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Upper digestive tract bleeding

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https://www.readbyqxmd.com/read/27900870/-hemosuccus-pancreaticus-rare-complication-of-chronic-pancreatitis
#1
Igor Šturdík, Martin Kužma, Zuzana Kužmová, Tomáš Koller, Vladimír Javorka, Tibor Hlavatý, Juraj Payer
Hemosuccus pancreaticus is a rare cause of upper digestive tract bleeding, it is hemorrhage to the pancreatic duct. A case report is about 56-years old man who was repeatedly hospitalized and suffered from melena and enterorrhagia during 3 years. Imaging studies did not clearly identified etiology of bleeding or source of hemorrhage was wrong identified. Finally, hemosuccus pancreaticus from collaterals of pseudoaneurysm after embolization was suspected because of repeating hemorrhage and embolization of a gastroduodenal artery in history...
2016: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/27894604/evaluation-of-the-efficacy-of-therapeutic-endoscopy-in-gastrointestinal-bleeding-secondary-to-angiodysplasias
#2
J Arribas Anta, C Zaera de la Fuente, R Martín Mateos, J A González Martín, A Cañete Ruiz, D Boixeda de Miquel, A Albillos Martínez
INTRODUCTION: Gastrointestinal angiodysplasias are defined as vascular dilations that communicate capillaries and veins in the walls of the digestive tract. The clinical presentation of these lesions varies from chronic occult bleeding to severe gastrointestinal hemorrhage. AIM: The primary aim of our study was to analyze lesion location, the efficacy of therapeutic endoscopy with argon plasma coagulation, and the factors associated with rebleeding in patients with gastrointestinal angiodysplasias...
November 25, 2016: Revista de Gastroenterología de México
https://www.readbyqxmd.com/read/27737411/primary-aortoduodenal-fistula-first-you-should-suspect-it
#3
Mircea Beuran, Ionut Negoi, Ruxandra Irina Negoi, Sorin Hostiuc, Sorin Paun
A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial contrast material toward the digestive tract. The patient was transported to the operating room for emergency laparotomy, which showed an aortoduodenal fistula. After proximal and distal aortic vascular control, the two anatomical structures were dissected with duodenorrhaphy, patch repair of the aortic tear and omentum interposition...
May 2016: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/27677116/ulcerated-choledochocele-a-case-report
#4
E Ray-Offor, S N Elenwo, P O Igwe, C Ngeribara
BACKGROUND: The cystic dilatation of the biliary tract is an uncommon anomaly. Choledochocele, a cystic dilatation of the distal common bile duct, rarely presents clinically as massive gastrointestinal bleeding. AIM: This is to report a very rare disease condition and highlight minimal access options in surgical care. CASE SUMMARY: A 13 year-old boy was referred with a day history of sudden onset of passage of bright red blood per rectum with a fainting episode...
September 13, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27348725/meddra%C3%A2-automated-term-groupings-using-ontoadr-evaluation-with-upper-gastrointestinal-bleedings
#5
Julien Souvignet, Hadyl Asfari, Jérémy Lardon, Emilie Del Tedesco, Gunnar Declerck, Cédric Bousquet
OBJECTIVE: To propose a method to build customized sets of MedDRA terms for the description of a medical condition. We illustrate this method with upper gastrointestinal bleedings (UGIB). RESEARCH DESIGN AND METHODS: We created a broad list of MedDRA terms related to UGIB and defined a gold standard with the help of experts. MedDRA terms were formally described in a semantic resource named OntoADR. We report the use of two semantic queries that automatically select candidate terms for UGIB...
September 2016: Expert Opinion on Drug Safety
https://www.readbyqxmd.com/read/27236223/identification-of-lesion-images-from-gastrointestinal-endoscope-based-on-feature-extraction-of-combinational-methods-with-and-without-learning-process
#6
Ding-Yun Liu, Tao Gan, Ni-Ni Rao, Yao-Wen Xing, Jie Zheng, Sang Li, Cheng-Si Luo, Zhong-Jun Zhou, Yong-Li Wan
The gastrointestinal endoscopy in this study refers to conventional gastroscopy and wireless capsule endoscopy (WCE). Both of these techniques produce a large number of images in each diagnosis. The lesion detection done by hand from the images above is time consuming and inaccurate. This study designed a new computer-aided method to detect lesion images. We initially designed an algorithm named joint diagonalisation principal component analysis (JDPCA), in which there are no approximation, iteration or inverting procedures...
