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S Fatihi, P Mols
Cresols are phenol derivatives commonly used as surface disinfectants. Ingestion may cause local mucocutaneous damage and extensive systemic toxicity : central nervous, cardiovascular, hematological, hepatic, renal and pulmonary. We describe the case of a 33-year-old woman who swallowed, without suicidal intent, 50 to 70 cm3 of a 50% cresol solution. Coma occurred within 5 minutes of ingestion, she presented a bradypnea with desaturation, and the SMUR team performed on-site an orotracheal intubation. On arrival at the hospital, the patient had typical caustic lesions around her mouth...
May 30, 2018: Revue Médicale de Bruxelles
Ranjit Sah, Shusila Khadka, Rabin Hamal, Sagar Poudyal
BACKGROUND: Echinostomiasis is a food-borne infection caused by an intestinal trematodes belonging to the family Echinostomatidae. They infect the gastrointestinal tract of humans. Patients are usually asymptomatic. However, with heavy infections, the worms can produce catarrhal inflammation with mild ulceration and the patient may experience abdominal pain, anorexia, nausea, vomiting, diarrhea and weight loss. Infection are associated with common sociocultural practices of eating raw or insufficiently cooked mollusks and fish...
January 11, 2018: BMC Research Notes
Reda Elwakil, Ashraf Mohammad Al Breedy, Hoda Hassan Abou Gabal
INTRODUCTION AND AIM: A few studies have shown that the degree of portal hypertensive gastropathy (PHG) and duodenopathy (PHD) has been worsening after the introduction of therapeutic endoscopic interventions. This study aimed to determine the impact of esophageal variceal eradication by endoscopic variceal ligation (EVL) on PHG and PHD using endoscopic and histopathologic assessment. METHODS: Fifty patients with esophageal varices for which EVL was indicated were included...
November 2016: Hepatology International
Ananta Gurung, Philip E Jaffe, Xuchen Zhang
Portal hypertensive duodenopathy (PHD) is a recognized, but uncommon finding of portal hypertension in cirrhotic patients. Lesions associated with PHD include erythema, erosions, ulcers, telangiectasia, exaggerated villous pattern and duodenal varices. However, duodenal polyposis as a manifestation of PHD is rare. We report a case of a 52-year-old man who underwent esophagogastroduodenoscopy and was found with multiple small duodenal polyps ranging in size from 1-8 mm. Biopsy of the representative polyps revealed polypoid fragments of duodenal mucosa with villiform hyperplasia lined by reactive duodenal/gastric foveolar epithelium and underlying lamina propria showed proliferating ectatic and congested capillaries...
November 25, 2015: World Journal of Gastrointestinal Endoscopy
Cindy Tribuna, Cristina Ângela, Isabel Eira, Alexandre Carvalho
We report a case of Kaposi sarcoma (KS) and disseminated infection by Mycobacterium genavense in a 40-year-old HIV-positive man with CD4+ T-cell count 5/µL. He presented with anorexia, diarrhoea, cachexia and multiple firm violaceous nodules distributed over the face, neck and upper and lower extremities. Biopsy of a skin nodule was performed, confirming KS. Immunoperoxidase staining for human herpesvirus 8 was strongly positive. Endoscopic examination revealed erosive duodenopathy. Multiple biopsy samples showed numerous acid-fast bacilli at direct microscopic examination...
October 8, 2015: BMJ Case Reports
Saurabh Mukewar, Arjun Gupta, Todd H Baron, Gregory Gores, Keith Furutani, Michael G Haddock, Christopher L Hallemeier
BACKGROUND AND AIM: Selected patients with unresectable perihilar cholangiocarcinoma can undergo neoadjuvant chemoradiotherapy followed by liver transplantation, which has been shown to improve survival. The aim of this study was to determine the feasibility and safety of endoscopic transpapillary insertion of nasobiliary tubes (NBTs) and brachytherapy catheters for high dose-rate (HDR) brachytherapy as part of this neoadjuvant chemoradiotherapy. PATIENTS AND METHODS: Medical records of patients undergoing biliary brachytherapy for hilar cholangiocarcinoma at the Mayo Clinic, Rochester were reviewed...
