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| 1 | Obstructive jaundice due to hepatobiliary cystadenoma or cystadenocarcinoma显示文摘Hepatobiliary cystadenomas (HBC) and cystadenocarci- nomas are rare cystic lesions. Most patients with these lesions are asymptomatic, but presentation with ob- structive jaundice may occur. The first patient presented with intermittent colicky pain and recurrent obstructive jaundice. Imaging studies revealed a polypoid lesion in the left hepatic duct. The second patient had recurrent jaundice and cholangitis. Endoscopic retrograde cholan- giopancreatography (ERCP) showed a cystic lesion at the confluence of the hepatic duct. In the third patient with intermittent jaundice and cholangitis, cholangioscopy re- vealed a papillomatous structure protruding into the left bile duct system. In the fourth patient with obstructive jaundice, CT-scan showed slight dilatation of the intrahe- patic bile ducts and dilatation of the common bile duct of 3 cm. ERCP showed filling of a cystic lesion. All patients underwent partial liver resection, revealing HBC in the specimen. In the fifth patient presenting with obstructive jaundice, ultrasound examination showed a hyperecho- genic cystic lesion centrally in the liver. The resection specimen revealed a hepatobiliary cystadenocarcinoma. HBC and cystadenocarcinoma may give rise to obstruc- tive jaundice. Evaluation with cross-sectional imaging techniques is useful. ERCP is a useful tool to differentiate extraductal from intraductal obstruction. | Deha Erdogan Olivier RC Busch Erik AJ Rauws Otto M van Delden Dirk J Gouma Thomas M van Gulik | 2006 | World Journal of Gastroenterology2006,12,35: | 26 |
| 2 | Results of percutaneous sclerotherapy and surgical treatment in patients with symptomatic simple liver cysts and polycystic liver disease显示文摘AIM: To evaluate the results of the treatment of simple liver cysts (solitary and multiple) and polycystic liver disease (PLD) using percutaneous sclerotherapy and/or surgical procedures in a single tertiary referral centre. METHODS: Retrospective analysis of 54 patients referred for evaluation and possible treatment of simple liver cysts (solitary and multiple) and PLD, from January 1997 to July 2006. RESULTS: Simple liver cysts were treated in 41 pts (76/) with a mean size of 12.6 cm. The most common reason for referral was abdominal pain or discomfort (85/). Percutaneous sclerotherapy was performed as initial treatment in 30 pts, showing cyst recurrence in 6 pts (20/). Surgical treatment was initially performed in 11 pts with cyst recurrence in 3 pts (27/). PLD was treated in 13 pts (24/) with a mean size of the dominant cyst of 13 cm. Percutaneous sclerotherapy for PLD was performed in 9 pts with recurrence in 7 pts (77.8/). Surgical treatment for PLD was undertaken in 4 pts (30.8/) with recurrence in all. Eventually, 2 pts with PLD in the presence of polycystic kidney disease underwent liver-and kidney transplantation because of deterioration of liver and kidney function. CONCLUSION: The majority of patients with simple liver cysts and PLD are referred for progressive abdominal pain. As initial treatment, percutaneous sclerotherapy is appropriate. Surgical deroofing is indicated in caseof cyst recurrence after percutaneous sclerotherapy. However, the results of percutaneous sclerotherapy and surgical treatment for PLD are disappointing. Partial liver resection is indicated when there is suspicion of a pre-malignant lesion. | Deha Erdogan Otto M van Delden Erik AJ Rauws Olivier RC Busch Johan S Lameris Dirk J Gouma Thomas M van Gulik | 2007 | World Journal of Gastroenterology2007,13,22: | 15 |
