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| 1 | Efficient human iPS cell derivation by a non-integrating plasmid from blood cells with unique epigenetic and gene expression signatures显示文摘 | Bin-Kuan Chou Prashant Mali Xiaosong Huang Zhaohui Ye Sarah N Dowey Linda MS Resar Chunlin Zou Alex Zhang Jay Tong Linzhao Cheng | 2011 | Cell Research2011，21，3： | 38 |
| 2 | Prevalence of Thyroid Nodules and Its Relationship with Iodine Status in Shanghai:a Population-based Study显示文摘Objective This study was designed to evaluate the prevalence of thyroid nodules(TNs) and its relationship with urine iodine concentrations(UICs) after the regional rapid economic growth and lifestyle changes. Methods A cross-sectional survey was conducted in the general population aged 15-69 years. A questionnaire regarding general and personal characteristics and relevant information was administered. Ultrasonography of the thyroid was performed, and serum triiodothyronine(T3), tetraiodothyronine(T4), serum thyroid stimulating hormone(TSH), free triiodothyronine(FT3), free tetraiodothyronine(FT4), thyroglobulin antibody(Tg Ab), thyroid peroxidase antibody(TPOAb), and TSH receptor antibody(TRAb) levels were measured for each individual subject. Results The prevalence rates of TNs in the whole population, females and males were 27.76%, 34.04%, and 21.60%, respectively. The prevalence of multiple nodules increased with age, whereas the prevalence peaks differed between males and females. The median UICs in the whole population and females with non-TNs were higher than those of subjects with TNs(P=0.0035, P=0.0068). The median UICs in subjects with a single TN were higher than those in subjects with multiple TNs(P=0.0164, P=0.0127). The result showed a U-shaped curve relationship between UIC and prevalence of TNs. The prevalence of TNs was the lowest when the UIC was 140-400 μg/L. Conclusion The prevalence of TNs was nearly 30% and increased with age. The relationship between UIC and prevalence of TNs is U-shaped, with an increase in risk when the UIC was <140 μg/L and >400 μg/L. Very low or high UIC levels need attention and correction. | SONG Jun ZOU Shu Rong GUO Chang Yi ZANG Jia Jie ZHU Zhen Ni MI Ming HUANG Cui Hua YU Hui Ting LU Xi RUAN Ye WU Fan | 2016 | Biomedical and Environmental Sciences2016，29，6： | 25 |
| 3 | Field released transgenic papaya effect on soil microbial communities and enzyme activities显示文摘Soil properties, microbial communities and enzyme activities were stud ied in soil amended with replicase (RP)-transgenic or non-transgenic papaya unde r field conditions. Compared with non-transgenic papaya, significant differences (P<0.05) were observed in total nitrogen in soils grown with transgenic papaya. There were also significant differences (P<0.05) in the total number of colony forming units (CFUs) of bacteria, actinomycetes and fungi between soils amended with RP-transgenic plants and non-transgenic plants. Compared with non-transgen ic papaya, the total CFUs of bacteria, actinomycetes and fungi in soil with tran sgenic papaya increased by 0.43—1.1, 0.21—0.80 and 0.46—0.73 times respective ly. Significantly higher (P<0.05) CFUs of bacteria, actinomycetes and fungi res istant to kanamycin (Km) were obtained in soils with RP-transgenic papaya than t hose with non-transgenic papaya in all concentrations of Km. Higher resistance q uotients for Kmr (kanamycin resistant) bacteria, actinomycetes and fungi were fo und in soil planted with RP-transgenic papaya, and the