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Hypergastrinemia

Gastroenterology Report 2015年第3期3卷 201-208页

作者： sunil dacha Mohammed Razvi Julia Massaad Qiang Cai Mohammad Wehbi Internal Medicine Emory UniversityAtlantaGAUSA

Gastrin is an important hormone of the digestive system,which assists gastric acid *** may be pathologically elevated in conditions such as Zollinger-Ellison syndrome,or due to common medications such as proton pump *** this review we provide an overview of the pathophysiology and medical causes of hypergastrinemia,diagnostic testing and clinical consequences of chronic hypergastrinemia.

关键词： hypergastrinemia carcinoid helicobacter pylori

Endoscopic retrograde cholangiopancreatography with ampullary biopsy vs ERCP alone:a matched-pairs controlled evaluation of outcomes and complications

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Gastroenterology Report 2017年第4期5卷 277-281,I0002页

作者： sunil dacha Saurabh Chawla Jai Eun Lee Steven A.Keilin Qiang Cai Field F.Willingham Department of Medicine Division of Digestive DiseasesEmory University School of MedicineAtlantaGAUSA Department of Medicine Division of GastroenterologyGeorgia Regents UniversityAugustaGAUSA

Background and aims:Biopsy of the ampulla of Vatermay be performed to evaluate for ampullary adenomas,suspected ampullary tumors and immunohistological staining for autoimmune *** biopsies are commonly performed at the time of endoscopic retrograde cholangiopancreatography(ERCP).Due to the well-established complication rate following ERCP,the contribution of ampullary biopsy as a potential independent risk factor would require a controlled ***:A matched-pairs,case-control analysis was performed for patients undergoing ERCP with or without ampullary *** analysis involved a retrospective review of adult patients at a tertiary-care center who underwent ampullary biopsies during ERCP compared(via procedural complexity)with a matched control group who underwent ERCP without ampullary ***:Of 159 procedures involving ampullary biopsy,54 ERCPs that met the inclusion criteria were performed with ampullary biopsy and included in the analysis *** cohort was compared with 54 patients undergoing ERCP without ampullary biopsy,matched by American Society for Gastrointestinal Endoscopy(ASGE)grade of procedural *** were no patients with sphincter of Oddi *** biopsies suggested a diagnosis in 75.9% of the procedures including 12 adenomas,5 adenocarcinomas and 1 intraductal papillary mucinous *** major and minor complications,the overall complication rate with biopsy(9.3%)was equivalent to the complication rate in the control group without ampullary biopsy(9.3%,P>0.99).The incidence of post-procedure pancreatitis was not significantly different between the two groups(5.6% vs 3.7%,P=0.6).Age and pancreatic duct manipulation,but not ampullary biopsy,were associated with complications on multivariate analysis in the study ***:Ampullary biopsy performed during ERCP had a high diagnostic yield and was not associated with an increased rate of post-procedure complica

关键词： endoscopic retrograde cholangiopancreatography ampullary biopsy complications

Fluoroscopic gastric peroral endoscopic pyloromyotomy(G-POEM)in patients with a failed gastric electrical stimulator

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Gastroenterology Report 2018年第2期6卷 122-126,I0002页

作者： Abhinav Koul sunil dacha Parit Mekaroonkamol Xiaoyu Li Lianyong Li Nikrad Shahnavaz Steven Keilin Field F.Willingham Jennifer Christie Qiang Cai Department of Gastroenterology University of California Davis Medical CenterSacramentoUSA Division of Digestive Diseases Emory University School of MedicineAtlantaUSA Department of Gastroenterology Qingdao University First Affiliated HospitalQingdaoChina Division of Digestive Diseases PLA 306 HospitalBeijingChina

