Abstract:
:The aim of this study was to explore the impact of 3% hypertonic saline (HS) intragastric administration for patients who underwent upper gastrointestinal surgery.During the postoperative period, 3% HS has been suggested as a means to improve the intestinal edema and reduce gastrointestinal complications.The medical records of 111 patients with HS intragastric administration following upper gastrointestinal surgery and 268 patients, served as control, were reviewed retrospectively. Propensity score matching was performed to adjust for selected baseline variables. Clinical outcomes, including early gastrointestinal function recovery, postoperative complications, and length of hospital stay, were compared according to the HS intragastric administration or not.HS intragastric administration was associated with prompt postoperative gastrointestinal function recovery, including first flatus (risk ratio [RR], 1.32; 95% confidence interval [CI], 0.89-1.65; P = 0.048) and feeding within 3 postoperative days (RR (95% CI), 0.57 (0.49-0.77); P = 0.036). Early ileus occurred in 25 of 108 patients with HS treatment versus 36 of 108 patients without HS treatment (RR (95% CI), 1.43 (0.63-2.15); P = 0.065). The patients with HS experienced a lower overall postoperative complication (odds ratio [OD] 0.57; 95% CI, 0.33-1.09; P = 0.063), including trend toward a decrease for infectious complications (15[13.9] vs 23[21.3]; P = 0.11; OD, 0.59; 95% CI, 0.29-1.22). There was a decreased incidence of anastomotic leakage (1[0.9] vs 7[6.5]; P = 0.033) and postoperative ileuas (5[4.6%] vs 11[10.2%]; P = 0.096) in the HS administration patients.Our study demonstrated beneficial postoperative clinical effects of HS intragastric administration in patients who had undergone upper gastrointestinal surgery, such as prompt postoperative gastrointestinal function recovery and reduced overall postoperative complications, which may be attributed to a reduced intestinal edema.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Hong S,Shang Q,Geng Q,Yang Y,Wang Y,Guo Cdoi
10.1097/MD.0000000000006121subject
Has Abstractpub_date
2017-03-01 00:00:00pages
e6121issue
12eissn
0025-7974issn
1536-5964pii
00005792-201703240-00003journal_volume
96pub_type
杂志文章相关文献
MEDICINE文献大全abstract:INTRODUCTION:Aortic regurgitation (AR) was recognized as a major, but rare complication after device closure for perimembranous ventricular septal defects (PmVSD). Most of them are temporary and non-significant. Infectious endocarditis (IE) is another extremely rare post-procedure complication of PmVSD. Theoretically, ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020120
更新日期:2020-05-01 00:00:00
abstract:RATIONALE:Woven coronary artery is an extremely unusual congenital anomaly with unknown etiology. Because of normal flow after anomalous segment, this anomaly is considered to be benign. PATIENT CONCERNS:A 51-year-old man was admitted to our hospital with exertional dyspnea that he had experienced for half a year. Wov...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008302
更新日期:2017-11-01 00:00:00
abstract:RATIONALE:We studied the feasibility of total arathyroidectomy(tPTX)+multi-point transplantation in the forearm for treatment of secondary hyperparathyroidism. Considering the controversial nature of the appropriate timing for and location of this type of surgery, relevant research is relatively rare. Our experience ma...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017649
更新日期:2019-11-01 00:00:00
abstract::Unilateral sagittal split fracture (USSF) of the C1 lateral mass (LM) has been recently recognized as a rare variant of C1 atlas fracture. To date, there has been no study to investigate whether radiologic criteria can be applied to determine the presence or absence of transverse atlantal ligament (TAL) injury in USSF...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017077
更新日期:2019-09-01 00:00:00
abstract::Portal vein thrombosis (PVT) might impair the prognosis of cirrhotic patients. However, formation of de novo PVT after transjugular intrahepatic portosystemic shunt (TIPS) in cirrhotic patients without preexisting PVT was rarely reported. Moreover, it is not known whether warfarin is efficient in preventing de novo PV...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018737
更新日期:2020-01-01 00:00:00
abstract::Aim of this study was to determine if surface electromyography (sEMG) could provide objective data in monitoring the alteration of signal amplitude of myoelectric activity of the paraspinal muscles in the patients with acute nonspecific lower back pain (ANLBP), and to explore the correlation between sEMG data and symp...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016904
更新日期:2019-08-01 00:00:00
