Clinical analysis of 45 cases of perforation were identified during endoscopic retrograde cholangiopancreatography procedure.

Background: Endoscopic retrograde cholangiopancreatography (ERCP) has become an important method to diagnose and treat biliary-pancreatic diseases. Perforations are infrequent but serious complications can occur during ERCPs. However, it is unclear which patients are suitable for surgery and when these patients should receive surgery.

Feasibility and Safety of Transgastric Natural Orifice Transluminal Endoscopic Surgery in the Diagnosis of Ascites of Unknown Origin.

The purpose of this study was to evaluate the feasibility and safety of transgastric natural orifice transluminal endoscopic surgery (TG-NOTES) combined with biopsy in the diagnosis of unknown ascites. This retrospective study used data from the first affiliated hospital of Nanchang university on 51 patients who were diagnosed with ascites of unknown origin between January 2013 and May 2019 and experienced peritoneal biopsy through TG-NOTES. The outcome measures included diagnostic accuracy and procedure-related adverse events.

Ionic liquid [EMIM]OAc under ultrasonic irradiation towards the first synthesis of trisubstituted imidazoles.

The ionic liquid 1-ethyl-3-methylimidazole acetate ([EMIM]OAc) was found to be a mild and effective catalyst for the efficient, one-pot, three-component synthesis of 2-aryl-4,5-diphenyl imidazoles at room temperature under ultrasonic irradiation. This procedure has many obvious advantages compared to those reported in the previous literatures, including avoiding the use of harmful catalysts, reacting at room temperature, high yields, simplicity of the methodology.

3,3,6,6-Tetra-methyl-9-(2-nitro-phen-yl)-3,4,6,7-tetra-hydro-2H-xanthene-1,8(5H,9H)-dione.

In the title compound, C(23)H(25)NO(5), the pyran ring adopts a flattened boat conformation, while the two cyclo-hexenone rings are in envelope conformations. The 3-nitro-phenyl ring is almost perpendicular to the pyran ring, making a dihedral angle of 87.1 (3)°.

An efficient ultrasound-promoted method for the one-pot synthesis of 7,10,11,12-tetrahydrobenzo[c]acridin-8(9H)-one derivatives.

A new, efficient and general method for preparation of 7,10,11,12-tetrahydrobenzo[c]acridin-8(9H)-one derivatives using ultrasound irradiation is reported. Under ultrasound, the reaction time is short, the yields are high and the reaction conditions are mild.

9,9-Dimethyl-12-phenyl-8,9-dihydro-12H-benzo[a]xanthen-11(10H)-one.

The title compound, C(25)H(22)O(2), was synthesized via the three-component coupling of benzaldehyde, 2-naphthol and 5,5-dimethyl-cyclo-hexane-1,3-dione. In the crystal structure, centrosymmetrically related mol-ecules are linked into dimers by pairs of inter-molecular C-H⋯O hydrogen bonds. The dimers are further connected into a three-dimensional network by π-π aromatic stacking inter-actions involving the naphthalene ring system, with centroid-centroid separations of 3.

Ultrasound-promoted synthesis of oximes catalyzed by a basic ionic liquid [bmIm]OH.

The basic ionic liquid 1-butyl-3-methylimidazolium hydroxide, [bmIm]OH, efficiently catalyzes the condensation reaction of aldehydes and ketones with hydroxylamine hydrochloride under ultrasound irradiation. Compared with conventional methods, the main advantages of the present procedure are milder conditions, shorter reaction time and higher yields.

Bis(acetophenone oxime) O,O'-methyl-ene ether.

In the mol-ecule of the title compound, C(17)H(18)N(2)O(2), the dihedral angle between the aromatic rings is 74.26 (3)°. The oxime units are oriented at dihedral angles of 7.

4-Hydroxy-ethyl-4-methyl-morpholinium chloride.

In the title compound, C(7)H(16)NO(2) (+)·Cl(-), the asymmetric unit consists of two cation-anion pairs, in which the ion pairs are inter-connected by weak C-H⋯Cl hydrogen bonds. Each cation forms a network of weak C-H⋯Cl hydrogen bonds to surrounding chloride ions. The morpholine ring is in a chair conformation.

4-Allyl-4-ethyl-morpholinium chloride.

In the title molecular salt, C(9)H(18)NO(+)·Cl(-), the morpholine ring adopts a chair conformation. In the crystal structure, intra-molecular C-H⋯Cl bonds occur and inter-molecular C-H⋯O and C-H⋯Cl hydrogen bonds link the mol-ecules.