We present here a large (3 cm) hyperplastic gastric polyp prolapsed into duodenum and caused outlet obstruction and iron deficiency anemia in 60 years old male patient.Endoscopic removal was performed successfully.
AIM: To study the palliative treatment of malignant obstruction of digestive tract with placement of intraluminal stent combined with intra-arterial infusion of chemotherapeutic drugs. METHODS: A total of 281 cases of...AIM: To study the palliative treatment of malignant obstruction of digestive tract with placement of intraluminal stent combined with intra-arterial infusion of chemotherapeutic drugs. METHODS: A total of 281 cases of digestive tract malignant obstruction were given per oral (esophagus, stomach, duodenum and jejunum), per anal (colon and rectum) and percutaneous transhepatic (biliary) installation of metallic stent. Among them, 203 cases received drug infusion by cannulation of tumor supplying artery with Seldinger's technique. RESULTS: Altogether 350 stents were installed in 281 cases, obstructive symptoms were relieved or ameliorated after installation. Occurrence of restenotic obstruction was 8-43 weeks among those with intra-arterial drug infusion, which was later than 4-26 weeks in the group with only stent installation. The average survival time of the former group was 43 (3-105) weeks, which was significantly longer than 13 (3-24) weeks of the latter group. CONCLUSION: Intraluminal placement of stent combined with intra-arterial infusion chemotherapy is one of the effective palliative therapies for malignant obstruction of the digestive tract with symptomatic as well as etiological treatment.展开更多
目的评估呼吸康复训练治疗中老年单纯阻塞性睡眠呼吸暂停综合征(OSAS)的疗效。方法本研究已经在PROSPERO平台注册(CRD42022331424)。检索外文数据库Pubmed、Embase、Web of science、Cochrane Library以及中国知网全文数据库、中国生物...目的评估呼吸康复训练治疗中老年单纯阻塞性睡眠呼吸暂停综合征(OSAS)的疗效。方法本研究已经在PROSPERO平台注册(CRD42022331424)。检索外文数据库Pubmed、Embase、Web of science、Cochrane Library以及中国知网全文数据库、中国生物医学文献数据库、万方数据库、维普中文科技期刊数据库,获取关于呼吸康复训练治疗OSAS的随机对照试验的文献,检索时限从建库至2022年4月。通过Cochrane系统评价手册进行质量评估,Revman 5.4制作偏倚风险评估图,数据分析软件采用Stata 15.1软件。结果最终获取文献7篇,研究对象共141例。Meta分析显示,呼吸康复训练后,试验组和对照组睡眠呼吸紊乱指数(AHI)评分比较,差异无统计学意义(MD=-0.13,95%CI为-0.52~0.26,P>0.05);试验组Epworth嗜睡量表得分优于对照组(MD=-0.79,95%CI为-1.22~-0.36,P<0.05),匹兹堡睡眠质量指数(PSQI)评分优于对照组(MD=-1.23,95%CI为-1.66~-0.79,P<0.05)。结论呼吸康复训练能够改善OSAS的临床症状,减少白天嗜睡,提高睡眠质量。展开更多
文摘We present here a large (3 cm) hyperplastic gastric polyp prolapsed into duodenum and caused outlet obstruction and iron deficiency anemia in 60 years old male patient.Endoscopic removal was performed successfully.
文摘AIM: To study the palliative treatment of malignant obstruction of digestive tract with placement of intraluminal stent combined with intra-arterial infusion of chemotherapeutic drugs. METHODS: A total of 281 cases of digestive tract malignant obstruction were given per oral (esophagus, stomach, duodenum and jejunum), per anal (colon and rectum) and percutaneous transhepatic (biliary) installation of metallic stent. Among them, 203 cases received drug infusion by cannulation of tumor supplying artery with Seldinger's technique. RESULTS: Altogether 350 stents were installed in 281 cases, obstructive symptoms were relieved or ameliorated after installation. Occurrence of restenotic obstruction was 8-43 weeks among those with intra-arterial drug infusion, which was later than 4-26 weeks in the group with only stent installation. The average survival time of the former group was 43 (3-105) weeks, which was significantly longer than 13 (3-24) weeks of the latter group. CONCLUSION: Intraluminal placement of stent combined with intra-arterial infusion chemotherapy is one of the effective palliative therapies for malignant obstruction of the digestive tract with symptomatic as well as etiological treatment.
