Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery
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Zhonghua Wei Chang Wai Ke Za Zhi · Jan 2013
[Perioperative fluid therapy of gastrointestinal surgery].
Fluid therapy has been the focus of attention and dispute. In this paper, there are three aspects including postoperative bowel function, surgical prognosis, and acute diffuse peritonitis. ⋯ The different types of fluid in recent studies did not show a significant difference in the long term. The new evidence will be noted in fluid therapy among 2012 SSC Severe Sepsis and Septic Shock Guideline update (unpublished).
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Abdominal hernia can only be cured by operations. However, it is still a challenge for surgeons to treat the parastomal hernia. Recently, mesh and laparoscopic technique are widely used in the treatment of parastomal hernias, and some progress have been made, but we have to face some problems, such as recurrence, unsatisfactory stomal function and poor outlooks. We applied our Lap-re-Do technique to repair the parastomal hernia not only closing and reinforcing the hernia ring by suturing and mesh, but also rebuild the stoma in situ.
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Zhonghua Wei Chang Wai Ke Za Zhi · Apr 2012
Randomized Controlled Trial[Impact of hemocoagulase on coagulatory function and deep venous thrombosis after abdominal surgery].
To investigate the impact of hemocoagulase on coagulatory function and deep venous thrombosis after abdominal surgery. ⋯ Hypercoagulable state usually appears after abdominal surgery and use of hemocoagulase may aggravate hypercoagulability and increase the incidence of deep venous thrombosis in lower limbs after abdominal surgery. Preventative use of hemocoagulase must be administered with caution.
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Zhonghua Wei Chang Wai Ke Za Zhi · Apr 2012
Editorial[Prevention and treatment of postoperative complications following gastrointestinal surgery].
Gastrointestinal cancers include gastric cancer, small intestinal cancer and colorectal cancer. In China, the majority of hospitals at central cities even at county hospitals are providing surgical intervention for patients with gastrointestinal cancer. ⋯ Acute bleeding, obstruction, anastomotic leakage are major complications after gastrointestinal surgery. Therefore it is important to deal with complications after gastrointestinal surgery.
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Zhonghua Wei Chang Wai Ke Za Zhi · Mar 2012
Review[Resistance and treatment strategy of gastrointestinal stromal tumor target therapy].
Gastrointestinal stromal tumor(GIST) originates from interstitial cells of Cajal(ICCs). Tyrosine kinase inhibitors(TKI) such as imatinib and sunitinib, are effective agents besides surgery. ⋯ The difference in gene mutation types and secondary gene mutation is the main cause. When the GIST is proved to be drug resistance, reasonable personal treatment strategies based on individualized medicine should be made to improve outcomes and quality of life.