Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.

No description available.

The purpose of this study is to determine if early laparoscopic cholecystectomy in patients with uncomplicated gallstone disease and symptoms of dyspepsia will produce complete symptomatic resolution 1 year postoperatively and to identify appropriate timing of laparoscopic cholecystectomy to decrease cholecystectomy failure rate. Specific research objectives were to determine: <p>1) if laparoscopic cholecystectomy in patients with gallstones and symptoms of dyspepsia will achieve complete symptomatic relief; <p>2) the change in the preoperative score to the postoperative score and satisfaction after laparoscopic cholecystectomy for the two groups: patients with gallstones and symptoms of dyspepsia and the patients with gallstones and no dyspepsia; <p>3) the relationship between the duration of preoperative episodes and the probability of complete resolution of symptoms with laparoscopic cholecystectomy in patients with gallstones and symptoms of dyspepsia; <p>4) the relationship between the frequency of preoperative episodes and the probability of complete resolution of symptoms with early laparoscopic cholecystectomy in patients with gallstones and symptoms of dyspepsia and <p>5) the differences in pathologic findings between patients with gallstones and no symptoms of dyspepsia versus patients with symptoms of dyspepsia.<p>The methods included a retrospective chart review for patient identification, a follow up survey and microscopic pathological examination of gallbladder specimens. Nine hundred and forty two patients entered the study. Three hundred and fifty nine surveys were returned producing a response rate of 43%. Two hundred and sixty four patients (77.0%) had symptoms of dyspepsia (Group I) and 79 patients (23.0%) had no symptoms of dyspepsia (Group II). <p>Laparoscopic cholecystectomy for patients with gallstones and symptoms of dyspepsia does not achieve complete symptomatic relief 1 year after surgery. The frequency and duration of preoperative episodes have no relation to the outcome of surgery. The majority of patients in both Groups (I, II) were found to have morphological evidence of acute cholecystitis and only a small number had chronic cholecystitis. Group I had a greater reduction in the Buckley score than Group II after LC but had similar rates of satisfaction from surgery.

The purpose of this study is to determine if early laparoscopic cholecystectomy in patients with uncomplicated gallstone disease and symptoms of dyspepsia will produce complete symptomatic resolution 1 year postoperatively and to identify appropriate timing of laparoscopic cholecystectomy to decrease cholecystectomy failure rate. Specific research objectives were to determine: <p>1) if laparoscopic cholecystectomy in patients with gallstones and symptoms of dyspepsia will achieve complete symptomatic relief; <p>2) the change in the preoperative score to the postoperative score and satisfaction after laparoscopic cholecystectomy for the two groups: patients with gallstones and symptoms of dyspepsia and the patients with gallstones and no dyspepsia; <p>3) the relationship between the duration of preoperative episodes and the probability of complete resolution of symptoms with laparoscopic cholecystectomy in patients with gallstones and symptoms of dyspepsia; <p>4) the relationship between the frequency of preoperative episodes and the probability of complete resolution of symptoms with early laparoscopic cholecystectomy in patients with gallstones and symptoms of dyspepsia and <p>5) the differences in pathologic findings between patients with gallstones and no symptoms of dyspepsia versus patients with symptoms of dyspepsia.<p>The methods included a retrospective chart review for patient identification, a follow up survey and microscopic pathological examination of gallbladder specimens. Nine hundred and forty two patients entered the study. Three hundred and fifty nine surveys were returned producing a response rate of 43%. Two hundred and sixty four patients (77.0%) had symptoms of dyspepsia (Group I) and 79 patients (23.0%) had no symptoms of dyspepsia (Group II). <p>Laparoscopic cholecystectomy for patients with gallstones and symptoms of dyspepsia does not achieve complete symptomatic relief 1 year after surgery. The frequency and duration of preoperative episodes have no relation to the outcome of surgery. The majority of patients in both Groups (I, II) were found to have morphological evidence of acute cholecystitis and only a small number had chronic cholecystitis. Group I had a greater reduction in the Buckley score than Group II after LC but had similar rates of satisfaction from surgery.

Diss. (sammanfattning) Linköping : Univ., 2003. / Härtill 5 uppsatser.

