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Turkiye Klinikleri Journal of Gastroenterohepatology最新文献

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Cylindrical Battery Ingestion: Original Image 圆柱形电池摄入:原图
Pub Date : 1900-01-01 DOI: 10.5336/GASTRO.2015-48856
E. Taşçı, E. Acar, F. Ermiş
42 20-year-old woman was brought in to our emergency department after ingesting cylindrical battery as a suicide attempt. She had severe epigastric pain. Laboratory findings showed no abnormalities. Her medical history revealed asthma and operation secondary to key ingestion. The abdominal X-ray showed 8 cylindrical batteries; located in the stomach (6) and duodenum (2) (Figure 1). When consulted with psychiatry she was diagnosed bipolar. Patient was admitted to follow-up the discharge of batteries. Next day, abdominal X-ray showed the passage of 3 batteries to the colon (Figure 2). Since she had severe continuous epigastric pain, shortness of breath and tenderness in physical examination, endoscopy was planned. Three of the batteries entrapped in the stomach were removed (Figure 3). As she had asthma, in order to prevent allergic reaction colonoscopy was intended but could not be performed due to the inadequate bowel preparation. Remaining batteries were observed until passage by stool was confirmed.
一名42岁的女性因误食圆柱形电池企图自杀而被送进急诊室。她有严重的胃脘痛。实验室检查未见异常。她的病史显示因误食钥匙引起的哮喘和手术。腹部x线显示8个圆柱形电池;位于胃(6)和十二指肠(2)(图1)。当咨询精神病学时,她被诊断为双相情感障碍。患者入院随访电池放电情况。第二天,腹部x线显示3节电池通过结肠(图2)。由于她在体检中出现严重的持续胃脘痛,呼吸急促,压痛,因此计划进行内镜检查。其中3个电池被取出(图3)。由于患者患有哮喘,为防止过敏反应,计划进行结肠镜检查,但由于肠道准备不充分,无法进行结肠镜检查。观察剩余的电池,直到确认大便通过。
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引用次数: 0
Entecavir Treatment is Safe and Highly Effective in the Patient with de Novo Hepatitis B Infection After Liver Transplantation: Case Report 恩替卡韦治疗肝移植术后新发乙肝感染患者安全高效:病例报告
Pub Date : 1900-01-01 DOI: 10.5336/GASTRO.2015-46917
H. Gökcan, M. Akdoğan, S. Kaçar, B. Kayhan, B. Bostancı, T. Oruğ, N. Turhan, S. Kuran
De novo hepatitis B infection (HBV) occurs rarely after liver transplantion (LT) and is associated with severe hepatitis and graft loss. The liver grafts from anti-HBc positive donors are currently the main sources of de novo HBV infection after LT, which is usually defined by the development of positive HBsAg and/or detectable serum or liver HBV DNA in previously HBV naïve recipients. Here we reported the case of a liver transplant recipient with de novo HBV infection who had a favorable outcome after entecavir therapy. The patient received orthotopic liver transplantation because of end-stage cryptogenic cirrhosis and was found to have de novo HBV infection 6 months later. He was treated with entecavir and his serum HBV DNA turned undetectable 6 months later and HBsAg seroconversion was achieved 18 months later.
肝移植(LT)后很少发生新发乙型肝炎感染(HBV),并且与严重肝炎和移植物丢失相关。目前,来自抗hbc阳性供者的肝移植物是肝移植后新发HBV感染的主要来源,这通常由先前HBV naïve受体中HBsAg阳性和/或可检测血清或肝脏HBV DNA的发展来定义。在这里,我们报告了一例肝移植受者在恩替卡韦治疗后出现新发HBV感染的病例。患者因终末期隐源性肝硬化接受原位肝移植,6个月后发现有新发HBV感染。患者接受恩替卡韦治疗,6个月后血清HBV DNA无法检测到,18个月后HBsAg实现血清转化。
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引用次数: 0
Endojen Kannabinoid Sistem ve Gastrointestinal Kanal Üzerine Etkileri
Pub Date : 1900-01-01 DOI: 10.5336/gastro.2015-47396
Yusuf Serdar Sakin, A. Doğrul, Murat Kekilli, Alpaslan Tanoğlu, Ahmet Uygun, Sait Bağci
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引用次数: 0
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Turkiye Klinikleri Journal of Gastroenterohepatology
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