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Endoscopic retrieval of multiple fragmented gastric bamboo chopsticks by using a flexible overtube

World Journal of Gastroenterology 2004年第5期10卷 769-770页

作者： jia-jangchang Cho-LiYen DepartmentofHepatogastroenterology ChangGungMemorialHospitalKeelungTaiwanChina

This is a rare case of a patient with mental disorder, who ingested nineteen pieces of fragmented bamboo *** managed the multiple gastric foreign bodies with a sclerotherapy overtube, and these multiple fragmented bamboo chopsticks were retrieved successfully using the endoscopic method. There were only multiple erosions with hemorrhage over the mucosa of fundus and body of stomach,no fragments adhered or perforated through the gastric *** mucosa of esophagus was intact. The patient tolerated the procedure well and without any major *** sharp elongated gastric foreign bodies can be successfully and safely retrieved by using protective sheath of oropharynx without assistance with laparoscopy or surgical intervention. This renders an option for the endoscopists to manage multiple elongated gastric foreign bodies.

关键词：胃内异物病例报告内窥镜外科治疗影像学检查

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Ribavirin monotherapy increases sustained response rate in relapsers of end treatment virologic responders

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World Journal of Gastroenterology 2005年第11期11卷 1663-1667页

作者： Cho-LiYen jia-jangchang Tsung-ShihLee Ching-JungLiu Li-WeiChen Liang-CheChang DivisionofHepatogastroenterology DepartmentofInternalMedicineKeelungChang-GungMemorialHospitalTaiwanChina DepartmentofPathology KeelungChang-GungMemorialHospitalTaiwanChina

AIM: To assess the efficacy of ribavirin monotherapy in patients with biochemical relapse after combination ***: Twenty-four weeks of ribavirin monotherapy was given to biochemical relapsers of end treatment biochemical responders within 6 mo after combination therapy, including non-responders with HCV-RNA level ≤0.2 Meq/mL and end treatment virologic responders (ETVRs) with or without reappearance of ***: Sixty-two chronic HCV-infected patients completed 24 wk of interferon-α plus ribavirin combination therapy. Fifty patients (80%) achieved end treatment biochemical response including 16 non-responders and 34 of 36 ETVRs. Twenty-six patients (41.9%) were nonresponders. Ribavirin monotherapy was given to 20biochemical relapsers including 12 non-responders with HCV-RNA levels ≤0.2 Meq/mL, four of eight HCV-RNA reappearing ETVRs, and four HCV-RNA negative *** 24 wk of ribavirin monotherapy, one of 12 nonresponders, two of four HCV-RNA reappearing ETVRs and all four RNA-negative biochemical relapsers of ETVRs showed sustained virologic response. Two of 12monotherapy treated non-responders showed persistent normalization of liver function test. In total, 50% (31/62)of patients achieved sustained virologic ***: Resumption of ribavirin monotherapy in ETVRs at signs of viral rebound and recurrent biochemical abnormalities rather than continuation of monotherapy appears to be the key to success of ribavirin monotherapy after interferon-related combination therapy.

关键词： Ribavirin monotherapy Interferon-α plus iribavirin combination therapy Relapser End treatment virologic responder

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