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Medical treatment for a fish bone-induced ileal micro-perforation: A case report 预览
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作者 Chein-Chung Kuo Tsu-Kang Jen +4 位作者 Cheng-Hsin Wen Chih-Ping Liu Hai-Sung Hsiao Yao-Chi Liu Kuan-Ho Chen 《世界胃肠病学杂志:英文版》 SCIE CAS CSCD 2012年第41期5994-5998,共5页
摄取的鱼骨头导致的肠的穿孔很少由于不完全的耐心的历史收进和困难图象证据鉴定外科手术前地被诊断。最,文学建议早外科的干预阻止败血并且复杂并发症源于鱼骨头迁居。我们报导一个 44 岁的人的案例受不了一根鱼骨头导致的尖锐腹部微... 摄取的鱼骨头导致的肠的穿孔很少由于不完全的耐心的历史收进和困难图象证据鉴定外科手术前地被诊断。最,文学建议早外科的干预阻止败血并且复杂并发症源于鱼骨头迁居。我们报导一个 44 岁的人的案例受不了一根鱼骨头导致的尖锐腹部微穿孔。诊断被鱼骨头的成像在远侧的回肠和病人记起的鱼摄取的历史容纳了的计算断层摄影术(CT ) 支持。医疗被选管理病人条件而不是外科的干预。治疗在没有复杂并发症的医院天数字 4 上导致了腹的疼痛的一个完全的决定。影响临床的治疗决定的因素包括性质微穿孔,病人好全面健康状况,和在败血症状前的早诊断发展。微穿孔的工具没有免费空气,化脓的腹膜或脓肿的 CT 证据的肠墙的刺。我们随后考察了文学支持我们的决定追求而不是外科的干预医药。 展开更多
关键词 回肠末端 药物治疗 微穿孔 骨诱导 鱼骨 病例报告 计算机断层扫描 早期诊断
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Effect of water-soluble contrast in colorectal surgery: A prospective randomized trial 预览
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作者 Jia-HuiChen Chung-BaoHsieh +4 位作者 Pei-ChiehChao Hsiao-DungLiu Chung-JuengChen Yao-ChiLiu Jyh-CherngYu 《世界胃肠病学杂志:英文版(电子版)》 SCIE CAS CSCD 2005年第18期2802-2805,共4页
AIM: Postoperative gastrointestinal-tract motility is normally delayed. Early feeding after colorectal surgery has beenreposed recently, but late feeding is common. Gastrografin not only enhances bowel peristalsis, bu... AIM: Postoperative gastrointestinal-tract motility is normally delayed. Early feeding after colorectal surgery has beenreposed recently, but late feeding is common. Gastrografin not only enhances bowel peristalsis, but also decreases bowel-wall edema. Whether contrast medium allows early oral feeding and reduces the duration of hospitalization requires clarification.METHODS: Fifty patients underwent elective colorectal surgery in a regional medical center. Patients were prospectively randomized into a Gastrografin group or control group (n = 25 each). Patients in the Gastrografin group began their feeding schedule with 100 mL of 5% dextrose water with 100 mL of Gastrografin on postoperative d 3 and were advanced to a full liquid diet when the contrast reached the colon in 4 h. Patients in the control group began their feeding schedule with 200 mL of 5% dextrosewater on postoperative d 3 and were advanced to a full liquid diet after the passage of flatus and stool. Nasogastric tubes were inserted for persistent postoperative vomiting. Fullness, nausea, vomiting, complications, time of anesthesia, time of operation, time of mobilization, time of oral feeding, and duration of hospital stay were recorded and analyzed with Student's t-test.RESULTS: In the Gastrografin group, one patient hadaspiration pneumonia and one patient had anastomotic leakage resulting in sepsis and eventual death. This mortality was excluded from the subsequent statistical analysis. In the control group, two patients had wound infections. There was no significant difference between the two groups at the time of anesthesia, time of operation, or time of mobilization. There were significant differences between the two groups in the time of oral feeding (3.3±0.3 d in the Gastrografin group vs4.8±0.4 d in the control group; P = odds ratio--, 95%CI [-0.5 to +0.7 d]) and in the length of hospital stay (7.6±1.1 d in the Gastrografingroup vs10.2±1.3 d in the control group; P = odds ratio--, 95% CI [-1.2 to +1.4 d]).CONCLUSION: Gastrografin not onl 展开更多
关键词 水溶性 结肠手术 直肠手术 术后 肠动力 胃功能
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Small-bowel perforation caused by fish bone 预览
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作者 Sheng-DerHsu De-ChuanChan Yao-ChiLiu 《世界胃肠病学杂志:英文版(电子版)》 SCIE CAS CSCD 2005年第12期1884-1885,共2页
