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Liver, gastroenterology, endoscopy

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
Amna Awan, Muhammad Umar, Hamama tul Bushra Khaar, Afifa Kulsoom, Zahid Minhas, Saima Ambreen, Nasir Habib, Wasiq Mumtaz, Farhan Habib
BACKGROUND: Hepatitis is a major public health problem in Pakistan due to its strong association with liver failure and hepatocellular carcinoma. In Pakistan, conventional interferon therapy along with Ribavirin is favoured especially in Government funded programs for treatment of Hepatitis C, over the more expensive Pegylated Interferon and Ribavirin combination therapy as recommended by Pakistan society of Gastroenterology and GI endoscopy due to its favourable results observed in genotype 3 which is the dominant genotype of this region...
January 2016: Journal of Ayub Medical College, Abbottabad: JAMC
Carla Senosiain Lalastra, Julia Arribas Anta, Víctor Moreira Vicente, Javier Martínez González, Maite Maroto Castellanos, María Concepción García Sánchez, Celia Zaera de la Fuente, Sergio López Durán, Ángel Cañete Ruiz, Agustín Albillos Martínez
INTRODUCTION: Variceal upper gastrointestinal bleeding (UGIB) can trigger acute hypoxic hepatitis (AHH). The aim of this study was to analyse the incidence, associated risk factors and mortality of AHH after variceal UGIB. PATIENTS AND METHODS: Retrospective study of cirrhotic patients with variceal UGIB, classified into 2 groups according to the development of AHH. AHH was diagnosed when AST and ALT reached levels 10 times above the upper limit of normal, after ruling out other causes of hepatitis...
April 21, 2016: Gastroenterología y Hepatología
Y L Guo, X L Lu, Y Cheng, H T Shi, D H Xie, H Li, L Dong
OBJECTIVE: To evaluate the utility of combined liver stiffness measurement (LSM) and spleen stiffness measurement (SSM), by transient elastography, along with measurement of portal vein width (PVW) for evaluating risk of bleeding in patients with esophageal and gastric varices (EV). METHODS: A total of 73 patients with cirrhosis who were treated in the Department of Gastroenterology of the Second Affiliated Hospital of Xi'an Jiaotong University between April 2014 and March 2015 were included in the study...
January 2016: Zhonghua Gan Zang Bing za Zhi, Zhonghua Ganzangbing Zazhi, Chinese Journal of Hepatology
M S Lalosevic, M Stojkovic, T Naumovic, D Culafic, M Stojanovic, M Stulic, T Alempijevic, A P Markovic
INTRODUCTION: Esophageal bleeding is one of the most important and dramatic complications of liver cirrhosis in our everyday practice. Considering the costs of repeated upper endoscopy (UE) there is an increasing number of studies focusing on noninvasive para-meters for the assessment of esophageal varices (EV). PATIENTS AND METHODS: Retrospective study included 74 patients with alcoholic and viral liver cirrhosis treated at Clinic of Gastroenterology and Hepatology, Clinical Center of Serbia...
March 2016: Acta Gastro-enterologica Belgica
Ankur Verma, Sanjay Jaiswal
BACKGROUND: Bottle gourd (Lagenaria siceraria) is popularly known as lauki, ghia or dudhi in India. Its consumption is advocated by traditional medicine healers for controlling diabetes mellitus, hypertension, liver diseases, weight loss and other diseases. However, in last few years there have been reports of suspected toxicity due to consumption of its juice leading to severe vomiting and upper gastrointestinal bleeding. As emergency physicians we need to be aware of this very rare poisoning specially in India...
2015: World Journal of Emergency Medicine
Susumu Tazuma, Yasuni Nakanuma
BACKGROUND: Hepatolithiasis is a calculus disease of the liver with no known cause that is relatively uncommon, and is characterized by a refractory nature and high frequency of recurrence. Hepatolithiasis is one of the diseases listed by the Ministry of Health, Labour and Welfare of Japan under Research on Intractable Diseases, and it requires further research on the pathogenesis as well as the therapeutic strategy. It is also included in the clinical guidelines for cholelithiasis of the Japanese Society of Gastroenterology, which suggest guiding principles for the treatment of hepatolithiasis...
