Gastric ulcer: is endoscopy always necessary?

Gastric ulcer: is endoscopy always necessary?

Crucial to the management of gastric ulceration is the accurate distinction between benign and malignant lesions. Controversy continues over how this should be achieved, the conclusion from a recent retrospective study' being that all gastric ulcers should be assessed endoscopically and tissue obtained for histological diagnosis by means of multiple biopsy and brush cytology. Good-quality doubl...

Short stay in general intensive care units: is it always necessary?

  Background: There are challenges ahead of short-term hospitalization of low-risk patients hospitalized only for monitoring of severe disease who may die soon after admission. The purpose of this study was to suggest strategies for the management of ICU stay lengths and to ensure optimal use of ICU resources.   Methods: The study was conducted retrospectively on 246 patients admitted to 9 gene...

High miss rate for gastric superficial cancers at endoscopy: what is necessary for gastric cancer screening and surveillance using endoscopy?

Is surgery always necessary in rectal cancer?

Rectal cancer is a major health problem around the world, representing about one-third of the total colorectal cancer cases. Because of its anatomical location, there is a higher risk of local recurrence, and treatment often requires a complex multidisciplinary approach which includes neoadjuvant radiotherapy, chemotherapy, and a radical surgical procedure that commonly leads to a permanent col...

Hypoadrenalism following trauma: is sepsis always necessary?

PURPOSE OF THE STUDY Trauma patients can exhibit the systemic inflammatory response syndrome (SIRS) without evidence of infection. SIRS from infection has been associated with hypoadrenalism. We hypothesized that hypoadrenalism can accompany SIRS from trauma without infection. To investigate this further, we performed a retrospective study of trauma patients admitted to the ICU at our rural aca...