597 results match your criteria emptying renal


Changes in left ventricular and atrial mechanics and function after dialysis in patients with end-stage renal disease.

Quant Imaging Med Surg 2021 May;11(5):1899-1908

Department of Geriatrics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Background: Hemodialysis (HD) can influence end-stage renal disease (ESRD) patients' circulatory system. The present study aimed to evaluate the effect of volume depletion on left ventricular (LV) and left atrial (LA) function and determine the volume-independent parameters before and after HD in patients with ESRD.

Methods: Between January 2018 and January 2019, we recruited long-term HD patients (n=40, 51. Read More

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Virus-related neurological lower urinary tract dysfunction: Lessons learned during 4-year follow-up of patients with Congenital Zika Syndrome.

J Pediatr Urol 2021 Apr 18. Epub 2021 Apr 18.

Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/FIOCRUZ), Av. Rui Barbosa, 716, Flamengo, Rio de Janeiro, RJ, Brazil. Electronic address:

Introduction: We have previously reported on neurogenic bladder dysfunction among Congenital Zika Vírus Syndrome (CZS) patients, but it is unknown how they will respond to treatment.

Objective: To assess whether children with neurological lower urinary tract dysfunction and CZS will respond to Standard therapies.

Methodology: A prospective observational cohort study of children with CZS referred for urological assessment between 2016 and 2020 to our quaternary center in Brazil. Read More

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Physiologically-based pharmacokinetic model for alectinib, ruxolitinib, and panobinostat in the presence of cancer, renal impairment, and hepatic impairment.

Biopharm Drug Dispos 2021 Apr 26. Epub 2021 Apr 26.

Department of Pharmaceutical Technology, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.

Renal (RIP) and hepatic (HIP) impairments are prevalent conditions in cancer patients. They can cause changes in gastric emptying time, albumin levels, hematocrit, glomerular filtration rate, hepatic functional volume, blood flow rates, and metabolic activity that can modify drug pharmacokinetics. Performing clinical studies in such populations has ethical and practical issues. Read More

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Management of Dyspepsia and Gastroparesis in Patients with Diabetes. A Clinical Point of View in the Year 2021.

J Clin Med 2021 Mar 23;10(6). Epub 2021 Mar 23.

Unit of Gastroenterology, Molinette Hospital, 10126 Turin, Italy.

Diabetes mellitus is a widespread disease, and represents an important public health burden worldwide. Together with cardiovascular, renal and neurological complications, many patients with diabetes present with gastrointestinal symptoms, which configure the so-called diabetic enteropathy. In this review, we will focus on upper gastrointestinal symptoms in patients with diabetes, with particular attention to dyspepsia and diabetic gastroparesis (DG). Read More

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Difference in risk factors of silent brain infarction between paroxysmal and persistent atrial fibrillation.

Int J Cardiol Heart Vasc 2021 Apr 18;33:100753. Epub 2021 Mar 18.

Department of Cardiovascular Medicine, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi Abenoku, Osaka 545-8585, Japan.

Background: Although silent brain infarction is an independent risk factor for subsequent symptomatic stroke and dementia in patients with nonvalvular atrial fibrillation, little is known regarding differences in risk factors for silent brain infarction between patients with paroxysmal and persistent nonvalvular atrial fibrillation.

Methods: This study population consisted of 190 neurologically asymptomatic patients (mean age, 64 ± 11 years) with nonvalvular atrial fibrillation (119 paroxysmal, 71 persistent) who were scheduled for catheter ablation. All patients underwent brain magnetic resonance imaging to screen for silent brain infarction prior to ablation. Read More

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Routine Gastric Decompression after Pancreatoduodenectomy: Treating the Surgeon?

J Gastrointest Surg 2021 Mar 26. Epub 2021 Mar 26.

Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Indianapolis, IN, USA.

Background: The decision to routinely leave a nasogastric tube after pancreatoduodenectomy remains controversial. We sought to determine the impact of immediate nasogastric tube removal versus early nasogastric tube removal (<24 h) on postoperative outcomes.

Methods: A retrospective review of our institution's prospective ACS-NSQIP database identified patients that underwent pancreatoduodenectomy from 2015 to 2018. Read More

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Non-surgical management of vesicoureteral junction obstruction: a case report.

