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World J Gastrointest Pharmacol Ther 2019 Mar;10(2):35-49

Programa de Pós graduação em Medicina e Saúde, Universidade Federal da Bahia, Salvador 40110-060, Bahia, Brazil.

Crohn's disease with involvement of the esophagus, stomach and duodenum has a prevalence of 0.5% to 4% in symptomatic adult patients, but some studies have shown that these results may be underestimated, since upper gastrointestinal endoscopy is not performed routinely in the initial evaluation of the disease in adult patients, as it is in the pediatric population. In general, involvement of the upper gastrointestinal tract in Crohn's disease occurs concomitantly with involvement of the lower gastrointestinal tract. Read More

Acta Gastroenterol Belg 2019 Jan-Mar;82(1):11-18

Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.

Background And Study Aims: This retrospective study purports to examine these characteristics and compare the surgical procedures available and appropriate for the treatment of patients affected by duodenal GISTs.

Patients And Methods: A retrospective examination of reports and studies carried out between May 2012 and March 2017, and covering patients with primary GISTs of the duodenum was performed using modules from the SPSS package. Comparisons of treatment effects resulting from the administration of two differential methods of surgical treatment namely pancreaticoduodenectomy (PD), and limited resection (LR), were effected on the reports of the GIST patients thus selected. Read More

J Anim Sci 2019 Mar 19. Epub 2019 Mar 19.

Department of Animal Science, University of Manitoba, Winnipeg, Manitoba, Canada.

Taste receptors including calcium sensing receptor (CaSR) are expressed in various animal tissues, and CaSR plays important roles in nutrient sensing and the physiology, growth and development of animals. However, molecular distribution of porcine CaSR (pCaSR) in different tissues, especially along the longitudinal axis of the digestive tract in weaned piglets are still unknown. In the present study, we investigated the distribution and localization of pCaSR in the different tissues including intestinal segments of weaned piglets. Read More

J Surg Case Rep 2019 Mar 12;2019(3):rjz054. Epub 2019 Mar 12.

University Department of Surgery, General and Oncologic Hospital of Kifissia 'Agii Anargiri', Athens, Greece.

Superior mesenteric artery (SMA) or Wilkie's syndrome is a rare clinical entity of partial or complete duodenal obstruction. The pathogenic mechanism is an acute angulation of the SMA which leads to compression of the third part of the duodenum between the SMA and the aorta. This is commonly due to loss of fatty tissue as a result of a variety of debilitating conditions. Read More

Res Vet Sci 2019 Mar 13;124:123-128. Epub 2019 Mar 13.

Equine Clinic, Department of Companion Animals and Equids, Faculty of Veterinary Medicine, University of Liège, B 41, Avenue de Cureghem, 5D, Quartier Vallée 2, 4000 Liège, Belgium; FARAH, Research Center of the Faculty of Veterinary Medicine of Liège, Belgium.

The ultrasonographic images of the gastrointestinal tract in horses can be influenced by fasting and sedation but the proper effect of general anaesthesia (GA) on them has not been determined yet. This study aimed to evaluate the effects of GA on ultrasonographic images of the gastrointestinal tract in horses and to compare these effects with a clinical evaluation. Twenty horses undergoing non-abdominal surgeries were evaluated by ultrasonography before and 4 times within 24 h after GA. Read More

Xenobiotica 2019 Mar 18:1-10. Epub 2019 Mar 18.

a Department of Pharmacy , Shenyang Pharmaceutical University , Shenyang , PR China.

1. Mosapride is a potent gastroprokinetic agent, and des-p-fluorobenzyl mosapride (M1) and mosapride-N-oxide (M2) are its two major active metabolites. 2. Read More

Case Rep Gastrointest Med 2019 6;2019:8528906. Epub 2019 Feb 6.

Clinical Assistant Professor, Department of Gastroenterology, Aurora St. Luke's Medical Center, 2900 W. Oklahoma Avenue, Milwaukee, WI 53215, USA.

