Update of complications and functional outcome of the ileo-pouch anal anastomosis: overview of evidence and meta-analysis of 96 observational studies

Item does not contain fulltextOBJECTIVE: The objective of this study is to provide a comprehensive update of the outcome of the ileo-pouch anal anastomosis (IPAA). DATA SOURCES: An extensive search in PubMed, EMBASE, and The Cochrane Library was conducted. STUDY SELECTION AND DATA EXTRACTION: All studies published after 2000 reporting on complications or functional outcome after a primary open IPAA procedure for UC or FAP were selected. Study characteristics, functional outcome, and complications were extracted. DATA SYNTHESIS: A review with similar methodology conducted 10 years earlier was used to evaluate developments in outcome over time. Pooled estimates were compared using a random-effects logistic meta-analyzing technique. Analyses focusing on the effect of time of study conductance, centralization, and variation in surgical techniques were performed. RESULTS: Fifty-three studies including 14,966 patients were included. Pooled rates of pouch failure and pelvic sepsis were 4.3% (95% CI, 3.5-6.3) and 7.5% (95% CI 6.1-9.1), respectively. Compared to studies published before 2000, a reduction of 2.5% was observed in the pouch failure rate (p = 0.0038). Analysis on the effect of the time of study conductance confirmed a decline in pouch failure. Functional outcome remained stable over time, with a 24-h defecation frequency of 5.9 (95% CI, 5.0-6.9). Technical surgery aspects did not have an important effect on outcome. CONCLUSION: This review provides up to date outcome estimates of the IPAA procedure that can be useful as reference values for practice and research. It is also shows a reduction in pouch failure over time.1 juli 201

Monte Carlo modelling of Germanium detectors for the measurement of low energy photons in internal dosimetry:Results of an international comparison

This communication summarizes the results concerning the Monte Carlo (MC) modelling of Germanium detectors for the measurement of low energy photons arising from the “International comparison on MC modelling for in vivo measurement of Americium in a knee phantom” organized within the EU Coordination Action CONRAD (Coordinated Network for Radiation Dosimetry) as a joint initiative of EURADOS working groups 6 (computational dosimetry) and 7 (internal dosimetry). MC simulations proved to be an applicable way to obtain the calibration factor that needs to be used for in vivo measurements

Monte Carlo modelling for the in vivo lung monitoring of enriched uranium: Results of an international comparison

In order to assess the reliability of Monte Carlo (MC)-based numerical calibration of in vivo counting systems the EURADOS network supported a comparison of MC simulation of well-defined experiments. This action also provided training for the use of voxel phantoms. In vivo measurements of enriched uranium in a thoracic phantom have been carried out and the needed information to simulate these measurements was distributed to 17 participants. About half of the participants managed to simulate the measured counting efficiency without support from the organisers. Following additional support all participants managed to simulate the counting efficiencies within a typical agreement of ±5% with experiment. © 2012 Elsevier Ltd. All rights reserved