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| 1 | Acute calculous cholecystitis: Review of current best practices显示文摘Acute calculous cholecystitis(ACC) is the most frequent complication of cholelithiasis and represents one-third of all surgical emergency hospital admissions, many aspects of the disease are still a matter of debate. Knowledge of the current evidence may allow the surgical team to develop practical bedside decision-making strategies, aiming at a less demanding procedure and lower frequency of complications. In this regard, recommendations on the diagnosis supported by specific criteria and severity scores are being implemented, to prioritize patients eligible for urgency surgery. Laparoscopic cholecystectomy is the best treatment for ACC and the procedure should ideally be performed within 72h. Early surgery is associated with better results in comparison to delayed surgery. In addition, when to suspect associated common bile duct stones and how to treat them when found are still debated. The antimicrobial agents are indicated for high-risk patients and especially in the presence of gallbladder necrosis. The use of broad-spectrum antibiotics and in some cases with antifungal agents is related to better prognosis. Moreover, an emerging strategy of not converting to open, a difficult laparoscopic cholecystectomy and performing a subtotal cholecystectomy is recommended by adept surgical teams. Some authors support the use of percutaneous cholecystostomy as an alternative emergency treatment for acute Cholecystitis for patients with severe comorbidities. | Carlos Augusto Gomes Cleber Soares Junior Salomone Di Saveiro Massimo Sartelli Michel Denis Kelly Camila Couto Gomes Felipe Couto Gomes Lívia Dornellas Correa Camila Brandao Alves Samuel de Fádel Guimaraes | 2017 | World Journal of Gastrointestinal Surgery2017，9，5： | 18 |
| 2 | Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy显示文摘Hepatic encephalopathy(HE)is a cognitive disturbance characterized by neuropsychiatric alterations.It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts.The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration.Therefore,the embolization of these shunts has been performed tocontrol HE manifestations,but the presence of portal vein thrombosis is considered a contraindication.In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt.Case report:a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma,even without precipitant factors.She had a wide portosystemic shunt and also portal vein thrombosis.The abdominal angiography confirmed the splenorenal shunt and showed other shunts.The larger shunt was embolized through placement of microcoils,and the patient had no recurrence of overt HE.There was a little increase of esophageal and gastric varices,but no endoscopic treatment was needed.Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients,portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization.However,in particular cases with many shunts and severe HE,we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery.In conclusion,we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis.As the patient had other shunts,she was successfully treated by embolization of the larger shunt. | Letícia de Campos Franzoni Fábio Cardoso de Carvalho Rafael Gomes de Almeida Garzon Fábio da Silva Yamashiro Laís Augusti Lívia Alves Amaral Santos Mariana de Souza Dorna Júlio Pinheiro Baima Talles Bazeia Lima Carlos Antonio Caramori Giovanni Faria Silva Fernando Gomes Romeiro | 2014 | World Journal of Gastroenterology2014，20，42： | 6 |
