Symptomatic Phytobezoar Presenting 5 Years after laparoscopic Rouxen-Y Gastric Bypass
Adeleke Adesina, Farook Taha, Adeshola Fakulujo, Alex Gandsas and Rebecca Jeanmonod
Article Type: Case Report | First Published: November 22, 2014
There are over 100,000 bariatric surgeries in the United States each year, with the majority of these Roux-en-Y procedures. Most complications of this surgery present early with nonspecific symptoms such as abdominal pain, nausea, vomiting, and dysphagia. Some complications, however, can occur years after surgery. We report the case of a patient presenting 5 years after laparoscopic Roux-en-Y gastric bypass (LRYGBP) with intermittent abdominal pain, vomiting, and local bowel ischemia secondary to phytobezoar lodged at her jejuno-jejunostomy site....
First Bite Syndrome: An Underestimated Complication of Carotid Body Tumor Surgery
Dilek Yilmaz and Jaap F. Hamming
Article Type: Case Report | First Published: November 22, 2014
Carotid Body Tumours (CBTs) are paragangliomas located at the carotid bifurcation, treated surgically or by follow-up. First Bite syndrome (FBS) is a rare complication of CBT surgery, with only a few reports in literature. We present a case of a 34-year-old female patient who developed FBS after CBT surgery to raise awareness for this rare and underestimated complication affecting quality of life....
General Practitioners' Willingness to Pay for Continuing Medical Education in A Fee-for-Service Universal Coverage Health Care System
Shahzia Lambat Emery, Reto Auer, Nicolas Senn, Isabella Locatelli and Jacques Cornuz
Article Type: Research Article | First Published: November 18, 2014
Background: Sponsoring of medical meetings by life science companies has led to reduced participation fees for physicians but questions potential drawbacks. Ongoing discussions are proposing to ban such sponsoring which may increase participation fees. Objectives: To evaluate factors associated with general practitioners' willingness to pay for medical meetings, their support of a binding legislation prohibiting sponsoring and their opinion on alternative financing options. Methods: An anonymous web-based questionnaire was sent to 447 general practitioners' of one state in Switzerland, identif...
Fibrous Dysplasia of the Inferior Turbinate
Huseyin Baki Yılmaz, Sevtap Akbulut, Mustafa Paksoy, Arif Sanlı and Kayhan Basak
Article Type: Case Report | First Published: November 30, 2014
Fibrous dysplasia is a developmental abnormality of the skeletal system. Craniofacial involvement has been reported in about 10% -27% of the cases with monostotic disease. Involvement of the sinonasal tract has very rarely been reported. In this report, a 14 year old boy that has been treated for 6 months for acute sinusitis and allergic rhinitis is reported. Careful nasal endoscopic examination and obtaining a CT scan led to a diagnosis of unilateral fibrous dysplasia of the inferior turbinate....
Extraluminal Migration of a Metal Needle in a Child: Case Report of Unusual Complication
Btissaam Belhoucha, Youssef Rochdi, Hassan Nourinouri, Lahcen Aderdour and Abdelaziz Raji
Article Type: Case Report | First Published: November 28, 2014
We report the case of a 5-year old girl who was admitted to our ENT outpatient clinic with severe odynophagia while eating. Th parents gave history of ingesting a metal needle 15 days prior to presentations following which the complaints started. Otolaryngological examination was without abnormalities. Flexible fibreoptic endoscope of laryngopharynx showed a pooling of saliva at the right pyriform fossa....
Tumor Grading, Architectural Growth Pattern and Angiogenesis Proprieties Correlation in Surgical Patients Treated for HCC
Włodzimierz Otto, Maria Krol, Urszula Wilkowojska, Ewa Wilczek, Bogusław Najnigier, Janusz Sierdziński and Marek Krawczyk
Article Type: Original Article | First Published: November 28, 2014
Background: Tumor grading and architectural growth patterns impact the results, but the unfavorable tumor biology is revealed no sooner than on explant examination. Thus, they are not concerned in preoperative calculations. Aim of study: To evaluate the correlation between circulating EPCS, soluble angiogenesis factors and architectural growth patterns of HCC in surgical patients. Methods: The study reported on 159 patients treated for HCC in 2009/2013; 58 were suitable for surgery, 55 for liver transplantation and 46 for palliation. The rate of circulating EPCs was assessed by the flow cytome...
Acute Operative Intervention for Intracranial Hemorrhage in Adult Patients with Ventricular Assist Device Therapy Associated with Fatal Outcomes
Daniel S. Ikeda, Shelly Bansal, Andrew Shaw, Evan Marlin, Chittoor B. Sai-Sudhakar, Eric Sauvageau and Ciaran J. Powers
Article Type: Research Article | First Published: November 26, 2014
Objective: Ventricular assist devices (VADs) are utilized more frequently in the management of patients with advanced heart failure due to benefits in survival and quality of life. Intracranial hemorrhagic injuries (HI) are a significant source of morbidity and mortality in VAD patients. The aim of this investigation was to describe prognostic variables in VAD patients with HI, describe the outcomes after neurosurgical intervention, and find indications for surgery. Methods: The records of 160 patients who underwent VAD implantation from 2007 to 2011 were retrospectively analyzed. Data was abs...
A Comparative Study of Electrofulguration and Formocresol Pulpotomy Techniques in Primary Teeth
Omar A.S. El Meligy and Sawsan H. Mahmoud
Article Type: Research Article | First Published: November 22, 2014
While the formocresol pulpotomy has enjoyed long-term clinical use and success, concerns over its toxicity and mutagenicity have prompted research into other pulpotomy techniques. The purpose of this study was to prospectively compare electrofulguration pulpotomies versus formocresol pulpotomies in children vital primary molar teeth. Electrofulguration and formocresol pulpotomies were completed on 40 primary molars in 20 children aged 4 to 8 years. Each child had one molar treated by electrofulguration pulpotomy and another molar by formocresol pulpotomy. Teeth were evaluated clinically and ra...
Pilot Study of Pelvic Girdle Pain in Women with and Without Laparoscopically Diagnosed Endometriosis
Paul J. Yong, Justin Mui, Catherine Allaire, Christina Williams and Susannah Britnell
Article Type: Research Article | First Published: November 21, 2014
Objective: Pelvic girdle pain is a well recognized cause of back pain in the pregnant and postpartum population. In this pilot study, we explore whether pelvic girdle pain is also involved in the etiology of back pain outside the pregnant/postpartum period, in women with or without laparoscopically diagnosed endometriosis. Methods: Retrospective review of new patients seen for pelvic pain from June – December 2012 at a tertiary referral centre. Patients self-rated back pain severity from 0-10. Pelvic girdle pain tests were sacroiliac dorsal ligament tenderness, right or left active straight le...
The Diagnostic Yield of Double Contrast Barium Enema
Ashfaq Chandio, Ayub Ali, Ali Javaid, Syed Mustafa, Ruxandra Pietrosanu, Fuad Aftab, Muhammmed Ibrahim and Syed Naqvi
Article Type: Research Article | First Published: November 10, 2014
Introduction: The disease of colon and rectum impose a major diagnostic challenge to the clinician. Although double contrast barium enema (DCBE) has been overshadowed by the advent of colonoscopy and the sophisticated investigations, its role in failed colonoscopies can not be disputed. Aim: Aim of this study was to evaluate the diagnostic accuracy of DCBE. Methods: Patients attending the Mid-Western Regional Hospital, Ennis for DCBE from January 2003 to December 2007 were identified from computerised database of radiology department and were studied retrospectively. The accuracy / effectivene...