Peter W Waterland

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BACKGROUND Temporary defunctioning ileostomy can reduce the consequences of anastomotic leak following low anterior resection. However, some patients never have their ileostomy reversed and in other cases the time to reversal of ileostomy can be delayed. The aim of this study was to identify the ileostomy closure rate following anterior resection, time to(More)
C-reactive protein (CRP) has proven to be a useful adjunct in early diagnosis of anastomotic leak (AL) after colorectal surgery. It would be of considerable value to examine whether modality of surgery has influence upon postoperative CRP serum levels and their predictive value in the diagnosis of AL. All patients undergoing elective colorectal surgery with(More)
AIM To perform a systematic review and meta-analysis on post-operative complications after surgery for Crohn's disease (CD) comparing biological with no therapy. METHODS PubMed, Medline and Embase databases were searched to identify studies comparing post-operative outcomes in CD patients receiving biological therapy and those who did not. A meta-analysis(More)
A 73-year-old man was admitted with symptoms of large bowel obstruction. An emergency CT scan revealed pneumobilia and large bowel obstruction at the level of the rectosigmoid due to a 4×4 cm impacted gallstone. Flexible sigmoidoscopy confirmed the diagnosis but initial attempts to drag the stone into the rectum failed. An endoscopic mechanical lithotripter(More)
OBJECTIVE This study aimed to determine what effect environmental noise has upon the psychological and physiological stress response of medical students during simulated laparoscopic surgery. MATERIALS AND METHODS An anonymous cohort of medical students were randomized into 2 arms and performed a laparoscopic task on a simulator. The "control" group(More)
s / Clinical Nutrition ESPEN 12 (2016) e30ee59 e32 OR06. LARGE-SCALE IMPLEMENTATION OF BEST PRACTICES: PRELIMINARY RESULTS OF A CLUSTER RANDOMISED CONTROLLED TRIAL OF THE ENHANCED RECOVERY AFTER SURGERY PATHWAY Jeanny J. De Groot , Jos e M. Maessen , Brigitte F. Slangen , Trudy van der Weijden . Department of Family Medicine, Maastricht University,(More)
A 60-year-old farmer was admitted with symptoms and signs suggestive of appendicitis. The diagnosis was confirmed at open appendicectomy where the appendix base was ligated and inverted into the caecum with a purse-string suture. Following an uneventful recovery and discharge, a barium enema identified a 2 cm filling defect in the caecal pole. A subsequent(More)
This study investigates the effectiveness of preoperative very low-calorie diet (VLCD) in laparoscopic cholecystectomy. A prospective observational study of consecutive patients undergoing laparoscopic cholecystectomy was undertaken. At the preoperative visit, all patients were advised to adhere to VLCD for 2 weeks before surgery (<800 kcal/d). Patients(More)