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Gastroenterology Report

Kianoush Ansari-Gilani, Babak Seddigh Tonekaboni, Dean A Nakamoto, Jamak Modaresi Esfeh
OBJECTIVE: Portal pressure gradient (PPG) after transjugular intrahepatic portosystemic shunt (TIPS) <12 mmHg has been reported as the only factor predictive of increase in platelet count. As flow velocities measured on Doppler ultrasound are related to pressure gradient based on the Bernoulli equation, we used this parameter to predict increased platelet count after TIPS placement. METHODS: A total of 161 consecutive patients who underwent TIPS placement entered this retrospective study...
October 2, 2016: Gastroenterology Report
Ganglei Liu, Xianrui Wu, Yi Li, Yuanyi Rui, Luca Stocchi, Feza H Remzi, Bo Shen
BACKGROUND: There are no published studies on the impact of visceral adipose tissue (VAT) change on outcomes of restorative proctocolectomy and ileal pouch-anal anastomosis (IPAA). The aim of this historic cohort study was to evaluate the impact of excessive VAT gain on the outcomes of inflammatory bowel disease (IBD) patients with IPAA. METHODS: We evaluated all eligible patients with at least two sequential CT scans after pouch construction from our prospectively maintained Pouchitis Registry between 2002 and 2014...
September 25, 2016: Gastroenterology Report
Dan Xie, Kunpeng Hu, Ying Xian, Ying Wang, Xiaofeng Yuan, Mingliang Li, Xiaogang Bi, Kouxing Zhang
Peptic ulcer bleeding due to primary hyperparathyroidism is extremely rare. We report a case of a 42-year-old male with life-threatening acute upper gastrointestinal bleeding secondary to a duodenal ulcer and a history of kidney stones. Gastroscopic therapy, Billroth II gastrointestinal anastomosis and angiographic embolization were sequentially conducted to arrest the hemorrhage. A complete investigative work-up revealed that the duodenal ulcer bleeding was due to primary hyperparathyroidism coexisting with a parathyroid adenoma...
September 10, 2016: Gastroenterology Report
Khaled Ali Jadallah, Enas Walid Sarsak, Yara Mohammad Khazaleh, Rawan Mohammad Khair Barakat
We report a case of Budd-Chiari syndrome occurring in a patient with coeliac disease, who presented with symptoms of increased abdominal girth, right upper quadrant pain and shortness of breath for three weeks prior to admission. Initial assessment revealed the presence of moderate ascites, hepatosplenomegaly and right-sided pleural effusion. Further diagnostic work-up established a diagnosis of chronic Budd-Chiari syndrome. Interestingly, complete screening for pro-thrombotic factors was negative. A review of the literature on this association disclosed only 28 similar cases, with the majority of them describing individuals of North African origin...
September 7, 2016: Gastroenterology Report
Adil Coskun, Irfan Yavasoglu, M Hadi Yasa, Nil Culhaci, Vahit Yukselen
Drug-induced liver damage is a frequently encountered clinical table caused by many drugs. Cetirizine is a widely preferred and prescribed antihistaminic agent for allergic disorders due to its non-sedative properties. In view of the literature, we present four cases of hepatotoxicity due to cetirizine use. We conclude that in patients with high levels of liver enzymes of unknown origin, cetirizine as well as other hepatotoxic drugs should be reconsidered.
August 29, 2016: Gastroenterology Report
Amitabh Singh, Rachna Seth, Anand Gupta, Shalimar, Baibaswata Nayak, Subrat Kumar Acharya, Prasenjit Das
Chronic hepatitis E virus (HEV) infection is increasingly being reported in immunosuppressed individuals with HIV, patients with haematological malignancy and transplant recipients. The diagnosis of cirrhosis and liver failure post chronic HEV is controversial due to lack of standard diagnostic criteria. The treatment benefits of ribavirin in chronic HEV of genotype 1 are not well reported. We report a case of chronic HEV infection of genotype 1 leading to chronic liver disease in a child cured of acute leukaemia...
