检索结果-南通市图书馆

Esophageal tuberculosis presenting with hematemesis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2013年第11期5卷 581-583页

作者： Samit S Jain piyush o somani Rajeshkumar C Mahey Dharmesh K Shah Qais Q Contractor Pravin M Rathi Department of Gastroenterology Bai Yamunabai Laxman Nair HospitalTopiwala National Medical College Department of General Surgery Bai Yamunabai LaxmanNair HospitalTopiwala National Medical College

Esophageal tuberculosis is rare, constituting about 0.3% of gastrointestinal tuberculosis. It presents commonly with dysphagia, cough, chest pain in addition to fever and weight loss. Complications may include hemorrhage from the lesion, development of arterioesophageal fistula, esophagocutaneous fistula or tracheoesophageal fistula. There are very few reports of esophageal tuberculosis presenting with hematemesis due to ulceration. We report a patient with hematemesis that was due to the erosion of tuberculous subcarinal lymph nodes into the esophagus. A 15-year-old boy presented with hemetemesis as his only complaint. Esophagogastroduodenoscopy(EGD) revealed an eccentric ulcerative lesion involving 50% of circumference of the esophagus. Biopsy showed caseating epitheloid granulomas with lymphocytic infiltrates suggestive of tuberculosis. Computerised tomography of the thorax revealed thickening of the mid-esophagus with enlarged mediastinal lymph nodes in the subcarinal region compressing the esophagus along with moderate right sided pleural effusion. Patient was treated with anti-tuberculosis therapy(Rifampicin, Isoniazid, Pyrazinamide, Ethambutol) for 6 mo. Repeat EGD showed scarring and mucosal tags with complete resolution of the esophageal ulcer.

关键词： Esophageal tuberculosis Esophagogastroduodenoscopy Hematemesis

Role of endoscopic ultrasound in idiopathic pancreatitis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2017年第38期23卷 6952-6961页

作者： piyush somani Tagore Sunkara Malay Sharma Department of Gastr-oenterology Jaswant Rai Speciality Hospital Department of Gastroenterology and Hepatology The Brooklyn Hospital Center Clinical Affliate of The Mount Sinai Hospital

Recurrent acute pancreatitis(RAP) is defined based on the occurrence of two or more episodes of acute pancreatitis. The initial evaluation fails to detect the cause of RAP in 10%-30% of patients, whose condition is classified as idiopathic RAP(IRAP). Idiopathic acute pancreatitis(IAP) is a diagnostic challenge for gastroenterologists. In view of associated morbidity and mortality, it is important to determine the aetiology of pancreatitis to provide early treatment and prevent recurrence. Endoscopic ultrasound(EUS) is an investigation of choice for imaging of pancreas and biliary tract. In view of high diagnostic accuracy and safety of EUS, a EUS based management strategy appears to be a reasonable approach for evaluation of patients with a single/recurrent idiopathic pancreatitis. The most common diagnoses by EUS in IAP is biliary tract disease. The present review aims to discuss the role of EUS in the clinical management and diagnosis of patients with IAP. It elaborates the diagnostic approach to IAP in relation to EUS and other different modalities. Controversial issues in IAP like when to perform EUS, whether to perform after first episode or recurrent episodes, comparison among different investigations and the latest evidence significance are detailed.

关键词： Endoscopic ultrasound Pancreatitis ERCP MRCP USG CT Idiopathic recurrent pancreatitis Ascariasis Pancreatic cancer Biliary sludge Gallstones Microlithiasis Common bile duct stones

Imaging of gall bladder by endoscopic ultrasound

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2018年第1期10卷 10-15页

作者： Malay Sharma piyush somani Tagore Sunkara Department of Gastro-enterology Jaswant Rai Speciality Hospital Department of Gastroenterology and Hepatology the Brooklyn Hospital Center Clinical Affliate of the Mount Sinai Hospital

Endoscopic ultrasonography(EUS) is considered a superior investigation when compared to conventional ultrasonography for imaging gall bladder(GB) lesions as it can provide high-resolution images of small lesions with higher ultrasound frequencies. Examination of GB is frequently the primary indication of EUS imaging. Imaging during EUS may not remain restricted to one station and multi-station imaging may provide useful information. This review describes the techniques of imaging of GB by linear EUS from three different stations. The basic difference of imaging between the three stations is that effective imaging from station 1 is done above the neck of GB, from station 2 at the level of the neck of GB and from station 3 below the level of the neck of GB.