August 2016: Medical Image Analysis
https://www.readbyqxmd.com/read/27101670/-causes-analysis-of-misdiagnosis-in-patients-with-familial-nasal-bleeding
#7
Cong Xu, Lingchao Ji, Jingjie Jia, Xin Qiu, Zhaolei Luan, Yin Bai, Jing Zhang, Hongtian Wang
OBJECTIVE: To analyze the causes of misdiagnosis in patients with familial nasal bleeding and to improve the level of diagnosis and treatment. METHOD: The clinical characteristics of 7 families with nose blood were analyzed retrospectively and 2 typical cases were reported, including their treatment and misdiagnosis in consulting, out-patient and in-patient. RESULT: Typical case 1 was misdiagnosed and mistreated for 42 years, misdiagnosed as blood disease so that the patient was biopsied in bone marrow, misdiagnosed as endometriosis so that the patient was performed uterus resection...
December 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/26747402/small-bowel-protection-against-nsaid-injury-in-rats-effect-of-rifaximin-a-poorly-absorbed-gi-targeted-antibiotic
#8
Matteo Fornai, Luca Antonioli, Carolina Pellegrini, Rocchina Colucci, Deborah Sacco, Erika Tirotta, Gianfranco Natale, Alessia Bartalucci, Marina Flaibani, Cecilia Renzulli, Emilia Ghelardi, Corrado Blandizzi, Carmelo Scarpignato
Nonsteroidal anti-inflammatory drugs, besides exerting detrimental effects on the upper digestive tract, can also damage the small and large intestine. Although the underlying mechanisms remain unclear, there is evidence that enteric bacteria play a pivotal role. The present study examined the enteroprotective effects of a delayed-release formulation of rifaximin-EIR (R-EIR, 50mg/kg BID, i.g.), a poorly absorbed antibiotic with a broad spectrum of antibacterial activity, in a rat model of enteropathy induced by indomethacin (IND, 1...
February 2016: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/26238590/-laparoscopic-gastric-sleeve-in-gastric-volvulus-secondary-to-diaphragmatic-eventration-in-an-adult-patient
#9
Ramiro Gálvez-Valdovinos, Ernesto Marín-Santillán, Juan Francisco Funes-Rodríguez, Gustavo López-Ambriz
BACKGROUND: Acute gastric volvulus is a rare, but potentially life-threatening, cause of upper gastrointestinal obstruction. CLINICAL CASE: Male of 60 years old with severe epigastric pain and abdominal distension with haematemesis on two occasions. The patient was haemodynamically stable, with abdominal distension and palpable epigastric fullness. Hematic cytology showed: haemoglobin 8.2g/dl and haematocrit 27%. Abdominal X-ray showed an elevation of left diaphragm with a hugely dilated stomach...
March 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/25620486/-comparison-of-perioperative-outcomes-and-lymphadenectomy-after-thoracoscopic-esophagectomy-in-semi-prone-position-and-open-esophagectomy
#10
Xiang Wang, Qiang Li, Xiang Zhuang, Xiaojun Yang, Tianpeng Xie, Ping Xiao, Ke Ma, Bin Hu
OBJECTIVE: Thoracoscopic esophagectomy has gained worldwide popularity. This study compared the perioperative outcomes and lymphadenectomy after thoracoscopic esophagectomy in semi prone position and open esophagectomy. METHODS: Sixty-two consecutive patients after thoracoscopic esophagectomy were compared with 62 patients who underwent open esophagectomy. Outcomes included surgical time, blood loss, length of hospital stay, 30-day mortality, complications and gained lymph nodes...
