13,794 results match your criteria Culdocentesis


Utility of gray-scale histogram analysis in the assessment of treatment response in patients with infected cirrhotic ascites.

Acta Gastroenterol Belg 2018 Oct-Dec;81(4):509-516

Department of Oncology, University of Health Sciences Antalya Training and Research Hospital, Antalya; Turkey.

Objective: To evaluate the utility of B-mode gray-scale histogram analysis in the management of patients with infected cirrhotic ascites.

Methods: A total of 97 patients (mean(SD) age : 66.8(14. Read More

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January 2019

Management of Anterior Chamber Dislocation of a Dexamethasone Implant.

Klin Monbl Augenheilkd 2019 Jan 7. Epub 2019 Jan 7.

Department of Ophthalmology - University of Lausanne, Hôpital Ophtalmique Jules-Gonin, Lausanne, Switzerland.

Purpose: To characterise the surgical removal technique of a dislocated dexamethasone implant in the anterior chamber and to gauge its success by analysing corneal transparency and subsequent visual acuity recovery in the postoperative phase.

Methods: Description of a patient who presented with an anterior chamber dexamethasone implant migration through an inferior iridotomy performed previously for a silicone oil fill in aphakia. Visual acuity had dropped to counting fingers due to marked corneal oedema. Read More

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http://dx.doi.org/10.1055/a-0808-1847DOI Listing
January 2019

Cytomegalovirus Corneal Endotheliitis After Descemet Membrane Endothelial Keratoplasty.

Cornea 2018 Dec 31. Epub 2018 Dec 31.

Corneal and External Eye Disease Department, Singapore National Eye Centre, Singapore.

Purpose: To describe 4 cases of cytomegalovirus (CMV) corneal endotheliitis occurring after Descemet membrane endothelial keratoplasty (DMEK).

Methods: This is a retrospective, interventional case series. Case records of 4 patients (one eye each) diagnosed with CMV corneal endotheliitis after DMEK were reviewed retrospectively. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001847DOI Listing
December 2018
1 Read

Recommendations on the Use of Ultrasound Guidance for Adult Abdominal Paracentesis: A Position Statement of the Society of Hospital Medicine.

J Hosp Med 2019 Jan 2;14:E7-E15. Epub 2019 Jan 2.

Divisions of General and Hospital Medicine and Pulmonary and Critical Care Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.

1. We recommend that ultrasound guidance should be used for paracentesis to reduce the risk of serious complications, the most common being bleeding. 2. Read More

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http://dx.doi.org/10.12788/jhm.3095DOI Listing
January 2019

No Increased Mortality After TIPS Compared with Serial Large Volume Paracenteses in Patients with Higher Model for End-Stage Liver Disease Score and Refractory Ascites.

Cardiovasc Intervent Radiol 2019 Jan 2. Epub 2019 Jan 2.

Division of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Box 3808, 2301 Erwin Road, Durham, NC, 27710, USA.

Purpose: To compare survival after transjugular intrahepatic portosystemic shunt (TIPS) creation versus serial large volume paracenteses (LVP) in patients with refractory ascites and higher Model for End-Stage Liver Disease (MELD) scores.

Materials And Methods: In this retrospective study, from 1/1/2013 to 10/1/2018, 478 patients (294 male; mean age 58, range 23-89) underwent serial LVP (n = 386) or TIPS (n = 92) for ascites. Propensity-matched cohorts were constructed based on age, MELD, Charlson comorbidity index, varices, and hepatic encephalopathy. Read More

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http://dx.doi.org/10.1007/s00270-018-02155-9DOI Listing
January 2019

NECROSIS OF THE RETINA AND UVEAL TRACT SECONDARY TO EXPANDING GAS TAMPONADE.

Retin Cases Brief Rep 2018 Dec 27. Epub 2018 Dec 27.

Retina Specialists of Alabama, Birmingham, Alabama.

Purpose: To present a case of retinal and uveal necrosis caused by expanding gas tamponade after pars plana vitrectomy.

Methods: Single case report.

Results: An otherwise healthy 66-year-old woman underwent pars plana vitrectomy with intended 20% sulfur hexafluoride (SF6) tamponade for macular hole repair of her pseudophakic left eye. Read More

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http://dx.doi.org/10.1097/ICB.0000000000000841DOI Listing
December 2018

RETINAL FINDINGS IN PRESUMED INFECTIOUS POSTERIOR UVEITIS AND CORRELATION WITH POLYMERASE CHAIN REACTION RESULTS.

Retina 2018 Dec 27. Epub 2018 Dec 27.

Department of Ophthalmology, the Icahn School of Medicine at Mount Sinai, New York, New York.

Purpose: To correlate demographics, retinal lesion characteristics, and host immune status with the pathogen found on polymerase chain reaction analysis of aqueous fluid in patients with suspected infectious posterior uveitis.

