Kudo Deprtment of Gstroenterology nd Heptology,

More information

Differentiation of malignant from normal and reactive mesothelial cells by the argyrophil technique for

Differentiation of malignant from normal and reactive mesothelial cells by the argyrophil technique for Thorx 1988;43:366-370 Differentition of mlignnt from norml nd rective mesothelil cells by the rgyrophil technique for nucleolr orgniser region ssocited proteins JON G AYRES, JOHN G CROCKER, NCHOLAS Q SKLBECK

More information

Primary extramedullary plasmacytoma of the sigmoid colon with perforation: a case report

Primary extramedullary plasmacytoma of the sigmoid colon with perforation: a case report Kitmur et l. Surgicl Cse Reports (2018) 4:28 https://doi.org/10.1186/s40792-018-0437-0 CASE REPORT Open Access Primry extrmedullry plsmcytom of the sigmoid colon with perfortion: cse report Fumims Kitmur

More information

Crohn's disease: natural history and treatment J. E. LENNARD-JONES. College and St Mark's Hospitals, London

Crohn's disease: natural history and treatment J. E. LENNARD-JONES. College and St Mark's Hospitals, London Postgrad. med. J. (September 1968) 44, 674-678. University Crohn's disease: natural history and treatment J. E. LENNARD-JONES AN EXrENSIVE literature is now available on the pathological anatomy and its

More information

Reducing the Risk. Logic Model

Reducing the Risk. Logic Model Reducing the Risk Logic Model ETR (Eduction, Trining nd Reserch) is nonprofit orgniztion committed to providing science-bsed innovtive solutions in helth nd eduction designed to chieve trnsformtive chnge

More information

Fundamentals of Spine MRI and Essential Protocols

Fundamentals of Spine MRI and Essential Protocols Fundmentls of Spine MRI nd Essentil Protocols A. C. Dougls-Akinwnde, MD Octoer 13, 2009 Fundmentls of Spine MRI Lerning Ojectives: 1. List the essentil sequences for Spine MRI exmintion 2. Discuss the

More information

Chapter 02 Crime-Scene Investigation and Evidence Collection

Chapter 02 Crime-Scene Investigation and Evidence Collection Nme: Clss: Dte: Chpter 02 Crime-Scene Investigtion nd Evidence Collection 1. The terms grid, liner, qudrnt, zone, nd spirl re typiclly used to descrie dtum points... Flse Flse 2. An evidence log nd chin

More information

Surgical Approach to Crohn s Colitis Segmental or Total Colectomy? Can We Avoid the Stoma?

Surgical Approach to Crohn s Colitis Segmental or Total Colectomy? Can We Avoid the Stoma? 17 th Panhellenic IBD Congress Thessaloniki May 2018 Surgical Approach to Crohn s Colitis Segmental or Total Colectomy? Can We Avoid the Stoma? Janindra Warusavitarne Consultant Colorectal Surgeon, St

More information

Recall Bias in Childhood Atopic Diseases Among Adults in The Odense Adolescence Cohort Study

Recall Bias in Childhood Atopic Diseases Among Adults in The Odense Adolescence Cohort Study Syddnsk Universitet Recll Bis in Childhood Atopic Diseses Among Adults in The Odense Adolescence Cohort Study Mørtz, Chrlotte G; Andersen, Klus Ejner; Bindslev-Jensen, Crsten Published in: Act Dermto-Venereologic

More information

Original Article. T Akter 1, N Islam 2, MA Hoque 3, S Khanam 4, HA khan 5, BK Saha 6. Abstract:

Original Article. T Akter 1, N Islam 2, MA Hoque 3, S Khanam 4, HA khan 5, BK Saha 6. Abstract: Fridpur Med. Coll. J. 214;9(2):61-67 Originl Article Nebuliztion by Isotonic Mgnesium Sulphte Solution with Provide Erly nd Better Response s Compred to Conventionl Approch ( Plus Norml Sline) in Acute

