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https://www.readbyqxmd.com/read/29443759/a-traumatic-hepatic-artery-pseudoaneurysm-and-arterioportal-fistula-with-severe-diarrhea-as-the-first-symptom-a-case-report-and-review-of-the-literature
#1
Ping Han, Lan Yang, Xiao-Wei Huang, Xiu-Qin Zhu, Li Chen, Nan Wang, Zhen Li, De-An Tian, Hua Qin
RATIONALE: Hepaticarterioportal fistula (APF) is a rare cause of portal hypertension and gastrointestinal hemorrhage, and presents as abnormal communication between the hepatic artery and portal vein. Percutaneous liver biopsy is a main iatrogenic cause of AFP. However, non-iatrogenic, abdominal, trauma-related APF is rarely reported. PATIENT CONCERNS: A 29-year-old man presenting with severe, watery diarrhea was transferred to our hospital, and his condition was suspected to be acute gastroenteritis because he ate expired food and suffered a penetrating abdominal stab wound 5 years ago...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29434495/carcinosarcoma-of-stomach-confined-to-the-mucosa
#2
Hirohiko Kuroda, Hiroaki Saito, Yusuke Kono, Yuki Murakami, Yuji Shishido, Tomoyuki Matsunaga, Yoji Fukumoto, Tomohiro Osaki, Keigo Ashida, Kanae Nosaka, Yoshihisa Umekita, Yoshiyuki Fujiwara
Carcinosarcoma is a malignant tumor composed of both epithelial and mesenchymal malignant tumor components. A 78-year-old man was transferred to our hospital because of hematemesis and tarry stool. An emergency gastrointestinal endoscopic examination revealed active bleeding from an ulcerative lesion on the posterior wall of the gastric body; endoscopic hemostasis was successfully performed. A gastrointestinal endoscopy performed two months later showed a polypoid lesion at the same place where the ulcer had been...
December 2017: Yonago Acta Medica
https://www.readbyqxmd.com/read/29433389/phytotherapeutic-activities-of-sanguisorba-officinalis-and-its-chemical-constituents-a-review
#3
Eungyeong Jang, Kyung-Soo Inn, Young Pyo Jang, Kyung-Tae Lee, Jang-Hoon Lee
Sanguisorba officinalis Linne (S. officinalis, Rosaceae) has been used as a medicinal plant for the treatment of burns, hematemesis, melena, intestinal infections, and dermatitis for a long time in China, Korea, and Japan. The therapeutic efficacy of this herb is intimately associated with its anti-oxidant, anti-inflammatory, antiviral, antifungal, hemostatic, and anticancer activities. Its root contains triterpenoid saponins (zigyuglycoside I: C[Formula: see text]H[Formula: see text]O[Formula: see text] and ziyuglycoside II: C[Formula: see text]H[Formula: see text]O8) and tannins (sanguiin H-6: C[Formula: see text]H[Formula: see text]O[Formula: see text])...
February 12, 2018: American Journal of Chinese Medicine
https://www.readbyqxmd.com/read/29432050/preventing-rescue-surgeries-by-endoscopic-clipping-a-valuable-resource-in-the-surgeon-toolbox
#4
Shanglei Liu, Garth R Jacobsen, Bryan J Sandler, Thomas J Savides, Syed Fehmi, Hans Fuchs, Ran B Luo, Jonathan C Delong, Alisa M Coker, Caitlin Houghton, Santiago Horgan
AIM: Over-the-scope-clip (OTSC) System is a relatively new endoluminal intervention for gastrointestinal (GI) leaks, fistulas, and bleeding. Here, we present a single center experience with the device over the course of 4 years. METHODS: Retrospective chart review was conducted for patients who received endoscopic OTSC treatment. Primary outcome is the resolution of the original indication for clip placement. Secondary outcomes are complications and time to resolution...
February 12, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29409302/factors-associated-with-rebleeding-in-patients-with-peptic-ulcer-bleeding-analysis-of-the-korean-peptic-ulcer-bleeding-k-pub-study
#5
Joon Sung Kim, Byung-Wook Kim, Sung Min Park, Ki-Nam Shim, Seong Woo Jeon, Sang-Wook Kim, Yong Chan Lee, Hee Seok Moon, Si Hyung Lee, Woon Tae Jung, Jin Il Kim, Kyoung Oh Kim, Jong-Jae Park, Woo Chul Chung, Jeong Hwan Kim, Gwang Ho Baik, Jung Hwan Oh, Sun Moon Kim, Hyun Soo Kim, Chang Heon Yang, Jin Tae Jung, Chul Hyun Lim, Hyun Joo Song, Yong Sik Kim, Gwang Ha Kim, Jie-Hyun Kim, Jae-Il Chung, Jun Haeng Lee, Min Ho Choi, Jong-Kyoung Choi
Background/Aims: Rebleeding is associated with mortality in patients with peptic ulcer bleeding (PUB), and risk stratification is important for the management of these patients. The purpose of our study was to examine the risk factors associated with rebleeding in patients with PUB. Methods: The Korean Peptic Ulcer Bleeding registry is a large prospectively collected database of patients with PUB who were hospitalized between 2014 and 2015 at 28 medical centers in Korea...