Methods: Medical records of patients who underwent anterior chamber paracentesis for suspected infectious posterior uveitis and had retinal photographs between 2014 and 2016 at a single institution were reviewed. Data collection included demographics, clinical appearance of the lesions, and polymerase chain reaction results. Read More

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http://dx.doi.org/10.1097/IAE.0000000000002423DOI Listing
December 2018
1 Read

Acute Kidney Injury Due to Ovarian Hyperstimulation Syndrome.

Am J Kidney Dis 2018 Dec 29. Epub 2018 Dec 29.

Division of Nephrology, Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, Ontario, Canada; Kidney Research Centre, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada. Electronic address:

Ovarian hyperstimulation syndrome (OHSS) is a complication of assisted reproductive treatments such as in vitro fertilization (IVF). The pathophysiology of severe OHSS includes a humorally mediated capillary leak syndrome that is predominantly centered on the intra-abdominal space. Severe OHSS is frequently complicated by acute kidney injury (AKI), which can be due to any of a variety of mechanisms, each requiring a different management strategy. Read More

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http://dx.doi.org/10.1053/j.ajkd.2018.10.010DOI Listing
December 2018
1 Read

Choosing Wisely Canada-Top Five List in Hepatology: Official Position Statement of the Canadian Association for the Study of the Liver (CASL) and ChoosingWisely Canada (CWC).

Ann Hepatol 2018 Dec;18(1):165-171

Francis Family Liver Clinic, University of Toronto, Canada.

Introduction And Aim: The prevalence and incidence of chronic liver disease is increasing resulting in substantial direct and indirect medical costs. Overuse of investigations, treatments and procedures contribute to rising health care costs and can expose patients to unnecessary harm and delay in receiving care. The Choosing Wisely Canada (CWC) campaign has encouraged profesional societies to develop statements that are directly actionable by their members in an effort to promote higher-value health care that will lead to downstream effect on how other practitioners make decisions. Read More

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https://annalsofhepatology.publisherspanel.com/gicid/01.3001
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http://dx.doi.org/10.5604/01.3001.0012.7908DOI Listing
December 2018
2 Reads

ascites: a call for sexually transmitted infection testing.

BMJ Case Rep 2018 Dec 22;11(1). Epub 2018 Dec 22.

Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

A 26-year-old gravida 2, para 2-0-0-2 woman with a recent uncomplicated vaginal delivery 10 weeks prior presented to our hospital with 5 weeks of abdominal swelling and discomfort. Four weeks after delivery, the patient began having right upper quadrant pain and was found to have cholelithiasis. She underwent an elective laparoscopic cholecystectomy 6 weeks prior to admission, but started to develop worsening abdominal swelling 1 week postoperatively. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22643
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http://dx.doi.org/10.1136/bcr-2018-226437DOI Listing
December 2018
9 Reads

Hypotensive efficacy of topical brimonidine for intraocular pressure spikes following intravitreal injections of antivascular endothelial growth factor agents: a randomised crossover trial.

Br J Ophthalmol 2018 Dec 20. Epub 2018 Dec 20.

Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Purpose: To determine the effect of topical brimonidine tartrate prophylaxis on intraocular pressure (IOP) spikes following intravitreal injection of antivascular endothelial growth factor (anti-VEGF) agents.

Methods: This is a randomised crossover trial of consecutive non-glaucomatous eyes receiving intravitreal anti-VEGF injections between December 2016 and July 2017. All eyes were randomly assigned to no prophylaxis or topical brimonidine tartrate 0. Read More

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http://dx.doi.org/10.1136/bjophthalmol-2018-312603DOI Listing
December 2018

Abdominal paracentesis drainage ameliorates severe acute pancreatitis in rats by regulating the polarization of peritoneal macrophages.

World J Gastroenterol 2018 Dec;24(45):5131-5143

PLA Center of General Surgery and Pancreatic Injury and Repair Key Laboratory of Sichuan Province, Chengdu Military General Hospital, Chengdu 610083, Sichuan Province, China.

Aim: To investigate the role of peritoneal macrophage (PM) polarization in the therapeutic effect of abdominal paracentesis drainage (APD) on severe acute pancreatitis (SAP).

Methods: SAP was induced by 5% Na-taurocholate retrograde injection in Sprague-Dawley rats. APD was performed by inserting a drainage tube with a vacuum ball into the lower right abdomen of the rats immediately after the induction of SAP. Read More

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http://dx.doi.org/10.3748/wjg.v24.i45.5131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288649PMC
December 2018
1 Read

Standardizing the Use of Albumin in Large Volume Paracentesis.

J Pharm Pract 2018 Dec 6:897190018816252. Epub 2018 Dec 6.

2 Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Background:: Albumin after large volume paracentesis (LVP) reduces paracentesis-induced circulatory dysfunction (PICD). The most efficacious dose of albumin for LVP is unclear.