resistance quotients for Kmr bacteria, actinomycetes and fungi in soils with transgenic papaya increased 1.6—4.46, 0.63—2.5 and 0.75—2.30 times. RP-transgenic papaya and non-transg enic papaya produced significantly different enzyme activities in arylsulfatase (5.4—5.9x), polyphenol oxidase (0.7—1.4x), invertase (0.5—0.79x), cellulase ( 0.23—0.35x) and phosphodiesterase (0.16—0.2x). The former three soil enzymes appeared to be more sensitive to the transgenic papaya than the others, and cou ld be useful parameters in assessing the effects of transgenic papaya. Transgen ic papaya could alter soil chemical properties, enzyme activities and microbial communities. | WEI Xiang-dong ZOU Hui-ling CHU Lee-min LIAO Bin YE Chang-min LAN Chong-yu | 2006 | Journal of Environmental Sciences2006，18，4： | 22 |
| 4 | Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase III randomised, double-blind, placebo-controlled trial显示文摘 | Ann-Lii Cheng Yoon-Koo Kang Zhendong Chen Chao-Jung Tsao Shukui Qin Jun Suk Kim Rongcheng Luo Jifeng Feng Shenglong Ye Tsai-Sheng Yang Jianming Xu Yan Sun Houjie Liang Jiwei Liu Jiejun Wang Won Young Tak Hongming Pan Karin Burock Jessie Zou Dimitris Volio | 2009 | Lancet Oncology2009，，1： | 23 |
| 5 | Guidance for the clinical evaluation of traditional Chinese medicine-induced liver injury Issued by China Food and Drug Administration显示文摘1. Introduction Drug-induced liver injury (DILI), defined as liver injury caused by a drug and/or its metabolites, is a common clinical adverse drug reaction1–4. This type of injury can cause acute liver failure and even death in severe cases5. | Xiaohe Xiao Jianyuan Tang Yimin Mao Xiuhui Li Jiabo Wang Chenghai Liu Kewei Sun Yong’an Ye Zhengsheng Zou Cheng Peng Ling Yang Yuming Guo Zhaofang Bai Tingting He Jing Jing Fengyi Li Na An | 2019 | Acta Pharmaceutica Sinica B2019，9，3： | 22 |
| 6 | Individual variability in the disposition of and response to clopidogrel. Pharmacogenomics and beyond显示文摘 | Xie, Hong-Guang | 2011 | 南京医科大学学报(自然科学版)2011，31，6： | 20 |
| 7 | Comparison of 5-hydroxytryptophan signaling pathway characteristics in diarrhea-predominant irritable bowel syndrome and ulcerative colitis显示文摘AIM: To study differences in the visceral sensitivity of the colonic mucosa between patients with diarrheapredominant irritable bowel syndrome(IBS-D) and those with ulcerative colitis(UC) in remission and to relate these differences with changes in the 5-hydroxytryptophan(5-HT) signaling pathway. METHODS: Gastrointestinal symptoms were used to determine the clinical symptom scores and rectal visceral sensitivity of patients with IBS-D and patients with UC in remission. Blood levels of 5-HT and5-hydroxyindoleacetic acid(5-HIAA) were measured using an HPLC-electrochemical detection system. The levels of 5-HT 3 receptor(3R), 4R, and 7R m RNAs in colonic biopsy samples were detected using reverse transcription-polymerase chain reaction. The protein expression of TPH1 was analyzed by Western blot and immunohistochemistry.RESULTS: Abdominal pain or discomfort, stool frequency, and the scores of these symptoms in combination with gastrointestinal symptoms were higher in the IBS-D and UC groups than in the control groups. However, no significant differences were observed between the IBS-D and UC remission groups. With respect to rectal visceral sensitivity, the UC remission and IBS-D groups showed a decrease in the initial perception threshold, defecating threshold and pain threshold. However, these groups exhibited significantly