| 3 | Self-expandable metal stents for malignant gastric outlet obstruction: A pooled analysis of prospective literature显示文摘AIM: To provide an overview of the clinical outcomes of self-expandable metal stent(SEMS) placement for malignant gastric outlet obstruction(MGOO).METHODS: A systematic literature search was performed in Pub Med of the literature published between January 2009 and March 2015. Only prospective studies that reported on the clinical success of stent placement for MGOO were included. The primary endpoint was clinical success,defined according to the definition used in the original article. Data were pooled and analyzed using descriptive statistics. Subgroup analyses were performed for partially covered SEMSs(PCSEMSs) and uncovered SEMSs(UCSEMSs) using Fisher's exact test.RESULTS: A total of 19 studies,including 1281 patients,were included in the final analysis. Gastric(42%) and pancreatic(37%) cancer were the main causes of MGOO. UCSEMSs were used in 76% of patients and PCSEMSs in 24%. The overall pooled technical success rate was 97.3% and the clinical success rate was 85.7%. Stent dysfunction occurred in 19.6% of patients,mainly caused by re-obstruction(12.6%) and stent migration(4.3%),and was comparable between PCSEMSs and UCSEMSs(21.2% vs 19.1%,respectively,P = 0.412). Re-obstruction was more common with UCSEMSs(14.9% vs 5.1%,P < 0.001) and stent migration was more frequent after PCSEMS placement(10.9% vs 2.2%,P < 0.001). The overall perforation rate was 1.2%. Bleeding was reported in 4.1% of patients,including major bleeding in 0.8%. The median stent patency ranged from 68 to 307 d in five studies. The median overall survival ranged from 49 to 183 d in 13 studies.CONCLUSION: The clinical outcomes in this large population showed that enteral stent placement was feasible,effective and safe. Therefore,stent placement is a valid treatment option for the palliation of MGOO. | Emo E van Halsema Erik AJ Rauws Paul Fockens Jeanin E van Hooft | 2015 | World Journal of Gastroenterology2015,21,43: | 5 |
| 4 | Endoscopic and Percutaneous Preoperative Biliary Drainage in Patients with Suspected Hilar Cholangiocarcinoma显示文摘 | Jaap J. Kloek Niels A. Gaag Yalda Aziz Erik A. J. Rauws Otto M. Delden Johan S. Lameris Olivier R. C. Busch Dirk J. Gouma Thomas M. Gulik | 2010 | Journal of Gastrointestinal Surgery2010,,1: | 3 |
| 5 | Improved Outcome of Resection of Hilar Cholangiocarcinoma (Klatskin Tumor)显示文摘 | Sander Dinant Michael F. Gerhards E. A. J. Rauws Olivier R. C. Busch Dirk J. Gouma Thomas M. Gulik | 2006 | Annals of Surgical Oncology2006,,: | 2 |
| 6 | Prospective enteroscopic evaluation of jejunal polyposis in patients with familial adenomatous polyposis and advanced duodenal polyposis显示文摘 | Y. A. Alderlieste E. A. J. Rauws E. M. H. Mathus-Vliegen P. Fockens E. Dekker | 2013 | Familial Cancer2013,,1: | 2 |
| 7 | Differentiation of malignant and benign proximal bile duct strictures: The diagnostic dilemma显示文摘AIM: To identify the criteria for the differentiation of hilar cholangiocarcinoma (HCCA) from benign strictures. METHODS: A total of 68 patients underwent resection of lesions suspicious for HCCA between 1998 and 2006. The results of laboratory investigations, imaging studies and brush cytology were collected. These fi ndings were analyzed to obtain the fi nal diagnosis. RESULTS: Histological examination of the resected specimens confirmed HCCA in 58 patients (85%, group Ⅰ) whereas 10 patients (15%, groupⅡ) were diagnosed to have benign strictures. The most common presenting