\n\nFrom January 2002 to December 2007, we retrospectively studied 197 consecutive patients with pancreatic cancer. MDCT was performed on 192 patients prior to preoperative visceral angiography; 153 patients underwent CTAP + CTHA at the time of preoperative angiography.\n\nLiver metastases were identified in 39 patients by means of

MDCT. Of the 153 patients who had no evidence of liver metastases on MDCT, 129 patients underwent CTAP + CTHA, and 53 of these 129 patients (41.1%) were diagnosed as having liver metastases that could not be detected by MDCT. These tumors missed by MDCT ranged from 3 to 15 mm in size. On CTAP + CTHA, a solitary nodule in the liver was detected in 11 patients, 2 nodules were detected in 6 patients, 3 lesions were detected in 2 patients, and a parts per thousand 4 lesions selleck compound were detected in 34 patients. The sensitivity and specificity of CTAP + CTHA versus MDCT were 94.2 versus 48.4% and 82.7 versus 97.9%, respectively.\n\nThe combination of CTAP and CTHA is useful to confirm liver metastases and can potentially offer more accurate staging of pancreatic cancer compared with MDCT.”
“To determine the effect of trans-anastomotic tube (TAT) feeding on outcome following repair of congenital

duodenal obstruction (CDO).\n\nRetrospective comparative study of all infants with CDO over 10 years. Data are median (range). Mann-Whitney U test and Fisher’s exact EPZ5676 manufacturer test were used.\n\nOf 55 infants with CDO (48 atresia, 7 stenosis), 17 were managed with a TAT, 38 without. Enteral feeds were commenced earlier in infants with a TAT compared to those without (TAT 2 days post-repair [1-4] vs. no-TAT 3 days post-repair [1-7]; p = 0.006). Infants with a TAT achieved full enteral feeds significantly sooner than those without (TAT 6 days post-repair [2-12] vs. no-TAT 9 days post-repair [3-36]; p = 0.005). Significantly fewer infants in the TAT group required central venous catheter (CVC) placement and parenteral

nutrition (PN) than selleck screening library in the no-TAT group (TAT 2/17 vs. no-TAT 28/38, p < 0.0001). There were six CVC-related complications (5 infections, 1 PN extravasation) and four TATs became displaced and were removed before achieving full enteral feeds. One infant with a TAT with trisomy 21 and undiagnosed Hirschsprung disease developed an anastomotic leak and jejunal perforation requiring re-operation.\n\nA TAT significantly shortens time to full enteral feeds in infants with CDO significantly reducing the need for central venous access and PN.”
“Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system. The observed type of heredity associated with MS is characteristic of polygenic diseases, which arises from a joint contribution of a number of independently acting or interacting polymorphic genes.