Large upper gastro intestinal (GI) bleeding can be life-threatening. Splenic artery pseudoaenurysm (SAP) is rare but can cause massive upper GI bleeding. We report a case of a 57-year-old woman who had massive upper GI bleeding from SAP eroding into distal duodenum. Read More

JSLS 2019 Jan-Mar;23(1)

Istanbul Training and Research Hospital, Department of General Surgery, Fatih, Istanbul, Turkey.

Aim: The patients who underwent endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) for mucosal and submucosal lesions of the esophagus, stomach, and duodenum and the advantages of the double endoscope method we used for traction during ESD were evaluated.

Material And Methods: The patients who underwent ESD and EMR due to upper gastrointestinal lesions were evaluated retrospectively between January 2014 and April 2018 in our endoscopy unit.

Result: The mean age of 10 patients with esophageal lesions was 53 years. Read More

Endosc Ultrasound 2019 Mar 12. Epub 2019 Mar 12.

Department of Medical and Surgical Sciences, GI Unit, Hospital of Imola, University of Bologna, Bologna, Italy.

Background And Objectives: The radial echoendoscope is still widely used for the investigation of abnormalities in the gastrointestinal wall and for stone detection in the extrahepatic biliary tree. Due to aging patient population, EUS is frequently performed in fragile and elderly individuals. We aimed to compare the maneuverability and image quality of a new thin radial echoendoscope to the current one. Read More

BMJ Case Rep 2019 Mar 16;12(3). Epub 2019 Mar 16.

Internal Medicine, Hospital and University Center of Coimbra, Coimbra, Portugal.

An 89-year-old man presented to the emergency department with a 1-month history of upper right quadrant pain, worsened in the last 3 days and accompanied by fever and chills. On physical examination, he had scleral icterus and right upper quadrant tenderness. Laboratory findings showed hyperbilirubinemia, elevated liver enzymes and C reactive protein. Read More

BMJ Case Rep 2019 Mar 15;12(3). Epub 2019 Mar 15.

Upper Gastrointestinal and Hepatobiliary Unit, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.

Chondrolipoma, a rare variant of a lipoma, is a benign mesenchymal neoplasm characterised by mature adipocytes with neoplastic hyaline cartilage formation. We describe the first case of a gastric chondrolipoma. The tumour was completely excised via laparoscopic gastric wedge resection with uneventful postoperative recovery. Read More

Int J Surg Case Rep 2019 Mar 7;57:33-35. Epub 2019 Mar 7.

University of Duhok, College of Medicine, Department of Surgery, Iraq.

Introduction: Trichobezoar is a condition in which hair is accumulated in the stomach forming a ball like mass. Human hair is resistant to digestion and peristalsis therefore over time it accumulates in the gastric folds. Trichophagia and trichotillomania is a psychiatric disorder in which the affected person has the tendency to pull her or his own hair and ingest it. Read More

Ann Gastroenterol 2019 Mar-Apr;32(2):211. Epub 2019 Jan 15.

Pathology (Shiro Adachi), Toyonaka Municipal Hospital, Osaka, Japan.

World J Surg Oncol 2019 Mar 14;17(1):49. Epub 2019 Mar 14.

Department of Minimally Invasive Surgery, The Affiliated Hospital of Putian University, 999 Dongzhen East Rd, Putian, 351100, Fujian, China.

Background: To determine the optimal timing of duodenal transection in patients undergoing laparoscopic-assisted total gastrectomy (LATG) in combination with laparoscopic spleen-preserving splenic hilar lymphadenectomy (LSPL) for advanced proximal gastric cancer (APGC).

Methods: One hundred twenty-seven patients with APGC who received LATG with duodenal transection as well as LSPL between January 2017 and July 2018 were retrospectively recruited in this study. According to the different transection timing, the patients were allocated into two groups: a conventional group (CG) who received the duodenal transection prior to the LSPL and an experimental group (EG) who were given LSPL before the duodenum was transected. Read More

Dtsch Med Wochenschr 2019 Mar 14;144(6):394-397. Epub 2019 Mar 14.

BG Klinikum Bergmannstrost Halle, Medizinische Klinik.

History And Clinical Findings:  A 72-year-old female presented with a therapy-resistant diarrhea.