J Bras Nefrol 2021 Feb 12. Epub 2021 Feb 12.

Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Belo Horizonte, MG, Brasil.

Objective: To report the case of a pediatric patient with bilateral hydronephrosis due to vesicoureteral junction obstruction (VUJO) that was treated non-surgically and to discuss the approach of this anomaly.

Case Description: A 25-month-old boy was referred without complaints for consultation due to prenatal ultrasound showing kidneys with cysts. He was under antibiotic prophylaxis. Read More

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February 2021

Zinner Syndrome with Ectopic Ureter Emptying into Seminal Vesicle.

Case Rep Urol 2021 25;2021:8834127. Epub 2021 Jan 25.

Chief Urology Department, La Paz Universitary Hospital, Spain.

A 66-year-old male patient in follow-up in the urology department for a non-muscle-invasive bladder cancer was detected by ultrasound to have absence of the left kidney and a cystic, multilobed image at the location of the seminal vesicle. Magnetic resonance imaging reveals left renal agenesis and the existence of multiple cysts in the ipsilateral seminal vesicle that reaches a size of 6.9 × 3. Read More

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January 2021

Clinical aspects and therapeutic possibilities of neurogenic bladder

Orv Hetil 2021 01 24;162(4):135-143. Epub 2021 Jan 24.

3 Szegedi Tudományegyetem, Általános Orvostudományi Kar, Sebészeti Műtéttani Intézet, Szeged, Pulz u. 1., 6724.

Összefoglaló. Az alsó húgyutak fő funkciója a vizelet tárolása és ürítése, amely működések zavara az úgynevezett alsó húgyúti tünetegyüttes kialakulásához vezet, ami a kiváltó októl függően vizeletürítési zavarral és vizeletretencióval is járhat. Kezeletlen esetekben a felső húgyutak károsodása következik be a magas hólyagnyomás által kiváltott vesicoureteralis reflux következtében, amely ureter- és veseüregrendszeri tágulat kialakulására, illetve fertőzésekre és kőképződésre hajlamosít. Read More

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January 2021

Longitudinal experience with Studer neobladders: Outcomes and complications.

Can Urol Assoc J 2021 Jan 4. Epub 2021 Jan 4.

Division of Urology, Department of Surgery, Schulich School of Medicine & Dentistry. London, ON, Canada.

Introduction: This study aims to assess the longer-term functional, anatomical, and metabolic outcomes of patients who underwent Studer neobladder (SNB) urinary diversion.

Methods: A retrospective review of patients who underwent SNB at a single center from 1995- 2017 (n=116) was performed. Demographics, comorbidities, pathological data, and longer-term functional, anatomical, and metabolic outcomes were collected from hospital records. Read More

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January 2021

Efficacy and safety of Si-Jun-Zi-Tang-based therapies for functional (non-ulcer) dyspepsia: a meta-analysis of randomized controlled trials.

BMC Complement Med Ther 2021 Jan 6;21(1):11. Epub 2021 Jan 6.

School of Chinese Medicine, Hong Kong Baptist University, Hong Kong, China.

Background: The traditional Chinese medicine formula Si-Jun-Zi-Tang (SJZT) has a long history of application in the treatment of functional dyspepsia (non-ulcer dyspepsia, FD)-like symptoms. SJZT-based therapies have been claimed to be beneficial in managing FD. This study aimed to assess the efficacy and safety of SJZT-based therapies in treating FD by meta-analysis. Read More

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January 2021

Microvascular anatomy of the urinary bladder in the adult African clawed toad, Xenopus laevis: A scanning electron microscope study of vascular casts.

J Morphol 2021 Mar 25;282(3):368-377. Epub 2020 Dec 25.

Department of Biosciences, University of Salzburg, Vascular and Exercise Biology Research Group, Salzburg, Austria.

We studied urinary bladders of adult male and female Xenopus laevis using light microscopy of stained tissue sections and scanning electron microscopy (SEM) of vascular corrosion casts (VCCs). Results showed that bilaterally a vesical artery branched off the femoral artery. At the dorso-lateral serosal surface of the body of the bladder each artery splitted within a short distance into up to five smaller arteries that supplied body and neck regions. Read More

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Left-posterior approach for artery-first en bloc resection in laparoscopic distal pancreatectomy for left-sided pancreatic cancer.

