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12篇 您的检索式：作者名="Addley"

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		题名	作者	年代	出处	被引量
	1	Use of portal pressure studies in the management of variceal haemorrhage显示文摘Portal hypertension occurs as a complication of liver cirrhosis and complications such as variceal bleeding lead to significant demands on resources. Endoscopy is the gold standard method for screening cirrhotic patients however universal endoscopic screening may mean a lot of unnecessary procedures as the presence of oesophageal varices is variable hence a large time and cost burden on endoscopy units to carry out both screening and subsequent follow up of variceal bleeds. A less invasive method to identify those at high risk of bleeding would allow earlier prophylactic measures to be applied. Hepatic venous pressure gradient (HVPG) is an acceptable indirect measurement of portal hypertension and predictor of the complications of portal hypertension in adult cirrhotics. Varices develop at a HVPG of 10-12 mmHg with the appearance of other complications with HPVG > 12 mmHg. Variceal bleeding does not occur in pressures under 12 mmHg. HPVG > 20 mmHg measured early after admission is a significant prognostic indicator of failure to control bleeding varices, indeed early transjugular intrahepatic portosystemic shunt (TIPS) in such circumstances reduces mortality significantly. HVPG can be used to identify responders to medical therapy. Patients who do not achieve the suggested reduction targets in HVPG have a high risk of rebleeding despite endoscopic ligation and may not derive significant overall mortality benefit from endoscopic intervention alone, ultimately requiring TIPS or liver transplantation. Early HVPG measurements following a variceal bleed can help to identify those at risk of treatment failure who may benefit from early intervention with TIPS. Therefore, we suggest using HVPG measurement as the investigation of choice in those with confirmed cirrhosis in place of endoscopy for intitial variceal screening and, where indicated, a trial of B-blockade, either intravenously during the initial pressure study with assessment of response or oral therapy with repeat HVPG six weeks later. In those with elevated pressures, primary medical prophylaxis could be commenced with subsequent close monitoring of HVPG thus negating the need for endoscopy at this point. All patients presenting with variceal haemorrhage should undergo HVPG measurement and those with a gradient greater than 20 mmHg should be considered for early TIPS. By introducing portal pressure studies into a management algorithm for variceal bleeding, the number of endoscopies required for further intervention and follow up can be reduced leading to significant savings in terms of cost and demand on resources.	Jennifer Addley Tony CK Tham William Jonathan Cash	2012	World Journal of Gastrointestinal Endoscopy2012，4，7：	37
	2	Mutational analysis of the influenza virus cDNA promoter and identification for the nucleotides critical for replication显示文摘	Crow M Deng T Addley M	2004	J Virol2004，78，：	1
	3	Use of portal pressure studies in the management of variceaI haemorrhage显示文摘	Addley J Tham T C Cash W J	2012	World J Gastrointest Endosc2012，4，7：	1
	4	Biliary cannulation can be facili- tated by pancreatic stent insertion 显示文摘	ADDLEY J MITCHELL RM	2009	Endoscopy2009，41，2：	1
	5	Radiological staging of ovarian carcinoma显示文摘	MOYLE P ADDLEY H C EVIS S		0，，05：	1
	6	Endoscopic clip clo- sure of penetrating stab wound to stomach显示文摘	ADDLEY J ALl S LEE J	2008	Endos- copy2008，40，2：	1
	7	Addley,Suppressor ofcytokine signalling protein SOCS3 expression is increased at sitesof acute and chronic inflammation显示文摘	White G E Cotterill A Addley M R	2011	J Mol Histol2011，42，2：	1
	8	Ovarian carcinomatosis: how the radiologist can help plan the surgical approach显示文摘	Nougaret S Addley HC Colombo PE	2012	Radiographics2012，32，6：	1
	9	Suppressor of cytokine signalling protein SOCS3 expression isincreased at sites of acute and chronic inflammation显示文摘	White G E Cotterill A Addley M R	2011	J Mol Hist2011，42，2：	1
	10	Mutational analysis of the influenza virus cDNA promoter and identification for the nudeotides critical for replication显示文摘	Crow M Deng T Addley M	2004	J Virol2004，78，：	1
	11	Accuracy of hepatocellular carcinoma detection on multidetector CT in a transplant liver population with explant liver correlation显示文摘	H.C. Addley N. Griffin A.S. Shaw L. Mannelli R.A. Parker S. Aitken H. Wood S. Davies G.J. Alexander D.J. Lomas	2011	Clinical Radiology2011，，4：	1
	12	Radiological staging of ovarian carcinoma显示文摘	Moyle P Addley HC Sala E	2010	Semin Ultrasound CT MR2010，31，：	1

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