Objective:: To evaluate the impact of implementing a standardized LVP order set on albumin utilization and patient outcomes. Read More

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http://dx.doi.org/10.1177/0897190018816252DOI Listing
December 2018
1 Read

Using intracameral vital dye as a guide for venting incision in acute corneal hydrops.

Eur J Ophthalmol 2018 Dec 12:1120672118818012. Epub 2018 Dec 12.

Ocular Trauma and Emergency Department and Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Purpose:: To introduce a new surgical technique for the localization of corneal bulla to drain a massive corneal hydrops.

Methods:: Four consecutive cases with acute large protruded hydrops were selected. A limbal paracentesis was made via 15° blade. Read More

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http://journals.sagepub.com/doi/10.1177/1120672118818012
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http://dx.doi.org/10.1177/1120672118818012DOI Listing
December 2018
5 Reads

Effect of Early Abdominal Paracentesis Drainage on the Injury of Intestinal Mucosa and Intestinal Microcirculation in Severe Acute Pancreatitis Rats.

Pancreas 2019 Jan;48(1):e6-e8

Center of General Surgery General Hospital of Chengdu Military Command and Department of General Surgery Dujiangyan Medical Center Chengdu, China Center of General Surgery General Hospital of Chengdu Military Command Chengdu, China

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http://dx.doi.org/10.1097/MPA.0000000000001161DOI Listing
January 2019
1 Read

Permanent peritoneal ports for the management of recurrent malignant ascites: a retrospective review of safety and efficacy.

Intern Med J 2018 Dec;48(12):1524-1528

Palliative Care Services, Counties Manukau District Health Board, Middlemore Hospital, Auckland, New Zealand.

Large volume paracentesis is effective in relieving the symptoms of malignant ascites, but frequent procedures are often required. Permanent peritoneal ports are an alternative to repeated procedures. We describe our experience with the use of peritoneal ports in patients at Middlemore Hospital (Auckland, New Zealand) who had a port inserted for the drainage of malignant ascites. Read More

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http://doi.wiley.com/10.1111/imj.14137
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http://dx.doi.org/10.1111/imj.14137DOI Listing
December 2018
5 Reads

Usefulness of bioelectrical impedance analysis for monitoring patients with refractory ascites.

Rev Esp Enferm Dig 2018 Dec 4;111. Epub 2018 Dec 4.

UCG Digestive Diseases and CIBEREHD, Hospital Universitario de Valme Spain , Spain.

Background: bioelectrical impedance analysis is a technique for the determination of the hydropic component. The hydropic component, determined by blood volume, could be a reflection of the hemodynamic situation. This study aimed to evaluate the usefulness of peripheral bioelectrical impedance analysis (BIA) for the prediction of hemodynamic changes in large-volume paracentesis and prognosis. Read More

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https://online.reed.es/fichaArticulo.aspx?iarf=730794158346-
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http://dx.doi.org/10.17235/reed.2018.5634/2018DOI Listing
December 2018
4 Reads

Aggressive nutrition intervention reduces ascites and frequency of paracentesis in malnourished patients with cirrhosis and ascites.

JGH Open 2017 Nov 31;1(3):92-97. Epub 2017 Oct 31.

Liver Injury and Cancer Centenary Research Institute Sydney New South Wales Australia.

Background And Aim: Alterations in nutrient metabolism, nutritional requirements, and reduced dietary intakes are common in chronic liver disease (CLD). These result in malnutrition, sarcopenia, and exacerbate progression to decompensation and ascites. We aimed to investigate the effects of continuous tube feeding (TF) on nutritional status and levels of ascites in malnourished individuals with decompensated cirrhosis. Read More

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http://dx.doi.org/10.1002/jgh3.12016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206992PMC
November 2017
1 Read

Bilateral Phacomatosis Pigmentovascularis in a Young Male with Developmental Glaucoma and Varicose Veins.

J Curr Glaucoma Pract 2018 May-Aug;12(2):94-98. Epub 2018 Aug 1.

Senior Resident, Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India.

Aim: To report a case of bilateral phacomatosis pigmentovascularis (PPV), in a young male,presenting with developmental glaucoma and high myopia along with systemic features of klippel trenanauy weber (KTW) syndrome.

Background: The co-existence of oculodermal melanocytosis (ODM)and port-wine stain was termed PPV by Ota. Port-wine stain presents as part of Sturge-Weber syndrome (SWS). Read More

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http://www.jaypeejournals.com/eJournals/ShowText.aspx?ID=147
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http://dx.doi.org/10.5005/jp-journals-10008-1251DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236123PMC
August 2018
6 Reads

The Effect of Anti-Vascular Endothelial Growth Factor Agents on Intraocular Pressure and Glaucoma A Report by the American Academy of Ophthalmology.

Ophthalmology 2018 Nov 22. Epub 2018 Nov 22.

