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结直肠息肉发生相关因素的研究进展 被引量:1
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作者 程婷(综述) 芦永福(审校) 《现代医药卫生》 2021年第19期3295-3299,共5页
结直肠息肉是消化系统中较为常见的良性疾病。近年来,随着生活习惯及饮食的改变,结直肠癌发生率逐年升高,而结直肠息肉是结直肠癌的癌前病变。探索结直肠息肉发病的危险因素可能是预防和控制该病的较好方法之一,但结直肠息肉发生机制尚... 结直肠息肉是消化系统中较为常见的良性疾病。近年来,随着生活习惯及饮食的改变,结直肠癌发生率逐年升高,而结直肠息肉是结直肠癌的癌前病变。探索结直肠息肉发病的危险因素可能是预防和控制该病的较好方法之一,但结直肠息肉发生机制尚不清楚,可能与性别、年龄、幽门螺杆菌(HP)感染、胆道疾病、代谢性疾病等有一定相关性。 展开更多
关键词 直肠息肉 直肠 代谢综合征 结直肠憩室 综述
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内衬异位胃黏膜的直肠憩室1例并文献复习
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作者 闫俊 张丹 +1 位作者 庞文博 陈亚军 《中华小儿外科杂志》 CSCD 北大核心 2024年第1期47-52,共6页
目的探讨内衬异位胃黏膜的直肠憩室的临床特点、诊治方式及预后,为研究消化道畸形提供方向。方法回顾性分析1例由首都医科大学附属北京儿童医院诊治的内衬异位胃黏膜的直肠憩室患儿临床资料。患儿,男,11岁5个月,因间断便血伴贫血5年余入... 目的探讨内衬异位胃黏膜的直肠憩室的临床特点、诊治方式及预后,为研究消化道畸形提供方向。方法回顾性分析1例由首都医科大学附属北京儿童医院诊治的内衬异位胃黏膜的直肠憩室患儿临床资料。患儿,男,11岁5个月,因间断便血伴贫血5年余入院,经结肠镜检查+直肠憩室黏膜剥除术确诊并治疗直肠前侧壁憩室型重复畸形。以"直肠重复畸形""直肠憩室""异位胃黏膜"及其英文"rectal duplication""rectal diverticulum""ectopic gastric mucosa"为关键词,检索于1960年至2022年发表并收录于万方、维普、中国知网、中国生物医学文献服务系统及PubMed的相关文献并行文献复习。结果本例患儿手术顺利,术后病理诊断为直肠重复畸形,重复肠管被覆胃黏膜。术后随访12个月,未再出现便血症状,大小便正常。文献检索到4例内衬异位胃黏膜的直肠憩室,结合本组1例,共5例患儿。所有患儿均表现为便血,行一期根治性病灶切除手术后随访12~36个月,症状消退,预后良好。结论内衬异位胃黏膜的直肠憩室,病变特点符合消化道重复畸形的现行诊断标准,建议统一命名为"憩室型直肠重复畸形",以描述其先天发育性、真性憩室病变的临床特点。异位胃黏膜具备分泌胃酸能力,是其导致便血的根本原因,手术切除疗效确切。建议开展对消化道黏膜上皮黏蛋白及细胞角蛋白的研究以揭示内衬异位胃黏膜的直肠憩室的发病机制。 展开更多
关键词 胃黏膜 异位胃黏膜 结直肠憩室 黏蛋白 细胞角蛋白
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Qualitative and quantitative analyses of the bifidobacterial microbiota in the colonic mucosa of patients with colorectal cancer, diverticulitis and inflammatory bowel disease 被引量:25
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作者 Miguel Gueimonde Arthur Ouwehand +2 位作者 Heikki Huhtinen Eeva Salminen Seppo Salminen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第29期3985-3989,共5页
AIM: To characterize the bifidobacterial microbiota of the colonic mucosa in patients with colon cancer, inflammatory bowel disease or diverticulitis. METHODS: A sample of the distal colonic mucosa was taken during ... AIM: To characterize the bifidobacterial microbiota of the colonic mucosa in patients with colon cancer, inflammatory bowel disease or diverticulitis. METHODS: A sample of the distal colonic mucosa was taken during surgery from a total of 34 patients, twenty-one with diagnosed colorectal cancer, nine with diverticulitis and four with inflammatory bowel disease, requiring surgery for their condition. Bacterial DNA was extracted from the resected mucosal samples and bifidobacterial mucosa-associated microbiota was qualitatively and quantitatively determined by means of qualitative and quantitative PCR. RESULTS: Bifidobacteria were found in 100% of the samples from patients with diverticulitis or IBD and a 76% of those suffering colon cancer. The species B. Iongum and B. bifidum were the most widely found, followed by B. animalis, B. catenulatum and B. adolescentis. B. breve, B. dentium and B. angulatum were not detected in any sample. A significantly higher occurrence of B. Iongum was observed in patients with diverticulitis than in those with colon cancer or IBD (100%, 62% and 75%, respectively, P 〈 0.05). Similar results were obtained for B, animalis (56%, 0% and 25%, P 〈 0.05), while B. adolescentis was only found in the mucosa from patients with colon cancer (5 out of 21, 24%). At the quantitative level, patients with colon cancer or IBD showed lower counts of total Bifidobacterium (4.94 and 5.91 vs 6.96 log Cells/sample, respectively, P 〈 0.05) and of the species B. longum (4.05 and 4.79 vs 6.76, P 〈 0.05) than those with diverticulitis.CONCLUSION: Aberrancies in mucosa associated microbiota are present in different intestinal diseases. This may indicate a role of the microbiota in the pathogenesis of these diseases. 展开更多
关键词 BIFIDOBACTERIUM Colonic mucosa Colorectal cancer DIVERTICULITIS Inflammatory bowel disease
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