14,588 results match your criteria Culdocentesis


Hemostatic Changes of Acute Kidney Injury in Patients With Cirrhosis: What Do They Mean?

Authors:
Ton Lisman

Hepatology 2020 Jul 4. Epub 2020 Jul 4.

Surgical Research Laboratory and Section of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.

Historically, patients with liver disease were considered to have a bleeding tendency that was a consequence of changes in their hemostatic system. An important consequence of this concept is the ever-ongoing policy of prophylactic blood product transfusion prior to invasive procedures aimed to reduce bleeding risk. However, it is increasingly acknowledged that although bleeding in patients with liver diseases can be the consequence of a (temporal) hypocoagulable state, it is frequently unrelated to hemostatic failure and rather caused by portal hypertension (e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/hep.31451DOI Listing

Acute kidney injury in decompensated cirrhosis is associated with both hypo- and hyper-coagulable features.

Hepatology 2020 Jul 2. Epub 2020 Jul 2.

Digestive Disease Section, Internal Medicine, Yale School of Medicine, New Haven, CT, USA.

Background & Aim: Recent evidence suggests that acute kidney injury (AKI) is the main predictor of post-paracentesis bleeding in patients with cirrhosis. To assess factors responsible for bleeding tendency in AKI, we performed a prospective study comparing all three aspects of hemostasis (platelets, coagulation, fibrinolysis) in patients with decompensated cirrhosis with and without AKI.

Approach & Results: Primary hemostasis assessment included platelet aggregation and secretion (platelet function markers) and von Willebrand factor (VWF). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/hep.31443DOI Listing

Benefits of abdominal paracentesis drainage performed ahead of percutaneous catheter drainage as a modification of the step-up approach in acute pancreatitis with fluid collections.

Acta Gastroenterol Belg 2020 Apr-Jun;83(2):285-293

Department of health sciences, "Džemal Bijedic" University of Mostar, 88000 Mostar, Bosnia and Herzegovina.

Aim: The aim of the study is to evaluate the role of abdominal paracentesis drainage (APD) ahead of percutaneous catheter drainage (PCD), as a modification of the step-up approach, when treating acute pancreatitis (AP) with peritoneal ascitic fluid (PAF).

Patients And Methods: This is a prospective cohort study including 118 participants with AP in which the indicative factors for upgrading from APD to PCD were investigated in patients with PAF. Ninety six patients with a sufficient volume of PAF initially underwent ultrasound-guided APD and were separated into two groups : group A (the patients who did not undergo PCD after APD) and B (the patients who underwent PCD after APD). Read More

View Article

Download full-text PDF

Source

Multiple myeloma with hepatic amyloid light-chain amyloidosis manifesting as progressive liver failure.

BMJ Case Rep 2020 Jun 29;13(6). Epub 2020 Jun 29.

Pathology, University of Florida Health at Jacksonville, Jacksonville, Florida, USA.

We present a case of a 45-year-old man admitted to the hospital with new-onset ascites and bilateral subconjunctival haemorrhages. He was found to have elevated liver enzymes in a hepatocellular pattern and direct hyperbilirubinemia. A diagnostic paracentesis was consistent with portal hypertension (PH). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2020-234637DOI Listing

Safety and feasibility of transjugular intrahepatic portosystemic shunt in elderly patients with liver cirrhosis and refractory ascites.

PLoS One 2020 25;15(6):e0235199. Epub 2020 Jun 25.

Department of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Hannover, Germany.

Background & Aims: The management of patients with refractory ascites (RA) is challenging, particularly at higher age. Transjugular intrahepatic portosystemic shunt (TIPS) is an established treatment for RA, but safety data in elderly patients are rare. Our aim was to evaluate the safety and feasibility of TIPS in elderly patients with RA. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235199PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316253PMC

Improvement in Quality of Life and Decrease in Large-Volume Paracentesis Requirements With the Automated Low-Flow Ascites Pump.

Liver Transpl 2020 Jun 24. Epub 2020 Jun 24.

