ESPITE the strong association between gastroesophageal reflux disease (GERD) and asthma has been undisputedly established and widely recognized by experts in advanced countries. Yet few topics in medicine are as con...ESPITE the strong association between gastroesophageal reflux disease (GERD) and asthma has been undisputedly established and widely recognized by experts in advanced countries. Yet few topics in medicine are as controversial as the causal relationship between GERD and asthma: some argue that GERD causes asthma, while others think the other way around is true, still quite a few believe that bronchodilator medications are to blame. This controversy continues to be a conundrum or more piece of the puzzle.1 We would like to share two thoughts which might be a belated revelation with scholars and experts and invite them for further cooperative studies: the GERD-derived respiratory distress is not asthma, but GERD pure and simple; and the pathogenesis of respiratory distress is not asthma, but laryngotracheal irritation/spasm/suffocation.展开更多
To meet the requirement of extensive resection of pancreatic cancer with portal or mesenteric venous invasion,the innovation of Vascular Graft Bridged En Bloc Resection (VGBEBR) has been adopted to treat advanced bi...To meet the requirement of extensive resection of pancreatic cancer with portal or mesenteric venous invasion,the innovation of Vascular Graft Bridged En Bloc Resection (VGBEBR) has been adopted to treat advanced biliopancreatic cancer in the Department of Hepatobiliary Surgery of the PLA Rocket Force General Hospital since 2013.This attempt could not only broaden surgical indications of radical resection and lymphadenectomy but also increase R0 resection rate,especially for the case with severe invasion in the portal and mesenteric venous system.展开更多
Gastroesophageal reflux disease(GERD)was diagnosed and fundoplication was performed,which relieved the symptoms.This paper explores the effect of fundoplication on GERD-related respiratory symptoms.From January 2007 to...Gastroesophageal reflux disease(GERD)was diagnosed and fundoplication was performed,which relieved the symptoms.This paper explores the effect of fundoplication on GERD-related respiratory symptoms.From January 2007 to October 2008,64 patients with respiratory symptoms related to GERD were consecutively enrolled for laparoscopic fundoplication.Of these,60 patients had respiratory symptoms mainly combined with gastroesophageal reflux,while four had respiratory symptoms only.All patients had GERD confirmed,and medical treatment provided before surgery resulted in an insufficiently favorable effect or even producing further complications.All the patients were requested tofill a questionnaire form regarding the severity of symptoms and their medication so as to make an evaluation score for the follow-up.The outcome of respiratory symptoms after surgery was as follows:excellent in 23 cases(35.9%);good in 28(43.8%);fair in 5(7.8%);poor in 8(12.5%).The mean respiratory symptom score decreased from 6.3�2.65 to 2.33�2.37.Laparoscopic fundoplication can be an effective treatment for the majority of patients with GERD-related respiratory symptoms.展开更多
文摘ESPITE the strong association between gastroesophageal reflux disease (GERD) and asthma has been undisputedly established and widely recognized by experts in advanced countries. Yet few topics in medicine are as controversial as the causal relationship between GERD and asthma: some argue that GERD causes asthma, while others think the other way around is true, still quite a few believe that bronchodilator medications are to blame. This controversy continues to be a conundrum or more piece of the puzzle.1 We would like to share two thoughts which might be a belated revelation with scholars and experts and invite them for further cooperative studies: the GERD-derived respiratory distress is not asthma, but GERD pure and simple; and the pathogenesis of respiratory distress is not asthma, but laryngotracheal irritation/spasm/suffocation.
文摘To meet the requirement of extensive resection of pancreatic cancer with portal or mesenteric venous invasion,the innovation of Vascular Graft Bridged En Bloc Resection (VGBEBR) has been adopted to treat advanced biliopancreatic cancer in the Department of Hepatobiliary Surgery of the PLA Rocket Force General Hospital since 2013.This attempt could not only broaden surgical indications of radical resection and lymphadenectomy but also increase R0 resection rate,especially for the case with severe invasion in the portal and mesenteric venous system.
文摘Gastroesophageal reflux disease(GERD)was diagnosed and fundoplication was performed,which relieved the symptoms.This paper explores the effect of fundoplication on GERD-related respiratory symptoms.From January 2007 to October 2008,64 patients with respiratory symptoms related to GERD were consecutively enrolled for laparoscopic fundoplication.Of these,60 patients had respiratory symptoms mainly combined with gastroesophageal reflux,while four had respiratory symptoms only.All patients had GERD confirmed,and medical treatment provided before surgery resulted in an insufficiently favorable effect or even producing further complications.All the patients were requested tofill a questionnaire form regarding the severity of symptoms and their medication so as to make an evaluation score for the follow-up.The outcome of respiratory symptoms after surgery was as follows:excellent in 23 cases(35.9%);good in 28(43.8%);fair in 5(7.8%);poor in 8(12.5%).The mean respiratory symptom score decreased from 6.3�2.65 to 2.33�2.37.Laparoscopic fundoplication can be an effective treatment for the majority of patients with GERD-related respiratory symptoms.