|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Small intestine bleeding due to multifocal angiosarcoma显示文摘We report a case of an 84-year-old male patient with primary small intestinal angiosarcoma.The patient initially presented with anemia and melena.Consecutive endoscopy revealed no signs of upper or lower active gastrointestinal bleeding.The patient had been diagnosed 3 years previously with an aortic dilation,which was treated with a stent.Computed tomography suggested an aorto-intestinal fistula as the cause of the intestinal bleeding,leading to operative stent explantation and aortic replacement.However,an aorto-intestinal fistula was not found,and the intestinal bleeding did not arrest postoperatively.The constant need for blood transfusions made an exploratory laparotomy imperative,which showed multiple bleeding sites,predominately in the jejunal wall.A distal loop jejunostomy was conducted to contain the small intestinal bleeding and a segmental resection for histological evaluation was performed.The histological analysis revealed a lessdifferentiated tumor with characteristic CD31,cytokeratin,and vimentin expression,which led to the diagnosis of small intestinal angiosarcoma.Consequently,the infiltrated part of the jejunum was successfully resected in a subsequent operation,and adjuvant chemotherapy with paclitaxel was planned.Angiosarcoma of the small intestine is an extremely rare malignant neoplasm that presents with bleeding and high mortality.Early diagnosis and treatment are essential to improve outcome.A small intestinal angiosarcoma is a challenging diagnosis to make because of its rarity,nonspecific symptoms of altered intestinal function,nonspecific abdominal pain,severe melena,and acute abdominal signs.Therefore,a quick clinical and histological diagnosis and decisive measures including surgery and adjuvant chemotherapy should be the aim. | Luisa Zacarias Fhrding Arne Macher Stefan Braunstein Wolfram Trudo Knoefel Stefan Andreas Topp | 2012 | World Journal of Gastroenterology2012，18，44： | 4 |
| 2 | In situ liver transection with portal vein ligation for rapid growth of the future liver remnant in two‐stage liver resection显示文摘 | W. T. Knoefel I. Gabor A. Rehders A. Alexander M. Krausch J. Schulte am Esch G. Fürst S. A. Topp | 2012 | Br J Surg2012，，3： | 2 |
| 3 | Content of soluble and bound condensed tannins of three tropical herbaceous forage legumes显示文摘 | Mupangwa J F Acamovic T Topps J H | 2000 | Animal Feed Science and Technology2000，83，： | 1 |
| 4 | Pulmonary rehabilitation improves long-term outcomes in interstitial lung disease: a prospective cohort study显示文摘 | Ryerson CJ Cayou C Topp F | 2014 | Respir Med2014，108，1： | 1 |
| 5 | Content of soluble and bound condensed tannins of three tropical herbaceous forage legumes显示文摘 | Mupangwa J F Acamovic T Topps J H | 2000 | Animal Feed Science and Technology2000，83，： | 1 |
| 6 | Factors affecting the uptake of 14 C-labled organic chemicals byplants from soil显示文摘 | Topp E Scheunert Attar A Korte F | 1986 | Ecotocicol Environ Saf1986，11，： | 1 |
| 7 | Proinflammatory cytokines gene expression in skin flaps with arterial and venous ischemia in rats显示文摘 | ZHANG F HU E C TOPP S | 2006 | J Reconstr Microsurg2006，22，8： | 1 |
| 8 | Effects of supplementing a basal diet of Chloris gayana hay with one ofthree protein-rich legume hays of Cassia rotundifolia, Lablab purpureus and Macroptilium atropurpureum forage on some nutritional parameters in goats 显示文摘 | Mupangwa J F Ngongoni N T Topps J H | 2000 | Tro Anim Health Pro2000，32，： | 1 |
| 9 | Soil fauna of a reclaimed lignite open-cast mine of the Rhineland: improvement of soil quality by surface pattern 显示文摘 | Topp W Simon M Kautz G Dworschak U Nicolini F Pr?ckner S | 2001 | Ecol Eng2001，17，： | 1 |