Cartas al editor

朱少佳. / "2009年9月". / "2009 nian 9 yue". / Thesis (M.Phil.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (leaves 75-85). / Abstracts in Chinese and English. / Zhu Shaojia. / 致謝辭 --- p.i / 中文摘要 --- p.iii / 英文搞要 --- p.v / 中英名詞對照表 --- p.viii / 目錄 --- p.ix / 表目錄 --- p.xii / 圖表目錄 --- p.xiv / Chapter 第壹章 --- 引言 --- p.1 / Chapter 第一節 --- 功能性消化不良的歷史源流與進展 --- p.1 / Chapter 1 --- FD流行病學硏究 --- p.1 / Chapter 2 --- FD帶來的經濟負擔與健康影響 --- p.2 / Chapter 3 --- FD診斷標準的發展 --- p.2 / Chapter 甲 --- Colin-Jones診斷標準 --- p.2 / Chapter 乙 --- 羅馬I診斷標準 --- p.2 / Chapter 丙 --- 羅馬II診斷標準 --- p.3 / Chapter 丁 --- 羅馬III診斷標準 --- p.4 / Chapter 第二節 --- FD的病理生理學硏究 --- p.5 / Chapter 1 --- 胃酸分泌量異常 --- p.5 / Chapter 2 --- 胃動力障礙 --- p.6 / Chapter 甲 --- 胃排空延遲 --- p.6 / Chapter 乙 --- 近端胃受容性及收縮異常 --- p.6 / Chapter 丙 --- 遠端胃部與十二指腸活動異常 --- p.7 / Chapter 丁 --- 胃電節律紊亂 --- p.7 / Chapter 3 --- 胃感覺異常 --- p.8 / Chapter 4 --- 感染與發炎 --- p.8 / Chapter 甲 --- 幽門螺旋菌 --- p.8 / Chapter 乙 --- 急性細菌性胃腸炎 --- p.9 / Chapter 第三節 --- 中醫學對FD的認識 --- p.9 / Chapter 第四節 --- FD的飲食及生活習慣建議 --- p.11 / Chapter 第五節 --- 可能影響FD的因素 --- p.14 / Chapter 1 --- 年齡 --- p.11 / Chapter 2 --- 性 别 --- p.11 / Chapter 3 --- 社會經濟狀況或失業 --- p.11 / Chapter 4 --- 教育程度 --- p.12 / Chapter 5 --- 輪班 --- p.12 / Chapter 6 --- 精神心理狀態 --- p.12 / Chapter 7 --- 飲食生活習慣 --- p.12 / Chapter 第六節 --- FD的治療 --- p.14 / Chapter 1 --- FD西醫藥的治療 --- p.14 / Chapter 2 --- FD中醫藥的治療 --- p.15 / Chapter 第七節 --- 硏究目的 --- p.17 / Chapter 第貳章 --- 硏究問卷與方法 --- p.17 / Chapter 第一節 --- 定義 --- p.17 / Chapter 1 --- 嚴重消化不良症狀定義 --- p.17 / Chapter 2 --- 工作、生活、飲食習慣定義 --- p.17 / Chapter 3 --- 可能影響FD的因素、相關因素、較強相關因素定義 --- p.17 / Chapter 4 --- 公立專科門診FD病人、社區未經檢查FD病人、健康人定義… --- p.17 / Chapter 第二節 --- 問卷 --- p.18 / Chapter 1 --- 功能性消化不良與有關因素問卷 --- p.19 / Chapter 2 --- 中醫胃病症狀觀察表格 --- p.19 / Chapter 第三節 --- 調查方法 --- p.19 / Chapter 1 --- 電話訪問調查 --- p.20 / Chapter 2 --- 公立專科門診病人調查 --- p.21 / Chapter 甲 --- 病例入選標準 --- p.22 / Chapter 乙 --- 病例排除標準 --- p.22 / Chapter 3 --- 統計學分析方法 --- p.22 / Chapter 第叁章 --- 結果 --- p.24 / Chapter 第一節 --- 電話訪問調查 --- p.24 / Chapter 1 --- 香港FD人口患病率 --- p.24 / Chapter 2 --- FD相關因素調查 --- p.25 / Chapter 甲 --- FD羅馬II診斷標準的相關因素調查 --- p.26 / Chapter 乙 --- FD羅馬III診斷標準的相關因素調查 --- p.33 / Chapter 丙 --- FD羅馬II與FD羅馬III診斷標準相關因素比較 --- p.39 / Chapter 丁 --- 嚴重消化不良症狀的相關因素 --- p.40 / Chapter 第二節 --- 公立專科門診病人調查 --- p.48 / Chapter 1 --- FD病人中醫辨證分型分析 --- p.57 / Chapter 2 --- FD西醫分型分佈規律 --- p.60 / Chapter 3 --- FD病人的幽門螺旋菌感染分佈 --- p.61 / Chapter 4 --- 社區未經檢查FD病人與公立專科門診FD病人比較 --- p.62 / Chapter 5 --- 公立專科門診FD病人、社區未經檢查FD病人與健康人比較 --- p.65 / Chapter 第肆章 --- 總結及討論 --- p.67 / 參考文獻 --- p.75 / 附錄 --- p.86 / 附錄甲：功能性消化不良與相關因素問卷 --- p.87 / 附錄乙：中醫胃病症狀觀察表格 --- p.98 / 附錄丙：電話調查問卷 --- p.104 / 附錄丁 ：病人資料及同意書 --- p.120 / 附錄戊：因素變數列表 --- p.124 / 附錄己：100例FD病人舌象、脈象及其他特徵性症狀記錄…… --- p.128

