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| 1 | Elastic band ligation of hemorrhoids:Flexible gastroscope or rigid proctoscope?显示文摘AIM: To compare rigid proctoscope and flexible endoscope for elastic band ligation of internal hemorrhoids. METHODS: Patients between 18 and 80 years old, with chronic complaints (blood loss, pain, itching or prolapse) of internal hemorrhoids of grade I-Ⅲ, were randomized to elastic band ligation by rigid proctoscope or flexible endoscope (preloaded with 7 bands). Patients were re- treated every 6 wk until the cessation of complaints. Evaluation by three-dimensional anal endosonography was performed. RESULTS: Forty-one patients were included (median age 52.0, range 27-79 years, 20 men). Nineteen patients were treated with a rigid proctoscope and twenty two with a flexible endoscope. Twenty-nine patients had grade I hemorrhoids, 9 patients had grade Ⅱ hemorrhoids and 3 patients had grade Ⅲ hemorrhoids. All patients needed a minimum of 1 treatment and a maximum of 3 treatments. A median of 4.0 bands was used in the rigid proctoscope group and a median of 6.0 bands was used in the flexible endoscope group (P < 0.05). Pain after ligation tended to be more frequent in patients treated with the flexible endoscope (first treatment: 3 vs 10 patients, P < 0.05). Three- dimensional endosonography showed no sphincter defects or alterations in submucosal thickness. CONCLUSION: Both techniques are easy to perform, well tolerated and have a good and fast effect. It is easier to perform more ligations with the flexible endoscope. Additional advantages of the flexible scope are the maneuverability and photographic documentation. However, treatment with the flexible endoscope might be more painful and is more expensive. | M Cazemier RJF Felt-Bersma MA Cuesta CJJ Mulder | 2007 | World Journal of Gastroenterology2007，13，4： | 12 |
| 2 | APC in flexible gastrointestinal endoscopy: piolt experineees显示文摘 | Wahab PJ Mulder CJJ den Hartog GD | 1997 | Endoscopy1997，29，3： | 1 |
| 3 | NFKB1 promoter polymorphism is involved in susceptibility to ulcerative colitis显示文摘 | Borm MEA von Bodegraven A Mulder CJJ | 2005 | Int J Immunogenet2005，32，6： | 1 |
| 4 | APC in flexible gastrointestinal endoscopy:pilot experiences显示文摘 | Wahab PJ mulder CJJ den Hartog GD | 1997 | Endoscopy1997，29，： | 1 |
| 5 | Argon plasma coagulationinflexible gastrointestinal endoscopy:pilot experiences显示文摘 | Wahab PJ Mulder CJJ den Hartog G | 1997 | Endoscopy1997，29，3： | 1 |
| 6 | APC in flexible gastrointestinal endoscopy:pilot experiences 显示文摘 | Wahab PJ Mulder CJJ Den Hartog GD | 1997 | Endoscopy1997，29，： | 1 |
| 7 | On attitudes about colorectal cancer screening among gastrointestinal specialists and general practitioners in the Netherlands显示文摘瞄准:发现是否在关于颜色的态度有差别屏蔽在之中的表面的癌症(CRC ) 胃肠(官方补给) 专家和全科医生(GP ) 并且它方法在一个国家屏蔽节目被比较喜欢。方法:在荷兰的 420 位荷兰的官方补给的专家和在阿姆斯特丹的 400 GP 在 2004 被询问。问题包括了人口分布,联营,对为一般人口和自己屏蔽两个的态度,屏蔽的方法,家庭历史和单个风险。结果:百分之 84 位官方补给的专家与 32% GP 相比归还了问询表(P <
0.001 ) 。在官方补给的专家之中,而 51% GP 支持了人口屏蔽, 92% 赞成了人口屏蔽(P <
0.001 ) 。官方补给的专家, 95% 计划自己被屏蔽,当 30% GP 打算那么做时(P <
0.001 ) 。关于一般人口, 72% 官方补给的专家与 27% GP 相比作为屏蔽方法比较喜欢结肠镜检查(P <
0.001 ) 。为个人屏蔽比较喜欢的方法是在 97% 官方补给的专家的结肠镜检查,当 29% GP 赞成了结肠镜检查时(P <
0.001 ) 。结论:为 CRC 屏蔽被 GP 被荷兰的官方补给的专家和更少强烈支持。主要健康问题被 GP 可能判断错。因为 GP 在一个成功的国家屏蔽节目起一个关键作用, CRC 了解应该被关于发生和死亡增加知识认识到,对在 GP 之中屏蔽的需要的因此增加的了解。 | JS Terhaar sive Droste GDN Heine ME Craanen H Boot CJJ Mulder | 2006 | World Journal of Gastroenterology2006，12，32： | 0 |
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