4,782 results match your criteria Acta Gastro-Enterologica Belgica[Journal]

Polypoid colon mucosa in a leukemia patient.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):118-119

Department of Pathology, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium.

A woman, followed for chronic myeloid leukaemia, presented for a routine examination. Her medical history was marked by recurrent Helicobacter pylori gastritis and polymyalgica rheumatica. She was under dasatinib and hormone replacement therapy. Read More

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An unusual cause of massive rectal bleeding.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):116-117

Department of Gastroenterology and Hepatology, AZ Sint-Maarten, Mechelen, Belgium.

A 76-year old female was referred to the gastro-enterology department because of massive rectal bleeding with hemoglobin decrease to 9 g/dL. She was in follow-up at the oncology department for a multiple myeloma and treated with Lenalidomide-Dexamethason since 2018. She had a past medical history of rectal bleedings due to angiodysplastic lesions of the right colon, treated with argon plasma coagulation (APC). Read More

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An unexpected cause of proximal small intestinal obstruction.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):114-115

Gastroenterology Department, Hospital de São João, Porto, Portugal.

A 63-year-old caucasian male with history of tonsil cancer, under induction chemotherapy, reported food intolerance and vomiting with duration of one month. Symptoms had increased over the last days and were associated with a weight loss of 10 Kg during the past three months. The patient lived all of is life in an urban environment. Read More

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Another gastrointestinal lesion amendable for ablation.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):113

Department of Gastroenterology and Hepatology, Imelda General Hospital, Bonheiden, Belgium.

A 79-year-old patient, with a history of redoendoscopic ampullectomy (low grade dysplasia), was referred to our hospital with cholestatic liver function abnormalities and dilation of the common bile duct. Diagnostic endoscopic ultrasound (EUS) was performed (Figure 1, left), as well as upper gastrointestinal endoscopy (Figure 1, right). What is the final diagnosis and which treatment would you propose? Read More

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Celiac disease and intussusception - a rare but important association.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):111-112

Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.

Most of the cases of intussusception in children are labeled as idiopathic and not usually investigated. Only rare cases of chronic or recurrent intussusception receive greater attention and further investigations. Celiac disease appears to be associated with modestly increased risk of intussusception, although most of these cases remain asymptomatic. Read More

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High-grade anal intraepithelial neoplasia treated with endoscopic submucosal dissection: a case report.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):108-110

Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal.

Anal intraepithelial neoplasia is a premalignant lesion for anal squamous cell carcinoma. Current treatment options, consisting of topical therapy and local ablative procedures with electrocautery or radiofrequency ablation, are effective although recurrence rates are high. Experience with endoscopic submucosal dissection for anal lesions is limited, with only a few cases of anal intraepithelial neoplasia and early anal squamous cell carcinoma. Read More

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Esophageal carcinoma as a portal of entry for brainstem abscess formation.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):105-107

Department of Gastroenterology, Hospital AZ Maria Middelares, Ghent, Belgium.

Cerebral abscess formation is a serious and life-threatening clinical entity, secondary to contiguous spread, hematogenous dissemination or direct inoculation. We present the case of a 61-year-old woman with a recent diagnosis of a locally advanced squamous cell carcinoma of the esophagus who was diagnosed with a brainstem abscess. In literature we only found three cases reporting cerebral abscess formation in patients with esophageal carcinoma. Read More

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Exceptional manifestation of Madelung's disease after liver transplantation.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):102-104

Plastic, Reconstructive and Aesthetic Surgery division, Saint-Luc Academic Hospital, Brussels, Belgium.

Unlike simple obesity, Madelung's disease (MD) is a rare disease characterized by symmetric accumulation of massive adipose tissue on the neck, the superior part of the trunk and limbs, leading to a pathognomonic cosmetic deformity. Here, we report an extremely rare case of MD associated with bilateral gynecomastia in a 61-year-old man, with a history of recent liver transplantation for alcoholic liver disease (ALD). Read More

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Risk factors and clinical outcomes of acute esophageal necrosis: retrospective case series of a rare disease with "black" prognosis.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):97-101

Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal.

Acute esophageal necrosis is a rare syndrome classically characterized by black distal esophagus with a complex pathophysiology that usually involves a combination of esophageal ischemia, gastroesophageal reflux and impaired mucosal reparative mechanisms. We retrospectively analyzed the main risk factors, clinical characteristics and outcome in all patients diagnosed with acute esophageal necrosis between January 2015 and December 2020 at our center. Ten patients were identified in a total of 26854 upper digestive endoscopies (0. Read More

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An Israeli national survey on ischemic colitis induced by pre-colonoscopy bowel preparation (R1).

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):94-96

Departments of Medicine, Hadassah-Hebrew University Medical Center, Jerusalem, Israel, Faculty of Medicine, Hebrew University of Jerusalem, Israel.

Background And Study Aims: Ischemic colitis (IC) may occur as a complication of colonoscopy. The aim of this study was to characterize patients with IC that occurred after exposure to bowel preparation laxatives, prior to an elective colonoscopy.