More information

P AND K IN POTATOES. Donald A Horneck Oregon State University Extension Service

P AND K IN POTATOES. Donald A Horneck Oregon State University Extension Service P AND K IN POTATOES Donld A Hornek Oregon Stte University Extension Servie INTRODUCTION Phosphorous nd potssium re importnt to grow high yielding nd qulity pottoes. Muh of the northwest hs hd trditionlly

More information

Analysis of Regulatory of Interrelated Activity of Hepatocyte and Hepatitis B Viruses

Analysis of Regulatory of Interrelated Activity of Hepatocyte and Hepatitis B Viruses Interntionl Journl of Biomedicl Mterils Reserch 8 6(): -7 http://www.sciencepublishinggroup.com/j/ijbmr doi:.648/j.ijbmr.86. ISSN: 33-756 (Print) ISSN: 33-7579 (Online) Anlysis of Regultory of Interrelted

More information

(Received for publication February 17, 1944) Since, as has been demonstrated by Enders (3),

(Received for publication February 17, 1944) Since, as has been demonstrated by Enders (3), CHEMICAL, CLINICAL, AND IMMUNOLOGICAL STUDIES ON THE PRODUCTS OF HUMAN PLASMA FRACTIONATION. XII. THE USE OF CONCENTRATED NORMAL HUMAN SERUM GAMMA GLOBULIN (HUMAN IMMUNE SERUM GLOBULIN) IN THE PREVENTION

More information

SNODGRASS Surgical Atlas Snodgrass technique for hypospadias repair

SNODGRASS Surgical Atlas Snodgrass technique for hypospadias repair Originl Article SURGICAL ATLAS SNODGRASS Surgicl Atls Snodgrss technique for hypospdis repir WARREN T. SNODGRASS Deprtment of Peditric Urology, Children's Medicl Center of Dlls nd University of Texs South-western

More information

Regression of electrocardiographic left ventricular hypertrophy predicts regression of echocardiographic left ventricular mass: the LIFE study

Regression of electrocardiographic left ventricular hypertrophy predicts regression of echocardiographic left ventricular mass: the LIFE study (2004) 18, 403 409 & 2004 Nture Pulishing Group All rights reserved 0950-9240/04 $30.00 www.nture.com/jhh ORIGINAL ARTICLE Regression of electrocrdiogrphic left ventriculr hypertrophy predicts regression

More information

Cyto-histopathological correlation in palpable breast lesions

Cyto-histopathological correlation in palpable breast lesions Interntionl Journl of Reserch in Medicl Sciences Mehr K et l. Int J Res Med Sci. 2016 Jun;4(6):1943-1949 www.msjonline.org pissn 2320-6071 eissn 2320-6012 Reserch Article DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20161738

More information

Chapter. Imaging of SARS in North America. Introduction. Clinical Manifestations of SARS in North America

Chapter. Imaging of SARS in North America. Introduction. Clinical Manifestations of SARS in North America content Chpter 13 Nestor L. Müller, Hrry Shulmn Introduction Clinicl Mnifesttions of SARS in North Americ Rdiogrphic Mnifesttions of SARS in North Americ High Resolution CT Findings of SARS in North Americ

More information

Maurice M. Garcia, Alan W. Shindel and Tom F. Lue Department of Urology, University of California, San Francisco

Maurice M. Garcia, Alan W. Shindel and Tom F. Lue Department of Urology, University of California, San Francisco ET AL. GARCIA ET AL. BJUI BJU INTERNATIONAL Surgery Illustrted Surgicl Atls T-shunt with or without tunnelling for prolonged ischemic pripism Murice M. Grci, Aln W. Shindel nd Tom F. Lue Deprtment of Urology,

More information

Using Paclobutrazol to Suppress Inflorescence Height of Potted Phalaenopsis Orchids

Using Paclobutrazol to Suppress Inflorescence Height of Potted Phalaenopsis Orchids Using Pcloutrzol to Suppress Inflorescence Height of Potted Phlenopsis Orchids A REPORT SUBMITTED TO FINE AMERICAS Linsey Newton nd Erik Runkle Deprtment of Horticulture Spring 28 Using Pcloutrzol to Suppress

More information

Review article. Key words non specific low back pain, exercise therapy, stretching, motor control. Grade D

