Background & Aims Esophageal endoscopic submucosal dissection (ESD) can be challenging, and technique innovation is needed to make it easier perform, especially in the West, where experience procedure volumes are less. The loose esophageal submucosa allows easy entry of entire ceramic tip an insulated-tip (IT) knife, allowing electrocautery blade dissect submucosa, while protects muscle layer. ...

BACKGROUND Anastomotic stricture is a complex and substantial complication following Roux-en-Y hepaticojejunostomy. Initially, endoscopic and percutaneous approaches are often attempted, but the gold standard remains surgical biliary reconstruction, especially for refractory stricture. However, this solution leaves much room for improvement, due to the challenging nature of the biliary reconstr...

Background and Objectives To introduce cold-knife dissection with adjunctive suction cauterization (CDASC) technique for pediatric adenotonsillectomy to evaluate the advantages of this through short long-term follow-up results.Subjects Method Enrolled in study were 492 subjects a mean age 6.5 years, who underwent via CDASC technique. Surgical outcomes evaluated postoperative bleeding rate, days...

AIM To probe into problems existing in gamma knife treatment of ophthalmic branch of primary trigeminal neuralgia (TN), and propose a safe and effective solution to the problem. METHODS Through sorting the literature reporting gamma knife treatment of refractory TN in recent years, this article analyzed the advantages and problems of gamma knife treatment of primary TN, and proposed reasonabl...

Docking by knife or elastrator had no sustained effect on growth of lambs 0 to 8 wk postpartum. However, during the 2 wk period postdocking, growth of lambs was limited or depressed, regardless of whether lambs were docked by knife at 14, 28 or 42 d of age. Blood hematocrit and hemoglobin were decreased (P less than .01) 1 d after docking by knife and 14 d after docking by elastrator. Neither m...

Trigeminal neuralgia (TN) is a condition involving oro-facial pain that causes patients to suffer and significantly impacts their quality of life. TN can generally be classified into three categories: classical, secondary, idiopathic. Among these, secondary TN, which accounts for approximately 15% cases, attributed identifiable neurologic diseases such as tumors multiple sclerosis. Although the...