Results: 5174

Total mesorectal excision and sphincter preservation: the early steps of rectal cancer surgery

The treatment of rectal cancer has evolved significantly over the last 100 years. Standardization of total mesorectal excision and the development of techniques for sphincter preservation have resulted in significant improvements in the management of this disease. Still, local disease control and functio...

A versatilidade do retalho anterolateral da coxa em reconstruções oncológicas: série de casos do serviço de cirurgia plástica reconstrutora e microcirurgia do hospital Erasto Gaertner

Rev. bras. cir. plást; 29 (1), 2014
Introdução: Retalho anterolateral da coxa (ALT) foi descrito em 1984, baseado nos vasos perfurantes da artéria circunflexa femoral lateral. Trata-se de um retalho cutâneo, localizado no terço médio da coxa anterior, e lateral aos músculos reto femoral e vasto lateral. A baixa morbidade, relacionad...

Efectividad y seguridad de la esofagectomía por laparoscopia en pacientes con acalasia con falla al tratamiento o progresión final de la enfermedad
Effectiveness and safety of laparoscopic esophagectomy in patients with achalasia with treatment failure or final disease progression

Introducción: la acalasia es una enfermedad de la motilidad primaria del esófago poco frecuente, sin embargo compromete altamente la calidad de vida de los pacientes que sufren la enfermedad. Alrededor de un 5 a 10% de los pacientes no presentan respuesta adecuada al tratamiento inicial y progresan a u...

Use of the complete Rockall score and the Forrest classification to assess outcome in patients with non-variceal upper gastrointestinal bleeding subject to after-hours endoscopy: a retrospective cohort study

West Indian med. j; 63 (1), 2014
OBJECTIVES: To evaluate the usefulness of the Forrest classification and the complete Rockall score with customary cut-off values for assessing the risk of adverse events in patients with upper gastrointestinal bleeding (UGI-B) subject to after-hours emergency oesophago-gastro-duodenoscopy (E-EGD) within...

Effect of integrated yoga module on selected psychological variables among women with anxiety problem

West Indian med. j; 63 (1), 2014
The implementation of yogic practices has proven benefits in both organic and psychological diseases. Forty-five women with anxiety selected by a random sampling method were divided into three groups. Experimental group I was subjected to asanas, relaxation and pranayama while Experimental group II was s...

Fluoroscopy-guided intra-articular sacroiliac joint steroid injection for sacroiliitis in ankylosing spondylitis: a Case Report

West Indian med. j; 63 (1), 2014
Sacroiliitis, a condition commonly seen in ankylosing spondylitis, is well known to be one of the main pain generators of low back pain, which may result in difficulty with walking. A 20-year old male with history of ankylosing spondylitis presented to the University Hospital of the West Indies, Physical...

A case of depersonalization with treatment-resistant depression successfully treated with sertraline-lamotrigine combination

West Indian med. j; 63 (1), 2014

Case for diagnosis

An. bras. dermatol; 89 (1), 2014
Pemphigoid gestationis is a rare, autoimmune blistering dermatosis of pregnancy. No increase in fetal or maternal mortality has been demonstrated, but a greater prevalence of premature and small-for-gestationalage babies has been reported. Topical and systemic corticosteroids and antihistamines are the m...

Consumo de aminoácido de cadeia ramificada na esclerose lateral amiotrófica: suplemento proteico ou substância neurotóxica?

Rev. bras. neurol; 50 (4), 2014
Estudos demonstraram efeito positivo principalmente no ganho ponderalem pacientes com esclerose lateral amiotrófica (ELA), suplementadoscom aminoácidos de cadeia ramificada (AACR). Achados recentes têm mostrado que o consumo excessivo e crônico de AACR pode contribuir para a progressão da doença, p...

Mielopatia por deficiência de cobalamina: resolução clínica e de imagem

Rev. bras. neurol; 50 (4), 2014
Embora o quadro clássico de mielopatia por deficiência de vitaminaB12 seja a degeneração subaguda combinada da medula, a manifestaçãoclínica pode ser variável. Homem branco de 36 anos de idade com hipotireoidismo e vitiligo apresentou dormência nas mãos de início súbito. Exame físico: sinal ...