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Biomedical subjects

R A Rankin

Publications and source records attributed to R A Rankin.

11 recordsLinked to original sources

Stricture location in Barrett's esophagus.

Twenty-eight patients with Barrett's esophagus were studied and strictures were present in 13. Two strictures were malignant. Of the 11 benign strictures, six were located at the squamocolumnar junction, while five were located below the squamocolumnar junction. Contrary to previous reports, benign esophageal strictures often occur below the squamocolumnar junction in patients with Barrett's esophagus.

Adenocarcinoma↗

Value of peritoneoscopy for nonfunctioning continuous ambulatory peritoneal dialysis catheters.

We examined our results in restoring continuous ambulatory peritoneal dialysis (CAPD) catheter function via peritoneoscopy in 10 procedures performed on nine patients. Malfunction was caused by the catheter being encased in adhesions, being buried in small bowel, or being wrapped and occluded in omentum. In five of these cases we were successful in restoring catheter patency, thereby allowing immediate reinstitution of dialysis. Neither previous abdominal surgeries nor the length of time the catheter had been in place prior to malfunction appeared to be predictive for the cause of malfunction or the success of peritoneoscopic manipulation. We found outpatient peritoneoscopy to be safe and cost effective. We recommend it as the initial procedure to restore patency to malfunctioning CAPD catheters after conservative therapy has failed.

Adult↗

Survey: use of clear and full liquid diets with or without commercially produced formulas.

A survey of hospital dietitians was taken to determine the usage of clear and full liquid diets in the United States. All of the 299 who responded had these diets in their hospital manuals. Clear liquid diets in 82.3% of the hospitals provided less than 1000 kcal/day, while 27% of full liquid diets contained less than 1500 kcal/day. Both diets were usually taken for 3 or less days. Nearly 75% of those responding rarely used commercially prepared formulas with clear liquid diets whereas commercial formulas were often given with full liquid diets. Higher kilocalories per day are provided when these liquid diets are supplemented with commercial formulas. Prescribing foods only because they are liquid or liquify at room temperature regardless of their osmolarity or kilocalories has little rationale. The addition and/or substitution of newer commercially prepared formulas is suggested.

Dietary Services↗