November 2014: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://www.readbyqxmd.com/read/25453721/clinical-radiologic-and-endoscopic-characteristics-upon-diagnosis-of-patients-with-prehepatic-portal-hypertension-at-the-instituto-nacional-de-pediatr%C3%A3-a-from-2001-to-2011
#11
F Zárate Mondragón, J O Romero Trujillo, R Cervantes Bustamante, M A Mora Tiscareño, E Montijo Barrios, J F Cadena León, M Cázares Méndez, E M Toro Monjaraz, J Ramírez Mayans
BACKGROUND: Prehepatic portal hypertension in children can be asymptomatic for many years. Once diagnosed, the therapeutic measures (pharmacologic, endoscopic, and surgical) are conditioned by the specific characteristics of each patient. In Mexico, there are no recorded data on the incidence of the disease and patient characteristics. AIMS: To determine the main clinical, radiologic, and endoscopic characteristics upon diagnosis of these patients at the Instituto Nacional de Pediatría within the time frame of January 2001 and December 2011...
October 2014: Revista de Gastroenterología de México
https://www.readbyqxmd.com/read/25348940/the-association-between-the-upper-digestive-tract-microbiota-by-homim-and-oral-health-in-a-population-based-study-in-linxian-china
#12
Guoqin Yu, Bruce A Dye, Mitchell H Gail, Jianxin Shi, Vanja Klepac-Ceraj, Bruce J Paster, Guo-Qing Wang, Wen-Qiang Wei, Jin-Hu Fan, You-Lin Qiao, Sanford M Dawsey, Neal D Freedman, Christian C Abnet
BACKGROUND: Bacteria affect oral health, but few studies have systematically examined the role of bacterial communities in oral diseases. We examined this relationship in a large population-based Chinese cancer screening cohort. METHODS: Human Oral Microbe Identification Microarrays were used to test for the presence of 272 human oral bacterial species (97 genera) in upper digestive tract (UDT) samples collected from 659 participants. Oral health was assessed using US NHANES (National Health and Nutrition Examination Survey) protocols...
2014: BMC Public Health
https://www.readbyqxmd.com/read/25139916/disseminated-histoplasmosis-in-an-hiv-patient-with-cd4-count-of-1-cell-%C3%A2%C2%B5l
#13
Sri Harsha Tella, Ahmed Abuzaid
We report a case of a young woman with advanced HIV/AIDS who presented with a short duration of fever and shortness of breath, with no recent travel history or previous hospitalisation, accompanied by non-specific abdominal symptoms and suspicious upper gastrointestinal bleed. Her CD4 count was 1 cell/μL raising the suspicious for various opportunistic aetiologies. The initial suspicion was for pneumocystis pneumonia (PCP) and the patient was treated empirically with antimicrobials. Peripheral smear findings, urinary antigen tests and bronchoalveolar lavage (BAL) were suggestive of disseminated histoplasmosis...
2014: BMJ Case Reports
https://www.readbyqxmd.com/read/25105769/massive-gastrointestinal-bleeding-caused-by-a-giant-gastric-inflammatory-fibroid-polyp-a-case-report
#14
Chenghai Zhang, Ming Cui, Jiadi Xing, Yunfei Shi, Xiangqian Su
INTRODUCTION: Inflammatory fibroid polyps (IFPs) are rare and small benign lesions throughout the digestive tract. The most common location is gastric antrum, but rarely at the upper part. Clinical manifestations of IFPs usually include intestinal obstruction, intussusception, abdominal pain, nausea and vomiting, but rare massive digestive tract hemorrhage. PRESENTATION OF CASE: We describe a rare case presenting with massive gastrointestinal bleeding due to a huge gastric fundus IFP (11cm)...
2014: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25004292/simplified-technique-for-reconstruction-of-the-digestive-tract-after-total-and-subtotal-gastrectomy-for-gastric-cancer
#15
Bruno Zilberstein, Carlos Eduardo Jacob, Leandro Cardoso Barchi, Osmar Kenji Yagi, Ulysses Ribeiro-Jr, Brian Guilherme Monteiro Marta Coimbra, Ivan Cecconello
BACKGROUND: Laparoscopic surgery has been increasingly applied to gastric cancer surgery. Gastrointestinal tract reconstruction totally done by laparoscopy also has been a challenge for those who developed this procedure. AIM: To describe simplified reconstruction after total or subtotal gastrectomy for gastric cancer by laparoscopy and the results of its application in a series of cases. METHODS: In the last four years, 75 patients were operated with gastric cancer and two with GIST...