Review article. Key words non specific low back pain, exercise therapy, stretching, motor control. Grade D Spinl Surgery 31 2 140 144 2017 総説 Review rticle Astrct Exercise therpy is useful for low ck pin. Exercise therpy ims to improve posturl lignment, muscle strength, nd endurnce, nd lso contriutes to pin

More information

Successful Diagnosis of a Thymoma by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration: A Report of Two Cases

Successful Diagnosis of a Thymoma by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration: A Report of Two Cases CASE REPORT Successful Dignosis of Thymom y Endoronchil Ultrsound-guided Trnsronchil Needle Aspirtion: A Report of Two Cses Ysushi Yoshid 1, Msto Singyoji 1, Hironori Ashinum 1, Meiji Itkur 1, Toshihiko

More information

Hospital. 50%1. of the body surface, that is, such patients in. area of full-thickness skin-loss are percentages of the

Hospital. 50%1. of the body surface, that is, such patients in. area of full-thickness skin-loss are percentages of the J. clin. Pth. (1957), 1, 1. From the THE CLINICAL CONTROL OF RED CELL LOSS IN BURNS BY Medicl ELIZABETH TOPLEY AN D D. MAcG. JACKSON Reserch Council industril Injuries nd Burns Reserch Unit, Birminghm

More information

Findings in spontaneous intramural intestinal hematoma imaging

Findings in spontaneous intramural intestinal hematoma imaging Brief report Findings in spontneous intrmurl intestinl hemtom imging F. Mirs Azcón, A. Mrtínez Mrtínez, A. Sntigo Chinchill*, A. Medin Benítez, E. Ochndo Pulido nd M.A. Pérez Rosillo Imging deprtment,

More information

XII. HIV/AIDS. Knowledge about HIV Transmission and Misconceptions about HIV

XII. HIV/AIDS. Knowledge about HIV Transmission and Misconceptions about HIV XII. HIV/AIDS Knowledge bout HIV Trnsmission nd Misconceptions bout HIV One of the most importnt prerequisites for reducing the rte of HIV infection is ccurte knowledge of how HIV is trnsmitted nd strtegies

More information

EVALUATION OF DIFFERENT COPPER SOURCES AS A GROWTH PROMOTER IN SWINE FINISHING DIETS 1

EVALUATION OF DIFFERENT COPPER SOURCES AS A GROWTH PROMOTER IN SWINE FINISHING DIETS 1 Swine Dy 2001 Contents EVALUATION OF DIFFERENT COPPER SOURCES AS A GROWTH PROMOTER IN SWINE FINISHING DIETS 1 C. W. Hstd, S. S. Dritz 2, J. L. Nelssen, M. D. Tokch, nd R. D. Goodbnd Summry Two trils were

More information

Muhammad Shoaib, Muhammad Usman, Rabia Fatima, Sajid Aziz, Muhammad Wasif Malik, Muhammad Javaid Asad and Sikandar Khan Sherwani

Muhammad Shoaib, Muhammad Usman, Rabia Fatima, Sajid Aziz, Muhammad Wasif Malik, Muhammad Javaid Asad and Sikandar Khan Sherwani Americn-Eursin Journl of Toxicologicl Sciences 7 (4): 214-219, 2015 ISSN 2079-2050 IDOSI Publictions, 2015 DOI: 10.5829/idosi.ejts.2015.7.4.9447 Reltionship Among Alnine Amino-Trnsferse (ALT), Prtil Thromboplstin

More information

Restorative planning for hemisection surgery: a technique report

Restorative planning for hemisection surgery: a technique report CLINICAL REPORT 215 Sr Tit-Pour, Anthony Roerts, Ro Hrrison, Iin Chpple Restortive plnning for hemisection surgery: technique report KEY WORDS hemisection, lortory stges, restortion Hemisection surgery

More information

Original Research. Oral mucocutaneous lesions - Histopathological and immunofluorescence study Rameshkumar A et al

Original Research. Oral mucocutaneous lesions - Histopathological and immunofluorescence study Rameshkumar A et al Received: 18 th Septemer 2014 Accepted: 20 th Decemer 2014 Conflicts of Interest: None Source of Support: Nil Originl Reserch Orl Mucocutneous Lesions A Comprtive Clinicopthologicl nd Immunofluorescence

