Aim:To show the effects of a single course of antenatal betamethasone on card iac measurements and systolic functions in premature newborn infants.Methods:S eventy six newborn infants with a gestational age of 25-33 w...Aim:To show the effects of a single course of antenatal betamethasone on card iac measurements and systolic functions in premature newborn infants.Methods:S eventy six newborn infants with a gestational age of 25-33 weeks were included in the study.They were first classified according to their gestational age:25-29 weeks(n = 28)and 30-33 weeks(n = 48).They were then reclassified as be tamethasone positive(mother received one course of betamethasone)or betamethas one negative(mother did not receive any antenatal glucocorticoid treatment).Cr oss sectional M mode echocardiographic scans were performed during the first thr ee postnatal days and at the end of the first and third weeks.Left interventric ular septum(IVS),left ventricular posterior wall(LVPW),left ventricular end diastolic(LVED),and left ventricular end systolic(LVES)dimensions,aortic root(AO),and left atrial diameters(LAs)were measured.The IVS to LVPW ratio was calculated to identify asymmetrical septal hypertrophy.Results:In neither group was any statistically significant difference noted in IVS,LVED,LVES,LVPW,LA,and AO measurements during the three cardiac ultrasonography scans.Systolic function,as assessed by fractional shortening,was not significantly different in infants who received betamethasone antenatally,in either age group.There was no difference in the IVS/LVPW ratios between those who received antenatal steroid and those who did not for the 25-29 week and 30-33 week groups during these three consecutive scans.Conclusion:One course of antenatal betamethasone did not affect the cardiac wall thicknesses and systolic function in premature infants.展开更多
Our purpose was to determine if the presence of duodenal diverticula predispo ses to the development of pancreaticobiliary disease. Between May 1999 and Febru ary 2001, 381 patients were examined by endoscopic retrogr...Our purpose was to determine if the presence of duodenal diverticula predispo ses to the development of pancreaticobiliary disease. Between May 1999 and Febru ary 2001, 381 patients were examined by endoscopic retrograde cholangiopancreati cography. Of these patients, 51 had periampullary diverticula. In 27 patients th e papilla was located inside the diverticulum (Group I), in 19 patients it was l ocated at the edge of the diverticulum (Group II), and 5 patients it was located at a distance closer than 3 cm to the diverticulum (Group III). Seventeen patie nts in group I and 11 patients in group II had had a previous cholecystectomy. T he overall incidence of biliary system stone disease was 22.2% in group I, 36. 8% in group II, and 100% in group III. All patients were treated with endosc opic sphincterotomy and three (two in group I and one in group II) developed bil iary system disease (cholangitis or pancreatitis). We think that sphincterotomy should be applied regardless of the presence of stone if the papilla is located inside or at the edge of the diverticulum. If the papilla is located 3 cm or mor e far for diverticulum , it should be considered within the frame of general sph incterotomy indications in the absence of stone disease.展开更多
文摘Aim:To show the effects of a single course of antenatal betamethasone on card iac measurements and systolic functions in premature newborn infants.Methods:S eventy six newborn infants with a gestational age of 25-33 weeks were included in the study.They were first classified according to their gestational age:25-29 weeks(n = 28)and 30-33 weeks(n = 48).They were then reclassified as be tamethasone positive(mother received one course of betamethasone)or betamethas one negative(mother did not receive any antenatal glucocorticoid treatment).Cr oss sectional M mode echocardiographic scans were performed during the first thr ee postnatal days and at the end of the first and third weeks.Left interventric ular septum(IVS),left ventricular posterior wall(LVPW),left ventricular end diastolic(LVED),and left ventricular end systolic(LVES)dimensions,aortic root(AO),and left atrial diameters(LAs)were measured.The IVS to LVPW ratio was calculated to identify asymmetrical septal hypertrophy.Results:In neither group was any statistically significant difference noted in IVS,LVED,LVES,LVPW,LA,and AO measurements during the three cardiac ultrasonography scans.Systolic function,as assessed by fractional shortening,was not significantly different in infants who received betamethasone antenatally,in either age group.There was no difference in the IVS/LVPW ratios between those who received antenatal steroid and those who did not for the 25-29 week and 30-33 week groups during these three consecutive scans.Conclusion:One course of antenatal betamethasone did not affect the cardiac wall thicknesses and systolic function in premature infants.
文摘Our purpose was to determine if the presence of duodenal diverticula predispo ses to the development of pancreaticobiliary disease. Between May 1999 and Febru ary 2001, 381 patients were examined by endoscopic retrograde cholangiopancreati cography. Of these patients, 51 had periampullary diverticula. In 27 patients th e papilla was located inside the diverticulum (Group I), in 19 patients it was l ocated at the edge of the diverticulum (Group II), and 5 patients it was located at a distance closer than 3 cm to the diverticulum (Group III). Seventeen patie nts in group I and 11 patients in group II had had a previous cholecystectomy. T he overall incidence of biliary system stone disease was 22.2% in group I, 36. 8% in group II, and 100% in group III. All patients were treated with endosc opic sphincterotomy and three (two in group I and one in group II) developed bil iary system disease (cholangitis or pancreatitis). We think that sphincterotomy should be applied regardless of the presence of stone if the papilla is located inside or at the edge of the diverticulum. If the papilla is located 3 cm or mor e far for diverticulum , it should be considered within the frame of general sph incterotomy indications in the absence of stone disease.