Langenbecks Arch Surg 2020 Dec 6;405(8):1251-1258. Epub 2020 Nov 6.

Division of Hepatobiliary Pancreatic Surgery and Transplantation, Department of Surgery, Graduate School of Medicine Kyoto University, 54 Shogoin Kawarahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.

Purpose: We describe a "left-posterior approach" in which the important steps in laparoscopic distal pancreatectomy (LDP) for left-sided pancreatic cancer are accomplished in the direction caudal and dorsal to the pancreas.

Methods: The patients who underwent LDP with a left-posterior approach at our hospital from January 2016 to April 2020 were reviewed to evaluate the short-term postoperative outcomes. In LDP, we first dissected retroperitoneal tissues above the left renal vein and superior mesenteric artery, yielding the mobilization of the pancreatic body widely. Read More

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December 2020

A 3-month Journey: The Case of a 29-year Old Woman With Metastatic Renal Cell Carcinoma.

Am Surg 2020 Nov 1;86(11):1445-1449. Epub 2020 Nov 1.

Department of Surgery, Johns Hopkins University, Baltimore, MD, USA.

Early goal-oriented conversations at the end of life can help alleviate suffering and anxiety for surgical patients with cancer and their loved ones. This is especially important in the young adult population in whom there are limited patient-reported perspectives about their experiences at the end of life. We report the illustrative case of a 29-year-old woman who underwent palliative surgery for widely metastatic renal cell carcinoma. Read More

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November 2020

Reproducibility of left atrial function using cardiac magnetic resonance imaging.

Eur Radiol 2021 May 30;31(5):2788-2797. Epub 2020 Oct 30.

Department of Cardiovascular Sciences, Cardiovascular Theme National Institute for Health Research (NIHR) Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Groby Road, Leicester, LE3 9QP, UK.

Objectives: To determine the test-retest reproducibility and observer variability of CMR-derived LA function, using (i) LA strain (LAS) and strain rate (LASR), and (ii) LA volumes (LAV) and emptying fraction (LAEF).

Methods: Sixty participants with and without cardiovascular disease (aortic stenosis (AS) (n = 16), type 2 diabetes (T2D) (n = 28), end-stage renal disease on haemodialysis (n = 10) and healthy volunteers (n = 6)) underwent two separate CMR scans 7-14 days apart. LAS and LASR, corresponding to LA reservoir, conduit and contractile booster-pump function, were assessed using Feature Tracking software (QStrain v2. Read More

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Eight rare urinary disorders in a patient with Kallmann syndrome: A case report.

Medicine (Baltimore) 2020 Oct;99(43):e22936

Department of Endocrinology and Metabolism, The First Hospital of Jilin University, Changchun, China.

Rationale: Kallmann syndrome (KS) is a rare inherited genetic disorder characterized by hypogonadotropic hypogonadism and hyposmia/anosmia. Early diagnosis is the key to timely treatment and improvement of prognosis in patients with KS. As the most common complication of KS, renal agenesis can provide clues to early diagnosis and treatment for KS. Read More

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October 2020

A retrospective review of the long term clinical outcomes of patients with neurogenic lower urinary tract dysfunction following transverse myelitis.

Neurourol Urodyn 2021 01 26;40(1):219-227. Epub 2020 Oct 26.

Division of Surgery and Interventional Science, University College London, London, WC1E 6BT.

Aims: Transverse myelitis (TM) is an inflammation of the spinal cord which causes neurological deficit in motor, sensory, and autonomic pathways. Persistent neurogenic lower urinary tract dysfunction (NLUTD) is common even where motor and sensory impairment is recovered. Long term follow-up is required to ensure optimal bladder management and protection of the upper tracts. Read More

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January 2021

GLP-1 receptor agonists in the treatment of type 2 diabetes - state-of-the-art.

Mol Metab 2021 Apr 14;46:101102. Epub 2020 Oct 14.

Diabetes Division, Katholisches Klinikum Bochum, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany.

