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Medical treatment for sphincter of oddi dysfunction:Can it replace endoscopic sphincterotomy? 被引量:9
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作者 Véronique Vitton Salah Ezzedine +3 位作者 Jean-Michel Gonzalez Mohamed Gasmi Jean-Charles Grimaud Marc Barthet 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第14期1610-1615,共6页
AIM:To report the results of a medical management of sphincter of oddi dysfunction(SOD) after an intermediate follow-up period.METHODS:A total of 59 patients with SOD(2 men and 57 women,mean age 51 years old) were inc... AIM:To report the results of a medical management of sphincter of oddi dysfunction(SOD) after an intermediate follow-up period.METHODS:A total of 59 patients with SOD(2 men and 57 women,mean age 51 years old) were included in this prospective study.After medical treatment for one year,the patients were clinically re-evaluated after an average period of 30 mo.RESULTS:The distribution of the patients according to the Milwaukee's classification was the following:11 patients were type 1,34 were type 2 and 14 were type 3.Fourteen patients underwent an endoscopic sphincterotomy(ES) after one year of medical treatment.The median intermediate follow-up period was 29.8 ± 3 mo(3-72 mo).The initial effectiveness of the medical treatment was complete,partial and poor among 50.8%,13.5% and 35%,respectively,of the patients.At the end of the follow-up period,37 patients(62.7%) showed more than 50% improvement.The rate of improvement in patients who required ES was not significantly different compared with the patients treated conservatively(64.2% vs 62.2%,respectively).CONCLUSION:Our study confirms that conservative medical treatment could be an alternative to endoscopic sphincterotomy because,after an intermediate follow-up period,the two treatments show the same success rates. 展开更多
关键词 Sphincter of oddi dysfunction CHOLECYSTECTOMY Endoscopic sphincterotomy Biliary scintigraphy
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Air in the main pancreatic duct:A case of innocent air
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作者 Yun Ji Kim Hyung Keun Kim +5 位作者 Young Seok Cho Sung Soo Kim Hiun Suk Chae Seung Kyong Kim Eun Sun Kim Su Yeon Lee 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第36期5142-5144,共3页
Air in the main pancreatic duct has been reported only rarely and might be associated with either a spontane- ous or a surgically induced alteration of the anatomy of the biliary tract. We report a case of "innocent... Air in the main pancreatic duct has been reported only rarely and might be associated with either a spontane- ous or a surgically induced alteration of the anatomy of the biliary tract. We report a case of "innocent" air found incidentally in the main pancreatic duct. To our knowledge, this is only the third such case reported. A 54-year-old woman presented with hemoptysis that had lasted for 3 d. She underwent a chest computed tomography scan, which revealed not only focal bron- chiectasis in the left lower lobe, but also air in the main pancreatic duct and dilatation of the common bile duct. She was managed conservatively for the hemop- blsis and no further problems developed. She had no specific gastrointestinal symptoms and had no history of surgery or medication. Her laboratory parameters were normal. Magnetic resonance cholangiopancrea- tography also demonstrated air in the main pancreatic duct and a dilated common bile duct (CBD). Duode- noscopy revealed separate biliary and pancreatic ori-rices with patulous openings and some air bubbles ap- pearing in the pancreatic orifice. Endoscopic retrograde cholangiopancreatography (ERCP) showed the dilated CBD and pancreatic duct with some air bubbles, but no other abnormal lesions. She was discharged with no further problems. Most patients with air in the main pancreatic duct have had a pancreatobiliary disease, or a history of pancreatobiliary disease, pancreatobiliary surgery or sphincterotomy. If the air is innocent, as in our case, ERCP should be performed to evaluate any altered sphincteric function or anatomy such as patu- Ious openings. 展开更多
关键词 AIR Main pancreatic duct Endoscopic retro-grade cholangiopancreatography
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复方玄驹胶囊治疗虚证早泄(附28例报告) 被引量:17
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作者 邬贤德 《中国男科学杂志》 CAS CSCD 2006年第7期61-61,共1页
早泄为射精障碍中最常见的疾病,成年男性发病率高达35%~50%。中医认为早泄多由房室不节,惊恐,情志不舒,湿热,过劳所致。辨证分为肾气不固,心脾两虚,肝经湿热和阴虚火旺四型。我们选择肾气不固和心脾两虚型的虚证早泄患者为治... 早泄为射精障碍中最常见的疾病,成年男性发病率高达35%~50%。中医认为早泄多由房室不节,惊恐,情志不舒,湿热,过劳所致。辨证分为肾气不固,心脾两虚,肝经湿热和阴虚火旺四型。我们选择肾气不固和心脾两虚型的虚证早泄患者为治疗对象,应用复方玄驹胶囊联合安拿芬尼治疗,取得满意疗效,报告如下。 展开更多
关键词 早泄 中药 治疗/约物
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