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World Journal of Gastroenterology 2009年第45期15卷 5641-5646页

作者： capecomorin s pitchumoni Balaji Yegneswaran Drexel University College of Medicine and Robert Wood Johnson Medical school New BrunswickNJ 08901 United States Department of Gastroenterology Saint Peter's University Hospital New BrunswickNJ 08901 United States Drexel University College of Medicine saint Peter's University Hospital New BrunswickNJ 08901 United States

Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10 000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis, abscesses, pseudocysts and multiple organ dysfunction syndromes. Pregnancy related hematological and biochemical alterations infl uence the interpretation of diagnostic tests and assessment of severity of AP. As in any other disease associated with pregnancy, AP is associated with greater concerns as it deals with two lives rather than just one as in the non-pregnant population. The recent advances in clinical gastroenterology have improved the early diagnosis and effective management of biliary pancreatitis. Diagnostic studies such as endoscopic ultrasound, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography and therapeutic modalities that include endoscopic sphincterotomy, biliary stenting, common bile duct stone extraction and laparoscopic cholecystectomy are major milestones in gastroenterology. When properly managed AP in pregnancy does not carry a dismal prognosis as in the past.

关键词： Acute pancreatitis Pregnancy Pancreatitis in pregnancy

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Improved Outcomes Following Hepatocellular Carcinoma(HCC)Diagnosis in Patients screened for HCC in a Large Academic Liver Center versus Patients Identified in the Community

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Journal of Clinical and Translational Hepatology 2017年第1期5卷 31-34页

作者： Nneoma Okoronkwo Yucai Wang capecomorin pitchumoni Baburao Koneru Nikolaos Pyrsopoulos Department of Medicine Rutgers New Jersey Medical SchoolNew JerseyUSA Division of Gastroenterology Hepatology and Clinical NutritionSaint Peters University HospitalNew JerseyUSA Department of surgery Rutgers New Jersey Medical SchoolNew JerseyUSA Division of Gastroenterology and Hepatology Rutgers New Jersey Medical SchoolNew JerseyUSA

Background and Aims:Hepatocellularcarcinoma(HCC)isthe sixth most commonly occurring cancer *** and adherence to HCC surveillance guidelines has been associated with earlier *** sought to evaluate characteristics and outcomes following HCC diagnosis in patients screened for HCC in a large academic liver center versus patients diagnosed and referred from the ***:We reviewed the records of patients diagnosed with HCC in the liver center of an academic institution from January 1999 till December *** were classified into two groups:patients followed in our hepatology clinic and patients with HCC recently referred to our *** analysis was performed using chi-squared test and multivariate analysis was performed using sPss ***:The records of 410 patients were reviewed,and included 77.3%of patients referred from the community and 22.7%of patients followed in our *** the clinic group,75.6%were identified with one nodule at initial diagnosis,compared to 65.6%in the referral *** in the referral group were more likely to present with tumors≥5 cm at diagnosis,with 28.7%compared to 5.4%in the clinic group(Ps referred from the community were also less likely to undergo transplant,with 32.2%as compared to 48.4%of the clinic group(Psion:Patients with chronic liver disease managed in an academic liver center present in the early stage of HCC diagnosis and are more likely to meet the Milan criteria and undergo *** referral to a specialized transplant center,if feasible,where a multidisciplinary approach is utilized might be essential in the management of chronic liver disease.

关键词： Hepatocellular carcinoma Liver transplant Tumor

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