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Therapeutic angiography for giant bleeding gastro-duodenal artery pseudoaneurysm

World Journal of Gastroenterology 2010年第13期16卷 1670-1672页

作者： Ram Elazary mahmoud abu-gazala Avraham Schlager Noam Shussman Avraham I Rivkind Allan I Bloom Department of Surgery Hadassah-Hebrew University Medical Center Department of Radiology Section of Interventional Radiology Hadassah-Hebrew University Medical Center

We present the case of an 18-year-old female transferred to our center from an outside hospital due to persistent gastrointestinal bleeding. Two weeks prior to her transfer she underwent duodenal omentopexy for a perforated duodenal peptic ulcer. The patient underwent a computed tomography angiogram which identified the source of bleeding as a giant gastroduodenal artery (GDA) pseudoaneurysm. The patient was taken to interventional radiology where successful microcoil embolization was performed. We present this rare case of a giant GDA pseudoaneurysm together with imaging and a review of the medical literature regarding prevalence, etiology and treatment options for visceral arterial aneurysms.

关键词： Gastro-duodenal artery Gastrointestinal Bleeding Angiography Pseudoaneurysm

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结直肠癌微创手术的重新评价与思考

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Gastroenterology Report 2017年第1期5卷 1-10,I0001页

作者： mahmoud abu gazala Steven D.Wexner Department of Colorectal Surgery Cleveland Clinic FloridaWestonFLUSA

纵观整个外科史,外科医师一直在努力优化外科术式,减少手术创伤。过去30年间,随着新技术和新术式的开展,结直肠微创手术取得了巨大的进展。腹腔镜手术已显示出等同于甚至优于开放术式的治疗效果。而且,腹腔镜手术已经突破了传统的界限,... 详细信息

纵观整个外科史,外科医师一直在努力优化外科术式,减少手术创伤。过去30年间,随着新技术和新术式的开展,结直肠微创手术取得了巨大的进展。腹腔镜手术已显示出等同于甚至优于开放术式的治疗效果。而且,腹腔镜手术已经突破了传统的界限,衍生出单孔腹腔镜、经自然腔道内镜手术及机器人手术等新的微创术式。本文回顾了微创手术的发展历程,并对目前各种结直肠微创术式进行了评价。

关键词：结肠癌直肠癌微创手术腹腔镜机器人手术经肛全直肠系膜切除术经自然腔道标本取出

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Practical recommendations for kidney transplantation in the COVID-19 pandemic

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World Journal of Transplantation 2020年第9期10卷 223-229页

作者： Ashraf Imam Keren Tzukert Hadar Merhav Riham Imam Samir abu-gazala Roy Abel Michal DranitzkiElhalel Abed Khalaileh Transplantation Unit Department of SurgeryHadassah-Hebrew University Medical CenterJerusalem 91120Israel Department of Nephrology Hadassah-Hebrew University Medical CenterJerusalem 91120Israel

Kidney transplantation at the time of a global viral pandemic has become challenging in many aspects.Firstly,we must reassess deceased donor safety(for the recipient)especially in communities with a relatively high incidence of coronavirus disease 19(COVID-19).With respect to elective live donors,if one decides to do them at all,similar considerations must be made that may impose undue hardship on the donor.Recipient selection is also problematic since there is clear evidence of a much higher morbidity and mortality from COVID-19 for patients older than 60 and those with comorbidities such as hypertension,diabetes,obesity and lung disease.Unfortunately,many,if not most of dialysis patients fit that mold.We may and indeed must reassess our allocation policies,but this must be done based on data rather than conjecture.Follow-up routines must be re-engineered to minimize patient travel and exposure.Reliance on technology and telemedicine is paramount.Making this technology available to patients is extremely important.Modifying or changing immunosuppression protocols is controversial and not based on clinical studies.Nevertheless,we should reassess the need for induction therapy across the board for ordinary patients and the more liberal use of mammalian target of rapamycin inhibitors in transplant patients with proven infection.

关键词： COVID-19 Kidney transplantation Organ donation Coronavirus SARSCoV2

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