Harvard Medical School, Department of Ophthalmology, Massachusetts Eye & Ear Infirmary, Glaucoma Service, Boston, Massachusetts.

Purpose: To assess the effect of intravitreal injections of anti-vascular endothelial growth factor (anti-VEGF) agents on immediate and long-term intraocular pressure (IOP) elevation and glaucoma.

Methods: Literature searches of the PubMed and Cochrane databases, last conducted in April 2018, yielded 253 unique citations. Of these, 41 met the inclusion criteria and were rated according to the strength of evidence. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01616420183306
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http://dx.doi.org/10.1016/j.ophtha.2018.11.019DOI Listing
November 2018
11 Reads

Simulated training program in abdominal paracentesis for undergraduate medical students.

Gastroenterol Hepatol 2018 Nov 21. Epub 2018 Nov 21.

Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Chile; Departamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile; Centro de Educación Médica, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile. Electronic address:

Background And Aims: Abdominal paracentesis is an area that every general physician should know about, and the current learning model is unsafe for patients. Simulation allows students to develop their skills prior to clinical confrontation with minimal risks. The aims of this study were to design and evaluate a paracentesis simulation workshop for undergraduate students. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02105705183027
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http://dx.doi.org/10.1016/j.gastrohep.2018.10.001DOI Listing
November 2018
14 Reads

Acute primary angle closure-treatment strategies, evidences and economical considerations.

Eye (Lond) 2019 Jan 22;33(1):110-119. Epub 2018 Nov 22.

Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.

Acute primary angle closure requires emergency management that involves a rapid lowering of the intraocular pressure and resolution of relative pupil block - the most common mechanism of angle closure. Emergency strategies for lowering intraocular pressure include medical treatment and argon laser peripheral iridoplasty. Anterior chamber paracentesis and diode laser transcleral cyclophotocoagulation may be considered in special situations. Read More

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http://dx.doi.org/10.1038/s41433-018-0278-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328531PMC
January 2019
10 Reads

Clinical characteristics and prognosis of serous body cavity effusions in patients with sepsis: a retrospective observational study.

BMC Anesthesiol 2018 Nov 14;18(1):169. Epub 2018 Nov 14.

Department of Emergency Medicine, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, People's Republic of China.

Background: Cavity effusion is common in patients with infectious diseases. However, the incidence rate and characteristics of serous cavity effusions (SCE) in septic patients are not clear to date. The objective of this study was to investigate the incidence and characteristics of SCE in septic patients and to explore the correlations between the bloody effusions and the illness severity/prognosis in septic patients. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0621-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237031PMC
November 2018
10 Reads

A Challenging Diagnosis of Ascites: A Case Report of Peritoneal Tuberculosis.

Case Rep Infect Dis 2018 23;2018:8136476. Epub 2018 Oct 23.

University of Florida-COM, Division of Internal Medicine, Jacksonville, FL, USA.

Approximately 2 billion people, which is about one third of the world's population, are infected with tuberculosis (TB). Around 10% of infected people will develop active TB at one point in their lifetime. We present a rare case of a 68-year-old male who presented to the emergency department with a 2-week progressive dyspnea. Read More

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https://www.hindawi.com/journals/criid/2018/8136476/
Publisher Site
http://dx.doi.org/10.1155/2018/8136476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218752PMC
October 2018
5 Reads

Bilateral central retinal artery occlusion from catastrophic antiphospholipid syndrome.

BMJ Case Rep 2018 Nov 12;2018. Epub 2018 Nov 12.

Department of Internal Medicine, John H Stroger Jr Hospital of Cook County, Chicago, Illinois, USA.

A 23-year-old woman with history of systemic lupus erythematous presented with dizziness and headache and was admitted for the stroke workup. During her stay, she had sudden painless loss of vision in her right eye consistent with central retinal artery occlusion (CRAO). Ocular massage and paracentesis were attempted without success to resume the flow. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22646
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http://dx.doi.org/10.1136/bcr-2018-226463DOI Listing
November 2018
12 Reads

Ambulatory Fontan pressure monitoring: Results from the implantable hemodynamic monitor Fontan feasibility cohort (IHM-FFC).

Int J Cardiol 2018 Oct 28. Epub 2018 Oct 28.

The Ohio State University Wexner Medical Center, Department of Internal Medicine, Division of Cardiovascular Medicine, Columbus, OH, United States of America; Nationwide Children's Hospital, Department of Pediatrics, Division of Cardiovascular Medicine, Columbus, OH, United States of America.

Background: Implantable invasive hemodynamic monitoring (IHM) using the CardioMEMS™ HF system has been shown to reduce heart failure (HF) hospitalizations. IHMs have not yet been used in congenital heart disease (CHD). We aimed to evaluate feasibility and mid-term outcomes of IHM use in the single ventricle/Fontan population. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01675273183405
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http://dx.doi.org/10.1016/j.ijcard.2018.10.081DOI Listing
October 2018
8 Reads

Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy.