February 8, 2018: Gut and Liver
https://www.readbyqxmd.com/read/29403613/profile-of-peptic-ulcer-disease-and-its-risk-factors-in-arar-northern-saudi-arabia
#6
Afaf Shuaib Badi Albaqawi, Nagah Mohamed Abo El-Fetoh, Reem Faleh Abdullah Alanazi, Najah Salah Farhan Alanazi, Sara Emad Alrayya, Arwa Nughaymish Mulfi Alanazi, Shoug Zeid Trad Alenezi, Rehab Abdallah Alrkowi Alanazi, Anfal Muaddi Alshalan, Omar Tabaan Alenezi, Wafaa Mohamed Bakr Ali
Background: Peptic ulcer disease is a multifactorial health problem, and its prevalence and risk factors have changed considerably within the past century. Objective: To determine the prevalence of peptic ulcer among the population of Arar city and to identify risk factors for peptic ulcer and to estimate their relative impact on ulcer incidence. Methods: A cross-sectional study was carried out on the population of Arar city, Northern Saudi Arabia from November 01, 2016 to April 30, 2017...
November 2017: Electronic Physician
https://www.readbyqxmd.com/read/29399041/insights-into-the-management-of-gastric-antral-vascular-ectasia-watermelon-stomach
#7
REVIEW
Wen-Hung Hsu, Yao-Kuang Wang, Meng-Shu Hsieh, Fu-Chen Kuo, Meng-Chieh Wu, Hsiang-Yao Shih, I-Chen Wu, Fang-Jung Yu, Huang-Ming Hu, Yu-Chung Su, Deng-Chyang Wu
Gastric antral vascular ectasia (GAVE) is an uncommon but important cause of chronic gastrointestinal bleeding. It is often associated with systemic diseases such as autoimmune diseases, liver cirrhosis, chronic renal insufficiency and cardiovascular disease. The etiology of GAVE has not been fully explored and remains controversial. Diagnosis is mainly based on endoscopic presentation with flat or raised erythematous stripes radiating from the pylorus to the antrum and resembles a watermelon. Clinical presentation may range from iron-deficiency anemia secondary to occult blood loss, melena to hematemesis...
2018: Therapeutic Advances in Gastroenterology
https://www.readbyqxmd.com/read/29395896/pilot-study-of-the-safety-and-efficacy-of-gallbladder-cryoablation-in-a-porcine-model-midterm-results
#8
Hugh C J McGregor, Andrew Surman, Adrian Fernandez, Maythem Saeed, Mark Wilson, Steve Hetts, Miles Conrad
PURPOSE: To investigate the midterm safety and efficacy of computed tomography (CT)-guided percutaneous gallbladder cryoablation in swine. MATERIALS AND METHODS: Three swine underwent gallbladder cryoablation. Cryoprobes were positioned percutaneously at the gallbladder margins or within the gallbladder lumen under CT guidance. Two freeze/thaw cycles were performed. One animal was euthanized on postprocedure day 4 as a result of hematemesis unrelated to the ablation...
January 27, 2018: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29392063/unilateral-pedunculated-lymphangiectatic-fibrolipomatous-polyp-of-the-palatine-tonsil-a-rare-case
#9
Nesibe Gül Yüksel Aslıer, Mustafa Aslıer
Lymphangiomatous polyps are rare benign hamartomatous tumors of the palatine tonsils that can cause significant distress to the patients such as sore throat, foreign body sensation, a lumpy feeling in the throat region, dysphagia, and eventual suffocation. In this paper, the case of a 17-year-old male who came to the outpatient clinic with a complaint of difficulty in swallowing, eventual vomiting, and occasions of hematemesis is presented. On physical examination, the patient had a smooth-surface, polypoid, pedunculated tumoral lesion originating from the middle pole of the left palatine tonsil and protruding into the oropharyngeal isthmus...