BGS Gleneagles Hospital, Kengeri, Bengaluru, 56070, Karnataka, India.

We read with great interest the multicenter, open-label study of the Alfa pump system in cirrhosis with recurrent ascites (MOSAIC study) by wong et al in which they have described safety and efficacy of automated low flow ascitic (ALFA) pump system for control of refractory ascites in north American cohort (1).In this study ALFA pump system insertion by interventional radiologist using a minimally invasive technique yield similar technical success as compared to surgical insertion techniques in previous studies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/lt.25827DOI Listing

The relationship between the tympanostomy tube extrusion time and viscosity.

Int J Pediatr Otorhinolaryngol 2020 May 27;136:110140. Epub 2020 May 27.

Bezmialem Vakif University, Department of Otorhinolaryngology and Head and Neck Surgery, Istanbul, Turkey. Electronic address:

Objective: The purpose of the study was to assess the correlation between the tympanostomy tube extrusion time and the viscosity of the middle ear fluid.

Methods: Thirty-three patients who were scheduled for a tympanostomy tube (TT) insertion were included in the study. During the paracentesis procedure, fluid from the middle ear was obtained, and the viscosity was measured with a viscometer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2020.110140DOI Listing

Combined treatment of refractory ascites with an alfapump® plus hernia repair in the same surgical session: A retrospective, multicentre, European pilot study in cirrhotic patients.

J Visc Surg 2020 Jun 15. Epub 2020 Jun 15.

Digestive Surgery, Centre Hospitalier Universitaire Amiens-Picardie, Amiens, France; SSPC (simplification of surgical patient care) research unit, UPJV, Amiens, France.

Introduction: The treatment of symptomatic hernia in cirrhotic patients with refractory ascites is critical but challenging. The objective of this study was to assess the feasibility and safety of the implantation of alfapump® combined with concomitant hernia repair in cirrhotic patients with refractory ascites.

Methods: Using data from six European centres, we retrospectively compared patients treated with alfapump® system implantation and concomitant hernia repair [the combined treatment group (CT group, n=12)] or with intermittent paracentesis hernia repair [the standard treatment group (ST group, n=26)]. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jviscsurg.2020.06.003DOI Listing

Circumferential Viscodilation Ab Interno Combined with Phacoemulsification for Treatment of Open-Angle Glaucoma: 12-Month Outcomes.

Clin Ophthalmol 2020 20;14:1357-1364. Epub 2020 May 20.

Mt Sinai School of Medicine, New York, NY, USA.

Purpose: To evaluate reduction in intraocular pressure (IOP) and medications for open-angle glaucoma (OAG) patients 12 months post-ab-interno circumferential viscodilation (VISCO360, Sight Sciences, Menlo Park, CA) in conjunction with cataract surgery.

Setting: Surgical center (New York, United States).

Design: Retrospective study of all OAG patients treated with 360-degree ab-interno viscodilation with cataract surgery by a single surgeon (NR) having 12 months of follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/OPTH.S252965DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246311PMC

Weekend admissions with ascites are associated with delayed paracentesis: A nationwide analysis of the 'weekend effect'.

Ann Hepatol 2020 Jun 4. Epub 2020 Jun 4.

Department of Gastroenterology, UMMS-Baystate Medical Center, Springfield, MA, USA.

Introduction And Objectives: Weekend admissions has previously been associated with worse outcomes in conditions requiring specialists. Our study aimed to determine in-hospital outcomes in patients with ascites admitted over the weekends versus weekdays. Time to paracentesis from admission was studied as current guidelines recommend paracentesis within 24h for all patients admitted with worsening ascites or signs and symptoms of sepsis/hepatic encephalopathy (HE). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.aohep.2020.05.005DOI Listing
June 2020
2.193 Impact Factor

A Case of Miliary Perinatal Tuberculosis in a Preterm Newborn Infant Presenting as Peritonitis.

Cureus 2020 May 9;12(5):e8036. Epub 2020 May 9.