Medicine (Baltimore) 2018 Oct;97(43):e12915

Division of Respiratory Disease, Renmin Hospital of Wuhan University, Wuhan, China.

Late-onset pacemaker-related pleural effusions (PEs) are rare and are often misdiagnosed with other entities. Our study aimed to detail the clinical features and management of PEs long after pacemaker insertion.We conducted a review of 6 consecutive elderly patients with PEs, who had undergone a new pacemaker insertion from September 2014 to January 2017. Read More

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http://dx.doi.org/10.1097/MD.0000000000012915DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221702PMC
October 2018
10 Reads

Spontaneous Bacterial Peritonitis in Afebrile Cirrhotic Patients; Report from a Referral Transplantation Center.

Bull Emerg Trauma 2018 Oct;6(4):363-366

Department of Emergency Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Spontaneous bacterial peritonitis (SBP) is a complication of liver cirrhosis with adverse effect on patient prognosis. Early diagnosis and treatment is highly important, especially in patients without remarkable manifestations. We designed this study to determine the prevalence of SBP among afebrile cirrhotic patients and identify high-risk subgroups in a referral center in southern Iran. Read More

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https://www.beat-journal.com/index.php/BEAT/article/view/684
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http://dx.doi.org/10.29252/beat-060415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215066PMC
October 2018
4 Reads

"Chylous Ascites: Complication of laparoscopic donor nephrectomy. Case Report and review of literature."

Transplantation 2018 Nov 5. Epub 2018 Nov 5.

Department of Renal Transplant Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Chylous ascites (CA) is an extremely rare complication after laparoscopic donor nephrectomy (LDN). It can increase the hospital stay, morbidity in postoperative period and thus negating the benefits of laparoscopic surgery. Most of the cases were managed conservatively, but surgical intervention may be occasionally required. Read More

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http://dx.doi.org/10.1097/TP.0000000000002514DOI Listing
November 2018
3 Reads

Cost-Effectiveness of Transjugular Intrahepatic Portosystemic Shunt versus Large-Volume Paracentesis in Refractory Ascites: Results of a Markov Model Incorporating Individual Patient-Level Meta-Analysis and Nationally Representative Cost Data.

J Vasc Interv Radiol 2018 Dec 2;29(12):1705-1712. Epub 2018 Nov 2.

Department of Interventional Radiology, University of Washington Medical Center, 1959 NE Pacific Street, Seattle, WA 98195.

Purpose: To compare relative cost-effectiveness of serial large-volume paracentesis (LVP) and transjugular intrahepatic portosystemic shunt (TIPS) creation for treatment of refractory ascites.

Materials And Methods: A decisional Markov model was developed to estimate payer cost and quality-adjusted life-ears (QALYs) associated with LVP and TIPS treatment strategies for cirrhotic patients with refractory ascites. Survival estimates were derived from an individual patient-level meta-analysis of prospective randomized clinical trials. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10510443183144
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http://dx.doi.org/10.1016/j.jvir.2018.08.019DOI Listing
December 2018
6 Reads

Transjugular Intrahepatic Portosystemic Shunt for the Treatment of Portal Hypertension-Induced Refractory Ascites Due to Metastatic Carcinomatous Liver Disease.

J Vasc Interv Radiol 2018 Dec 2;29(12):1713-1716. Epub 2018 Nov 2.

Department of Radiology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. Electronic address:

Three patients with a medical history of breast carcinoma and metastatic carcinomatous liver disease associated with severe portal hypertension and refractory ascites are presented. Transjugular intrahepatic portosystemic shunt creation was considered as a palliative treatment option and a valuable alternative to regular paracenteses in these patients. In 2 of the 3 patients, the refractory ascites was controlled for several months without need for paracentesis, and subsequently transjugular intrahepatic portosystemic shunt may provide valuable palliation and ascites control in patients with refractory ascites due to breast cancer-induced pseudocirrhosis. Read More

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http://dx.doi.org/10.1016/j.jvir.2018.08.007DOI Listing
December 2018
3 Reads

The Procedure Coordinator: A Resident-Driven Initiative to Increase Opportunity for Inpatient Procedures.

J Grad Med Educ 2018 Oct;10(5):583-586

Background : Training residents to become competent in common bedside procedures can be challenging. Some hospitals have attending physician-led procedure teams with oversight of all procedures to improve procedural training, but these teams require significant resources to establish and maintain.

Objective : We sought to improve resident procedural training by implementing a resident-run procedure team without routine attending involvement. Read More

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http://dx.doi.org/10.4300/JGME-D-18-00399.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194897PMC
October 2018

Topical Ganciclovir for Prophylaxis of Cytomegalovirus Endotheliitis in Endothelial Keratoplasty.

