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Diagnosis of rare causes of gastrointestinal bleed

 
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Dołączył: 03 Mar 2011
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PostWysłany: Sob 4:40, 26 Mar 2011    Temat postu: Diagnosis of rare causes of gastrointestinal bleed

Diagnosis of rare causes of gastrointestinal bleeding (32 cases of clinical and pathological analysis)


For a summary of the patch test. 1 Materials and methods All specimens are fiber sources and smear microscopy examination room selected to be completely dry specimens sent with 95% ethanol or bleed at the nose orderly hematoxylin staining. Microscope light microscope. Standardized diagnostic criteria for the diagnosis entirely on the results from table 2 that increases with age, the prevalence increased significantly from the age of 40. 5O years old to 60 years old prevalence rate 6og, 70 years of age reached a peak detection rate of 7,143 percent, the statistics found in the age of 19 years to 87 years the prevalence of males than females between the male to female ratio 28:1 . Search cases by surgery in our hospital had gastric or esophageal surgery for 128 cases. These cases are done in our hospital from stomach and esophageal brush cytology fiber mirror on the J {{i seized after the operation quality of biopsy examination revealed cell brush biopsy positive rate was 9519%. Stripping in the cell biopsy examination-negative and-positive cases in the case of 17 {2 『) jj, _ in some cases brush smear of cells to look for suspected cancer cells and see the small wrapped l443 Daowei nuclear heterogeneity, and age of diagnosis of esophageal cell engine distribution of cells. Part of the fiber lens can not reach deep parts of the submucosa, or saddle, only mucosal cell brush the surface level, the staff less than positive samples. Not enough cells for diagnosis based on, and histology was positive. Cytology and brush biopsy in the pathologic tissue sections negative-positive cases was due to erosion of local tissue necrosis. Yong Li is reported as necrosis or severe dysplasia. Mucosa of patients also confirmed the limitations of cancer and severe epithelial dysplasia. Grade material proved appropriate as long as the cells can not only be just seized a higher positive rate and the discovery of early cancer also has some practical value. 3 Cellular morphological classification and surgical pathology were classified in the form of brush biopsy cytology brush cytology smear in the cell body sizes shown, and a large chromatin thickening, uneven distribution of patients confirmed. Primary gastrointestinal malignant lymphoma: clinical manifestations complex and lack of specificity. Easily mistaken proverb. 4 cases reported in this paper are all specimens after surgical exploration confirmed the former manager checks only. Patients had liver, spleen, lymph nodes and bone marrow involvement of the diagnosis of primary gastrointestinal lymphoma is one of the bases. Present. Some physicians, especially non-hematologic physician reflects on the lack of understanding of extranodal lymphoma. Of unknown causes of upper gastrointestinal bleeding in patients with little regard of the disease. I believe that the absence of a history of typical ulcer hemorrhoids, recent unexplained abdominal pain, black stools, anemia, and the whole gastrointestinal barium meal examination found no specific heat should be particularly vigilant with the possibility of this disease, B ultrasonic, radionuclide, cT original gastrointestinal lymphoma onset of little help. Barium meal or barium contrast radiography re-take is still the main method of diagnosis. Surgery on the prognosis important proximal duodenum and empty section of the distal section of entropy change with or without bleeding. once again, the nuclear index of selective angiography scan. to help determine the site of bleeding, such as the check yet to find a bleeding lesion, you can laparotomy, intraoperative Application of entropy change enteroscopy find bleeding. uncommon cause of gastrointestinal bleeding in order to improve the diagnosis and treatment. more to share clinical data at the same time x-ray, endoscopy, selective angiography and abdominal scanning techniques Eucalyptus orderly use of flexible,[link widoczny dla zalogowanych], especially the United with endoscopic surgery. tend to yield larger.


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