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细管状胃代食管术预防食管胃吻合口瘘的疗效及对患者术后短期生存质量的影响 被引量:10
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作者 匡必婧 胡杨 +2 位作者 余娜 马林 宋尚岐 《河北医学》 CAS 2019年第4期639-643,共5页
目的:探讨细管状胃代食管术预防食管胃吻合口瘘的疗效及对患者术后短期生存质量的影响。方法:选取2016年12月至2018年2月在我院行食管癌切除术的患者120例,应用简单随机分组方法分为细管状胃组(n=60)和粗管状胃组(n=60),细管状胃组食管... 目的:探讨细管状胃代食管术预防食管胃吻合口瘘的疗效及对患者术后短期生存质量的影响。方法:选取2016年12月至2018年2月在我院行食管癌切除术的患者120例,应用简单随机分组方法分为细管状胃组(n=60)和粗管状胃组(n=60),细管状胃组食管癌手术切除后制作细管状胃,粗管状胃组食管癌手术切除后制作粗管状胃;比较两组手术一般情况、术后并发症,并参照欧洲癌症研究与治疗组织(EORTC)癌症患者生活质量QLQ-C30量表及食管癌专用QLQ-OES18量表制定生活质量评价表对患者术后6个月生活质量进行调查。结果:两组手术时间、术中出血量、术后引流量、术后住院时间无统计学差异(P>0.05)。细管状组吻合口瘘、反流性食管炎发生率均明显低于粗管状组(P<0.05),而两组吻合口狭窄、肺部感染、心律失常、胸胃综合征发生率无统计学差异(P> 0.05)。术后6个月,细管状胃组生活质量量表中功能性维度评分明显高于粗管状胃组(P<0.05),而症状性维度评分明显低于粗管状胃组(P<0.05)。结论:细管状胃代食管术能够有效减少术后吻合口瘘发生,提高患者短期生存质量。 展开更多
关键词 食管癌 细管状胃 吻合口瘘 生存质量
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梭形管状胃与细管状胃对胸段食管癌吻合口漏发生的影响 被引量:2
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作者 陈锦威 李向楠 +2 位作者 赵佳 范莹莹 赵松 《河南外科学杂志》 2020年第5期34-37,共4页
目的通过倾向性评分匹配,对比细管状胃、梭形管状胃对胸段食管癌吻合口漏发生的影响。方法采用回顾性队列研究方法,收集2016-02—2017-10间郑州大学第一附属医院225例胸段食管癌患者的临床资料,根据术式分为梭形管状胃组(100例)和细管... 目的通过倾向性评分匹配,对比细管状胃、梭形管状胃对胸段食管癌吻合口漏发生的影响。方法采用回顾性队列研究方法,收集2016-02—2017-10间郑州大学第一附属医院225例胸段食管癌患者的临床资料,根据术式分为梭形管状胃组(100例)和细管状胃组(125例)。通过倾向性评分匹配分析,对比2组术后吻合口漏的发生情况。结果共有44对患者匹配成功。匹配前,梭形管状胃组发生吻合口漏5例(5%),细管状胃组22例,发生率为17.6%(χ2=8.352,P<0.05)。但2组年龄、总蛋白、白蛋白和手工、机械吻合使用和术后病理分期情况比较,差异有统计学意义(P<0.05)。匹配后,2组相应基线资料水平差异无统计学意义(P>0.05)。梭形管状胃组发生吻合口漏低于细管状胃组,差异有统计学意义(P<0.05)。结论与细管状胃相比,梭形管状胃可有效减少胸段食管癌吻合口漏的发生率。 展开更多
关键词 胸段食管癌 梭形管状 细管状胃 吻合口漏
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No association of the matrix metalloproteinase 1 promoter polymorphism with susceptibility to esophageal squamous cell carcinoma and gastric cardiac adenocarcinoma in northern China 被引量:7
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作者 XiaJin GangKuang +7 位作者 Li-ZhenWei YanLi RuiWang WeiGuo NaWang Shu-MeiFang Zhi-FengChen Jian-HuiZhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第16期2385-2389,共5页
AIM: To investigate association of the 2Gor1Gsingle nudeotide polymorphism (SNP) in matrix metalloproteinase 1 (MMP1) promoter with susceptibility to esophageal squam-ous cell carcinoma (ESCC) and gastric cardiac aden... AIM: To investigate association of the 2Gor1Gsingle nudeotide polymorphism (SNP) in matrix metalloproteinase 1 (MMP1) promoter with susceptibility to esophageal squam-ous cell carcinoma (ESCC) and gastric cardiac adenocarcinoma (GCA) in a population of North China. METHODS: MMP1 promoter SNP was genotyped by polymerase-chain reaction (PCR)-restriction fragment length polymorphism (RFLP) analysis in 417 cancer patients (234 ESCC and 183 GCA) and 350 healthy controls. RESULTS: The genotype frequencies of the MMP1 promoter SNP in healthy controls were 55.4% (2G/2G), 30% (1G/2G) and 14.6% (1G/1G), respectively. The genotype and allelotype distribution in ESCC and GCA patients was not significantly different from that in healthy controls (all lvalues were above 0.05). Compared with the 1G/1Ggenotype, neither the 2G/2Gnor in combination with the 1G/2G genotype significantly modified the risk of developing ESCC and GCA, the adjusted odds ratio was 1.28 (95%CI = 0.78-2.09), 1.23 (95%CI = 0.38-2.05) in ESCC and 1.39 (95%CI = 0.80-2.41), 1.34 (95%CI = 0.74-2.40) in GCA, respectively. When stratified by smoking status and family history of upper gastrointestinal cancer, the 2G/2Ggenotype alone or in combination with the 1G/2G genotype also did not show any significant influence on the risk of ESCC and GCA development. In addition, influence of the MMP1 SNP on lymphatic metastasis in ESCC and GCA was also not obs-erved. CONCLUSION: The 2Gor 1GSNP in the MMP1 promoter might not modify the risk of ESCC and GCA development and might not be used as a stratification marker to predict the potential of lymphatic metastasis in these two tumor types. 展开更多
