Abstract:
RATIONALE:Ectopic variceal bleeding is a rare (2-5%) but fatal gastrointestinal bleed in patients with portal hypertension. Patients with ectopic variceal bleeding manifest melena, hematochezia, or hematemesis, which require urgent managements. Definitive therapeutic modalities of ectopic varices are not yet standardized because of low incidence. Various therapeutic modalities have been applied on the basis of the experiences of experts or availability of facilities, with varying results. PATIENT CONCERNS:We have encountered eight cases of gastrointestinal ectopic variceal bleeding in five patients in the last five years. DIAGNOSES:All patients were diagnosed with liver cirrhosis presenting melena or hematemesis. INTERVENTIONS:All patients were treated with various endoscopic modalities (endoscopic variceal obturation [EVO] with cyanoacrylate in five cases, endoscopic variceal band ligation (EVL) in two cases, hemoclipping in one case). OUTCOMES:Satisfactory hemostasis was achieved without radiologic interventions in all cases. EVO and EVL each caused one case of portal biliopathy, and EVL induced ulcer bleeding in one case. LESSONS:EVO generally accomplished better results of variceal obturations than EVL or hemoclipping, without serious adverse events. EVO may be an effective modality for control of ectopic variceal bleeding without radiologic intervention or surgery.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Park SW,Cho E,Jun CH,Choi SK,Kim HS,Park CH,Rew JS,Cho SB,Kim HJ,Han M,Cho KMdoi
10.1097/MD.0000000000005860subject
Has Abstractpub_date
2017-01-01 00:00:00pages
e5860issue
1eissn
0025-7974issn
1536-5964pii
00005792-201701060-00070journal_volume
96pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:This protocol for a systematic review describes the methods that will be used to evaluate the efficacy and safety of non-pharmacological interventions for patients with dementia. METHODS:We will search ALOIS, the specialized register of the Cochrane Dementia and Cognitive Improvement Group (CDCIG), without ...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000017279
更新日期:2019-09-01 00:00:00
abstract::Allogeneic blood transfusions (ABTs) are common in patients with cancer. The present study investigated the safety of a restrictive ABT strategy in patients with extremity sarcomas.Patients who underwent operations for extremity bone sarcomas between May 2008 and November 2018 were retrospectively reviewed. Clinical o...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018482
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION:Arginine is an essential amino acid that plays an important role in various body functions including cell division, wound healing, removal of ammonia, immune function, and release of hormones. Hyperargininemia, an autosomal recessive genetic disorder, is considered one of the least common urea cycle disord...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010780
更新日期:2018-05-01 00:00:00
abstract:RATIONALE:Drug-induced prolongation of the corrected QT interval (QTc) may lead to serious and potentially life-threatening ventricular tachyarrhythmia, such as torsades de pointes (Tdp), which is worthy of clinical attention. Here, we report 1 case of Tdp after a coadministration of fluoxetine and amiodarone. PATIENT...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000009071
更新日期:2017-12-01 00:00:00
abstract::Abnormalities in the parathyroid hormone (PTH) gene as a cause of hypoparathyroidism were evaluated by linkage analysis with DNA polymorphisms adjacent to the PTH gene in 8 families in which members were affected with familial isolated hypoparathyroidism (FIH). We found that in none of the 23 affected individuals was ...