June 2017: Turkish Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29391314/a-case-of-multiple-myeloma-initially-presenting-as-hematemesis
#10
Hai Bo Zhou
A few cases of multiple myeloma with gastrointestinal bleeding have been reported, but hematemesis is rarely encountered as an initial symptom of multiple myeloma. Here we report a case of multiple myeloma with an initial symptom of hematemesis. Gastroscopy revealed ulceration in the angulus of the stomach. Colonoscopy revealed many ulcers in the ascending colon. A definite diagnosis of gastrointestinal amyloidosis was made using tissue biopsy. A definite diagnosis of multiple myeloma was made using bone marrow puncture...
January 2018: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/29390331/correlation-of-metastasis-characteristics-with-prognosis-in-gastric-mixed-adenoneuroendocrine-carcinoma-two-case-reports
#11
Qiang Tang, Zili Zhou, Jinhuang Chen, Maojun Di, Jintong Ji, Wenzheng Yuan, Zhengyi Liu, Liang Wu, Xudan Zhang, Kang Li, Xiaogang Shu
RATIONALE: This article is aimed to retrospect the clinicopathological data of 2 cases of gastric MANENCs. MANEC is a rare biphasic tumor type that is coexistence of dual neuroendocrine and adenocarcinoma differentiation with each composing exceeding 30% volume. Gastric MANEC have just been reported anecdotally in the literature due to their rarity and heterogeneity. According to our study, these neoplasms have 3 different metastasis patterns: only adenocarcinomatous or neuroendocrine carcinoma and both of the 2 components...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390289/endovascular-stent-graft-repair-of-aortogastric-fistula-caused-by-peptic-ulcer-after-esophagectomy-a-case-report
#12
Xiao-Qing Wei, Lei Song, Xue-Song Zhang, Kui-Yang Wang, Jie Wu
RATIONALE: Aortogastric fistula (AGF) is a rare but devastating clinical complication after esophagectomy. In a recent report, nearly all AGF patients died of massive hemorrhage or aspiration of massive hematemesis. Therefore, timely appropriate treatment of AGF remains a challenge.Herein, we report a case of AGF that resulted from peptic ulceration after esophagectomy and was successfully treated with endovascular stent graft placement. PATIENT CONCERNS: A 59-year-old man had undergone video-assisted thoracoscopic esophagectomy for squamous cell carcinoma and esophageal reconstruction using a gastric tube 14 months previously...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29383555/superb-microvascular-imaging-smi-findings-of-splenic-artery-pseudoaneurysm-a-report-of-two-cases
#13
Yumiko Yamanaka, Hideaki Ishida, Hiroko Naganuma, Tomoya Komatsuda, Hideaki Miyazawa, Takaharu Miyauchi, Satoshi Takahashi, Tomoki Tozawa, Katsuhiko Enomoto
Splenic artery pseudoaneurysm (SAPA) is a relatively infrequently encountered but clinically important vascular change, because it carries a high risk of rupture that warrants prompt treatment regardless of its size. Thus, sufficient knowledge is indispensable when seeing chronic pancreatitis patients or post-traumatic patients. Here, we report two such cases. The first case was a 52-year-old woman known to have chronic pancreatitis who presented with hematemesis and hemodynamic instability in which X-ray computed tomography (CT) and color Doppler sonography (CDS) had difficulty visualizing slow blood flow in SAPA, but superb microvascular imaging (SMI) clearly demonstrated the slow blood flow in SAPA, prompting our therapeutic decision to perform rapid embolization...
January 30, 2018: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/29380820/severity-and-outcomes-of-upper-gastrointestinal-bleeding-with-bloody-vs-coffee-grounds-hematemesis
#14
Loren Laine, Stig B Laursen, Liam Zakko, Harry R Dalton, Jing H Ngu, Michael Schultz, Adrian J Stanley
OBJECTIVES: Numerous reviews indicate bloody hematemesis signifies more severe bleeding than coffee-grounds hematemesis. We assessed severity and outcomes related to bleeding symptoms in a prospective study. METHODS: Consecutive patients presenting with hematemesis or melena were categorized as bloody emesis (N=1209), coffee-grounds emesis without bloody emesis (N=701), or melena without hematemesis (N=1069). We assessed bleeding severity (pulse, blood pressure) and predictors of outcome (hemoglobin, risk stratification scores) at presentation, and outcomes of bleeding episodes...
January 30, 2018: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/29375843/inflammatory-myofibroblastic-tumor-of-the-esophagus-presenting-with-hematemesis-and-melaena-a-case-report-and-review-of-literature
#15
Umesh Jayarajah, Rasika P Bulathsinghala, Dassanayake M Sumana Handagala, Dharmabandhu Nandadeva Samarasekera
Esophageal inflammatory myofibroblastic tumors (IMT) are extremely rare, and the understanding on the clinical presentation is limited. IMT of esophagus should be considered as a differential diagnosis in the context of unexplained upper gastrointestinal bleeding and rapidly progressing dysphagia in young patients.
