13 results on '"Cui-Ping Liang"'
Search Results
2. Sclerosing mesenteritis in a 5-year-old Chinese boy: a case report
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Cui-ping Liang, Min Yang, Pei-Yu Chen, Lan-Lan Geng, Ding-You Li, and Si-Tang Gong
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Sclerosing mesenteritis ,Intestinal obstruction ,Child ,Pediatrics ,RJ1-570 - Abstract
Abstract Background Sclerosing mesenteritis is a rare fibroinflammatory disorder of unknown etiology that primarily affects the mesentery of the small intestine during late adult life. Only about twenty pediatric cases have been reported to date, but none has been reported in Chinese children. Case presentation A 5-year-old Chinese male presented with a 4-week history of recurrent bloating, abdominal pain, anorexia and vomiting. On admission, physical examination showed a severely distended abdomen. Biochemical investigations showed a slightly increased C-reactive protein, and normal serum levels of electrolytes and erythrocyte sedimentation rate. An abdominal film showed small intestine obstruction and massive ascites. An exploratory laparotomy revealed widespread inflammatory fibrotic adhesions between the bowel and the abdominal wall, thickening of the small bowel and massive ascites. During a prolonged hospital course, a 2nd surgery (4 months after 1st exploratory laparotomy) was performed in order to close the ileostomy and revealed that the bowel was still severely edematous, with very tight adhesions between the bowel and the abdominal wall. Histopathological examination of excised mesentery and nodules showed chronic inflammatory cell infiltration, fat necrosis and fibrosis. A diagnosis of sclerosing mesenteritis was finally established. Prednisolone at 2 mg/kg was started and he experienced rapid clinical improvement in 4 weeks. Conclusions Sclerosing mesenteritis is extremely rare in children and often misdiagnosed due to its nonspecific clinical manifestation. It is important to be aware of sclerosing mesenteritis when evaluating a child with intractable abdominal pain, bloating, intestinal obstruction and massive ascites.
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- 2017
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3. Long-Term Outcomes of Caustic Esophageal Stricture with Endoscopic Balloon Dilatation in Chinese Children
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Lan-Lan Geng, Cui-Ping Liang, Pei-Yu Chen, Qiang Wu, Min Yang, Hui-Wen Li, Zhao-Hui Xu, Lu Ren, Hong-Li Wang, Shunxian Cheng, Wan-Fu Xu, Yang Chen, Chao Zhang, Li-Ying Liu, Ding-You Li, and Si-Tang Gong
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Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Caustic esophageal stricture (CES) in children still occurs frequently in developing countries. We aimed to evaluate the long-term outcomes of endoscopic balloon dilatation (EBD) in treating CES in children and the influencing factors associated with outcome. We retrospectively reviewed the data of all patients who had a diagnosis of CES and underwent EBD from August 1, 2005, to December 31, 2014. The primary outcome was EBD success, which was defined as the maintenance of dysphagia-free status for at least 12 months after the last EBD. The secondary outcome was to analyze influencing factors associated with EBD success. Forty-three patients were included for analysis (29 males; mean age at first dilatation 44 months with range 121 months). 26 (60.5%) patients had long segment (>2 cm) stricture. A total of 168 EBD procedures were performed. Twenty-six (60.5%) patients were considered EBD success. Seventeen (39.5%) patients failed EBD and required stent placement and/or surgery. Patients in the EBD success group had significantly shorter stricture segments when compared to the EBD failure group (t=2.398, P=0.018, OR=3.206, 95% OR: 1.228–8.371). Seven (4.4%) esophageal perforations occurred in 6 patients after EBD. Stents were placed in 5 patients, and gastric tube esophagoplasty was performed in 14 patients. In conclusion, 26 (60.5%) of 43 children with CES had EBD success. Length of stricture was the main influencing factor associated with EBD treatment outcome.
