http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : ( Gian Carlo A. Carpio ) (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
-
PE-166: The Role of Endoscopic Ultrasound in a Tertiary Hospital:
( Gian Carlo A. Carpio ),( Ramon E. Carpio ) 대한간학회 2016 춘·추계 학술대회 (KASL) Vol.2016 No.1
Aims: Endoscopic Ultrasound (EUS) is an emerging diagnostic modality for the GI tract. The aim of this study is to determine the demographic profile, common indications, findings and diagnosis of patients who underwent endoscopic ultrasound Also, another aim of this study is to compare the profile, usual indications and diagnosis of patients who underwent EUS before 2013 and from September 2015 to present. Methods: This is a retrospective cross-sectional study of all adult patients who underwent endoscopic ultrasound from January 1, 2008 to February 22, 2016. Data were encoded using MS Excel and analysis was done using SPSS. Results: Among 482 patients who underwent EUS, mean age was 57 with almost equal ratio for males (49.8%) and females (50.2%). Majority of patients had a CT scan (34%) done prior to procedure. Most patients were given sedation with Propofol (36.7%). Majority of patients (68.3%) had an upper EUS. The most common indication was to do further studies for rectal masses (23.9]. The most common diagnosis was rectal malignancy (20.5). Hepatoma was found in 2.7%. The difference among the past and present groups was found to be statistically significant with the type of sedation (increase in Propofol use) and type of endoscopy (increase in upper EUS) with p value <0.001). For the past group, the top indication was rectal mass (26.2%) while in the present group, the top was pancreatic mass (21.1%). The top diagnosis in the past was rectal malignancy (22.6%) while in the present, it was GIST (17%). Conclusions: Endoscopic ultrasound has emerged into a highly effective tool in diagnosing and treating gastrointestinal diseases. Being a relatively underutilized tool in our country, there is a need to continue striving for increased utilization to maximize its benefit to our patients.
-
Demographic Profile, Imaging Findings and Treatment Outcomes of Hepatobiliary Ascariasis
( Gian Carlo A. Carpio ),( Jenina Joy E. Jorge ),( Rommel P. Romano ) 대한간학회 2016 춘·추계 학술대회 (KASL) Vol.2016 No.1
Aims: Ascariasis is the most common helminthic infection in humans. It is very frequent in developing countries such as Asia due to poverty, overcrowding and poor sanitation. A serious manifestation of infection is hepatobiliary ascariasis due to potential for complications. The aim of this study is to describe the demographic profile, risk factors, clinical presentation, usual diagnostic findings and treatment options of hepatobiliary ascariasis patients in the Philippines. Methods: This is a retrospective cross-sectional study of all patients diagnosed with hepatobiliary ascariasis from January 2005 to February 2016. Diagnosis of hepatobiliary ascariasis were confirmed by findings and signs of worms in the biliary tract through ERCP or imaging findings. Data were encoded using MS Excel and analysis done by SPSS. Results: Among 23 patients, mean age was 39.9. Majority were female patients(82.6%). From available data, all patients earned less than 100,000/ year and finished only up to High School. 13% had previous sphincterotomy while 8.7% had previous gallbladder surgery. Common indications include RUQ pain or biliary colic (56.5%), epigastric pain (21.7%) and diffuse abdominal pain (21.7%). For complications, 26.1% had obstructive jaundice, 4.3% had acute cholangitis, and 8.7% had acute pancreatitis. Usual initial test was ultrasound mostly showing a tubular filling defect at the bile ducts (78.2%) 20 patients underwent ERCP with cholangiogram showing a tubular filling defect for 18 patients, a dilated common bile duct and a patulous ampulla for some. Majority of worms were removed by basket extraction (73.9%). 73.9% showed dead worms with mean procedure time of 34.6 minutes. Conclusions: Hepatobiliary ascariasis is a serious manifestation of ascariasis infection. A thorough history for risk factors and examination with the help of imaging findings can help us in adequately diagnosing this condition. Importance of adequate treatment with extraction of worms should be emphasized to prevent severe complications of disease.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
