Transnasal endoscopic gastrostomy for patients whose condition limits standard oral endoscopic intubation
Publication date: Available online 23 April 2016 Source:Advances in Digestive Medicine Author(s): Chu-Kuang Chou, Yi-Chia Lee (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - April 22, 2016 Category: Gastroenterology Source Type: research
An appendix adenocarcinoma mimicking appendicitis
Publication date: Available online 28 March 2016 Source:Advances in Digestive Medicine Author(s): Ho-Li Wang, Chen-Kun Lin, Chun-Che Lin Cancer of the appendix is very rare and is typically found incidentally in approximately 1% of patients who received appendectomies. Most of appendiceal tumors are carcinoid, adenoma, and lymphoma. Adenocarcinoma of the appendix accounts for only 10% of all primary appendiceal cancers and the treatment remains controversial. In this article, we report a 67-year-old man who presented with symptoms of appendicitis that was diagnosed as adenocarcinoma of the appendix Stage II. The ...
Source: Advances in Digestive Medicine - March 28, 2016 Category: Gastroenterology Source Type: research
Bile aspiration enhances the diagnostic accuracy of Clonorchis sinensis: A case report
Publication date: Available online 28 March 2016 Source:Advances in Digestive Medicine Author(s): Te-Fu Lin, Hoi-Hung Chan, Ping-I Hsu, Tzung-Jiun Tsai, E-Ming Wang, Kwok-Hung Lai, Jin-Shiung Cheng, Huay-Min Wang Clonorchis sinensis is endemic to Southeast Asia, Japan, China, and Taiwan. Those infected often have a history of consumption of raw fresh fish. Its manifestations can be asymptomatic of cholangitis, biliary stones, or cholangiocarcinoma. A 69-year-old male living in Chishan, Taiwan visited our hospital with obstructive jaundice. Noninvasive analyses, such as stool examination, abdominal ultr...
Source: Advances in Digestive Medicine - March 28, 2016 Category: Gastroenterology Source Type: research
Intestinal ileus and pneumatosis intestinalis as the major manifestations of tuberculous peritonitis: A diagnostic challenge
Publication date: Available online 24 March 2016 Source:Advances in Digestive Medicine Author(s): Chang-Hua Chen, Kun-Ching Chou, Lien-Cheng Tsao Tuberculous peritonitis (TBP) is a continuing problem in populations with high prevalence of tuberculosis and is difficult to diagnose early. Here, we report a case of confirmed TBP that presented as intestinal ileus and pneumatosis intestinalis. The 79-year-old woman had a history of atrial fibrillation, chronic ischemic heart disease, and chronic renal failure (chronic kidney disease, stage V). She complained of abdominal fullness and pain for 1 week prior to hospital...
Source: Advances in Digestive Medicine - March 23, 2016 Category: Gastroenterology Source Type: research
A rare presentation of clinically intractable hypertension: Pancreatic paraganglioma
We report a case of a 64-year-old woman with underlying disease of hypertension who presented with biliary colic. Contrast-enhanced computer tomography showed an enhancing mass in the uncinate process of the pancreas. Pylorus-sparing Whipple procedure was performed for complete tumor excision. Hypertensive crisis developed after Whipple, which improved after continuous intravenous nicardipine infusion. Pathology revealed a paraganglioma. A 24-h catecholamine urine test showed increased norepinephrine and vanillylmandelic acid level. Functional paraganglioma was diagnosed. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - March 22, 2016 Category: Gastroenterology Source Type: research
A modified bowel preparation protocol improves the quality of bowel cleansing for colonoscopy
Publication date: Available online 23 March 2016 Source:Advances in Digestive Medicine Author(s): Wei-Fan Hsu, Cheng-Chao Liang, Cheng-Kuan Lin, Tzong-Hsi Lee, Chen-Shuan Chung Adequate colonic cleansing is essential for a high quality colonoscopy. Few studies have investigated the association between patient education and quality of bowel preparation. The control group comprised 165 participants who underwent colonoscopy after a standard bowel preparation protocol during the period September–October 2013 and the study group comprised 251 individuals who underwent colonoscopy after a modified bowel preparat...
