Screening for gastroenterological malignancies in new and maintenance dialysis patients

Screening for gastroenterological malignancies in new and maintenance dialysis patients
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新透析患者和维持性透析患者胃肠道恶性肿瘤的筛查

DOI:
10.1007/s005350050213
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发表时间:
1999
影响因子:
6.3
通讯作者:
N. Yorioka
N. Yorioka
中科院分区:
医学1区
文献类型:
--
作者:
Takafumi Ito;Issei Tanaka;T. Kadoya;M. Kimura;Takafumi Ooshiro;Kou Ooishi;J. Tanaka;N. Yorioka

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为筛查透析患者中的胃肠道恶性肿瘤,对178例开始透析患者(血液透析171例,持续非卧床腹膜透析(CAPD)7例)和34例维持性透析患者(血液透析27例,CAPD 7例)进行了粪便潜血试验、上、下消化道检查及腹部B超检查。筛查发现在9名开始透析的患者中有10例癌症(1例食道癌,3例胃癌,4例结直肠癌,2例肝细胞癌)。在5名维持性透析患者中,发现6例癌症(1例食道癌,3例胃癌,1例结直肠癌,1例肾癌)。由于有报道称透析患者的恶性肿瘤发病率增加,因此胃肠病筛查似乎是值得的。
To screen for gastroenterological malignancies in dialysis patients, we used the fecal occult blood test, examined the upper and lower gastrointestinal tract, and used abdominal ultrasonography in 178 patients starting dialysis (171 on hemodialysis and 7 on continuous ambulatory peritoneal dialysis (CAPD)) and 34 patients on maintenance dialysis (27 on hemodialysis and 7 on CAPD). Screening disclosed ten cancers (one esophageal cancer, three gastric cancers, four colorectal cancers, and two hepatocellular carcinomas) in 9 of the patients starting dialysis. Six cancers (one esophageal, three gastric, one colorectal, and one renal) were detected in 5 of the patients on maintenance dialysis. Since an increased incidence of malignancy has been reported in dialysis patients, gastroenterological screening appears to be worthwhile.
高尾集团 - 庆应义塾大学
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