Cornea 2019 Jan;38(1):120-122

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.

Purpose: To describe the presentation and management of 2 cases of Descemet stripping automated endothelial keratoplasty (DSAEK) with failure secondary to cytomegalovirus (CMV) infection and prophylaxis with topical ganciclovir to prevent repeat failure of Descemet membrane endothelial keratoplasty (DMEK) regrafts.

Methods: A retrospective chart review was conducted for 2 patients with DSAEK failure secondary to CMV infection.

Results: A 70-year-old immunocompetent man (case 1) and a 53-year-old immunocompromised man (case 2) received DSAEK for presumed pseudophakic bullous keratopathy and endothelial decompensation secondary to recurrent uveitis, respectively. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001797DOI Listing
January 2019
3 Reads

Bortezomib-Induced Cardiac Tamponade in a 49-Year-Old Man.

Tex Heart Inst J 2018 08 1;45(4):260-263. Epub 2018 Aug 1.

Proteasome inhibitors such as bortezomib and carfilzomib have been used effectively to treat patients who have certain hematologic malignancies. Proteasome activity is elevated in the heart, and potent inhibition results in accumulation of misfolded intracellular protein aggregates and apoptosis. Heart failure, conduction disturbances, and premature atherosclerosis have been associated with bortezomib therapy. Read More

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http://thij.org/doi/10.14503/THIJ-17-6242
Publisher Site
http://dx.doi.org/10.14503/THIJ-17-6242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6183647PMC
August 2018
8 Reads

[Paracentesis as abdominal decompression therapy in neuroblastoma MS with massive hepatomegaly].

Cir Pediatr 2018 Oct 17;31(4):196-199. Epub 2018 Oct 17.

Servicio Cirugía Pediátrica. Hospital de Cruces. Baracaldo (Vizcaya).

Neuroblastoma MS with massive hepatomegaly is a small percentage of cases of neuroblastoma. It is more common in infants less than 4-6 weeks of life, and involves, in contrast to the standard of the NB MS, poor prognosis given the complications that can have. In the case of abdominal compartment syndrome it is recommended a quick start of chemotherapy, associating or not radiation therapy, to try to reduce the size of the liver, and if necessary, decompressive laparotomy. Read More

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October 2018
8 Reads

Late recurrence of an osteoarticular infection caused by Klebsiella pneumoniae in a child.

Arch Pediatr 2018 Nov 22;25(8):497-499. Epub 2018 Oct 22.

Department of Pediatric Orthopaedic Surgery, Amiens University Hospital and Jules Verne University of Picardy, 80054 Amiens, France. Electronic address:

Klebsiella pneumoniae is an opportunistic pathogen in neonates. A 23-day-old newborn developed septic arthritis of the right hip due to an ESBL-producing strain. A recurrence on the knee was observed at 4 years of age. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0929693X183020
Publisher Site
http://dx.doi.org/10.1016/j.arcped.2018.09.009DOI Listing
November 2018
9 Reads

Hemodynamic Effects of Paracentesis in a Patient With a Fontan Circulation.

World J Pediatr Congenit Heart Surg 2018 Oct 24:2150135118779351. Epub 2018 Oct 24.

1 Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.

Recurrent ascites is a common manifestation of failing Fontan circulation. We present the hemodynamic response to large-volume paracentesis in a patient with Fontan circulation and Fontan-associated liver disease, documenting an immediate and substantial decline in systemic venous pressure and increase in cardiac output. These preliminary observations may have implications for the management of ascites in adults with Fontan circulation. Read More

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http://dx.doi.org/10.1177/2150135118779351DOI Listing
October 2018
1 Read

Ascites Index - an attempt to objectify the assessment of ascites.

J Ultrason 2018 ;18(73):140-147

3rd Department of Gynecology, Medical University of Lublin, Lublin, Poland.

Introduction: Ascites is observed in cancer patients as well as in other non-neoplastic processes. In some patients, it may cause severe symptoms that can become directly life-threatening. The assessment of the degree of ascites seems useful in the determination of treatment effects as well as in the monitoring of fluid accumulation and early planning of decompression procedures. Read More

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http://jultrason.pl/index.php/issues/volume-18-no-73/ascites
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http://dx.doi.org/10.15557/JoU.2018.0020DOI Listing
January 2018
5 Reads

Secondary bacterial peritonitis and pelvic abscess due to .

BMJ Case Rep 2018 Oct 12;2018. Epub 2018 Oct 12.

Department of Infectious Disease, Mayo Clinic, Rochester, Minnesota, USA.

A 70-year-old man with a history of hepatic cirrhosis presented with abdominal discomfort and distention. Physical examination revealed abdominal distention, positive fluid wave and abdominal tenderness. Due to concerns for spontaneous bacterial peritonitis (SBP), paracentesis was performed. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22525
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http://dx.doi.org/10.1136/bcr-2018-225252DOI Listing
October 2018
8 Reads

Neonate with urinary ascites but no hydronephrosis: unusual presentation of posterior urethral valves.

