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| 1 | Endoscopic treatment and follow-up of gastrointestinal Dieulafoy's lesions显示文摘AIM: To investigate retrospectively the clinical and endoscopic features of bleeding Dieulafoy's lesions and to assess the short- and long-term effectiveness of endoscopic treatment.METHODS: Twenty-three patients who had gastrointestinal bleeding from Dieulafoy's lesions underwent endoscopic therapy. Demographic data, mode of presentation, riskfactors for gastrointestinal bleeding, blood transfusion requirements, endoscopic findings, details of endoscopic therapy, recurrence of bleeding, and mortality rates were collected and analyzed retrospectively.RESULTS: Hemostasis was attempted by dextrose 50% plus epinephrine in 10 patients, hemoclipping in 8 patients,heater probe in 2 patients and ethanolamine oleate in 2 patients. Comorbid conditions were present in 17 patients (74%). Overall permanent hemostasis was achieved in 18 patients (78%). Initial hemostasis was successful with no recurrent bleeding in patients treated with hemoclipping, heater probe or ethanolamine injection. In the group of patients who received dextrose 50% plus epinephrine injection treatment, four (40%) had recurrent bleeding and one (10%) had unsuccessful initial hemostasis.Of the four patients who had rebleeding, three had unsuccessful hemostasis with similar treatment. Surgical treatment was required in five patients (22%) owing to uncontrolled bleeding, recurrent bleeding with unsuccessful retreatment and inability to approach the lesion. One patient (4.3%) died of sepsis after operation during hospitalization. There were no side-effects related to endoscopic therapy. None of the patients in whom permanent hemostasis was achieved presented with rebleeding from Dieulafoy's lesion over a mean long-term follow-up of 29.8 mo.CONCLUSION: Bleeding from Dieulafoy's lesions can be managed successfully by endoscopic methods, which should be regarded as the first choice. Endoscopic hemoclipping therapy is recommended for bleeding Dieulafoy's lesions. | Panagiotis Katsinelos George Paroutoglou Kostas Mimidis Athanasios Beltsis Basilios Papaziogas George Gelas Yiannis Kountouras | 2005 | World Journal of Gastroenterology2005，11，38： | 8 |
| 2 | Partially covered vs uncovered sphincterotome and postendoscopic sphincterotomy bleeding显示文摘AIM: To prospectively compare partially covered vs uncovered sphincterotome use on post-endoscopic biliary sphincterotomy (ES) hemorrhage and other complications. METHODS: All patients referred for therapeutic endoscopic retrograde cholangiopancreatography (ERCP) were randomly assigned to undergo ES either with a partially covered or an uncovered sphincterotome. Both patient and technical risk factors contributing to the development of post-ES bleeding were recorded and analyzed. The characteristics of bleeding was recorded during and after ES. Other complications were also compared. RESULTS: Three-hundred and eighty-seven patients were recruited in this study; 194 patients underwent ES with a partially covered sphincterotome and 193 with conventional uncovered sphincterotome. No statistical difference was noted in the baseline characteristics and risk factors for post-ES induced hemorrhage between the 2 groups. No significant difference in the incidence and pattern of visible bleeding rates was found between the 2 groups (immediate bleeding in 24 patients with the partially covered sphincterotome vs 19 patients with the uncovered sphincterotome, P = 0.418). Delayed bleeding was observed in 2 patients with a partially covered sphincterotome and in 1 patient with an uncovered sphincterotome (P = 0.62). No statistical difference was noted in the rate of other complications. CONCLUSION: The partially covered sphincterotome was not associated with a lower frequency of bleeding. Also, there was no difference in the incidence of other significant complications between the 2 types of sphincterotome. | Panagiotis Katsinelos George Paroutoglou Jannis Kountouras Grigoris Chatzimavroudis Christos Zavos Sotiris Terzoudis Taxiarchis Katsinelos Kostas Fasoulas George Gelas George Tzovaras Ioannis Pilpilidis | 2010 | World Journal of Gastroenterology2010，16，40： | 5 |