April 2014: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/24744592/non-small-bowel-abnormalities-identified-during-small-bowel-capsule-endoscopy
#16
Reinier A Hoedemaker, Jessie Westerhof, Rinse K Weersma, Jan J Koornstra
AIM: To investigate the incidence of non-small-bowel abnormalities in patients referred for small bowel capsule endoscopy, this single center study was performed. METHODS: Small bowel capsule endoscopy is an accepted technique to investigate obscure gastrointestinal bleeding. This is defined as bleeding from the digestive tract that persists or recurs without an obvious etiology after a normal gastroduodenoscopy and colonoscopy. Nevertheless, capsule endoscopy sometimes reveals findings outside the small bowel, i...
April 14, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/24720148/over-the-scope-clip-otsc-application-as-rescue-therapy-for-postoperative-enterocutaneous-fistula-closure
#17
T Meister, J Kuhlgatz, M Floer
BACKGROUND: Postoperative enterocutaneous fistulas are challenging with limited treatment options. The majority of patients with persistent fistula drainage flow require re-surgery. Recently the Over-The-Scope Clip (OTSC 11/6t, Ovesco Endoscopy, Tübingen, Germany) has become popular in Germany among surgeons and gastroenterologists for closure of perforations and bleeding vessels of the GI tract. CASE REPORT: A 48-year-old female patient suffered from enterocutaneous fistula for four months located at the left upper corner within the enteric anastomosis of the jejunal loop leading to malnourishment...
January 2014: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/24596540/a-case-of-upper-gastrointestinal-acute-bleeding-as-a-complication-of-renal-carcinoma-metastases-to-the-papilla-vateri
#18
Jacek Smigielski, Lukasz Piskorz, Marcin Wawrzycki, Sławomir Jabłoński, Marian Brocki
Acute bleeding from metastatic tumour of the papilla Vateri is an extremely rare case. In this report the case of a woman who suffered from complications after a metastatic tumour of the papilla is described. Seventeen years following resection of the kidney due to clear cell carcinoma the patient was admitted to the clinic because of massive bleeding (Forrest IB) to the upper digestive tract in the form of sanguineous vomiting. The conducted diagnostics revealed a bleeding tumour of the papilla Vateri. Endoscopic treatment could not effectively stop the bleeding...
2013: Contemporary Oncology Współczesna Onkologia
https://www.readbyqxmd.com/read/24569136/-digestive-diseases-in-the-epistolary-collection-of-16th-century
#19
Francesc Devesa Jordà
Correspondence is an important source of documentation for studying health and, therefore, the gastrointestinal symptoms of diseases. We studied the gastrointestinal disease described in the Monumenta Borgia collection, which contains documents from the 16th century, mainly letters about Francis Borgia, the last great figure of a family originally from Valencia and with universal significance. Of the 2769 documents examined, 1231 (44.5%) contained some health-related descriptions and 42 items were related to gastrointestinal disease, representing 7...
June 2014: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/24535371/-technological-modification-of-transjugular-intrahepatic-portosystemic-shunt-the-precise-covering-of-parenchymal-shunt-with-stent-graft
#20
Chang-ming Wang, Xuan Li, Jun Fu, Jing-yuan Luan, Tian-run Li, Jun Zhao, Guo-xiang Dong
OBJECTIVE: To introduce the technological modification of stents placement with combined naked self-expanding stent and stent-graft for the construction of portosystemic shunt during transjugular intrahepatic portosystemic shunt (TIPS). METHODS: In the study, 17 patients who suffered from upper digestive tract hemorrhage due to portal hypertension post liver cirrhosis underwent modified TIPS. The shunts were constructed with stepwise placement of naked self-expanding stent and a stent-graft other than stent-graft only for the purpose of precisely covering the parenchymal segment of the shunt and the active control of portosystemic gradient (PSG)...
February 18, 2014: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
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