journal_title:Medicine
pub_type: 杂志文章
doi:
更新日期:1986-03-01 00:00:00
abstract::Ideal cardiovascular health (CVH) has been defined by the American Heart Association as the absence of disease and presence of 7 key health factors. Since it is unknown whether cumulative exposure to CVH reduces the risk of developing arterial hypertension, we prospectively examined the potential association between c...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005415
更新日期:2016-12-01 00:00:00
abstract:RATIONALE:About 60,0000 people are involved in traffic accident each year in China and spinal cord injury (SCI) often occurs. Pregnant women with paraplegia is rare, and they face higher risk during pregnancy and childbirth. PATIENT CONCERNS:We report a case of a 35-year-old patient with SCI, who had vaginal forceps d...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010445
更新日期:2018-04-01 00:00:00
abstract::The Tonnis radiographic classification of developmental dysplasia of the hip (DDH) has been widely used. The International Hip Dysplasia Institute (IHDI) classification, a new classification system recently developed by the IHDI, is beginning to be applied to evaluate DDH with the absence of an ossification center. Th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005902
更新日期:2017-01-01 00:00:00
abstract::We carried out a prospective study of 530 patients older than 14 years of age with brucellosis. We describe the incidence and clinical features of the focal forms of the disease, analyzing some of the possible factors associated with their appearance. One hundred sixty-nine patients (31.9%) had a focal form or complic...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/00005792-199607000-00003
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:Extracorporeal shockwave lithotripsy (ESWL) has gained worldwide popularity as one of the most commonly used minimally invasive management of urinary tract stones. The objective of this study was to evaluate the efficacy and safety of ESWL for patients with kidney stones (KS). MATERIALS AND METHODS:This pro...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021910
更新日期:2020-09-18 00:00:00
abstract:RATIONALE:The extent of protective effects of hemophilia against thrombotic events such as myocardial infarction (MI) and other acute coronary syndromes remains to be determined, as major risk factors for cardiovascular disease exist despite factor VIII (FVIII) deficiency. We present a case report of a 41-year-old male...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009075
更新日期:2017-12-01 00:00:00
abstract::The surgical treatment of congenital scoliosis under 10 years is difficult as it involves resecting vertebrae. Moreover, patient follow-up after surgery is extremely important because the patient is a child whose growth has not been completed. However, there are very few long-term follow-up studies after surgical trea...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021720
更新日期:2020-08-07 00:00:00
abstract:RATIONALE:Primary biliary cholangitis (PBC) is a liver autoimmune disease. If this disease is associated with other liver injury factors, both misdiagnosis and missed diagnosis will easily occur. Therefore, detailed disease history collection and related laboratory examination should be performed on patients with liver...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012395
更新日期:2018-09-01 00:00:00
abstract::To investigate the treatment effects of gemcitabine plus S-1 (GS) for metastatic pancreatic cancer in our institution.Data from 41 patients with metastatic pancreatic cancer treated with GS regimen in West China Hospital, Sichuan University were reviewed. The therapeutic efficacy and toxicity were evaluated. The influ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012836
更新日期:2018-10-01 00:00:00
abstract::A nationwide multicenter study was conducted in the China to explore sources of variation of reference values and establish reference intervals for 28 common biochemical analytes, as a part of the International Federation of Clinical Chemistry and Laboratory Medicine, Committee on Reference Intervals and Decision Limi...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000002915
更新日期:2016-03-01 00:00:00
abstract::The aim of the study was to examine whether depression impacts medication nonadherence (MNA) over time and determine if race has a differential impact on MNA in patients with type 2 diabetes and comorbid depression.Generalized estimating equations were used with a longitudinal national cohort of 740,197 veterans with ...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000003983
更新日期:2016-06-01 00:00:00
abstract:RATIONALE:GNE myopathy is caused by mutations in the UDP-N-acetylglucosamine-2-epimerase/N-acetylmannosamine kinase(GNE) gene and is clinically characterized by progressive weakness and atrophy of the lower-limb muscles with quadriceps sparing. Nearly all GNE mutations that have been reported thus far in various ethnic...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022663
更新日期:2020-10-09 00:00:00