Examinations:  In the case of negative stool cultures and inconspicuous radiological imaging, further endoscopic diagnostics were performed. Histological implicated the image of a celiac disease in the duodenum and lymphocytic colitis reaching into the terminal ileum. Read More

Food Funct 2019 Mar 14. Epub 2019 Mar 14.

Laboratory of Metabolic Manipulation of Herbivorous Animal Nutrition, College of Animal Science and Technology, Yangzhou University, Yangzhou 225009, P. R. China. and Joint International Research Laboratory of Agriculture and Agri-Product Safety, the Ministry of Education of China, Yangzhou University, Yangzhou 225009, P. R. China.

This study explores the roles of l-arginine (Arg) and N-carbamylglutamate (NCG) supplementation in the diet in intestine damage, energy state, as well as the associated protein kinase signaling pathways activated by AMP in intrauterine growth retarded (IUGR) suckling lambs. A total of 48 newborn Hu lambs with a normal birth weight (CON) and those with IUGR were randomly divided into four groups, CON, IUGR, IUGR + 1% Arg, and IUGR + 0.1% NCG, with 12 animals in each group. Read More

J Ayub Med Coll Abbottabad 2019 Jan-Mar;31(1):86-89

Department of Surgery, Ayub Teaching Hospital Abbottabad, Pakistan.

Background: Present era of endoscopic and laparoscopic approaches have revolutionized surgical management of Common Bile Duct (CBD) stones. Open procedures like Choledochoduodenostomy (CDD) have become a rarity but are not completely obsolete. It may be considered a relatively safe alternative when dealing with recurrent, too large or impacted stones, a failed ERCP, and CBD stricture with stones. Read More

Surg Radiol Anat 2019 Mar 13. Epub 2019 Mar 13.

First Surgery University Clinic, Clinical Center of Serbia, Belgrade, Serbia.

Purpose: To explore individual variations in visibility of the fat planes between the pancreatic parenchyma and adjacent organs and blood vessels using the multi-detector-computed tomography (MDCT).

Methods: Abdominal contrast-enhanced MDCT examinations of 520 consecutive adult individuals were retrospectively analysed by exploring the presence of visible fat planes between the healthy pancreas and the following surrounding structures: stomach, descending duodenum (D2), splenic, portal, superior mesenteric vein (SV, PV, SMV), inferior vena cava (IVC), and coeliac trunk, common hepatic and superior mesenteric artery (CT, HA and SMA). Spearman's rank correlation coefficient (r) was used to assess the correlation of individual gender, age, body mass and BMI, and visible fat planes towards particular surrounding structures. Read More

mSphere 2019 Mar 13;4(2). Epub 2019 Mar 13.

Department of Pharmaceutical Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA

Although the microbiota in the proximal gastrointestinal (GI) tract have been implicated in health and disease, much about these microbes remains understudied compared to those in the distal GI tract. This study characterized the microbiota across multiple proximal GI sites over time in healthy individuals. As part of a study of the pharmacokinetics of oral mesalamine administration, healthy, fasted volunteers ( = 8; 10 observation periods total) were orally intubated with a four-lumen catheter with multiple aspiration ports. Read More

Acta Vet Scand 2019 Mar 12;61(1):14. Epub 2019 Mar 12.

Department of Anatomy, Physiology and Biochemistry, Swedish University of Agricultural Sciences, Box 7011, 750 07, Uppsala, Sweden.

Background: During the production period of laying hens, the number of cracked eggshells increases and the skeleton becomes brittle. Both these problems are related to ageing of the hen and cause economic problems for egg producers and impaired animal welfare. This study investigated key factors in the shell gland and duodenum related to eggshell quality and bone strength in laying hens during the production period. Read More

BMC Vet Res 2019 Mar 13;15(1):92. Epub 2019 Mar 13.

Department of Reproductive Biology, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Avenue. Vasco de Quiroga 15 Col. Belisario Domínguez, Section XVI, Tlalpan, 14080, México City, Mexico.

Background: Hirschsprung's disease (HSCR) is a common congenital malformation of the enteric nervous system (ENS). During fetal development, ganglion cells of the ENS are derived from neural crest cells that migrate to the bowel. These cells reside principally in two ganglionated plexus: 1) The myenteric plexus, extending from the esophagus to the anus, and 2) submucous plexus, extending from the duodenum to the anus. Read More

Genet Sel Evol 2019 Mar 13;51(1):10. Epub 2019 Mar 13.

