检索结果-南通市图书馆

Transnasal endoscopic retrograde chalangiopancreatography using an ultrathin endoscope: A prospective comparison with a routine oral procedure

引用

World Journal of Gastroenterology 2008年第10期14卷 1514-1520页

作者： Akihiro Mori Noritsugu Ohashi Takako Maruyama Hideharu Tatebe Katsuhisa Sakai takashi shibuya Hiroshi Inoue Shoudou Takegoshi Masataka Okuno Department of Gastroenterology Inuyama Chuo Hospital Inuyama 484-8511 Japan

AIM: To investigate if transnasal endoscopic retrograde cholangiopancreatography (n-ERCP) using an ultrathin forward-viewing scope may overcome the disadvantages of conventional oral ERCP (o-ERCP) related to the large- caliber side-viewing duodenoscope. METHODS: The study involved 50 patients in whom 25 cases each were assigned to the o-ERCP and n-ERCP groups. We compared the requirements of esophagogastroduodenoscopy (EGD) prior to ERCP, rates and times required for successful cannulation into the pancreatobiliary ducts, incidence of post-procedure hyperamylasemia, cardiovascular parameters during the procedure, the dose of a sedative drug, and successful rates of endoscopic naso-biliary drainage (ENBD). RESULTS: Screening gastrointestinal observations were easily performed by the forward-viewing scope and thus no prior EGD was required in the n-ERCP group. There was no significant difference in the rates or times for cannulation, or incidence of hyperamylasemia between the groups. However, the cannulation was relatively difficult in n-ERCP when the scope appeared U-shape under fluoroscopy. Increments of blood pressure and the amount of a sedative drug were significantly lower in the n-ERCP group. ENBD was successfully performed succeeding to the n-ERCP in which mouth-to-nose transfer of the drainage tube was not required. CONCLUSION: n-ERCP is likely a well-tolerable methodwith less cardiovascular stress and no need of prior EGD or mouth-to-nose transfer of the ENBD tube. However, a deliberate application is needed since its performance is difficult in some cases and is not feasible for some endoscopic treatments such as stenting.

关键词： Endoscopic retrograde chalangiopancreatography Nasal endoscopy Cardiovascular stress Blood pressure Sedation Endoscopic naso-biliary drainage

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

Autofluorescence imaging endoscopy for identifi cation and assessment of inflammatory ulcerative colitis

引用

World Journal of Gastroenterology 2011年第46期17卷 5110-5116页

作者： Taro Osada Atsushi Arakawa Naoto Sakamoto Hiroya Ueyama Tomoyoshi shibuya Tatsuo Ogihara takashi Yao Sumio Watanabe Department of Gastroenterology Juntendo University School of Medicine Department of Human Pathology Juntendo University School of Medicine

AIM:To validate the clinical relevance of autofluores-cence imaging(AFI)endoscopy for the assessment of inflammatory ulcerative colitis(UC).METHODS:A total of 572 endoscopic images were se-lected from 42 UC patients:286 taken with white light imaging(WLI)and 286 with AFI from the same *** images were assessed for overall mucosal inflammation according to Mayo endoscopic subscore(MES),and for seven characteristic endoscopic ***,AFI photographs were scored according to relative abundance of red,green and blue color com-ponents within each image based on an RGB additive color *** and AFI endoscopic scores from the same sites were *** evaluation of biopsies was according to the Riley ***:Relative to red(r=0.52,P<0.01)or blue(r=0.56,P<0.01)color component,the green color component of AFI(r=-0.62,P<0.01)corresponded more closely with mucosal inflammation *** were signif icant differences in green color components between MES-0(0.396±0.043)and MES-1(0.340± 0.035)(P<0.01),and between MES-1 and ≥ MES-2(0.318±0.037)(P<0.01).The WLI scores for "vascu-lar patterns"(r=-0.65,P<0.01),"edema"(r=-0.62,P<0.01),histology scores for "polymorphonuclear cells in the lamina propria"(r=-0.51,P<0.01)and "crypt architectural irregularities"(r=-0.51,P<0.01)showed correlation with the green color component of *** were significant differences in green color components between limited(0.399± 0.042)and extensive(0.375±0.044)(P=0.014)polymorpho-nuclear cell inf iltration within *** the severity of the mucosal inflammation increased,the green color component of AFI *** AFI green color com-ponent was well correlated with the characteristic en-doscopic and histological inflammatory features of ***:AFI has application in detecting inflammatory lesions,including microscopic activity in the co-lonic mucosa of UC patients,based on the green color component of images.

