The Experts below are selected from a list of 1920 Experts worldwide ranked by ideXlab platform

Stephanie Misono - One of the best experts on this subject based on the ideXlab platform.

  • Carbon dioxide laser versus stapler-assisted endOscopic Zenker's diverticulotomy: a systematic review and meta-analysis.
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2014
    Co-Authors: Noah P. Parker, Stephanie Misono
    Abstract:

    To evaluate outcomes following endOscopic management of Zenker's diverticula using a carbon dioxide laser (CO2) or stapler-assisted technique, a systematic review and meta-analysis were conducted. Seven retrOspective, uncontrolled case series including 391 procedures met selection criteria. No higher quality studies were identified. Outcomes favoring the stapler technique included a shorter duration of Nil Per Os (NPO) status (2 studies), length of hOspitalization (LOH, 2 studies), and fewer pOstoPerative fevers and abnormal chest x-rays (1 study). Outcomes favoring the CO2 technique included greater improvement in pOstoPerative dysphagia and regurgitation scores (2 studies) and a lower revision rate (1 study). Meta-analysis demonstrated increased nondental complications in the CO2 group (odds ratio 3.81; 95% confidence interval, 1.37-10.59; P = .01) but no difference in duration of NPO (P = .06), LOH (P = .07), overall complications (P = .08), dental complications (P = .57), major complications (P = .38), or revision surgery (P = .82). Implications are limited by the quality of studies identified.

  • carbon dioxide laser versus stapler assisted endOscopic zenker s diverticulotomy a systematic review and meta analysis
    Otolaryngology-Head and Neck Surgery, 2014
    Co-Authors: Noah P. Parker, Stephanie Misono
    Abstract:

    To evaluate outcomes following endOscopic management of Zenker’s diverticula using a carbon dioxide laser (CO2) or stapler-assisted technique, a systematic review and meta-analysis were conducted. Seven retrOspective, uncontrolled case series including 391 procedures met selection criteria. No higher quality studies were identified. Outcomes favoring the stapler technique included a shorter duration of Nil Per Os (NPO) status (2 studies), length of hOspitalization (LOH, 2 studies), and fewer pOstoPerative fevers and abnormal chest x-rays (1 study). Outcomes favoring the CO2 technique included greater improvement in pOstoPerative dysphagia and regurgitation scores (2 studies) and a lower revision rate (1 study). Meta-analysis demonstrated increased nondental complications in the CO2 group (odds ratio 3.81; 95% confidence interval, 1.37-10.59; P = .01) but no difference in duration of NPO (P = .06), LOH (P = .07), overall complications (P = .08), dental complications (P = .57), major complications (P = .38)...

  • CO2 Laser versus Stapler-Assisted EndOscopic Zenker’s Diverticulotomy: A Systematic Review:
    Otolaryngology–Head and Neck Surgery, 2013
    Co-Authors: Noah P. Parker, Stephanie Misono
    Abstract:

    Objectives:To evaluate outcomes following endOscopic Zenker’s diverticulotomy using a carbon dioxide (CO2) laser or stapler-assisted technique.Methods:Systematic review and meta-analysis of retrOspective studies comparing CO2 laser and stapler-assisted endOscopic Zenker’s diverticulotomy were Performed. PubMed, Scopus (Embase), and United States and United Kingdom clinical trial registries were searched. References were crOss-checked.Results:No randomized controlled trials were identified. Six studies were included: 2 retrOspective reviews of consecutive patients, 3 retrOspective reviews with unknown consecutive status, and 1 case series totaling 379 procedures (219 laser, 160 stapler). Individual study outcomes favoring the stapler technique included a shorter duration of Nil Per Os (NPO) status and hOspital stay (4 studies), as well as fewer pOstoPerative fevers and abnormal chest x-rays (1 study). Individual study outcomes favoring the laser technique included greater improvement in pOstoPerative dysph...

Noah P. Parker - One of the best experts on this subject based on the ideXlab platform.

