Artificial nutrition support in intestinal failure: principles and practice of parenteral feeding [0.03%]
肠功能不全的人工营养支持：肠外营养的原则与实践
Robert N Cunliffe,Timothy E Bowling
Robert N Cunliffe
Patients with intestinal failure are at risk for malnutrition and its associated adverse consequences. In many of these patients it is not possible to feed via the gastrointestinal tract, and nutrients must be provided directly into the blo...
High-output fistula [0.03%]
高排出量瘘管病态窦房结综合征
Naila Arebi,Alastair Forbes
Naila Arebi
Despite improvements in healthcare delivery, mortality rates for high-output fistulae remain unchanged. The pathophysiology and causes of fistulae are reviewed in this article. An overview of the diagnostic procedures to delineate fistulae ...
Manish Kaushal,Gordon L Carlson
Manish Kaushal
Despite advances in antimicrobial chemotherapy, nutritional support, and perioperative critical care, the development of an enterocutaneous fistula continues to represent a major therapeutic challenge, with appreciable morbidity and mortali...
Frank G Opelka
Frank G Opelka
Surgeons are facing greater pressures as business entities with each passing year. With limited ability to compensate by increasing workload, surgeons must understand finances and practice management. Strategic planning for the survival of ...
Kiran Kanji
Kiran Kanji
Endoscopic ambulatory surgery centers are more efficient than hospital-based procedures, they are less costly to payers than hospital-based procedures, and they provide an additional source of revenue to healthcare providers. Physicians int...
Johannes H W de Wilt,Maarten Vermaas,Floris T J Ferenschild et al.
Johannes H W de Wilt et al.
Treatment for patients with locally advanced and recurrent rectal cancer differs significantly from patients with rectal cancer restricted to the mesorectum. Adequate preoperative imaging of the pelvis is therefore important to identify tho...
Kerry Hammond,David A Margolin
Kerry Hammond
Postoperative surveillance for recurrent and/or metachronous disease is an important component of the treatment of patients with colorectal cancer. The optimal schedule of follow-up investigations remains controversial. Several randomized t...
Bradley J Champagne,Conor P Delaney
Bradley J Champagne
Laparoscopic colectomy has been proven oncologically equivalent to conventional surgery and is now generally agreed to offer patients a reduced length of stay, shorter recovery times, and improved cosmesis. In contrast, acceptance of laparo...
Defining the volume-quality debate: is it the surgeon, the center, or the training? [0.03%]
界定体积-质量辩论：是外科医师、中心还是培训决定了疗效？
James Merlino
James Merlino
The quality movement in health care is ubiquitous in our society. The volume-quality debate is a central component of this that affects surgeons. In colorectal surgery and other fields, studies have demonstrated improved outcomes for patien...
Sebastian G de la Fuente,Christopher R Mantyh
Sebastian G de la Fuente
There are approximately 40,000 new rectal cancer cases diagnosed each year in the United States, representing the second most common gastrointestinal malignancy (behind colon cancer). With the advent of sphincter preserving techniques, pati...