AIM: To develop a technique of combined endoscopic sclerotherapy and ligation (ESL) in which both techniques of endoscopic sclerotherapy (ES) and endoscopic variceal ligation (EVL) can be optimally used.METHODS: ESL w...AIM: To develop a technique of combined endoscopic sclerotherapy and ligation (ESL) in which both techniques of endoscopic sclerotherapy (ES) and endoscopic variceal ligation (EVL) can be optimally used.METHODS: ESL was performed in 10 patients (age 46.4±7.9;9 males, 1 female) with cirrhosis of liver using sclerotherapy needle and Speedband, Superview multiple band ligater (Boston Scientific, Microvasive, Watertown, MA). A single band was placed 5-10 cm proximal to the gastro-esophageal junction over each varix from proximal to distal margin,followed by intravariceal injection of 1.5 % ethoxysclerol (4 ml each) 2 to 3 cm proximal to the gastroesophageal junction on the ligated varices distal to deployed band. EVL was then performed at the injection site. Similarly other varices were also injected and ligated from distal to proximally. In the subsequent sessions, ES alone was performed to sclerose small varices at the gastroesophageal junction.RESULTS: ESL was successfully performed in all patients.A median of 3 (ESL 1, ES 2) sessions (ranged 1-4) were required to eradicate the varices in 9 (90 %) of 10 patients.Recurrence of varices without bleed was seen in 1 patient during a mean follow-up of 10.3 months (ranged 6-15).Two patients died of liver failure. None died of variceal bleeding. None of the patients had procedure related complications.CONCLUSION: ESL may be useful in the fast eradication of esophageal varices. However, randomised controlled trials are required to find out its relative efficacy and impact on variceal recurrence in comparison to ES or EVL.展开更多
The influence of sputtering gas（He Ar） on the structural properties of Mg thin films has been investigated.The optical property（reflectance） that results from the growth of films at varying substrate temperatures...The influence of sputtering gas（He Ar） on the structural properties of Mg thin films has been investigated.The optical property（reflectance） that results from the growth of films at varying substrate temperatures（Tsub） was also studied.The deposited films were characterized by using X-ray diffraction（XRD）,field emission scaning electron microscopy（FE-SEM）,atomic force microscopy（AFM） and UV-Vis-NIR spectrophotometer.The smaller crystallite size and lower deposition rate were observed in the presence of Helium atmosphere compared to Argon.Morphology of the films shows 2D hexagonal geometry of grains in the deposition temperature range（Tsub≈50-150℃） in both the sputtering gases.The surface roughness of the polycrystalline films were found to increase with increase in the deposition temperature of both ambient gases.Optical reflectance of Mg films was measured in near infrared region and larger reflectance was observed from Mg films sputtered in He atmosphere compared to that in argon.展开更多
文摘AIM: To develop a technique of combined endoscopic sclerotherapy and ligation (ESL) in which both techniques of endoscopic sclerotherapy (ES) and endoscopic variceal ligation (EVL) can be optimally used.METHODS: ESL was performed in 10 patients (age 46.4±7.9;9 males, 1 female) with cirrhosis of liver using sclerotherapy needle and Speedband, Superview multiple band ligater (Boston Scientific, Microvasive, Watertown, MA). A single band was placed 5-10 cm proximal to the gastro-esophageal junction over each varix from proximal to distal margin,followed by intravariceal injection of 1.5 % ethoxysclerol (4 ml each) 2 to 3 cm proximal to the gastroesophageal junction on the ligated varices distal to deployed band. EVL was then performed at the injection site. Similarly other varices were also injected and ligated from distal to proximally. In the subsequent sessions, ES alone was performed to sclerose small varices at the gastroesophageal junction.RESULTS: ESL was successfully performed in all patients.A median of 3 (ESL 1, ES 2) sessions (ranged 1-4) were required to eradicate the varices in 9 (90 %) of 10 patients.Recurrence of varices without bleed was seen in 1 patient during a mean follow-up of 10.3 months (ranged 6-15).Two patients died of liver failure. None died of variceal bleeding. None of the patients had procedure related complications.CONCLUSION: ESL may be useful in the fast eradication of esophageal varices. However, randomised controlled trials are required to find out its relative efficacy and impact on variceal recurrence in comparison to ES or EVL.
基金by DRDO,Govt. of India (Grant No.ERIP/ER/0800354/M/01/1125)
文摘The influence of sputtering gas（He Ar） on the structural properties of Mg thin films has been investigated.The optical property（reflectance） that results from the growth of films at varying substrate temperatures（Tsub） was also studied.The deposited films were characterized by using X-ray diffraction（XRD）,field emission scaning electron microscopy（FE-SEM）,atomic force microscopy（AFM） and UV-Vis-NIR spectrophotometer.The smaller crystallite size and lower deposition rate were observed in the presence of Helium atmosphere compared to Argon.Morphology of the films shows 2D hexagonal geometry of grains in the deposition temperature range（Tsub≈50-150℃） in both the sputtering gases.The surface roughness of the polycrystalline films were found to increase with increase in the deposition temperature of both ambient gases.Optical reflectance of Mg films was measured in near infrared region and larger reflectance was observed from Mg films sputtered in He atmosphere compared to that in argon.
