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[DETAIL_TEXT] => Пациент, 40 лет, жалоб на изжогу, отрыжку, загрудинные боли, боли в эпигастрии не предъявляет. Обратился по поводу болей в подреберье и для исключения "гепатита", выполнены УЗИ органов брюшной полости, затем КТ ОБП и лёгких, где обнаружены множественные метастазы в печень и лёгкие.
И только после этого пациент попадает на ЭГДС.
Исследование выполняется впервые... процессор Pentax 7010i:
На фоне цилиндроклеточной метаплазии с циркулярным сегментов протяжённостью приблизительно 1 см( С1) и зубцами, максимальная длина которых приблизительно 2 см (М2) визуализируется площадка с чёткими границами ткани со стёртым паттерном, переходящая в изъязвление. Suspicio инфильтративно-язвенный c-r на фоне цилиндроклеточной метаплазии(С1М2).
Возможно, картинки не идеальные, но случай, мне кажется, заслуживает внимания.
Вопрос возраста и необходимости выполнения 1 ЭГДС остаётся открытым.
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И только после этого пациент попадает на ЭГДС.
Исследование выполняется впервые... процессор Pentax 7010i:
На фоне цилиндроклеточной метаплазии с циркулярным сегментов протяжённостью приблизительно 1 см( С1) и зубцами, максимальная длина которых приблизительно 2 см (М2) визуализируется площадка с чёткими границами ткани со стёртым паттерном, переходящая в изъязвление. Suspicio инфильтративно-язвенный c-r на фоне цилиндроклеточной метаплазии(С1М2).
Возможно, картинки не идеальные, но случай, мне кажется, заслуживает внимания.
Вопрос возраста и необходимости выполнения 1 ЭГДС остаётся открытым.
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[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Количество просмотров
[~DEFAULT_VALUE] =>
)
[SHOW_IN_INDEX] => Array
(
[ID] => 315
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Выводить на главной
[ACTIVE] => Y
[SORT] => 500
[CODE] => SHOW_IN_INDEX
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => L
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => C
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[VALUE_ENUM_ID] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Выводить на главной
[~DEFAULT_VALUE] =>
)
[PDF_TO_IMG] => Array
(
[ID] => 504
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Cделать фото из пдф для превью
[ACTIVE] => Y
[SORT] => 500
[CODE] => PDF_TO_IMG
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => L
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => C
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[VALUE_ENUM_ID] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Cделать фото из пдф для превью
[~DEFAULT_VALUE] =>
)
[BIBLIOGRAPHY_ALL] => Array
(
[ID] => 597
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Список литературы
[ACTIVE] => Y
[SORT] => 500
[CODE] => BIBLIOGRAPHY_ALL
[DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] => HTML
[USER_TYPE_SETTINGS] => Array
(
[height] => 200
)
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Список литературы
[~DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
)
[ENDOEXPERT] => Array
(
[ID] => 598
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => От редакции EndoExpert.ru
[ACTIVE] => Y
[SORT] => 500
[CODE] => ENDOEXPERT
[DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] => HTML
[USER_TYPE_SETTINGS] => Array
(
[height] => 200
)
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => От редакции EndoExpert.ru
[~DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
)
[SPONSOR] => Array
(
[ID] => 599
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Материал опубликован при поддержке
[ACTIVE] => Y
[SORT] => 500
[CODE] => SPONSOR
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => E
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => Y
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 44
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Материал опубликован при поддержке
[~DEFAULT_VALUE] =>
)
[ARCHIVE_PUBL] => Array
(
[ID] => 600
