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1Endoscopic transluminal pancreatic necrosectomy using a self-expanding metal stent and high-flow water-jet system显示文摘Walled-off pancreatic necrosis and a pancreatic abscess are the most severe complications of acute pancreatitis. Surgery in such critically ill patients is often associated with significant morbidity and mortality within the first few weeks after the onset of symptoms. Minimal invasive approaches with high success and low mortality rates are therefore of considerable interest. Endoscopic therapy has the potential to offer safe and effective alternative treatment. We report here on 3 consecutive patients with infected walled-off pancreatic necrosis and 1 patient with a pancreatic abscess who underwent direct endoscopic necrosectomy 19-21 d after the onset of acute pancreatitis. The infected pancreatic necrosis or abscess was punctured transluminally with a cystostome and, after balloon dilatation, a non-covered self-expanding biliary metal stent was placed into the necrotic cavity. Following stent deployment, a nasobiliary pigtail catheter was placed into the cavity to ensure continuous irrigation. After 5-7 d, the metal stent was removed endoscopically and the necrotic cavity was entered with a therapeutic gastroscope. Endoscopic debridement was performed via the simultaneous application of a high-flow water-jet system; using a flush knife, a Dormia basket, and hot biopsy forceps. The transluminal endotherapy was repeated 2-5 times daily during the next 10 d. Supportive care included parenteral antibiotics and jejunal feeding. All patients improved dramatically and with resolution of their septic conditions; 3 patients were completely cured without any further complications or the need for surgery. One patient died from a complication of prolonged ventilation severe bilateral pneumonia, not related to the endoscopic procedure. No procedure related complications were observed. Transluminal endoscopic necrosectomy with temporary application of a self-expanding metal stent and a high-flow water-jet system shows promise for enhancing the potential of this endoscopic approach in patients with walled-off pancreatic necrosis and/or a pancreatic abscess.István Hritz Roland Fejes András Székely Iván Székely László Horváth gnes Sárkány ron Altorjay László Madácsy 2013World Journal of Gastroenterology2013,19,23:10
2Triiodothyronine accelerates differentiation of rat liver progenitor cells into hepatocytes显示文摘Viktória László Katalin Dezs? Kornélia Baghy Veronika Papp Ilona Kovalszky Géza Sáfrány Snorri S. Thorgeirsson Peter Nagy Sándor Paku 2008Histochemistry and Cell Biology2008,,5:2
3Efficacy of 6-mercaptopurine treatment after azathioprine hypersensitivity in inflammatory bowel disease显示文摘AIM:To investigate the efficacy of 6-mercaptopurine (6-MP) in cases of azathioprine (AZA) hypersensitivity in patients with inflammatory bowel disease. METHODS: Twenty nine previously confirmed Crohn’s disease (CD) (n = 14) and ulcerative colitis (UC) (n = 15) patients with a known previous (AZA) hypersensitivity reaction were studied prospectively. The 6-MP doses were gradually increased from 0.5 up to 1.0-1.5 mg/kg per day. Clinical activity indicies (CDAI/CAI), laboratory variables and daily doses of oral 5-ASA, corticosteroids, and 6-MP were assessed before and in the first, sixth and twelfth months of treatment. RESULTS: In 9 patients, 6-MP was withdrawn in the first 2 wk due to an early hypersensitivity reaction. Medication was ineffective within 6 mo in 6 CD patients, and myelotoxic reaction was observed in two. Data were evaluated at the end of the sixth month in 12 (8 UC, 4 CD) patients, and after the first year in 9 (6 UC, 3 CD) patients. CDAI decreased transiently at the end of the sixth month, but no significant changes were observed in the CDAI or the CAI values at the end of the year. Leukocyte counts (P = 0.01), CRP (P = 0.02), and serum iron (P = 0.05) values indicated decreased inflammatory reactions, especially in the UC patients at the end of the year, making the possibility to taper oral steroid doses. CONCLUSION: About one-third of the previously AZA- intolerant patients showed adverse effects on taking 6MP. In our series, 20 patients tolerated 6MP, but it was ineffective in 8 CD cases, and valuable mainly in ulcerative colitis patients.Ferenc Nagy Tamás Molnár Zoltán Szepes Klaudia Farkas Tibor Nyári János Lonovics 2008World Journal of Gastroenterology2008,14,27:2
