Continent ileostomy can be defined as a surgical procedure that facilitates planned intermittent evacuation of a bowel reservoir through an ileostomy.It was devised by Nils Kock in 1969.Subsequently,continent ileostom...Continent ileostomy can be defined as a surgical procedure that facilitates planned intermittent evacuation of a bowel reservoir through an ileostomy.It was devised by Nils Kock in 1969.Subsequently,continent ileostomy (or Kock pouch) became a viable alternative in the management of patients who had traditionally required an end ileostomy.Kock pouch appeared to provide substantial physical and psychosocial benefits over a conventional ileostomy.The procedure became popular until ileal pouch anal anastomosis (IPAA) was introduced in 1980.Despite its benefits,continent ileostomy had many short term complications including intubation problems,ileus,anastomotic leaks,peritonitis and valve problems.Operative mortalities have also been reported in the literature.Most of these problems have been eliminated with increasing experience;however,valverelated problems remain as an "Achilles' heel" of the technique.Many modifications have been introduced to prevent this problem.Some patients have had their pouch removed because of complications mainly related to valve dysfunction.Although revision rates can be high,most of the patients who retain their reservoirs are satisfied with regard to their health status and quality of life.Today,this procedure is still appropriate for selected patients for whom pouch surgery is not possible or for patients who have failed IPAA.Both the patient and their physician must be highly motivated to accept the risk of failure and the subsequent need for revisional operations.展开更多
A method has been suggested which is based on the homogenization temperatures and other data of fluid inclusions from a reservoir rock, with the combination of burial and geothermal history of the hosted rock, to date...A method has been suggested which is based on the homogenization temperatures and other data of fluid inclusions from a reservoir rock, with the combination of burial and geothermal history of the hosted rock, to date the gas reservoir formation. On the basis of this, a case study of the Carboniferous-Permian gas pools in the Ordos Basin has been conducted. The results have shown that the reservoir sandstones of the gas pool were filled by gases during 125-150 Ma, earlier in the southern area and later in the northern area, which is consistent with the basin’s geological and geochemical background under which the gas pools formed.展开更多
文摘Continent ileostomy can be defined as a surgical procedure that facilitates planned intermittent evacuation of a bowel reservoir through an ileostomy.It was devised by Nils Kock in 1969.Subsequently,continent ileostomy (or Kock pouch) became a viable alternative in the management of patients who had traditionally required an end ileostomy.Kock pouch appeared to provide substantial physical and psychosocial benefits over a conventional ileostomy.The procedure became popular until ileal pouch anal anastomosis (IPAA) was introduced in 1980.Despite its benefits,continent ileostomy had many short term complications including intubation problems,ileus,anastomotic leaks,peritonitis and valve problems.Operative mortalities have also been reported in the literature.Most of these problems have been eliminated with increasing experience;however,valverelated problems remain as an "Achilles' heel" of the technique.Many modifications have been introduced to prevent this problem.Some patients have had their pouch removed because of complications mainly related to valve dysfunction.Although revision rates can be high,most of the patients who retain their reservoirs are satisfied with regard to their health status and quality of life.Today,this procedure is still appropriate for selected patients for whom pouch surgery is not possible or for patients who have failed IPAA.Both the patient and their physician must be highly motivated to accept the risk of failure and the subsequent need for revisional operations.
基金This work was part of the project "Formation of Oil and Gas Pools Related to Coal Measures" and supported by the Chinese Academy of Sciences (Grant No. KZCX2-110) also by the National Natural Science Foundation of China (Grant No. 40072043).
文摘A method has been suggested which is based on the homogenization temperatures and other data of fluid inclusions from a reservoir rock, with the combination of burial and geothermal history of the hosted rock, to date the gas reservoir formation. On the basis of this, a case study of the Carboniferous-Permian gas pools in the Ordos Basin has been conducted. The results have shown that the reservoir sandstones of the gas pool were filled by gases during 125-150 Ma, earlier in the southern area and later in the northern area, which is consistent with the basin’s geological and geochemical background under which the gas pools formed.