More information

The Role of Surgery in Pancreatic Pseudocyst

The Role of Surgery in Pancreatic Pseudocyst Pncres - 03767 1267 The Role of Surgery in Pncretic Pseudocyst Wen-Yo Yin, Hw-Tzong Chen 3, Shih-Ming Hung 3, Chih-Wen Lin 1, Shih-Pin Lin, Dh-Wen Shyu, Chng-Kuo Wei, Ming-Che Lee 3, An-Ling Chou 2, Kuo-Chih

More information

Skull fracture vs. accessory sutures: how can we tell the difference?

Skull fracture vs. accessory sutures: how can we tell the difference? Emerg Rdiol (2010) 17:413 418 DOI 10.1007/s10140-010-0877-8 PICTORIAL ESSAY Skull frcture vs. ccessory sutures: how cn we tell the difference? Thoms Snchez & Deorh Stewrt & Mtthew Wlvick & Leonrd Swischuk

More information

Abscess and fistulae in Crohn's disease

Abscess and fistulae in Crohn's disease Abscess and fistulae in Crohn's disease DAVID M. STEINBERG1, W. TREVOR COOKE, AND J. From the Nutritional and Intestinal Unit, General Hospital, Birmingham Gut, 1973, 14, 865-869 ALEXANDER-WILLIAMS summary

More information

Diagnostic peritoneal fluid aspiration: a simple maneuver to diagnose a major question: a prospective study surgical point of view

Diagnostic peritoneal fluid aspiration: a simple maneuver to diagnose a major question: a prospective study surgical point of view Interntionl Surgery Journl Mohmed AHH et l. Int Surg J. 2017 Sep;4(9):2952-2956 http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Originl Reserch Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20173680

More information

Papillary squamous cell carcinoma of the oral mucosa: immunohistochemical comparison with other carcinomas of oral mucosal origin

Papillary squamous cell carcinoma of the oral mucosa: immunohistochemical comparison with other carcinomas of oral mucosal origin 165 Journl Orl Science, Vol. 43, No. 3, 165-169, 2001 Ppillry orl mucos: immunohistochemicl comprison with or s orl mucosl origin Astrct: Ppillry (PSCC) is poorly descried vrint, nd my e confused with

More information

Thallium-201 chloride scintigraphy in soft tissue tumors

Thallium-201 chloride scintigraphy in soft tissue tumors 136 ORIGINAL Thllium-201 chloride scintigrphy in soft tissue tumors Hideki Otsuk, Kori Terzw, Nomi Morit, Yoichi Otomi, Shoichiro Tko, Seiji Iwmoto, Kyosuke Oski, Msfumi Hrd, nd Hiromu Nishitni Deprtment

More information

2. Hubs and authorities, a more detailed evaluation of the importance of Web pages using a variant of

2. Hubs and authorities, a more detailed evaluation of the importance of Web pages using a variant of 5 Web Serch Outline: 1. Pge rnk, for discovering the most ëimportnt" pges on the Web, s used in Google. 2. Hubs nd uthorities, more detiled evlution of the importnce of Web pges using vrint of the eigenvector

More information

Inflammation & Cell Signaling 2014; 1: e117. doi: /ics.117; 2014 by Nirmal Verma, et al.

Inflammation & Cell Signaling 2014; 1: e117. doi: /ics.117; 2014 by Nirmal Verma, et al. Inflmmtion & Cell Signling 14; 1: e117. doi: 1.148/ics.117; 14 y Nirml Verm, et l. http://www.smrtscitech.com/index.php/ics RESEARCH HIGHLIGHT Siliinin meliortes Dextrn Sodium Slt induced colitis in mice

More information

Computed Tomography for Localization of Intra- Abdominally Dislocated Intrauterine Devices

Computed Tomography for Localization of Intra- Abdominally Dislocated Intrauterine Devices Act Rdiologic ISSN: 0284-1851 (Print) 1600-0455 (Online) Journl homepge: https://www.tndfonline.com/loi/ird20 Computed Tomogrphy for Locliztion of Intr- Adominlly Dislocted Intruterine Devices Esjörn Hederström,

