1.Characteristic of bleeding esophageal complications in peptic ulcer patients with H.pylori(+)
Journal of Practical Medicine 2003;456(7):21-22
Study conducted on 56 patients with gastrointestinal bleeding because of gastroduodenal ulcer with H. pylori (+) and 27 with H. pylori (-), treated at the Hospital 19/8 in ther period of 1995-2000. These 2 groups were similar at age, gender, duration of the disease and at the first time of bleeding. Results showed that in H. pylori (+) group, there are the symptoms of cardiovascular colapsus and of bleeding, recurred after 3 years of follow-up. In this group anemia and the bleeding were more severe
Helicobacter pylori
;
Peptic Ulcer
;
Esophageal Diseases
;
complications
;
Hemorrhage
2.To remark some predictive factors of bleeding esophageal complication due to esophageal varicosity in cirrhosis patients
Journal of Practical Medicine 2003;458(8):14-16
127 cirrhotic patients in Hospital No 198 from 1996 to 2002 were enrolled in this study. Analysing the rate and degree of gastrointestinal bleeding in accordance with risk factors, the results showed that 28% of cirrhotic patients had experienced gastrointestinal bleeding. The more severe cirrhosis was, the higher rate of gastrointestinal bleeding. Alcohol addiction increased the rate of gastrointestinal bleeding rather than hepatitis B virus and hepatitis C virus. When combined 2 factors, the rate of gastrointestinal bleeding increased 1.5 times. The rate of gastrointestinal bleeding increased according to degree of esophageal varices
Fibrosis
;
Esophageal Diseases
;
Diseases
3.To remark clinical characteristic and endoscopy imaging of esophageal carcinoma patients
Journal of Practical Medicine 2003;458(8):38-39
6500 patients were performed gastroscopy at Hospital No 198 from 1997 to 2002. The results showed that 19 patients (0.29%) experienced gastric cancer. Common clinical symptoms are belch, difficulty of swallow, choking, pain under breastbone. 42.1% of patients had gastric cancer on middle third, 36.8% on lower third, and 21% on upper third. Funggosity is most common. Carcinoma accounts for 68.4%. Only 3/19 cases could be operated. So it's important to screen for endoscopy in order to find early gastric cancer
Endoscopy
;
Esophageal Diseases
;
Carcinoma
4.Risk of hepatocellular carcinoma in patients with HBsAg positive
Journal of Vietnamese Medicine 2003;287(8):7-10
This study was conducted from the year 1997 to 2002 in the Hospital N 198, involving 300 patients with HBsAg (+) (Group A) and 150 patients with HBsAg (-) (Group B), all had liver and bile pathology. There were an analogy in age, gender, and the time of onset of clinical symptoms. Results showed that there is an prevalence of epithelial liver carcinoma (15%) in the group of HBsAg (+) higher than the the group of HBsAg (-) – only 5.3%. The risk of liver cancer in HBsAg (+) patient group with OR=3.1, the mean age of liver cancer patient group; the characteristics lower than HBsAg (-) patient group; the characteristics of cancer damage, the complications and the prognosis were analogous in 2 groups
Hepatitis B Surface Antigens
;
Carcinoma, Hepatocellular
;
Hepatitis B
5.Clinical features and endoscopic image of gastroduodenal ulcers
Journal of Practical Medicine 2003;459(9):46-47
The study carries on 55 patients diagnosed ulcerative colitis by sign of clinical and endoscope at 108 hospital of ministry of public security. The result: the age group 20 – 40 met usualy with 61.8%, clinical sign as abdominal pain is 81.8%, diarrhea 78.1%, constipation 23.8%, defecation bleeding 83.6%. Symptom of examination: aglobulia 33.7%, leucocytosis 41.8%. The result of endoscopy: ulcerative colitis of entier 7.2%, of transverse colon 16.3, of descending colon 27.2%. The result treatment: patients used corticoid has effect good with 87.3% clearance ulcer, ulcerative pool miniature 9%, 3.6% patients treated ineffect
Peptic Ulcer
;
Endoscopy
;
Colitis, Ulcerative
6.Clinical characteristics and endoscopy imaging of benign gastric polyps
Journal of Vietnamese Medicine 2003;291(12):21-24
