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著作: Abd Elrazek Mohammad Ali/Mahfouz Hamdy/[ガイベ アハマド アンマール]/Detection of Risky Esophageal Varices by Two-Dimensional Ultrasound: When to Perform Endoscopy/[The American Journal of the Medical Sciences]

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EID
259014
EOID
889370
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0
LastModified
2018年2月23日(金) 16:17:37
Operator
三木 ちひろ
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TRUE
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Owner
ガイベ アハマド アンマール
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種別 必須 学術論文(審査論文)
言語 必須 英語
招待 推奨
審査 推奨 Peer Review
カテゴリ 推奨 研究
共著種別 推奨
学究種別 推奨
組織 推奨
  1. 徳島大学.大学院ヘルスバイオサイエンス研究部.医療創生科学部門.医療情報学講座(2008年4月1日〜)
著者 必須
  1. (英) Abd Elrazek Mohammad Ali
    役割 任意
    貢献度 任意
    学籍番号 推奨
  2. (英) Mahfouz Hamdy
    役割 任意
    貢献度 任意
    学籍番号 推奨
  3. ガイベ アハマド アンマール
    役割 任意
    貢献度 任意
    学籍番号 推奨
題名 必須

(英) Detection of Risky Esophageal Varices by Two-Dimensional Ultrasound: When to Perform Endoscopy

副題 任意
要約 任意

(英) OBJECTIVE:: Esophageal varices are a consequence of portal hypertension in cirrhotic patients. Current guidelines recommend that all cirrhotic patients undergo screening endoscopy at diagnosis to identify patients with varices at high risk of bleeding who will benefit from primary prophylaxis. This practice increases costs, involves a degree of invasiveness and discomfort and places a heavy burden on endoscopy units. Several studies have evaluated possible noninvasive predictors of esophageal varices, but most of these studies remain controversial. METHODS:: The intra-abdominal portion of the esophagus in 673 patients who presented with liver cirrhosis and portal hypertension was examined using standard 2-dimensional (2D) ultrasound. A direct relationship between the degree of varices observed on upper endoscopy and the intra-abdominal esophageal wall thickness was detected using 2D ultrasound. RESULTS:: The mean thicknesses of the esophageal wall were 3.7 ± 0.5 mm (mean ± standard deviation) in normal individuals, 7.3 ± 3.3 mm in those with esophageal varices and 8.65 ± 1.98 mm in those with risky esophageal varices. The overall accuracy of 2D ultrasound was 95%. CONCLUSIONS:: The intra-abdominal esophagus should be observed during abdominal ultrasound examination in patients with liver cirrhosis. Two-dimensional ultrasound can play an important role in screening for esophageal varices.

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発行所 推奨
誌名 必須 The American Journal of the Medical Sciences(Southern Society for Clinical Investigation)
(pISSN: 0002-9629, eISSN: 1538-2990)
ISSN 任意 1538-2990
ISSN: 0002-9629 (pISSN: 0002-9629, eISSN: 1538-2990)
Title: The American journal of the medical sciences
Title(ISO): Am J Med Sci
Publisher: Elsevier BV
 (NLM Catalog  (Scopus  (CrossRef (Scopus information is found. [need login])
必須 347
必須 6
必須 512 512
都市 任意
年月日 必須 2014年 6月 初日
URL 任意
DOI 任意 10.1097/MAJ.0b013e3182750ce8    (→Scopusで検索)
PMID 任意 23267234    (→Scopusで検索)
NAID 任意
WOS 任意 000336898500018
Scopus 任意 2-s2.0-84891825154
評価値 任意
被引用数 任意
指導教員 推奨
備考 任意
  1. (英) Article.Affiliation: Department of Tropical Medicine (AEMAAE, HM, AEWF, KAE, MF), Al Azhar Faculty of Medicine, Asuit, Egypt; Department of Tropical Medicine (MA), Al Azhar Faculty of Medicine, Cairo, Egypt; Department of Radiology (MN), Al Azhar Faculty of Medicine, Asuit, Egypt; Department of Liver Transplantation (KA), International Medical Center (IMC), Cairo, Egypt; Division of Liver Diseases (AE-S), Mount Sinai School of Medicine, New York, New York; Department of Hepatobiliary (UK), Pancreatic Surgery, Kobe City Medical Center, Kobe, Japan; Informatics and Communications Department (AAG), Yarmouk University, Syria; Faculty of Pharmacy (SB), Suez Canal University, Ismaelia, Egypt; Department of Tropical Medicine (NE-A), Ain Shams University, Cairo, Egypt; Department of Radiology (MM), Al Azhar Faculty of Medicine, Cairo, Egypt.

  2. (英) Article.PublicationTypeList.PublicationType: JOURNAL ARTICLE