检索结果-南通市图书馆

采用开放式低场机行MRI引导下胆汁引流术:首次临床经验

引用

Oncology and Translational Medicine 2001年第1期 60-60页

作者： F.K.Wacker s.faiss K.Reither 关健华中科技大学同济医学院附属同济医院

目的:测试用开放式:MPI机在磁共振成像(MRI)引导下对患者行经皮胆汁引流术的可行性。方法:对6例存在机械性胆汁淤积的患者,用开放式低场MRI机行磁共振胆管造影(MRC),通过在MRI引导下的介入方法,行胆管系统穿刺术和导管插入术。将

关键词： MRI 低场引流术胆汁开放式

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Diagnostic endoscopic ultrasonography:Assessment of safety and prevention of complications

引用

World Journal of Gastroenterology 2012年第34期18卷 4659-4676页

作者： Christian Jenssen Maria Victoria Alvarez-sánchez Bertrand Napoléon siegbert faiss Department of Internal Medicine Krankenhaus M rkisch-Oderland GmbHD15344 StrausbergGermany Department of Gastroenterology and Hepatology Hopital Privé Jean MermozF69008 LyonFrance Department of Gastroenterology and Hepatology Asklepios Klinik BarmbekD22291 HamburgGermany

Endoscopic ultrasonography (EUs) has gained wide acceptance as an important, minimally invasive diagnostic tool in gastroenterology, pulmonology, visceral surgery and oncology. This review focuses on data regarding risks and complications of non-interventional diagnostic EUs and EUs-guided fine-needle biopsy (EUs-FNB). Measures to improve the safety of EUs und EUs-FNB will be discussed. Due to the specific mechanical properties of echoendoscopes in EUs, there is a low but noteworthy risk of perforation. To minimize this risk, endoscopists should be familiar with the specific features of their equipment and their patients' specific anatomical situations (e.g., tumor stenosis, diverticula). Most diagnostic EUs complications occur during EUs-FNB. Pain, acute pancreatitis, infection and bleeding are the primary adverse effects, occurring in 1% to 2% ofpatients. Only a few cases of needle tract seeding and peritoneal dissemination have been reported. The mortality associated with EUs and EUs-FNB is 0.02%. The risks associated with EUs-FNB are affected by endoscopist experience and target lesion. EUs-FNB of cystic lesions is associated with an increased risk of infection and hemorrhage. Peri-interventional antibiotics are recommended to prevent cyst infection. Adequate education and training, as well consideration of contraindications, are essential to minimize the risks of EUs and EUs-FNB. Restricting EUs-FNB only to patients in whom the cytopathological results may be expected to change the course of management is the best way of reducing the number of complications.

关键词： Endoscopic ultrasonography Endoscopic ul-trasonography-guided fine-needle biopsy Complications Contraindications Risk safety Perforation Bleeding Infection Acute pancreatitis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Managementofearlyasymptomaticgastrointestinalstromaltumorsofthe stomach

引用

World Journal of Gastrointestinal Endoscopy 2014年第7期6卷 266-271页

作者： scherübl H faiss s Knoefel WT Wardelmann E Hans scherübl Klinik für Innere Medizin II Gastroenterologie GI Onkologie und Infektiologie Vivantes Klinikum Am Urban 10967 Berlin GermanySiegbert Faiss III. Med. Abteilung Asklepios Klinik Barmbek 22291 Hamburg GermanyWolfram-Trudo Knoefel Klinik für Allgemein- Viszeral- und Kinderchirurgie Universit?tsklinikum 40225 Düsseldorf GermanyEva Wardelmann Gerhard-Domagk-Institut für Pathologie Universit?tsklinikum Münster 48149 Münster Germany

Gastrointestinal stromal tumors(GIsT) are the most common mesenchymal tumors of the digestive tract. Approximately two thirds of clinically manifest tumors occur in the stomach, nearly one third in the small bowel, and the rest in the colorectal region with a few cas-es in the esophagus. GIsT originate within the smooth muscle layer in the wall of the tubular gastrointestinal tract and grow mostly toward the serosa, far less often toward the mucosa. In the latter case, ulceration may develop and can cause gastrointestinal bleeding as the cardinal symptom. However, most GIsT of the stomach are asymptomatic. They are increasingly detected incidentally as small intramural or submucosal tumors during endoscopy and particularly during endoscopic ultra-sound. Epidemiological and molecular genetic findings suggest that early asymptomatic GIsT of the stomach(show self-limiting tumorigenesis. Thus, early(symptomatic gastric GIsT(synonym: micro-GIsT) are found in 20%-30% of the elderly. The mostlyelderly people with early gastric GIsT have an excellent GIsT-specific prognosis. Patients with early GIsT of the stomach can therefore be managed by endoscopic sur-veillance.

关键词： Mirco-gastrointestinal stromal tumors Gas-trointestinal stromal tumor Gastric Neoplasia Cancer Endoscopy Endoscopic ultrasound

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum:A case series

引用

World Journal of Gastroenterology 2017年第17期23卷 3084-3091页

作者： Johanna Wilmsen Robert Baumbach Dietmar stüker Vincens Weingart Frank Neser stefan Karl Golder Christof Pfundstein Ellen Claudia Notzel Thomas Rosch siegbert faiss Department of Gastroenterology and Interventional Endoscopy Asklepios Hospital BarmbekSemmelweis UniversityMedical Faculty Department of Interdisciplinary Endoscopy University Medical Center Tübingen Department of Internal Medicine Garmisch-Partenkirchen Medical Center Department of Internal Medicine II Hospital Chemnitz Department of Internal Medicine III Private Practice for Internal Medicine and Gastroenterology Department of Internal Medicine and Gastroenterology Sana Hospital Lichtenberg Department of Interdisciplinary Endoscopy University Medical Center Hamburg-Eppendorf

AIMTo report about the combination and advantages of a stapler-assisted diverticulotomy performed by flexible *** November 2014 till December 2015 17 patients (8 female, 9 male, average age 69.8 years) with a symptomatic Zenker diverticulum (mean size 3.5 cm) were treated by inserting a new 5 mm fully rotatable surgical stapler (MicroCutter30 Xchange, Cardica Inc.) next to an ultrathin flexible endoscope through an overtube. The Patients were under conscious sedation with the head reclined in left position, the stapler placed centrally and pushed forward to the bottom of the diverticulum. The septum was divided by the staple rows under flexible endoscopic *** eleven patients (64.7%) the stapler successfully divided the septum completely. Mean procedure time was 21 min, medium size of the septum was 2.8 cm (range 1.5 cm to 4 cm). In four patients the septum was shorter than 3 cm, in seven longer than 3 cm. To divide the septum, averagely 1.3 stapler cartridges were used. Two minor bleedings occurred. Major adverse events like perforation or secondary haemorrhage did not occur. After an average time of two days patients were discharged from the hospital. In 6 patients (35.3%) the stapler failed due to a thick septum or insufficient reclination of the head. Follow up endoscopy was performed after an average of two months in 9 patients; 4 patients (44.4%) were free of symptoms, 5 patients (55.6%) stated an improvement. A relapse of symptoms did not *** endoscopic Zenker diverticulotomy by using a surgical stapler is a new, safe and efficient treatment modality. A simultaneously tissue opening and occlusion prevents major complications.

关键词： Zenker’s diverticulum Flexible endoscopic treatment stapler technique Overtube surgical stapler

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：