Patients And Methods: A survey among Israeli gastroenterologists. Read More

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Chronic intestinal pseudo-obstruction: a case report with review of the literature and practical guidance for the clinician.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):85-93

University Hospital, Department of Gastroenterology and Hepatology, Leuven Intestinal Failure and Transplantation (LIFT). Gasthuisberg, Leuven, Belgium.

Chronic Intestinal Pseudo-obstruction (CIPO) is a rare but debilitating and severe form of gastrointestinal dysmotility. The diagnosis is often made very late in the disease course due to its rarity and complexity. Treatment is mainly supportive, as there is no definitive cure. Read More

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Isolated amyloidosis of the gastro-intestinal tract.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):80-84

Department of gastroenterology Sint-Andries hospital Tielt.

Amyloidosis is a very rare condition, which, due to its rarity, is often missed or diagnosed in an advanced stage of the disease, causing significant morbidity and mortality. In this review we describe the existing types of amyloidosis focusing on the gastro-intestinal tract. Amyloidosis occurs when abnormal protein fibrils (amyloid) deposit in the muscularis mucosae. Read More

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Serum serotonin as a non-invasive marker of portal hypertensive gastropathy in Egyptian patients with HCV-related liver cirrhosis.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):73-79

Assistant professor of clinical pathology, clinical pathology department, Faculty of Medicine, Alexandria university, Alexandria, Egypt.

Background And Study Aims: Portal hypertensive gastropathy (PHG) is an important complication of portal hypertension (PHT) in cirrhotic patients. We aimed in the current study to investigate the validity of serum serotonin as a probable non-invasive marker for PHG in cirrhotic patients with PHT. We conducted this study on 100 HCV-related cirrhotic patients divided into three groups according to their endoscopic findings; group I: patients with no endoscopic signs of PHG; group II: patients with mild PHG; and group III: patients with severe PHG. Read More

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GPR, King's Score and S-Index are superior to other non-invasive fibrosis markers in predicting the liver fibrosis in chronic Hepatitis B patients.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):62-68

Department of Internal Medicine, Istanbul Bagcilar Training and Research Hospital, Istanbul, Turkey.

Background And Study Aims: In this study, we investigated the efficacy of nine non-invasive fibrosis markers in the assessment of the degree of fibrosis in patients with chronic Hepatitis B (CHB) in comparison with liver biopsy.

Patients And Methods: A total of 1454 untreated CHB patients from two different centers who underwent liver biopsy were included in the study. Laboratory results of patients were reviewed retrospectively and the pathology slides were re-evaluated in accordance with the Ishak score. Read More

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A long-term study of liver-related events in Caucasian hepatitis B patients with normal ALT values and high viremia.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):56-61

Department of Gastroenterology and Hepatology, KU Leuven University Hospitals, Leuven, Belgium.

Background And Study Aims: There is ongoing debate whether antiviral therapy should be initiated in hepatitis B e antigen (HBeAg)-negative patients with normal alanine aminotransferase (ALT) levels but high HBV DNA levels >2,000 IU/mL. Since the need for antiviral therapy might be different between Asian and Caucasian patients, we studied the long-term disease outcome in Caucasian patients living in Western Europe.

Patients And Methods: One hundred sixteen patients with high HBV DNA levels (>2,000 IU/mL) at diagnosis were included in the high viremia group, while those with HBV DNA <2,000 IU/mL were used as controls (n = 327). Read More

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Endoscopic mucosal resection of colorectal polyps: results, adverse events and two-year outcome.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):47-55

Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.

Background And Study Aims: Endoscopic mucosal resection (EMR) is the first-line treatment for large sessile and flat colorectal polyps in Western centres, however recurrence after EMR continues to be a challenge. The aim of this study is to assess efficacy, safety and recurrence rate of EMR in a tertiary centre and to identify risk factors for recurrence at first surveillance endoscopy (SE1).

Patients And Methods: We performed a retrospective study of 165 sessile and flat colorectal lesions ≥15 mm, treated by EMR between 2017-2019. Read More

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Relationship of prognostic factors in stomach cancer with Helicobacter pylori: A retrospective study.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):35-45

Tinaztepe University, Faculty of Medicine, Izmir, Turkey.

Background And Study Aims: The prognostic value of H. pylori, which infects more than half of the human population living in the world and plays a role in gastric cancer pathogenesis, is controversial. Our aim is to investigate the relationship between H. Read More

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Underlying disease for percutaneous endoscopic gastrostomy tube placement predicts short- and long-term mortality.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):29-33

Department of Gastroenterology and Hepatology, University Hospital of Geneva, Switzerland.

Background: PEG (percutaneous endoscopic gastrostomy) is a well established endoscopic procedure for enteral feeding. However, patients with a shorter life expectancy will not benefit from PEG tube placement. Furthermore, some specific evolving diseases will never benefit from PEG. Read More

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Validation and psychometric properties of the Turkish version of Neuromuscular disease Swallowing Status Scale (NdSSS) in patients with oro-pharygo-esophageal dysphagia in neuromuscular disorders.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):21-27

Department of Physical Medicine and Rehabilitation, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences, Ankara, Turkey.