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Архив материалов к публикации
[ACTIVE] => Y
[SORT] => 500
[CODE] => ARCHIVE_PUBL
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => F
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Архив материалов к публикации
[~DEFAULT_VALUE] =>
)
[FILE_PUBL] => Array
(
[ID] => 601
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Публикация в электронном виде
[ACTIVE] => Y
[SORT] => 500
[CODE] => FILE_PUBL
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => F
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Публикация в электронном виде
[~DEFAULT_VALUE] =>
)
[BIBLIOGRAPHY] => Array
(
[ID] => 602
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Список литературы
[ACTIVE] => Y
[SORT] => 500
[CODE] => BIBLIOGRAPHY
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => Y
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => Y
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Список литературы
[~DEFAULT_VALUE] =>
)
[VIDEO_DESCRIPTION] => Array
(
[ID] => 603
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Описание видео
[ACTIVE] => Y
[SORT] => 500
[CODE] => VIDEO_DESCRIPTION
[DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] => HTML
[USER_TYPE_SETTINGS] => Array
(
[height] => 200
)
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Описание видео
[~DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
)
[PHOTOS] => Array
(
[ID] => 604
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Иллюстрации
[ACTIVE] => Y
[SORT] => 500
[CODE] => PHOTOS
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => F
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => Y
[XML_ID] =>
[FILE_TYPE] => jpg, gif, bmp, png, jpeg
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => Y
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] => Array
(
[0] => 198178
[1] => 198179
[2] => 198180
[3] => 198181
[4] => 198182
[5] => 198183
[6] => 198184
[7] => 198185
[8] => 198186
[9] => 198187
[10] => 198188
)
[VALUE] => Array
(
[0] => 65039
[1] => 65040
[2] => 65041
[3] => 65042
[4] => 65043
[5] => 65044
[6] => 65045
[7] => 65046
[8] => 65047
[9] => 65048
[10] => 65049
)
[DESCRIPTION] => Array
(
[0] =>
[1] =>
[2] =>
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
)
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] => Array
(
[0] => 65039
[1] => 65040
[2] => 65041
[3] => 65042
[4] => 65043
[5] => 65044
[6] => 65045
[7] => 65046
[8] => 65047
[9] => 65048
[10] => 65049
)
[~DESCRIPTION] => Array
(
[0] =>
[1] =>
[2] =>
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
)
[~NAME] => Иллюстрации
[~DEFAULT_VALUE] =>
)
[INTRODUCTION] => Array
(
[ID] => 605
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Введение
[ACTIVE] => Y
[SORT] => 500
[CODE] => INTRODUCTION
[DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] => HTML
[USER_TYPE_SETTINGS] => Array
(
[height] => 200
)
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Введение
[~DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
)
[ANNOTATION] => Array
(
[ID] => 606
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Аннотация
[ACTIVE] => Y
[SORT] => 500
[CODE] => ANNOTATION
[DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] => HTML
[USER_TYPE_SETTINGS] => Array
(
[height] => 200
)
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Аннотация
[~DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
)
[CONCLUSION_SMALL] => Array
(
[ID] => 607
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Короткий вывод
[ACTIVE] => Y
[SORT] => 500
[CODE] => CONCLUSION_SMALL
[DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] => HTML
[USER_TYPE_SETTINGS] => Array
(
[height] => 200
)
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Короткий вывод
[~DEFAULT_VALUE] => Array
(
[TEXT] =>
[TYPE] => HTML
)
)
[DATE] => Array
(
[ID] => 608
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Год
[ACTIVE] => Y
[SORT] => 500
[CODE] => DATE
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] => Date