关键词： Autofluorescence imaging endoscopy En-doscopic activity Histological activity Microscopic in-flammation Green color component

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

Efficacy of 5-Fluorouracil and High-Concentration Cisplatin Suspended in Lipiodol by Short-Term Hepatic Arterial Infusion Chemotherapy for Advanced Hepatocellular Carcinoma with Portal Vein Tumor Thrombosis

引用

Journal of Cancer Therapy 2015年第13期6卷 1151-1161页

作者： Yutaka Yata Masashi Namikawa Tatsuya Ohyama takashi Ohsaki Daisuke Kanda Takeshi Hatanaka Kei shibuya Jun Kubota Hitoshi Takagi Terumi Takahara Teruo Yoshinaga Department of Gastroenterology Saiseikai Maebashi Hospital Maebashi-City Japan Department of Radiology Saiseikai Maebashi Hospital Maebashi-City Japan Third Department of Internal Medicine Toyama University Toyama-City Japan

Background: Since advanced hepatocellular carcinoma (HCC) is potentially fatal, and patients’ quality of life (QOL) often deteriorates during their treatment, improving the prognosis and QOL of patients given chemotherapy is very important. In addition, cost-effective treatments are highly desirable when chemotherapy must be given repeatedly. The aim of this study was to evaluate the efficacy and usefulness of 5-fluorouracil (5-FU) and high-concentration cisplatin by short-term hepatic arterial infusion chemotherapy (3-day FPL) in advanced HCC patients. Methods: Thirty patients with unresectable advanced HCC were enrolled. The patients underwent hepatic arterial infusion chemotherapy via the implanted port system with 5-FU on days 1 - 3 and a fine-powder formulation of cisplatin in suspended pre-warmed lipiodol on day 2 every 4 to 10 weeks. Tumor response was assessed one month later with CT. Results: All patients had evidence of portal vein invasion (Vp2-4). Four patients achieved a complete response (CR), 8 patients achieved a partial response (PR), and 7 patients had stable disease (SD). The median progression-free survival (PFS) and overall survival (OS) were 198 days and 452 days, respectively. The OS was significantly longer in the successful disease control group (CR, PR, and SD) than in the progressive disease group (P < 0.005). Conclusions: Three-day FPL was effective and tolerable in advanced HCC patients due to its shorter time of administration than conventional FP therapy. Therefore, repetitive 3-day FPL appears useful and contributes to improving the prognosis and QOL of patients with advanced HCC. In addition, this protocol is a cost-effective treatment.

关键词： Advanced Hepatocellular Carcinoma (HCC) Portal Vein Tumor Thrombosis (PVTT) Hepatic Arterial Infusion Chemotherapy (HAIC) 5-FU a Fine-Powder Formulation of Cisplatin Quality of Life (QOL) Cost-Effective Treatment

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

Skull metastasis from hepatocellular carcinoma with chronic hepatitis B

引用

World Journal of Gastrointestinal Oncology 2010年第3期2卷 165-168页

作者： takashi Goto Takahiro Dohmen Kouichi Miura Shigetoshi Ohshima Kazuo Yoneyama Tomomi shibuya Ei Kataoka Daisuke Segawa Wataru Sato Yumiko Anezaki Hajime Ishii Daigo Kon Ikuhiro Yamada Kentaro Kamada Hirohide Ohnishi Department of Gastroenterology Akita University School of Medicine

A 56-year-old male visited our hospital for evaluation of an occipital *** computed tomography showed hypervascular enhancement with osteolytic change in the skull and a huge enhanced mass in the *** resonance imaging showed bone metastasis in the thoracic *** for hepatitis B surface antigen and hepatitis B core antibody were positive and his liver condition was Child-Pugh grade *** diagnosis was hepatocellular carcinoma(HCC) with skull and vertebrae metastases on chronic hepatitis *** was treated with radiation therapy for bone metastases and transcatheter arterial chemoembolization for *** he developed acute respiratory failure because of aspiration pneumonia,congestion and oedema with haemorrhage of the lungs and *** showed HCC with multiple bone *** liver tumor was categorized as well-differentiated HCC,Edmondson classification Ⅰ,trabecular type and pseudoglandular *** the liver mild infiltration of lymphocytes was seen in Glisson's capsules which were signif icantly enlarged with well preserved limiting *** necrosis was not *** fibrosis was *** 8 cm × 7 cm × 3 cm metastatic lesion had formed in the left occipitotemporal part of the cranial *** lesion was osteolytic and showed invasion into the dura *** the subdural cavity nor the brain showed involvement from the metastatic ***,skull metastasis from HCC is very rare and it affects the patient's prognosis and the quality of ***,it is very important to make an early diagnosis and carry out proper management of skull metastasis from HCC.