A diagnosis of small-bowel perforation, caused by a sharp or pointed foreign body, is rarely made preoperatively because the clinical symptoms are usually nonspecific and can mimic other surgical conditions, such as a... A diagnosis of small-bowel perforation, caused by a sharp or pointed foreign body, is rarely made preoperatively because the clinical symptoms are usually nonspecific and can mimic other surgical conditions, such as appendicitis and diverticulitis. We report the case of a 62-year-old woman who experienced severe pain in the right iliac fossa and fever for about five days before arrival at our hospital. The presumptive diagnosis was acute purulent appendicitis and an emergency appendectomy was planned. Swelling and erythema were noted in a segment of the small bowel in the lower right abdomen. A tiny pointed object was found penetrating the inflamed portion of the bowel, which proved to be a sharp fish bone (gray snapper). The bone was removed, followed by segmental resection of the terminal ileum and ascending colon. The postoperative course was uneventful. 展开更多
关键词 小肠穿孔 鱼刺 病理机制 手术治疗
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Modulation of human telomerase reverse transcriptase in hepatocellular carcinoma 预览 被引量:8
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作者 Cheng-JuengChen SatoruKyo +5 位作者 Yao-ChiLiu Yeung-LeungCheng Chung-BaoHsieh De-ChuanChan Jyh-CherngYu Horng-JyhHarn 《世界胃肠病学杂志:英文版(电子版)》 SCIE CAS CSCD 2004年第5期638-642,共5页
AIM:Most cancer cells acquire immortal capability by telornerase activation. The human telornerase reverse transcriptase gene (hTERT) is considered to be the major determinant of the enzymatic activity of human telome... AIM:Most cancer cells acquire immortal capability by telornerase activation. The human telornerase reverse transcriptase gene (hTERT) is considered to be the major determinant of the enzymatic activity of human telomerase,and the hTERTpromoter contains several c-lylyc binding sites that mediate hTERTtranscriptional activation. Few studies have examined the role of hTERTin hepatocarcinogenesis,and the relationship between c-Myc and telomerase in human hepatocellular carcinoma tissue is unknown.METHODS:We measured hTERTmRNA levels and c-Myc oncoprotein expression in 57 patients with hepatocellular carcinoma using in situhybridization and immunohistochemistry,respectively. The transcription regulation of hTERT was evaluated by transient transfection of pGL3-1375 into the human hepatocellular carcinoma cell line J5. To determine the relationship between c-Myc and the hTERTpromoter, a 1375-bp DNA fragment encompassing the promoter was placed upstream of the luciferase reporter gene and transiently transfected into the cell line. Two additional hTERT promoter constructs (-776 and -100 bp region) and an hTERT promoter-LUC construct containing 2 c-Myc mutations (pGL3-181 MycMT) were also used for luciferase assays.RESULTS:In 30 of 57 cases (52%), hTERTmRNA expression was associated with c-Myc protein expression. However,16 of 57 cases (28%) showed strong hTERTmRNA detection without c-Myc protein expression, and 11 cases (19%) showed weak hTERTmRNA expression and strong c-Myc expression.Although luciferase activity was decreased between upstream 1375 bp and 776 bp, there was no significant difference between upstream 776 bp and 100 bp. Finally, there was no significant decrease in activity after transfection of the hTERT promoter-LUC construct.CONCLUSION:The results indicate that c-Myc does not play a major role in gene regulation of the catalytic subunit of telomerase (hTERT) in human hepatocellular carcinoma.Other regulatory elements or epigenetic phenomena should be further investigated to understand hTERTgene regulati 展开更多