Pediatrics Section, Marie Curie Children's Emergency Hospital, Bucharest, ROU.

Perinatal tuberculosis (TB) is a rare disease with nonspecific clinical symptoms that can result in delayed treatment, and contribute to high morbidity and mortality. We report a case of perinatal TB in a 25-day-old newborn who presented with fever, respiratory distress, disseminated intravascular coagulation (DIC), and marked abdominal distension with hepatosplenomegaly. Further workup revealed culture negative sepsis, peritonitis, and diffuse nodular infiltrate in the lungs, liver, and spleen. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.8036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282365PMC

Survival benefit associated with early detection of spontaneous bacterial peritonitis in veteran inpatients with cirrhotic ascites.

JGH Open 2020 Jun 17;4(3):503-506. Epub 2019 Dec 17.

Division of Gastroenterology Washington University School of Medicine St. Louis Missouri USA.

Background: Spontaneous bacterial peritonitis (SBP) is common in hospitalized cirrhotic patients with ascites and carries high mortality. This study aimed to determine whether early diagnostic paracentesis (EDP) <12 h of hospitalization conveys an intermediate-term (6-month) survival benefit in cirrhotic patients diagnosed with SBP.

Methods: Consecutive US veterans with cirrhosis diagnosed with SBP over 13 years at a single VA medical center were reviewed retrospectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jgh3.12290DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273690PMC

Safety model for chest drainage in pandemic by COVID-19.

Rev Col Bras Cir 2020 1;47:e20202568. Epub 2020 Jun 1.

Federal University of Minas Gerais, Hospital das Clínicas, Service of Thoracic Surgery - Belo Horizonte - MG - Brazil

Over one million cases of the SARS-CoV-2 virus have been confirmed worldwide, with the death toll exceeding 50,000 people. An important issue to be addressed concerns the exposure of health professionals to this new virus. The first reports from Wuhan province, China, described infection rates of up to 29% among healthcare professionals before the use of personal protective equipment (PPE) was fully regulated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/0100-6991e-20202568DOI Listing

Randomised clinical trial: palliative long-term abdominal drains vs large-volume paracentesis in refractory ascites due to cirrhosis.

Aliment Pharmacol Ther 2020 Jul 1;52(1):107-122. Epub 2020 Jun 1.

Brighton, UK.

Background: Palliative care remains suboptimal in end-stage liver disease.

Aim: To inform a definitive study, we assessed palliative long-term abdominal drains in end-stage liver disease to determine recruitment, attrition, safety/potential effectiveness, questionnaires/interview uptake/completion and make a preliminary cost comparison.

Methods: A 12-week feasibility nonblinded randomised controlled trial comparing large-volume paracentesis vs long-term abdominal drains in refractory ascites due to end-stage liver disease with fortnightly home visits for clinical/questionnaire-based assessments. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/apt.15802DOI Listing

Black ascitic fluid in a patient with history of alcohol abuse: report of an unusual case and literature review.

Oxf Med Case Reports 2020 Apr 23;2020(4):omaa023. Epub 2020 May 23.

School of Medicine, Vasco de Quiroga University, Morelia, Mexico.

The differential diagnosis for black ascites include pancreatic ascites (PA). In majority of cases described the ascitic fluid as amber or black-colored. We report the case of a 33-year-old man with a history of alcohol abuse who presented with 24 h of epigastric pain and abdominal distension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/omcr/omaa023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243715PMC

Voltammetric analysis for distinguishing portal hypertension-related from malignancy-related ascites: A proof of concept study.

PLoS One 2020 21;15(5):e0233350. Epub 2020 May 21.

Geriatric Unit, Università Campus Bio-Medico, Roma, Lazio, Italy.

Background: Serum-ascites albumin gradient (SAAG) remains the most sensitive and specific marker for the differentiation of ascites due to portal hypertension from ascites due to other causes. SAAG has some limitations and may fail in selected conditions. Voltammetric analysis (VA) has been used for the detection of electroactive species of biological significance and has proven effective for detection infections in biological fluids. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233350PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241828PMC

Spontaneous Bacterial Peritonitis: We Are Still Behind.

