|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Endoscopic retrograde cholangiography for pediatric choledocholithiasis: Assessing the need for endoscopic intervention显示文摘AIM:To assess pediatric patients for choledocholithiasis.We applied current adult guidelines to identify predictivefactors in children.METHODS:A single-center retrospective analysis was performed at a tertiary children's hospital.We evaluated 44 consecutive pediatric patients who underwent endoscopic retrograde cholangiography(ERCP) for suspected choledocholithiasis.Patients were stratified into those with common bile duct stones(CBDS) at ERCP vs those that did not using the American Society of Gastrointestinal Endoscopy(ASGE) guidelines(Very Strong and Strong criteria) for suspected CBDS.RESULTS:CBDS were identified in 84% at the time of ERCP.Abdominal ultrasound identified CBDS in 36% of patients.Conjugated bilirubin ≥ 0.5 mg/d L was an independent risk factor for CBDS(P = 0.003).The Very Strong(59.5%) and Strong(48.6%) ASGE criteria identified the majority of patients(P = 0.0001).A modified score using conjugated bilirubin had a higher sensitivity(81.2% vs 59.5%) and more likely to identify a stone than the standard criteria,odds ratio of 25.7 compared to 8.8.Alanine aminotransferase and gamma-glutamyl transferase values identified significant differences in a subset of patients with odds ratio of 4.1 and 3.25,respectively.CONCLUSION:Current adult guidelines identified the majority of pediatric patients with CBDS,but specific pediatric guidelines may improve detection,thus decreasing risks and unnecessary procedures. | Douglas S Fishman Bruno P Chumpitazi Isaac Raijman Cynthia Man-Wai Tsai E O’Brian Smith Mark V Mazziotti Mark A Gilger | 2016 | World Journal of Gastrointestinal Endoscopy2016，8，11： | 6 |
| 2 | Comparing patient,parent,and staff descriptions of fatigue in pediatric ontology patients显示文摘 | Hinds PS Hockenberry-Eaton M Gilger E | 1999 | Cancer Nurs1999，22，4： | 1 |
| 3 | Com paring patient,parent, and staff descriptions of fatigue in pediatrie oneology patients 显示文摘 | Hinds PS Hoekenberry-Eaton M Gilger E | 1999 | Caneer Nurs1999，22，4： | 1 |
| 4 | Comparing patient, parent, and staff descriptions of fatigue in pediatric oncology patients 显示文摘 | Hinds PS Hockenberry- Eaton M Gilger E | 1999 | Cancer Nurs1999，22，4： | 1 |
| 5 | Comparing patient, parent, and staff descriptions of fatigue in pediatric oncology patients显示文摘 | Hinds P S Hockenberry-Eaton M Gilger E | 1999 | Cancer Nuts1999，22，4： | 1 |
| 6 | Extraintestinal rotavirus infections in childeren with immunocleficiency 显示文摘 | GILGER M A MATSON D O CONNER M E | 1992 | J Pediatr1992，12，10： | 1 |
| 7 | Comping patient,parent,and staff descriptions of fatigue in pediatric oncolngy patients显示文摘 | Hinds PS Hockenberry-Eaton M Gilger E | 1999 | Cancer Nurs1999，22，4： | 1 |
| 8 | Comparing patient, parent, and staff descriptions of fatigue in pediatric oncology patients显示文摘 | Hinds P S Hockenberry-Eaton M Gilger E | 1999 | Cancer Nurs1999，22，4： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员