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Middle East Journal of Digestive Diseases

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https://www.readbyqxmd.com/read/27698975/upper-gastrointestinal-bleeding-as-the-first-manifestation-of-wegener-s-granulomatosis
#1
Hamid Tavakkoli, Mehdi Zobeiri, Mansour Salesi, Mohammad Hossein Sanei
Wegener's granulomatosis is an uncommon inflammatory disease that manifests as vasculitis, granulomatosis, and necrosis. It usually involves the upper and lower respiratory tracts and kidneys. Although it may essentially involve any organ, gastrointestinal (GI) involvement is notably uncommon. A 20-year-old male patient presented with epigastric pain, vomiting, hematemesis, and melena. On physical examination, he was pale. There was no abdominal tenderness or organomegaly. Upper GI endoscopy revealed dark blue-colored infiltrative lesions in prepyloric area...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698974/spyglass-pancreatoscopy-and-successful-retrieval-of-a-proximally-migrated-pancreatic-stent-unusual-case-and-technical-tips
#2
Aliraza Rahimi, Fardad Ejtehadi
Pancreatic stent proximal migration is a well known complication of pancreatic duct stenting, which occurs in about 5-6% of cases. Serious complications should be avoided by retrieval of the stent via different endoscopic techniques. We report a new technique previously reported only once (in a pancreatic duct with underlying pathology), to remove the proximally migrated pancreatic stent in a normal pancreatic duct by SpyGlass Direct Visualization System (Boston Scientific, Natick, Massachusetts, USA) and SpyBite Forceps (Boston Scientific, Natick, Massachusetts, USA)...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698973/molecular-and-immunohistochemical-study-of-platelet-derived-growth-factor-receptor-alpha-in-kit-negative-gastrointestinal-stromal-tumors-the-first-report-from-iran
#3
Bita Geramizadeh, Zahra Jowkar, Seyed-Javad Mousavi
: BACKGROUND Gastrointestinal stromal tumors (GISTs) are potentially malignant tumors; however their behavior and response to treatment is dependent on the type of mutation and immunohistochemical expression of antigens. It is recommended to perform routine molecular and immunohistochemical tests in KIT and platelet derived growth factor receptor alpha (PDGFRA) molecules for making decision regarding targeted therapy and prediction of the behavior of the tumor. OBJECTIVES: There has been no study from Iran regarding the PDGFRA mutational analysis in GISTs...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698972/a-comparison-between-hybrid-and-concomitant-regimens-for-helicobacter-pylori-eradication-a-randomized-clinical-trial
#4
Saman Alhooei, Hafez Tirgar Fakheri, Vahid Hosseini, Iradj Maleki, Tarang Taghvaei, Seyed Mohammad Valizadeh, Zohreh Bari
BACKGROUND Helicobacter pylori (H. pylori) is one of the most common bacterial infections worldwide. We designed a study to compare the efficacy of 14-day hybrid regimen with 10-day concomitant therapy for H. pylori eradication in Iran. METHODS 252 patients with naïve H. pylori infection were randomly divided to receive either hybrid regimen (pantoprazole 40 mg, and amoxicillin 1 gr twice daily for 14 days, accompanied by clarithromycin 500 mg, and metronidazole 500 mg, twice daily just during the last 7 days) or concomitant regimen (pantoprazole 40 mg, amoxicillin 1 gr, clarithromycin 500 mg, and metronidazole 500 mg, all twice daily for 10 days)...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698971/accuracy-of-99mtc-v-dimercaptosuccinic-acid-scintigraphy-and-fecal-calprotectin-compared-with-colonoscopy-in-localizing-active-lesions-in-inflammatory-bowel-disease
#5
Vahid Basirat, Zahra Azizi, Sanam Javid Anbardan, Mina Taghizadeh Asl, Yasaman Farbod, Azam Teimouri, Nasser Ebrahimi Daryani
INTRODUCTION Due to limitation of colonoscopy in assessing the entire bowel and patients' intolerance in inflammatory bowel disease (IBD), in the current study, we aimed to prospectively compare the accuracy of (99m)Tc(V)-dimercaptosuccinic acid (DMSA) and fecal calprotectin with ileocolonoscopy as new methods for localizing inflammations. METHODS Current prospective study conducted between 2012 and 2014 on 30 patients with IBD attending Gastroenterology Clinic of Tehran University of Medical Sciences. Fecal calprotectin and disease activity were measured for all participants and all of them underwent (99m)Tc (V)-DMSA scintigraphy and colonoscopy...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698970/association-between-pattern-of-gastritis-and-gastroesophageal-reflux-disease-in-patients-with-helicobacter-pylori-infection
#6
Hossein Nobakht, Amirhossein Boghratian, Masoudreza Sohrabi, Mohammad Panahian, Naser Rakhshani, Mehdi Nikkhah, Hossein Ajdarkosh, Gholamreza Hemmasi, Mahmoodreza Khonsari, Ali Gholami, Neda Rabiei, Farhad Zamani
