Admission resistin concentration serves as an early predictive marker of peripancreatic necrosis and clinical severity in acute pancreatitis. Resistin may have potential for clinical use as a new and diagnostic serum marker.
Admission visfatin concentration serves as an early predictive marker of peripancreatic necrosis and clinical severity in acute pancreatitis. Visfatin may have potential for clinical use as a new and diagnostic serum marker.
ABSTR AC TPurpose To determine the value of routine contrast enema of loop ileostomy before elective ileostomy closure regarding the influence on the clinical decision-making.
Materials and MethodsRetrospective analysis of contrast enemas at a tertiary care center between 2005 und 2011. Patients were divided into two groups: Group I with ileostomy reversal, group II without ileostomy closure. Patient-related parameters (underlying disease, operation method) and parameters based on the findings (stenosis, leakage of anastomosis, incontinence) were evaluated.Results Analyzing a total of 252 patients in 89 % (group I, n = 225) ileostomy closure was performed. In 15 % the radiologic report was the only diagnostic modality needed for therapy decision; in 36 % the contrast enema and one or more other diagnostic methods were decisive. In 36 % the radiological report of the contrast imaging was not relevant for decision at all. In 11 % (group II, n = 27) no ileostomy closure was performed. In this group in 11 % the radiological report of the contrast enema was the only decision factor for not performing the ileostomy reversal. In 26 % one or more examination was necessary. In 26 % the result of the contrast examination was not relevant.
ConclusionThe radiologic contrast imaging of loop ileostomy solely plays a minor role in complex surgical decisionmaking before planned reversal, but is important as first imaging method in detecting complications and often leads to additional examinations. This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.Ergebnisse Von den 252 untersuchten Patienten erfolgte bei 89 % (Gruppe I, n = 225) eine Rückverlagerungsoperation. Die Durchleuchtungsuntersuchung war dabei in 15 % als alleinige diagnostische Maßnahme zur Indikationsstellung ausreichend; in 36 % waren für die Entscheidung zur Rückverlage-rung weitere Zusatzuntersuchungen notwendig. Bei 36 % war der radiologische Befund irrelevant für die Therapieentscheidung. Bei 11 % (Gruppe II, n = 27) erfolge keine Rückverlage-rung. Dabei war in 19 % der radiologische Befund allein ausschlaggebend für die Ablehnung der Rückverlagerung und in 26 % war mindestens eine weitere Untersuchung nötig. In 26 % waren ausschließlich andere Untersuchungen entscheidend.
For acute pancreatitis in childhood, operative treatment by inner drainage is necessary and effective only in case of complications, should conservative treatment fail. In children with chronic relapsing pancreatitis, the good exocrine and the normal endocrine function of the pancreas in these patients justified the early operation. Timely treatment is recommended in cases with typical changes of the pancreatic duct so as to shorten the relapsing clinical problems of the children and to maintain the function of the pancreas.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.