BMJ Case Rep 2018 Oct 12;2018. Epub 2018 Oct 12.

Pediatric Critical Care, Inova Children's Hospital, Falls Church, Virginia, USA.

Posterior urethral valves (PUV) are an important cause of paediatric obstructive uropathy. PUV are usually diagnosed by prenatal ultrasonography (US) revealing hydronephrosis and bladder distention. We describe a 17-day-old male infant with abdominal distention who had no hydronephrosis on prenatal US. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22505
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http://dx.doi.org/10.1136/bcr-2018-225053DOI Listing
October 2018
9 Reads

Oral midodrine is comparable to albumin infusion in cirrhotic patients with refractory ascites undergoing large-volume paracentesis: results of a pilot study.

Eur J Gastroenterol Hepatol 2018 Oct 11. Epub 2018 Oct 11.

Department Hepatology, Theodor Bilharz Research Institute, Cairo, Egypt.

Background And Aims: Albumin infusion reduces the incidence of postparacentesis circulatory dysfunction among patients with cirrhosis and tense ascites compared with no treatment. Less costly treatment alternatives such as vasoconstrictors have been investigated, but the results are controversial. Midodrine, an oral α1-adrenergic agonist, increases effective circulating blood volume and renal perfusion by increasing systemic and splanchnic blood pressure. Read More

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http://dx.doi.org/10.1097/MEG.0000000000001277DOI Listing
October 2018
1 Read

Organized Hemopericardium Mimicking Malignant Tumor: A Case of Spontaneous Pericardial Hematoma In a 23-Year-Old Young Male.

Authors:
Wenda Wang Qi Miao

Heart Surg Forum 2018 Sep 27;21(5):E409-E411. Epub 2018 Sep 27.

The Department of Cardiac Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College.

Spontaneous pericardial hematoma is rare, and the diagnosis of spontaneous organized hemopericardium is difficult in some cases. The present study reports a case of a 23-year-old man admitted to our hospital for dyspnea on Sept. 30, 2017. Read More

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http://dx.doi.org/10.1532/hsf.2028DOI Listing
September 2018
2 Reads

Ultrasound-Guided versus Thoracoscopic Pleural Biopsy for Diagnosing Tuberculous Pleurisy Following Inconclusive Thoracentesis: A Randomized, Controlled Trial.

Med Sci Monit 2018 Oct 10;24:7238-7248. Epub 2018 Oct 10.

Department of Epidemiology, Bengbu Medical College, Bengbu, Anhui, China (mainland).

BACKGROUND Traditional diagnostic methods for tuberculosis (TB) cannot be reliably applied to tuberculous pleurisy. Therefore, this prospective, randomized, controlled trial was performed to compare the diagnostic sensitivity and safety of ultrasound-guided cutting-needle pleural biopsy versus thoracoscopic pleural biopsy in patients suspected of tuberculous pleurisy following inconclusive thoracentesis. MATERIAL AND METHODS A total of 196 adult patients with acid-fast bacillus (AFB)-negative exudative pleural effusions clinically suspected of tuberculous pleurisy were recruited. Read More

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https://www.medscimonit.com/abstract/index/idArt/912506
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http://dx.doi.org/10.12659/MSM.912506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6192452PMC
October 2018
2 Reads

Ascites with hepatic extravasation of total parenteral nutrition (TPN) secondary to umbilical venous catheter (UVC) malposition in an extremely preterm baby.

BMJ Case Rep 2018 Oct 8;2018. Epub 2018 Oct 8.

Division of Neonatology, Department of Pediatrics, Regina General Hospital, Regina, Saskatchewan, Canada.

The ease of access and advantages of a secure central line makes use of umbilical venous catheter (UVC) and umbilical artery catheters a part of the standard of care in the extremely premature babies in the neonatal intensive care unit. However, there are complications associated with their use. One of the uncommon complications reported is total parenteral nutrition (TPN) ascites secondary to vessel perforation or hepatic erosion by the tip of the catheter due to malposition of a UVC. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22637
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http://dx.doi.org/10.1136/bcr-2018-226377DOI Listing
October 2018
2 Reads

Effect of NSAIDs on Pupil Diameter and Expression of Aqueous Humor Cytokines in FLACS Versus Conventional Phacoemulsification.

J Refract Surg 2018 Oct;34(10):646-652

Purpose: To compare the concentrations of interleukin (IL) (IL-1b, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, IL-12p70), interferon (IFN)-γ, tumor necrosis factor (TNF)-α, and TNF-β in the aqueous humor of patients undergoing femtosecond laser-assisted cataract surgery (FLACS) and corneal mechanical paracentesis treated with two different topical nonsteroidal anti-inflammatory drugs (NSAIDs): bromfenac and indomethacin.