: BACKGROUND Reflux disease is a common gastrointestinal problem. The association between reflux disease and gastritis pattern is controversial. AIM: To determine the association between reflux disease and gastritis pattern in patients with Helicobacter pylori (H. pylori) infection. METHODS 470 patients with dyspepsia and reflux disease were enrolled in this study. The inclusion criteria were willing to participate in the study, age over 40 years, and having the criteria of ROME III for at least 3 months...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698969/factors-associated-with-outcome-in-patients-with-acute-upper-gastrointestinal-bleeding-in-a-tertiary-referral-center-in-northern-iran
#7
Fatemeh Baradaran, Alireza Norouzi, Samaneh Tavassoli, Abdolvahab Baradaran, Gholamreza Roshandel
BACKGROUND Upper gastrointestinal bleeding (UGIB) is a major healthcare problem and is the most frequent gastrointestinal reason for admission to hospital. We aimed to investigate the prognosis of patients with UGIB referred to a referral hospital in northern Iran in 2013. METHODS All patients with UGIB who admitted to Sayyad Shirazi Hospital, in Gorgan, northern Iran, in 2013 were enrolled. The patients' demographic data as well as data about admission, diseases, drug history, and patients' prognosis were collected by structured questionnaire using information in hospital files...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698968/seroprevalence-of-hepatitis-e-virus-in-iran-a-systematic-review-and-meta-analysis
#8
Meysam Behzadifar, Kamran B Lankarani, Shadi Abdi, Masood Taheri Mirghaed, Gholam Beyranvand, Abouzar Keshavarzi, Gholamreza Ghoreishinia, Aziz Rezapour, Masoud Behzadifar
BACKGROUND Hepatitis E virus (HEV) is one of common causes of viral hepatitis worldwide with higher prevalence in tropical and subtropical regions. Although epidemics of HEV have been reported from Iran, there are variable reports of this infection out of epidemics from different parts of Iran. This study aimed to determine the seroprevalence of HEV in Iran. METHODS In this systematic review and meta-analysis we searched PubMed, Scopus, Science direct, Google Scholar, Scientific Information Databank (SID), IranMedex, and Magiran for all relevant studies published in either English or Persian languages, up to 2015...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698967/the-effect-of-probiotic-plus-prebiotic-supplementation-on-the-tolerance-and-efficacy-of-helicobacter-pylori-eradication-quadruple-therapy-a-randomized-prospective-double-blind-controlled-trial
#9
Afshin Shafaghi, Aydin Pourkazemi, Mohsen Khosravani, Saba Fakhrie Asl, Alireza Amir Maafi, Zahra Atrkar Roshan, Jafar Abaspour Rahimabad
BACKGROUND Standard anti-Helicobacter pylori (H. pylori) treatment fails in the eradication of the organism in almost 10-35% of the patients and has different side effects. Recent studies have proposed that probiotic supplementations with or without prebiotic may improve the eradication rate and diminish the side effects, although it is still a controversial issue. We aimed to investigate the effect of probiotic with prebiotic supplementation on the eradication rate and side effects of anti H. pylori quadruple therapy...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698966/new-concepts-on-pathogenesis-and-diagnosis-of-liver-fibrosis-a-review-article
#10
Hedyeh Ebrahimi, Mohammadreza Naderian, Amir Ali Sohrabpour
Liver fibrosis is a potentially reversible response to hepatic insults, triggered by different chronic diseases most importantly viral hepatitis, alcoholic, and nonalcoholic fatty liver disease. In the course of the chronic liver disease, hepatic fibrogenesis may develop, which is attributed to various types of cells, molecules, and pathways. Activated hepatic stellate cell (HSC), the primary source of extracellular matrix (ECM), is fundamental in pathophysiology of fibrogenesis, and thus is the most attractable target for reversing liver fibrosis...
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27698965/diet-and-the-gut
#11
Kamran B Lankarani
No abstract text is available yet for this article.
July 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27252824/an-uncommon-cause-of-splenomegaly
#12
Biswajit Dey, Jyotsna Naresh Bharti, Richa Gupta, Tejinder Singh, Nita Khurana
No abstract text is available yet for this article.
April 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27252823/is-occult-hepatitis-b-virus-infection-with-detectable-anti-hbs-infectious-or-not
#13
Murat Afyon, Cumhur Artuk
No abstract text is available yet for this article.
April 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27252822/juvenile-hemochromatosis-in-iran-a-case-report-with-5-year-follow-up-after-treatment
#14
Hossein Nobakht, Sheida Zolfaghari, Mohsen Pourazizi, Mojtaba Malek
Juvenile hemochromatosis is a rare autosomal recessive disorder that typically occurs in the first to third decades of life. Its symptoms are more acute and severe than classic hemochromatosis. We describe a 27-year-old man who was referred to the gastrointestinal clinic with a probable diagnosis of fatty liver and was finally diagnosed as having juvenile hemochromatosis. A review of the scientific literature reveals that recently only three siblings suffering from the disease have been reported in Iran.
