We recruited 30 patients between 18 and 80 years who were started on aspirin and clopidogrel following percutaneous coronary intervention with drug-eluting stents. We hypothesized that the 3 months of dual antiplatelet therapy would be associated with frequent upper gastrointestinal endoscopic abnormalities. Patients
were followed with weekly phone calls to inquire about the new gastrointestinal symptoms and after click here a minimum of 80 days, their upper gastrointestinal mucosa Was Visualized with PillCam ESO (R) wireless capsule endoscopy. 18 (90%) of the 20 Successful wireless capsule endoscopies revealed at least I type of gastrointestinal mucosal lesion. Gastric erosions (n = 14, 70%) were the most common abnormality. We believe this is the first noninvasive endoscopic study of gastrointestinal
complications of dual antiplatelet therapy in patients who undergo percutaneous coronary intervention with drug-eluting stents. Future studies should expand on our observations to determine whether prophylaxis with proton pump inhibitors is warranted.”
“Background: Reduced bone mineral density (BMD) is common in end-stage renal disease (ESRD) patients and predicts outcomes. The chronic kidney disease-mineral bone disorder contributes to low BMD in ESRD; however, the impact of classical risk factors for osteoporosis in the general population, such as body weight and fat mass, remains less well defined in ESRD subjects.
Methods: BMD, body composition (dual-energy X-ray absorptiometry), nutritional status (subjective www.selleckchem.com/products/cbl0137-cbl-0137.html global assessment), hand grip strength and multiple biomarkers were investigated in 361 patients (218 males; 60.4%) starting on dialysis. The relations between BMD, body composition and biomarkers were analyzed at baseline, and the impact of BMD on mortality was analyzed prospectively.
Results: In univariate analysis, T-score VX-809 research buy correlated with fat mass (r = 0.308,
p<0.001), lean body mass (r = 0.278, p<0.001), leptin (r = 0.124, p = 0.028) as well as the anabolic marker insulin-like growth factor-1 (IGF-1; r = 0.301, p<0.001), and its binding proteins IGFBP-1 (r = -0.342, p<0.001) and IGFBP-3 (0.231, p<0.001). BMD T-score was independently associated with age, total fat mass, intact parathyroid hormone and presence of wasting. During 5 years of follow-up, 87 deaths were recorded. Each unit of increase of T-score was associated with decreased all-cause mortality, which persisted after multivariate adjustment (hazard ratio = 0.824, 95% confidence interval, 0.681-0.996).
Conclusions: BMD is associated with body composition, especially total fat mass, nutritional status and mortality risk in ESRD patients.”
We aimed to review the pain management in 100 episodes of severe mucositis in children and determine the incidence of associated side effects.