increased anorectal relaxation pressure. Tests examining the main indicators of the 5-HT signaling pathway showed that the plasma 5-HT levels, 5-HIAA concentrations, TPH1 expression in the colonic mucosa, and 5-HT3 R and 5-HT5 R expression were increased in both the IBS-D and the UC remission groups; no increases were observed with respect to 5-HT7 R expression.CONCLUSION: The IBS-D and UC groups showed similar clinical symptom scores, visceral sensitivity, and levels of serotonin signaling pathway indicators in the plasma and colonic mucosa. However, the pain threshold and 5-HT7 R expression in the colonic mucosa were significantly different between these groups. The results reveal that(1) IBS-D and UC are related to visceral sensitivity pathogenesis and the clinical manifestations of these conditions and(2) the observed differences in visceral hypersensitivity are possibly due to differences in levels of the 5-HT7 receptor, a component of the 5-HT signaling pathway. | Feng-Yan Yu Shao-Gang Huang Hai-Yan Zhang Hua Ye Hong-Gang Chi Ying Zou Ru-Xi Lv Xue-Bao Zheng | 2016 | World Journal of Gastroenterology2016，22，12： | 19 |
| 8 | Effects of baicalin in CD4 + CD29 + T cell subsets of ulcerative colitis patients显示文摘AIM:To evaluate the role of baicalin in ulcerative colitis(UC) with regard to the CD4+CD29+ T helper cell,its surface markers and serum inflammatory cytokines.METHODS:Flow cytometry was used to detect the percentage of CD4+CD29+ cells in patients with UC.Real time polymerase chain reaction was used to detect expression of GATA-3,forkhead box P3,T-box expressed in T cells(T-bet),and retinoic acid-related orphan nuclear hormone receptor C(RORC).Western blotting was used to analyze expression of nuclear factor-κB(NF-κB) p65,phosphorylation of NF-κB(p-NF-κB) p65,STAT4,p-STAT4,STAT6 and p-STAT6.The concentrations of interferon-γ(IFN-γ),interleukin(IL)-4,IL-5,IL-6,IL-10 and TGF-β in serum were determined by ELISA assay.RESULTS:The percentages of CD4+CD29+ T cells were lower in treatment with 40 and 20 μmol/L baicalin than in the treatment of no baicalin.Treatment with 40 or 20 μmol/L baicalin significantly upregulated expression of IL-4,TGF-β1 and IL-10,increased p-STAT6/STAT6 ratio,but downregulated expression of IFN-γ,IL-5,IL-6,RORC,Foxp3 and T-bet,and decreased ratios of T-bet/GATA-3,p-STAT4/STAT4 and p-NF-κB/NF-κB compared to the treatment of no baicalin.CONCLUSION:The results indicate that baicalin regulates immune balance and relieves the ulcerative colitis-induced inflammation reaction by promoting proliferation of CD4+CD29+ cells and modulating immunosuppressive pathways. | Feng-Yan Yu Shao-Gang Huang Hai-Yan Zhang Hua Ye Hong-Gang Chi Ying Zou Ru-Xi Lv Xue-Bao Zheng | 2014 | World Journal of Gastroenterology2014，20，41： | 18 |
| 9 | High-speed femtosecond laser plasmonic lithography and reduction of graphene oxide for anisotropic photoresponse显示文摘Micro/nanoprocessing of graphene surfaces has attracted significant interest for both science and applications due to its effective modulation of material properties,which,however,is usually restricted by the disadvantages of the current fabrication methods.Here,by exploiting cylindrical focusing of a femtosecond laser on graphene oxide(GO)films,we successfully produce uniform subwavelength grating structures at high speed along with a simultaneous in situ photoreduction process.Strikingly,the well-defined structures feature orientations parallel to the laser polarization and significant robustness against