廈大附一消化內(nèi)科在臨床工作實(shí)踐中十分重視疑難病例的診治,，通過專業(yè)知識(shí)的不斷積累和科室全體人員的努力，目前廈門大學(xué)附屬第一醫(yī)院消化病中心在疑難病例和罕見病診治能力方面處于國內(nèi)一流水平,，并同時(shí)撰寫相關(guān)學(xué)術(shù)論文發(fā)表在國際權(quán)威雜志,，和全球同行分享臨床診治經(jīng)驗(yàn)，以期提高臨床醫(yī)生對(duì)該病的診治能力，同時(shí)持續(xù)擴(kuò)大本中心的影響力,。
一位50歲女性以“反復(fù)腹脹5月”入院,，多次就診于各家醫(yī)院，但癥狀始終無法緩解,。入院后完善胃腸鏡等檢查,，腸鏡提示結(jié)腸兩處巨大潰瘍，針對(duì)該潰瘍我們嘗試了多種治療方案,，但患者潰瘍始終無法好轉(zhuǎn),。同時(shí)給予對(duì)癥治療，但患者腹脹癥狀進(jìn)行性加重,，期間出現(xiàn)嚴(yán)重的結(jié)腸梗阻表現(xiàn),。為了解決結(jié)腸梗阻癥狀，外科臨時(shí)采用了結(jié)腸造瘺術(shù),，但術(shù)后腹脹,、腸梗阻癥狀仍無法緩解。最終我們進(jìn)行了結(jié)腸部分切除術(shù),，切除了潰瘍病灶,。術(shù)后結(jié)合患者的手術(shù)病理、腹部CT,、鋇條傳輸試驗(yàn)和既往病史,，進(jìn)行了MTD討論，明確患者為繼發(fā)性結(jié)腸動(dòng)力障礙引起的梗阻性腸炎,，患者的后續(xù)治療方案得以明確,，從而避免了患者反復(fù)就醫(yī)帶來的經(jīng)濟(jì)和心里負(fù)擔(dān)。該病例的臨床診治體會(huì)發(fā)表在消化病領(lǐng)域國際頂級(jí)雜志Gastroenterology,。類似這樣的病例2022全年我們共診治100余例,，部分撰寫成論文發(fā)表在國際權(quán)威期刊，其中4例發(fā)表在消化病領(lǐng)域國際頂刊Gastroenterology,。
在過去的2022一年中,，廈門大學(xué)附屬第一醫(yī)院消化內(nèi)科取得了豐碩的科研成果。共發(fā)表SCI論文24篇,，其中8篇影響因子>5分,，最高影響因子達(dá)33.883分，總影響因子達(dá)225分,。在研省,、市級(jí)課題共7項(xiàng)；另有3項(xiàng)福建省自然科學(xué)基金評(píng)審中,。
科主任、學(xué)術(shù)帶頭人：栗華教授
科副主任、團(tuán)隊(duì)核心成員：章金艷教授
團(tuán)隊(duì)核心成員：黃偉鋒教授
論文成果：
1. Wei-Feng Huang, Jian-Wei Zheng, Xue-Qin Chen. Recurrent Abdominal Distension: Colonic Ulcer is a Cause or a Consequence? Gastroenterology. 2022;163(5):e22-e24. 1區(qū)IF: 33.883
2. Na Wu, Shao-Kun Hong, Wei-Feng Huang. Multiple Strictures of Small Intestine: Is It a Crohn’s Disease? Gastroenterology. 2022;163(5):e1-e2. 1區(qū)IF: 33.883
3. Wei-Feng Huang, Juan Yu, Jian-Wei Zheng. An Unusual Case of Gastrointestinal Polyposis. Gastroenterology. 2022;163(3):e1-e3. 1區(qū)IF: 33.883
4. Xiao-Fen Zhang, Zhi-Kun Yin, Jin-Yan Zhang. An Unusual Case of Intermittent Fever With Multiple Liver Lesions. Gastroenterology. 2022; S0016-5085(22)01384-1. 1區(qū)IF: 33.883
5. Yi-Ping Chen, Juan Yu, Wei-Feng Huang. An Unusual Cause of Abdominal Pain: Immunoglobulin A Vasculitis. Clin Gastroenterol Hepatol. 2022; 20(7):A17-A18. 1區(qū)IF: 13.576
6. Zhi-Kun Yin, Ji Li, Jin-Yan Zhang. A Case of Duodenal-Type Follicular Lymphoma. Am J Gastroenterol. 2022, 117: 1903. 1區(qū)IF: 12.045
7. Na Wu, Hua Li, Jinyan Zhang, Weifeng Huang. Herpes Zoster in a Patient With Ulcerative Colitis After Vedolizumab Initiation-Causal Link or Only Temporal Coincidence? Inflamm Bowel Dis. 2022 Feb 1;28(2):e22-e23. 2區(qū)IF: 7.290
8. Xu Wang, Jian Tang, Jian-Wei Zheng, Wei-Feng Huang. Granulomatous Pneumonia and Liver Lesions Associated With Crohn's Disease. Inflamm Bowel Dis. 2022;28(6):e78-e79. 2區(qū)IF: 7.290
9. Na Wu, Shao-Kun Hong, Wei-Feng Huang. Unexpected Cause of Anemia: Primary Small Intestinal Angiosarcoma. J Gastrointest Surg. 2022 Dec 12. doi: 10.1007/s11605-022-05557-w.2區(qū) IF: 3.267
10. Yu-Bei Gu, Pei Sun, Wei-Feng Huang. Heterotopic Gastric Mucosa in the Jejunum and Gastrointestinal Bleeding. J Gastrointest Surg. 2022 Nov 8. doi: 10.1007/s11605-022-05519-2.3區(qū) IF: 3.267
11. Qi Zhang, Hua Li, Wei-Feng Huang. When Crohn's disease meets IgA nephropathy: What do you think. Am J Med Sci. 2022; S0002-9629(22)00506-7.4區(qū) IF: 3.462
12. Wei-Feng Huang, Jin-Yan Zhang, Wei Liu. Gastrointestinal stromal tumor of small intestine. Am J Med Sci. 2022; 364(6): e83-e84. 4區(qū)IF:3.462
