检索结果-南通市图书馆

The outcomes and safety of patients undergoing endoscopic retrograde cholangiopancreatography combining a single-use cholangioscope and a single-use duodenoscope:A multicenter retrospective international study

引用

Hepatobiliary & Pancreatic Diseases International 2024年第1期23卷 71-76页

作者： Alessandro Fugazza Matteo Colombo Michel Kahaleh V.Raman Muthusamy Bick Benjamin Wim Laleman Carmelo Barbera Carlo Fabbri Jose Nieto Abed Al-Lehibi Mohan Ramchandani Amy Tyberg Haroon Shahid Avik Sarkar Dean Ehrlich Stuart Shermand Cecilia Binda Marco Spadaccini Andrea Iannone Kareem Khalaf Nageshwar Reddy Andrea Anderloni Alessandro Repici division of gastroenterology and Digestive Endoscopy Humanitas Research Hospital-IRCCSVia Manzoni 5620089RozzanoMilanoItaly gastroenterology Rutgers Robert Wood JohnsonNew BrunswickNew JerseyUSA Vatche and Tamar Manoukian division of Digestive Diseases University of CaliforniaLos Angeles School of Medicine at UCLALos AngelesCaliforniaUSA division of Digestive and Liver Disorders Indiana University School of MedicineIndianapolisINUSA Department of gastroenterology and hepatology University Hospitals LeuvenKU Leuven3000 LeuvenBelgium U.O.C.di Gastroenterologia ed Endoscopia Digestiva Ospedale Giuseppe MazziniASL TeramoItaly gastroenterology and Digestive Endoscopy Unit Forlì-Cesena HospitalsAUSL RomagnaForlì-CesenaItaly Borland Groover Clinic JacksonvilleFloridaUSA Department of gastroenterology and hepatology King Fahad Medical CityRiyadhSaudi Arabia Asian Institute of gastroenterology HyderabadIndia Section of gastroenterology Department of Emergency and Organ TransplantationUniversity of BariBari 70124Italy Department of Biomedical Sciences Humanitas UniversityVia Rita Levi Montalcini 420090Pieve EmanueleMilanItaly

Background: Duodenoscope-related multidrug-resistant organism(MDRO) infections raise concerns. Disposable duodenoscopes have been recently introduced in the market and approved by regulatory agencies with the aim to reduce the risk of endoscopic retrograde cholangiopancreatography(ERCP) associated infections. The aim of this study was to evaluate the outcome of procedures performed with single-use duodenoscopes in patients with clinical indications to single-operator cholangiopancreatoscopy. Methods: This is a multicenter international, retrospective study combining all patients who underwent complex biliopancreatic interventions using the combination of a single-use duodenoscope and a single-use cholangioscope. The primary outcome was technical success defined as ERCP completion for the intended clinical indication. Secondary outcomes were procedural duration, rate of cross-over to reusable duodenoscope, operator-reported satisfaction score(1 to 10) on performance rating of the single-use duodenoscope, and adverse event(AE) rate. Results: A total of 66 patients(26, 39.4% female) were included in the study. ERCP was categorized according to ASGE ERCP grading system as 47(71.2%) grade 3 and 19(28.8%) grade 4. The technical success rate was 98.5%(65/66). Procedural duration was 64(interquartile range 15-189) min, cross-over rate to reusable duodenoscope was 1/66(1.5%). The satisfaction score of the single-use duodenoscope classified by the operators was 8.6 ± 1.3 points. Four patients(6.1%) experienced AEs not directly related to the single-use duodenoscope, namely 2 post-ERCP pancreatitis(PEP), 1 cholangitis and 1 ***: Single-use duodenoscope is effective, reliable and safe even in technically challenging procedures with a non-inferiority to reusable duodenoscope, making these devices a viable alternative to standard reusable equipment.