| 10 | Soil properties in plantations of sessile oak (Quercuspetraea) and red oak (Quercus rubra) in reclaimed lignite open-cast mines of the Rhineland显示文摘 | Nicolini F Topp W | 2005 | Geoderrna2005，129，12： | 1 |
| 11 | Modelling environmental impacts of deposition of excreted nitrogen by grazing dairy cows显示文摘 | McGechan M B Topp C F E | 2004 | Agriculture Ecosystems and Environment2004，103，： | 1 |
| 12 | In situ liver transection with portal vein ligation for rapid growth of the future liver remnant in two‐stage liver resection显示文摘 | W. T. Knoefel I. Gabor A. Rehders A. Alexander M. Krausch J. Schulte am Esch G. Fürst S. A. Topp | 2012 | Br J Surg2012，，3： | 1 |
| 13 | Infusion of CD133+ Bone Marrow–Derived Stem Cells After Selective Portal Vein Embolization Enhances Functional Hepatic Reserves After Extended Right Hepatectomy: A Retrospective Single-Center Study显示文摘 | Jan Schulte am Esch Moritz Schmelzle Günther Fürst Simon C. Robson Andreas Krieg Constanze Duhme Roy Y. Tustas Andrea Alexander Hans M. Klein Stefan A. Topp Johannes G. Bode Dieter H?ussinger Claus F. Eisenberger Wolfram Trudo Knoefel | 2012 | Annals of Surgery2012，，1： | 1 |
| 14 | Dry matter intake, apparent digestibility and excretion of purine derivatives in sheep fed tropical legume hay Small ruminant research 显示文摘 | Mupangwa J F Ngongoni N T Topps J H | 2000 | J Int Goat Assoc2000，36，3： | 1 |
| 15 | Modelling environmental impacts of deposition of excreted nitrogen by grazing dairy cows显示文摘 | McGechan M B Topp C F E | 2004 | Agriculture Ecosystems and Environment2004，103，： | 1 |
| 16 | Impact of theincorporation of Au nanoparticles into polymer/fullerene solarcells显示文摘 | TOPP K BORCHERT H JOHNEN F | 2010 | J Phys Chem:A2010，114，11： | 1 |
| 17 | Estimating resourceuse efficiencies in organic agriculture:a review of budgeting approachesused显示文摘 | TOPP C F E STOCKDALE E A WATSON C A | 2007 | Sci Food Agric2007，87，： | 1 |
| 18 | Soil properties in plantations of sessile oak and red oak (Quercus rubra) in reclaimed lignite open- cast mines of the Rhineland显示文摘 | Nicolini F Topp W | 2005 | Geoderma2005，129，： | 1 |
| 19 | Infusion of CD133+ Bone Marrow–Derived Stem Cells After Selective Portal Vein Embolization Enhances Functional Hepatic Reserves After Extended Right Hepatectomy: A Retrospective Single-Center Study显示文摘 | Jan Schulte am Esch Moritz Schmelzle Günther Fürst Simon C. Robson Andreas Krieg Constanze Duhme Roy Y. Tustas Andrea Alexander Hans M. Klein Stefan A. Topp Johannes G. Bode Dieter H?ussinger Claus F. Eisenberger Wolfram Trudo Knoefel | 2012 | Annals of Surgery2012，，1： | 1 |
| 20 | Intrahepatic cholestasis without jaundice显示文摘BACKGROUND:Cholangiocarcinoma(CC),the most common biliary tract malignancy,is frequently seen in advanced unresectable stages and is typically localized extrahepatically.Early diagnosis is unusual because of nonspecific symptoms.Painless jaundice is usually the first sign of tumor. METHOD:We present a patient with a CC(Klatskin tumor) with a complete biliary drainage by an aberrant bile duct without jaundice. RESULTS:A 67-year-old woman presented with persisting elevation of liver parameters.Diagnostic tests showed a Klatskin tumor typeⅡ.A curative right hepatic trisegmentectomy was performed after liver volume augmentation by preoperative vein embolization. CONCLUSIONS:A direct drainage of the right posterior bile duct into the common bile duct as an aberrant hepatic duct is a rare variation and is present in less than 5%of the population.In case of persistently perturbed liver function tests,an aberrant bile duct can cover up severe intrahepatic cholestasis and even obscure the diagnosis of a Klatskin tumor.Up to now it has not been described in the literature. | Thomas Namdar Andreas Raffel Stefan Andreas Topp Jan Schulte am Esch Günther Fürst Wolfram Trudo Knoefel Claus Ferdinand Eisenberger | 2009 | Hepatobiliary & Pancreatic Diseases International2009，8，1： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员