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120篇 您的检索式:作者名="D Bhasin"
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1Management of infected pancreatic necrosis in the setting of concomitant rectal cancer:A case report and review of literature显示文摘BACKGROUND Pancreatitis with infected necrosis is a severe complication of acute pancreatitis and carries with it high rates of morbidity and mortality. The management of infected pancreatic necrosis alongside concomitant colorectal cancer has never been described in literature.CASE SUMMARY A 77 years old gentleman presented to the Emergency Department of our hospital complaining of ongoing abdominal pain for 8 h. The patient had clinical features of pancreatitis with a raised lipase of 3810 U/L, A computed tomography(CT) abdomen confirmed pancreatitis with extensive peri-pancreatic edema. During the course of his admission, the patient had persistent high fevers and delirium thought secondary to infected necrosis, prompting the commencement of broad-spectrum antibiotic therapy with Piperacillin/Tazobactam. Subsequent CT abdomen confirmed extensive pancreatic necrosis(over 70%). Patient was managed with supportive therapy,nutritional support and gut rest initially and improved over the course of his admission and was discharged 42 d post admission. He represented 24 d following his discharge with fever and chills and a repeat CT abdomen scan noted gas bubbles within the necrotic pancreatic tissue thereby confirming infected necrotic pancreatitis. This CT scan also revealed asymmetric thickening of the rectal wall suspicious for malignancy. A rectal cancer was confirmed on flexible sigmoidoscopy. The patient underwent two endoscopic necrosectomies and was treated with intravenous antibiotics and was discharged after 28 d.Within 1 wk post discharge, the patient commenced a course of neoadjuvant radiotherapy and subsequently underwent concomitant chemotherapy prior to undergoing a successful Hartmann's procedure for treatment of his colorectal cancer.CONCLUSION This case highlights the efficacy of endoscopic necrosectomy, early enteral feeding and targeted antibiotic therapy for timely management of infected necrotic pancreatitis. The prompt resolution of pancreatitis permitted the patient to undergo neoadjuvant treatment and resection for his concomitant colorectal cancer.Kihoon Choi David E Flynn Anitha Karunairajah Andrew Hughes Ambika Bhasin Benedict Devereaux Manju D Chandrasegaram 2019World Journal of Gastrointestinal Surgery2019,11,4:2
2A centralized energy-efficient routing protocol for wireless sensor networks 显示文摘MURUGANATHAN S D MAD C F BHASIN R I 2005IEEE Radio Communication2005,43,3:1
3A framework to quantify the effect of healing in bituminous materials using material properties显示文摘Bhasin A Little D N Bommavaram R 2008Road Materials and Pavement Design2008,9,1:1
4A centralized energy-efficient routing protocol for wireless sensor networks显示文摘Muruganathan S D Ma D C F Bhasin R I 2005IEEE Communications Magazine2005,43,3:1
5Determi- ning Intrinsic Healing Properties of Asphalt Binders 显示文摘Bommavaram R R Bhasin A Little D N 2009Transportation Research Record Journal o1 the Transportation Research Board2009,2126,1:1
6A centralized energy-efficient routing protocol for wireless sensot networks 显示文摘MURUGANTHAN S D MA D C F BHASIN R I 2005IEEE Radio Communications2005,43,3:1
7A centralized energy-efficient routing protocol for wireless sensor networks显示文摘MURUGANATHAN S D MA D C F BHASIN R I 2005Communications Magazine IEEE2005,43,3:1
8Bitumen surface energy characterization using a contact angle approach显示文摘HEFER A W BHASIN A LITTLE D N 2006Journal of Materials in Civil Engineering2006,18,6:1
9Hypoglycemia Associated with the Use of Gatifloxacin显示文摘 Rorni M D Clifford M D 2005American Journal of the Medical Sciences2005,330,5:1
10Determining intrinsic healing properties of asphalt binders:role of dynamic shear rheometer显示文摘Bommavaram R R Bhasin A Little D N 2009Transport Res Board Natl Acad2009,,1:1
11A centralized energy-efficient routing protocol for wireless sensor networks显示文摘Muruganathan S D Ma D C F Bhasin R I 0,,03:1
12Effect of strategic purcha- sing, supplier evaluation system and uncertain busi- ness environment on supplier-buyer strategic relation- ship : A structural model 显示文摘Raut R D Bhasin H V 2012International Journal of Business Excellence2012,5,4:1
13A eentrialized energy-efficient routing protocol for wireless sensor networks 显示文摘MURUGANATHAN S D MAD C F BHASIN R I 2005IEEE Radio Communications2005,43,3:1
14Periampullary Dieu- lafoy' s lesion: an unusual cause of gastrointestinal bleeding 显示文摘Rana S S Bhasin D K Gupta R 2010JOP2010,11,3:1
15Use of Molecular Dynamics to Investigate Self-- Healing显示文摘Bhasin A Bommavaram R Greenfield M Little D 2011Journal of Material in Civil Engineering2011,4,:1
16Endoscopic retrograde cholangiopancreatography in the evaluation of anomalous junc- tion of the pancreaticobiliary duct and related disorders 显示文摘Nagi B Kochhar R Bhasin D 2003Ab- dom Imaging2003,28,6:1
17Frame-work to quantify the effect of healing in bituminous materials using material properties显示文摘Bhasin A Little D N Bommavaram R 2008Road Mater Pavement Design2008,9,:1
18Prevalence of Helicobacterpylori infection in patients with reflux oesophagitis显示文摘Yerra LN Bhasin DK Panigrahi D 0,,04:1
19A centralized energy-efficient routing protocol for wireless sensor networks 显示文摘Muruganathan S Ma D Bhasin R 2005IEEE Radio Communications2005,43,3:1
20Ahemating mor- phology of the QRS complex preceding sudden death 显示文摘Raeder E A Rosenbuam D S Bhasin R 2010N Engl Med2010,32,7:1
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