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The Utility of Diagnostic Imaging in Fish Bone impaction

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Open Journal of Radiology 2018年第1期8卷 45-52页

作者： Shanesh Kumar Casey Yu Jason Toppi Matthew Ng Fiona Hill Natalie Sist Department of Otolaryngology Box Hill Hospital Victoria Australia

Objectives: The purpose of this pilot study was to obtain an Australian perspective on evaluating the utility of plain film radiography and computed tomography (CT) to rule out fish bone impaction in the upper aerodigestive tract in the emergency department (ED) setting. Methods: A retrospective multicentre cohort study was conducted. A total of 73 patients met the inclusion criteria. A subgroup of patients underwent CT. We studied the sensitivity and specificity of x-ray and CT along with other demographic variables to determine the likelihood of true fish bone impaction. Results: Out of the 73 patients, 28 patients had true bone impaction. The sensitivity for x-ray was 42.9% and specificity was 73.3%. The sensitivity of CT was 87.5% and specificity was 71.4%. We found a significant difference in the mean age of presentation for true bone and false bone impaction, P = 0.02. Conclusion: Due to the low sensitivity of x-ray we do not recommend the utilisation of plain film radiography to rule out bone impaction Advances in low dose radiation multidetector CT scanners may replace plain film radiography as a screening tool.

关键词： Fish Bone impaction Emergency ENT X-Ray Computed Tomography

Food impaction in older age:Think about an eosinophilic esophagitis

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World Journal of Gastrointestinal Endoscopy 2013年第2期5卷 79-80页

作者： Umit Akyüz Filiz Akyüz Kamil zdil Hasan Altun Ahmet Faruk Agan Aysegül Agan Department of Gastroenterology Yeditepe University34752 Kozyatagi/IstanbulTurkey Istanbul Faculty of Medicine Department of GastroenterologyIstanbul University34590 Capa/IstanbulTurkey Umraniye Educational and Research Center Department of Gastroenterology81090 Umraniye/IstanbulTurkey Fatih Sultan Mehmet Educational and Research Center Department of General Surgery34752 Kozyatagi/IstanbulTurkey Department of Gastroenterology Medipol Hospital34752 Kozyatagi/IstanbulTurkey Department of Pathology Medipol Hospital34752 Kozyatagi/IstanbulTurkey

Eosinophilic esophagitis is an inflammatory condition of *** is generally seen in childhood and young *** are more commonly affected than ***,it is not common in an advanced *** esophagitis decreases the ability of the esophagus to stretch and accommodation against ***,the major symptom in adults with eosinophilic esophagitis is difficulty in swallowing solid food(dysphagia).Specifically,the food gets stuck in the esophagus after it is *** common symptoms include heartburn and chest *** of this,it may be incorrectly diagnosed as a gastroesophageal reflux ***,we reported a case presented with food impaction at advanced *** a conclusion,eosinophilic esophagitis is a rare entity that must be remembered in advance aged patients presenting with food impaction.

关键词： Dysphagia Eosinophilia Esophagitis Food impaction Allergy

Mandibular changes associated with maxillary impaction and molar intrusion

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Open Journal of Stomatology 2013年第9期3卷 515-519页

作者： Sondos Abuzinada Fahad Alsulaimani King Abdulaziz University Jeddah Saudi Arabia

We report a case series of ten patients who presented with anterior open bite. The initial evaluation included clinical pictures, lateral cephalometric radiographs and dental casts. They were assessed according to the severity of the open bite and the cause (skeletal or dental). They all underwent orthodontic treatment as an initial step. Five patients with dental open bite underwent molar intrusion using titanium screws and five patients underwent maxillary Le Fort I impaction. We report the mandibular changes associated with these different treatment modalities with improved esthetics.