distinct perturbations.The proposed model and simulations reveal that the structure formation is based on the transverse electric(TE)surface plasmons triggered by the gradient reduction of the GO film from its surface to the interior,which eventually results in interference intensity fringes and spatially periodic interactions.Further experiments prove that such a regular structured surface can cause enhanced optical absorption(>20%)and an anisotropic photoresponse(~0.46 ratio)for the reduced GO film.Our work not only provides new insights into understanding the laser-GO interaction but also lays a solid foundation for practical usage of femtosecond laser plasmonic lithography,with the prospect of expansion to other two-dimensional materials for novel device applications. | Tingting Zou Bo Zhao Wei Xin Ye Wang Bin Wang Xin Zheng Hongbo Xie Zhiyu Zhang Jianjun Yang Chunlei Guo | 2020 | Light(Science & Applications)2020，9，1： | 17 |
| 10 | Anti-diabetic Effects of Polysaccharides from Ethanol-insoluble Residue of Schisandra chinensis(Turcz.) Baill on Alloxan-induced Diabetic Mice显示文摘 | ZHAO Ting MAO Guang-hua ZHANG Mini LI Fang ZOU Ye ZHOU Ye ZHENG Wei ZHENG Da-heng YANG Liu-qing WUXiang-yang | 2013 | Chemical Research in Chinese Universities2013，29，1： | 14 |
| 11 | Tectonic evolution of the West Kunlun Orogenic Belt along the northern margin of the Tibetan Plateau:Implications for the assembly of the Tarim terrane to Gondwana显示文摘The West Kunlun orogenic belt(WKOB) along the northern margin of the Tibetan Plateau is important for understanding the evolution of the Proto-and Paleo-Tethys oceans. Previous investigations have focused on the igneous rocks and ophiolites distributed mostly along the Xinjiang-Tibet road and the China-Pakistan road, and have constructed a preliminary tectonic model for this orogenic belt. However, few studies have focused on the so-called Precambrian basement in this area. As a result, the tectonic affinity of the individual terranes of the WKOB and their detailed evolution process are uncertain. Here we report new field observations, zircon and monazite U-Pb ages of the 'Precambrian basement' of the South Kunlun terrane(SKT) and the Tianshuihai terrane(TSHT), two major terranes in the WKOB. Based on new zircon U-Pb age data, the amphibolite-facies metamorphosed volcanosedimentary sequence within SKT was deposited during the late Neoproterozoic to Cambrian(600-500 Ma), and the flysch-affinity Tianshuihai Group, as the basement of the TSHT, was deposited during the late Neoproterozoic rather than Mesoproterozoic. The rock association of the volcano-sedimentary sequence within SKT suggests a large early Paleozoic accretionary wedge formed by the long-term lowangle southward subduction of the Proto-Tethys Ocean between Tarim and TSHT. The amphibolitefacies metamorphism in SKT occurred at ca. 440 Ma. This ca. 440 Ma metamorphism is genetically related to the closure of the Proto-Tethys Ocean between Tarim and the Tianshuihai terrane, which led to the assembly of Tarim to Eastern Gondwana and the final formation of the Gondwana. Since the late Paleozoic to early Mesozoic, the northward subduction of the Paleo-Tethys Ocean along the HongshihuQiaoertianshan belt produced the voluminous early Mesozoic arc-signature granites along the southern part of NKT-TSHT. The Paleo-Tethys ocean between TSHT and Karakorum closed at ca. 200 Ma, as demonstrated by the monazite age of the paragneiss in the Kangxiwa Group. Our study does not favor the existence of a Precambrian basement in SKT. | Chuan-Lin Zhang Hai-Bo Zou Xian-Tao Ye Xiang-Yan Chen | 2019 | Geoscience Frontiers2019，10，3： | 14 |