Cureus 2020 Apr 17;12(4):e7711. Epub 2020 Apr 17.

Gastroenterology and Hepatology, University of Missouri-Kansas City School of Medicine, Kansas City, USA.

Spontaneous bacterial peritonitis (SBP) is an infection in the ascitic fluid. Despite published guidelines, an inappropriate diagnosis of SBP is frequent. In this study, we aim to evaluate guideline adherence in diagnosing SBP. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7711DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233508PMC

[Safety, Efficacy and Protective Aspects of Add-on Paracentesis During Intravitreal Injections. Comment on the Publication of M. J. Koss et al. (Letter to the Editor)].

Klin Monbl Augenheilkd 2020 Jun 19;237(6):787-788. Epub 2020 May 19.

Department für Augenheilkunde, Forschungsbereich Geschichte der Augenheilkunde/Ophthalmopathologisches Labor, Eberhard-Karls-Universität Tübingen.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-1141-3969DOI Listing

Posterior reversible encephalopathy syndrome in an oncological normotensive patient: evidence for a pathogenic role of concomitant low magnesium serum levels and chemotherapy treatment.

Acta Biomed 2020 May 11;91(2):365-372. Epub 2020 May 11.

University of Parma.

Background: Posterior reversible encephalopathy (PRES) is a rare syndrome characterized by headache, confusion, seizures, visual changes and white matter edema at radiological imaging. Its pathophysiology is not clarified and different causes, including uncontrolled hypertension, eclampsia, chemotherapy and hypomagnesemia have been suggested.

Case Report: A woman affected by stage IV breast cancer with lower extremity deep vein thrombosis treated with low-molecular-weight-heparin, currently in therapy with Palbociclib/Fulvestrant (antiCDK4 and 6/estrogen receptor antagonist) but previously treated with several other chemotherapy lines (including VEGF inhibitor bevacizumab), was admitted to our Internal Medicine department because of ascites and abdominal pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23750/abm.v91i2.8685DOI Listing

SARS-CoV-2 detection in the pericardial fluid of a patient with cardiac tamponade.

Eur J Intern Med 2020 06 23;76:100-101. Epub 2020 Apr 23.

Division of Cardiology, Cardiovascular Department, "A. Manzoni" Hospital - Lecco (LC), Via dell'Eremo, 9, 23900 Lecco, Italy. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejim.2020.04.045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177062PMC

A CASE REPORT OF CHRONIC ENDOPHTHALMITIS SECONDARY TO AQUAMICROBIUM TERRAE.

Retin Cases Brief Rep 2020 Apr 28. Epub 2020 Apr 28.

Cleveland Clinic Foundation, Cole Eye Institute, Cleveland, Ohio.

Purpose: Chronic postoperative endophthalmitis is a known complication of cataract surgery. Here, we report a case of chronic endophthalmitis following uncomplicated cataract surgery secondary to the atypical bacterium Aquamicrobium terrae.

Methods: Retrospective case report of a single patient with endophthalmitis secondary to A. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/ICB.0000000000001003DOI Listing

Use of Peritoneal Catheters for Patients Receiving Palliative Care.

J Palliat Med 2020 Apr 23. Epub 2020 Apr 23.

Nephrology Department, Setubal Hospital Center, Setubal, Portugal.

Recurrent ascites is a late manifestation of several diseases, including cancer, cirrhosis, and heart failure, invariably associated with very poor prognosis. Hence, every effort must be aimed at reducing discomfort and side effects of its management. To evaluate if peritoneal catheters (PCs) are a viable alternative treatment approach in palliative patients who fail medical management of ascites. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/jpm.2019.0699DOI Listing

A clinical-based protocol of diagnosis of temporomandibular joint open lock and treatment with arthrocentesis.

Oral Maxillofac Surg 2020 Jun 22;24(2):211-215. Epub 2020 Apr 22.

