|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Yield,etiologies and outcomes of capsule endoscopy in Thai patients with obscure gastrointestinal bleeding显示文摘AIM:To investigate the yield,etiologies and impact of capsule endoscopy(CE) in Thai patients with obscure gastrointestinal bleeding(OGIB).METHODS:The present study is a retrospective cohort study.All patients with OGIB who underwent CE in Siriraj Hospital,Bangkok,Thailand during 2005-2009 were included in the study.All the patients' medical records and results of the CE videos were reviewed.CE findings were classified as significant,suspicious/equivocal and negative.Sites of the lesions were located to duodenum,jejunum,jejunoileum,ileum and diffuse lesions by the localization device of the CE.Impact of CE on the patients' management was defined by any investigation or treatment given to the patients that was more than an iron supplement or blood transfusion.Patients' outcomes(rebleeding,persistent bleeding,anemia or requirement of blood transfusion) were collected from chart reviews and direct phone interviews with the patients.RESULTS:Overall,there were 103 patients with OGIB included in the study.Mean age of the patients was 64 ± 16 years(range 9-88 years) and 57 patients(55%) were male.Types of OGIB were overt in 80(78%) and occult in 23 patients(22%).The median time interval of CE after onset of OGIB was 10 d(range 1-180 d).The median time of follow-up was 19 mo(range 1-54 mo).Capsules reached caecum in 77 patients(74%) and capsule retention was found in 1 patient(1%).The diagnostic yield of CE revealed significant lesions in 37 patients(36%),suspicious/equivocal lesions in 15 patients(15%) and 51 patients(49%) had negative CE result.Among the significant lesions,the bleeding etiologies were small bowel ulcers in 44%,angiodysplasia in 27%,small bowel tumor in 13%,miscellaneous in 8% and active bleeding without identifiable causes in 8%.Patients with small bowel ulcers were significantly associated with the use of non-steroidal anti-inflammatory drugs(48%,P = 0.034),while patients with small bowel tumors were more commonly female(86%,P = 0.043) compared to the other etiologies.The rate of rebleeding,persistent bleeding or anemia in patients with positive,equivocal and negative CE results were 5%,0% and 18%,respectively(P = 0.078).All the 9 patients with rebleeding after negative CE were subsequently found to be from hematologic disorders(4),colonic diverticulosis(2),colonic Dieulafoy's(1),hemorrhoid(1) and hemosuccus pancreaticus(1).Results of CE had a positive impact on the patients' management in 35% of the patients whose results were positive,but none on the patients whose results were equivocal or negative CE(P < 0.001).CONCLUSION:In Thai OGIB patients,CE had low yield and small bowel ulcer was most common.Positive CE impacted managements and outcomes.Negative CE caused low rebleeding. | Supot Pongprasobchai Songla Chitsaeng Tawesak Tanwandee Sathaporn Manatsathit Udom Kachintorn | 2013 | World Journal of Gastrointestinal Endoscopy2013，5，3： | 8 |
| 2 | Anesthetic management for small bowel enteroscopy in a World Gastroenterology Organization Endoscopy Training Center显示文摘AIM:To study the anesthetic management of patients undergoing small bowel enteroscopy in the World Gastroenterology Organization(WGO) Endoscopy Training Center in Thailand.METHODS:Patients who underwent small bowel enteroscopy during the period of March 2005 to March 2011 in Siriraj Gastrointestinal Endoscopy Center were retrospectively analyzed.The patients' characteristics,pre-anesthetic problems,anesthetic techniques,anesthetic