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血清淀粉酶、淀粉酶同工酶在胰外疾病诊断中的意义 被引量:1
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作者 贾立新 《中国乡村医药》 2002年第10期31-31,共1页
血清淀粉酶(Amy)活性增高除出现在胰腺、唾液腺疾病外,还可出现在一些胰外疾病,如胃或十二指肠溃疡穿孔、肠道梗阻、胆道疾患、异位妊娠破裂、急性阑尾炎等疾病中,原因之一就是这些患病组织含有淀粉酶,在炎症时通过各种途径入血引起血... 血清淀粉酶(Amy)活性增高除出现在胰腺、唾液腺疾病外,还可出现在一些胰外疾病,如胃或十二指肠溃疡穿孔、肠道梗阻、胆道疾患、异位妊娠破裂、急性阑尾炎等疾病中,原因之一就是这些患病组织含有淀粉酶,在炎症时通过各种途径入血引起血清淀粉酶活性增高。本文对140例胰外疾病血清淀粉酶及其淀粉酶同工酶(即胰型淀粉酶P-和唾液型淀粉酶AmyS-Amy)活性进行了检测,以探讨血清淀粉酶和淀粉酶同工酶在胰外疾病诊断的意义。1资料和方法1.1 血清标本来源 健康献血员(对照组)54名,男30名,女24名;年龄18~45岁。胰外疾病患者140例。 展开更多
关键词 血清淀粉酶 淀粉酶同工酶 胰外疾病 急性胆囊炎 小肠梗阻 急性阑尾炎
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Pancreatic cancer–Surgery for recurrent disease
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作者 Carolin Reiser Jrg Kleeff +1 位作者 Helmut Friess Markus Büchler 《The Chinese-German Journal of Clinical Oncology》 CAS 2007年第2期159-161,共3页
Recurrence of pancreatic ductal adenocarcinoma (PDAC) after a resection with curative intent is inevitable in the majority of cases. Approximately three-quarters of patients ultimately die from metastatic, local, or... Recurrence of pancreatic ductal adenocarcinoma (PDAC) after a resection with curative intent is inevitable in the majority of cases. Approximately three-quarters of patients ultimately die from metastatic, local, or combined tumor recurrence . This may be due to the insufficient control over the disease after resecting the tumor and/or the existence of micrometastases at the time of the initial diagnosis. Even multimodality approaches including surgery, neoadjuvant radio-chemotherapy, adjuvant therapy, and novel targeted therapies offer only limited benefit and are not able to prevent recurrence in most of the patients. 展开更多
关键词 recurrent disease SURVIVAL pancreatic cancer SURGERY pancreatic resection MORBIDITY MORTALITY
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Pancreas preserving distal duodenectomy: A versatile operation for a range of infra-papillary pathologies
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作者 W Kyle Mitchell Pradeep F Thomas +2 位作者 Abed M Zaitoun Adam J Brooks Dileep N Lobo 《World Journal of Gastroenterology》 SCIE CAS 2017年第23期4252-4261,共10页
To investigate the range of pathologies treated by pancreas preserving distal duodenectomy (PPDD) and present the outcome of follow-up.METHODSNeoplastic lesions of the duodenum are treated conventionally by pancreatic... To investigate the range of pathologies treated by pancreas preserving distal duodenectomy (PPDD) and present the outcome of follow-up.METHODSNeoplastic lesions of the duodenum are treated conventionally by pancreaticoduodenectomy. Lesions distal to the major papilla may be suitable for a pancreas-preserving distal duodenectomy, potentially reducing morbidity and mortality. We present our experience with this procedure. Selective intraoperative duodenoscopy assessed the relationship of the papilla to the lesion. After duodenal mobilisation and confirmation of the site of the lesion, the duodenum was transected distal to the papilla and beyond the duodenojejunal flexure and a side-to-side duodeno-jejunal anastomosis was formed. Patients were identified from a prospectively maintained database and outcomes determined from digital health records with a dataset including demographics, co-morbidities, mode of presentation, preoperative imaging and assessment, nutritional support needs, technical operative details, blood transfusion requirements, length of stay, pathology including lymph node yield and lymph node involvement, length of follow-up, complications and outcomes. Related published literature was also reviewed.RESULTSTwenty-four patients had surgery with the intent of performing PPDD from 2003 to 2016. Nineteen underwent PPDD successfully. Two patients planned for PPDD proceeded to formal pancreaticoduodenectomy (PD) while three had unresectable disease. Median post-operative follow-up was 32 mo. Pathologies resected included duodenal adenocarcinoma (n = 6), adenomas (n = 5), gastrointestinal stromal tumours (n = 4) and lipoma, bleeding duodenal diverticulum, locally advanced colonic adenocarcinoma and extrinsic compression (n = 1 each). Median postoperative length of stay (LOS) was 8 d and morbidity was low [pain and nausea/vomiting (n = 2), anastomotic stricture (n = 1), pneumonia (n = 1), and overwhelming post-splenectomy sepsis (n = 1, asplenic patient)]. PPDD was associated with a significantly shorter LOS than a contemporaneous PD series [PPDD 8 (6-14) d vs PD 11 (10-16) d, median (IQR), P = 0.026]. The 30-d mortality was zero and 16 of 19 patients are alive to date. One patient died of recurrent duodenal adenocarcinoma 18 mo postoperatively and two died of unrelated disease (at 2 mo and at 8 years respectively).CONCLUSIONPPDD is a versatile operation that can provide definitive treatment for a range of duodenal pathologies including adenocarcinoma. 展开更多
关键词 Pancreas preserving distal duodenectomy DUODENOJEJUNOSTOMY Duodenal disease Surgical technique Adults Indications Treatment Outcome
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胰腺淋巴上皮囊肿的特征
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作者 孙诚谊 《国际外科学杂志》 北大核心 1996年第3期182-182,共1页
胰腺淋巴上皮囊肿罕见,衬有成熟的角质鳞状上皮壁,四周围有淋巴样组织,囊肿连接胰腺或直接起自胰腺尚不肯定,文献上已报道14例,作者介绍自己经治5例的经验,一起予以分析.在19例中,男16例,女3例,平均51岁(32—73岁),4例在尸检时发现,4例... 胰腺淋巴上皮囊肿罕见,衬有成熟的角质鳞状上皮壁,四周围有淋巴样组织,囊肿连接胰腺或直接起自胰腺尚不肯定,文献上已报道14例,作者介绍自己经治5例的经验,一起予以分析.在19例中,男16例,女3例,平均51岁(32—73岁),4例在尸检时发现,4例在检查胰外疾病时发现;另11例中,主诉腹痛9例,恶心呕吐3例,无力、发热、消瘦、疲劳和腹泻各1例,有些病人有一种以上症状.8例曾测定血淀粉酶和脂肪酶,仅1例升高.肝功能正常.6例测定了CA19—9,2例见升高.16例作了轴向CT(CAT),显示胰腺表面有圆形块物突向小网膜腔,均呈囊性.9例做了ERCP,7例正常,胰管轻度变化和胆总管扩张各1例.术中和尸检时发现:囊肿圆形,边界清楚,位于胰头3例、颈部1例、体部6例和尾部7例,后者连接脾门区2例.邻近病灶的胰腺有局灶性纤维外,余皆正常. 展开更多
关键词 淋巴上皮囊肿 淋巴样组织 假性囊肿 脂肪酶 胰外疾病 恶心呕吐 胆总管扩张 CA19—9 血淀粉酶
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