Background:Gastric electrical stimulators(GESs)have been used to treat refractory gastroparesis in patients who fail initial therapies such as dietary modifications,control of psychological stressors and pharmacologic *** recently,gastric peroral endoscopic pyloromyotomy(G-POEM)has emerged as a novel endoscopic technique to treat refractory *** present a case series of patients with refractory gastroparesis who failed treatment with an implanted GES that were safely treated with G-POEM performed under fluoroscopy as a salvage ***:Cases of G-POEM performed on patients with refractory gastroparesis who failed treatment with a GES were retrospectively *** G-POEM procedures were performed under fluoroscopic guidance with the GES still in *** Cardinal Symptoms Index(GCSI)and gastric emptying scintigraphy were assessed before and after the *** were followed up for up to 18 months post ***:Five patients underwent G-POEM after failing treatment with a *** fluoroscopy,the GES and their leads were visualized in different parts of the *** GES lead was observed at the antrum near the myotomy *** procedures were successfully completed without ***’GCSI decreased by an average of 62%1 month post *** also had notable improvements in gastric emptying 2 months post ***:In patients with refractory gastroparesis who have failed treatment with a GES,G-POEM can be safe and effective without removing the *** visualize the GES and avoid cutting GES leads during myotomy,the procedure should be performed under fluoroscopy.

关键词： gastroparesis G-POEM pyloromyotomy gastric electrical stimulator fluoroscopy

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松墨天牛在马尾松上的垂直分布及防治要点

林业勘察设计 2004年第2期24卷 88-89页

作者：李大岔福建省宁德福口国有林场 352108

根据福建省宁德市国有林场马尾松虫害木的抽样调查表明,松墨天牛在马尾松上、中、下三部位均可侵害,其中以3～5m处虫孔密度最大,并根据调查数据建立了胸高处虫孔密度与平均虫孔密度的回归方程,可供生产实践参考使用。

关键词：松墨天牛马尾松垂直分布防治

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刍议教师课堂教学基本功

铜仁职业技术学院学报 2007年第6期 73-75页

作者：罗程沿河土家族自治县夹石镇大茶小学

要做一名合格的教师,应在口语表达能力、板书、良好的授课心境、新课导入技巧、教具的制作与使用等方面具备较为扎实的基本功。

关键词：课堂教学基本功教学能力教师

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生命周期法评估污泥处理的可持续性

建设科技 2011年第1期 71-73页

作者： J.Zhou R.Mora R.S.dacha A.Guntaka 丁孟达吕青孔祥娟张峰冯雷雨美国南伊利诺斯州爱德华兹威尔大学北京工业大学住房和城乡建设部科技发展促进中心

生命周期循环分析法(LCA)是一种极有价值的评估污泥处理处置方法。本文主要研究了污泥处理处置对环境影响程度。由LCA相关软件Sima Pro计算出的生态指标可知,厌氧消化、高温好氧消化、流化床焚烧和热干化分别生成了11、9464、17200和7... 详细信息

生命周期循环分析法(LCA)是一种极有价值的评估污泥处理处置方法。本文主要研究了污泥处理处置对环境影响程度。由LCA相关软件Sima Pro计算出的生态指标可知,厌氧消化、高温好氧消化、流化床焚烧和热干化分别生成了11、9464、17200和71mpt。数值越高表明对环境的影响越大。此研究结果有助于选择污泥处理处置可持续性工艺。

关键词：污泥处理处置生命周期法可持续性评估流化床焚烧循环分析影响程度生态指标

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甜槠林乔木层主要植物种群的空间分布格局

亚热带水土保持 2006年第1期18卷 6-7,11页

作者：许木正盖新敏李大岔陈禄春谢作贵福建省周宁腊洋国有林场周宁355400 福建省宁德市林业局宁德352200 福建省宁德福口国有林场宁德3521084 福建省古田县林业局古田3522005 福建省寿宁景山国有林场宁德352108

通过4 800m2标准地调查,应用扩散系数、聚集度指标等研究甜槠林9个主要植物种群的空间分布格局。结果表明,甜槠林主要植物种群的空间分布均呈聚集分布。

关键词：空间分布格局甜槠林聚集度指标