More information

The effect of encapsulated butyric acid and zinc on performance, gut integrity and meat quality in male broiler chickens 1

The effect of encapsulated butyric acid and zinc on performance, gut integrity and meat quality in male broiler chickens 1 The effect of encpsulted utyric cid nd zinc on performnce, gut integrity nd met qulity in mle roiler chickens 1 Astrct This study evluted the impct of encpsulted utyric cid nd zinc (ButiPEARL Z) on performnce

More information

Analysis of Risk Factors for the Development of Incisional and Parastomal Hernias in Patients after Colorectal Surgery

Analysis of Risk Factors for the Development of Incisional and Parastomal Hernias in Patients after Colorectal Surgery Originl Article Journl of the Koren Society of J Koren Soc Coloproctol 2012;28(6):299-303 http://dx.doi.org/10.3393/jksc.2012.28.6.299 pissn 2093-7822 eissn 2093-7830 Anlysis of Risk Fctors for the Development

More information

Role of Magnetic Resonance Imaging Fistulography in Preoperative Evaluation of Perianal Fistulas

Role of Magnetic Resonance Imaging Fistulography in Preoperative Evaluation of Perianal Fistulas Originl Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/446 Role of Mgnetic Resonnce Imging Fistulogrphy in Preopertive Evlution of Perinl Fistuls Sushil Kumr K Kle 1, Prteek

More information

Ultrasound-guided antegrade access during laparoscopic pyeloplasty in infants less than one year of age: A point of technique

Ultrasound-guided antegrade access during laparoscopic pyeloplasty in infants less than one year of age: A point of technique How I Do It Differently Ultrsound-guided ntegrde ccess during lproscopic pyeloplsty in infnts less thn one yer of ge: A point of technique Arvind Gnpule, Amit Bhttu, Shshiknt Mishr, Mhesh R Desi Deprtment

More information

Case report. Primary squamous cell carcinoma of the stomach

Case report. Primary squamous cell carcinoma of the stomach 136 Gstric Cncer (1999) 2: 136 141 S. Mrushi et l.: Primry squmous cell crcinom of the stomch 1999 y Interntionl nd Jpnese Gstric Cncer Associtions Cse report Primry squmous cell crcinom of the stomch

More information

Products for weaners Benzoic acid or the combination of lactic acid and formic acid

Products for weaners Benzoic acid or the combination of lactic acid and formic acid Products for weners Benzoic cid or the comintion of lctic cid nd formic cid Tril report no.: 490 Novemer, 000 Hnne Mrio, Lrs Egelund Olsen, Bent Borg Jensen 1 nd Nuri Miquel 1 The Ntionl Committee for

More information

Debra A. Ignaut, R.N., B.S., C.D.E., and Haoda Fu, Ph.D.

Debra A. Ignaut, R.N., B.S., C.D.E., and Haoda Fu, Ph.D. Journl of Dietes Science nd Technology Volume 6, Issue 2, Mrch 2012 Dietes Technology Society TECHNOLOGY REPORT Comprison of Insulin Diluent Lekge Postinjection Using Two Different Needle Lengths nd Injection

More information

Review TEACHING FOR GENERALIZATION & MAINTENANCE

Review TEACHING FOR GENERALIZATION & MAINTENANCE Gols By the end of clss, you should be ble to: Explin wht generliztion is, why it is criticl for techers to know how to tech so tht it occurs, nd give n exmple of it from your own experience in the clssroom

More information

Relationship between bronchial anthracofibrosis and endobronchial tuberculosis

Relationship between bronchial anthracofibrosis and endobronchial tuberculosis ORIGINAL ARTICLE Koren J Intern Med 2013;28:330-338 Reltionship between bronchil nthrcofibrosis nd endobronchil tuberculosis Hyun Ji Kim, Sng Dong Kim, Dong Woo Shin, Soo Hyun Be, Ah Lim Kim, Ji N Kim,

More information

A case of pulmonary adenocarcinoma showing rapid progression of peritoneal dissemination after immune checkpoint inhibitor therapy

