Pubfacts - Scientific Publication Data
  • Categories
  • |
  • Journals
  • |
  • Authors
  • Login
  • Categories
  • Journals

Search Our Scientific Publications & Authors

Publications
  • Publications
  • Authors
find publications by category +
Translate page:

Retrospective analysis of different therapeutic approaches for retroperitoneal duodenal perforations.

Authors:
Can Yurttas Christian Thiel Dörte Wichmann Philipp Horvath Jens Strohäker Malte Niklas Bongers Martin Schenk Dietmar Stüker Alfred Königsrainer Karolin Thiel

Sci Rep 2022 Jun 17;12(1):10243. Epub 2022 Jun 17.

Department of General, Visceral and Transplant Surgery, University Hospital of Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Surgical therapy of duodenal perforation into the retroperitoneum entails high morbidity. Conservative treatment and endoscopic negative pressure therapy have been suggested as promising therapeutic alternatives. We aimed to retrospectively assess outcomes of patients treated for duodenal perforation to the retroperitoneum at our department. A retrospective analysis of all patients that were treated for duodenal perforation to the retroperitoneum at our institution between 2010 and 2021 was conducted. Different therapeutic approaches with associated complications within 30 days, length of in-hospital stay, number of readmissions and necessity of parenteral nutrition were assessed. We included thirteen patients in our final analysis. Six patients underwent surgery, five patients were treated conservatively and two patients received interventional treatment by endoscopic negative pressure therapy. Length of stay was shorter in patients treated conservatively. One patient following conservative and surgical treatment each was readmitted to hospital within 30 days after initial therapy whereas no readmissions after interventional treatment occurred. There was no failure of therapy in patients treated without surgery whereas four (66.7%) of six patients required revision surgery following primary surgical therapy. Conservative and interventional treatment were associated with fewer complications than surgical therapy which involves high morbidity. Conservative and interventional treatment using endoscopic negative pressure therapy in selected patients might constitute appropriate therapeutic alternatives for duodenal perforations to the retroperitoneum.

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41598-022-14278-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9205956PMC
June 2022

Publication Analysis

Top Keywords

patients treated
20
interventional treatment
16
pressure therapy
12
negative pressure
12
perforation retroperitoneum
12
treatment endoscopic
12
duodenal perforation
12
endoscopic negative
12
patients
10
conservative interventional
8
treated conservatively
8
high morbidity
8
treated duodenal
8
therapeutic alternatives
8
morbidity conservative
8
surgical therapy
8
analysis patients
8
duodenal perforations
8
therapeutic approaches
8
retrospective analysis
8

Keyword Occurance

Similar Publications

Safety and efficacy of the novel low-profile APERIO Hybrid for treatment of proximal and distal vessel occlusion in acute ischemic stroke: a multi-center experience.

Authors:
Lukas Goertz Daniel Weiss Nuran Abdullayev Christoph Moenninghoff Jan Borggrefe Timo Huan Phung Patrick Haage Marc Schlamann Franziska Dorn Marius Kaschner Christoph Kabbasch Hannes Nordmeyer

World Neurosurg 2022 Aug 10. Epub 2022 Aug 10.

Institute for interventional Radiology and Neuroradiology, Neurozentrum Solingen, Radprax St. Lukas Hospital, Solingen, Germany; School of Medicine, Department of Health, Witten/Herdecke University, Witten, Germany.

Objective: To report our initial experience with the novel low-profile APERIO Hybrid Thrombectomy Device (AP17) for proximal and distal vessel occlusion in acute ischemic stroke.

Methods: A multicentric retrospective analysis of patients treated with the AP17 was performed. The primary effectiveness endpoint was first-pass TICI ≥2b (Thrombolysis in cerebral infarction scale). Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Arthroscopic Debridement for Refractory Lateral Epicondylitis Results for Substantial Improvement in Tendinosis Scores and Good Clinical Outcomes: Qualitative and Quantitative Magnetic Resonance Imaging Analysis.

