BACKGROUND In patients with large stones in the common bile duct(CBD),advanced treatment modalities are generally needed.Here,we present an interesting case of a huge CBD stone treated with electrohydraulic lithotrips...BACKGROUND In patients with large stones in the common bile duct(CBD),advanced treatment modalities are generally needed.Here,we present an interesting case of a huge CBD stone treated with electrohydraulic lithotripsy(EHL)by the percutaneous approach and rendezvous endoscopic retrograde cholangiography(ERC)using a nasal endoscope.CASE SUMMARY A 91-year-old woman underwent ERC for a symptomatic large CBD stone with a diameter of 50 mm.She was referred to our institution after the failure of lithotomy by ERC,and after undergoing percutaneous transhepatic biliary drainage.We attempted to fragment the stone by transhepatic cholangioscopy using EHL.However,the stones were too large and partly soft clay-like for lithotripsy.Next,we attempted lithotomy with ERC and cholangioscopy by the rendezvous technique using a nasal endoscope and achieved complete lithotomy.No complication was observed at the end of this procedure.CONCLUSION Cholangioscopy by rendezvous technique using a nasal endoscope is a feasible and safe endoscopic method for removing huge CBD stones.展开更多
The experiments of two-stage pyrolysis and catalytic reforming of high impact polystyrene (HIPS) containing brominated flame retardants and antimony trioxide (Sb2O3) were conducted in the presence of four zeolite cata...The experiments of two-stage pyrolysis and catalytic reforming of high impact polystyrene (HIPS) containing brominated flame retardants and antimony trioxide (Sb2O3) were conducted in the presence of four zeolite catalysts in order to remove the bromine content from the derived oil products. The four catalysts used were natural zeolite (NZ), iron oxide loaded natural zeolite (Fe-NZ), HY zeolite (YZ) and iron oxide loaded HY zeolite (Fe-NZ). The effect of catalyst types on the product yield, the gas and oil product composition and the debromination efficiency of the oil products was evaluated in details. The results showed that the loading of iron oxides reduced the pore size and surface areas of natural zeolite and HY zeolite. Regardless of the presence of catalysts, the single-ring aromatic compounds were the main components of the oil products, such as ethylbenzene, toluene, styrene and cumene. Meanwhile, when YZ and Fe-YZ were used, the two-ring and multi-ring aromatic compounds in the oils, as well as the yield of gas products, significantly increased at the expense of valuable single-ring aromatic compounds. Furthermore, in terms of the debromination performance of the oil products, Fe-NZ and Fe-YZ were better than NZ and YZ, duo to the loading of iron oxide, which could react with derived HBr and then remove more bromine from the oil products.展开更多
文摘BACKGROUND In patients with large stones in the common bile duct(CBD),advanced treatment modalities are generally needed.Here,we present an interesting case of a huge CBD stone treated with electrohydraulic lithotripsy(EHL)by the percutaneous approach and rendezvous endoscopic retrograde cholangiography(ERC)using a nasal endoscope.CASE SUMMARY A 91-year-old woman underwent ERC for a symptomatic large CBD stone with a diameter of 50 mm.She was referred to our institution after the failure of lithotomy by ERC,and after undergoing percutaneous transhepatic biliary drainage.We attempted to fragment the stone by transhepatic cholangioscopy using EHL.However,the stones were too large and partly soft clay-like for lithotripsy.Next,we attempted lithotomy with ERC and cholangioscopy by the rendezvous technique using a nasal endoscope and achieved complete lithotomy.No complication was observed at the end of this procedure.CONCLUSION Cholangioscopy by rendezvous technique using a nasal endoscope is a feasible and safe endoscopic method for removing huge CBD stones.
文摘The experiments of two-stage pyrolysis and catalytic reforming of high impact polystyrene (HIPS) containing brominated flame retardants and antimony trioxide (Sb2O3) were conducted in the presence of four zeolite catalysts in order to remove the bromine content from the derived oil products. The four catalysts used were natural zeolite (NZ), iron oxide loaded natural zeolite (Fe-NZ), HY zeolite (YZ) and iron oxide loaded HY zeolite (Fe-NZ). The effect of catalyst types on the product yield, the gas and oil product composition and the debromination efficiency of the oil products was evaluated in details. The results showed that the loading of iron oxides reduced the pore size and surface areas of natural zeolite and HY zeolite. Regardless of the presence of catalysts, the single-ring aromatic compounds were the main components of the oil products, such as ethylbenzene, toluene, styrene and cumene. Meanwhile, when YZ and Fe-YZ were used, the two-ring and multi-ring aromatic compounds in the oils, as well as the yield of gas products, significantly increased at the expense of valuable single-ring aromatic compounds. Furthermore, in terms of the debromination performance of the oil products, Fe-NZ and Fe-YZ were better than NZ and YZ, duo to the loading of iron oxide, which could react with derived HBr and then remove more bromine from the oil products.