August 10, 2016: Gastroenterology Report
Vaibhav Wadhwa, Yash Jobanputra, Prashanthi N Thota, K V Narayanan Menon, Mansour A Parsi, Madhusudhan R Sanaka
BACKGROUND AND AIMS: Cholangiocarcinoma is a rare but devastating malignancy associated with a poor prognosis and a high mortality rate. With the recent advances in detection and treatment, it is unclear if the incidence and outcomes of cholangiocarcinoma are improving in the United States. The aim of this study was to evaluate the trends in the incidence, costs and mortality rates of cholangiocarcinoma- related hospital admissions in the USA. METHODS: We utilized the National Inpatient Sample Database (NIS) from 1997-2012 for all patients in whom cholangiocarcinoma (ICD-9 code 155...
August 10, 2016: Gastroenterology Report
Darshan Kothari, Joseph D Feuerstein, Laureen Moss, Julie D'Souza, Kerri Montanaro, Daniel A Leffler, Sunil G Sheth
BACKGROUND AND AIMS: Open-access scheduling is highly utilized for facilitating generally low-risk endoscopies. Preprocedural screening addresses sedation requirements; however, procedural safety may be compromised if screening is inaccurate. We sought to determine the reliability of our open-access scheduling system for appropriate use of conscious sedation. METHODS: We prospectively and consecutively enrolled outpatient procedures booked at an academic center by open-access using screening after in-office gastroenterology (GI) consultation...
July 31, 2016: Gastroenterology Report
(no author information available yet)
No abstract text is available yet for this article.
August 2016: Gastroenterology Report
Min-Hoe Chew, Yu-Ting Yeh, Evan Lim, Francis Seow-Choen
The advent of total mesorectal excision (TME) together with minimally invasive techniques such as laparoscopic colorectal surgery and robotic surgery has improved surgical results. However, the incidence of bladder and sexual dysfunction remains high. This may be particularly distressing for the patient and troublesome to manage for the surgeon when it does occur. The increased use of neoadjuvant and adjuvant radiotherapy is also associated with poorer functional outcomes. In this review, we evaluate current understanding of the anatomy of pelvic nerves which are divided into the areas of the inferior mesenteric artery pedicle, the lateral pelvic wall and dissection around the urogenital organs...
August 2016: Gastroenterology Report
Aparna Kalyan, Shaina Rozelle, Al Benson
No abstract text is available yet for this article.
August 2016: Gastroenterology Report
Cyriac Abby Philips, Amrish Sahney
Variceal disease and its management are of the utmost importance in the treatment of portal hypertension. Current guidelines are universal for management of variceal disease in portal hypertension. Classification and grading systems are numerous and differ according to geographical location. In this exhaustive review, the historical aspects of variceal disease, its classification and the grading systems in use are discussed, with self-explanatory tables and timelines. A better and clear understanding of the evolution of portal hypertension and variceal disease is provided...
August 2016: Gastroenterology Report
Federico Iacopini, Takuji Gotoda, Walter Elisei, Patrizia Rigato, Fabrizio Montagnese, Yutaka Saito, Guido Costamagna, Giampaolo Iacopini
BACKGROUND: Heterotopic gastric mucosa (HGM) is the most reported epithelial heterotopia, but it is very rare in the rectum and anus. METHODS: The first case of an asymptomatic adult male with a large nonpolypoid HGM in the low rectum underwent complete resection by endoscopic submucosal dissection (ESD) is reported. The systematic review was based on a comprehensive search of MEDLINE, EMBASE and Google Scholar. Studies on humans were identified with the term 'heterotopic gastric mucosa in the rectum and /or anus...
August 2016: Gastroenterology Report
Saleh Elwir, Hassan Hal, Joshua Veith, Ian Schreibman, Zakiyah Kadry, Thomas Riley
BACKGROUND AND AIMS: Hepatic encephalopathy is a common complication encountered in patients with liver cirrhosis. Hepatic encephalopathy is not reflected in the current liver transplant allocation system. Correlation was sought between hepatic encephalopathy with findings detected on radiographic imaging studies and the patient's clinical profile. METHODS: A retrospective analysis was conducted of patients with cirrhosis, who presented for liver transplant evaluation in 2009 and 2010...