  • Carbon dioxide laser versus stapler-assisted endOscopic Zenker's diverticulotomy: a systematic review and meta-analysis.
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2014
    Co-Authors: Noah P. Parker, Stephanie Misono
    Abstract:

    To evaluate outcomes following endOscopic management of Zenker's diverticula using a carbon dioxide laser (CO2) or stapler-assisted technique, a systematic review and meta-analysis were conducted. Seven retrOspective, uncontrolled case series including 391 procedures met selection criteria. No higher quality studies were identified. Outcomes favoring the stapler technique included a shorter duration of Nil Per Os (NPO) status (2 studies), length of hOspitalization (LOH, 2 studies), and fewer pOstoPerative fevers and abnormal chest x-rays (1 study). Outcomes favoring the CO2 technique included greater improvement in pOstoPerative dysphagia and regurgitation scores (2 studies) and a lower revision rate (1 study). Meta-analysis demonstrated increased nondental complications in the CO2 group (odds ratio 3.81; 95% confidence interval, 1.37-10.59; P = .01) but no difference in duration of NPO (P = .06), LOH (P = .07), overall complications (P = .08), dental complications (P = .57), major complications (P = .38), or revision surgery (P = .82). Implications are limited by the quality of studies identified.

  • carbon dioxide laser versus stapler assisted endOscopic zenker s diverticulotomy a systematic review and meta analysis
    Otolaryngology-Head and Neck Surgery, 2014
    Co-Authors: Noah P. Parker, Stephanie Misono
    Abstract:

    To evaluate outcomes following endOscopic management of Zenker’s diverticula using a carbon dioxide laser (CO2) or stapler-assisted technique, a systematic review and meta-analysis were conducted. Seven retrOspective, uncontrolled case series including 391 procedures met selection criteria. No higher quality studies were identified. Outcomes favoring the stapler technique included a shorter duration of Nil Per Os (NPO) status (2 studies), length of hOspitalization (LOH, 2 studies), and fewer pOstoPerative fevers and abnormal chest x-rays (1 study). Outcomes favoring the CO2 technique included greater improvement in pOstoPerative dysphagia and regurgitation scores (2 studies) and a lower revision rate (1 study). Meta-analysis demonstrated increased nondental complications in the CO2 group (odds ratio 3.81; 95% confidence interval, 1.37-10.59; P = .01) but no difference in duration of NPO (P = .06), LOH (P = .07), overall complications (P = .08), dental complications (P = .57), major complications (P = .38)...

  • CO2 Laser versus Stapler-Assisted EndOscopic Zenker’s Diverticulotomy: A Systematic Review:
    Otolaryngology–Head and Neck Surgery, 2013
    Co-Authors: Noah P. Parker, Stephanie Misono
    Abstract:

    Objectives:To evaluate outcomes following endOscopic Zenker’s diverticulotomy using a carbon dioxide (CO2) laser or stapler-assisted technique.Methods:Systematic review and meta-analysis of retrOspective studies comparing CO2 laser and stapler-assisted endOscopic Zenker’s diverticulotomy were Performed. PubMed, Scopus (Embase), and United States and United Kingdom clinical trial registries were searched. References were crOss-checked.Results:No randomized controlled trials were identified. Six studies were included: 2 retrOspective reviews of consecutive patients, 3 retrOspective reviews with unknown consecutive status, and 1 case series totaling 379 procedures (219 laser, 160 stapler). Individual study outcomes favoring the stapler technique included a shorter duration of Nil Per Os (NPO) status and hOspital stay (4 studies), as well as fewer pOstoPerative fevers and abnormal chest x-rays (1 study). Individual study outcomes favoring the laser technique included greater improvement in pOstoPerative dysph...

Catherine M Crill - One of the best experts on this subject based on the ideXlab platform.

  • evaluation of parenteral nutrition associated liver disease in infants with necrotizing enterocolitis before and after the implementation of feeding guidelines
    Nutrition in Clinical Practice, 2014
    Co-Authors: Emma M Tillman, Johanna L Norman, Eunice Y Huang, Linda F Lazar, Catherine M Crill
    Abstract:

    Background: In 2009, an intestinal rehabilitation team implemented feeding guidelines for infants following gastrointestinal surgery at our institution. The purpOse of this study was to determine the effect of enteral feeding guidelines on the incidence of parenteral nutrition (PN)–associated liver disease (PNALD) in infants with surgically managed necrotizing enterocolitis (NEC). Methods: This retrOspective study included infants treated during 18-month time Periods before and after the implementation of feeding guidelines. PNALD diagnOsis was based on serum direct bilirubin >2 mg/dL after ≥14 days of PN expOsure. Results: Of the 140 infants identified, 64 were surgically managed and included in the analysis. The duration of PN and the time Nil Per Os (NPO) were significantly reduced after guideline implementation from a median of 106 days to 65 days (P = .03) and from 29 days to 16 days (P = .02), respectively. The incidence of PNALD decreased from 73% before guideline implementation to 42% after guidel...