| 12 | Toll-like Receptor 4 Signaling Pathway in the Protective Effect of Pioglitazone on Experimental Immunoglobulin A Nephropathy显示文摘 | Jia-Nan Zou Jing Xiao Sha-Sha Hu Chen-Sheng Fu Xiao-Li Zhang Zhen-Xing Zhang Yi-Jun Lu Wei-Jun Chen Zhi-Bin Ye | 2017 | Chinese Medical Journal2017，，8： | 13 |
| 13 | Diagnosis and treatment of herpangina:Chinese expert consensus显示文摘Background Herpangina is a common infectious disease in childhood caused by an enterovirus.This consensus is aiming to standardize and improve herpangina prevention and clinical diagnosis.Methods The Subspecialty Group of Infectious Diseases,the Society of Pediatric,Chinese Medical Association and Nation Medical Quality Control Center for Infectious Diseases gathered 20 experts to develop the consensus,who are specialized in diagnosis and treatment of herpangina.Results The main pathogenic serotypes of herpangina include Coxsackievirus-A,Enterovirus-A and Echovirus.Its diagnosis can be rendered on the basis of history of epidemiology,typical symptoms,characteristic pharyngeal damage and virological tests.The treatment is mainly symptomatic,and incorporates topical oral spray with antiviral drugs.The course of herpangina generally lasts 4-6 days with a good prognosis.Conclusion The consensus could provide advices and references for the diagnosis,treatment and management of herpangina in children. | Hui Yu Xing-Wang Li Quan-Bo Liu Hui-Ling Deng Gang Liu Rong-Meng Jiang Ji-Kui Deng Ying-Zi Ye Jian-Hua Hao Ying-Hu Chen Guang-Min Nong Zhao-Bo Shen Chang-Shan Liu Ying-Xue Zou Jin-Zhun Wu Xing-Dong Wu Bi-Quan Chen Ru-Ping Luo Ai-Wei Lin Yan Chen Xiao-Dong Liu | 2020 | World Journal of Pediatrics2020，16，2： | 12 |
| 14 | Effect of human epididymis protein 4 gene silencing on the malignant phenotype in ovarian cancer显示文摘背景人的 epididymis 能分泌的蛋白质(HE4 ) 4 被证明了是为上皮的卵巢的癌的察觉的有希望的新奇 biomarker。与 CA125 相比, HE4 试金表明了一个改进能力与恶意、良性的疾病在骨盆的质量之间区别。尽管然而, HE4 是在卵巢的癌症的 overexpressed,是众所周知的,在卵巢的癌症的 carcinogenesis 和前进的 HE4 的角色在这研究仍然是 unkown.Methods,我们在卵巢的癌症的 carcinogenesis 和前进探索了 HE4 的角色。我们为 HE4 表示,和使用的 RNA 干扰(RNAi ) 屏蔽了九根卵巢的癌症房间线,我们在 CaoV3 和 SKOV3.ip1 的 silenced HE4 基因表示卵巢的癌症房间线。我们由在 vitro.Results HE4 基因 silencing 检验房间周期, apoptosis,增长和 transwell 迁居 / 侵略在转变显型上估计了 HE4 基因 silencing 的效果导致 G0/G1 拘捕并且在 CaoV3 和 SKOV3.ip1 房间阻止 G1 接近前进到 S 阶段。HE4 在在 vitro.Conclusion HE4 的 SKOV3.ip1 房间的击倒的也禁止的房间增长,移植和侵略可以涉及房间周期的规定并且支持卵巢的癌症移植和侵略。 | ZOU Shu-li CHANG Xiao-hong YE Xue CHENG Hong-yan CHENG Ye-xia TANG Zhi-jian ZHANG Zu-juan GAO Li CHEN Xin-hua CUI Heng | 2011 | Chinese Medical Journal2011，，19： | 12 |
| 15 | Aliskiren ameliorates pressure overload-induced heart hypertrophy and fibrosis in mice显示文摘 | Li-qing WENG Wen-bin ZHANG Yong YE Pei-pei YIN Jie YUAN Xing-xu WANG Le KANG Sha-sha JIANG Jie-yun YOU Jian WU Hui GONG Jun-bo GE Yun-zeng ZOU | 2014 | Acta Pharmacologica Sinica2014，35，8： | 12 |
| 16 | Esophageal motility in patients with sliding hiatal hernia with reflux esophagitis显示文摘有滑动中断脱肠(HH ) 和倒流食道炎(RE ) 的背景病人通常受不了食道的 dysmotility。由与 HH 使用钡餐 examination.Methods RE 的学习是调查酸倒流和十二指肠的 gastroesophageal 倒流( DGER )的角色的礼品的目的,食道的 manometry ,和食道的 dysmotility 开始用倒流疾病问询表被诊断,并且被钡餐考试和内视镜检查法进一步证实。X 光线照相术的技术为 mucosa 的痉挛,苛评,和粗糙习惯于测试,也是学习倒流和清理的类型。然后,监视的食道的 manometry,食道的 24 小时的 pH,和 bilirubin 是 observed.Results 当 HH 与 RE 结合了并且根据他们的食道炎的严厉把组划分了成二, 55 个病人被诊断:组织 HH1 (等级 A 和 B ) 并且组织 HH2 (等级 C 和 D ) 。钡餐考试表明 mucosa 在所有情况中小粒或榴状。垃圾场倒流和推迟的清理比在 HH1 组(P0.05 ) 的那些在在 HH2 组的病人是更重要的。全部、仰卧、正直的酸暴露时间的百分比比在控制组(P0.01 ) 的那些在有 HH 的病人是更大的,但是 HH1 之间的差别和 HH2 组不是重要的。更低的食道的 sphictor 压力(LESP ) 比在控制组(P0.05 ) 在 HH 组是更低的。三个 DGER 参数:有比 0.14 大的吸收度的时间的百分比,胆汁倒流事件的数字,比 5 分钟长持续的胆汁倒流的数字是(28.43?? | YE Ping LI Zhao-shen XU Guo-ming ZOU Duo-wu XU Xiao-rong LU Ren-hua | 2008 | Chinese Medical Journal2008，，10： | 11 |