关键词： Single-operator cholangioscopy Single-use duodenoscope Endoscopic retrograde cholangiopancreatography Indeterminate biliary stricture Difficult biliary stones

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

Regional variation of pediatric inflammatory bowel disease in saudi arabia: Results from a multicenter study

引用

World Journal of gastroenterology 2020年第4期26卷 416-423页

作者： Mohammad I El Mouzan Mohammed H AlEdreesi Mohammed Y Hasosah Abdulrahman A Al-Hussaini Ahmad A Al Sarkhy Asaad A Assiri Department of Pediatrics Gastroenterology UnitKing Saud UniversityRiyadh11461Saudi Arabia Specialty Pediatrics division Pediatric GastroenterologyJohns Hopkins Aramco HealthcareDhahran 31311Saudi Arabia Department of Pediatrics Gastroenterology UnitKing Saud bin Abdulaziz University for Health SciencesJeddah 21423Saudi Arabia Children Hospital Gastroenterology DivisionKing Fahad Medical CityRiyadh 11525Saudi Arabia Supervisor of Prince Abdullah Bin Khalid Celiac Disease Research Chair Gastroenterology UnitKing Saud UniversityRiyadh 11461Saudi Arabia

BACKGROUND Incidence and severity variations of inflammatory bowel disease(IBD)have been reported from Western populations between continents and regions of the same ***,no data were available from other *** To investigate the regional differences in the IBD profiles of pediatric patients from the kingdom of saudi *** Data from a national multicenter IBD study were *** incidence,time trend,and clinical presentation of Crohn’s disease(CD)and ulcerative colitis(UC)in the Central region(CR),Western region(WR),and Eastern region(ER)were analyzed and *** analysis included Poisson regression analysis for incidence variation and Chi-square test for demographic and clinical parameters.A Pkingdom of saudi *** studies are needed to explain such variations.

关键词： Crohn’s disease Ulcerative colitis Epidemiology Children Regional variation

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

Acute autoimmune hepatitis mimicking metastatic liver disease: A case report

引用

World Journal of hepatology 2012年第7期4卷 234-236页

作者： Ibrahim Masoodi Khalid Alsayari division of gastroenterology and hepatology king Abdul Aziz Specialist Hospital Taif21944 saudi arabia division of gastroenterology and hepatology king fahad medical city riyadh 11525 saudi arabia

We report progressive painless jaundice in a 39 year old female with a suspicion of metastatic liver disease on ultrasound and computed tomography scan of the abdomen. Although the most frequent liver lesions are liver metastasis because of dual blood supply of the liver and the impact of hormones, the index case proved to have acute autoimmune hepatitis (AIH) after liver biopsy was undertaken. AIH, an unresolving inflammation of liver, occurs predominantly among females worldwide. It may present acutely and even fulminant hepatitis has been described. The index case had a dramatic response to steroid treatment with total recovery and complete resolution of liver lesions. She is clinically fine and has been regularly attending our clinic for the last year. To our knowledge from a Medline search, this is the first report where AIH was seen to mimic metastatic liver disease.

关键词： Metastatic liver disease Auto immune hepatitis Jaundice Liver biopsy

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

COVID-19: An overview and a clinical update

引用

World Journal of Clinical Cases 2021年第1期9卷 8-23页

作者： Arunkumar Krishnan James P Hamilton Saleh A Alqahtani Tinsay A Woreta division of gastroenterology and hepatology Johns Hopkins School of MedicineBaltimoreMD 21287United States Liver Transplant Center King Faisal Specialist Hospital&Research CenterRiyadh 12713Saudi Arabia

The outbreak of coronavirus disease-2019(COVID-19,previously known as 2019 nCoV)caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection in Wuhan city,China,has spread rapidly around the *** patients from the first cluster had an epidemiological connection to the Wuhan's Huanan Seafood Wholesale *** evidence has shown that SARSCoV-2 can be easily transmitted from person to person through close contact and respiratory droplets,posing a substantial challenge to public *** present,the research on SARS-CoV-2 is still in the primary ***,dexamethasone and remdesivir are appeared to be promising medical ***,there is no definite specific treatment,and the mainstay of treatment is still focused on supportive ***,over 150 vaccines are under *** is necessary to understand the nature of the virus and its clinical characteristics in order to find effectively manage the *** knowledge about this virus is rapidly evolving,and clinicians must update themselves *** present review comprehensively summarizes the epidemiology,pathogenesis,clinical characteristics,and management of COVID-19 based on the current evidence.