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- 2018
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4. Long-Term Outcomes of Caustic Esophageal Stricture with Endoscopic Balloon Dilatation in Chinese Children
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Li-ying Liu, Yang Chen, Chao Zhang, Min Yang, Peiyu Chen, Zhao-Hui Xu, Huiwen Li, Shunxian Cheng, Qiang Wu, Wan-Fu Xu, Hong-Li Wang, Lu Ren, Sitang Gong, Ding-You Li, Cui-Ping Liang, and Lanlan Geng
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medicine.medical_specialty ,Hepatology ,Article Subject ,business.industry ,Treatment outcome ,Gastroenterology ,Mean age ,medicine.disease ,Long segment ,Surgery ,Balloon dilatation ,03 medical and health sciences ,Stent placement ,0302 clinical medicine ,Secondary outcome ,030220 oncology & carcinogenesis ,Esophageal stricture ,Long term outcomes ,Medicine ,lcsh:Diseases of the digestive system. Gastroenterology ,030211 gastroenterology & hepatology ,lcsh:RC799-869 ,business ,Research Article - Abstract
Caustic esophageal stricture (CES) in children still occurs frequently in developing countries. We aimed to evaluate the long-term outcomes of endoscopic balloon dilatation (EBD) in treating CES in children and the influencing factors associated with outcome. We retrospectively reviewed the data of all patients who had a diagnosis of CES and underwent EBD from August 1, 2005, to December 31, 2014. The primary outcome was EBD success, which was defined as the maintenance of dysphagia-free status for at least 12 months after the last EBD. The secondary outcome was to analyze influencing factors associated with EBD success. Forty-three patients were included for analysis (29 males; mean age at first dilatation 44 months with range 121 months). 26 (60.5%) patients had long segment (>2 cm) stricture. A total of 168 EBD procedures were performed. Twenty-six (60.5%) patients were considered EBD success. Seventeen (39.5%) patients failed EBD and required stent placement and/or surgery. Patients in the EBD success group had significantly shorter stricture segments when compared to the EBD failure group (t=2.398, P=0.018, OR=3.206, 95% OR: 1.228–8.371). Seven (4.4%) esophageal perforations occurred in 6 patients after EBD. Stents were placed in 5 patients, and gastric tube esophagoplasty was performed in 14 patients. In conclusion, 26 (60.5%) of 43 children with CES had EBD success. Length of stricture was the main influencing factor associated with EBD treatment outcome.
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- 2018
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5. Incidence of and Risk Factors and Reinterventions for Post-Pancreatoduodenectomy Hemorrhage: Retrospective Analysis
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Cui-Ping Liang, Shah Ram Babu, Bo-Le Tian, Li Wang, Lan Fu, and Wei-Guo Wang
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Albumin concentrations ,Adult ,Male ,Reoperation ,medicine.medical_specialty ,Multivariate analysis ,Bilirubin ,030230 surgery ,Postoperative Hemorrhage ,Pancreaticoduodenectomy ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Risk Factors ,Outcome Assessment, Health Care ,Retrospective analysis ,medicine ,Humans ,Aged ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,Incidence (epidemiology) ,Incidence ,Gastroenterology ,Middle Aged ,medicine.disease ,Surgery ,Endoscopy ,Logistic Models ,chemistry ,Pancreatic fistula ,030220 oncology & carcinogenesis ,Angiography ,Multivariate Analysis ,Female ,business - Abstract
Aims: To analyze the incidence of and risk factors for post-pancreatoduodenectomy (PD) hemorrhage (PPH) and to evaluate the outcomes of reinterventions for PPH. Methods: All PDs between January 2009 and December 2014 were retrospectively evaluated. PPH was evaluated according to the criteria of the International Study Group of Pancreatic Surgery. Both univariate and multivariate analyses of risk factors for PPH and mortality were performed. Reinterventions were also evaluated. Results: Of the 1,056 PDs during the study period, 78 (7.4%) developed PPH, including 36 with grade B and 42 with grade C. Of these 78 patients, 24 (30.8%) died of PPH-related causes. Multivariate analysis showed that older age, higher total bilirubin concentration, and postoperative pancreatic fistula (POPF) were independent risk factors for PPH. Patients who died of PPH were significantly older and had lower preoperative hemoglobin and albumin concentrations than patients who did not die of PPH. Of the 78 patients with PPH, 58 underwent reintervention, including 27 who underwent angiography, 24 who underwent endoscopy, 24 who underwent re-laparotomy, and 15 who underwent more than one reintervention. Conclusions: Older age, total bilirubin, and POPF are independent risk factors for PPH. Higher mortality are associated with advanced PPH and poor nutritional conditions.