沈成豪. / "2007年8月". / 論文(哲學碩士)--香港中文大學, 2007. / 參考文獻(leaves 57-65). / "2007 nian 8 yue". / Abstract also in English. / Shen Chenghao. / Lun wen (Zhe xue shuo shi)--Xianggang Zhong wen da xue, 2007. / Can kao wen xian (leaves 57-65). / 目錄 --- p.2 / 表格目錄 --- p.5 / 感謝 --- p.6 / 摘要 --- p.7 / Abstract --- p.8 / 目的 --- p.9 / Chapter 一. --- 背景 --- p.9 / Chapter 1. --- 消化不良的槪念 --- p.9 / Chapter 2. --- 功能性消化不良流行病學資料 --- p.11 / Chapter 3. --- 功能性消化不良的醫療開支以及相關的經濟損失 --- p.12 / Chapter 4. --- 功能性消化不良的病理 --- p.13 / Chapter 5. --- 功能性消化不良的藥物治療 --- p.16 / Chapter 二. --- 中醫藥與功能性消化不良 --- p.17 / Chapter 三. --- 功能性消化不良的中醫硏究文獻回顧 --- p.20 / Chapter 1. --- 功能性消化不良與中醫證型的相關硏究 --- p.20 / Chapter 2. --- 功能性消化不良的中醫臨床辨證規律 --- p.20 / Chapter 3. --- 中醫脾胃病專家對功能性消化不良的見解 --- p.25 / Chapter 4. --- 功能性消化不良的中醫診療標準 --- p.26 / Chapter 5. --- 小結 --- p.27 / 臥床資料 --- p.28 / Chapter 一. --- 病例選擇標準 --- p.28 / Chapter 1. --- 功能性消化不良的西醫診斷標準 --- p.28 / Chapter 2. --- 功能性消化不良的中醫證候診斷標準 --- p.28 / Chapter 二. --- 硏究對象 --- p.31 / Chapter 1. --- 病例來源 --- p.31 / Chapter 2. --- 病例入選標準 --- p.31 / Chapter 3. --- 病例排除標準 --- p.31 / Chapter 三. --- 觀察方法 --- p.32 / Chapter 四. --- 數據處理 --- p.32 / Chapter 五. --- 統計學處理 --- p.33 / 結果 --- p.34 / Chapter 一. --- 一般流行病學資料 --- p.34 / Chapter 二. --- 功能性消化不良亞型的分布 --- p.36 / Chapter 三. --- 功能性消化不良的中醫證型分類硏究 --- p.37 / Chapter 1. --- 功能性消化不良中醫證型分布 --- p.37 / Chapter 2. --- 性別與中醫證型分布的關係 --- p.38 / Chapter 3. --- 年齢與中醫證型分布的關係 --- p.40 / Chapter 4. --- 病程與中醫證型分布的關係 --- p.42 / Chapter 5. --- 功能性消化不良的亞型與中醫證型硏究 --- p.44 / Chapter 四. --- 功能性消化不良的症狀分析 --- p.46 / Chapter 1. --- 胃脘部症狀分析 --- p.46 / Chapter 2. --- 胃脘其他症狀分析 --- p.47 / 討論 --- p.48 / 結論 --- p.55 / 展望及日後工作 --- p.56 / 參考文獻 --- p.57 / 附錄一：中醫胃病症狀觀察表格 --- p.66 / 附錄二：功能性消化不良中醫證候硏究病人同意書 --- p.73