关键词 SNP ESCC GCA
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Interleukin-10 -1082 promoter polymorphism is not associated with susceptibility to esophageal squamous cell carcinoma and gastric cardiac adenocarcinoma in a population of high-incidence region of north China 被引量:25
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作者 WeiGuo NaWang Yi-MinWang YanLi Deng-GuiWen Zhi-FengChen Yu-TongHe Jian-HuiZhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第6期858-862,共5页
AIM: To investigate the possible association of G→A single nucleotide polymorphism (SNP) at the -1082 position of interleukin (IL)-10 promoter with susceptibility to esophageal squamous cell carcinoma (ESCC) and gast... AIM: To investigate the possible association of G→A single nucleotide polymorphism (SNP) at the -1082 position of interleukin (IL)-10 promoter with susceptibility to esophageal squamous cell carcinoma (ESCC) and gastric cardiac adenocarcinoma (GCA) in a population of a high incidence region of North China.METHODS: IL-10-G1082A promoter SNP was genotyped by polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP) in 355 cancer patients (203ESCC and 152 GCA) and 443 healthy controls.RESULTS: Smoking significantly increased the risk of ESCC and GCA development (the age and sex adjusted OR = 1.42and 2.64, 95%CI = 1.11-1.81 and 1.46-4.76, respectively).Similarly, family history of upper gastrointestinal cancer (UGIC) significantly increased the risk of developing ESCC and GCA (the age and sex adjusted OR = 1.44 and 3.10,95%CI = 1.18-1.75 and 1.94-4.97, respectively). The A/A, A/G and G/G genotype frequencies of IL-10-G1082A were 60.3%, 37.0% and 2.7% in healthy controls, 57.6%,39.9% and 2.5% in ESCC and 61.2%, 36.8% and 2.0% in GCA patients, respectively. The frequencies of A and G alleles were 78.8% and 21.2% in healthy controls, 77.6%and 22.4% in ESCC patients and 79.6%, 20.4% in GCA patients. The distribution of genotype and allelotype in ESCC and GCA patients was not significantly different from that in healthy controls (P>0.05). Compared to the A/A genotype, the combination of A/G and G/G genotypes did not show a significant effect on the risk of developing ESCC and GCA; the adjusted odds ratio was 0.92 (95%CI = 0.76-1.11) in ESCC and 0.95 (95% CI = 0.61-1.46)in GCA, respectively. When stratified for smoking status and family history of UGIC, the combination of A/G and G/G genotypes also did not show any significant influence on the risk of ESCC and GCA development compared to A/A genotypes.CONCLUSION: IL-10-G1082A polymorphism might not be used as a stratification marker to predicate the risk of ESCC and GCA development in North China. 展开更多
关键词 POLYMORPHISM Esophageal squamous cell carcinoma Gastric cardiac adenocarcinoma
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Significance and prognostic value of lysosomal enzyme activities measured in surgically operated adenocarcinomas of the gastroesophageal junction and squamous cell carcinomas of the lower third of esophagus 被引量:1
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作者 Aron Altorjay Balazs Paal +3 位作者 Nicolette Sohar Janos Kiss Imre Szanto Istvan Sohar 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第37期5751-5756,共6页