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- 2016
6. Cost-effectiveness analysis of an enteral nutrition protocol for children with common gastrointestinal diseases in China: good start but still a long way to go
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Cui-Ping Liang, Lanlan Geng, Sitang Gong, Li-ying Liu, Min Yang, Pei-Yu Chen, Tie-Fu Fang, Beth Lyman, Zhao-Hui Xu, Ding-You Li, and Hui-Wen Li
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Male ,Pediatrics ,medicine.medical_specialty ,China ,Adolescent ,Cost effectiveness ,Hospitalized patients ,Gastrointestinal Diseases ,Cost-Benefit Analysis ,Medicine (miscellaneous) ,Treatment and control groups ,Tertiary Care Centers ,Enteral Nutrition ,Clinical Protocols ,Chart review ,Medicine ,Humans ,Child ,Retrospective Studies ,Protocol (science) ,Nutrition and Dietetics ,business.industry ,Malnutrition ,Infant ,Cost-effectiveness analysis ,Health Care Costs ,Length of Stay ,Parenteral nutrition ,Child, Preschool ,Female ,Cost of care ,business - Abstract
A standard nutrition screening and enteral nutrition (EN) protocol was implemented in January 2012 in a tertiary children's center in China. The aims of the present study were to evaluate the cost-effectiveness of a standard EN protocol in hospitalized patients.A retrospective chart review was performed in the gastroenterology inpatient unit. We included all inpatient children requiring EN from January 1, 2010, to December 31, 2013, with common gastrointestinal (GI) diseases. Children from January 1, 2012, to December 31, 2013, served as the standard EN treatment group, and those from January 1, 2010, to December 31, 2011, were the control EN group. Pertinent patient information was collected. We also analyzed the length of hospital stay, cost of care, and in-hospital infection rates.The standard EN treatment group received more nasojejunal tube feedings. There was a tendency for the standard EN treatment group to receive more elemental and hydrolyzed protein formulas. Implementation of a standard EN protocol significantly reduced the time to initiate EN (32.38 ± 24.50 hours vs 18.76 ± 13.53 hours; P = .011) and the time to reach a targeted calorie goal (7.42 ± 3.98 days vs 5.06 ± 3.55 days; P = .023); length of hospital stay was shortened by 3.2 days after implementation of the standard EN protocol but did not reach statistical significance. However, the shortened length of hospital stay contributed to a significant reduction in the total cost of hospital care (13,164.12 ± 6722.95 Chinese yuan [CNY] vs 9814.96 ± 4592.91 CNY; P.032).Implementation of a standard EN protocol resulted in early initiation of EN, shortened length of stay, and significantly reduced total cost of care in hospitalized children with common GI diseases.
