Anatomical classification of the shape and topography of the stomach

The aim of the study was to present the classification of anatomical variations of the stomach, based on the radiological and historical data. In years 2006–2010, 2,034 examinations of the upper digestive tract were performed. Normal stomach anatomy or different variations of the organ shape and/or topography without any organic radiologically detectable gastric lesions were revealed in 568 and 821 cases, respectively. Five primary groups were established: abnormal position along longitudinal (I) and horizontal axis (II), as well as abnormal shape (III) and stomach connections (IV) or mixed forms (V). The first group contains abnormalities most commonly observed among examined patients such as stomach rotation and translocation to the chest cavity, including sliding, paraesophageal, mixed-form and upside-down hiatal diaphragmatic hernias, as well as short esophagus, and the other diaphragmatic hernias, that were not found in the evaluated population. The second group includes the stomach cascade. The third and fourth groups comprise developmental variations and organ malformations that were not observed in evaluated patients. The last group (V) encloses mixed forms that connect two or more previous variations

Diagnostic strategy and timing of intervention in infected necrotizing pancreatitis: an international expert survey and case vignette study

AbstractBackgroundThe optimal diagnostic strategy and timing of intervention in infected necrotizing pancreatitis is subject to debate. We performed a survey on these topics amongst a group of international expert pancreatologists.MethodsAn online survey including case vignettes was sent to 118 international pancreatologists. We evaluated the use and timing of fine needle aspiration (FNA), antibiotics, catheter drainage and (minimally invasive) necrosectomy.ResultsThe response rate was 74% (N = 87). None of the respondents use FNA routinely, 85% selectively and 15% never. Most respondents (87%) use a step-up approach in patients with infected necrosis. Walled-off necrosis (WON) is considered a prerequisite for endoscopic drainage and percutaneous drainage by 66% and 12%, respectively. After diagnosing infected necrosis, 55% routinely postpone invasive interventions, whereas 45% proceed immediately to intervention. Lack of consensus about timing of intervention was apparent on day 14 with proven infected necrosis (58% intervention vs. 42% non-invasive) as well as on day 20 with only clinically suspected infected necrosis (59% intervention vs. 41% non-invasive).DiscussionThe step-up approach is the preferred treatment strategy in infected necrotizing pancreatitis amongst expert pancreatologists. There is no uniformity regarding the use of FNA and timing of intervention in the first 2–3 weeks of infected necrotizing pancreatitis

Dependence of the electro-optical properties of polymer dispersed liquid crystals on the photopolymerization process

We have studied the dependence of the electro-optical properties of polymer dispersed liquid crystals ͑PDLC͒ on the ultraviolet ͑UV͒ cure of the solution of monomer and liquid crystal. The kinetics of UV polymerization and its effect on the morphology of the phase separated droplets of liquid crystal determine the switching voltage, response time, and luminance of the PDLC. Using a series of statistically designed experiments, we have mapped the dependence of these responses on the weight fraction of liquid crystal, the temperature of the cell during cure, and light intensity. Temperature and composition are strongly coupled parameters that influence switching voltage, luminance, and response times. Switching voltages are minimized at 4-5 V for an 8 m cell gap over a large region of temperature-composition space. An abrupt transition line occurs through that space. On one side of the transition line, voltage increases linearly either as temperature increases or composition decreases, and on the other side of the line, voltage is constant. Analyses of decay times, the slower response time of the PDLC, show that the times peak along a line of points in temperature-composition space that is close to the transition line for increasing switching voltages. We present these results as contours on the same graphs and relate them to our understanding of the phase separation process in the PDLC mixture