关键词： Coronaviruses COVID-19 SARS-CoV-2 Epidemiology Symptoms Laboratory Imaging Treatment Vaccines Prevention

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

Management of nonalcoholic fatty liver disease in the Middle East

引用

World Journal of gastroenterology 2020年第25期26卷 3528-3541页

作者： Faisal M Sanai Faisal Abaalkhail Fuad Hasan Muhammad Hamed Farooqi Nawal Al Nahdi Zobair M Younossi gastroenterology Unit Department of MedicineKing Abdulaziz Medical CityJeddah 21423Saudi Arabia Department of Medicine Alfaisal UniversityRiyadh 11533Saudi Arabia Department of Liver Transplant King Fahad Specialist HospitalDammam 32253Saudi Arabia Department of Internal Medicine Faculty of MedicineKuwait UniversitySafat 13110Kuwait Dubai Diabetes Center Dubai Health AuthorityDubai 00000United Arab Emirates Department of gastroenterology and hepatology Dubai Health AuthorityRashid hospitalDubai 00000United Arab Emirates Department of Medicine Inova Fairfax Medical CampusFalls ChurchVA 22042United States

The prevalence of nonalcoholic fatty liver disease(NAFLD)in the Middle East is increasing in parallel to an increase in the prevalence of associated risk factors such as obesity,metabolic syndrome,and type 2 diabetes *** 20%to 30%of the patients progress to develop nonalcoholic steatohepatitis(NASH),a histological subtype of NAFLD,with features of hepatocyte injury such as hepatocyte *** can progress to fibrosis,cirrhosis,and even hepatocellular *** thus causes a substantial burden on healthcare systems and it is imperative that appropriate strategies are discussed at a regional level to facilitate effective management tailored to the needs of the *** fulfil this unmet need,expert gastroenterologists,hepatologists,and endocrinologists from the region came together in three advisory board meetings that were conducted in saudi arabia,United Arab Emirates,and Kuwait,to discuss current local challenges in NAFLD screening and diagnosis,and the different available management *** experts discussed the disease burden of NAFLD/NASH in the Middle East;screening,diagnosis,and referral patterns in NAFLD;and available treatment options for NAFLD and *** paper summarizes the discussions and opinion of the expert panel on the management of NAFLD/NASH and also presents an extensive literature review on the topic.

关键词： Nonalcoholic fatty liver disease Nonalcoholic steatohepatitis Middle East Expert opinion

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

Nutritional status of children with inflammatory boweldisease in saudi arabia

引用

World Journal of gastroenterology 2016年第5期22卷 1854-1858页

作者： Mohammad Issa El Mouzan Mohammed Hadi Al Edreesi Abdulrahman Abdullah Al-Hussaini Omar Ibrahim Saadah Abdulaziz Abdullatif Al Qourain Mohammad Abdullah Al Mofarreh Khalid Abdulrahman Al Saleem Department of Pediatrics HeadPediatric IBD Research GroupMember of Prince Abdullah Bin Khalid Celiac Disease Research ChairKing Saud UniversityRiyadh 11461Saudi Arabia Department of Pediatrics Saudi Aramco Medical Services Organization Dhahran Health CenterDhahran 31311Saudi Arabia division of gastroenterology HepatologyKing Saud Bin Abdul Aziz University for Health SciencesThe Children’s HospitalKing Fahad Medical CityRiyadh 11525Saudi Arabia Department of Pediatrics Faculty of Medicine&Inflammatory Bowel Disease Research GroupKing Abdul Aziz UniversityJeddah 21589Saudi Arabia Department of Medicine Division of GastroenterologyKing Fahad Hospital of the UniversityDammam UniversityDammam 31952Saudi Arabia Department of gastroenterology Mofarreh Poly ClinicRiyadh 11423Saudi Arabia Section of Pediatric gastroenterology Department of PediatricsKing Faisal Specialist Hospital&Research CentreRiyadh 11525Saudi Arabia

