ABSTRACT
ObjectiveTo investigate the clinical features of extrahepatic biliary adenoma and the role of endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis and treatment of extrahepatic biliary adenoma. MethodsA retrospective analysis was performed for the clinical manifestations, imaging findings, ERCP treatment, and follow-up data of 7 patients with extrahepatic biliary adenoma who were admitted to Department of Gastroenterology in The People′s Hospital of Northern Jiangsu from January 2010 to June 2016. Results Selective ERCP was performed for 7 patients after the exclusion of surgical contraindications. Intraoperative cholangiography showed interruption of different parts of the bile duct, and brush cytology under the guidance of guide wire and bile duct biopsy with ultrafine biopsy forceps were performed for all patients. The pathological examination showed bile duct adenoma. Among these patients, 6 were treated with ERCP and 1 was treated with Roux-en-Y choledochojejunostomy after ERCP. ConclusionAs a minimally invasive examination, ERCP helps to determine the cause of the disease and evaluate patients′ condition. When patients have surgical contraindications or are not willing to choose surgery, ERCP can be used as palliative therapy to relieve their clinical symptoms.
ABSTRACT
OBJECTIVE@#To explore the behaviors related to infectious disease and family factors in primary and middle school students, and to provide evidence for improving behaviors related to infectious disease. @*METHODS@#A total of 8465 students were randomly surveyed by a standard questionnaire of behaviors related to infectious disease. Chi-square test was used to analyze the influential factors for behaviors related to infectious disease, and non conditional logistic regression analysis was used to analyze the multiple factors. @*RESULTS@#The total formation rate of behaviors related to infectious disease was 66.4%. The rates for primary and middle school students were 69.4% and 62.8% respectively, with significant difference (P<0.05). There were significant differences in the following behaviors, such as washing hands before eating food, rarely buying snacks on outside stalls, informing teachers when showing infectious disease symptoms (all P<0.05), the degree for such behaviors in primary school students was higher than that in middle school students. There were also significant differences in the following behaviors, such as washing hands after using the toilet, blocking with a handkerchief, wiping while coughing and sneezing (all P<0.05), the degree for such behaviors in middle school students was higher than that in primary school students. Non conditional logistic regression analysis showed that the behaviors related to infectious disease in primary and middle school students were associated with parents' education degree, mother's occupation and living status with parents. @*CONCLUSION@#Behaviors related to infectious disease in primary and middle school students need to be improved, and the formation of these behaviors may be related to many family factors.