关键词 肝细胞癌 端粒酶 转录酶 细胞因子 肿瘤病理学 RNA探针
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Accuracy of indocyanine green pulse spectrophotometry clearance test for liver function prediction in transplanted patients 预览 被引量:5
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作者 Chung-BaoHsieh Chung-JuengChen +4 位作者 Teng-WeiChen Jyh-CherngYu Kuo-LiangShen Tzu-MingChang Yao-ChiLiu 《世界胃肠病学杂志:英文版(电子版)》 SCIE CAS CSCD 2004年第16期2394-2396,共3页
AIM: To investigate whether the non-invasive real-time Indocynine green (ICG) clearance is a sensitive index of liver viability in patients before, during, and after liver transplantation.METHODS: Thirteen patients we... AIM: To investigate whether the non-invasive real-time Indocynine green (ICG) clearance is a sensitive index of liver viability in patients before, during, and after liver transplantation.METHODS: Thirteen patients were studied, two before,three during, and eight following liver transplantation, with two patients suffering acute rejection. The conventional invasive ICG clearance test and ICG pulse spectrophotometry non-invasive real-time ICG clearance test were performed simultaneously. Using linear regression analysis we tested the correlation between these two methods. The transplantation condition of these patients and serum total bilirubin (T. Bil), alanine aminotransferase (ALT), and platelet count were also evaluated.CONCLUSION: ICG pulse spectrophotometry clearance is a quick, non-invasive, and reliable liver function test in transplantation patients. 展开更多
关键词 吲哚花青绿 精确性 脉冲 光谱测量清除试验 肝脏功能 肝移植 手术治疗
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Gallbladder contractility and volume characteristics in gallstone dyspepsia 预览 被引量:1
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作者 De-ChuanChan Tzu-MingChang +3 位作者 Cheng-JuengChen Teng-WeiChen Jyh-CherngYu Yao-ChiLiu 《世界胃肠病学杂志:英文版(电子版)》 SCIE CAS CSCD 2004年第5期721-724,共4页
AIM:It is difficult to differentiate gallstone dyspepsia and functional dyspepsia by clinical symptoms and signs. We hypothesized that gallstone dyspepsia was related to abnormal gallbladder motility. We aimed to diff... AIM:It is difficult to differentiate gallstone dyspepsia and functional dyspepsia by clinical symptoms and signs. We hypothesized that gallstone dyspepsia was related to abnormal gallbladder motility. We aimed to differentiate gallstone dyspepsia from functional dyspepsia by measuring gallbladder motility.METHODS: We measured gallbladder volume changes in response to gastric distension (saline 500mL) and fatty meal in 10normal volunteers (controls) and 62 patients with gallstones and dyspepsia before cholecystectomy. Forty cholecystectomized patients were symptom free or had improvement (group I), while the remaining 22 patients had persistent dyspepsia (group Ⅱ). Gallbladder volume change and ejection fraction were analyzed and compared among the three groups.RESULTS:In group I, there were significant decreases in gallbladder volumes 5-25 rain after gastric distension,compared to fasting volumes. Compared to normal volunteers and group Ⅱ, group I had significantly decreased gallbladder volumes 10-20min after drinking 500mL of normal saline and 10 to 50min after eating fatty meal.CONCLUSION:Our results support the hypothesis that increased gallbladder contraction after gastric distension or fatty meal may be related to dyspeptic symptoms in uncomplicated gallstone disease. These findings may be useful in differentiating functional dyspepsia from gallstone dyspepsia, patients with the latter disease may benefit from laparoscopic cholecystectomy. 展开更多
