Discussion on the common controversies of Helicobacter pylori infection

alexandrossfakianakis shared this article with you from Inoreader Discussion on the common controversies of Helicobacter pylori infection via Helicobacter Abstract Background Helicobacter pylori ( H. pylori ) can persistently colonize on the gastric mucosa after infection and cause gastritis, atrophy, metaplasia, and even gastric cancer (GC). Methods Therefore, the detection and eradication of H. pylori are the prerequisite. Results Clinically, there are some controversial issues, such as why H. pylori infection is persistent, why it translocases along with the lesser curvature of the stomach, why there is oxyntic antralization, what the immunological characteristic of gastric chronic inflammation caused by H. pylori is, whether H. pylori infection is associated with extra-gastric diseases, whether chronic atrophic gastritis (CAG) is reversible, and what the potential problems are after H. pylori eradication. What are the possible answers? Conclusion In the review, we will discuss these issues from the attachment to eradication in detail. View on Web

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Comprehensive access strategies to the frontal sinus

alexandrossfakianakis shared this article with you from Inoreader Comprehensive access strategies to the frontal sinus via Current Opinion in Otolaryngology & Head and Neck Surgery - Published Ahead-of-Print Purpose of review Despite the impressive evolutions in endoscopic endonasal approaches and instrumentations, the frontal sinus remains a challenging area. Different surgical options have been described over the years, but the main criticism lies in choosing the most suitable approach for a given case, based on the anatomy of each patient and the disease to treat. The purpose of this study is to provide a comprehensive review of surgical access strategies currently available to address the frontal sinus, including both endonasal and traditional external procedures, analysing indications, contraindications, complications and outcomes. Recent findings Frontal sinus surgery includes minimally invasive endonasal approaches (balloon dilatation, Draf type I); extended endonasal approaches (Draf type IIA-IIB-IIC, Draf type III and their modifications via orbital transposition and contralateral pyriform aperture resection); external procedures (superior eyelid incision, frontal osteoplastic flap, Riedel procedure, Riedel-Mosher operation); and combined approaches. Summary Recent advances in endoscopic endonasal techniques have deeply reshaped the surgical options to manage frontal sinus diseases, in an attempt to minimize the invasiveness of the procedures and maximize their outcomes. Traditional external procedures should be used in selected cases nonamenable for endonasal surgery. The appropriate selection of cases appears to be of paramount importance to obtain successful outcomes. View on Web

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What is appropriate management for the contralateral uninvolved side in unilateral allergic fungal rhinosinusitis?

alexandrossfakianakis shared this article with you from Inoreader What is appropriate management for the contralateral uninvolved side in unilateral allergic fungal rhinosinusitis? via Current Opinion in Otolaryngology & Head and Neck Surgery - Published Ahead-of-Print Purpose of review The aim of this article is to review the current literature regarding development of new or recurrent inflammation of uninvolved contralateral sinuses in unilateral allergic fungal rhinosinusitis (AFRS) and discuss management strategies. Recent findings AFRS is a subtype of chronic rhinosinusitis with nasal polyposis (CRSwNP) that can manifest as either unilateral or bilateral disease. Particular to AFRS compared with other CRSwNP subtypes is the high propensity for recurrence. Multiple recent studies have evaluated the recurrence rate of uninvolved contralateral sinuses in unilateral AFRS and demonstrated eventual involvement of the nondiseased side. Additionally, postoperative medical therapy of the nondiseased side reduced recurrence rates overall. Summary Recurrence of AFRS is high in both the ipsilateral and contralateral sinuses. Upfront bilateral medical and/or surgical treatment of patients presenting with unilateral AFRS may be considered to improve long-term inflammatory control. View on Web

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Hemostasis in endoscopic sinus and skull base surgery

alexandrossfakianakis shared this article with you from Inoreader Hemostasis in endoscopic sinus and skull base surgery via Current Opinion in Otolaryngology & Head and Neck Surgery - Published Ahead-of-Print Purpose of review Bleeding during endoscopic endonasal procedures can quickly obscure critical anatomic landmarks. This increases both the difficulty of the surgical procedure and the risk of complications faced by the patient. As the indications for surgical management of sinonasal pathology grow, it is important to review techniques to minimize bleeding and facilitate safe surgery. Recent Findings Evidence continues to accumulate for best practices in the surgical management of sinonasal disease. Recently, international guidelines have attempted to summarize this body of evidence, lending further support to several interventions which have been advocated as methods to decrease bleeding during endoscopic endonasal surgery. Additional studies have specifically investigated the safety of certain commonly employed techniques. The utility of preoperative corticosteroid therapy and the use of total intravenous anesthetic techniques in increasingly validated. Further evidence supports the safety of reverse Trendelenburg positioning for surgical management of inflammatory disease. Summary Recent wide scale systematic review of the literature regarding perioperative and intraoperative management of hemostasis has reinforced the utility of certain interventions, while others remain ambiguous. View on Web

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Η χρήση του χειρισμού Pringle στις ανατομικές και τμηματικές ηπατεκτομές

Η χρήση του χειρισμού Pringle στις ανατομικές και τμηματικές ηπατεκτομές

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Αλέξανδρος Γ. Σφακιανάκης

Αναπαύσεως 5 Άγιος Νικόλαος Λασιθίου 72100

00302841026182

00306932607174

Καρκίνος του Στομάχου – Νεώτερα Δεδομένα

[PDF] Καρκίνος του στομάχου

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Αλέξανδρος Γ. Σφακιανάκης

Αναπαύσεως 5 Άγιος Νικόλαος Λασιθίου 72100

2841026182

Τομογραφία Εκπομπής Ποζιτρονίων (PET) και υβριδικά συστήματα PET-ΜRI

[PDF] Τομογραφία εκπομπής ποζιτρονίων (PET) και υβριδικά συστήματα PET-MRI

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Αλέξανδρος Γ. Σφακιανάκης

Αναπαύσεως 5 Άγιος Νικόλαος Λασιθίου 72100

2841026182

00306932607174