Authors:
Satoshi Miyamura Ko Temporin Sataka Miyata Tasuku Miyake Kozo Shimada

Arthroscopy 2022 Aug 10. Epub 2022 Aug 10.

Department of Orthopaedic Surgery, Japan Community Health Care Organization Osaka Hospital, Osaka, Japan.

Purpose: To qualify and quantify the changes in magnetic resonance imaging (MRI) signals in the extensor tendons after arthroscopic debridement for lateral epicondylitis and evaluate the association between MRI findings and temporal clinical results by comparisons between recovered and unrecovered cases.

Methods: Thirty-four patients with refractory lateral epicondylitis treated with arthroscopic debridement were divided into recovered (n = 24) and unrecovered (n = 10) groups according to the Japanese Orthopaedic Association-Japan Elbow Society score. This study included any patients who underwent both the pre- and postoperative MRI and excluded patients with a prior history of any elbow surgery. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Effectiveness of aspirin vs. clopidogrel in dogs with immune mediated haemolytic anaemia evaluated by serial thromboelastography and platelet mapping.

Authors:
C Griebsch E Hall V R Barrs

Vet J 2022 Aug 10:105882. Epub 2022 Aug 10.

Sydney School of Veterinary Science, Faculty of Science, University of Sydney, Sydney, Australia; Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong, China.

Most dogs with immune mediated haemolytic anaemia (IMHA) are hypercoagulable, as measured by thromboelastography (TEG). Thromboelastography-platelet mapping (TEG-PM) has been used to assess platelet function in human patients treated with aspirin or clopidogrel. The aim of this study was to compare platelet thromboxane A-receptor inhibition (TXARI) and platelet adenosine diphosphate (ADP)-receptor inhibition (ADP-RI) as measured by TEG-PM in dogs with primary IMHA receiving aspirin or clopidogrel to determine if TEG-PM might be useful to monitor treatment. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Endovascular Navigation with Fiber Optic RealShape (FORS) Technology.

Authors:
Giuseppe Panuccio Andres Schanzer Fiona Rohlffs Franziska Heidemann Bart Wessels Geert W Schurink Joost A van Herwaarden Tilo Kölbel

J Vasc Surg 2022 Aug 10. Epub 2022 Aug 10.

German Aortic Center Hamburg, Department of Vascular Medicine, University hospital Eppendorf UKE, Hamburg, Germany. Electronic address:

Objective: Fiber Optic RealShape (FORS) technology has recently been introduced as an adjunctive guidance technology that allows real-time three-dimensional visualization of dedicated endovascular devices while avoiding radiation exposure. It consists of equipment which sends pulses of light through hair-thin optical fibers that run within a dedicated hydrophilic wire and selective catheters. The purpose of the study is to report the observed benefits and limitations related to the first edition of FORS technology. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Progressive Aortic Enlargement in Medically Managed Acute SVS/STS Type B Aortic Dissections with Visceral Aortic Involvement.

Authors:
Juliet Blakeslee-Carter Benjamin J Pearce Danielle C Sutzko Emily Spangler Marc Passman Adam W Beck

J Vasc Surg 2022 Aug 10. Epub 2022 Aug 10.

The University of Alabama at Birmingham, Division of Vascular Surgery and Endovascular. Electronic address:

Background: Aortic remodeling of the thoracic aorta has been studied in patients treated with medical or endovascular therapy for the treatment of acute aortic dissections; however, particular attention has not yet focused on identifying specific growth patterns and rates across all aortic zones. Additionally, previous studies have not delineated between dissections with and without visceral aortic involvement, and we hypothesize that these two cohorts may exhibit distinct differences. The aim of this study is to investigate aortic behavior over time in medically managed acute SVS/STS Type B dissections with visceral aortic involvement, and identify potential associations of subsequent aortic behavior with clinical outcomes. Read More

View Article and Full-Text PDF
August 2022
Similar Publications
}
© 2022 PubFacts.
  • About PubFacts
  • Privacy Policy
  • Sitemap