A5081434851- Hepatocellular Carcinoma Treatment and Prognosis
- Liver Disease and Transplantation
- Pancreatic and Hepatic Oncology Research
- Aortic aneurysm repair treatments
- Organ Transplantation Techniques and Outcomes
- Neuroendocrine Tumor Research Advances
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Renal and Vascular Pathologies
- Abdominal vascular conditions and treatments
- Gallbladder and Bile Duct Disorders
- Vascular Procedures and Complications
- Aortic Disease and Treatment Approaches
- Liver Disease Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Pancreatic function and diabetes
- Pancreatitis Pathology and Treatment
- Central Venous Catheters and Hemodialysis
- Renal cell carcinoma treatment
- Vascular anomalies and interventions
- Amino Acid Enzymes and Metabolism
- Venous Thromboembolism Diagnosis and Management
- Metabolism, Diabetes, and Cancer
- Diabetes Treatment and Management
- Cardiovascular Function and Risk Factors
- Infectious Aortic and Vascular Conditions
Mayo Clinic in Arizona
2013-2024
Mayo Clinic
2013-2023
WinnMed
2000-2021
Society of Interventional Radiology
2020
Queen Elizabeth University Hospital
2019
University of Minnesota Rochester
1999-2015
Universidad Westhill
2015
Victor (Japan)
2015
Medical Diagnostic Laboratories (United States)
2004
Mayo Clinic in Florida
2001
We describe six patients (five women and one man; median age, 47 years; range, 39 to 54) with postprandial symptoms of neuroglycopenia owing endogenous hyperinsulinemic hypoglycemia after Roux-en-Y gastric bypass surgery. Except for equivocal evidence in patient, there was no radiologic insulinoma. Selective arterial calcium-stimulation tests, positive each were used guide partial pancreatectomy. Nesidioblastosis identified resected specimens from multiple insulinomas one. Hypoglycemic...
The objective of the study was to assess changes in presentation and diagnostic radiological evaluation patients with surgically confirmed insulinoma at Mayo Clinic 1987-2007.A retrospective analysis conducted. Patients prior gastric bypass were excluded.A total 237 [135 women (57%)] identified. Hypoglycemia reported solely fasting state 73%, postprandial 21%, exclusively postprandially 6%. There a predominance men symptom group. Considering period by quartile, outpatient increased from 35...
Patients with hepatocellular carcinoma (HCC) are assigned model for end stage liver disease (MELD) scores to provide access transplantation (LT). An equitable policy would equate HCC progression beyond acceptable criteria death on the waiting list. However, limited information is available regarding this issue. Thus, our aim was analyze drop-out rates list patients HCC. Between January 1994 and August 2001, 54 were listed LT. underwent chemoembolization prior LT, assessed every three months...
In adults, endogenous hyperinsulinemic hypoglycemia is almost invariably due to insulinoma. these patients with insulinoma, neuroglycopenic episodes exclusively after meal ingestion and negative 72-h fasts are extraordinarily rare. We describe five adults from within 4 h of fasts. Each had transabdominal ultrasonography, spiral computed tomographic scanning, celiac axis angiography the pancreas. However, all showed positive selective arterial calcium stimulation tests indicative pancreatic...
Preoperative Detection of Pancreatic Insulinomas on Multiphasic Helical CTJ. L. Fidler1, J. G. Fletcher1, C. Reading1, Andrews1, B. Thompson2, S. Grant2 and F. Service3Audio Available | Share
PURPOSE To develop more effective regional therapy for patients with unresectable primary hepatobiliary cancer using concurrent conformal radiation and intraarterial hepatic (IAH) fluorodeoxyuridine (FdUrd). PATIENTS AND METHODS Twenty-six unresectable, nonmetastatic were treated IAH FdUrd (0.2 mg/kg/d) (1.5 to 1.65 Gy per fraction twice day). The total dose of administered the tumor depended on normal liver excluded from high-dose volume. All assessed toxicity, relapse, survival; 17...
OBJECTIVE: In some patients with primary sclerosing cholangitis (PSC), a localized, high-grade (dominant) stricture may be the principal cause of symptoms and hyperbilirubinemia. The aim this retrospective study was to compare beneficial effects risk balloon dilation alone versus followed by stenting in PSC dominant strictures. METHODS: Charts from group 1009 seen over 10 yr were reviewed identify those who had undergone endoscopic or percutaneous therapeutic intervention. Procedural...
The purpose of this study was to review the positive angiographic findings in patients with polyarteritis nodosa (PAN). authors reviewed angiograms 56 consecutive (25 women and 31 men; age range, 18-81 years; mean age, 55 years) PAN arterial abnormalities consistent necrotizing vasculitis. Aneurysms were present 27 segments ectasia seven patients, for a total 34 (61%) aneurysmal lesions. remaining 22 (39%) had lesions that occlusive: luminal irregularity, stenosis, or occlusion. All but one...
Liver transplantation after neoadjuvant chemoradiotherapy has emerged as an effective treatment for patients with localized, node-negative, unresectable hilar cholangiocarcinoma (CCA) or CCA arising in the setting of primary sclerosing cholangitis (PSC). However, concern arisen regarding potential vascular complications due to high-dose therapy before transplantation. We reviewed our experience specific aims determine incidences arterial, portal, and hepatic venous transplanted compared who...
In adult patients with endogenous hyperinsulinemic hypoglycemia and negative or inconclusive noninvasive imaging, insulinoma non-insulinoma pancreatogenous hypoglycemic syndrome (NIPHS) resulting from diffuse nesidioblastosis must be considered in the differential diagnosis. It is not known whether biochemical results of selective arterial calcium stimulation (SACST) hepatic venous sampling can differentiate nesidioblastosis.To determine specificity SACST differentiating...
Treatment options for refractory hepatic encephalopathy (HE) are limited. Patients who fail medical management may harbor large portosystemic shunts (PSSs) which possible therapeutic targets. This study aims to describe patient selection, effectiveness, and safety of percutaneous PSS embolization in those with medically HE. A retrospective evaluation consecutive adult patients HE referred at a tertiary center was performed (2003‐2015). Patient data collected included the type HE,...
In our experience, the primary obstacle precluding widespread use of orthotopic liver transplantation (OLT) for definitive therapy hepatocellular carcinoma (HCC), even early-stage disease, is preventing tumor recurrence. Chemoembolization an attractive strategy to minimize progression before OLT because its shown antitumor effect, ability be repeated, and minimal systemic toxicity. Thus, this pilot study was undertaken determine tolerability treatment outcomes pretransplantation...