| 17 | Improved MPPT Control Based on the Reduction of Tracking Range显示文摘考虑到基于转矩调整的改进方法存在难以获取最优调整状态的问题,该文针对传统功率曲线法提出收缩风机转速的跟踪区间、减小跟踪路程的改进思路,以优化风机最大功率点跟踪的性能。在此基础上,设计出根据平均风速,周期性的调整起始发电转速的改进功率曲线法。其设计机理在于风速平均值恰好反映了风速及风能量集中分布的区间。因此,最优转速跟踪区间与平均风速存在数量上的直接关系而变得容易预估,且无需迭代搜索。与目前基于调整转矩的改进方法相比,该文所提方法不仅提高了风能捕获效率,且简单易行。最后,通过对模拟风速序列的仿真计算与比较分析,验证了该方法的有效性和先进性。 | YIN Minghui ZHANG Xiaolian YE Xing ZOU Yun | 2012 | 中国电机工程学报2012，32，27： | 11 |
| 18 | Phosphorus Speciation in Wetland Sediments of Zhujiang (Pearl) River Estuary,China显示文摘Phosphorus fractions and adsorption-release characteristics of sediments in the Zhujiang(Pearl) River estuary wetland were investigated.Results showed that the total phosphorus(TP) content in surface sediments ranged from 648.9 mg/kg to 1064.0 mg/kg;inorganic phosphorus(IP) was the major fraction of TP and ranged from 422.5 mg/kg to 643.9 mg/kg.Among the inorganic phosphorus,the main fractions were phosphorus bound to Al and Fe(Fe/Al-P),and calcium-bound phosphorus(Ca-P),accounting for 23%–42% and 21%–67% of IP,respectively.The vertical distribution of TP contents were significantly positive correlated with organic phosphorus(Org-P) and Fe/Al-P contents.The bio-available phosphorus contents in vertical sediments varied from 128.6 mg/kg to 442.9 mg/kg,mainly existed in Fe-Al/P fraction,and increased from the bottom to top sediments.The transport of phosphorus in sediment-water interface was controlled by the soil characteristics.The active Fe and Al content was considered as the main factor that determines adsorption capacity in vegetated marsh wetland.The P buffering capacity of the sediments in vegetated marsh wetland was greater than that in mudflat wetland.The potential risk of eutrophication in the study area is high.Reducing terrestrial phosphorus discharge and preventing the sediment Fe/Al-P release to the interstitial water are the possible solutions to reduce the risk of eutrophication in estuary wetlands,and planting vegetation in estuary wetland can also reduce the release of phosphorus in surface sediment. | WANG Lili YE Mei LI Qusheng ZOU Hang ZHOU Yongsheng | 2013 | Chinese Geographical Science2013，23，5： | 11 |
| 19 | Role of JWA in acute promye-locytic leukemia cell differentiation and apoptosis triggered by retinoic acid,12-tetradecanoylphorbol-13- acetate and arsenic trioxide显示文摘JWA, a cytoskeleton associated gene, was primarily found to be regulated by all trans-retinoic acid (ATRA), 13 cis-retinoic acid (13 cis-RA) and 12-tetradecano-ylphorbol-13-acetate (TPA). Our previous data showed that JWA might be involved in both cellular differentiation and apoptosis induced by several chemicals. In this study, we addressed the possible mechanism of JWA in the regulation of cell differentiation and apoptosis in NB4, a human acute promyelocytic leukemia cell line. CD11b/CD33 expression and cell cycle were analyzed for detecting of cell differentiation and apoptosis. Both reverse-transcription polymerase chain reaction (RT-PCR) and Western blot assays were used for understanding the expressions of JWA. The results showed that under the indicated concentrations ATRA (10-6 mol/L) and As2O3 (10-6 mol/L) induced cell differentiation and apoptosis separately; while both 4HPR (10-6mol/L) and TPA (10-7 mol/L) showed dual-directional effects on NB4 cells, they not only trigger cells’ | CAO Haixia XIA Wei SHEN Qun LU Hua YE Jian LI Aiping ZOU Changping ZHOU Jianwei | 2002 | Chinese Science Bulletin2002，47，10： | 10 |