Department of Oral & Maxillofacial Surgery, Traumatology and Prosthesis - Faculty of Dentistry, University of São Paulo, São Paulo, Brazil.

Purpose: Arthrocentesis of the temporomandibular joint (TMJ) is a minimally invasive surgical procedure that provides good clinical results such as the improvement of jaw movements. It also helps to balance the synovial liquid viscosity and relieve TMJ pain by the washout of inflammatory components from the upper compartment. The purpose of this study is to report a case series of patients submitted to a clinical-based protocol of diagnosis of TMJ joint open lock and treatment with arthrocentesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10006-020-00844-9DOI Listing

Isolated Penile Edema After Diagnostic Paracentesis.

Cureus 2020 Mar 19;12(3):e7329. Epub 2020 Mar 19.

Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, USA.

Diagnostic paracentesis is a routinely practiced, typically safe procedure performed in the emergency department. Genital swelling post-paracentesis is a rare complication with few documented case reports. We report a case of isolated penile edema after a diagnostic paracentesis performed in the emergency department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7329DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164694PMC

Abdominal Malignancy with Skin Manifestation and Thromboembolic Disease: An Unusual Presentation.

Cureus 2020 Mar 18;12(3):e7302. Epub 2020 Mar 18.

Internal Medicine, Coliseum Medical Centers, Macon, USA.

A 55-year-old male presented to our hospital with shortness of breath and leg swelling. Imaging studies revealed deep vein thrombosis and bilateral pulmonary embolism. The patient was placed on anticoagulation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164517PMC

[SINGLE UTERINE PUNCTURE THROUGH THE INTERTWIN MEMBRANE IN TWIN PREGNANCY AMNIOCENTESIS: A DESCRIPTIVE STUDY OF OUR 9 YEARS' EXPERIENCE AT "SHAMIR" ("ASSAF HAROFEH") MEDICAL CENTER].

Harefuah 2020 Apr;159(4):242-246

Obstetrics Gynecology Department, "Shamir" ("Assaf Harofeh") Medical Center, Tzrifin.

Introduction: Obstetrics Gynecology Department, "Shamir" ("Assaf Harofeh") Medical Center, Tzrifin There are 2 methods to perform amniocentesis in twin pregnancy. The widespread method is the two-punctures technique (1 for each sac). The other is a single uterine puncture through the intertwin membrane. Read More

View Article

Download full-text PDF

Source

RESPIRATORY AND SYMPTOMATIC IMPACT OF ASCITES RELIEF BY PARACENTESIS IN PATIENTS WITH HEPATIC CIRRHOSIS.

Arq Gastroenterol 2020 Jan-Mar;57(1):64-68

Universidade Federal do Espírito Santo, Departamento de Educação Integrada em Saúde, Vitória, ES, Brasil.

Background: Liver cirrhosis is a highly prevalent disease that, at an advanced stage, usually causes ascites and associated respiratory changes. However, there are few studies evaluating and quantifying the impact of ascites and its relief through paracentesis on lung function and symptoms such as fatigue and dyspnea in cirrhotic patients.

Objective: To assess and quantify the impact of acute reduction of ascitic volume on respiratory parameters, fatigue and dyspnea symptoms in patients with hepatic cirrhosis, as well as to investigate possible correlations between these parameters. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/S0004-2803.202000000-11DOI Listing

Aqueous humour concentrations after topical apPlication of combinEd levofloxacin-dexamethasone eye dRops and of its single components: a randoMised, assEssor-blinded, parallel-group study in patients undergoing cataract surgery: the iPERME study.

Eur J Clin Pharmacol 2020 Jul 13;76(7):929-937. Epub 2020 Apr 13.

Eye Clinic, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy.

Purpose: To evaluate the penetration of levofloxacin and dexamethasone sodium phosphate into the aqueous humour (AH) after administration in combination and as single molecules. Evaluation of the penetration of those agents in the site of action and their pharmacodynamic potential activity in view of the intended clinical use after cataract surgery.