In 1994-2000 year period, from 6275 patients at Hospital No 108, 62 patients (37 males and 25 females) with stomach polyps were chosen for study. Results: stomach polyps occupied 0.98% of patients of endoscopic examination. 72.5% of patients have been above 40 years old. The clinical symptoms were not specific and their could be the associated symptoms of stomach injury – 90.3% of patients number had only 1 polyp, 85% of patients had the polyps in pylorus antrum. The polyp with diameter under 3 cm occupied 93.1%. 25.8% had a normal stomach image. Associated damages were gastritis, duodenal ulcer, stomach ulcer. 44/62 patients with stomach polyps (70.9%) had H. pylori. Hyperplasic polys accounts for 72.5%, gland epithelial polyps 20.9%
Stomach Diseases
;
Stomach Neoplasms
;
Endoscopy
7.The relationship betweens some coagulation factors and oesophageal bleeding complications due to oesophageal varies in cirrhotic patients
Journal of Vietnamese Medicine 2003;291(12):33-38
On 100 liver cirrhosis patients treated in the Hospital 198 (32 with gastrointestinal hemorrhage and 68 without) prothrombine level, fibrinogen and thrombocyte level are related to the complications of gastrointestinal hemorrhage due to a rupture of esophageal verous varicosis in patient of cirrhosis. The amount of hemorrhagic group with a decrease of 80% of prothrombine occupies 71.8%, while in the group without hemorrhage only 41.4%. In hemorrhagic group, fibrinogen level more decrease than the group without hemorrhage (40.6% vs 30.8%) and the number of thrombocyte in hemorrhagic group is lower. The severity of gastrointestinal hemorrhage is related proportionally with the decrease of prothrombine level, fibrinogene level and thrombocyte number
Liver
;
Cirrhosis
;
Diseases
8.Remark on the rate and features of high blood pressure in diabetes patients
Journal of Practical Medicine 2003;469(12):17-19
From Jan 1992 to Jan 2001, at the Hospital N0198, 405 diabetes patients aged 17-73 were studied. Results showed a rate of high blood pressure of 19% among diabetes patients, this rate was similar in male as in female gender. The most common age was 50-59 year old age, which accounted for 31.8%. Among patients with diabetes of type 1, the rate accounted for 19.4%, type 2 18.8%. The rate of kidney complications of diabetes patients with high blood pressure was 33.9%, while without high blood pressure ones was 11.3%. The rate of eyefundus complications was 33.9% and 9.2% respectively
Hypertension
;
Diabetes Mellitus
;
Blood Pressure
9.To study the clinical characteristics, endoscopic imaged, factors favorable for stimulative intestinal syndrome
Journal of Practical Medicine 2003;469(12):41-43
158 patients with the syndrome of stimulative bowel were studied at the Hospital 198 from May 1999 to March 2000. Colonoscopy showed an incidence of 12.9% of stimulative bowel syndrom, the condition was more common in female than in male subjects with a highest rate of 42.4$ in the 40-49 years old group. Psychologic symptoms of stimulative bowel syndroms were nervousness 70.8%, anxiety 60.1%, abdomen pain 93%, signs of circulation dysturbance 98%. Related factors of the disease were food 71.5%, stress 35.4%. Endoscopic images showed colon constraction in 86.1%, abundant secretion of mucus substances in 34.8%
Syndrome
;
Inflammatory Bowel Diseases
;
Colonoscopy
10.Study on some risky factors and clinical characteristics of hepatic encephalopathy syndrome in cirrhosis patients
Journal of Practical Medicine 2004;471(1):15-17
Study 208 patients with cirrhosis were investigated in the Hospital 198 from May 1995 to May 2003. Among them 31 (30 males and 1 females)- 14,9% had got hepatic encephalopathy syndrome, its incidence increased proportionately with the duration of the disease cirrhosis alcoholism patients got higher incidence of hepatic encephalopathy with viral hepatitis factor. The incidence of hepatic encephalopathy reached 23% in case of viral infection associated with alcoholism . In patients with gastrointestinal hemorrhage there were 30%, with diabetes 40%, hypokalemia 33%, kidney failure 40% had got hepatic encephalopathy syndrome. Clinical syndroms of hepatic encephalopathy were amnesia, dementia, insomnia and mental disorder.
Risk factors
;
Diagnosis
;
Fibrosis
;
Epidemiology
;
Alcoholism
;
Gastrointestinal Hemorrhage
;
Diabetes Mellitus
;
Hypokalemia
;
Kidney Failure