abstract::Although obesity is clearly identified as a risk factor for hypertension, the association between its different metabolic phenotypes and hypertension remains unclear. We aimed to investigate this association and compare the degree of association between metabolic health and obesity phenotypes defined by 5 representati...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012425
更新日期:2018-09-01 00:00:00
abstract::The present study aimed to assess the effect of removing an indwelling urinary catheter at different times on urinary retention and urinary infection in patients undergoing gynecologic surgery.Electronic databases including PubMed, EMbase, the Cochrane Central Register of Controlled Trials, and Ovid from inception to ...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000018710
更新日期:2020-01-01 00:00:00
abstract::Treatment of latent tuberculosis infection (LTBI) is essential for eradicating tuberculosis (TB). Moreover, the patient adherence is crucial in determining the effectiveness of TB control. Isoniazid given by DOTS daily for 9 months (9H) is the standard treatment for LTBI in Taiwan. However, the completion rate is low ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004126
更新日期:2016-08-01 00:00:00
abstract::Wnt/β-catenin signaling pathway is thought to be implicated in the development of arterial stiffness and vascular calcification. As a Wnt signaling pathway inhibitor, it is interesting to investigate whether sclerostin or dickkopf-1 (DKK1) level is correlated with arterial stiffness in renal transplant (RT) recipients...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003300
更新日期:2016-04-01 00:00:00
abstract:RATIONALE:Tooth extraction is a common dental surgical procedure. There is a possibility that various complications often occur during third molar tooth extractions. PATIENT CONCERNS:The authors report herein 2 cases of migration of a high-speed dental hand-piece bur during mandibular third molar extraction-one case w...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019177
更新日期:2020-02-01 00:00:00
abstract:RATIONALE:Malignant peripheral nerve sheath tumor (MPNST) is a very rare sarcoma of the heart, and few cases have been reported. Herein, we retrospectively reviewed clinical manifestations, imaging features and management of our patient and other reported cases. PATIENT CONCERNS:A 32-year-old woman was referred to the...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017463
更新日期:2019-11-01 00:00:00
abstract:RATIONALE:Primary cutaneous non-Hodgkin's lymphoma (NHL) is an uncommon entity, representing 10% of all extranodal NHLs. Among all cutaneous sites, the scalp is a rare site of representation. PATIENT CONCERNS:A 92-year-old Chinese man visited our hospital with a multiple-nodular huge scalp mass on the right parieto-oc...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006270
更新日期:2017-03-01 00:00:00
abstract::Pain is prevalent in advanced malignancies; however, some patients cannot get adequate pain relief by conservative routes of analgesic administration or experience serious side effects related to high dose of opioids. For those who have exhausted multimodal conservative analgesic, intrathecal drug delivery is an alter...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006354
更新日期:2017-03-01 00:00:00
abstract::Approximately 40% to 50% of gastrointestinal stromal tumor (GIST) patients will have recurrence or metastases after resection of the primary lesion, and the most common affected sites will be liver and peritoneum. Imatinib has been considered as the first-line therapy of metastatic GIST. Surgery for metastases is prop...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000008240
更新日期:2017-11-01 00:00:00
abstract::Primary squamous cell carcinoma (SCC) of liver is rare, and its prognosis is extremely poor. This study aims at reviewing the clinical data of all pathologically diagnosed liver cancer in our institute, and discussing the clinical presentation, diagnosis, treatment, and prognosis of our cases of SCC and the literature...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000000868
更新日期:2015-07-01 00:00:00
abstract::Endotracheal tube (ETT) should be placed at the optimal level to avoid single lung ventilation or accidental extubation. This study was performed to estimate the mid-tracheal level by using surface anatomical landmarks in adult patients.Neck computed tomography images of 329 adult patients between the ages of 16 and 7...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006319
更新日期:2017-03-01 00:00:00
abstract::The association between sleep duration and prostate cancer (PCa) risk is still unclear. We performed a systematic review and meta-analysis to explore if sleep duration is associated with PCa in men.A comprehensive literature search was conducted in November 2019 based on the Pubmed, Embase, and Cochrane databases. Aft...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000021180
更新日期:2020-07-10 00:00:00