4Interaction of the major inflammatory bowel disease susceptibility alleles in Crohn’s disease patients显示文摘AIM:To investigate the interaction of interleukin-23 receptor(IL23R)(rs1004819 and rs2201841),autophagy-related 16-like 1(ATG16L1)(rs2241880), caspase recruitment domain-containing protein 15 (CARD15)genes,and IBD5 locus in Crohn's disease(CD) patients. METHODS:A total of 315 unrelated subjects with CD and 314 healthy controls were genotyped.Interactions and specific genotype combinations of a total of eight variants were tested.The variants of IBD5locus(IGR2198a_1 rs11739135 and IGR2096a_1 rs12521868),CARD15(R702W rs2066845 and L1007fs rs2066847),ATG16L1(rs2241880)and IL23R (rs1004819,rs2201841)genes were genotyped by PCR-RFLP,the G908R(rs2066844)in CARD15 was determined by direct sequencing. RESULTS:The association of ATG16L1 T300A with CD was confirmed[P=0.004,odds ratio(OR)=1.69, 95%CI:1.19-2.41],and both IL23R variants were found to represent significant risk for the disease(P= 0.008,OR=2.05,95%CI:1.20-3.50 for rs1004819 AA;P<0.001,OR=2.97,95%CI:1.65-5.33 for rs2201841 CC).Logistic regression analysis of pairwise interaction of the inflammatory bowel disease (IBD)loci indicated that IL23R,ATG16L1,CARD15 and IBD5(IGR2198a_1)contribute independently to disease risk.We also analysed the specific combina- tions by pair of individual ATG16L1,IL23R rs1004819, rs2201841,IGR2198a_1,IGR2096a_1 and CARD15 genotypes for disease risk influence.In almost all cases,the combined risk of susceptibility pairs was higher in patients carrying two different risk-associated gene variants together than individuals with just one polymorphism.The highest OR was found for IL23R rs2201841 homozygous genotype with combination of positive CARD15 status(P<0.001,OR=9.15,95% CI:2.05-40.74). CONCLUSION:The present study suggests a cumulative effect of individual IBD susceptibility loci.Veronika Csngei Luca Járomi EnikSáfrány Csilla Sipeky Lili Magyari Bernadett Faragó Judit Bene Noémi Polgár Lilla Lakner Patrícia Sarlós Márta Varga Béla Melegh 2010World Journal of Gastroenterology2010,16,2:2
5Role of Diffusion-weighted MR Imaging in Cervical Lymphadenophathy显示文摘Abdel Razek AA Soliman NY Elkhamary S 2006Eur Radiol2006,16,7:1
6Personalized health planning with integrative health coaching to reduce obesity risk among women gaining excess weight during pregnancy显示文摘Yang NY Wroth S Parham C 2013Glob Adv Health Med2013,2,4:1
7SnO2-Au hybrid nanoparticles as effective catalysts for oxygen electroreduction in alkaline media显示文摘Chen W Ny D Chen S 2010J Power Sources2010,195,2:1
8Biphasic effects of leptin in porcine granulosa cells显示文摘Ruiz-Cortés ZT Martel-Kennes Y Gévry NY 2003Biol Reprod2003,68,3:1
9High - performanceliquid chromatography method for the quantification of rabeprazole inhuman plasma using solid - phase extraction 显示文摘Ramakrishna NY Vishwottara KN Wishu S 2005J Chromatogr B2005,816,:1
10Spread of drug-resistant Streptococcus pneumoniae in Asian countries: Asian Network for Surveillance of Resistant Pathogens (ANSORP) Study显示文摘Song JH Lee NY Ichiyama S 1999Clin Infect Dis1999,25,:1
11Metavineulin muta- tions alter aetin interaction in dilated eardionayopathy 显示文摘Olson TM Inenberger S Kishimoto NY 2002Circula- tion2002,105,4:1
12Clinicopathological features of CpG is- land methylator phenotype-positive colorectal cancer and its adverse prognosis in relation to KRAS/BRAF mutation显示文摘Lee S Cho NY Choi M 2008Pathol Int2008,58,2:1
13Carriage of antibiotic-resistant pneumococci among Asian children:a multinational surveillance by the Asian network for suverllance of resistant pathogents (ANSORP)显示文摘Lee NY Song JH Kim S 2001CID2001,32,:1
14Role of diffusion-weighted MR imaging in cervical lymphadenopathy显示文摘Abdel Razek AA Soliman NY Elkhamary S 2006European Journal of Radiology2006,16,7:1
15DNA methylation profiles of Sastric carcinoma characterized by quantitative DNA methylation analysis 显示文摘Kang GH Lee S Cho NY 2008Lab Invest2008,88,2:1
16Multiple myeloma with biclonal gammopathy accompanied by prostate cancer 显示文摘Kim NY Gong S J Kim J 2011Korean J Lab Med2011,31,4:1
17PET-CT guided curative conformal radiation therapy in limited stage small cell lung cancer显示文摘Ulger S Demirci NY Aydinkarahaliloglu E 2015J Thorac Dis2015,7,3:1
18Role of diffusion-weighted MR imaging in cervical lymphadenopathy 显示文摘Abdel Razek AA Soliman NY Elkhamary S 2006Eur Radiol2006,16,7:1
19Chilling sensitivity of crop (Cyprinus carpio) embryos in different developmental stages and the protective effect of sucrose显示文摘Dinnyés A Urbány B Baranyai B 1997Theriogenology1997,47,1:1
20Fluorine-18-labeled fluoromisonidazole positron emission and computed tomography- guided intensity-modulated radiotherapy for head and neck cancer: a feasibility study 显示文摘Lee NY Mechalakos JG Nehmeh S 2008Int J Radiat Oncol Biol Phys2008,70,:1
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