A case of pulmonary adenocarcinoma showing rapid progression of peritoneal dissemination after immune checkpoint inhibitor therapy Shinozki et l. BMC Cncer (2018) 18:620 https://doi.org/10.1186/s12885-018-4549-5 CASE REPORT A cse of pulmonry denocrcinom showing rpid progression of peritonel dissemintion fter immune checkpoint inhiitor

More information

Surgical Management of IBD in the Age of Biologics

Surgical Management of IBD in the Age of Biologics Surgical Management of IBD in the Age of Biologics Lisa S. Poritz, M.D Associate Professor of Surgery Division of Colon and Rectal Surgery Objectives Discuss surgical management of IBD When to operate

More information

R J M E Romanian Journal of Morphology & Embryology

R J M E Romanian Journal of Morphology & Embryology Rom J Morphol Embryol 2017, 58(3):783 789 ORIGINAL PAPER R J M E Romnin Journl of Morphology & Embryology http://www.rjme.ro/ Eosinophilic colitis: experience in lrge tertiry hospitl CRISTINA DÍAZ DEL

More information

Factor XIII Deficiency (Fibrin Stabilizing Factor Deficiency)

Factor XIII Deficiency (Fibrin Stabilizing Factor Deficiency) Helthline VOLUME 18 Corm s Continuing Eduction Progrm Fctor XIII Deficiency (Firin Stilizing Fctor Deficiency) Fctor XIII (FXIII) is protein mde y the ody tht stilizes the formtion of lood clot. When FXIII

More information

Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint

Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint Hllux vlgus nd crtilge degenertion in the first mettrsophlngel joint P. Bock, K.-H. Kristen, A. Kröner, A. Engel From the Dnue Hospitl, Vienn, Austri This study reltes the extent of crtilge lesions within

More information

Detecting Undiagnosed Type 2 Diabetes: Family History as a Risk Factor and Screening Tool. Rodolfo Valdez, Ph.D.

Detecting Undiagnosed Type 2 Diabetes: Family History as a Risk Factor and Screening Tool. Rodolfo Valdez, Ph.D. Journl of Dietes Science nd Technology Volume 3, Issue 4, July 2009 Dietes Technology Society SYMPOSIUM Detecting Undignosed Type 2 Dietes: Fmily History s Risk Fctor nd Screening Tool Rodolfo, Ph.D. Astrct

More information

Lupus nephritis: clinicopathological study of 162 cases in Thailand

Lupus nephritis: clinicopathological study of 162 cases in Thailand J Clin Pthol 1986;39:160-166 Lupus nephritis: clinicopthologicl study of 162 cses in Thilnd P PARICHATIKANOND, ND FRANCIS,* P MALASIT, T LAOHAPAND, S NIMMANNIT, L SINGCHOOVONG, S NILWARANGKUR, P CHRIRAWONG,

More information

A radiographic. Leroy Roberts, Jr., M.D.4. Gregory Gibbons, M.D.t

A radiographic. Leroy Roberts, Jr., M.D.4. Gregory Gibbons, M.D.t RdioGrphics Index terms: Adult esophgel cndidisis: Gstrointestinl rdiology umultive Index terms: ndldlsls Esophgitis Esophgus, rdiogrphy A rdiogrphic spectrum Leroy Roberts, Jr., M.D.4 Rebecc Gibbons,

More information

Risk factors for testicular germ cell tumours by histological tumour type

Risk factors for testicular germ cell tumours by histological tumour type Article no. bjoc.1999.0611 Risk fctors for testiculr germ cell tumours by histologicl tumour type CAC Couplnd 1, CED Chilvers 1, G Dvey 2, MC Pike 3, RTD Oliver 4 nd D Formn 2 on behlf of the United Kingdom

More information

phosphatase isoenzyme activity: estimation of

phosphatase isoenzyme activity: estimation of J Clin Pthol 1988;41:202-206 Quntittive method for determining serum lkline phosphtse isoenzyme ctivity: estimtion of intestinl component M J PEAKE, M PEJAKOVIC, G H WHITE From the Deprtment ofbiochemistry

More information