January 2018: Clinical Case Reports
https://www.readbyqxmd.com/read/29374951/-comparison-on-the-function-of-rose-as-interpreted-by-traditional-chinese-medicine-and-medicine-of-uighur-ethnic-group
#16
L Cheng, Y Zhen
As a kind of edible herbal plant, rose is recorded both in the literature of Han medicine and medicine of Uighur ethnic group, yet with different understanding on its function and different clinical application as well. Both Han and Uighur medicine maintain that rose possesses the functions of improving one's look and moisturizing the skin, aromatic deodorant and invigorating spleen to treat inflammation and damage, hematemesis, pain and diarrhea etc. In addition, rose is also used to treat wind bi(impediment or migratory arthralgia), acute mastitis, breast lump and depression in Han medicine, while in Uighur medicine, it is also used to treat constipation, palpitation, flat wart and dry throat...
November 28, 2017: Zhonghua Yi Shi za Zhi, Chinese Journal of Medical History
https://www.readbyqxmd.com/read/29372125/dilated-thoracic-esophagus-presenting-with-painful-progressive-persistent-dysphagia-and-leukocytosis-of-unknown-origin
#17
Kyawzaw Lin, Jamil Shah, Emmanuel Ofori, Vahe Shahnazarian, Madhavi Reddy
Esophageal cancer is the eighth-most common cause of cancer-related mortality worldwide. The most common presenting symptom in advanced distal esophageal cancer is the sensation of sticking food, but it may sometimes present with bleeding and related complications, or asymptomatic leukocytosis. We present the case of a 77-year-old afebrile man with chronic alcoholism and a dilated thoracic esophagus with painful, progressive, and persistent dysphagia and leukocytosis of unknown origin. A 77-year-old man with a past medical history of hypertension and colonic cancer status post right hemicolectomy (surveillance negative) presented to the emergency department with painful, progressive, persistent, and worsening dysphagia for the past three weeks...
November 16, 2017: Curēus
https://www.readbyqxmd.com/read/29349540/self-dilation-for-therapy-resistant-benign-esophageal-strictures-towards-a-systematic-approach
#18
Emo E van Halsema, Chantal A 't Hoen, Patricia S de Koning, Wilda D Rosmolen, Jeanin E van Hooft, Jacques J Bergman
BACKGROUND: Patients with therapy-resistant benign esophageal strictures (TRBES) suffer from chronic dysphagia and generally require repeated endoscopic dilations. For selected patients, esophageal self-dilation may improve patient's autonomy and reduce the number of endoscopic dilations. We evaluated the clinical course and outcomes of patients who started esophageal self-dilation at our institution. METHODS: This study was a retrospective case series of patients with TRBES who started esophageal self-dilation between 2012 and 2016 at the Academic Medical Center Amsterdam...
January 18, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29325526/aortoesophageal-fistula-and-arch-pseudoaneurysm-after-removing-of-a-swallowed-chicken-bone-a-case-report-of-one-stage-hybrid-treatment
#19
Jia-Yu Shen, Hong-Wei Zhang, Kang-Jun Fan, Hu Liao, Er-Yong Zhang, Jia Hu
BACKGROUND: Aortoesophageal fistula (AEF) and arch pseudoaneurysm are rare complications induced by a foreign body, and considerable controversy remains regarding the appropriate management strategies. We herein report a successful one-stage hybrid treatment in a patient with AEF and arch pseudoaneurysm. CASE PRESENTATION: The patient, a 40-year-old man, presented to the emergency room because of intense retrosternal discomfort for 3 days and hematemesis for 3 h...
January 11, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29319257/bottle-gourd-lagenaria-siceraria-juice-poisoning
#20
Pravin M Rathi, Pinakin S Patel
We present the case of a young woman who presented to us with multiple episodes of vomiting, followed by hematemesis and abdominal pain after consuming bottle gourd juice. The patient was resuscitated and stabilized with fluids, proton pump inhibitors and antiemetics and discharged in stable condition. As a member of the Cucurbitaceae family, bottle gourd contains toxic tetracyclic triterpenoid compounds called cucurbitacins which are responsible for the bitter taste and toxicity. There is no known antidote for this toxicity, and clinicians treat such patients symptomatically only...
October 2017: Journal of the Association of Physicians of India
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