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] => 198191
[VALUE] => 01.01.2019
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] => 01.01.2019
[~DESCRIPTION] =>
[~NAME] => Год
[~DEFAULT_VALUE] =>
)
[READING_TIME] => Array
(
[ID] => 609
[TIMESTAMP_X] => 2019-06-06 23:13:38
[IBLOCK_ID] => 54
[NAME] => Время прочтения в минутах
[ACTIVE] => Y
[SORT] => 500
[CODE] => READING_TIME
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => N
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] => 198193
[VALUE] => 3
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] => 3
[~DESCRIPTION] =>
[~NAME] => Время прочтения в минутах
[~DEFAULT_VALUE] =>
)
[SPEC] => Array
(
[ID] => 726
[TIMESTAMP_X] => 2019-06-22 10:37:17
[IBLOCK_ID] => 54
[NAME] => Специальность
[ACTIVE] => Y
[SORT] => 500
[CODE] => SPEC
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => E
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => Y
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 28
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] => Array
(
[0] => 198206
[1] => 198207
)
[VALUE] => Array
(
[0] => 45896
[1] => 46066
)
[DESCRIPTION] => Array
(
[0] =>
[1] =>
)
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] => Array
(
[0] => 45896
[1] => 46066
)
[~DESCRIPTION] => Array
(
[0] =>
[1] =>
)
[~NAME] => Специальность
[~DEFAULT_VALUE] =>
)
[LOGO_LICENSE] => Array
(
[ID] => 868
[TIMESTAMP_X] => 2019-07-18 13:33:09
[IBLOCK_ID] => 54
[NAME] => Логотип лицензии
[ACTIVE] => Y
[SORT] => 500
[CODE] => LOGO_LICENSE
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] => directory
[USER_TYPE_SETTINGS] => Array
(
[size] => 1
[width] => 0
[group] => N
[multiple] => N
[TABLE_NAME] => creativecommons
)
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Логотип лицензии
[~DEFAULT_VALUE] =>
)
[CLOSE_PUBLICATION] => Array
(
[ID] => 869
[TIMESTAMP_X] => 2019-07-18 13:33:09
[IBLOCK_ID] => 54
[NAME] => Закрытая публикация
[ACTIVE] => Y
[SORT] => 500
[CODE] => CLOSE_PUBLICATION
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => L
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => C
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[VALUE_ENUM_ID] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Закрытая публикация
[~DEFAULT_VALUE] =>
)
[RAIT_SORT] => Array
(
[ID] => 914
[TIMESTAMP_X] => 2019-08-26 17:33:02
[IBLOCK_ID] => 54
[NAME] => Рейтинг для сортировки (служебное)
[ACTIVE] => Y
[SORT] => 500
[CODE] => RAIT_SORT
[DEFAULT_VALUE] =>
[PROPERTY_TYPE] => S
[ROW_COUNT] => 1
[COL_COUNT] => 30
[LIST_TYPE] => L
[MULTIPLE] => N
[XML_ID] =>
[FILE_TYPE] =>
[MULTIPLE_CNT] => 5
[TMP_ID] =>
[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Рейтинг для сортировки (служебное)
[~DEFAULT_VALUE] =>
)
[SEND_1] =>
[SEND_30] =>
[SEND_7] =>
[SEND_0] =>
[SPONSOR_BG] =>
)
[DISPLAY_PROPERTIES] => Array
(
[AUTHOR] => Array
(
[ID] => 313
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Публикации из Facebook: Рак желудка
3 мин
| Авторы: | Ольга Букач 2019г. |
1 / 168
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Полный текст статьи:
Пациент, 40 лет, жалоб на изжогу, отрыжку, загрудинные боли, боли в эпигастрии не предъявляет. Обратился по поводу болей в подреберье и для исключения "гепатита", выполнены УЗИ органов брюшной полости, затем КТ ОБП и лёгких, где обнаружены множественные метастазы в печень и лёгкие.
И только после этого пациент попадает на ЭГДС.
Исследование выполняется впервые... процессор Pentax 7010i:
На фоне цилиндроклеточной метаплазии с циркулярным сегментов протяжённостью приблизительно 1 см( С1) и зубцами, максимальная длина которых приблизительно 2 см (М2) визуализируется площадка с чёткими границами ткани со стёртым паттерном, переходящая в изъязвление. Suspicio инфильтративно-язвенный c-r на фоне цилиндроклеточной метаплазии(С1М2).
Возможно, картинки не идеальные, но случай, мне кажется, заслуживает внимания.
Вопрос возраста и необходимости выполнения 1 ЭГДС остаётся открытым.
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