| 3 | An insertion/deletion polymor phism in the angiotensin I-coverting enzyme gene accounting for half the va rianee of serum enzyme levels显示文摘 | RIGAT B HUBERTC ALHENC GELAS F | 1990 | J Clin lnvest1990，86，： | 1 |
| 4 | Application of portable protective gaps for live work on compact 550 kV transmission lines显示文摘 | Gela G | 1996 | IEEE Trans on PWRD1996，11，3： | 1 |
| 5 | An insertion/deletion polymorphism in the angiotensin I - coverting enzyme gene accounting for half the variance of serum negyme levels 显示文摘 | Rigat B Hubert C Alhenc - Gelas F | 1990 | J Clin Invest1990，86，4： | 1 |
| 6 | IEC method of calculation of minimum approach distances for live working显示文摘 | Gela G Hotte P Charest M | 2000 | IEEE Transactions on Power Delivery2000，15，2： | 1 |
| 7 | Finite element solution for electric fields of coronating DC transmission lines显示文摘 | Janischewskyj W Gela G | 1979 | IEEE Transactions on Power Apparatus and Systems1979，98，3： | 1 |
| 8 | Distibution of plasma and angiotensin converting enzyme levels in healthy men:relationship to environmental and hormonal parameters显示文摘 | Alhenee Gelas F Richard J Courbon D | 1991 | J Lab Clin Med1991，117，： | 1 |
| 9 | Calculation of thermal fields of underground cables using the boundary element method显示文摘 | GELA G DAY J J | | 0，，04： | 1 |
| 10 | A botryoid rhabdomyosarcoma diagnosed as a choledochal cyst显示文摘 | L. Margain‐Deslandes T. Gelas C. Bergeron J.P. Pracros S. Collardeau‐Frachon A. Lachaux P.Y. Mure | 2013 | Pediatr Blood Cancer2013，，12： | 1 |
| 11 | Finite element solution for electric fields of coronating DC transmission lines显示文摘 | Janischewskyi W Gela G | 1979 | IEEE Transactions on Power Apparatus and Systems1979，98，3： | 1 |
| 12 | Finite element solution for electric fields of coronating DC transmission iines显示文摘 | Janischewskyj W Gela G | 1979 | IEEE Transac- tions on Power Apparatus and Systems1979，98，3： | 1 |
| 13 | Relation of depressive mood to plasminogen activator inhibitor, tissue plasminogen activator, and fibrinogen levels in patients with versus without coronary heart disease 显示文摘 | LAHLOU LAFORET K ALHENC GELAS M PORNIN M | 2006 | Am J Cardiol2006，97，9： | 1 |
| 14 | An insertion/deletion polymorphism in the angiotensin Ⅰ-converting enzyme gene accounting for half the variance of serum enzyme levels显示文摘 | RIGAT B HUBERT C ALHENC Gelas F | 1990 | J Clin Invest1990，86，： | 1 |
| 15 | Collagens - structure, function, and biosynthesis显示文摘 | GELAE K POSCHL E AIGNER T | 2003 | Advanced Drug Delivery Review2003，55，： | 1 |
| 16 | Finite element solution for electric fields of coronating DC transmission lines显示文摘 | Janishewskyj W Gela G | 1979 | IEEE Transactions on Power Apparatus and Systems1979，98，3： | 1 |
| 17 | Reasoning versus knowledge retention and ascertainment throughout a problem-based learning curriculum显示文摘 | Anne Collard Sabine Gelaes Sophie Vanbelle et a1 | | 0，，09： | 1 |
| 18 | Finite element solution for electric field of coronating DC transmission lines显示文摘 | JANISCHEWSKYJ W GELA G | 1979 | IEEE Transactions on Power Apparatus and Systems1979，98，3： | 1 |
| 19 | An insertion/deletion polymorphism in the angiotensin Ⅰ-converting enzyme gene accounting for half the variance of serum enzyme levels显示文摘 | RIGAT B HUBERT C ALHENC Gelas F | 1990 | J Clin Invest1990，86，： | 1 |
| 20 | Finite element solution for electric fields of eoronating DC transmission lines显示文摘 | Janischewskyj W Gela G | 1979 | IEEE Transactions on Power Apparatus and Systems1979，98，3： | 1 |
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