Animal Breeding and Genetics Program, Institute of Agriculture and Food Research and Technology (IRTA), Torre Marimon s/n, 08140, Caldes de Montbui, Barcelona, Spain.

Background: To date, the molecular mechanisms that underlie residual feed intake (RFI) in pigs are unknown. Results from different genome-wide association studies and gene expression analyses are not always consistent. The aim of this research was to use machine learning to identify genes associated with feed efficiency (FE) using transcriptomic (RNA-Seq) data from pigs that are phenotypically extreme for RFI. Read More

Am J Gastroenterol 2019 Mar 8. Epub 2019 Mar 8.

Department of Autoimmune Diseases, ICMiD, Hospital Clínic, Barcelona, Spain.

Involvement of the gastrointestinal (GI) tract is an infrequent extrathoracic presentation of sarcoidosis. We reviewed 305 cases of GI involvement reported in 238 patients, in whom GI sarcoidosis was the first sign of the disease in half the cases. The disease does not affect the GI tract uniformly, with a clear oral-anal gradient (80% of reported cases involved the esophagus, stomach, and duodenum). Read More

J Laparoendosc Adv Surg Tech A 2019 Mar 13. Epub 2019 Mar 13.

1 Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing, P.R. China.

Background/purpose: During laparoscopic excision of choledochal cysts (CDCs), if duodenum injury is encountered, conversion to open repair of duodenal injury is often the standard approach. This study evaluates if it is safe to repair the duodenal injury laparoscopically in CDC children.

Materials And Methods: CDC children who underwent single-incision laparoscopic repair for iatrogenic duodenal injury between October 2013 and September 2018 were reviewed. Read More

Curr Clin Pharmacol 2019 Mar 12. Epub 2019 Mar 12.

Department Pharmacy, Pranveer Singh Institute of Technology Address: Kanpur - Agra - Delhi National Highway -2, Bhauti, Kanpur, Uttar Pradesh 209305. India.

Background: Due to inappropriate diet, smoking, alcohol consumption, regular use of drugs like NSAIDs, sedentary lifestyle, one may feel upper abdominal pain which may be the predictor of the gastrointestinal disorder called Peptic Ulcer. When an imbalance occurs between the defensive factor and aggressive factor of the stomach, ulcer formation in the esophageal lining, stomach, or duodenum takes place. This leads to the formation of small sores that causes pain. Read More

Arh Hig Rada Toksikol 2018 Dec;69(4):286-303

Molecular Toxicology Unit, Institute for Medical Research and Occupational Health, Zagreb, Croatia.

Chloride/formate exchanger (CFEX; SLC26A6) mediates oxalate transport in various mammalian organs. Studies in Cfex knockout mice indicated its possible role in development of male-dominant hyperoxaluria and oxalate urolithiasis. Rats provide an important model for studying this pathophysiological condition, but data on Cfex (rCfex) localisation and regulation in their organs are limited. Read More

Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2018 Dec;39(2-3):63-68

University Children's Hospital, Medical Faculty Skopje, Republic of Macedonia.

Introduction: The term angiodysplasia (AD) refers to acquired malformation of the blood vessels (communications between veins and capillaries), frequently found within the gastrointestinal mucosa and submucosa. AD of stomach and duodenum are cause of upper gastrointestinal bleeding in 4%-7% of patients. The means of treatment are usually endoscopic, including argon plasma coagulation (APC), electrocoagulation, mechanical hemostasis by clippsing, laser photo-coagulation and injection therapy. Read More

Environ Sci Pollut Res Int 2019 Mar 12. Epub 2019 Mar 12.

Department of Animal Production, College of Food and Agriculture Sciences, King Saud University, Riyadh, Saudi Arabia.