Background: GLP-1 receptor agonists (GLP-1 RAs) with exenatide b.i.d. Read More

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Neurogenic Bladder: Epidemiology, Diagnosis, and Management.

Semin Neurol 2020 10 16;40(5):569-579. Epub 2020 Oct 16.

Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery and UCL Queen Square Institute of Neurology, London, United Kingdom.

Lower urinary tract dysfunction is a common sequel of neurological disease resulting in symptoms that significantly impacts quality of life. The site of the neurological lesion and its nature influence the pattern of dysfunction. The risk for developing upper urinary tract damage and renal failure is considerably lower in patients with slowly progressive nontraumatic neurological disorders, compared with those with spinal cord injury or spina bifida. Read More

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October 2020

Prenatal Diagnosis and Findings in Ureteropelvic Junction Type Hydronephrosis.

Front Pediatr 2020 4;8:492. Epub 2020 Sep 4.

Division of Perinatology, Department of Obstetrics and Gynecology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

The widespread use of obstetric ultrasonography has increased the detection rate of antenatal hydronephrosis. Although most cases of antenatal hydronephrosis are transient, one third persists and becomes clinically important. Ultrasound has made differential diagnosis possible to some extent. Read More

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September 2020

Is there a role for oxidative stress and mitochondrial dysfunction in age-associated bladder disorders?

Authors:
Lori A Birder

Ci Ji Yi Xue Za Zhi 2020 Jul-Sep;32(3):223-226. Epub 2020 Jan 3.

Department of Medicine, Renal Electrolyte Division, Pittsburgh, PA, USA.

Millions of individuals worldwide are affected by age-related lower urinary tract symptoms (LUTSs), including impaired detrusor contractility, detrusor overactivity, decreased bladder sensation, as well as increased bladder capacity often resulting in incomplete bladder emptying. Yet, the underlying factors that contribute to these symptoms are not known and there are few therapies to treat these disorders. Because of the complex pathophysiology, a number of animal models have been studied over the years to better understand mechanisms underlying patient symptoms. Read More

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January 2020

A review of GLP-1 receptor agonists in type 2 diabetes: A focus on the mechanism of action of once-weekly agents.

Authors:
Susan Cornell

J Clin Pharm Ther 2020 Sep;45 Suppl 1:17-27

Chicago College of Pharmacy, Midwestern University, Downers Grove, IL, USA.

What Is Known And Objective: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are one of the preferred approved treatment options for people with type 2 diabetes (T2D) and inadequate glycaemic control. The objective of this review is to provide a general clinical overview of the similarities and differences in the mechanisms of action (MoA) of the once-weekly GLP-1 RA class of medications, highlighting the role of pharmacists in providing optimal medication management, education and care for people with diabetes.

Methods: This is a narrative review of the published literature regarding the MoA of the currently available once-weekly GLP-1 RAs in T2D. Read More

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September 2020

Restricted . unrestricted oral intake in high output end-jejunostomy patients referred to reconstructive surgery.

Br J Nutr 2021 May 2;125(10):1125-1131. Epub 2020 Sep 2.

Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich NR4 7UQ, UK.

The major complication of end jejunostomy is excessive fluid and electrolyte loss through the stoma, leading to hypovolaemia and dyselectrolytaemia within days and malnutrition within weeks. The aim was to compare the results of two nutritional approaches: unrestricted and restricted oral intake in patients with end jejunostomy commencing home parenteral nutrition (HPN) in terms of liver and renal biochemical markers and time to reconstructive bowel surgery with correlation to stoma output. Twenty patients with stabilised high output end-jejunostomy were divided into two groups. Read More

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Evaluation of Gastric Emptying by Ultrasonography after Recommended Fasting Period and Administration of Prokinetic in End-stage Renal Disease Patients.

Anesth Essays Res 2020 Jan-Mar;14(1):42-48. Epub 2020 Jun 22.

Department of Radiology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.

Background: Delayed gastric emptying is observed in end-stage renal disease (ESRD).

Aims: Evaluation of gastric emptying after recommended fasting period and on oral administration of prokinetic in ESRD patients using ultrasonography (USG).

