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To perform a systematic review to answer the clinical question "What are the longitudinal skeletal and airway changes after mandibular setback orthognathic procedures?"
A systematic search including computer search of different databases with specific keywords, manual search through three international journals and reference list search was performed. Articles that were reporting the skeletal and airway changes after mandibular setback orthognathic procedures were evaluated with five predetermined criteria.
Six articles with a total of 217 patients entered the final review. All were rated to be of moderate bias risk. Four studies evaluated the skeletal and airway changes using two-dimensional (lateral) cephalometric radiographic imaging, whereas the other two studies used three-dimensional imaging with cone-beam computed tomography. In the two-dimensional studies, skeletal relapses from T0 (immediate postoperative) to T1 (postoperative 1-6months) ranged from -2.14mm to 0.30mm, whereas skeletal relapses thognathic procedures. It was noted a small increase of the airway over the first post-operative year in studies using 2-dimensional radiography. However, such finding was not consistent in studies using 3-dimensional imaging with volumetric analysis of the airway changes.
Advances in endoscopic imaging enable the identification of patients at high risk of gastric cancer. However, there are no comparative data on the utility of standard and magnifying narrow-band imaging (M-NBI) endoscopy for diagnosing
(
) infection, gastric atrophy, and intestinal metaplasia.
To compare the diagnostic performance of standard and M-NBI endoscopy for
gastritis and precancerous conditions.
In 254 patients, standard endoscopy findings were classified into mosaic-like appearance (type A), diffuse homogenous redness (type B), and irregular redness with groove (type C). Gastric mucosal patterns visualized by M-NBI were classified as regular round pits with polygonal sulci (type Z-1), more dilated and linear pits without sulci (type Z-2), and loss of gastric pits with coiled vessels (type Z-3).
The diagnostic accuracy of standard and M-NBI endoscopy for
gastritis was 93.3% and 96.1%, respectively. Regarding gastric precancerous conditions, the accuracy of standard and M-NBI endoscopy was 72.0%
72.6% for moderate to severe atrophy, and 61.7%
. 61.1% for intestinal metaplasia in the corpus, respectively. Compared to type A and Z-1, types B+C and Z-2+Z-3 were significantly associated with moderate to severe atrophy [odds ratio (OR) = 5.56 and 8.67] and serum pepsinogen I/II ratio of ≤ 3 (OR = 4.48 and 5.69).
Close observation of the gastric mucosa by standard and M-NBI endoscopy is useful for the diagnosis of
gastritis and precancerous conditions.
Close observation of the gastric mucosa by standard and M-NBI endoscopy is useful for the diagnosis of H. pylori gastritis and precancerous conditions.
Faecal microbiota transplantation (FMT) seems to be a promising treatment for irritable bowel syndrome (IBS) patients. TGX-221 In Western countries (United States and Europe), there is a female predominance in IBS. A sex difference in the response to FMT has been reported recently in IBS patients.
To investigate whether there was a sex difference in the response to FMT in the IBS patients who were included in our previous randomized controlled trial of the efficacy of FMT.
The study included 164 IBS patients who participated in our previous randomized controlled trial. These patients had moderate-to-severe IBS symptoms belonging to the IBS-D (diarrhoea-predominant), IBS-C (constipation-predominant) and IBS-M (mixed) subtypes, and had not responded to the National Institute for Health and Care Excellence (NICE)-modified diet. The
belonged in three groups placebo (own faeces), and active treated group (30-g or 60-g superdonor faeces). The patients completed the IBS severity scoring system (IBS-SSS), Fatigue Asstly lower in female patients with IBS-D than that of male patients both 1 mo and 3 mo after FMT.
There was no sex difference in the response to FMT among IBS patients with moderate-to-severe symptoms who had previously not responded to NICE-modified diet. However, female patients with IBS-D respond better and have higher reduction of symptoms than males after FMT.
There was no sex difference in the response to FMT among IBS patients with moderate-to-severe symptoms who had previously not responded to NICE-modified diet. However, female patients with IBS-D respond better and have higher reduction of symptoms than males after FMT.
Surgical resection and radiofrequency ablation (RFA) represent two possible strategy in treatment of hepatocellular carcinoma (HCC) in Milan criteria.
To evaluate short- and long-term outcome in elderly patients (> 70 years) with HCC in Milan criteria, which underwent liver resection (LR) or RFA.
The study included 594 patients with HCC in Milan criteria (429 in LR group and 165 in RFA group) managed in 10 European centers. Statistical analysis was performed using the Kaplan-Meier method before and after propensity score matching (PSM) and Cox regression.
After PSM, we compared 136 patients in the LR group with 136 patients in the RFA group. Overall survival at 1, 3, and 5 years was 91%, 80%, and 76% in the LR group and 97%, 67%, and 41% in the RFA group respectively (
= 0.001). Disease-free survival at 1, 3, and 5 years was 84%, 60% and 44% for the LR group, and 63%, 36%, and 25% for the RFA group (
= 0.001).Postoperative Clavien-Dindo III-IV complications were lower in the RFA group (1%
11%,
= 0.001) in association with a shorter length of stay (2 d
7 d,
= 0.001).In multivariate analysis, Model for End-stage Liver Disease (MELD) score (> 10) [odds ratio (OR) = 1.89], increased value of international normalized ratio (> 1.3) (OR = 1.60), treatment with radiofrequency (OR = 1.46) ,and multiple nodules (OR = 1.19) were independent predictors of a poor overall survival while a high MELD score (> 10) (OR = 1.51) and radiofrequency (OR = 1.37) were independent factors associated with a higher recurrence rate.
Despite a longer length of stay and a higher rate of severe postoperative complications, surgery provided better results in long-term oncological outcomes as compared to ablation in elderly patients (> 70 years) with HCC in Milan criteria.
70 years) with HCC in Milan criteria.
Read More: https://www.selleckchem.com/products/TGX-221.html
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