Methods: Randomised, assessor-blinded, parallel-group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00228-020-02863-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306033PMC
July 2020
2.966 Impact Factor

Cardiac tamponade complicating thoracentesis in a patient after left pneumonectomy: A case report.

Medicine (Baltimore) 2020 Apr;99(15):e19778

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Rationale: Therapeutic or diagnostic thoracentesis is widely used in different clinical settings. Cardiac injury, a rare complication, could lead to fatal consequences. We describe a case of cardiac tamponade complicating thoracentesis that was recognized and rescued in a timely manner. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000019778DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220478PMC

Post Cataract Surgery Hyperreflective Lesions within Corneal Incisions Suspected to be Silicone Oil from Disposable Blades.

J Cataract Refract Surg 2020 Apr 10. Epub 2020 Apr 10.

From theState University of New York Downstate (Raevis, Astafurov, Wilson, Laudi).

Purpose: To investigate hyperreflective lesions within the paracentesis and main wound incisions after cataract surgery performed with disposable blades.

Setting: Kings County Hospital, Brooklyn, New York, USA.

Design: Retrospective study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/j.jcrs.0000000000000208DOI Listing

Diuretic Resistance in Heart Failure.

Cardiol Rev 2020 Mar 19. Epub 2020 Mar 19.

Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.

Decompensated heart failure accounts for approximately one million hospitalizations in the United States annually, and this number is expected to increase significantly in the near future. Diuretics provide the initial management in most patients with fluid overload. However, the development of diuretic resistance remains a significant challenge in the treatment of heart failure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CRD.0000000000000310DOI Listing

Massive Ascites of Unknown Origin: A Case Report.

Transplant Proc 2020 Apr 7. Epub 2020 Apr 7.

Department of Transplantation Medicine, Nephrology, and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.

Ascites is the excessive accumulation of fluid in the peritoneal cavity and predominantly caused by liver cirrhosis, cancers, or heart failure. In this study, a 31-year-old woman with chronic renal failure of unknown etiology treated with hemodialysis and peritoneal dialysis was often hospitalized because of ascites, which appeared 4 years after the second kidney transplantation. The patient was regularly (every 2-3 weeks) treated with paracentesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.transproceed.2020.01.094DOI Listing

Pathophysiology and Prevention of Paracentesis-induced Circulatory Dysfunction: A Concise Review.

J Clin Transl Hepatol 2020 Mar 26;8(1):42-48. Epub 2020 Mar 26.

Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.

Annually, 10% of cirrhotic patients with ascites develop refractory ascites for which large-volume paracentesis (LVP) is a frequently used therapeutic procedure. LVP, although a safe method, is associated with circulatory dysfunction in a significant percentage of patients, which is termed paracentesis-induced circulatory dysfunction (PICD). PICD results in faster reaccumulation of ascites, hyponatremia, renal impairment, and shorter survival. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14218/JCTH.2019.00048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132018PMC

Outcomes and Mortality of Grade 1 Ascites and Recurrent Ascites in Patients With Cirrhosis.

Clin Gastroenterol Hepatol 2020 Apr 6. Epub 2020 Apr 6.

Unit of Internal Medicine and Hepatology (UIMH), Department of Medicine (DIMED), University of Padova, Padova, Italy. Electronic address:

Background & Aims: Ascites has been classified according to quantity and response to medical therapy. Despite its precise definitions, little is known about the effects of grade 1 ascites or recurrent ascites (i.e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cgh.2020.03.065DOI Listing

What Is an Observation Stay? Evaluating the Use of Hospital Observation Stays in Medicare.

J Am Geriatr Soc 2020 Apr 8. Epub 2020 Apr 8.

Health Services and Care Research Program, Department of Medicine, University of Wisconsin, Madison, Wisconsin.

Background/objectives: Observation stays are increasingly common for older adults, yet little is known about the extent to which they are being used as the Centers for Medicare and Medicaid Services (CMS) originally intended for unscheduled or acute problems and whether different types of services are reflected in current billing practices.

