The therapeutic options are multiple and related to the size of the communication, the location of the cyst, and the experience of the hepatobiliary surgeon. ERCP is now an important tool for the treatment of the communication between the cyst and the biliary tree.”
“Objective.

Many approaches to treatment of frozen shoulder, or adhesive capsulitis, including use of steroid injections, provide only short-term relief. We present a method for pulsed mode radiofrequency (PRF) lesioning of the suprascapular nerve using ultrasound guidance

in patients with severe pain from frozen shoulder.

Design.

Patients with frozen shoulder were treated by using real-time, high-resolution ultrasound guidance to facilitate PRF lesioning of the suprascapular nerve.

Setting and Patients.

Two patients with frozen www.selleckchem.com/products/wh-4-023.html shoulder of a tertiary hospital were reported.

Measures.

Pain intensity and shoulder movement before and after BI-D1870 procedure were recorded.

Results.

In the two cases presented, both patients experienced pain relief and increased shoulder flexibility for 5-6 months.

Conclusion.

Ultrasound can not only quickly and effectively identify the suprascapular notch and nerve, but also helps the operator manipulate and advance the needle to a more precise position.”
“Objective To develop and document for clinical use a new HRQoL questionnaire for the assessment

of active chronic otitis media.

Study Design Two-center prospective correlational study.

Setting PHA-848125 inhibitor Two otology referral centers in England.

Patients Fifty consecutive adult

patients with a history of active chronic otitis media.

Results Consistency criteria (Cronbach’s alpha) and first principle component loadings showed satisfactory scoring with 11 of the original 12 items. A single factor was obtained correlating highly with simple unweighted scoring.

Conclusion Sufficient consistency and initial validity information was obtained from patients with a history of active chronic otitis media to justify clinical use of the reduced item set and acquisition of further data to refine scoring.”
“Sphincter of Oddi dysfunction (SOD) is a benign pathological syndrome. The clinical manifestations may be a consequence of an anatomical stenosis or sphincter dysmotility. Manometry is invasive and has an associated morbidity. Non-invasive investigations have been evaluated to ameliorate risk but have unknown efficacy. The review aims to critically appraise current evidence for the diagnosis and management of SOD.

A systematic review of articles containing relevant search terms was performed.

Manometry is the current gold standard in selecting which patients are likely to benefit from endoscopic sphincterotomy (ES). It can, however, be misleading. Several non-invasive investigations were identified. These have poor sensitivities and specificities compared to manometry. There is a paucity of data examining the investigation’s specific ability to select patients for ES.