Made available in DSpace on 2014-06-11T19:33:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-08-05Bitstream added on 2014-06-13T20:05:13Z : No. of bitstreams: 1 carvalho_ma_dr_botfm.pdf: 1115571 bytes, checksum: 83b322f65a0c84ce4930adccf88b2d28 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Avaliar as características histopatológicas da mucosa gástrica, duodenal e esofágica de crianças e adolescentes brasileiros infectados por Helicobacter pylori (H. pylori) e submetidas à endoscopia digestiva alta para investigar dispepsia crônica. As correlações entre variáveis clínicas e histopatológicas também foram analisadas. Foi realizado estudo prospectivo de biópsias do trato gastrointestinal superior (mucosa gástrica, duodenal e esofágica) em crianças e adolescentes de 4 a 17 anos de idade. A análise histopatológica foi realizada com coloração por Hematoxilina & Eosina, as lesões gástricas e duodenais foram classificadas de acordo com o Sistema Sydney atualizado e a intensidade da esofagite foi graduada. O estudo incluiu um grupo de crianças infectadas por H. pylori (Hp+), com resultados positivos para dois testes (teste da urease e histologia) e um grupo de não infectadas (Hp-). Utilizou-se teste de Mann-Whitney, Qui-Quadrado, exato de Fisher e correlação de Spearman, sendo p<0,05 considerado significativo. Foram estudadas 185 crianças dispépticas (idade 9.5±2.7 anos), 63,2% (117/185) do sexo feminino, 96 (51,8%) H. pylori positivos (Hp+) e 89 (48,2%) H. pylori negativos (Hp-). O grupo Hp+ foi significativamente mais velho (9.9±2.8 anos) do que o grupo Hp- (9.0±2.6 anos) (p=0,02). Não houve diferença entre a proporção de sintomas entre os grupos Hp+ e Hp-. Não foram encontradas úlcera gástrica ou duodenal durante o procedimento endoscópico. Gastrite crônica ativa moderada/grave esteve presente em 70,5% das biópsias do antro e em 45,2% das biópsias do corpo no grupo Hp+, com intensidade significativamente maior no antro do que no corpo (p<0,05). A pontuação para densidade de H. pylori foi significativamente maior (p=0,005) nas biópsias do antro do que no corpo. Houve uma... / To evaluate the histopathological features of the gastric, duodenal and esophageal mucosa from Brazilian children and adolescents infected with Helicobacter pylori (H. pylori), submitted to upper gastrointestinal endoscopy to investigate chronic dyspepsia. The correlations between clinical and histopathological variables were also analyzed. A prospective study of biopsies from the upper gastrointestinal tract (gastric, duodenal and esophageal mucosa) was performed on children and adolescents 4 to 17 years-old. The histopathological analysis was performed on Hematoxylin-and-Eosin-stained slides, the gastric and duodenal lesions were graded according to the updated Sydney System and the intensity of esophagitis was recorded. The study included one group of H. pylori infected children (Hp+), with positive results for two tests (rapid urease test and histology) and one uninfected group (Hp-). Mann-Whitney, Chi-square, Fisher exact test and Spearman rank correlation were performed and p<0.05 considered significant. We studied 185 dyspeptic children (age 9.5±2.7 years), 63.2% (117/185) female, 96 (51.8 %) H. pylori positive (Hp+) and 89 (48.2%) H. pylori negative (Hp-). H. pylori-positive were significantly older (9.9±2.8 years) than Hp- (9.0±2.6 years) (p=0.02). There was no difference among the proportion of symptoms between Hp+ and Hp- groups. Gastric or duodenal ulcers were not found during the endoscopic procedure. Moderate/severe chronic active gastritis was present in 70,5% of antrum biopsies and in 45,2% of corpus biopsies in the Hp+ group, with significantly higher grading in antrum than in corpus (p<0.05). The scores for H. pylori density were significantly higher (p=0.005) in the antrum biopsies than in the corpus. There was a significant positive association... (Complete abstract click electronic access below)

