Neither endoscopist had formal training in

Neither endoscopist had formal training in OICR-9429 pediatric ERCP prior to 2003. Outcome measures included the procedure indications, cannulation success rates, procedure success rates, type of anesthesia, therapeutic interventions, frequency and type of procedure related complications,

and technical complexity.\n\nForty-five patients were included with a mean age of 12 years (range 6-17). There were a total of 70 ERCP procedures. Choledocholithiasis was the most common indication. Modes of anesthesia included monitored anesthesia care (31, 44.3 %), general anesthesia (22, 31.4 %) and moderate conscious sedation (17, 24.3 %). The papilla cannulation success rate was 98.6 % (69/70). Therapeutic maneuvers included 31 biliary sphincterotomies, ten pancreatic sphincterotomies, 17 pancreatic duct stents, 16 bile duct stents, two cystgastrostomy stents, four biliary stricture dilations, one minor papillotomy site dilation, one mechanical lithotripsy and one ampullectomy. The procedural success rate was 97.1 % (68/70). The overall

complication rate was 7.1 % (5/70) with a post-ERCP pancreatitis rate of 4.3 % (3/70). Complications included infection (moderate-1), bleeding (moderate-1), and post-ERCP pancreatitis (mild-1, moderate-2).\n\nERCP procedures in pediatric patients can be safely and efficaciously performed by adult gastroenterologists trained in advanced endoscopy.”
“The aim of the study was to determine whether the reduction in brain grey matter volume VEGFR inhibitor associated with hypertension

persisted or was remediated among hypertensive patients newly treated over the course of a year. A total of 41 hypertensive patients were assessed over the course of a 1-year successful anti-hypertensive treatment. Brain areas identified previously in cross-sectional studies differing in volume between hypertensive and normotensive individuals were examined with a semi-automated measurement GDC-0973 cell line technique (automated labelling pathway). Volumes of grey matter regions were computed at baseline after a year of treatment and compared with archival data from normotensive individuals. Reductions in regional grey matter volume over the follow-up period were observed despite successful treatment of blood pressure (BP). The comparison group of older, but normotensive, individuals showed no significant changes over a year in the regions tested in the treated hypertensive group. These novel results suggest that essential hypertension is associated with regional grey matter shrinkage, and successful reduction of BP may not completely counter that trend. Journal of Human Hypertension (2012) 26, 295-305; doi:10.1038/jhh.2011.31; published online 14 April 2011″
“We explore the properties of group-II acceptors in GaN by performing hybrid density functional calculations.

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