Comparison of the efficacy of esomeprazole and famotidine against stress ulcers in a neurosurgical intensive care unit
Conclusion In this small-scale study, the effect of administration of esomeprazole through a nasogastric tube on stress ulcer was similar to that of intravenous famotidine infusion in neurosurgical ICU patients. In addition, the association between prevalence of ventilator-associated pneumonia and administration of esomeprazole was also similar to that observed with famotidine infusion. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Assessment of esophageal motor function using combined multichannel intraluminal impedance and manometry in patients with achalasia
Conclusion Patients with achalasia are characterized by poor esophageal contraction and absent esophageal bolus clearance and such abnormalities are still noticeable after Heller myotomy. Although combined MII-EM can provide additional information regarding esophageal bolus transit, a low baseline impedance level and air trapping in the proximal esophagus may limit its utility in the diagnosis of esophageal dysmotility in patients with achalasia. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Clinical experience of large colorectal laterally spreading tumor in a regional hospital: 2-year results
Conclusion Although long-term outcome comparison was lacking, endoscopic treatment should be considered firstly for colorectal LST under the consideration of shorter hospitalization. Most of our analyses between the G and NG groups were statistically insignificant, which is likely to be due to the small population base. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Stress ulcer prophylaxis in the intensive care unit
Publication date: June 2014 Source:Advances in Digestive Medicine, Volume 1, Issue 2 Author(s): Fu-Chen Kuo , Deng-Chyang Wu (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Evolution of esophageal function testing in achalasia: Linking new technology to treatment outcome
Publication date: June 2014 Source:Advances in Digestive Medicine, Volume 1, Issue 2 Author(s): Ping-Huei Tseng , Ming-Shiang Wu (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Pseudomelanosis duodeni in a female adult with chronic renal failure
This study reports a case of a 74-year-old woman, with end-stage renal disease under maintenance hemodialysis, hypertension under regular medical control, iron deficiency anemia under oral iron supplement, and progressive anemia with suspicious occult gastrointestinal bleeding. Upper gastrointestinal endoscopy revealed multiple tiny brownish-black pigmentation throughout the proximal second portion of the duodenum. The histopathological examination showed pigment-laden macrophages with positive iron stain and negative melanin stain in the lamina propria of the mucosal villi. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Younger age and female sex predict a better therapeutic response in HBeAg-positive chronic hepatitis B patients to entecavir therapy
Conclusion Two-year entecavir therapy has good biochemical and virologic responses; however, the rate of HBeAg loss is modest in HBeAg-positive CHB patients. A young age (i.e., ≤35 years) and female sex were also associated with a better serologic response. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
A tubular polyp in the cecum during colonoscopic examination
Publication date: Available online 10 August 2014 Source:Advances in Digestive Medicine Author(s): Tsung-Hsien Hsiao , Chia-Chi Wang (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Stromal tumor presents as a large extragastrointestinal mass in the abdominal cavity
Publication date: Available online 14 August 2014 Source:Advances in Digestive Medicine Author(s): Chung-Kai Chou , Chia-Yang Hsu , Che-Chang Chan , Anna Fen-Yau Li , Han-Chieh Lin Gastrointestinal stromal tumors are nonepithelial neoplasms of the gastrointestinal tract and have been increasingly recognized in recent years. In contrast, stromal tumor outside the gastrointestinal tract is not frequently found. Here, we present a 57-year-old male patient who had abdominal fullness for several months. It was caused by a 23-cm heterogeneous tumor mass that was successfully removed from the left upper abdominal cavity....
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Clinical and endoscopic features of gastric pyogenic granuloma
Conclusion Overt gastrointestinal bleeding was the most common clinical presentation in patients with gastric PG. Gastric ulcers were the most common precursors of PG with the antrum being the most frequent site involved. Gastric PGs were characteristically protruding hyperemic lesions with adherent exudates. Conservative treatment may be considered for asymptomatic PG patients with major comorbidities. Endoscopic resection may be offered to patients with symptoms. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Risk factors for 1-year mortality in patients with intermediate-stage hepatocellular carcinoma treated solely with transcatheter arterial chemoembolization
Conclusion One-year mortality in patients with intermediate-stage HCC treated solely with TACE is not uncommon. High serum AFP level (> 400 ng/mL), CTP class B cirrhosis, and tumor size are independent risk factors for 1-year mortality in those patients. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Toward personalized therapy of chronic hepatitis B
Publication date: Available online 19 August 2014 Source:Advances in Digestive Medicine Author(s): Rong-Nan Chien (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Gastritis cystica polyposa in an unoperated stomach
We present a 34-year-old man who had anemic symptoms with melena and exertional dyspnea for 3 weeks. He denied any surgical history. An esophagogastroduodenoscopy revealed diffuse giant folds extending from the lower to the upper body of the stomach with nodularity and no obvious bleeding site. A pathologic diagnosis of a punch biopsy specimen from the giant folds revealed only moderately active chronic inflammation with a high Helicobacter pylori density. After serial studies, the patient received a whole layer gastric biopsy during a laparoscopy. Gastritis cystica polyposa was diagnosed on the pathology report. Our prese...
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Gallbladder perforation in cholecystitis with liver abscess formation and septic thrombophlebitis of portal vein mimicking presentation of liver malignancy
Publication date: September 2014 Source:Advances in Digestive Medicine, Volume 1, Issue 3 Author(s): Hsin-Chi Lin , Tseng-Shing Chen Gallbladder perforation is a rare complication of cholecystitis. Similarly, septic thrombophlebitis of the portal vein, also called pylephlebitis, is another rare complication of intra-abdominal infections including cholecystitis. Both gallbladder perforation and pylephlebitis are associated with significantly higher morbidity and mortality. Herein, we report a patient with an atypical presentation of gallbladder perforation and liver abscess formation. A 68-year-old man suffered from m...
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
Acute hepatitis with nontyphoidal salmonella and hepatitis E virus coinfection
Publication date: September 2014 Source:Advances in Digestive Medicine, Volume 1, Issue 3 Author(s): Yu-Ting Kuo , Chi-Yang Chang , Ming-Shiang Wu , Lein-Ray Mo A 65-year-old Taiwanese man presented with dark urine for 5 days before admission to hospital and with fever on the 2nd day of admission to hospital. Laboratory studies showed acute hepatitis with hyperbilirubinemia. Acute hepatitis with nontyphoidal salmonella and hepatitis E virus coinfection was diagnosed. The fever subsided after treatment with ceftriaxone and cefepime. His serum bilirubin reached its peak value on the 3rd week after admission to hospit...
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research
