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| 1 | Delayed gastric emptying following pancreaticoduodenectomy:Incidence,risk factors,and healthcare utilization显示文摘AIM To characterize incidence and risk factors for delayed gastric emptying(DGE) following pancreaticoduodenectomy and examine its implications on healthcare utilization. METHODS A prospectively-maintained database was reviewed. DGE was classified using International Study Group of Pancreatic Surgery criteria. Patients who developed DGE and those who did not were compared. RESULTS Two hundred and seventy-six patients underwent pancreaticoduodenectomy(PD)(> 80% pyloruspreserving, antecolic-reconstruction). DGE developed in 49 patients(17.8%): 5.1% grade B, 3.6% grade C. Demographic, clinical, and operative variables were similar between patients with DGE and those without. DGE patients were more likely to present multiplecomplications(32.6% vs 4.4%, ≥ 3 complications, P < 0.001), including postoperative pancreatic fistula(POPF)(42.9% vs 18.9%, P = 0.001) and intra-abdominal abscess(IAA)(16.3% vs 4.0%, P = 0.012). Patients with DGE had longer hospital stay(median, 12 d vs 7 d, P < 0.001) and were more likely to require transitional care upon discharge(24.5% vs 6.6%, P < 0.001). On multivariate analysis, predictors for DGE included POPF [OR = 3.39(1.35-8.52), P = 0.009] and IAA [OR = 1.51(1.03-2.22), P = 0.035].CONCLUSION Although DGE occurred in < 20% of patients after PD, it was associated with increased healthcare utilization. Patients with POPF and IAA were at risk for DGE. Anticipating DGE can help individualize care and allocate resources to high-risk patients. | Somala Mohammed George Van Buren II Amy Mc Elhany Eric J Silberfein William E Fisher | 2017 | World Journal of Gastrointestinal Surgery2017，9，3： | 13 |
| 2 | Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas显示文摘Pancreatic cysts include a variety of benign, premalignant, and malignant lesions. Endometrial cysts in the pancreas are exceedingly rare lesions that are difficult to diagnose pre-operatively. This report describes the findings in a 43-year-old patient with a recent episode of acute pancreatitis who presented with a large cyst in the tail of the pancreas. Imaging demonstrated a loculated pancreatic cyst, and cyst fluid aspiration revealed an elevated amylase and carcinoembryonic antigen. The patient experienced an interval worsening of abdominal pain, fatigue, diarrhea, and a 15-pound weight loss 3 mo after the initial episode of pancreatitis. With concern for a possible pre-malignant lesion, the patient underwent a laparoscopic distal pancreatectomy with splenectomy, which revealed a 16cm×12cm×4cm lesion. Final histopathology was consistent with an intra-pancreatic endometrial cyst. Here we discuss the overlapping imaging and laboratory features of pancreatic endometrial cysts and mucinous cystic neoplasms of the pancreas. | Michael A Mederos Nicole Villafane Sadhna Dhingra Carlos Farinas Amy Mc Elhany William E Fisher George Van Buren II | 2017 | World Journal of Gastroenterology2017，23，6： | 7 |
| 3 | Penicillium marneffei infection and recent advances in the epidemiology and molecular biology aspects显示文摘 | Vanittanakom N Cooper CR Jr Fisher MC | | 0，，01： | 1 |
| 4 | Studies on the role of Dlx5 in regulation of chondrocyte differentiation during endochondral ossification in the developing mouse limb显示文摘 | Chin HJ Fisher MC Li Y | 2007 | Dev Growth Differ2007，49，6： | 1 |
| 5 | The effects of bed side pulmonary mechanics testing during infant mechanical ventilation显示文摘 | Rosen WC Mammel MC Fisher JB | 1993 | Pediatr Pulmonol1993，16，3： | 1 |
| 6 | Penicillium marneffei infection and recent advances in the epidemiology and molecular biology aspects显示文摘 | Vanittanakom N Cooper CR Jr Fisher MC | 2006 | Clin Microbiol Rev2006，19，1： | 1 |
| 7 | Role of cannomys badius as a natural animal host of penicillium marneffei in India显示文摘 | GJ Cugnani H Fisher MC Paliwal_johsi A | 2004 | J Clin Microlbiol2004，42，11： | 1 |
| 8 | Clucose up take during centrally induced stress is insulin independent and enhanced by adrenergic blockade显示文摘 | Lekas MC Fisher SJ El-Bahrani B | 1999 | J Appl Physiol1999，87，2： | 1 |
| 9 | Penicillium marneffei infection and recent advances in the epidemiology and molecular biology aspects显示文摘 | Vanittanakom N Cooper CR Jr Fisher MC | 2006 | Clin Microbiol Rev2006，19，： | 1 |
| 10 | Penicillium marneffei infection and recent advances in the epidemiology and molecular biology aspects 显示文摘 | Vanittanakom N Cooper CR Jr Fisher MC | 2006 | Clin Microbiol Rev2006，19，： | 1 |
| 11 | Peniillium m, artei infection and recent advances in the epidemiology and molecular biology aspects 显示文摘 | Vanittanakom N Cooper CR Jr Fisher MC | 2006 | Clin Microbiol Rev2006，9，1： | 1 |
| 12 | ln vitro Susceptibility of established biofihns composed of a clinical wound isolate of Pseudomonas aeruginosa treated with lactoferrin and xylitol o显示文摘 | Ammons MC Ward L$ Fisher ST | 2009 | Int J Antimierob Agents2009，33，3： | 1 |
| 13 | Penicillium marneffei infection and recent advances in the epidemiology and molecular biology aspects显示文摘 | Vanittanakom N Cooper CR Jr Fisher MC | | 0，，1： | 1 |
| 14 | Isometric lifting strength as a predictor of industrial back painreports 显示文摘 | Batti'e MC Bigos SJ Fisher LD | 1989 | Splne1989，14，8： | 1 |
| 15 | The evolution of breast cancer surgery: past, present, and future 显示文摘 | Fisher B Gebhardt MC | 1978 | Semin Oncol1978，5，4： | 1 |
| 16 | Penicillium marneffei infection and recent advances in the epidemiology and molecular biology aspects显示文摘 | Vanittanakom N Cooper CR Jr Fisher MC | 2006 | Clin Microbiol Rev2006，19，1： | 1 |
| 17 | En bloc marginal excision of a multilevel cervical chordoma: case report 显示文摘 | Bailey CS Fisher CG Boyd MC | 2006 | J Neurosurg Spine2006，4，5： | 1 |
| 18 | Penicillium marneffei infection and recent advances in the epidemiology and molecular biology aspects显示文摘 | Vanittanakom N Cooper CR Fisher MC | 2006 | Clin Microbiol Rev2006，19，： | 1 |
| 19 | The population genetic structure of the facuhatively sexual parasitic nematode Strongyloides ratti in wild rats 显示文摘 | Fisher MC Viney ME | 1998 | Proc R Soc Lond B1998，265，1397： | 1 |
| 20 | Role of Cannomys badius as a natural animal host of Penicillium marneffei in India显示文摘 | Gugnani H Fisher MC Paliwal-Johsi A | 2004 | J Clin Microbiol2004，42，： | 1 |
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