symptom was obstructive jaundice in 77% patients (79% group Ⅰvs 60% group Ⅱ P = 0.23). Laboratory findings showed greater elevation of transaminase levels in group Ⅰcompared to group Ⅱ The various imaging modalities showed vascular involvement exclusively in the malignant group (36%,P < 0.05). Brush cytology was positive for malignant cells in only 50% patients in group Ⅰ whereas none in group Ⅱ showed malignant cells. CONCLUSION: Despite improvements in imaging techniques, 10 patients (15%) with a presumptive diagnosis of HCCA were ultimately found to have benign strictures. Except for vascular involvement which was associated significantly with malignancy, there were no conclusive features of malignancy on regular imaging modalities. This uncertainty should be taken into account when patients with a suspicious lesion at the liver hilum are considered for resection. | Jaap Jacob Kloek Otto Marinus van Delden Deha Erdogan Fibo Jan ten Kate Erik Anthoni Rauws Olivier Robert Busch Dirk Joan Gouma Thomas Mathijs van Gulik | 2008 | World Journal of Gastroenterology2008,14,32: | 2 |
| 8 | A randomized trial of endoscopic balloon dilation and endoscopic sphincterotomy for removal of bile duct stones in patients with a prior Billroth II gastrectomy显示文摘 | Jacques J.G.H.M Bergman Anne-Marie van Berkel Marco J Bruno Paul Fockens Erik A.J Rauws Jan G.P Tijssen Guido N.J Tytgat Kees Huibregtse | 2001 | Gastrointestinal Endoscopy2001,,1: | 2 |
| 9 | Cures duodenal ulcer associated with eradication of Helicobacter pylori 显示文摘 | Rauws EAJ Tytgat GNJ | 1990 | Lancet1990,335,8700: | 1 |
| 10 | Wait-and-see policy or lapamscopic cholecystectomy after endoscopic sphincterotomy for bile-duct stones:a randomized trial显示文摘 | Boerma D Rauws EA Keulemans YC | 2002 | Lancet2002,360,9335: | 1 |
| 11 | Laboratory experiments on resistance to overland flow due to composite roughness显示文摘 | Rauws G | 1988 | Journal of Hydrology1988,103,1: | 1 |
| 12 | What an endoscopist should know about immunoglobulin-G4-associated disease of the pancreas and biliary tree显示文摘 | L. Maillette de Buy Wenniger E. Rauws U. Beuers | 2012 | Endoscopy2012,,01: | 1 |
| 13 | Preclinical studies of the pan-Bcl inhibitor obatoclax(GX015-070)in multiple myeloma显示文摘 | Trudel S Li Z H Rauw J | | 0,,12: | 1 |
| 14 | Rapid sensitive procedure to determine buspirone levels in rat brains using gas chromatography with nitrogen-phosphorus detection 显示文摘 | Lai CT Tanay VA Rauw GA | 1997 | J Chromatogr B1997,704,12: | 1 |
| 15 | Randomized Trial of Self-expanding Metal Stents Versus Polyethlene Stents for Distal Malignant Biliary Obstruction显示文摘 | Davids P H Groen A K Rauws E A | 1992 | Lancet1992,34,10: | 1 |
| 16 | Improved Outcome of Resection of Hilar Cholangiocarcinoma 显示文摘 | Dinant S Gerhards MF Rauws EAJ | 2004 | Arm Surg Oncol2004,13,6: | 1 |
| 17 | Endoscopic drainage of pancre- atic pseudocysts : long - term outcome and procedural factors associ- ated with safe and successful treatment 显示文摘 | Cahen D Rauws E Fockens P | 2005 | Endoscopy2005,37,: | 1 |
| 18 | Randomized trial of endoscopic balloon ditation versus endoscopic sphincterotomv for reincval of bile duetstones显示文摘 | Bergman J J Rauws E A Fockens P | | 0,,9059: | 1 |
| 19 | Randomised trial of single and re-peated fibrin glue compared with injection of polidocanol in treatment ofbleeding peptic ulcer显示文摘 | Rutgeerts P Rauws E Wara P | 1997 | Lancet1997,350,9079: | 1 |
| 20 | Endoscopic and surgical management of bile duct injury after laparoscopic cholecystectomy 显示文摘 | Rauws EA Gouma DJ | 2004 | Best Pract Res Clin Gastroenterol2004,18,5: | 1 |