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- 2014
7. Incidence of and Risk Factors and Reinterventions for Post-Pancreatoduodenectomy Hemorrhage: Retrospective Analysis.
- Author
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Wei-Guo Wang, Lan Fu, Shah Ram Babu, Li Wang, Cui-Ping Liang, and Bo-Le Tian
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PANCREATICODUODENECTOMY ,PANCREATIC fistula ,ANGIOGRAPHY - Abstract
Aims: To analyze the incidence of and risk factors for postpancreatoduodenectomy (PD) hemorrhage (PPH) and to evaluate the outcomes of reinterventions for PPH. Methods: All PDs between January 2009 and December 2014 were retrospectively evaluated. PPH was evaluated according to the criteria of the International Study Group of Pancreatic Surgery. Both univariate and multivariate analyses of risk factors for PPH and mortality were performed. Reinterventions were also evaluated. Results: Of the 1,056 PDs during the study period, 78 (7.4%) developed PPH, including 36 with grade B and 42 with grade C. Of these 78 patients, 24 (30.8%) died of PPH-related causes. Multivariate analysis showed that older age, higher total bilirubin concentration, and postoperative pancreatic fistula (POPF) were independent risk factors for PPH. Patients who died of PPH were significantly older and had lower preoperative hemoglobin and albumin concentrations than patients who did not die of PPH. Of the 78 patients with PPH, 58 underwent reintervention, including 27 who underwent angiography, 24 who underwent endoscopy, 24 who underwent re-laparotomy, and 15 who underwent more than one reintervention. Conclusions: Older age, total bilirubin, and POPF are independent risk factors for PPH. Higher mortality are associated with advanced PPH and poor nutritional conditions. [ABSTRACT FROM AUTHOR]
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- 2017
- Full Text
- View/download PDF
8. Intravenous glutamine for severe acute pancreatitis: A meta-analysis
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Gong Shu, Cui-Ping Liang, and Xin Zhong
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medicine.medical_specialty ,Pediatrics ,genetic structures ,business.industry ,musculoskeletal, neural, and ocular physiology ,Hospital cost ,macromolecular substances ,medicine.disease ,eye diseases ,Glutamine ,nervous system ,Meta-analysis ,medicine ,Acute pancreatitis ,Best evidence ,Intensive care medicine ,business ,Meta-Analysis - Abstract
To evaluate the efficacy of intravenous glutamine on the patients with severe acute pancreatitis (SAP).The Cochrane Library, PubMed, EMBASE, and EBM review databases were searched up to June 2012. Randomized controlled trials (RCTs) that compared non-glutamine nutrition with intravenous glutamine supplemented nutrition in patients with SAP were included. A method recommended by the Cochrane Collaboration was used to perform a meta-analysis of those RCTs.Four RCTs involving a total of 190 participants were included. Analysis of these RCTs revealed the presence of statistical homogeneity among them. Results showed that glutamine dipeptide has a positive effect in reducing the mortality rate (OR = 0.26, 95%CI: 0.09-0.73, P = 0.01), length of hospital stay (weighted mean difference = -4.85, 95%CI: 6.67--3.03, P0.001), and the rate of complications (OR = 0.41, 95%CI: 0.22-0.78, P = 0.006). No serious adverse effects were found.Current best evidence demonstrates that glutamine is effective for SAP. Further high quality trials are required and parameters of nutritional condition and hospital cost should be considered in future RCTs with sufficient size and rigorous design.
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- 2012
9. [The changes of resting [Ca2+]i level and expression of CaM mRNA, CaMPK II mRNA in hippocampal neurons of the mice with vascular dementia]
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Pei-yuan, Lu, Wen-bin, Li, Yu, Yin, Wei-bin, Wang, and Cui-ping, Liang
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Male ,Neurons ,Mice ,Calmodulin ,Dementia, Vascular ,Animals ,Calcium ,Mice, Inbred Strains ,RNA, Messenger ,Calcium-Calmodulin-Dependent Protein Kinase Type 2 ,Hippocampus - Abstract
To investigate the resting [Ca2]i level and expression of calmodulin (CaM), calmodulin-dependent protein kinase II (CaMPKII) mRNA in hippocampal neurons of the mice with vascular dementia (VD) and their roles in the pathogenesis of VD.The mice were subjected for ischemia/reperfusion repeatedly on bilateral common carotid arteries by knots to establish the VD models. Animals with the sham-operation were taken as control group. The changes of behavior were observed through the step-down avoidance test and water maze test on the day 29, 30 after the operations. The hippocampal neurons were obtained immediately after mice were sacrificed and the resting [Ca2+]i was measured using laser scanning confocal microscopy with Fluo-3/AM as fluorescence indicator. RT-PCR technique was used to measure the mRNA expression of CaM, CaMPKII in hippocampal neurons.(1) The abilities of learning and memorizing in model group were inferior to those of sham-operation group( P0.05). (2) The resting [Ca2]i level in model group was significantly higher than sham-operation group (P0.05), while the expression of CaMmRNA, CaMPKIImRNA in VD group was significantly reduced than sham-operation group (P0.01).Our study indicates that excessive resting[Ca2+ ]i level and lower CaM, CaMPKII expression in hippocampal neurons might participate in the pathogenesis of VD.