| 3 | High prevalence of vitamin A deficiency in Crohn's disease patients according to serum retinol levels and the relative dose-response test显示文摘AIM:To assess the vitamin A status of patients with Crohn's disease(CD) by evaluating serum retinol levels and the relative dose response(RDR) test(liver retinol stores).METHODS:Vitamin A nutritional status was measured by serum retinol obtained by high performance liquid chromatography and the RDR test for evaluation of the hepatic stores.Body composition was performed by densitometry by dual-energy X-ray absorptiometry.Vitamin A dietary intake was assessed from a semiquantitative food frequency questionnaire.RESULTS:This study included 38 CD patients and 33 controls.Low serum retinol concentrations were detected in 29% of CD patients vs 15% in controls(P < 0.005).The RDR test was positive in 37% of CD patients vs 12% in controls,which indicated inadequate hepatic vitamin A stores(P < 0.005).Individuals with hypovitaminosis A had lower BMI and body fat compared with those without this deficiency.There was no association between vitamin A deficiency and its dietary intake,ileal location,presence of disease activity and prior bowel resections.CONCLUSION:Patients with CD have higher prevalence of vitamin A deficiency,as assessed by two independent methods. | Márcia Soares-Mota Tianny A Silva Luanda M Gomes Marco AS Pinto Laura MC Mendon?a Maria Lúcia F Farias Tiago Nunes Andrea Ramalho Cyrla Zaltman | 2015 | World Journal of Gastroenterology2015，21，5： | 4 |
| 4 | Assessing the actual size distribution of atmospheric aerosols collected with a cascade impactor显示文摘 | GOMES L BERGAMETTI G DULAC F | 1990 | J Aerosol Soc1990，21，： | 1 |
| 5 | Resolution of persistent periapical infection by endodontic surgery显示文摘 | Ferreira F B Ferreira A L Gomes B P | 2004 | Int Endod J2004，37，1： | 1 |
| 6 | Selectivity sequence and competitive adsorption of heavy metals by Brazilian soils显示文摘 | Gomes P C Fontes M P F Costa L M | 2001 | Soil Sci Soc Am J2001，65，： | 1 |
| 7 | TODIM: Basics and application to multicriteria ranking of projects with environmental impacts显示文摘 | Gomes L F A M Lima M M P P | 1992 | Foundations of Computing and Decision Sciences1992，16，4： | 1 |
| 8 | Evaluation of Petrology and Reactivity of Coal Blends for Use in Pulverized Coal Injection (PCI) 显示文摘 | Osorio E Ilha Gomes M de L Vilela A C F | 2006 | International Journal of Coal Geology2006，68，12： | 1 |
| 9 | Fluorescence probes used for detection of reactive oxygen species显示文摘 | GOMES A FERNANDES E LIMA J L F C | 2005 | Journal of biochemical and biophysical methods2005，65，2： | 1 |
| 10 | Effect of feeding rate and frequency on tambaqui ( Colossoma macropomum) growth, production and feeding costs during the first growth phase in cages 显示文摘 | Silva C R Gomes L C Brandao F R | 2007 | Aquaculture2007，264，： | 1 |
| 11 | Effect of the addition of ZnO seeds on the electrical properties of ZnO-based varistors显示文摘 | Souza F L Gomes J W Bueno P R | 2003 | Mater Chem Phys2003，80，： | 1 |
| 12 | Enhancement of lindane-induced liver oxidative stress and hepatotoxicity by thyroid hormone is reduced by gadolinium chloride显示文摘 | Simon-Giavarotti K A Giavarotti L Gomes L F | 2002 | J Free Radic Res2002，36，： | 1 |
| 13 | Synthesis and properties of niobium barium phosphate glasses 显示文摘 | MartineUi J R Sene F F Gomes L | 2000 | Journal of Non-Crystalline Solids2000，，： | 1 |
| 14 | Infection,reinfection,and vaccination under suboptimal immune protection:epidemiological perspectives显示文摘 | GOMES M G M WHITE L J MEDLEY G F | 2004 | Theor Biol2004，228，： | 1 |
| 15 | Effect of Microstructural Parameters on the Mechanical Properties of Eutectoid Rail Steels 显示文摘 | GOMES M D G M D F DE ALMEIDA L H GOMES L C F C | 1997 | Materials Characterization1997，39，1： | 1 |
| 16 | Improvement of stallion spermatozoa preservation with alternative cryoprotectants for the Mangalarga Marchador breed 显示文摘 | Gomes G M Jacob J C F Medeiros A S L | 2002 | Theriogenology2002，58，24： | 1 |
| 17 | Preliminary analysis of miRNA pathway in Schistosoma mansoni显示文摘 | Gomes M S Cabral F J Jannotti-Passos L K | 2009 | Parasitol Int2009，58，1： | 1 |
| 18 | Nutritional deficiency in citrus with symptoms of citrus variegated chlorosis disease显示文摘 | SILVA-STENICO M E PACHECO F T H PEREIRA E R RO- DRIGUES J L M SOUZA A N ETCHEGARAY A GOMES J E TSAI S M | 2009 | Brazilian Journal of Biology2009，69，3： | 1 |
| 19 | Dynamic effectof breakup on fusion reactions of weakly bound nuclei 显示文摘 | Canto L F Gomes P R S Lubian J | 2009 | Nuclear Physics A2009，821，： | 1 |
| 20 | Effect of feeding rate and frequency on tambaqui (Colossoma macropomum ) growth, production and feeding costs during the first growth phase in cages 显示文摘 | SILVA C R GOMES L C BRANDAO F R | 2007 | Aquaculture2007，264，： | 1 |
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