检索结果-南通市图书馆

Does flexible small-diameter colonoscope reduce insertion pain during colonoscopy?

World Journal of Gastroenterology 2000年第5期6卷 659-663页

作者： yoshiharu uno Akihiro Munakata First Department of Medicine School of MedicineHirosaki University036- 8216Japan

AIM It is well known that colonoscopy can bedifficult due to abdominal pain induced duringcolonoscope insertion,if sedative agents are ***,an extra-flexible,small-diameter colonoscope(CF-SV,Olympus Inc.,Japan)was developed in order to improve safetyand *** aim of this study was toaccess the usefulness of the *** One hundred patients undergoingsigmoidoscopy were recruited and colonoscopywas performed by one ***,a routine-type colonoscope(CF-2301)was inserted into the colon *** the patient complained ofabdominal pain(even if mild),the scope wasnot advanced further and was withdrawn afterthe anatomic location of its tip was ***,the CF-SV was inserteduntil it reached the cecun or the site whereabdominal pain *** abdominalsurgery and abdominal disease were consideredas unfavorable factors(UF)and the relationshipbetween abdominal pain and UF,age and genderwere ***,the colonicinsertion pressures in 36 patients with abdominalpain were measured with a force *** Thirty-four cases(34%)felt no painwith the CF-2301 and successful pancolon-0scopies to the cecum were ***-six cases(66%)complained of abdominal *** procedure was painless for 47% of men and24% of women,*** CF-2301 scopefailed to reach the sigmoid-descending colon junctions in 59(89.4%)of the 66 patientscomplaining of abdominal ***,CF-SVreached proximal area in 94.9% of those whofailed with *** median pressure forpain-inducing was 700 g/cm^*** Unsedated patients with UFwere prone to complain of pain when thestandard-type CF-2301 scope was *** developed extra-flexible CF-SV is usefulfor the aged and for those with UF or being proneto suffer from abdominal *** agentsmay be unnecessary if this new type ofcolonoscope is used.

关键词： colonoscopy abdominal pain flexible colonoscope insertion pressure unfavorable factors sigmoidoscopy

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

Pilot Study on Gas Patterns of Irritable Bowel Syndrome and Small Intestinal Bacterial Overgrowth Following Ingestion of Lactulose

引用

Open Journal of Gastroenterology 2015年第11期5卷 155-163页

作者： yoshiharu uno Office uno Colum Hyogo Japan Oroku-Hospital Okinawa Japan

Background & Aims: Fermentation site and increasing time of symptomatic gas would be different between irritable bowel syndrome (IBS) and small intestine bacterial overgrowth (SIBO). The aim of this study was to determine the time for increase in abdominal gas following ingestion of lactulose and the possibility of differential diagnosis of SIBO and IBS. Methods: A prospective study was conducted on a series of IBS patients (n = 14) who were referred to the Oroku-Hospital (Okinawa, Japan) from June 6, 2014 to December 30, 2014. Imaging was first performed in early morning after fasting. After ingestion of lactulose, 1 - 4 plain abdominal radiographs were taken for investigation of increased gas during the indicated timeframe. Regions of interest of the gas areas were highlighted on the images obtained. Gas images were divided into three areas, the stomach, small intestine, and large intestine, and each total area was calculated. Results: At a dose of 10 g lactulose and an observation time of two hours, patients displayed no symptoms, and the gas volume was only slightly increased. However, when the dose of lactulose was increased (13 g/50 kg), and the observation time for the lactulose challenge was extended to 240 - 300 minutes, the results clearly demonstrated an increase in the gas produced in IBS patients. Conclusions: An increased dose of lactulose coupled with an extended observation time for the lactulose challenge clearly demonstrated an increase in the gas produced in IBS patients. Alterations in diet rather than antibiotics might reduce IBS symptoms.

关键词： Irritable Bowel Syndrome (IBS) Small Intestine Bacterial Overgrowth (SIBO) Lactulose Radiography

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

Logical hypothesis:Low FODMAP diet to prevent diverticulitis

引用

World Journal of Gastrointestinal Pharmacology and Therapeutics 2016年第4期7卷 503-512页

作者： yoshiharu uno Jennifer C van Velkinburgh Office uno Column(Medical Science Publisher) Initiative for Collaboratory Biomedical Research

Despite little evidence for the therapeutic benefits of a high-fiber diet for diverticulitis, it is commonly recommended as part of the clinical management. The ongoing uncertainty of the cause(s) of diverticulitis confounds attempts to determine the validity of this therapy. However, the features of a high-fiber diet represent a logical contradiction for colon diverticulitis. Considering that Bernoulli’s principle, by which enlarged diameter of the lumen leads to increased pressure and decreased fluid velocity, might contribute to development of the diverticulum. Thus, theoretically, prevention of high pressure in the colon would be important and adoption of a low FODMAP diet (consisting of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) may help prevent recurrence of diverticulitis.

关键词： Diverticular disease High-fiber diet Low FODMAP diet Bernoulli&rsquo s principle Irritable bowel syndrome

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

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

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：