关键词 胆石性消化不良 胆囊收缩性 胆囊容积 腹腔镜胆囊切除术
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Comparison of transcatheter arterial chemoembolization,laparoscopic radiofrequency ablation, and conservative treatment for decompensated cirrhotic patients with hepatocellular carcinoma 预览 被引量:10
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作者 Chung-BaoHsieh Hao-MingChang +6 位作者 Teng-WeiChen Chung-JuengChen De-ChuanChan Jyh-CherngYu Yao-ChiLiu Tzu-MingChang Kuo-LiangShen 《世界胃肠病学杂志:英文版(电子版)》 SCIE CAS CSCD 2004年第4期505-508,共4页
AIM:To compare the therapeutic effect of transcatheter arterial chemoembolization (TACE), laparoscopic radiofrequency ablation (LRFA), and conservative treatment for the therapy of decompensated liver cirrhosis patie... AIM:To compare the therapeutic effect of transcatheter arterial chemoembolization (TACE), laparoscopic radiofrequency ablation (LRFA), and conservative treatment for the therapy of decompensated liver cirrhosis patients with hepatocellular carcinomas (HCC).METHODS:Between October 2000 and July 2003, one hundred patients with histologically proven primary HCC and clinical decompensated liver cirrhosis (Child classification B or C) were included in this study. Forty patients received LRFA (LRFA group), twenty received TACE (TACE group),and forty received conservative treatment (control group).We compared the survival, recurrence, and complication rates in these three groups, making adjustment using the tumor metastastic node staging system.RESULTS:The major complication rate in the TACE group (9/20) was significantly higher than that in the LRFA group (7/40). For patients with TMN stage Ⅱ HCC, the survival rate of the LRFA group was better than that of the TACE and control groups (P=0.003) but the recurrence rates befween the LRFA and TACE groups did not differ.CONCLUSION: The LRFA group of patients had betterclinical outcomes in terms of survival and complication rates in comparison with the TACE group or conservative treatment in patients with decompensated liver cirrhosis, especially in TMN patients with stage Ⅱ HCC. LRFA is thus an appropriate alternative treatment for poor liver function among patientswith HCC. 展开更多
关键词 肝细胞癌 肝硬化 失代偿期 动脉导管化学疗法 腹腔镜射频消融术 保守疗法
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Flame retardant polyamide 6 by in situ polymerization of ε-caprolactam in the presence of melamine derivatives 预览 被引量:2
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作者 Zhi Yong Wu Wei Xu +3 位作者 Jin Kui Xia Yao Chi Liu Qian Xin Wu Wei Jian Xu 《中国化学快报:英文版》 SCIE CAS CSCD 2008年第2期 241-244,共4页
An improved method for preparing melamine cyanurate (MCA) based flame retardant polyamide 6 (FRPA6) materials has been proposed. This processing method, i.e., improved in situ polymerization, was used to synthesize fl... An improved method for preparing melamine cyanurate (MCA) based flame retardant polyamide 6 (FRPA6) materials has been proposed. This processing method, i.e., improved in situ polymerization, was used to synthesize flame retardant PA6. In situ formed MCA nanoparticles were supposed to be linked to PA6 chains in the e-caprolactam hydrolytic polymerization system to obtain star- type polymers for the first time. Through TEM photographs, it can be found that the in situ formed MCA nanoparticles with diametric size of less than 50 nm, are nanoscaled, highly uniformly dispersed in the PA6 matrix. Synthesized ?ame retardant PA6 have good fire performance which can achieve UL-94 V-0 rating at 1.6 mm thickness with the presence of 7.34 wt.% MCA in the matrix. 展开更多
关键词 聚酰胺6 三聚氰胺 氰尿酸酯 乳酸
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