abstract:ABSTRACT:Lactic acidosis is one of the most fatal adverse effects of linezolid, an antibiotic used to treat serious infections caused by antibiotic-resistant bacteria. However, the measures to prevent lactic acidosis have not been well established.We performed a retrospective study to analyze the impact of applying a s...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023790
更新日期:2021-01-08 00:00:00
abstract:RATIONALE:Although capillary hemangiomas, common lesions involving the proliferation of small capillary vessels and a single layer of endothelial cells, can arise in any organ, they are rarely reported in the greater or lesser omentum. Here in, we report a case of capillary hemangioma arising from the lesser omentum in...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018693
更新日期:2020-01-01 00:00:00
abstract:RATIONALE:Metastasis to the small intestine from a primary lung cancer is rare, and is associated with a poor prognosis. Early diagnosis of small intestine metastasis is difficult because of the low incidence of clinically apparent symptoms. PATIENT CONCERNS:Clinical data and treatment of a 59-year-old man with small ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007768
更新日期:2017-08-01 00:00:00
abstract:INTRODUCTION:The purpose of a neural integrity monitor electromyogram (EMG) tracheal tube is to reduce the risk of damage to the recurrent laryngeal nerves. Complications associated with the use of EMG tube are ventilatory failure, tracheal injury, and difficult extubation. PATIENT CONCERNS:We encountered a case of di...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020250
更新日期:2020-06-19 00:00:00
abstract:RATIONALE:Carcinoma in situ (CIS) of the uterine cervix is a premalignant condition of squamous epithelium. The standard treatments are excision and ablation procedures; for women with positive margins, hysterectomy is recommended. PATIENT CONCERNS:A 47-year-old Peruvian woman with recurrent candidal vaginitis had bee...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013420
更新日期:2018-11-01 00:00:00
abstract::Treatment of hypertrophic scars arising as a result of thermal burns in children is still a big problem. The results of the treatment are not satisfactory for patients and parents, and new methods of treatment are still investigated.We present the use of one of the most modern carbon dioxide (CO2) lasers (Lumenis Enco...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005168
更新日期:2016-10-01 00:00:00
abstract::The aim of this study was to identify clinical signs and symptoms of ovarian torsion (OT) in children and to develop a simple predictive score.A chart review of patients with acute adnexal pathologies treated at the University Children's Hospital Basel, Switzerland, between March 2006 and June 2015 was performed. Medi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008299
更新日期:2017-10-01 00:00:00
abstract:RATIONALE:Advanced ovarian malignancies are associated with poor overall survival; thus, patients often turn to alternative treatments, despite the controversy surrounding their use. Mistletoe extract has been commonly used as complementary medicine to treat patients with cancer for several decades, and has proven bene...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014536
更新日期:2019-02-01 00:00:00
abstract::Patients with systemic lupus erythematosus have a poor prognosis of pregnancy, since it is associated with significant maternal and fetal morbidity, including spontaneous miscarriage, pre-eclampsia, intrauterine growth restriction, fetal death and pre-term delivery. We report a case with successful pregnancy in a pati...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001531
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:The use of hysteroscopy for the diagnosis and treatment of uterine and endometrial abnormalities is often associated with postoperative pain. This randomized controlled trial aimed to assess the efficacy of preoperative intravenous (IV) lidocaine in reducing pain after hysteroscopy. METHODS:In total, 138 pa...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000022751
更新日期:2020-10-16 00:00:00
abstract::Our aim is to determine the sufficiency, accuracy, and safety of ultrasound-guided percutaneous needle core biopsy of renal masses in Chinese patients.Patients who had undergone ultrasound-guided needle core renal mass biopsy from June 2012 to June 2016 at West China Hospital, China were retrospectively reviewed. The ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010178
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:The correlation between single nucleotide polymorphism (SNP) rs12807809 in Neurogranin (NRGN) gene and Schizophrenia (SCZ) was investigated by several studies, whereas the results were conflicting. Thus, we performed the present meta-analysis to combine and analyze the available studies in order to provide a...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000018518
更新日期:2019-12-01 00:00:00
abstract::This study aims to investigate the value of the ABCD score combined with the position of the offending vessel stenosis in predicting the risk of transient ischemic attack (TIA) to develop into cerebral infarction.The ABCD score and head magnetic resonance imaging + magnetic resonance angiography (MRA) results of 192 p...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015081
更新日期:2019-04-01 00:00:00