Methods: In this prospective, randomized controlled, single-center study, aqueous humor samples were obtained immediately after performing the femtosecond laser procedure or at the start of conventional phacoemulsification. Preoperatively, the FLACS groups were administered (once daily and four times daily, respectively) either topical bromfenac 0. Read More

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http://dx.doi.org/10.3928/1081597X-20180814-02DOI Listing
October 2018
2 Reads
3.470 Impact Factor

Routine analysis of ascitic fluid for evidence of infection in children with chronic liver disease: Is it mandatory?

PLoS One 2018 5;13(10):e0203808. Epub 2018 Oct 5.

Pediatric Hepatology Unit, Pediatrics Department, Kasr Alainy School of Medicine, Cairo, Egypt.

Ascitic fluid infection is a major cause of morbidity and mortality in cirrhotic patients, requiring early diagnosis and therapy. We aimed to determine predictors of ascitic fluid infection in children with chronic liver disease. The study included 45 children with chronic liver disease and ascites who underwent 66 paracentesis procedures. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203808PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173381PMC
October 2018
10 Reads

Non-Self-Sealing (Leaky) Anterior Chamber Paracentesis: A New Technique in Managing Postphacoemulsification Intraocular Pressure Rise in Glaucoma and Normal Eyes.

Asia Pac J Ophthalmol (Phila) 2018 Sep-Oct;7(5):284-287. Epub 2018 Sep 26.

Sankara Nethralaya, Chennai, India.

Phacoemulsification (phaco) for cataract extraction is 1 of the most commonly performed ophthalmic surgeries. With increasing evidence of significant intraocular pressure (IOP) reduction after phaco, the paradigm for glaucoma treatment has been shifting toward more cataract extraction instead of glaucoma surgery; thus, the population of glaucoma patients undergoing phaco is likely to continue to increase in the coming years. Although the safety of surgery has improved over the years with newer technologies and machines, postoperative IOP spike remains an important condition even after an uneventful operation. Read More

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http://dx.doi.org/10.22608/APO.2016213DOI Listing
October 2018
1 Read

Association Between Type 2 Diabetes Mellitus, HbA1c and the Risk for Spontaneous Bacterial Peritonitis in Patients with Decompensated Liver Cirrhosis and Ascites.

Clin Transl Gastroenterol 2018 Sep 24;9(9):189. Epub 2018 Sep 24.

Department of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany.

Introduction: Type 2 diabetes mellitus (DM) is a frequent comorbidity among patients with liver cirrhosis. However, data regarding the impact of DM on spontaneous bacterial peritonitis (SBP) are quite limited. Our aim was to analyze the impact of DM and HbA1c values on the incidence of SBP and mortality in patients with liver cirrhosis and ascites. Read More

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http://dx.doi.org/10.1038/s41424-018-0053-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155293PMC
September 2018
7 Reads

Point of care ultrasound training for internal medicine: a Canadian multi-centre learner needs assessment study.

BMC Med Educ 2018 Sep 20;18(1):217. Epub 2018 Sep 20.

Department of Medicine, University of Calgary, Calgary, AB, Canada.

Background: Significant gaps currently exist in the Canadian internal medicine point-of-care ultrasound (POCUS) curriculum. From a learner's perspective, it remains unknown what key POCUS skills should be prioritized. This needs assessment study seeks to establish educational priorities for POCUS for internal medicine residents at five Canadian residency training programs. Read More

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http://dx.doi.org/10.1186/s12909-018-1326-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149066PMC
September 2018
8 Reads

EFFECT OF SERIAL ANTERIOR CHAMBER PARACENTESIS ON SUSTAINED INTRAOCULAR PRESSURE ELEVATION IN PATIENTS RECEIVING INTRAVITREAL ANTI-VASCULAR ENDOTHELIAL GROWTH FACTOR THERAPY.

Retina 2018 Sep 17. Epub 2018 Sep 17.

Department of Ophthalmology, University of Cincinnati, Cincinnati, Ohio.

Purpose: To investigate the effect of serial anterior chamber (AC) paracenteses in eyes with sustained elevations of intraocular pressure (IOP) in the setting of repeated intravitreal injections (IVI) of anti-vascular endothelial growth factor medications.

Methods: This is a retrospective records review of patients undergoing IVI of anti-vascular endothelial growth factor medication (bevacizumab, ranubizumab, or aflibercept), who demonstrated a sustained elevation of preinjection IOP and also received AC paracentesis immediately after IVI on at least three consecutive visits. Changes in preinjection IOP and cup-to-disk (C:D) ratio were compared before and after the initiation of IVI and before and after the introduction of AC paracenteses with each subsequent IVI. Read More

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http://dx.doi.org/10.1097/IAE.0000000000002314DOI Listing
September 2018
1 Read