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Effect of perioperative branched chain amino acids supplementationin liver cancer patients undergoing surgical intervention: Asystematic review

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World Journal of Gastrointestinal Surgery 2023年第11期15卷 2596-2618页

作者： Kwan Yi Yap HongHui Chi Sherryl Ng Doris HL Ng Vishal G Shelat Yong Loo Lin School of Medicine National University of SingaporeSingapore 117597Singapore Department of Gastroenterology and Hepatology Tan Tock Seng HospitalSingapore 308433Singapore Lee Kong Chian School of Medicine Nanyang Technological UniversitySingapore 636921Singapore Department of General Surgery Tan Tock Seng HospitalSingapore 308433Singapore

performed independently by authors(Yap KY,Chi H,Ng S)identified 50 studies for full-text ***,12 prospective RCTs and 4 non-randomised studies(1 non-randomised trial and 3 observational studies)were included.A detailed PRISMA diagram is shown in Figure *** studies included were assessed for risk of bias,with a summary of the assessment shown in Figure 2 and Table 1 for trials and non-interventional studies,*** PRISMA checklist is appended in Supplementary Figure 1.

关键词： Branched-chain amino acid Liver cancer Liver surgery Nutritional supplement perioperative supplementation

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Steroid-induced psychosis related to pituitary adenoma status post trans-sphenoid excision and a history of psychiatric illness:A case

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World Journal of Neurology 2023年第3期9卷 28-36页

作者： Denmarc Romero Aranas Jovy Anne Tangalin Department of Psychiatry Baguio General Hospital-Medical CenterBaguio 2600BenguetPhilippines

BACKGROUND Steroid-induced psychosis is a common adverse effect of steroid *** cases were mostly related to rheumatologic *** its high incidence,there is only one case reported related to perioperative steroid replacement for pituitary adenoma *** manuscript presents the second case of such and compared the two with the latest literature review of steroidinduced *** SUMMARY This is a case of an adult male with a chief complaint of auditory hallucinations and was referred by Neurosurgery to Psychiatry Out-patient *** was diagnosed with pituitary adenoma who underwent trans-sphenoid excision of the mass from which steroid exposure led to steroid-induced ***,patient had a history of psychiatric illness of severe depressive *** the out-patient department,patient was started on antipsychotic,Risperidone,which led to eventual improvement of his *** The two cases of pituitary adenoma surgery with steroid-induced psychosis had almost similar clinical profile with the latest literature review of steroid-induced ***,the present case highlights the association of psychiatric illness in predisposing an individual in developing ***,this manuscript emphasizes that early recognition of steroid-induced psychosis leads to better *** treatment is vital in the holistic management of the patient with timely referral and close coordination.

关键词： Steroid-induced psychosis Dexamethasone Complication Pituitary adenoma perioperative supplementation Case report

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