2015: Lipids in Health and Disease
Rania Hadayat, Attique-ur-Rehman Jehangiri, Rahid Gul, Adil Naseer Khan, Khalid Said, Asadullah Gandapur
BACKGROUND: Acute upper gastrointestinal (GI) bleeding is a common medical emergency. A common risk factor of upper GI bleeding is cirrhosis of liver, which can lead to variceal haemorrhage. 30-40% of cirrhotic patients who bleed may have non-variceal upper GI bleeding and it is frequently caused by peptic ulcers, portal gastropathy, Mallory-Weiss tear, and gastroduodenal erosions. The objective of this study was to determine the frequency of upper gastrointestinal endoscopic findings among patients presenting with upper gastrointestinal bleeding with liver cirrhosis...
April 2015: Journal of Ayub Medical College, Abbottabad: JAMC
Jennifer A Flemming, Varun Saxena, Hui Shen, Norah A Terrault, Catherine Rongey
BACKGROUND AND AIM: The American Association for the Study of Liver Disease (AASLD) recommends screening for esophageal varices (EV) by esophagoduodenoscopy (EGD) in patients with cirrhosis to guide decisions regarding primary prophylaxis for EV hemorrhage. We aimed to identify patient and facility factors associated with EV screening in veterans with hepatitis C (HCV)-associated cirrhosis. METHODS: This was a population-based cohort study. Veterans with HCV and newly diagnosed cirrhosis between 1/1/2004 and 12/31/2005 and followed until 12/31/2011 were included...
January 2016: Digestive Diseases and Sciences
Xingshun Qi, Xiaozhong Guo, Hongyu Li, Xu Liu, Han Deng
BACKGROUND AND AIMS: Due to the invasiveness of upper gastrointestinal endoscopy, non-invasive diagnostic tests for varices in liver cirrhosis have been widely established by numerous studies. A questionnaire survey, which was aimed at understanding the current knowledge about non-invasive diagnostic tests for varices in liver cirrhosis, was distributed among the members of Gastroenterology Branch of the Liaoning Medical Association. METHODS: A questionnaire assessing the knowledge about non-invasive diagnostic tests for varices was sent to 42 members who participated in the entire ninth committee...
May 2016: Gastroenterology Report
Luca Elli, Roberto Maieron, Stefano Martelossi, Graziella Guariso, Elisabetta Buscarini, Dario Conte, Emilio di Giulio, Annamaria Staiano, Jacopo Barp, Gabrio Bassotti, Maria Antonia Bianco, Luigi Buri, Maurizio Carrara, Benedetta Ghidini, Olivia Giannini, Daniela Knafelz, Erasmo Miele, Sergio Peralta, Elisabetta Riccio, Carolina Tomba, Maurizio Zilli, Tiziana Guadagnini
In 2013, four Italian Gastroenterological Societies (the Italian Society of Paediatric Gastroenterology, Hepatology and Nutrition, the Italian Society of Hospital Gastroenterologists and Endoscopists, the Italian Society of Endoscopy, and the Italian Society of Gastroenterology) formed a joint panel of experts with the aim of preparing an official statement on transition medicine in Gastroenterology. The transition of adolescents from paediatric to adult care is a crucial moment in managing chronic diseases such as celiac disease, inflammatory bowel disease, liver disease and liver transplantation...
September 2015: Digestive and Liver Disease
(no author information available yet)
No abstract text is available yet for this article.
December 2014: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
O Bouglouga, A Bagny, L Lawson-Ananissoh, M Djibril
AIM: To study hospital mortality associated with upper gastrointestinal hemorrhages due to variceal bleeding in the department of hepatology and gastroenterology at the Lome Campus University Hospital. PATIENTS AND METHOD: This retrospective cross-sectional and analytic study examined the 55 patients admitted for variceal bleeding on upper endoscopies during the 3-year period from January 1, 2008, through December 31, 2010. RESULTS: These patients accounted for 4...
October 2014: Médecine et Santé Tropicales
Yoshihiro Moriwaki, Jun Otani, Junzo Okuda, Toshiyuki Niwano, Yoshiyuki Sawada, Tachiko Nitta, Chiaki Ohshima
Although massive cirrhotic ascites is generally considered a contraindication for the placement of percutaneous endoscopic gastrostomy (PEG), such patients are usually poorly nourished. Preceding paracentesis of ascites is one method for controlling ascites and allowing the safe placement of PEG, but it often results in overuse of albumin. Preceding peritoneal-venous (P-V) shunting can avoid excessive use of albumin, but this introduces the risk of infectious contamination. We encountered an 88-y-old woman with massive cirrhotic ascites, a giant esophageal hernia with dislocation of the proximal stomach into the mediastinum, hypertrophy of the lateral segment of the liver, and malnutrition who had suffered from appetite loss and a swallowing disorder for 4 mo...
