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Endosonography with linear array instead of endoscopic retrograde cholangiography as the diagnostic tool in patients with moderate suspicion of common bile duct stones

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World Journal of Gastroenterology 2003年第3期9卷 612-614页

作者： Maciej Kohut Andrzej nowak Ewa nowakowska-Dufawa Tomasz marek Roman Kaczor Gastroenterology Department of Silesian Medical Academy KatowicePoland

AIM: To evaluate the diagnostic efficiency of endoscopic ultrasound (EUS) as the main imaging modality in patients with moderate suspicion of common bile duct stones (CBDS).METHODS: 55 patients with moderate clinical suspicion of CBDS were prospectively included to the study and evaluated with EUS. This study was done in single blind method in the clinical and biochemical data of patients. EUS was done with echo-endoscope Pentax FG 32-UA (f=5-7,5 MHz) and Hitachi EUB 405 ultrasound machine. Patients diagnosed with CBDS by EUS were excluded from this study and treated with ERC. All the other patients were included to the follow up study obtained by mail every 6 months for clinical evaluation (need of ERC or surgery).RESULTS: CBDS was found in 4 patients by EUS. Diagnosis was confirmed in all cases on ERC. The remaining 51 patients without CBDS on EUS were followed up for 6-26 months (meanly 13 months) There were: 40 women, 42cholecystectomized patients, aged: 55 (mean). Biochemical values (mean values) were as follows: bilirubin: 14,9 μmol.L-1,alkaline phosphatase: 95 IU.L-,1 γ-GTP: 131 IU.L-1, ALT: 50IU.L-1, AST: 49 IU.L-1, Only 1 patient was lost for follow *** the remaining 50 patients with follow up, there was only 1 (2 %) patient with persistent biliary symptoms in whom CBDS was finally diagnosed by ERC with ES. All other patients remained symptoms free on follow up and did not require ERC or biliary ***: Vast majority of patients with moderate suspicion of CBDS and no stones on EUS with linear array can avoid invasive evaluation of biliary tree with ERC.

关键词： Aged Cholangiography Endoscopy Endosonography Female Gallstones Humans Male Middle Aged Prospective Studies Single-Blind Method

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佛山世纪莲体育馆

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建筑技艺 2010年第2期16卷 54-59页

作者：福尔克温.玛格 marek nowak Christoph Helbich Mario Rojas Toledo Michael Knig Sven Greiser Sebastian Hilke Mark Jackschat Michael Haase Stefan Menke Franz Lensing Bjrn Füchtenkord Silke Flaβncker Ebi Tang(cand.arch.) Jennifer Kielas Schlaich Bergermann und Partner Stuttgart Christian Gahl gmp

佛山世纪莲体育馆是佛山市政府为举办2006年第十二届厂东省运动会而建。体育中心坐落在小山岗上宛如出水芙蓉，在公园里绽放。它是河畔公园的新地标，更是新佛山南部的城市风景线。

关键词：体育馆佛山莲体育中心运动会市政府风景线公园

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Bone mineral density （BMD）,sex hormones and IGF-I in men after 50 years old

Bone mineral density （BMD）,sex hormones and IGF-I in men a...

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International Conference on Osteoporosis and Bone Research 2008

作者： J.Glogowska-Szelag D.Kajdaniuk B.Kos-Kudla B.marek M.nowak L.Siemińska Division of Pathophysiology and Clinical Endocrinology Department of Pathophysiology and EndocrinologySilesian Medical UniversityZabrzePoland

＜正＞Background:The purpose of this study was the investigation of serum concentration of basal testosterone,gonadotrophin and IGF-I to determine the bone mineral density （BMD） in men treated with alendronate.

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