Source: Advances in Digestive Medicine - March 22, 2016 Category: Gastroenterology Source Type: research
Massive post-polypectomy hemorrhage: Successful tulip-bundle technique with endoloop for hemostasis
Publication date: Available online 5 March 2016 Source:Advances in Digestive Medicine Author(s): Hsu-Heng Yen, Chia-Wei Yang, Shun-Sheng Wu, Maw-Soan Soon Colonoscopic polypectomy is a common procedure for removing colonic polyps to prevent subsequent development of colon cancer. Hemorrhage is the most common complication following polypectomy, with a reported rate of 0.3% to 6.0%. The risk increases to 12.5% when the size of the polyp stalk exceeds 1 cm. The most commonly used endoscopic preventive techniques, such as injection therapy, prophylactic use of endoclip, or endoloop, were found to decrease the rat...
Source: Advances in Digestive Medicine - March 5, 2016 Category: Gastroenterology Source Type: research
Simple predictor for anemia in chronic hepatitis C patients receiving peginterferon plus ribavirin
Publication date: Available online 3 March 2016 Source:Advances in Digestive Medicine Author(s): Chun-Jen Liu (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - March 4, 2016 Category: Gastroenterology Source Type: research
Percutaneous radiofrequency ablation for hepatocellular carcinoma: Early termination versus standard termination of ablation procedure
Conclusion Using ET in RFA is as effective as the ST in achieving complete ablation and local tumor progression. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - January 12, 2016 Category: Gastroenterology Source Type: research
Endoscopic submucosal tunnel dissection for a large esophageal subepithelial leiomyoma to prevent postprocedural stenosis
Publication date: Available online 19 December 2015 Source:Advances in Digestive Medicine Author(s): Wen-Hsin Hsu, Meng-Shun Sun, Hoi-Wan Lo, Ching-Yang Tsai, Yu-Jou Tsai A 27-year-old man with a huge esophageal leiomyoma, 4.5 cm in size, at the distal esophagus suffered from postprandial belching and chest discomfort. Endoscopic submucosal tunnel dissection was implemented to resect his leiomyoma. His symptoms resolved after tumor resection without any sequelae, such as luminal stricture that often occurs after large-size esophageal lesion resection. Endoscopic submucosal tunnel dissection has been reported...
Source: Advances in Digestive Medicine - December 20, 2015 Category: Gastroenterology Source Type: research
Giant colonic lipoma arising from the ileocecal valve and causing cecal-transverse colonic intussusception
This report emphasizes colonic lipomas > 4 cm in diameter should receive surgical resection before intussusception develops. However, if the nature of the tumor causing colon intussusception cannot be identified before the operation, en bloc resection is recommended as there is a high risk of malignancy spreading. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 25, 2015 Category: Gastroenterology Source Type: research
Intraobserver and interobserver agreement for identifying extraluminal manifestations of Crohn's disease with magnetic resonance enterography
Conclusion MR enterography is a clinically useful tool for evaluating extraluminal manifestations of Crohn's disease with good intraobserver and interobserver agreement. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 25, 2015 Category: Gastroenterology Source Type: research
Establishing a risk scoring system for predicting erosive esophagitis
Conclusion This simple noninvasive risk scoring system, including factors of age, gender, body mass index, waist circumference, triglyceride, and high-density lipid cholesterol, effectively predicted EE and stratified its incidence. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - September 26, 2015 Category: Gastroenterology Source Type: research
Interleukin-23p19 expression in patients with ulcerative colitis and its relation to disease severity
Conclusion Increased expression of the IL-23p19 gene has a role in the pathogenesis of ulcerative colitis. Targeted therapy directed against IL-23p19 may be effective in its treatment. Increased expression of the IL-23p19 gene and IL-23R with high serum IL-23 is correlated positively with disease severity. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - September 8, 2015 Category: Gastroenterology Source Type: research
A young female with alternating diarrhea and constipation
Publication date: Available online 12 August 2015 Source:Advances in Digestive Medicine Author(s): Wei-Cheng Lee, Horng-Yuan Wang, Ming-Jen Chen, Wen-Hsiung Chang, Cheng-Hsin Chu, Tsang-En Wang, Shou-Chuan Shih, Kuang-Chun Hu (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - August 14, 2015 Category: Gastroenterology Source Type: research