October 2015: Endoscopy
Vibhor V Borkar, Ujjal Poddar, Niraj Kumari, Suruchi Singh, Raja Roy, Surender K Yachha
OBJECTIVE: We prospectively studied children with portal hypertension (PHT) for portal hypertensive duodenopathy (PHTD) and small bowel intestinal permeability (SIP) with the objectives of defining histopathological parameters for PHTD and to find out whether any association existed among structural changes, SIP, and nutritional status. METHOD: SIP was assessed by using lactulose and mannitol sugar probes in 31 children with PHT (cirrhosis n = 15 and extrahepatic portal venous obstruction n = 16) and 15 healthy children as controls...
February 2015: Journal of Pediatric Gastroenterology and Nutrition
Aderemi Oluyemi, Adeniyi Amole
Multiple duodenal ulcers are an uncommon finding in portal hypertensive duodenopathy (PHD). They represent a potential source of clinically significant bleeding from the upper gastrointestinal system in patients with cirrhosis. As this particular ulcer entity in relation to PHD has no distinguishing symptoms aside from those relating to the consequent bleeding, most of them are found either on routine endoscopic screening for cirrhotics or on endoscopic examination for cause(s) of bleeding in this patient population...
2012: Case Reports in Medicine
Ayşen Aydoğan, Mine Güllüoğlu, Semen Yeşil Onder, Selim Gökçe, Coşkun Celtik, Ozlem Durmaz
OBJECTIVES: The aim of the study was to determine the frequency of portal gastropathy (PG) and duodenopathy (PD) in children, to document the correlation of various clinical and laboratory parameters associated with portal hypertensive gastroduodenal lesions, to compare the endoscopic portal hypertensive lesions with different histologic findings, and to evaluate the use of a possible histologic scoring system. METHODS: All children undergoing endoscopic investigation for portal hypertension (PH) between January 2006 and November 2007 were analysed retrospectively...
May 2011: Journal of Pediatric Gastroenterology and Nutrition
Suma Bhargavan Pillai, V R Ram Ganesh, A Mohanakrishnan, V Nirmala
No abstract text is available yet for this article.
July 2010: Indian Journal of Pathology & Microbiology
Robert M Genta, R Shawn Kinsey, Anuradha Singhal, Smita Suterwala
Gastric-type epithelium and islands of oxyntic mucosa in duodenal biopsies are considered by some to be part of a spectrum of metaplastic change related to peptic disorders. This study was designed to assess prevalence and associations of metaplastic-heterotopic gastric mucosa in the duodenum. Demographic, clinical, and histopathologic data from patients who had duodenal biopsy specimens for a 12-month period were collected from a national database. The duodenal findings of patients with duodenitis, gastric metaplasia, and gastric heterotopia were correlated with gastric pathology, Helicobacter pylori status, and clinical information...
November 2010: Human Pathology
M Nkuize, S De Wit, V Muls, M Arvanitakis, M Buset
BACKGROUND: The current literature suggests that there has been a decrease in opportunistic diseases among HIV-infected patients since the widespread introduction of highly active antiretroviral therapy (HAART) in 1995. OBJECTIVES: The aim of the study was to investigate the impact of HAART and CD4 lymphocyte count on diseases of the upper gastrointestinal (UGI) tract, digestive symptoms, and endoscopic and histological observations. METHODS: A review of 706 HIV-infected patients who underwent GI endoscopy was undertaken...
July 1, 2010: HIV Medicine
Alfonso Chacaltana Mendoza, Julio Espinoza García
Between complications caused by portal hypertension in gastrointestinal tract, duodenal affectation has also been reported less frequently that esophagogastric varices or the portal gastropathy. However, only a few reports have investigated the duodenal lesions in patients with portal hypertension in detail. We describe a patient with cirrhotic hypertension portal and endoscopic findings in duodenum consistent with portal hypertensive duodenopathy.
July 2009: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Maha Barakat, Mohamed Mostafa, Zeinab Mahran, Abdel-Ghani Soliman
OBJECTIVE: Description of the clinical, endoscopic, and histopathologic detailed profiles of duodenal affection in portal hypertensive patients. METHODS: A total of 105 patients with chronic liver disease and portal hypertension (PH) were included, upper endoscopy was performed, and two duodenal biopsies were obtained from the bulb and distal to the ampulla, for histopathologic examination. Twenty dyspeptic patients with normal upper endoscopy were included as controls...