13. Yi Ding, Shao-Kun Hong, Wei-Feng Huang. More Than Meets the Eye: Abdominopelvic Actinomycosis. J Gastrointest Surg. 2022; 26(10):2241-2243. 3區(qū)IF: 3.267
14. Wei-Feng Huang, Xu Wang, Wei Liu. Primary Malignant Anorectal Melanoma. J Gastrointest Surg. 2022; 26(1):263-265. 3區(qū)IF: 3.267
15. Wei-Feng Huang, Juan Yu, Wei Liu. Hereditary Angioedema of the Small Bowel. J Gastrointest Surg. 2022 Jan;26(1):266-267. 3區(qū)IF: 3.267
16. Yi Ding, Juan Yu, Jin-Yan Zhang, Qing-Qian Lu, Xiu-Rong Wu, Wei-Feng Huang. An Unusual Colonic Mass in a Phlebosclerosis Patient. Clin Res Hepatol Gastroenterol. 2022;46(4):101865. 4區(qū)IF: 3.189
17. Shao-Kun Hong, Yi Ding, Hua Li, Jin-Yan Zhang, Wei-Feng Huang. An unusual mass in the colon: Inflammatory myofibroblastic tumor. Clin Res Hepatol Gastroenterol. 2022;46(8):101988.4區(qū) IF: 3.189
18. Yu?Bei Gu, Xue?Qin Chen, Wei?Feng Huang. A Rare Case of Gastrointestinal Polyposis: Cronkhite?Canada Syndrome. Indian Journal of Surgery. 2022 July 29. 4區(qū)IF: 0.589
19. Xi?Ying Zeng, Yi Ding, Qing?Qian Lu, Wei?Feng Huang. A Rare Case of Colonic Lymphangioma in an Adult Woman. Indian Journal of Surgery. 2022 June 21. IF: 0.589
20. Ratha Mun, Xu Wang, Wei-Feng Huang. Gastrocolic fistula, a rare complication of repeated gastric surgery. Korean J Intern Med. 2022; 37(4):877-878. 3區(qū)IF:3.165
21. Zhi-Kun Yin, Ji Li, Wei-Lin Yang et al. Underwater Endoscopic Mucosal Resection Versus Conventional Endoscopic Mucosal Resection for Superficial Non-ampullary Duodenal Epithelial Tumors ≤20 mm: A Systematic Review With Meta-analysis. J Clin Gastroenterol. 2022. 3區(qū)IF: 3.174
22. Zhi-Kun Yin, Li Fu, Wei-Feng Huang et al. A Rare Case of Hepatic Epithelioid Hemangioendothelioma. Indian Journal of Surgery. 2022, 84: 443–445. 4區(qū)IF: 0.589
23. Zhi-Kun Yin, Ji Li, Wei-Feng Huang et al. High-Dose Dual Therapy Versus Bismuth-Containing Quadruple Therapy for the Treatment of Helicobacter pylori Infection: A Systematic Review with Meta-Analysis. Turk J Gastroenterol. 2022, 33: 454-462. 4區(qū)IF: 1.555
24. Wei-Feng Huang, Jin?Yan Zhang, Wei Liu. Multiple Primary Rectal and Gastric Mucosa Lymphoid Lesions-Marginal Zone Non?Hodgkin B?Cell Lymphoma. Indian Journal of Surgery. 2022 Jan 3. 4區(qū)IF: 0.589
25. Wei-Feng Huang, Qi Zhang, Wei Liu. A rare case of aortoduodenal syndrome. Japanese Journal of Gastroenterology Research. May 2022. IF: 1.2
26. Wei-Feng Huang, Yi-Ping Chen, Wei Liu. Metachronous Multiple Clinical Presentations Involving the Skin in a Patient with Immunoglobulin G4–Related Sclerosing Disease. Archives of Medical and Clinical Research. 02 May 2022
27. Xi-Ying Zeng, Xue-Qin Chen, Hua Li, Wei-Feng Huang. An Unusual Case of Cholestasis and Gastrointestinal Bleeding: Hepatic Cysts. Journal on Surgery. Jul 29, 2022 (2). IF:1.3
28. Wei-Feng Huang, Yi Ding, Wei Liu. Retroperitoneal Castleman’s Disease of the Hyaline-Vascular Type. American Journal of Gastroenterology and Hepatology. 2022. (3)1014
29. Wei-Feng Huang, Yi Ding, Wei Liu. Hyaline vascular-type Castleman’s disease of the retroperitoneum. Arch Clin Gastroenterol 2022. 8(1): 001-002.