agents,anesthetic time,type and route of procedure and anesthesia-related complications were assessed.RESULTS:One hundred and forty-four patients underwent this procedure during the study period.The mean age of the patients was 57.6 ± 17.2 years,andmost were American Society of Anesthesiologists(ASA) class Ⅱ(53.2%).Indications for this procedure were gastrointestinal bleeding(59.7%),chronic diarrhea(14.3%),protein losing enteropathy(2.6%) and others(23.4%).Hematologic disease,hypertension,heart disease and electrolyte imbalance were the most common pre-anesthetic problems.General anesthesia with endotracheal tube was the anesthetic technique mainly employed(50.6%).The main anesthetic agents administered were fentanyl,propofol and midazolam.The mean anesthetic time was 94.0 ± 50.5 min.Single balloon and oral(antegrade) intubation was the most common type and route of enteroscopy.The anesthesia-related complication rate was relatively high.The overall and cardiovascular-related complication rates including hypotension in the older patient group(aged ≥ 60 years old) were significantly higher than those in the younger group.CONCLUSION:During anesthetic management for small bowel enteroscopy,special techniques and drugs are not routinely required.However,for safety reasons anesthetic personnel need to optimize the patient's condition. | Somchai Amornyotin Udom Kachintorn Siriporn Kongphlay | 2012 | World Journal of Gastrointestinal Endoscopy2012，4，5： | 8 |
| 3 | Screening for gastric cancer in Asia: current evidence and practice显示文摘 | Wai K Leung Ming-shiang Wu Yasuo Kakugawa Jae J Kim Khay-guan Yeoh Khean Lee Goh Kai-chun Wu Deng-chyang Wu Jose Sollano Udom Kachintorn Takuji Gotoda Jaw-town Lin Wei-cheng You Enders KW Ng Joseph JY Sung | 2008 | Lancet Oncology2008，，3： | 7 |
| 4 | Colonoscopic perforation:A report from World Gastroenterology Organization endoscopy training center in Thailand显示文摘瞄准:决定 colonoscopic 穿孔(CP ) 的发生,并且从在泰国训练中心的世界肠胃病学组织(WGO ) 内视镜检查法与 CP 评估病人的临床的调查结果,管理和结果。方法:所有 colonoscopies 和 sigmoidoscopies 在内视镜的单位表现在 1999 和 2007 之间,药 Siriraj 医院的教师, Mahidol 大学,曼谷被考察。CP,病人的特征,内视镜的信息, intra 起作用的调查结果,管理和结果的发生被分析。结果:结肠(13699 colonoscopies 和 3658 灵活 sigmoidoscopies ) 的 17357 内视镜的过程的一个总数在 9 年的经期上在 Siriraj 医院里被执行。十五个病人(0.09%) 有 CP:14 从结肠镜检查并且 1 从乙状结肠镜检查。穿孔的最普通的地点在 S 字形的冒号(80%) ,由横向的冒号(13%) 列在后面。穿孔被直接损伤从柄或内诊镜的尖端引起(n = 12, 80%) 并且内视镜的 polypectomy (n = 3, 20%) 。有 CP 的所有病人经历了外科的管理:主要修理(27%) 和肠切除术(73%) 。死亡率是 13% ,手术后的复杂并发症率是 53% 。结论:CP 是稀罕却严肃的复杂并发症追随者结肠镜检查和乙状结肠镜检查,与病态和死亡的高率。CP 的发生是 0.09% 。外科仍然是 CP 管理的支柱。 | Varut Lohsiriwat Sasithorn Sujarittanakarn Thawatchai Akaraviputh Narong Lertakyamanee Darin Lohsiriwat Udom Kachinthorn | 2008 | World Journal of Gastroenterology2008，14，43： | 6 |
| 5 | Comparison of early pre-cutting vs standard technique for biliary cannulation in endoscopic retrograde cholangiopancreatography: A personal experience显示文摘AIM: To compare the results and complications of early pre-cutting technique with standard technique. METHODS: From January 2003 to December 2004, a total of 416 consecutive therapeutic biliary ERCP procedures were performed by one endoscopist (T.A.). Data were retrospectively collected according to procedure indication and results. Of these, 293 procedures (70.4%) were done with standard technique (group A) and 123 procedures (29.6%) with early pre-cutting technique in case of difficult cannulation (group B). The results and complications of ERCP were compared. RESULTS: Success rate of first attempt cannulation was 98.0% in group A and 87.8% in group B. The overall incidence of post-ERCP pancreatitis, hemorrhage, perforation and cholangitis was 0%, 0.2%, 0.5% and 0.5%, respectively. Morbidity rate was not significantly different. No procedure-related mortality was occurred. CONCLUSION: For an experienced hand, the early pre-cutting technique for biliary cannulation is safe and effective as standard technique. | Kannikar Laohavichitra Thawatchai Akaraviputh Asada Methasate Somchai Leelakusolvong Udom Kachintorn | 2007 | World Journal of Gastroenterology2007，13，27： | 4 |
