SMJ articles in the category "complications"

Original Article

Radiologic versus Endoscopic Placement of Gastrostomy Tube: Comparison of Indications and Outcomes at a Tertiary Referral Center

Objectives: Percutaneous gastrostomy tube placement is performed in patients requiring long-term enteral nutrition. Although both endoscopic and fluoroscopic techniques may be used, there are inherent risks and potential complications associated with both procedures that are not generally known to referring physicians. The purpose of this study was to compare and…

Posted in: complications 13 PEG 2

Original Article

Major Complications Associated with Conventional Transbronchial Needle Aspiration

Objectives: Transbronchial needle aspiration (TBNA) is a widely used sampling technique for diagnosis and staging of lesions centered around bronchoscopically accessible airways. We report our single-institution experience of complications associated with conventional TBNA (C-TBNA) performed in 606 consecutive cases. Methods: Electronic medical records with bronchoscopy log data of C-TBNAs performed…

Posted in: complications 13 endobronchial ultrasound-guided transbronchial needle aspiration 3 transbronchial needle aspiration 2

Review Article

Systematic Review and Meta-Analysis of Major Cardiovascular Outcomes for Radial Versus Femoral Access in Patients With Acute Coronary Syndrome

Objectives: Radial artery access (RA) for left heart catheterization and percutaneous coronary interventions (PCIs) has been demonstrated to be safe and effective. Despite consistent data showing less bleeding complications compared with femoral artery access (FA), it continues to be underused in the United States, particularly in patients with acute coronary…

Posted in: acute coronary syndrome 8 complications 13

Original Article

Inpatient Rehabilitation Centers and Concern for Increasing Volume of Ischemic Stroke Patients Requiring Rehabilitation

Objectives: To determine whether prolonged length of stay (pLOS) in ischemic stroke is related to delays in discharge disposition arrangement. Methods: We designed a retrospective study to compare patients with acute ischemic stroke who experienced pLOS to those who did not experience pLOS. Patients who have had acute ischemic stroke…

Posted in: complications 13 length of stay 14 Stroke 16

Original Article

Prevalence and Impact of Initial Misclassification of Pediatric Type 1 Diabetes Mellitus

Purpose: To characterize rates of initial misclassification of type 1 diabetes mellitus as type 2/unspecified diabetes mellitus in a cohort of children/adolescents and to examine the impact of misclassification on the risk of diabetes-related complications. Methods: An 11-year dataset (1996–2006) was analyzed. Inclusion criteria included age 17 years and younger,…

Posted in: complications 13 pediatrics 33 type 2 diabetes mellitus 13

Original Article

Safety of Conscious Sedation in Patients with Sleep Apnea in a Veteran Population

Objectives: Due to the presumed higher risk of cardiopulmonary complications in patients with obstructive sleep apnea (OSA), many endoscopy centers consider OSA a contraindication to using conscious sedation. We evaluated the safety of conscious sedation during endoscopy for patients with OSA in a veteran population, and compared this to patients…

Posted in: complications 13 conscious sedation 4 endoscopy 10 safety 6

Case Report

Acute Epidural Abscess Complicating Pneumococcal Meningitis in Adult

Acute spinal epidural abscesses rarely complicate bacterial meningitis in adults. We report an uncommon case of advanced pneumococcal meningitis complicated by acute lumbar epidural abscess in an adult. A 35-year-old man was admitted to the medical intensive care unit with pneumococcal meningitis. On the eighth day of hospitalization, he presented…

Posted in: Adult 5 bacterial meningitis 3 complications 13 Streptococcus pneumoniae 6

Original Article

Treatment of Persistently Leaking Post PEG Tube Gastrocutaneous Fistula in Elderly Patients with Combined Electrochemical Cautery and Endoscopic Clip Placement

Objectives:Persistent leakage from a gastrocutaneous fistula (GCF) created for the purpose of percutaneous endoscopic gastrostomy (PEG) tube placement is a common problem in elderly patients. Conservative methods often prove unsuccessful and surgical closure is usually not performed because of poor surgical risk. With advances in endoscopic technology, several nonsurgical approaches…

Posted in: complications 13 gastrocutaneous fistula 2

Expired CME Article

Current Concepts in the Postoperative Care of the Rhinoplasty Patient

Abstract: This is a systematic review of the available literature and our own personal experience regarding the optimal management of the rhinoplasty patient. The routine utilization of nasal splinting, casting and perioperative antibiotics is supported. The management of a number of common early complications is also discussed. Meticulous technique based…

Posted in: complications 13 rhinoplasty 2

Case Report

Pulmonary Infarction Due to Vascular Stent Migration

Abstract:The case of a patient who developed pulmonary infarction after a vascular stent migrated to her pulmonary artery is presented. Stent migration is a known complication of vascular stents. The incidence is reported to be as low as 3%. Cases have been reported of successful retrieval of the stents. There…

Posted in: complications 13

Case Report

Cervical Inlet Patch: Case Series and Literature Review

Heterotopic gastric mucosa patch (HGMP) has been reported to occur in various parts of the gastrointestinal system from mouth to anus. Extra-gastrointestinal locations have also been reported. Presence of ectopic gastric mucosa has been associated with complications such as ulceration, bleeding, perforations and malignant transformations. Most complications are probably related…

Posted in: complications 13 presentations 2

Expired CME Article

Perioperative Glucose Control in the Diabetic or Nondiabetic Patient

Patients with diabetes are more likely to undergo surgery than nondiabetics, and maintaining glycemic control in subjects with diabetes can be challenging during the perioperative period. Surgery in diabetic patients is associated with longer hospital stay, higher health care resource utilization, and greater perioperative mortality. In addition, several observational and…

Posted in: complications 13 hyperglycemia 8 surgery 23

Expired CME Article

Hemodialysis for the Non-nephrologist

Hemodialysis is now routinely provided to more than 300,000 patients in the United States. An epidemic of end-stage renal disease will nearly double this number by 2010. Patients undergoing chronic hemodialysis have high morbidity and mortality rates. Given these facts, most medical providers will be involved in the care of…

Posted in: complications 13 end-stage renal disease 5 hemodialysis 9
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