关键词： Hepatocellular carcinoma Skull metastasis Bone metastasis Osteolytic change Chronic hepatitis B

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

从枢纽站升级到站城一体更新——深圳黄木岗项目的站城一体核心思路

引用

城市设计 2024年第1期 72-81页

作者：横尾茂长谷川隆刘超杨珅李任官黄琼仪李昌文株式会社日建设计深圳地铁置业集团有限公司

本文介绍了日建设计在日本与中国参与的站城一体化城市开发案例,探讨了未来轨道建设和城市更新相结合的发展方向。在深圳黄木岗枢纽项目中,借鉴了日本东京涩谷站城市更新的开发经验,实现了以轨道车站等市政设施重建为引擎的城市更新机制... 详细信息

本文介绍了日建设计在日本与中国参与的站城一体化城市开发案例,探讨了未来轨道建设和城市更新相结合的发展方向。在深圳黄木岗枢纽项目中,借鉴了日本东京涩谷站城市更新的开发经验,实现了以轨道车站等市政设施重建为引擎的城市更新机制,主动引导周边街区的改造,通过多方合作推动整个城市更新。其中,回顾其融合日本城市开发经验与中国城市建设的实际情况,分析了因地制宜的规划调整,对该项目的未来发展进行了展望。

关键词：站城一体城市更新多方合作市政设施重建

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Enlarged folds on endoscopic gastritis as a predictor for submucosal invasion of gastric cancers

引用

World Journal of Gastrointestinal Endoscopy 2021年第9期13卷 426-436页

作者： Osamu Toyoshima Shuntaro Yoshida Toshihiro Nishizawa Akira Toyoshima Kosuke Sakitani Tatsuya Matsuno Tomoharu Yamada takashi Matsuo Hayato Nakagawa Kazuhiko Koike Department of Gastroenterology Toyoshima Endoscopy ClinicSetagayaku 157-0066TokyoJapan Department of Gastroenterology and Hepatology International University of Health and WelfareNarita HospitalNarita 286-8520ChibaJapan Department of Colorectal Surgery Japanese Red Cross Medical CenterShibuya-ku 150-8935TokyoJapan Department of Gastroenterology Sakitani Endoscopy ClinicNarashino 275-0026ChibaJapan Department of Gastroenterology Graduate School of MedicineThe University of TokyoBunkyo-ku 113-8655TokyoJapan Department of Internal Medicine Sakura Internal Medicine ClinicSetagayaku 157-0071TokyoJapan

BACKGROUND Accurate diagnosis of the depth of gastric cancer invasion is crucial in clinical *** diagnosis of gastric cancer depth is often made using endoscopic characteristics of the tumor and its margins;however,evaluating invasion depth based on endoscopic background gastritis remains *** To investigate predicting submucosal invasion using the endoscopy-based Kyoto classification of *** Patients with gastric cancer detected on esophagogastroduodenoscopy at Toyoshima Endoscopy Clinic were *** analyzed the effects of patient and tumor characteristics,including age,sex,body mass index,surveillance endoscopy within 2 years,current Helicobacter pylori infection,the Kyoto classification,and Lauren’s tumor type,on submucosal tumor invasion and curative endoscopic *** Kyoto classification included atrophy,intestinal metaplasia,enlarged folds,nodularity,and diffuse *** was characterized by non-reddish and low *** metaplasia was detected as patchy whitish or grayish-white flat elevations,forming an irregular uneven *** enlarged fold referred to a fold width≥5 mm in the greater curvature of the *** was characterized by goosebump-like multiple nodules in the *** redness was characterized by uniform reddish nonatrophic mucosa in the greater curvature of the *** A total of 266 gastric cancer patients(mean age,66.7 years;male sex,58.6%;mean body mass index,22.8 kg/m2)were ***-three patients underwent esophagogastroduodenoscopy for surveillance within 2 years,and 140 had current Helicobacter pylori *** mean Kyoto score was ***-eight cancers were diffuse-type,and 87 cancers had invaded the *** analysis revealed that low body mass index(odds ratio 0.88,P=0.02),no surveillance esophagogastroduodenoscopy within 2 years(odds ratio 0.15,P<0.001),endoscopic enlarged folds of gastritis(odds ratio 3.39,P=0.001),and Lauren’s

关键词： Gastric cancer Gastritis Enlarged fold Endoscopy Kyoto classification

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

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

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：