The comparative anticoccidial effects of herbal products with a standard synthetic anticoccidial drug on the production performance, intestinal histology, and some blood biochemical parameters in broilers exposed to experimental coccidiosis was investigated. One-day-old broiler chicks (n = 336) were randomly distributed into six groups. One group served as a control, the second was treated with the coccidial infection, the third was treated with synthetic anticoccidial drug (Elancoban), the fourth group was treated with an herbal product (Cozante), the fifth group of birds was treated with Norponin, and the sixth group was treated with Emanox. Read More

Dig Endosc 2019 Mar 12. Epub 2019 Mar 12.

Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-Ku, Okayama, 700-8558, Japan.

A 50-year-old asymptomatic man presented for screening esophagogastroduodenoscopy. Esophagogastroduodenoscopy showed a 10-mm semipedunculated type of submucosal tumor (SMT)-like protrusion with slight depression on top in the second portion of the duodenum (Fig. 1a). Read More

Rev Gastroenterol Peru 2018 Oct-Dec;38(4):374-376

Instituto Ecuatoriano de Enfermedades Digestivas. Guayaquil, Ecuador.

Dieulafoy's lesions are vascular anomalies that produce gastrointestinal bleeding of the mucosa from an abnormally long and tortuous submucosal artery. It is found predominately in the stomach (80%) and less frequently in the duodenum. They constitute the 6% of all non-variceal bleeding and the 1 to 2% of all gastrointestinal bleeding source. Read More

J Gastrointest Surg 2019 Mar 11. Epub 2019 Mar 11.

Department of Gastroenterological Surgery, Osaka International Cancer Institute, Otemae 3-1-69, Chuo-ku, Osaka, 541-8567, Japan.

Background: Pancreatoduodenectomy is considered to be a very invasive treatment for early superficial duodenal tumors (SDTs), which have a lower risk of lymph node metastasis. Partial resection of the duodenum with endoscopic submucosal dissection for SDT resection is an attractive technique but it is associated with a high risk of complications. We describe our technique for SDT resection. Read More

Dose Response 2019 Jan-Mar;17(1):1559325819832149. Epub 2019 Mar 4.

Department of Radiation Oncology, Kumamoto University Hospital, Kumamoto, Japan.

Purpose: To evaluate the impact of Tc-labeled diethylene triamine pentaacetate-galactosyl human serum albumin (Tc-GSA) single-photon emission computed tomography (SPECT) image-guided inverse planning on the dose-function histogram (DFH) parameters for stereotactic body radiation therapy planning in patients with hepatocellular carcinoma (HCC).

Methods: Eleven patients were enrolled in this study. The functional liver structure (FLS) was derived from SPECT thresholds of 60% to 80% of the maximum pixel value. Read More

BMC Pediatr 2019 Mar 11;19(1):78. Epub 2019 Mar 11.

Discipline of Paediatrics, School of Women's and Children's Health, Medicine, University of New South Wales, Sydney, NSW, Australia.

Background: Cholecystoduodenostomy is a surgical procedure that bypasses the extrahepatic biliary tree and connects the gallbladder directly to the duodenum. This case describes the successful use of this procedure in a novel situation.

Case Presentation: A premature (34 weeks gestation) female infant with cystic fibrosis required a laparotomy on day 1 of life due to an intrauterine small bowel perforation. Read More

Animals (Basel) 2019 Mar 10;9(3). Epub 2019 Mar 10.

Department of Veterinary Medicine and Animal Production, University of Napoli Federico II, via F. Delpino 1, 80137 Naples, Italy.

To evaluate the effects of feeding a (HI) larvae meal on the different intestinal traits of hens, and to determine the toxic elements' concentration in the insect meal and diets, 162 hens were randomly allotted to three groups. The control received a corn-soybean meal-based diet (SBM); the HI25 and HI50 groups received two diets in which the 25% and 50% of the dietary protein were replaced by the HI protein, respectively. The duodenal and jejunal villi height and villi/crypt were higher ( < 0. Read More

Int J Mol Sci 2019 Mar 8;20(5). Epub 2019 Mar 8.

Instituto Aragonés de Ciencias de la Salud (IACS), 50009 Zaragoza, Spain.