Design: Observational cohort study.

Setting/participants: A total of 867,165 qualifying observation stays identified from 451,408 patients using Medicare fee-for-service claims data from a nationally representative 20% beneficiary sample between January 1, 2014, and November 30, 2014. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/jgs.16441DOI Listing

A Novel Case of Idiopathic Restrictive Cardiomyopathy.

Cureus 2020 Mar 8;12(3):e7212. Epub 2020 Mar 8.

Cardiology, University of Maryland Medical Center, Baltimore, USA.

Restrictive cardiomyopathy (CM) usually develops and progresses slowly, over a course of years. The rapid development of idiopathic restrictive CM immediately following a liver transplant is unusual. We describe the case of a patient who developed idiopathic restrictive CM fairly rapidly following a liver transplant. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7212DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138457PMC

Safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART) in gastrointestinal cancer patients with massive ascites treated with systemic chemotherapy.

Support Care Cancer 2020 Apr 6. Epub 2020 Apr 6.

Division of Gastrointestinal Medical Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.

Purpose: Gastrointestinal cancer is frequently associated with malignant ascites, resulting in poor prognosis. While cell-free and concentrated ascites reinfusion therapy (CART) improves ascites-related symptoms, its clinical impact in combination with systemic chemotherapy is unclear. The purpose of this study was to evaluate the safety and efficacy of CART in gastrointestinal cancer patients with massive ascites treated with chemotherapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00520-020-05401-4DOI Listing

[Paracentez].

Vestn Otorinolaringol 2020 ;85(1):79-82

Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Department of Otolaryngology of Pediatric Faculty, Moscow, Russia, 117997.

In this article, we present the analysis of the data of the specialized literature and the results of our own observations on the use of paracentesis in the treatment of acute suppurative otitis media. We highlight a method for diagnosing acute otitis media, which makes it possible to determine the rational algorithm of treating this disease - digital videootoscopy. Common methods of procedures aimed at draining the tympanum in acute purulent otitis media, such as tympanic membrane puncture, myringotomy, tympanostomy, tympanocentesis, and the differential approach to these methods of surgical treatment of the disease are discussed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/otorino20208501179DOI Listing
January 2020

Idiopathic refractory ascites after allogeneic stem cell transplantation: a previously unrecognized entity.

Blood Adv 2020 Apr;4(7):1296-1306

Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX.

At our center, we observed a series of patients who developed transudative refractory ascites secondary to noncirrhotic, non-veno-occlusive disease (VOD)-related portal hypertension after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Patients were considered to have idiopathic portal hypertension-related refractory ascites (IRA) if they developed ascites secondary to intrahepatic portal hypertension (serum ascites albumin gradient ≥1.1 g/dL or hepatic venous pressure gradient [HVPG] >5 mm Hg), but did not meet the clinical criteria for classical VOD/sinusoidal obstructive syndrome (SOS) and did not have any alternate etiology of portal hypertension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1182/bloodadvances.2019000638DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160275PMC

Observation on therapeutic effect of stereotactic soft channel puncture and drainage on hypertensive cerebral hemorrhage.

Ann Palliat Med 2020 Mar 17;9(2):339-345. Epub 2020 Mar 17.

Department of Neurosurgery, Funing People's Hospital, Yancheng 224400, China.

Background: To evaluate and analyze the therapeutic effect of stereotactic soft channel puncture and drainage on hypertensive cerebral hemorrhage.

Methods: Sixty patients with hypertensive cerebral hemorrhage admitted to our hospital from September 2014 to September 2019 were selected for study and randomly divided into study group (n=30) and routine group (n=30) according to admission number. Two groups of patients were given basic treatment after admission, while routine group patients were given small bone window hematoma removal, study group patients were given stereotactic soft channel puncture and drainage, and the clinical effects of the two groups were analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/apm.2020.03.12DOI Listing

The accuracy of ascites cytology in diagnosis of advanced ovarian cancer in postmenopausal women prior to neoadjuvant chemotherapy.

