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Paper Information

Journal:   JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S)   4TH WEEK FEBRUARY 2011 , Volume 28 , Number 120; Page(s) 1499 To 1504.
 
Paper: 

EVALUATION OF ANTIBIOTIC ADMINISTRATION IN SURGICAL AND INTERNAL PEDIATRIC WARDS COMPARED TO STANDARD METHODS

 
 
Author(s):  RAFIEI MOHAMMAD HADI*, ASHRAFZADEH REZA
 
* DEPARTMENT OF SURGERY, SCHOOL OF MEDICINE, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES, ISFAHAN, IRAN
 
Abstract: 

Background: ERCP is very useful Method in diagnose and treatment of jaundice and obscure abdominal pain. In this study patients who had hospitalised due to jaundice and obscure abdominal pain and very different examination had been performed for them, were studied for terminal diagnose using ERCP.
Methods: Patients’ records of 100 patients who ERCP had been done for them during 1382-1389 were investigated. All available information including history, lab data and physical exams as well as paraclinical findings at the time of ERCP were collected.
Finding: Our findings indicates that 47% were diagnosed as stone, 27% as normal, 9% as cholangiocarcinoma, 4% as adenocarcinoma of papilla, 6% cancer of head of pancreas and 7% as other. Among those who primary diagnosis was cholestatic jaundice, 51% stone, 15.8% cholangiocarcinoma, 12.2% normal, 5.2% adenocarcinoma of papilla, b.7% cancer of head of pancreas and 7% others were diagnosed using ERCP. This figures for patient with primary diagnosis of right upper quadrane pain was 66.7% normal, 25% stone and 8.3% pancreatic cancer.
Conclusion: It seems that stone is the most common cause of jaundice and obscure abdominal pain. The most prevalent final diagnosis for those with primary diagnosis of cholestatic jaundice was stone and cholangiocarcinoma afterwards.

 
Keyword(s): CHOLANGIOGRAPH, CHOLANGIOPANCREATICOGRAPHY, ENDOSCOPY, CHOLESTATIC JAUNDICE
 
References: 
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