A man with abdominal fullness
Publication date: Available online 21 April 2015 Source:Advances in Digestive Medicine Author(s): Wei-Chen Lin , Horng-Yuan Wang , Shou-Chuan Shih (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - May 1, 2015 Category: Gastroenterology Source Type: research
Colon perforation after esophagogastroduodenoscopy in an asymptomatic diverticulitis patient
Publication date: Available online 22 April 2015 Source:Advances in Digestive Medicine Author(s): Li-Wen Huang , Chun-Che Lin , Tan-Hsia Chen , Hsiang-Lin Lee , Chung-Hung Tsia Esophagogastroduodenoscopy (EGD) is regarded as a relatively safe procedure; however, it carries a very low incidence of severe adverse events. Perforation is a rare complication of EGD, and it may further lead to pneumoperitoneum or pneumoretroperitoneum. The occurrence of large bowel perforation after EGD is extremely rare, and it has never been reported in the international literature. Herein, we present a case of concurrence of pneumope...
Source: Advances in Digestive Medicine - May 1, 2015 Category: Gastroenterology Source Type: research
A man with progressive abdominal distension
Publication date: Available online 22 April 2015 Source:Advances in Digestive Medicine Author(s): Chien-Chu Lin , Yen-Ling Chiu (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - May 1, 2015 Category: Gastroenterology Source Type: research
Reticulocyte production index as a predictor of clinically significant anemia in chronic hepatitis C patients receiving pegylated interferon combination therapy
Conclusion Besides old age and low pretreatment hemoglobin level, our study showed that a reticulocyte production index < 0.9% at Week 4 was a significant factor associated with clinically significant anemia during pegylated interferon combination treatment. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - May 1, 2015 Category: Gastroenterology Source Type: research
Gallbladder sarcomatoid carcinoma: A case report and review of current literature
This study found that the prognosis of gallbladder sarcomatoid carcinoma is poor even after curative resection and there is as yet no known effective adjuvant therapy. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - May 1, 2015 Category: Gastroenterology Source Type: research
Clinical factors associated with the survival of patients with intrahepatic cholangiocarcinoma
Conclusion This study identified surgery as the treatment that provided the best survival prognosis for patients with ICC. Treatment involving either chemotherapy or radiotherapy could also prolong ICC patient survival. Better liver preservation, lower CA19-9, and less aggressive tumor conditions were identified as factors which play crucial roles in enhancing patient survival. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - May 1, 2015 Category: Gastroenterology Source Type: research
Endoscopic ultrasound-guided fine-needle aspiration: A safe bridge to accurate diagnosis
Publication date: Available online 24 April 2015 Source:Advances in Digestive Medicine Author(s): Tsu-Yao Cheng (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - May 1, 2015 Category: Gastroenterology Source Type: research
Ileal ulcers in a patient with Henoch-Schönlein purpura
We present the case of a 45-year-old man suffering from abdominal pain. Erythematous purpura over bilateral lower extremities and soreness of the joints developed 3 days before abdominal pain. An abdominal computed tomography showed an edematous change of the intestinal wall and the distal part of the ileum. A retrograde single balloon enteroscopy revealed several discrete ulcers and hyperemic mucosa in the distal ileum. The middle, proximal, and terminal ileum and ileocecal valve to the rectum were not affected. Under the impression of HSP, nonsteroidal anti-inflammatory drugs and prednisolone were administered. We conclu...
Source: Advances in Digestive Medicine - May 1, 2015 Category: Gastroenterology Source Type: research
An 86-year-old man with intermittent fever for 1 month
Publication date: Available online 28 April 2015 Source:Advances in Digestive Medicine Author(s): Wei-Fan Hsu , Chia-Jui Yang , Cheng-Kuan Lin (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - May 1, 2015 Category: Gastroenterology Source Type: research
A case of massive lower gastrointestinal bleeding from a rectal Dieulafoy lesion
Publication date: Available online 7 April 2015 Source:Advances in Digestive Medicine Author(s): Yuan-Kai Lee , Ming-Jong Bair , Huan-Lin Chen , I-Tsung Lin , Chia-Hsien Wu A Dieulafoy lesion is an uncommon and sometimes life-threatening cause of gastrointestinal hemorrhage. Typically, it presents as a tiny mucosal defect with an exposed protruding artery with normal surrounding mucosa. An 84-year-old woman developed sudden massive hematochezia and had an unstable hemodynamic status. The source of bleeding was found to be an exposed vessel in the rectum without surrounding ulceration. The patient was treated succe...
Source: Advances in Digestive Medicine - April 7, 2015 Category: Gastroenterology Source Type: research
Outcomes of endoscopic submucosal dissection for early gastric cancer and precancer lesion: Experience from a center in Southern Taiwan
Conclusion ESD offers good outcome after treatment for EGC. To decrease the risk of local recurrence, preoperative diagnosis of tumor extent and accurate postoperative pathological evaluation are very important. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - April 7, 2015 Category: Gastroenterology Source Type: research
Amebic and cytomegalovirus colitis mimic ulcerative colitis
In this report, we discuss how to diagnose ulcerative colitis. It is important to exclude infection before using an immunosuppressive agent. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - March 20, 2015 Category: Gastroenterology Source Type: research
Change in insulin resistance according to virological response during antiviral treatment for hepatitis C virus infection
Conclusion Dual therapy with pegylated interferon plus ribavirin ameliorated IR in HCV-infected patients, but the off-therapy improvement of IR was limited to those who attained SVR. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - March 20, 2015 Category: Gastroenterology Source Type: research
Transnasal versus conventional peroral insertion of percutaneous endoscopic gastrostomy using pull method
Conclusion Transnasal insertion of PEG using a pull method is a feasible and safe alternative when conventional pull-method PEG is not possible. However, P. aeruginosa infection is common when using T-PEG; therefore, more studies focusing on prophylaxis of T-PEG-associated P. aeruginosa infection are required. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - March 12, 2015 Category: Gastroenterology Source Type: research
Pseudoachalasia caused by a cholangiocarcinoma in the liver
We describe a case of pseudoachalasia in an 80-year-old woman who presented with a 2-month history of progressive dysphagia and postprandial vomiting. An esophagogram demonstrated a markedly dilated esophagus with a typical “bird-beak” appearance of the gastroesophageal junction, indicative of achalasia. However, esophageal manometric study disclosed normal peristalsis of the esophagus, not suggestive of a typical feature of achalasia. Abdominal computed tomography scan demonstrated a hypovascular tumor in the left lobe of the liver, extending to the gastroesophageal junction and proximal lesser curve of the stomach. T...
Source: Advances in Digestive Medicine - March 6, 2015 Category: Gastroenterology Source Type: research