Menopause 2020 Jul;27(7):771-775

Gynecologic Oncology Unit, Department of Obstetrics and Gynecology.

Objective: To evaluate the accuracy of ascites cytology in the diagnosis of epithelial ovarian cancer among postmenopausal women.

Methods: Ascites samples of women older than 51 years sent for cytology evaluation at our institution between 2010 and 2015 were retrospectively compared to final histology. The sensitivity, specificity, negative, and positive predictive values were calculated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/GME.0000000000001534DOI Listing

Girl With a Sudden Lump in the Neck.

Ann Emerg Med 2020 04;75(4):e23-e24

Radiology, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo," Trieste, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.annemergmed.2019.11.001DOI Listing

Albumin: Indications in chronic liver disease.

United European Gastroenterol J 2020 Jun 26;8(5):528-535. Epub 2020 Feb 26.

Department of Medical and Surgical Sciences, S Orsola-Malpighi University Hospital, Bologna, Italy.

Albumin is currently employed as a plasma expander to prevent and treat specific complications of cirrhosis with ascites, such as the prevention of paracentesis-induced circulatory dysfunction and renal dysfunction induced by spontaneous bacterial peritonitis, as well as the diagnosis and treatment of acute kidney injury and hepatorenal syndrome. Recently, evidence has shown that long-term albumin administration in patients with decompensated cirrhosis reduces mortality and incidence of complications, eases the management of ascites, is cost effective, and has a good safety profile. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2050640620910339DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268936PMC

Application of the optimized carbon monoxide rebreathing method for the measurement of total haemoglobin mass in chronic liver disease.

Physiol Rep 2020 03;8(6):e14402

Centre for Human Health and Performance/ Institute of Sport, Exercise and Health, University College London, and NIHR University College London Hospitals Biomedical Research Centre, London, UK.

Background: Anemia is common in liver cirrhosis. This generally infers a fall in total hemoglobin mass (tHb-mass). However, hemoglobin concentration ([Hb]) may fall due to an expansion in plasma volume (PV). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14814/phy2.14402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090373PMC

The effect of adjunctive hyperbaric oxygen therapy in patients with central retinal artery occlusion.

Undersea Hyperb Med 2020 First Quarter;47(1):57-64

Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.

Purpose: Central retinal artery occlusion (CRAO) is an ophthalmic emergency with poor prognosis, despite diligent conventional treatment. According to the clinical recommendations of the Undersea and Hyperbaric Medical Society, hyperbaric oxygen (HBO2) is a potentially beneficial treatment; however, the benefit of adjunctive HBO2 in patients with CRAO in Korea remains unclear. The present study aimed to evaluate the effect of adjunctive HBO2 in patients with CRAO. Read More

View Article

Download full-text PDF

Source

Correction: Paracentesis Simulation: A Comprehensive Approach to Procedural Education.

Authors:

MedEdPORTAL 2019 12 6;15:10880. Epub 2019 Dec 6.

[This corrects the article DOI: 10.15766/mep_2374-8265.10747. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.15766/mep_2374-8265.10880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7062542PMC
December 2019

Ultrasound-guided percutaneous peritoneal dialysis catheter insertion using multifunctional bladder paracentesis trocar: A modified percutaneous PD catheter placement technique.

Semin Dial 2020 03 11;33(2):133-139. Epub 2020 Mar 11.

Department of nephrology, YongChuan Hospital, ChongQing, China.

Background: To evaluate the efficacy and safety of ultrasound-guided percutaneous peritoneal dialysis catheter insertion using multifunctional bladder paracentesis trocar.

Methods: A retrospective review of 103 ESRD patients receiving percutaneous PD catheter insertion using a multifunctional bladder paracentesis trocar under ultrasound guidance at a single center between May 2016 and May 2018. Mechanical complications and catheter survival were evaluated over a 12-month follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/sdi.12862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187385PMC