AIM: To assess the prevalence of nutritional disorders in children with inflammatory bowel disease(IBD) in saudi ***: The data from a national cohort of children newly diagnosed with IBD between 2003 and 2012 were analyzed. The diagnosis of IBD and the differentiation between Crohn's disease(CD) and ulcerative colitis(UC) were confirmed by gastroenterologists according to the standard criteria. The body mass index(BMI) of each child [weight(kg)/height^2(m)] was calculated at the time of diagnosis. The World Health Organization standards and references were used and the BMI for age > +1 and saudi nationals, and 68(57%) of the UC and 150(59%) of the CD children were males. A positive history of anorexia at the time of diagnosis was found in 30(25%) patients with UC and 99(39%) patients with CD. The prevalence of thinness was 31%, 35% and 24% in children with IBD, CD and UC, respectively, with a significantly higher prevalence of thinness in children with CD than in children with UC(P = 0.037) only in the age group of 10-17 years(P = 0.030). The prevalence of overweight was 16 %, 15% and 20 % in the children with IBD, CD and UC, respectively, indicating a higher prevalence in UC that was statistically significant only in the age group of 10-17 years(P = 0.020). CONCLUSION: A high proportion of children with IBD presented with overweight instead of the classical underweight. Awareness of this finding is important for patient care.

关键词： Overweight Thinness Ulcerative colitis Crohn disease Children saudi arabia

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 and safety of treatment of hepatitis C virus infection in renal transplant recipients

引用

World Journal of gastroenterology 2012年第1期18卷 55-63页

作者： Abdulrahman A Aljumah Mohamed A Saeed Ahmed I Al Flaiw Ibrahim H Al Traif Abduljaleel M Al Alwan Salem H Al Qurashi Ghormallah A Al Ghamdi Fayez F Al Hejaili Mohammed A Al Balwi Abdulla A Al Sayyari division of hepatology Department of Hepatobiliary Sciences and Liver Transplantation King Abdulaziz Medical City and King Saud bin Abdulaziz University for Health Sciences National Guard Health Affairs division of Nephrology and Renal Transplantation Department of Medicine King Abdulaziz Medical City and King Saud bin Abdulaziz University for Health Sciences National Guard Health Affairs division of Molecular Pathology and Genetics King Abdulaziz Medical City and King Saud bin Abdulaziz University for Health Sciences National Guard Health Affairs

AIM: To assess the efficacy and safety of combinedpegylated interferon and ribavirin therapy in hepatitis C virus (HCV) infection in renal transplant recipients. METHODS: This is a retrospective chart review of post renal transplant patients who were positive for anti-HCV and HCV-RNA, and who have received treatment with combination of pegylated interferon and ribavirin between October 2003 and December 2008. Only patients with stable graft function and absence of evidence of cirrhosis and who received the therapy for continuous 48 wk were included. Nineteen patients (13 male and 6 female) were identified and included. The patient's complete blood count, liver and kidney prof ile, and cal- culated glomerular f iltration rate (GFR) were monitored every 6-8 wk while on treatment. HCV-RNA was tested at 12 wk for early virological response, at 48 wk for end of treatment response (ETR), and then retested at 24, and 48 wk after completion of therapy for sustained virological response (SVR). Liver biopsies were obtained before treatment from all patients and graft kidney biopsies were performed as required. RESULTS: Of the entire cohort, 9 patients (47.4%) showed an ETR and 8 had SVR (42.1%). Of the 8 patients with abnormal alanine aminotransferase (ALT) levels at baseline, 78.9% had their ALT normalized (including the virological non responders). ALT was normal in all responders at the end of therapy and at 24 wk post therapy (100%). Only one patient (5.3%) developed an increase in creatinine and decline in GFR from baseline towards the end of treatment. This patient's kidney biopsy revealed borderline rejection. There was no impact on response by HCV-genotype, initial HCV RNA load, age or sex of the patient or duration post transplant before commencement of therapy. All patients tolerated treatment in the same way as non-transplant with no unusual or increased occurrence of side effects. CONCLUSION: The combination of pegylated interferon and ribavirin is effective in su

关键词： Allograft rejection Hepatitis C Pegylated interferon Ribavirin Renal transplant

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

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

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：