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- 2010
10. [The changes of cAMP and adenylyl cyclase mRNA level in hippocampus of mice with ischemia/reperfusion]
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Wei-Bin, Wang, Chun-Feng, Song, Pei-Yuan, Lu, Yu, Yin, and Cui-Ping, Liang
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Male ,Mice ,Reperfusion Injury ,Cyclic AMP ,Animals ,Mice, Inbred Strains ,RNA, Messenger ,Hippocampus ,Adenylyl Cyclases - Abstract
To observe the cAMP and adenylyl cyclase (AC) mRNA level in hippocampus of mice with vascular dementia (ischemia/reperfusion), and explore the molecular pathogenesis of ischemia/reperfusion.The mice were subjected for ischemia/reperfusion three times on bilateral common carotid arteries by knots to establish models of ischemia/reperfusion and the changes of learning and memory were tested on 29 d/30 d after operation. Sham-operation mice were introduced as control group. The cAMP level was evaluated by the radioimmunoassay (RIA), AC mRNA positive neurons of hippocampus CA1 area were dyed through in-situ hybridization (ISH).Compared with sham-operation group, the learning and memory of model group was worse (P0.05), the cAMP level in hippocampus was lower (P0.05) and the surface density (Sv) of AC mRNA positive neurons reduced (P0.05).The lower cAMP and AC mRNA level in hippocampus might participate in the molecular pathogenesis of ischemia/reperfusion.
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- 2010
11. Measuring system on 3-D pose of the remote revolving target based on intersection measurement and its precision analysis
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Qing-An Li, Yan-Feng Qiao, Xiang-Rong Li, and Cui-Ping Liang
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business.product_category ,Geography ,Missile ,Rocket ,Approximation error ,business.industry ,Computer vision ,Image processing ,Artificial intelligence ,business ,Intersection (Euclidean geometry) ,Computing systems ,Theodolite - Abstract
In this paper, a method of measuring the 3-D pose of the remote revolving target such as rocket or missile by using the intersected measuring system with a proper algorithm is described. This passage creates a math model of intersected measuring system with dual-photoelectric theodolite and the formula to calculate the target attitude angles are presented. The measuring precision of this method is analyzed in detail by using the relative error theory, and then it makes optimization design for structure parameters of intersected measuring system with dual-photoelectric theodolite by computer simulation, so different optimization results according to different location of target are obtained, and the system layout, measuring principles are also presented. By using this method we may acquire the measuring precision higher than 0.5 o if the measuring stations are arranged correctly.
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- 2006
12. Fatigue Lifetime Assessment of Aircraft Engine Disc via Multi-source Information Fusion
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Huang, Hong-Zhong, primary, Cui, Ping-Liang, additional, Peng, Weiwen, additional, Gao, Hui-Ying, additional, and Wang, Hai-Kun, additional
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- 2014
- Full Text
- View/download PDF
13. Intravenous glutamine for severe acute pancreatitis: A meta-analysis.
- Author
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Zhong X, Liang CP, and Gong S
- Abstract
Aim: To evaluate the efficacy of intravenous glutamine on the patients with severe acute pancreatitis (SAP)., Methods: The Cochrane Library, PubMed, EMBASE, and EBM review databases were searched up to June 2012. Randomized controlled trials (RCTs) that compared non-glutamine nutrition with intravenous glutamine supplemented nutrition in patients with SAP were included. A method recommended by the Cochrane Collaboration was used to perform a meta-analysis of those RCTs., Results: Four RCTs involving a total of 190 participants were included. Analysis of these RCTs revealed the presence of statistical homogeneity among them. Results showed that glutamine dipeptide has a positive effect in reducing the mortality rate (OR = 0.26, 95%CI: 0.09-0.73, P = 0.01), length of hospital stay (weighted mean difference = -4.85, 95%CI: 6.67--3.03, P < 0.001), and the rate of complications (OR = 0.41, 95%CI: 0.22-0.78, P = 0.006). No serious adverse effects were found., Conclusion: Current best evidence demonstrates that glutamine is effective for SAP. Further high quality trials are required and parameters of nutritional condition and hospital cost should be considered in future RCTs with sufficient size and rigorous design.
- Published
- 2013
- Full Text
- View/download PDF
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