Orientador: Maria Aparecida Marchesan Rodrigues. - / Banca: Carlos Antonio Caramori / Banca: Érika Veruska Paiva Ortolan / Banca: Francisco Agostinho Júnior / Banca: Gisele Alborghetti Nai / Resumo: Avaliar as características histopatológicas da mucosa gástrica, duodenal e esofágica de crianças e adolescentes brasileiros infectados por Helicobacter pylori (H. pylori) e submetidas à endoscopia digestiva alta para investigar dispepsia crônica. As correlações entre variáveis clínicas e histopatológicas também foram analisadas. Foi realizado estudo prospectivo de biópsias do trato gastrointestinal superior (mucosa gástrica, duodenal e esofágica) em crianças e adolescentes de 4 a 17 anos de idade. A análise histopatológica foi realizada com coloração por Hematoxilina & Eosina, as lesões gástricas e duodenais foram classificadas de acordo com o Sistema Sydney atualizado e a intensidade da esofagite foi graduada. O estudo incluiu um grupo de crianças infectadas por H. pylori (Hp+), com resultados positivos para dois testes (teste da urease e histologia) e um grupo de não infectadas (Hp-). Utilizou-se teste de Mann-Whitney, Qui-Quadrado, exato de Fisher e correlação de Spearman, sendo p<0,05 considerado significativo. Foram estudadas 185 crianças dispépticas (idade 9.5±2.7 anos), 63,2% (117/185) do sexo feminino, 96 (51,8%) H. pylori positivos (Hp+) e 89 (48,2%) H. pylori negativos (Hp-). O grupo Hp+ foi significativamente mais velho (9.9±2.8 anos) do que o grupo Hp- (9.0±2.6 anos) (p=0,02). Não houve diferença entre a proporção de sintomas entre os grupos Hp+ e Hp-. Não foram encontradas úlcera gástrica ou duodenal durante o procedimento endoscópico. Gastrite crônica ativa moderada/grave esteve presente em 70,5% das biópsias do antro e em 45,2% das biópsias do corpo no grupo Hp+, com intensidade significativamente maior no antro do que no corpo (p<0,05). A pontuação para densidade de H. pylori foi significativamente maior (p=0,005) nas biópsias do antro do que no corpo. Houve uma... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: To evaluate the histopathological features of the gastric, duodenal and esophageal mucosa from Brazilian children and adolescents infected with Helicobacter pylori (H. pylori), submitted to upper gastrointestinal endoscopy to investigate chronic dyspepsia. The correlations between clinical and histopathological variables were also analyzed. A prospective study of biopsies from the upper gastrointestinal tract (gastric, duodenal and esophageal mucosa) was performed on children and adolescents 4 to 17 years-old. The histopathological analysis was performed on Hematoxylin-and-Eosin-stained slides, the gastric and duodenal lesions were graded according to the updated Sydney System and the intensity of esophagitis was recorded. The study included one group of H. pylori infected children (Hp+), with positive results for two tests (rapid urease test and histology) and one uninfected group (Hp-). Mann-Whitney, Chi-square, Fisher exact test and Spearman rank correlation were performed and p<0.05 considered significant. We studied 185 dyspeptic children (age 9.5±2.7 years), 63.2% (117/185) female, 96 (51.8 %) H. pylori positive (Hp+) and 89 (48.2%) H. pylori negative (Hp-). H. pylori-positive were significantly older (9.9±2.8 years) than Hp- (9.0±2.6 years) (p=0.02). There was no difference among the proportion of symptoms between Hp+ and Hp- groups. Gastric or duodenal ulcers were not found during the endoscopic procedure. Moderate/severe chronic active gastritis was present in 70,5% of antrum biopsies and in 45,2% of corpus biopsies in the Hp+ group, with significantly higher grading in antrum than in corpus (p<0.05). The scores for H. pylori density were significantly higher (p=0.005) in the antrum biopsies than in the corpus. There was a significant positive association... (Complete abstract click electronic access below) / Doutor