Objective: Dysphagia is one of the most disabling conditions arising from neuromuscular disorders(NMD). There is no specific methods to use in the evaluation of dysphagia in NMD patients. We aimed both to evaluate the applicability of the Neuromuscular Disease Swallowing Status Scale (NdSSS) for dysphagia in all phases of swallowing in various NMD patients and to investigate psychometric properties of this scale. Read More

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Stimulating peristalsis improves esophagogastric junction observation during sedated esophagogastroduodenoscopy in children and adolescents.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):15-19

Department of Pediatrics, University of Tsukuba Hospital, Tsukuba, Japan.

Background And Study Aims: Sedation impairs full visualization of the esophagogastric junction (EGJ) and Z line (the squamocolumnar junction) during esophagogastroduodenoscopy (EGD). The aim of this study was to determine whether induction of esophageal peristalsis could improve the ability to evaluate the Z line in children and adolescents.

Patients And Methods: Study 1: Consecutive patients (10-15 years) undergoing EGD with propofol or midazolam sedation were enrolled. Read More

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Long-term outcomes of hemostatic therapy for variceal bleeding and the challenge pending in the post-direct-acting antivirals era.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):7-14

Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka-shi, Fukuoka 814-0180, Japan.

Background And Study Aims: This study evaluated the longterm outcomes of mainly endoscopic hemostatic therapy for gastrointestinal variceal bleeding and of the transition of hemostatic therapy.

Patients And Methods: Among 1,163 patients treated for gastrointestinal varices between April 2006 and June 2020, a total of 125 patients who underwent emergency hemostatic therapy were enrolled. Survival rates and secondary evaluation points were analyzed. Read More

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Prevalence of microsatellite instable and Epstein-Barr Virus-driven gastroesophageal cancer in a large Belgian cohort.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):1-5

University Hospital, Gasthuisberg, Gastroenterology and Hepatology, Leuven, Belgium.

Introduction: Patients with gastroesophageal adenocarcinoma (GEC) with microsatellite instability-high (MSI-H) or Epstein Barr Virus positivity (EBV+) might be good candidates for immunotherapy. Incidences of about 10% have been reported for both features, but are dependent on geographical region and disease stage.

Aim: The aim is to study the prevalence of MSI-H and EBV+ in a Belgian single center cohort of patients with GEC. Read More

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Essential reading from the editor's desk.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):III-IV

Gastroenterology, University Hospital Liège, Liège, Belgium.

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Unusual cause of low abdominal pain.

Acta Gastroenterol Belg 2021 Oct-Dec;84(4):685

Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven.

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January 2022

When hematochezia becomes a red herring.

Acta Gastroenterol Belg 2021 Oct-Dec;84(4):684

Department of gastroenterology, Sint-Andries hospital, Tielt.

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January 2022

How skin and liver can lead to diagnosis.

Acta Gastroenterol Belg 2021 Oct-Dec;84(4):682-683

Service d'Hépato-Gastroentérologie, Cliniques universitaires Saint-Luc, UCLouvain, Brussels, Belgium.

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January 2022

Pancreatic cyst-solid mass: tuberculosis.

C Wu S Wang B Hu

Acta Gastroenterol Belg 2021 Oct-Dec;84(4):680-681

Department of Gastroenterology, West China Hospital, Sichuan University, China.

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January 2022

Gastric adenocarcinoma with enteroblastic differentiation: an unexpected cause of upper gastrointestinal bleeding.

Acta Gastroenterol Belg 2021 Oct-Dec;84(4):678-679

Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal.

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January 2022

An unusual case of a gallbladder polyp.

Acta Gastroenterol Belg 2021 Oct-Dec;84(4):675-677

Department of pathology, University hospital Ghent, Belgium.

A 63-year old female patient with a medical history of hypereosinophilic syndrome with neurological and pulmonary involvement presented for a routine follow-up. The patient was asymptomatic but a routine scheduled ultrasound showed a gallbladder polyp of 19mm. One month later this polyp had grown to 36 mm. Read More

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December 2021

Sarcoidosis-like disease with pulmonary infestation, meningoencephalitis and transverse myelitis after sigmoid cancer treatment.

Acta Gastroenterol Belg 2021 Oct-Dec;84(4):672-674

Dpt. of pneumology, AZ St Dimpna, Geel, Belgium.

We present the case of a 40-year-old male with recent history of moderately differentiated invasive adenocarcinoma of the sigmoid in whom both respiratory and neurological disease developed simultaneously, mimicking diffuse metastatic disease. The broad differential diagnosis and pitfalls (both diagnostic and therapeutic) are described. Pulmonary sarcoidosis as well as neurosarcoidosis occur very rarely after solid cancers. Read More

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December 2021