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Simplified Technique for Excision of Metastasizing Leiomyoma of Suprahepatic Inferior Vena Cava with Intracardiac Extension

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Open Journal of Thoracic Surgery 2012年第3期2卷 87-89页

作者： anas sarraj Pablo Alvarez Paloma Corbaton José-Manuel Nuche Department of Cardiovascular Surgery Pathology Hospital Universitario de La Princesa Universidad Autónoma de Madrid Madrid Spain

Uterine leiomyoma may metastasize via intravascular to the right heart cavities several years after hysterectomy. The symptoms are usually produced by compression of the tissues beside. We describe a simplified technique for excision of a benign metastasizing leiomyoma of suprahepatic segment of inferior vena cava with intracardiac extension.

关键词： Cardiac-General Xtracorporeal Circulation Minimal Invasive Surgery

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Simplified Technique for Excision of Metastasizing Leiomyoma of Suprahepatic Inferior Vena Cava with Intracardiac Extension

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Open Journal of Thoracic Surgery（胸外科期刊） 2012年第3期

作者： anas sarraj Pablo Alvarez Paloma Corbaton José-Manuel Nuche

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Updated bone mineral density status in Saudi patients with inflammatory bowel disease

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World Journal of Gastroenterology 2020年第35期26卷 5343-5353页

作者： Mohammed Ewid Nawaf Al Mutiri Khalid Al Omar Amal N Shamsan Awais A Rathore Nazmus Saquib anas Salaas Omar Al sarraj Yaman Nasri Ahmed Attal Abdulrahman Tawfiq Hossam Sherif Internal Medicine Department College of MedicineSulaiman Al Rajhi UniversityBukairyah 51941Al-QassimSaudi Arabia Internal Medicine Department Faculty of MedicineCairo UniversityCairo 11562Egypt Gastroenterology Department King Fahad Specialist HospitalBuraidah 52366Al-QassimSaudi Arabia Epidemiology Department College of MedicineSulaiman Al Rajhi UniversityBukairyah 51941Al-QassimSaudi Arabia Medical students College of MedicineSulaiman Al Rajhi UniversityBukairyah 51941Al-QassimSaudi Arabia Critical Care Medicine Department College of MedicineSulaiman Al Rajhi UniversityBukairyah 51941Al-QassimSaudi Arabia Critical Care Medicine Department Faculty of MedicineCairo UniversityCairo 11562Egypt

BACKGROUND Little is known about inflammatory bowel disease(IBD)burden and its impact on bone mineral density(BMD)among adult patients in Saudi *** the best of our knowledge,our study is the only study to give an update about this health problem in adult Saudi patients with *** is a great risk factor for reduced BMD due to its associated chronic inflammation,malabsorption,weight loss and medication side ***,screening for reduced BMD among patients with IBD is of utmost importance to curb and control anticipated morbidity and mortality among those *** To assess the relationship between IBD and BMD in a sample of adult Saudi patients with *** Ninety adult patients with IBD-62 Crohn’s disease(CD)and 28 ulcerative colitis(UC)-were recruited from King Fahad Specialist Hospital gastroenterology clinics in Buraidah,*** enrolled patients were interviewed for their demographic information and for IBD-and BMD-related clinical *** patients had the necessary laboratory markers and dual-energy x-ray absorptiometry scans to evaluate their BMD *** were divided into two groups(CD and UC)to explore their clinical characteristics and possible risk factors for reduced *** The CD group was significantly more prone to osteopenia and osteoporosis compared to the UC group;44%of the CD patients had normal BMD,19%had osteopenia,and 37%had osteoporosis,while 78%of the UC patients had normal BMD,7%had osteopenia,and 25%had osteoporosis(P value<0.05).In the CD group,the lowest t-score showed a statistically significant correlation with body mass index(BMI)(r=0.45,P<0.001),lumbar z-score(r=0.77,P<0.05)and femur z-score(r=0.85,P<0.05).In the UC group,the lowest t-score showed only statistically significant correlation with the lumbar z-score(r=0.82,P<0.05)and femur z-score(r=0.80,P<0.05).The ROC-curve showed that low BMI could predict the lowest t-score in the CD group with the best cut-off value at≤23.43(m/kg2);area

关键词： Inflammatory bowel disease Crohn’s disease Ulcerative colitis Bone mineral density Osteoporosis Fracture risk

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