December 2007: American Journal of Gastroenterology
Giuseppe Piccinni, Anna Angrisano, Andrea Marzullo, Michele Nacchiero
Portal hypertensive duodenopathy is a rare condition related to liver cirrhosis; there is little in the literature about its clinical significance and management. It seems to be endoscopically and histologically similar to portal hypertensive gastropathy, which is well defined. We report the case of a patient, initially treated for acute bleeding resulting from the rupture of esophageal varices, who developed an atypical endoscopic picture of portal hypertensive duodenopathy over a 6-month period. After microscopic definition of the disease we found chronic bleeding which required blood transfusions...
June 2006: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Luis Menchén, Cristina Ripoll, Ignacio Marín-Jiménez, Arturo Colón, Judith Gómez-Camarero, Cecilia González-Asanza, Pedro Menchén, Enrique Cos, Rafael Bañares
OBJECTIVES: To estimate the prevalence of portal hypertensive duodenopathy (PHD) in patients with cirrhosis and portal hypertension, and to evaluate its relationship with clinical and haemodynamic parameters. PATIENTS AND METHODS: Endoscopy reports and clinical history of 549 consecutive patients with cirrhosis and portal hypertension were evaluated retrospectively. A diagnosis of PHD was obtained in those patients with a congestive vascular pattern of the duodenum...
June 2006: European Journal of Gastroenterology & Hepatology
Safwat S Elnaser, Saleh El-Ebiary, Mohamed B Bastawi, Abdu Li Shafei, Assan Abd-Elhafee
The portal hypertensive gastropathy (PHG) and duodenopatby (PHD) define a wide spectrum of diffuse macroscopic lesions that appear in the gastric mucosa of patients with portal hypertension. Histologically, the lesions corresponded to dilated vessels in the mucosa and submucosa in the absence of erosions or inflammation. This work studied the effect oesophageal varices (OV) eradication either by endoscopic sclerotherapy and/or band ligation on PHG and PHD. Sixty portal hypertensive patients were classified into three groups: G...
April 2005: Journal of the Egyptian Society of Parasitology
Kaiser Raja, Rakesh Kochhar, Pradeepta K Sethy, Usha Dutta, Harinder K Bali, Jagmohan S Varma
BACKGROUND: Congestive heart failure results in an increase in systemic venous pressure that is transmitted to the inferior vena cava and to the hepatic veins. This can cause GI vascular and mucosal congestion. The aim of this study was to define upper-GI mucosal changes in patients with congestive heart failure. METHODS: A total of 57 patients with congestive heart failure presenting with GI symptoms underwent upper endoscopy. Echocardiography was performed in all patients to determine the ejection fraction and the degree of tricuspid regurgitation...
December 2004: Gastrointestinal Endoscopy
M S S Elnaser, S Elebiary, M B Bastawi, A El Shafei, I M Elmagd, M M Hamza
Portal hypertensive gastropathy (PHG) and duodenopathy (PHD) are frequent in patients with cirrhosis, both are a dynamic condition that can progress from mild to severe and vice versa or even disappear completely. This study included 300 individuals classified into three groups. G I included 116 patients with mixed liver pathology (post-viral cirrhosis and post-Bilharzial fibrosis). G II included 84 patients with pure post hepatitic viral cirrhosis. Hundred healthy individual of comparable age and sex serving as control group...
December 2004: Journal of the Egyptian Society of Parasitology
Nutan Desai, Devendra Desai, Vijayashree Pethe, K P Deodhar, Prabha Sawant, Sucharita Nanivadekar
BACKGROUND: Small bowel mucosa is a recognized potential source of bleeding in portal hypertension. However, the frequency of its involvement is not known. AIMS: To document the nature, severity and frequency of endoscopic and histologic changes in the jejunum in patients with portal hypertension. METHODS: Forty consecutive patients with portal hypertension and 43 patients with non-ulcer dyspepsia (controls) underwent push enteroscopy and jejunal, duodenal and gastric biopsies...
May 2004: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
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