  • Evaluation of Parenteral Nutrition–Associated Liver Disease in Infants With Necrotizing Enterocolitis Before and After the Implementation of Feeding Guidelines
    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2014
    Co-Authors: Emma M Tillman, Johanna L Norman, Eunice Y Huang, Linda F Lazar, Catherine M Crill
    Abstract:

    Background: In 2009, an intestinal rehabilitation team implemented feeding guidelines for infants following gastrointestinal surgery at our institution. The purpOse of this study was to determine the effect of enteral feeding guidelines on the incidence of parenteral nutrition (PN)–associated liver disease (PNALD) in infants with surgically managed necrotizing enterocolitis (NEC). Methods: This retrOspective study included infants treated during 18-month time Periods before and after the implementation of feeding guidelines. PNALD diagnOsis was based on serum direct bilirubin >2 mg/dL after ≥14 days of PN expOsure. Results: Of the 140 infants identified, 64 were surgically managed and included in the analysis. The duration of PN and the time Nil Per Os (NPO) were significantly reduced after guideline implementation from a median of 106 days to 65 days (P = .03) and from 29 days to 16 days (P = .02), respectively. The incidence of PNALD decreased from 73% before guideline implementation to 42% after guidel...

Sean Ervin - One of the best experts on this subject based on the ideXlab platform.

  • Association of NPO Status and Type of Nutritional Support on Weight and Length of Stay in Infants HOspitalized With Bronchiolitis
    Hospital pediatrics, 2013
    Co-Authors: Elizabeth E. Halvorson, Nicole Chandler, Rebecca H. Neiberg, Sean Ervin
    Abstract:

    Objectives: We investigated the association of Nil Per Os (NPO) status and subsequent nutritional support with patient weight and length of stay (LOs) during admission for bronchiolitis in patients Methods: A retrOspective chart review was Performed of all patients Results: The study included 149 patients. The mean ± SD patient age was 3.7 ± 3.8 months, with a median age of 2 months. The median length of stay was 4 days (interquartile range: 3–6). Overall, 16% of patients were made NPO, 75% received intravenous fluids, and 9% received enteral tube feedings. The mean weight lOss for all patients was 38 (289) g during the hOspitalization, which was not statistically significant. No significant association was found between weight lOss and LOs, Per Os/NPO status, or use of intravenous fluids. However, NPO status was associated with a significant increase in LOs. Conclusions: The infants admitted for bronchiolitis did not demonstrate weight lOss in this study; however, an association was seen between NPO status and prolonged LOs.

Joseph D. Tobias - One of the best experts on this subject based on the ideXlab platform.

  • Utility of gastric ultrasound in evaluating Nil Per Os status in a child
    Saudi Journal of Anaesthesia, 2021
    Co-Authors: Dolly M. Munlemvo, Alok Moharir, Yoshikazu Yamaguchi, Sarah Khan, Joseph D. Tobias
    Abstract:

    Although rare, the aspiration of gastric contents can lead to significant morbidity or even mortality in pediatric patients receiving anesthetic care. For elective cases, routine preoPerative practices include the use of standard Nil Per Os times to decrease the risk of aspiration. However, patients may fail to adhere to provided NPO guidelines or other patient factors may impact the efficacy of standard NPO times. Gastric point-of-care ultrasound provides information on the volume and quality of gastric contents and may allow improved patient management strategies. We present a 4-year-old patient who presented for bilateral myringotomy with tympanOstomy tube insertion, who was found to have evidence of a full stomach during preoPerative gastric ultrasound examination. The use of preoPerative gastric point-of-care ultrasound in evaluating stomach contents and confirming NPO times is reviewed and its application to PerioPerative practice discussed.

  • Point-of-Care Gastric Ultrasound in a Pediatric Patient After Bowel Preparation: A Case Report.
    Clinical and experimental gastroenterology, 2020
    Co-Authors: Yoshikazu Yamaguchi, Alok Moharir, Steven P Zadora, Colleen B. Flahive, John M. Russo, Gregory S Maves, Joseph D. Tobias
    Abstract:

    Polyethylene glycol electrolyte solutions (PEG, NuLYTELY®) are widely used to prepare the GI tract before colonOscopy or barium enema examinations. Although PEG appears as a clear liquid, the optimal interval for sedation or general anesthesia after the last administration of these solutions is unclear and controversial in the anesthetic literature. We present a 3-year-old patient with intermittent bloody stools who required anesthetic care for esophagogastroduodenOscopy (EGD) and colonOscopy. Given the controversial Nil Per Os time with the use of PEG-containing solutions, point-of-care gastric ultrasound was Performed to evaluate gastric contents and gastric volume before the induction of anesthesia.