April 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27252821/fever-weight-loss-and-early-satiety-due-to-gastric-inflammatory-myofibroblastic-tumor-case-report-and-literature-review
#15
Mohammadreza Mohammad Hoseini-Azar, Marjan Mokhtare, Ali Zare-Mirzaie, Abbas Gholami, Shahram Agah, Seyed Mohammad Sadegh Ghafoori
Gastric inflammatory myofibroblastic tumor (IMT) is a rare tumor with and unpredictable prognosis usually find in young adults. We present an 18-yearold man with gastric IMT. He complained of epigastric pain, intermittent fever and night sweating associated with weight loss since two years ago. Physical examination showed anemic and cachestic features with mild abdominal tenderness in palpitation as well as an abdominal mass in epigastrium. Abdominal CT scan revealed a huge mass that was arising from the stomach...
April 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27252820/the-prevalence-of-metabolic-syndrome-in-non-alcoholic-fatty-liver-disease-a-population-based-study
#16
Mohammad Reza Fattahi, Ramin Niknam, Alireza Safarpour, Masood Sepehrimanesh, Mehrzad Lotfi
BACKGROUND Some evidence, not in large study populations, suggests that nonalcoholic fatty liver disease (NAFLD) and metabolic syndrome (MetS) share common interactions. We aimed to determine the prevalence of NAFLD and MetS in a large population registered to Kavar Cohort Study center. We also assessed the role of each component of MetS in NAFLD existence. METHODS Data were obtained from 3415 volunteers who called and refereed to our center. Complete anthropometric and laboratory measurement and abdominal ultrasonography was done for these individuals to screen NAFLD and its grade...
April 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27252819/inverse-association-of-plasma-level-of-glutathione-peroxidase-with-liver-fibrosis-in-chronic-hepatitis-b-potential-role-of-iron
#17
Shirin Moossavi, Sima Besharat, Maryam Sharafkhah, Reza Ghanbari, Amrollah Sharifi, Parisa Rezanejad, Akram Pourshams, Hossein Poustchi, Ashraf Mohamadkhani
BACKGROUND Oxidative stress has a major pathogenic role for liver damage following chronic hepatitis B. Glutathione peroxidase (Gpx) is necessary in oxidative state mechanism that is generally down-regulated by Hepatitis B virus (HBV) infection. On the other hand, disorders of iron homeostasis have been found out in HBV infected patients. Therefore, the objective of this study was to assess the interplay of Gpx and serum iron on clinical and virological features of patients with chronic HBV infection. METHODS One hundred and fifty adult, treatment-naïve, patients with chronic hepatitis B were randomly designated from an ongoing cohort of patients with HBV...
April 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27252818/nonadherence-to-medication-in-inflammatory-bowel-disease-rate-and-reasons
#18
Mohammad Reza Ghadir, Mohammad Bagheri, Homayoon Vahedi, Nasser Ebrahimi Daryani, Reza Malekzadeh, Ahmad Hormati, Shadi Kolahdoozan, Meghedi Chaharmahali
BACKGROUND This study is the first study to evaluate the nonadherence rate and reasons of same patient with inflammatory bowel disease (IBD) in Iran. METHODS During 9 months, 500 patients with IBD were enrolled in the study. Patients were interviewed about their nonadherence behaviors. Factor analysis was used to analyze the collected answers. RESULTS The overall rate of nonadherence was 33.3% (27.6% intentional nonadherence and 5.7% unintentional nonadherence). 33.6% of the patients had at least one relapse after discontinuing treatment...
April 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27252817/an-accessible-and-pragmatic-experimental-model-of-nonalcoholic-fatty-liver-disease
#19
Hadi Emamat, Maryam Noori, Forough Foroughi, Marjan Rismanchi, Hassan Eini-Zinab, Azita Hekmatdoost
UNLABELLED: BACKGROUND There is no convenient cheap pragmatic experimental model for Nonalcoholic Fatty Liver Disease (NAFLD)/Nonalcoholic Steatohepatitis (NASH). OBJECTIVE: Our objective was to create a pragmatic model of NAFLD/NASH. METHODS Sprague-Dawley rats were fed a high-fat, high sugar homemade diet ad libitum for seven weeks. The high-fat, high sugar diet included 59% of energy derived from fat, 30% from carbohydrates, and 11% from protein. Serum levels of fasting glucose, triglyceride, cholesterol, liver enzymes, insulin, and hepatic tumor necrosis factor-alpha (TNF-α) gene expression were determined...
April 2016: Middle East Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27252816/solid-pseudopapillary-neoplasm-of-pancreas-a-case-series-and-review-literature
#20
Babak Mirminachi, Solmaz Farrokhzad, Amir Houshang Sharifi, Sepideh Nikfam, Arash Nikmanesh, Reza Malekzadeh, Akram Pourshams
BACKGROUND Information regarding solid pseudopapillary neoplasm (SPN) of the pancreas is limited in Iran. We aimed to review the clinicocytopathological features and follow-up of patients with SPN of pancreas who were diagnosed in a single center in Iran. METHODS Seven patients with SPN of the pancreas were diagnosed during January 2010 to March 2015 at the Digestive Disease Research Institute of Tehran University of Medical Sciences. The patients were reviewed prospectively. RESULTS Six out of the 7 patients were female and the mean age of all the patients was 29...
April 2016: Middle East Journal of Digestive Diseases
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