August 2016: Gastroenterology Report
Damien Ck Loh, Robert B Wilson
BACKGROUND: Histoacryl glue (N-butyl-2-cyanoacrylate) has well-established utility in the endoscopic management of gastrointestinal variceal bleeding. The role of Histoacryl glue in non-variceal bleeding is less clear, and there are few articles describing its use in this setting. METHODS: Six patients with intractable non-variceal gastrointestinal bleeding were managed using injection of Histoacryl glue. All patients had previously failed conventional endostasis and/or interventional angioembolization and were not suitable for emergency salvage surgery due to serious comorbidities or unacceptable anaesthetic risk...
August 2016: Gastroenterology Report
Zubin Arora, Xianrui Wu, Udayakumar Navaneethan, Bo Shen
OBJECTIVE: Our aim was to assess the risk factors for non-surgery-related portal and mesenteric vein thrombosis (PMVT) and its impact on the outcomes of inflammatory bowel diseases (IBD). METHODS: All patients with a concurrent diagnosis of IBD and PMVT between January 2004 and October 2013 were identified from the electronic medical record (study group; n = 20). Patients were matched for age, sex, and IBD phenotype with control IBD patients who had no PMVT, with a ratio of 1:3 (control group; n = 60)...
August 2016: Gastroenterology Report
Mohammed Amine Benatta
Trichobezoars are rare, composed of hair and more common in female pediatric patients with psychiatric disorders. Open surgical extraction is the most common removal method. Only two endoscopic removals after fragmentation have been reported in the English literature. We report herein a third case of a trichobezoar that was successfully retrieved after endoscopic fragmentation with snare polypectomy and argon plasma coagulation in a six-year-old female patient. The trichobezoar mass was completely removed in 10 pieces after 15 passes...
August 2016: Gastroenterology Report
Jitin Yadav, Sanjay Kumar Yadav, Satish Kumar, Ranjan George Baxla, Dipendra Kumar Sinha, Pankaj Bodra, Ram Chandra Besra, Babu Mani Baski, Om Prakash, Abhinav Anand
OBJECTIVE: Our aim was to prospectively evaluate the accuracy of the bedside index for severity in acute pancreatitis (BISAP) score in predicting mortality, as well as intermediate markers of severity, in a tertiary care centre in east central India, which caters mostly for an economically underprivileged population. METHODS: A total of 119 consecutive cases with acute pancreatitis were admitted to our institution between November 2012 and October 2014. BISAP scores were calculated for all cases, within 24 hours of presentation...
August 2016: Gastroenterology Report
Udayakumar Navaneethan, Tarun Rai, Preethi Gk Venkatesh, Ravi P Kiran
BACKGROUND AND AIM: Crohn's colitis (CC) is associated with primary sclerosing cholangitis (PSC). However the risk of colon cancer or dysplasia in CC and PSC is unclear. Our aim was to study the risk of colon neoplasia in CC in patients with and without PSC. METHODS: This is a nested, case-control cohort study of all patients diagnosed with concurrent CC and PSC, seen at the Cleveland Clinic between 1985 and 2012. Forty-three patients with both CC and PSC were compared with a random sample of 159 CC controls without PSC during the same period...
August 2016: Gastroenterology Report
Vaibhav Wadhwa, Eoin Slattery, Sagar Garud, Saurabh Sethi, Helen Wang, Vitaliy Y Poylin, Tyler M Berzin
Endometriosis is defined as the presence of endometrial glands and stroma at extra-uterine sites; it is a common disease affecting women of reproductive age. Endometrial tissue can implant itself to various organs, including the gastrointestinal tract, and can cause significant gastrointestinal symptoms. These ectopic endometrial tissue implants are usually located in the pelvis but can be present almost anywhere in the body. Endometriosis seems to be the most frequent cause of chronic pelvic pain in women of reproductive age and may cause prolonged suffering and disability that negatively affect health-related quality of life...
August 2016: Gastroenterology Report
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