Settings And Design: Randomized, double-blind, prospective, controlled study. Read More

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Legendre Polynomials: A Fully Automatic Method for Noise Reduction in Tc-Mercaptoacetyltriglycine Renogram Analysis.

J Nucl Med Technol 2020 Dec 24;48(4):346-353. Epub 2020 Jul 24.

GIGA-CRC (In Vivo Imaging), University of Liège, Liège, Belgium.

Our purpose was to develop a fully automatic method to deal with the presence of high levels of noise interfering with quantitative analysis of fast, dynamic mercaptoacetyltriglycine renogram images. A method based on Legendre polynomials to fit and filter time-activity curves was proposed. The method was applied to a renal database that contains Monte Carlo (MC)-simulated studies and real adult patient data. Read More

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December 2020

Voiding conditions, renal and bowel function in a cohort of adults with spina bifida.

Neurourol Urodyn 2020 08 12;39(6):1796-1802. Epub 2020 Jun 12.

Rehab Station Stockholm, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Aim: To map voiding patterns, degree of continence, use of drugs for voiding disorders, kidney function and surgical interventions but also the bowel function in a near-total regional cohort of adults with spina bifida aged more than or equal to 18 years.

Methods: All individuals more than or equal to 18 years of age with spina bifida registered at a regional outpatient clinic (n = 219) were invited to participate, of which 196 persons were included. Bladder and bowel function were assessed according to questions used by the Nordic Spinal Cord Injury Registry by structured interviews and questionnaires in combination with review of patient charts including kidney function. Read More

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Open ureteroplasty with buccal mucosa graft for long proximal strictures: A good option for a rare problem.

Investig Clin Urol 2020 05 9;61(3):316-322. Epub 2020 Mar 9.

Department of Urology, Ludwig Maximilians University, Munich, Germany.

Purpose: To report a single surgeon experience with one year follow-up after open ureteroplasty with buccal mucosa graft (OUBMG) in the rare situation of long segment proximal ureteral strictures.

Materials And Methods: Four patients with long segment proximal ureteral stricture underwent OU-BMG between February and July 2017. Functional outcome was assessed by pre- and postoperative serum creatinine, ultrasound and renal scintigraphy as well as patient reported outcomes. Read More

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Vesicocutaneous fistula: continent vesicostomy, an easier route for comfortable clean intermittent catheterization.

J Pediatr Urol 2020 06 11;16(3):354.e1-354.e8. Epub 2020 Feb 11.

Department of Pediatric Surgery, Chang Gung Children's Hospital, Chang Gung University, School of Medicine, No.5, Fuxing Street, Guishan District, Taoyuan City, 33305, Taiwan. Electronic address:

Introduction: Clean intermittent catheterization (CIC) through the urethra is the treatment of choice for patients with neurogenic bladder (NGB) or other etiologies that lead to incomplete bladder emptying. However, urethral catheterization can be problematic. Vesicocutaneous fistula (VCF) is a continent catheterizable channel with a low rate of complications. Read More

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Minimally Invasive Surgical Approach for the Treatment of Superior Mesenteric Artery Syndrome: Long-Term Outcomes.

World J Surg 2020 06;44(6):1798-1806

Department of General Surgery, Clínica Universidad de Navarra, School of Medicine, University of Navarra, Av. Pío XII, 36, 31008, Pamplona, Spain.

Background: Latero-lateral duodenojejunostomy is the treatment of choice for superior mesenteric artery syndrome (SMAS). The present study analyzes the long-term outcomes in 13 patients undergoing laparoscopic surgery for SMAS.

Materials And Methods: A retrospective study of 10 females and three males undergoing surgery between 2001 and 2013 was performed. Read More

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Familial Adenomatous Polyposis and Desmoid Tumor Treated with Multivisceral Transplantation and Kidney Autotransplantation: Case Report and Literature Review.

Case Rep Surg 2019 22;2019:6064720. Epub 2019 Dec 22.

Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.

Introduction: Desmoid tumours (DT) are commonly associated with Gardener's syndrome. Their surgical resection may be complicated by their close proximity to major vessels, multiple organ involvement, and frequent local recurrence. Multivisceral transplantation (MVTx) is an alternative treatment for patients with intestinal and liver failure. Read More

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December 2019