AIM: To establish whether there are fundamental differences in the biochemistries of adenocarcinomas of the gastroesophageal junction (GEJ) and the squamous cell carcinomas of the lower third of the esophagus (LTE... AIM: To establish whether there are fundamental differences in the biochemistries of adenocarcinomas of the gastroesophageal junction (GEJ) and the squamous cell carcinomas of the lower third of the esophagus (LTE). METHODS: Between February 1, 1997 and February 1, 2000, we obtained tissue samples at the moment of resection from 54 patients for biochemical analysis. The full set of data could be comprehensively analyzed in 47 of 54 patients' samples (81%). Of these, 29 were adenocarcinomas of the GEJ Siewert type Ⅰ (n = 8), type Ⅱ (n = 12), type Ⅲ (n = 9), and 18 presented as squamous cell carcinomas of the LTE. We evaluated the mean values of 11-lysosomal enzyme and 1-cytosol protease activities of the tumorous and surrounding mucosae as well as their relative activities, measured as the ratio of activity in tumor and normal tissues from the same patient. These data were further analyzed to establish the correlation with tumor localization, TNM stage (lymph-node involvement), histological type (papillary, signet-ring cell, tubular), state of differentiation (good, moderate, poor), and survival (≤24 or ≥24 mo). RESULTS: In adenocarcinomas, the activity of α-mannosidase (AMAN), cathepsin B (CB) and dipeptidyl-peptidase Ⅰ (DPP Ⅰ) increased significantly as compared to the normal gastric mucosa. In squamous cell carcinomas of the esophagus, we also found a significant difference in the activity of cathepsin L and tripeptidyl-peptidase Ⅰ in addition to these three. There was a statistical correlation of AMAN, CB, and DPP Ⅰ activity between the level of differentiation of adenocarcinomas of the GEJ and lymph node involvement,because tumors with no lymph node metastases histologically confirmed as well-differentiated, showed a significantly lower activity. The differences in CB and DPP Ⅰ activity correlated well with the differences in survival rates, since the CB and DPP Ⅰ values of those who died within 24 mo following surgical intervention were significantly higher than of those who survived for 2 years or more. CONCLUSION: Adenocarcinomas of the GEJ form a homogenous group from a tumor-biochemical aspect, and differ from the biochemical characteristics of squamous cell carcinomas of the LTE on many points. When adenocarcinomas of the GEJs are examined at the preoperative phase, the ratio of the performed AMAN, CB, and DPP Ⅰ enzymatic activity of the tissue sample from the tumor and adjacent intact mucosa within 2 cm of the tumor may have a prognostic value even in the preoperative examination period, and may indicate that ranking of these patients into the neo-adjuvant treatment group should be considered. 展开更多
关键词 Prognostic value Lysosomal enzymes Cardiac adenocarcinomas Siewert classification Esophageal squamous cell carcinoma
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S100A4 in esophageal cancer:Is this the one to blame? 被引量:4
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作者 Jianyuan Chai M Mazen Jamal 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第30期3931-3935,共5页
Metastasis is the main reason for cancer-related death.S100A4 is one of the key molecules involved in this event.Several studies have shown that overexpression of S100A4 in non-metastatic cancer cells can make them be... Metastasis is the main reason for cancer-related death.S100A4 is one of the key molecules involved in this event.Several studies have shown that overexpression of S100A4 in non-metastatic cancer cells can make them become metastatic,and knockdown of S100A4 in metastatic cancer cells can curtail their invasive nature.A study by Chen et al published in the World J Gastroenterol 18(9):915-922,2012 is a typical example.This study showed in vitro and in vivo evidence that S100A4 expression level determines the invasiveness of esophageal squamous carcinoma.Considering the fact that more than half of the cancer-related deaths are caused by malignancies derived from the digestive system and esophageal cancer is the 4th top contributor to this fraction,this study warrants more attention. 展开更多
关键词 Esophageal cancer S100A4 Metastasis
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