The epithelial intermediate-conductance calcium/calmodulin-regulated KCa3.1 channel is considered to be a regulator of intestine function by controlling chloride secretion and water/salt balance. Yet, little is known about the functional importance of KCa3. Read More

Int J Surg Case Rep 2019 21;56:70-73. Epub 2019 Feb 21.

Department of Digestive Surgery, Dr Ramelan Navy Hospital Surabaya, Surabaya, Indonesia.

Introduction: Liposarcoma is the most common variant of soft tissue sarcoma. It often originates in retroperitoneum or perirenal fat. Early diagnosis is extremely difficult due to its location in the retroperitoneum that allows for room for growth. Read More

Khirurgiia (Mosk) 2019 (2):89-95

Department of Pancreas and Kidney Transplantation of Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russia.

Pancreas transplantation followed by stumpless duodenal exocrine drainage was performed in 2 patients. Primary kidney and pancreas graft function was noted in both cases. Two procedures of pancreas transplantation followed by stumpless duodenal exocrine drainage were carried out for the first time. Read More

Asian J Surg 2019 Mar 8. Epub 2019 Mar 8.

Department of Hepatobiliary & Pancreatovascular Surgery, First Affiliated Hospital of Xiamen University, Xiamen, China.

The purpose of this study is to assess the clinical outcomes and prognostic factors for survival of patients with duodenal gastrointestinal stromal tumors (GIST) who underwent pancreaticoduodenectomy (PD) or local resection (LR). PubMed database was searched for relevant studies. A meta-analysis was performed with Review Manager 5. Read More

J Vasc Interv Radiol 2019 Mar 6. Epub 2019 Mar 6.

Department of Radiology and Imaging Sciences, Emory University, 201 Dowman Drive, Atlanta, GA 30322. Electronic address:

Purpose: To evaluate the feasibility of catheter-directed intra-arterial stem cell delivery of human mesenchymal stem cells (MSCs) to the small bowel in a porcine model.

Materials And Methods: The cranial mesenteric artery of 6 Yucatan minipigs was selectively catheterized under fluoroscopic guidance following cut-down and carotid artery access. A proximal jejunal branch artery was selectively catheterized for directed delivery of embolic microspheres (100-300 μm) or MSCs (0. Read More

Surg Oncol 2019 Mar 14;28:76-77. Epub 2018 Nov 14.

Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium.

Background: In the last decade Reduced Port Laparoscopy (RPL) has been introduced to reduce the risks related to the trocars and abdominal wall trauma, with enhanced cosmetic outcomes. The authors report a 59 year old man with a small bowel neuroendocrine tumor, submitted to three trocars right ileocolectomy.

Video: Preoperative work-up, including endoscopic ultrasound, octreo-PET-CT and FDG PET-CT, showed a 15 mm small bowel low grade well differentiated neuroendocrine tumor with mesenteric and transverse mesocolic extension, until the muscularis propria of the 3rd duodenum. Read More

Surg Oncol 2019 Mar 3;28:150. Epub 2019 Jan 3.

Departments of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, South Korea.

Background: Numerous recent studies have reported comparable oncologic outcomes of laparoscopic distal pancreatectomy for pancreatic cancer compared with open surgery [1,2]. Most of these laparoscopic procedures, however, involved resection for left-sided pancreatic cancer where R0 resection was possible by pancreatic transection around the portal vein-superior mesenteric vein with preservation of the gastroduodenal artery (GDA) [3,4]. Here we describe our technique of laparoscopic subtotal pancreatectomy for pancreatic cancer located in the neck of the pancreas, which requires resection of the GDA and radical antegrade modular pancreatosplenectomy (RAMPS) to achieve a clear resection margin. Read More

J Gastrointestin Liver Dis 2019 Mar;28(1):117-120

Iuliu Hatieganu University of Medicine and Pharmacy;1st Medical Clinic, Gastroenterology Department, Emergency Clinical County Hospital, Cluj-Napoca, Romania.

Gastric heterotopia is defined as the presence of morphologically normal gastric tissue at a non-physiological site, coexisting with the original tissue. Although it is not uncommon to see it in the esophagus, duodenum or small intestine, it is exceptionally rare to discover gastric mucosa in the rectum. Here we report the case of a 46-year old male with a 10-year history of ulcerative colitis in whom the surveillance rectosigmoidoscopy detected a Mayo score of 1 for ulerative colitis activity and a middle rectal sessile polyp. Read More

Aorta (Stamford) 2018 Aug 8;6(4):107-108. Epub 2019 Mar 8.

Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey.

A 91-year-old female patient was admitted to hospital for evaluation of transcatheter aortic valve implantation. A chest radiography showed a hiatal hernia, and the stomach and duodenum appeared in the thoracic cavity. The descending aorta was pushed by the stomach and duodenum. Read More

Toxicon 2019 Mar 5;162:24-31. Epub 2019 Mar 5.

Laboratory of Animal Biology, National Institute for Research and Development for Biology and Animal Nutrition, Calea Bucuresti No. 1, Balotesti, Ilfov, 077015, Romania.

The aim of this study was to investigate the potential of a grape seed byproduct to mitigate the harmful damage produced by aflatoxin B1 (AFB1) at systemic level in plasma and liver as well as at local level in the gastrointestinal tract in weaned piglets. Twenty four crossbred pigs (TOPIG) were randomly assigned to one of four experimental diets: 1)- control diet (normal compound feed for starter piglets without mycotoxin), 2)- AFB1 diet (compound feed contaminated with 320 ppb pure AFB1), 3)- GS diet (compound feed including 8% of grape seed meal), 4)- AFB1+GS diet (compound feed containing 8% of grape seed meal contaminated with 320 ppb AFB1) for 30 days. The results showed that pigs fed AFB1 diet had altered performance (-25. Read More

J Vet Intern Med 2019 Mar 7. Epub 2019 Mar 7.

Department of Clinical Sciences and Advanced Medicine, University of Pennsylvania School of Veterinary Medicine, Philadelphia, Pennsylvania.

Background: Diagnosis of infiltrative small intestinal (SI) disease in cats is challenging, and debate continues regarding optimal biopsy techniques. Ultrasonography may facilitate selection of biopsy type and location.

Hypothesis/objectives: Assess ability of ultrasonography to predict histologic lesions by SI segment and tissue layer. Read More

Int J Clin Oncol 2019 Mar 7. Epub 2019 Mar 7.

Department of General Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, No.197 Ruijin Number Two Road, Huangpu District, Shanghai, 200025, People's Republic of China.

Purpose: This study aimed to determine the outcome of pancreatic metastatic renal cell carcinoma (PmRCC) after treatment and share the relevent results.

Methods: In total, 13 patients with PmRCC were diagnosed and treated in our institution from December 2013 to October 2017. We retrospectively reviewed the records and analyzed the patient demographics, perioperative outcomes, and overall survival. Read More

Surg Clin North Am 2019 Apr 10;99(2):357-367. Epub 2019 Feb 10.

Department of Surgery, University of Alabama at Birmingham, 1808 7th Avenue South, BDB 607 Birmingham, AL 35233-3411, USA. Electronic address:

Compared with other periampullary tumors, cancers of the ampulla of Vater are rare. These tumors tend to present earlier than their pancreatic and distal bile duct brethren. In addition to the hypothesis that they are also less biologically aggressive, ampullary cancers tend to have better survival than other types of periampullary cancers. Read More

J Clin Med 2019 Mar 5;8(3). Epub 2019 Mar 5.

R&D Center, BioCore. Co. Ltd., Seoul 08511, Korea.

Mucosal inflammation is characterized by neutrophil and mononuclear cell infiltration. This study aimed to determine the gastric and duodenal microbiota associated with histological, endoscopic, and symptomatic gastritis. Dyspeptic adults who presented for evaluation were included. Read More

J Chin Med Assoc 2019 Feb;82(2):105-109

Division of Gastroenterology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan, ROC.

Background: Foreign body impaction in the upper gastrointestinal (UGI) tract is considered an emergency worldwide. This article reports our experience in the endoscopic management of foreign bodies in the UGI tract of adults.

Methods: A retrospective chart review was conducted on adult patients (aged >18 years) who received endoscopic management of foreign bodies in the UGI tract at Shuang Ho Hospital between November 2008 and November 2016. Read More