abstract:BACKGROUND:The effects of different types of tree nut, peanut, and soy nut consumption on serum C - reactive protein (CRP) are not well established. we aimed to undertake a systematic review and meta-analysis of prospective studies to determine the effect of nut consumption (tree nuts, peanuts, and soy nuts) on serum C...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000005165
更新日期:2016-11-01 00:00:00
abstract::CD34 is a transmembrane phosphoglycoprotein that was first identified on hematopoietic stem and progenitor cells. CD34 is known as an optimum marker for microvascular density studies and it is positively stained in pathological and physiologic vessels. The use of CD34 for the prognosis, diagnosis, and treatment of neo...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000002830
更新日期:2016-02-01 00:00:00
abstract::New York City is a multicultural city where people of different ethnicities and backgrounds from all over the world live together. Of the different ethnicities, it is home to a large population of Western African immigrants. This case report is that of an elderly female of Western African descent presenting to Lincoln...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001415
更新日期:2015-08-01 00:00:00
abstract::The aim of the study was to assess the effects of bevacizumab in augmenting trabeculectomy for glaucoma. We searched the databases of Cochrane Library, PubMed, Embase, CNKI, and VIP. All the databases were retrieved from the time databases established to September, 2015. The keywords we used were as follows: "bevacizu...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000003223
更新日期:2016-04-01 00:00:00
abstract::In this study, we evaluate the efficacy of short-course radiotherapy (SCRT) versus long-course radiotherapy (LCRT) in the treatment of metastatic spinal cord compression (MSCC).PubMed, EMBASE, and Web of Science were searched up to April 2015. Relevant data were extracted based on inclusion and exclusion criteria. Met...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000001843
更新日期:2015-10-01 00:00:00
abstract::To determine the relationship between the expression of phosphatase and tensin homologue (PTEN) and epidermal growth factor receptor (EGFR) in metastatic colorectal cancer (mCRC) and the clinical outcome of cetuximab-containing chemotherapy. A total of 158 consecutive mCRC patients with wild-type KRAS status who recei...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001698
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Bibliometric analysis is an approach to evaluate the circumstances and trends in specific research field over time and to provide inspiration in future research and policy. Researches have a tremendous increase focus on the role of the microbiota in the development of diabetes in recent years; however, there...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007338
更新日期:2017-09-01 00:00:00
abstract::The aim of study is to determine whether chronic osteomyelitis (COM) is linked to an increased risk of head and neck cancer (HNC).We identify 17,033 patients with osteomyelitis and 68,125 subjects without osteomyelitis during 1996 to 2010 periods. Multivariable Cox proportional hazards regression analysis was used to ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002407
更新日期:2016-01-01 00:00:00
abstract::The endoscopic endonasal transsphenoidal approach (EETA) is the primary treatment for growth hormone (GH) adenoma. This study aimed to investigate the outcomes of EETA in 33 patients with GH-secreting pituitary adenoma (PA).Thirty-three patients who underwent EETA in Eighth People's Hospital of Shenzhen between Januar...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019855
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:To investigate the effect of high-volume hemofiltration (HVHF) on Th17/Treg imbalance in patients with severe acute pancreatitis (SAP). METHODS:Forty-two patients with SAP were randomly received 24 hours of continuous HVHF (n = 21) or without HVHF (n = 21). At day 28, all 42 patients were divided into survi...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000021491
更新日期:2020-07-31 00:00:00
abstract::Central nervous system (CNS) nocardiosis is a rare disease entity caused by the filamentous bacteria Nocardia species. We present a case series of 5 patients from our hospital and a review of the cases of CNS nocardiosis reported in the literature from January 2000 to December 2011. Our results indicate that CNS nocar...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000000012
更新日期:2014-01-01 00:00:00
abstract::The aim of our study was to investigate the relationship between the waist-to-height ratio (WHR) and all-cause mortality and functional outcomes after acute ischemic stroke in a prospective cohort study.A total of 2076 patients (36.66% females) with ischemic stroke were analyzed from ACROSS-China, which is a nationwid...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000006520
更新日期:2017-03-01 00:00:00