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Surgery for oesophageal cancer can be performed by either an open approach or minimally invasively approach using laparoscopy

Mutation of IDH1 and IDH2 genes may be associated with metabolic reprogramming by endorsing the conversion of -ketoglutarate to 2-hydroxyglutarate, an oncometabolite

others stagger them throughout the week

These include: Sodium, potassium and urea (alternate days if on IV fluids) LFTs, glucose (weekly) TFTs and calcium if vomiting is persistent FBC to exclude infection Daily urinalysis to monitor change in ketotic state MSU Pelvic ultrasound to assess for multiple birth and exclude a hydatidiform mole or other gynaecological pathology causing vomiting and abdominal pain, for example, ovarian cyst Section 3: Managing the condition The mainstay of treatment is to correct hypovolaemia and prevent complications

Optimal conditions need to be established for each line based on our previously established protocol 5,6,7,8

Out of these, BRs belong to a group of phytohormones which controls various biological processes, including HMs and broad range of environmental stresses