| 20 | Clinical comparison of antrum-preserving double tract reconstruction vs roux-en-Y reconstruction after gastrectomy for Siewert types Ⅱ and Ⅲ adenocarcinoma of the esophagogastric junction显示文摘AIM:To explore a reasonable method of digestive tract reconstruction,namely,antrum-preserving double-tract reconstruction(ADTR),for patients with adenocarcinoma of the esophagogastric junction(AEG) and to assess its efficacy and safety in terms of longterm survival,complications,morbidity and mortality.METHODS:A total of 55 cases were retrospectively collected,including 18 cases undergoing ADTR and 37 cases of Roux-en-Y reconstruction(RY) for AEG(Siewert types Ⅱ and Ⅲ) at North Sichuan Medical College. The cases were divided into two groups. The clinicopathological characteristics,perioperative outcomes,postoperative complications,morbidity and overall survival(OS) were compared for the two different reconstruction methods.RESULTS:Basic characteristics including sex,age,body mass index(BMI),Siewert type,p T status,p N stage,and lymph node metastasis were similar in the two groups. No significant differences were found between the two groups in terms of perioperative outcomes(including the length of postoperative hospital stay,operating time,and intraoperative blood loss) and postoperative complications(consisting of anastomosis-related complications,wound infection,respiratory infection,pleural effusion,lymphorrhagia,and cholelithiasis). For the ADTR group,perioperativerecovery indexes such as time to first flatus(P = 0.002) and time to resuming a liquid diet(P = 0.001) were faster than those for the RY group. Moreover,the incidence of reflux esophagitis was significantly decreased compared with the RY group(P = 0.048). The postoperative morbidity and mortality rates for overall postoperative complications and the rates of tumor recurrence and metastasis were not significantly different between the two groups. Survival curves plotted using the Kaplan-Meier method and compared by log-rank test demonstrated similar outcomes for the ADTR and RY groups. Multivariate analysis of significantly different factors that presented as covariates on Cox regression analysis to assess the survival and recurrence among AEG patients showed that age,gender,BMI,pleural effusion,time to resuming a liquid diet,lymphorrhagia and tumor-nodemetastasis stage were important prognostic factors for OS of AEG patients,whereas the selection of surgical method between ADTR and RY was shown to be a similar prognostic factor for OS of AEG patients.CONCLUSION:ADTR by jejunal interposition presents similar rates of tumor recurrence,metastasis and longterm survival compared with classical reconstruction with RY esophagojejunostomy; however,it offers considerably improved near-term quality of life,especially in terms of early recovery and decreased reflux esophagitis. Thus,ADTR is recommended as a worthwhile digestive tract reconstruction method for Siewert types Ⅱ and Ⅲ AEG. | Jiang-Wei Xiao Zi-Lin Liu Peng-Cheng Ye Ya-Jun Luo Zhi-Ming Fu Qin Zou Shou-Jiang Wei | 2015 | World Journal of Gastroenterology2015，21，34： | 10 |
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