November 2014: Nutrition
Seyed Mohammad Ebrahim Tahaei, Seyed Reza Mohebbi, Pedram Azimzadeh, Abbas Behelgardi, Azar Sanati, Parvaneh Mohammadi, Mahsa Khanyaghma, Armin Hosseini Razavi, Afsaneh Sharifian, Mohammad Reza Zali
AIM: The aim of this study was to determine the prevalence of HDV infection between HBV chronic patients referred to gastroenterology ward of Taleghani hospital Tehran, Iran and also investigating the risk factors in acquiring the HDV infection. BACKGROUND: Hepatitis B virus (HBV) and Hepatitis D virus (HDV) are major public health issues. Worldwide there are approximately 350 million individuals chronically infected with the HBV. A significant part of them, including 15 to 20 million coinfected with HDV...
2014: Gastroenterology and Hepatology From Bed to Bench
Ming-Hung Tsai, Hui-Chun Huang, Yun-Shing Peng, Yung-Chang Chen, Ya-Chung Tian, Chih-Wei Yang, Jau-Min Lien, Ji-Tseng Fang, Cheng-Shyong Wu, Fa-Yauh Lee
OBJECTIVES: Critical illness-related corticosteroid insufficiency can adversely influence the prognosis of critically ill patients. However, its impact on the outcomes of patients with cirrhosis and acute gastroesophageal variceal bleeding remains unknown. We evaluated adrenal function using short corticotropin stimulation test in patients with cirrhosis and gastroesophageal variceal bleeding. The main outcomes analyzed were 5-day treatment failure and 6-week mortality. DESIGN: Prospective observational study...
December 2014: Critical Care Medicine
J Dyson, S McPherson
INTRODUCTION: The recent National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report 'Measuring the Units' found that hospitals are missing opportunities to save the lives of people with alcohol-related liver disease (ARLD) by failing to provide early intervention and specialist consultant input.(1) METHODS: We aimed to review the management of patients with decompensated liver disease in the first 24 h after admission to hospital. This was a region-wide audit including all Trusts in the Northern Deanery...
June 2014: Gut
Wj Gashau, G Samra, J Gasser, M Rolland, P Sambaiah, C Shorrock
INTRODUCTION: A retrospective profile of medical readmissions within 30 days of discharge (September 2011-December 2011) from a busy district teaching hospital highlighted that a small proportion of patients (12%) with recurrent ascites accounted for 68% of readmissions. Most required large volume paracentesis (LVP) with a mean length of stay of 4 days. We aimed to determine if a viable, safe model for large volume paracentesis (LVP) in an outpatient setting is feasible. METHODS: Changes included identifying motivated liver specialist nurses to lead the ascites clinic service, detailed development of local policy and in-patient referral systems for patients appropriate for the service...
June 2014: Gut
L Onos, A Wyman
INTRODUCTION: From the first reported endoscopic retrograde cholangiopancreatography (ERCP) in 1968 to the invention of endoscopic sphincterectomy in 1974, ERCP has evolved to an almost entirely therapeutic procedure. It is appreciated that approximately 54,000 patients undergo ERCP each year.(1) The 2008 British guidelines include routine pre-procedural coagulation screen within 3 days prior to ERCP.(2) However, the American Society for Gastrointestinal Endoscopy guidelines state that the prothrombin time, International Normalised Ratio (INR), and activated partial thromboplastin time in patients without clinical evidence of bleeding disorder or coagulopathy do not predict or correlate with either intraoperative or postoperative haemorrhage...
June 2014: Gut
Suzanne Rose, Oren K Fix, Brijen J Shah, Tamara N Jones, Ronald D Szyjkowski, Brian P Bosworth, Kathy Bull-Henry, Walter Coyle, C Prakash Gyawali, Ayman Koteish, Jane Onken, John Pandolfino, Darrell Pardi, Gautham Reddy, Seth Richter, Thomas J Savides, Robert E Sedlack
No abstract text is available yet for this article.
July 2014: Gastrointestinal Endoscopy
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