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Advanced Endoscopic Palliation of Unresectable Periampullary Carcinoma: A Systematic Review
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作者 Shailesh Simkhada Shravana Aryal +3 位作者 Albert D. Osei Ashik Pokharel Rami Matar Michael Maitar 《Open Journal of Gastroenterology》 CAS 2022年第10期249-262,共14页
Background and Aims: Periampullary malignancies often present at an advanced unresectable stage requiring palliation of symptoms for the better quality of life. Though they require multispecialty support;role of endos... Background and Aims: Periampullary malignancies often present at an advanced unresectable stage requiring palliation of symptoms for the better quality of life. Though they require multispecialty support;role of endoscopic interventions in palliation is paramount because of the advancement in technology and increase experience of Gastroenterologist. Methods: We did extensive review of articles regarding endoscopic advances in the management of Unresectable Periampullary Malignancies. Several systematic reviews, Meta analysis, and Randomized controlled trials published over the last 2 decades were thoroughly searched on PUBMED and GOOGLE SCHOLAR. Results: Advanced Endoscopic procedures have been emerging as a superior modality than conventional measures because of minimal invasiveness and greater clinical and technical success. Conclusion: Periampullary malignancies often present at an advanced unresectable stage requiring palliation of symptoms for the better quality of life. Several endoscopic interventions have already been established as the standard of care in palliation of symptoms of unresectable periampullary malignancies, we can say with confidence that with growing advances in EUS, advancement in technologies and increasing experiences, the role of gastroenterologist will be pivotal in these groups of patients. 展开更多
关键词 Periampullary Malignancies Endoscopic Ultrasound Celiac Plexus Neurolysis ERCP EUS-BD EUS-GE
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中美邮轮船医配备问题比较
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作者 郭萍 涂昕航 《中国职业医学》 CAS 北大核心 2021年第4期442-446,共5页
邮轮旅游是一种现代化的高端旅游产品。在新型冠状病毒肺炎疫情这类突发公共卫生事件应对背景下,邮轮旅游存在船医配备和医疗服务提供不足等问题。目前相关国际组织制定的有关船医配备的国际条约或规则尚无法满足邮轮旅客医疗救治方面... 邮轮旅游是一种现代化的高端旅游产品。在新型冠状病毒肺炎疫情这类突发公共卫生事件应对背景下,邮轮旅游存在船医配备和医疗服务提供不足等问题。目前相关国际组织制定的有关船医配备的国际条约或规则尚无法满足邮轮旅客医疗救治方面的需求。基于此,本文比较分析了中美两国在邮轮应对疾病的医疗服务、邮轮船上发生医疗纠纷的司法实践以及有关船医配备立法等方面的差异,建议我国根据邮轮船舶疾病传播特点,借鉴相关国际条约及美国实际有效的做法,通过完善国内相关立法,倡导邮轮旅客提高购买涉及邮轮旅游的保险意识,明确邮轮配备船医的义务、船医资质及相关责任的承担,发挥邮轮行业协会积极作用等多元化措施或路径,解决我国邮轮船医配置和医疗设施不足等问题。 展开更多
关键词 突发公共卫生事件 新型冠状病毒肺炎 邮轮 医务人员 医疗服务
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