| 6 | Screening for gastric cancer in Asia: current evidence and practice显示文摘 | Wai K Leung Ming-shiang Wu Yasuo Kakugawa Jae J Kim Khay-guan Yeoh Khean Lee Goh Kai-chun Wu Deng-chyang Wu Jose Sollano Udom Kachintorn Takuji Gotoda Jaw-town Lin Wei-cheng You Enders KW Ng Joseph JY Sung | 2008 | Lancet Oncology2008，，3： | 3 |
| 7 | Distri- butions of zinc, copper, cadmium and lead in a tropical uhisol after long-term disposal of sewage sludge显示文摘 | Udom B E Mbagwu J S C Adesodun J K | 2004 | Environ Int2004，30，4： | 1 |
| 8 | Distribu- tions of zinc,copper,cadmium and lead in a tropical ultisol after long - term disposal of sewage sludge 显示文摘 | Udom B E Mbagwu J S C Adesodun J K | 2004 | Environ- merit Intematiuna12004，30，4： | 1 |
| 9 | Distributions of zinc ,copper,cadmium and lead in a tropical uhisol after long- term disposal of sewage sludge 显示文摘 | Udom B E Mbagwu J S C Adesodun J K | 2004 | Environment International2004，30，4： | 1 |
| 10 | Distributions of zinc, copper, cadmium and lead in a tropical ultisol alter long-term disposal of sewage sludge显示文摘 | Udom BE Mbagwu J S C Adesodun J K | 2004 | Environment International2004，30，4： | 1 |
| 11 | Design of the world's tallest buildings - Petronas Twin Towers at Kuala Lumpur City Centre显示文摘 | CHARLES H THORNTON UDOM HUNGSPRUKE LEONARD M JOSEPH | 1997 | The Structural Design of Tall Buildings1997，，6： | 1 |
| 12 | Propofol-based deep sedation for endoscopic retrograde cholangiopancreatography procedure in sick elderly patients in a developing country 显示文摘 | Somchai Amomyotin Udom Kachintom Wiyada Chalayonnawin | 2011 | Gastroenterol Hepatol2011，7，6： | 1 |
| 13 | Distributions of Zinc, Copper, Cadmium and Lead in a Tropical Ultisol After Long-Term Disposal of Sewage Sludge 显示文摘 | UDOM B E MBAGWU J S C ADESODUN J K | 2004 | Environment International2004，30，4： | 1 |
| 14 | Chemical constituents of the roots of Acanthus ilicifolius 显示文摘 | Udom K Vallapa C | 1986 | J Nat Prod1986，49，2： | 1 |
| 15 | Distri- butions of zinc, copper, cadmium and lead in a tropical ultisol after long-term disposal of sewage sludge显示文摘 | Udom B E Mbagwu J S C Adesodun J K | 2004 | En- viron Int2004，30，4： | 1 |
| 16 | Allelopathic effects of some weeds on the germination of selected seeds of crops grown in Akwaibom State, Nigeria 显示文摘 | Usuah P E Udom G N Edem I D | 2013 | World Journal of Agricultur- al Research2013，1，4： | 1 |
| 17 | Threshing unit losses prediction for thai axial flow rice combine harvester显示文摘 | Chuan Udom Somchai Chinsuwan Winit | 2009 | Ama-Agricultural Mechanization In Asia Africa And Latin America2009，，1： | 1 |
| 18 | 显示文摘 | Udom I Ram M K | 2013 | Materials Science in Semiconduc- tor Processing2013，16，6： | 1 |
| 19 | Distributions of zinc, copper, cadmium and lead in a tropical ultisol after long-term disposal of sewage sludge 显示文摘 | Udom B E Mbagwu J S C Adesodun J K | 2004 | Environ International2004，30，4： | 1 |
| 20 | Distribu- tions of zinc, copper, cadmium and lead in a tropical ultisol after long-term disposal of sewage sludge显示文摘 | Udom B E Mbagwu J S C Adesodun J K | 2004 | Environment International2004，30，4： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员