关键词： Maxillary impaction Molar Intrusion Open Bite Le Fort I Titanium Screws

Results of the open surgery after endoscopic basket impaction during ERCP procedure

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World Journal of Gastrointestinal Surgery 2015年第2期7卷 15-20页

作者： Sezgin Yilmaz Ogun Ersen Taner Ozkececi Kadir S Turel Serdar Kokulu Emre Kacar Murat Akici Murat Cilekar Ozgur Kavak Yuksel Arikan Department of General Surgery Kocatepe University Department of General Surgery State Hospital Department of Anaesthesiology Kocatepe University Department of Radiology Kocatepe University

AIM:To report the results of open surgery for patients with basket impaction during endoscopic retrograde cholangiopancreatography(ERCP) ***: Basket impaction of either classical Dormia basket or mechanical lithotripter basket with an entrapped stone occurred in six *** patients were immediately operated for removal of stone(s) and impacted *** postoperative course,length of hospital stay,diameter of the stone,complication and the surgical procedure of the patients were reported ***: Six patients(M/F,0/6) were operated due to impacted basket during ERCP *** mean age of the patients was 64.33 ± 14.41 *** all cases the surgery was performed immediately after the failed ERCP procedure by making a rightsubcostal *** baskets containing the stone were removed through longitudinal choledochotomy with the *** choledochotomy incisions were closed by primary closure in four patients and T tube placement in two *** patients were also performed cholecystectomy additionally since they had *** patients with T-tube placement it was removed on the 13 th day after a normal T-tube *** patients remained stable at postoperative period and discharged without any complication at median 7 ***: Open surgical procedures can be applied in patients with basket impaction during ERCP procedure in selected cases.

关键词： Biliary stone Endoscopic retrograde cholangiopancreatography Basket impaction Surgery

Acetabular Reconstruction with Massive Allograft Shaped to the Cavity and Kerboull-Type Acetabular Reinforcement Device for Multiple Failures of impaction Bone Graft: A Case Report

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Open Journal of Orthopedics 2017年第1期7卷 14-20页

作者： Takaya Taniguchi Mayumi Sonekatsu Wataru Taniguchi Erabu Miyamoto Takahide Sasaki Munehito Yoshida Department of Orthopaedic Surgery Wakayama Medical University Wakayama Japan

Acetabular component revision in the presence of severe bone loss is difficult for reconstructing an acetabular component in the anatomical hip center. Various treatment options are available, although often the acetabular defect cannot be corrected with a single option alone. Precise assessment of the bone loss and a suitable combination of methods are needed. Here we report a case of multiple failures with impaction bone grafting reconstruction for an acetabular bone defect of American Academy of Orthopedic Surgeons classification type III. We finally reconstructed the acetabulum with three femoral head allografts and a Kerboull-type acetabular reinforcement device. The allograft was a casted, jet-type helmet-like shape. A year later the patient was able to walk without a cane and perform light agricultural work. Accurate evaluation of the acetabular bone loss and appropriate reconstruction is important.

关键词： Acetabular Reconstruction Bone Defect Allograft KT Plate impaction Bone Graft

High attenuation mucoid impaction in allergic bronchopulmonary aspergillosis

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World Journal of Radiology 2010年第1期2卷 41-43页

作者： Ritesh Agarwal Department of Pulmonary Medicine Postgraduate Institute of Medical Education and Research Sector-12Chandigarh 160012India

Allergic bronchopulmonary aspergillosis(ABPA) is a complex hypersensitivity syndrome triggered against antigens of Aspergillus fumigatus,a fungus that most commonly colonizes the airways of patients with bronchial asthma and cystic *** presents clinically with refractory asthma,hemoptysis and systemic manifestations including fever,malaise and weight ***,it presents with central bronchiectasis and recurrent episodes of mucus *** mucus plugs in ABPA are generally hypodense but in up to 20% of patients the mucus can be hyperdense on computed *** paper reviews the literature on the clinical significance of hyperattenuated mucus in patients with ABPA.

