Three patients with non-specific acute terminal ileal inflammation at ileocolonoscopy were confirmed to have ongoing inflammation. The capsule was retained in four subjects beyond 24 h.
Conclusion: Capsule endoscopy more accurately determines the severity and extent of the Crohn’s disease in the small LBH589 inhibitor bowel than traditional imaging modalities. (C) 2009 European Crohn’s and Colitis Organisation. Published by Elsevier B.V. All rights reserved.”
“Objectives: To review the characteristic microbiology of the paranasal sinuses in patients with cystic fibrosis who undergo endoscopic sinus surgery. To examine the subtypes of organisms
cultured from the maxillary sinuses and determine their sensitivity to antibiotic therapy.
Study design: Retrospective chart review.
Setting: Tertiary care children’s hospital.
Methods: Sinus cultures were obtained from 51 patients with cystic fibrosis during endoscopic sinus procedures between 2000 and 2004 at a tertiary care children’s hospital. A retrospective chart review was undertaken to obtain culture and sensitivity data
of the sinus contents.
Results: AS1842856 datasheet The most common bacteria isolated was Staphylococcus aureus (71%), followed by Pseudomonas aeruginosa (PSA) (27%), Haemophilus influenzae (21%), Staphylococcus non-aureus (16%) and Streptococcus viridans (12%). Streptococcus pneumoniae and Moraxella catarrhalis were rarely isolated (2% and 0% respectively). Twenty-nine percent of the patients with cultures positive for PSA were of the mucoid variant. Only one patient had culture positive Escherichia coil. Antibiotic resistance among the more common organisms cultured XMU-MP-1 from the sinus samples is also listed.
Conclusion: Staph. aureus is the most common isolate in the sinuses of this pediatric CF population followed by P. aeruginosa and H. influenzae. Although many isolates are pansensitive, some isolates are panresistant. Published
by Elsevier Ireland Ltd.”
“Renal cell carcinoma with a tumour thrombus extending into the right heart chambers necessitates extensive combined urological and cardiac surgery. Maximum safety and exactness in extirpation of the caval and intracardiac thrombus is achieved under deep hypothermic circulatory arrest, at a price of its non-physiological burden and time constraints. We propose a simple surgical manoeuvre enabling selective arch perfusion allowing for a milder hypothermia and liberal interval of circulatory arrest.
On a routine cardiopulmonary bypass via median sternotomy, the dissection is extended along the aortic arch to identify the origins of the supra-aortic vessels. After standard aortic cross-clamping and cardioplegic cardiac arrest at moderate hypothermia, a second cross-clamp is applied at the aortic arch beyond the left carotid artery.