关键词： Gallbladder Gallbladder cancer Gallstones Biliary sludge Antrum Duodenal bulb Endoscopic ultrasound

Linear endoscopic ultrasound evaluation of hepatic veins

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2018年第10期10卷 283-293页

作者： Malay Sharma piyush somani Chittapuram Srinivasan Rameshbabu Department of Gastroenterology Jaswant Rai Speciality Hospital Department of Gastroenterology Thumbay Hospital Department of Anatomy Muzaffarnagar Medical College

Liver resection surgery can be associated with significant perioperative mortality and morbidity. Extensive knowledge of the vascular anatomy is essential for successful, uncomplicated liver surgeries. Various imaging techniques like multidetector computed tomographic and magnetic resonance angiography are used to provide information about hepatic vasculature. Linear endoscopic ultrasound(EUS) can offer a detailed evaluation of hepatic veins, help in assessment of liver segments and can offer a possible route for EUS guided vascular endotherapy involving hepatic veins. A standard technique for visualization of hepatic veins by linear EUS has not been described. This review paper describes the normal EUS anatomy of hepatic veins and a standard technique for visualization of hepatic veins from four stations. With practice an imaging of all the hepatic veins is possible from four stations. The imaging from fundus of stomach is the easiest and most convenient method of imaging of hepatic veins. EUS of hepatic vein and the tributaries is an operator dependent technique and in expert hands may give a mapping comparable to computed tomographic and magnetic resonance imaging. EUS of hepatic veins can help in identification of individual sectors and segments of liver. EUS guided interventions involving hepatic veins may require approach from different stations.

关键词： Endoscopic ultrasound Hepatic vein Portal vein Liver segments Caudate lobe Inferior vena cava Liver Cantlie line Falciform ligament Gall bladder

Stepwise evaluation of liver sectors and liver segments by endoscopic ultrasound

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2018年第11期10卷 326-339页

作者： Malay Sharma piyush somani Chittapuram Srinivasan Rameshbabu Tagore Sunkara Praveer Rai Department of Gastroenterology Jaswant Rai Speciality HospitalMeerut 25001Uttar PradeshIndia Department of Gastroenterology Thumbay HospitalDubai 415555United Arab Emirates Department of Anatomy Muzaffarnagar Medical CollegeMuzaffarnagar 251001Uttar PradeshIndia Department of Gastroenterology and Hepatology the Brooklyn Hospital CenterClinical Affliate of The Mount Sinai HospitalBrooklynNY 11201United States

The liver has eight segments, which are referred to by numbers or by names. The numbering of the segments is done in a counterclockwise manner with the liver being viewed from the inferior surface, starting from Segment Ⅰ(the caudate lobe). Standard anatomical description of the liver segments is available by computed tomographic scan and ultrasonography. Endoscopic ultrasound(EUS) has been used for a detailed imaging of many intra-abdominal organs and for the assessment of intra-abdominal vasculature. A stepwise evaluation of the liver segments by EUS has not been described. In this article, we have described a stepwise evaluation of the liver segments by EUS. This information can be useful for planning successful radical surgeries, preparing for biopsy, portal vein embolization, transjugular intrahepatic portosystemic shunt, tumour resection or partial hepatectomy, and for planning EUS guided diagnostic and therapeutic procedures.

关键词： Endoscopic ultrasound Hepatic vein Liver sectors Portal vein Liver segments Caudate lobe Cantlie’s line Falciform ligament Gallbladder