关键词： Allergic bronchopulmonary aspergillosis Mucoid impaction Hyperdense mucus High attenuation mucus Aspergillus

Effectiveness of therapeutic barium enema for diverticular hemorrhage

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World Journal of Gastroenterology 2015年第18期21卷 5555-5559页

作者： Mizue Matsuura Masahiko Inamori Atsushi Nakajima Yasuhiko Komiya Yumi Inoh Keigo Kawasima Mai Naitoh Yuji Fujita Akiko Eduka Noriyoshi Kanazawa Shiori Uchiyama Rie Tani Kennichi Kawana Setsuya Ohtani Hajime Nagase Hepatology and Gastroenterology Yokohama City University Hospital Department of Gastroenterology Yokohama Rosai Hospital

AIM:To evaluate the effectiveness of barium impaction therapy for patients with colonic diverticular ***:We reviewed the clinical charts of patients in whom therapeutic barium enema was performed for the control of diverticular bleeding between August2010 and March 2012 at Yokohama Rosai *** patients were included in the review,consisting of 14 men and 6 *** median age of the patients was 73.5 *** duration of the followup period ranged from 1 to 19 mo(median:9.8 mo).Among the 20 patients were 11 patients who required the procedure for re-bleeding during hospitalization,6patients who required it for re-bleeding that developed after the patient left the hospital,and 3 patients who required the procedure for the prevention of ***(concentration:150 w%/v%)was administered per the rectum,and the leading edge of the contrast medium was followed up to the cecum by *** confirmation that the ascending colon and cecum were filled with barium,the enema tube was withdrawn,and the patient’s position was changed every 20 min for 3 ***:Twelve patients remained free of rebleeding during the follow-up period(range:1-19mo)after the therapeutic barium enema,including 9men and 3 women with a median age of 72.0 ***-bleeding occurred in 8 patients including 5 men and 3 women with a median age of 68.5 years:4developed early re-bleeding,defined as re-bleeding that occurs within one week after the procedure,and the remaining 4 developed late *** DFI(disease-free interval)decreased 0.4 for 12 *** one patient developed a complication from therapeutic barium enema(colonic perforation).CONCLUSION:Therapeutic barium enema is effective for the control of diverticular hemorrhage in cases where the active bleeding site cannot be identified by colonoscopy.

关键词： Non-steroidal antiinflammatory drugs Barium enema Diverticular hemorrhage Re-bleeding Barium impaction

Role of third molars in orthodontics

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World Journal of Clinical Cases 2015年第2期3卷 132-140页

作者： Konstantinia Almpani Olga-Elpis Kolokitha Forsyth Institute Department of Orthodontics Faculty of DentistrySchool of Health SciencesAristotle University

The role of third molars in the oral cavity has been extensively studied over the years. Literature includes numerous diagnostic and treatment alternatives regarding the third molars. However, an issue that has not been discussed at the same level is their involvement in orthodontic therapy. The aim of this study is to present a review of the contemporary literature regarding the most broadly discussed aspects of the multifactorial role of third molars in orthodontics and which are of general dental interest too.

关键词： Crowding Extraction Eruption Third molar Orthodontics impaction

Eosinophilic esophagitis in adults: An update

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World Journal of Gastrointestinal Pharmacology and Therapeutics 2016年第2期7卷 207-213页

作者： Monjur Ahmed Division of Gastroenterolgy and Hepatology Department of Internal Medicine Thomas Jefferson University

Eosinophilic esophagitis is a worldwide chronic allergic disease of the *** the last decade,there is an epidemic of this entity in the western *** seen in children and young adults,patients present with dysphagia or food impaction in the emergency *** endoscopic findings,esophageal eosinophilia and non-responsiveness to proton pump inhibitors help make the *** of foodallergens,administration of steroidal anti-inflammatory medications and dilation of the esophagus are the mainstays of *** are ongoing for mucosal healing and optimum maintenance treatment.

关键词： Eosinophilic esophagitis Dysphagia Food bolus impaction Esophageal eosinophilia Esophageal stricture