1,826 results match your criteria Imaging in Duodenal Ulcers


A thin layer of sucrose octasulfate protects the oesophageal mucosal epithelium in reflux oesophagitis.

Sci Rep 2019 Mar 5;9(1):3559. Epub 2019 Mar 5.

Department of Biochemistry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Sucralfate is effective for the treatment of gastric and duodenal ulcers owing to its protective gel-forming ability. However, the mechanism by which sucralfate protects the oesophageal mucosa against reflux oesophagitis has not been clarified. We aimed to investigate the mechanisms of action of sucralfate and sucrose octasulfate (SOS), a component of sucralfate. Read More

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http://dx.doi.org/10.1038/s41598-019-39087-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6401014PMC
March 2019
1 Read

Ectopic papilla of Vater in duodenum bulb: A hospital-based study.

Medicine (Baltimore) 2019 Feb;98(8):e14642

Division of Gastroenterology, Department of Internal Medicine, Taichung Tzu-Chi Hospital, Taichung, Taiwan.

The major papilla of Vater can be ectopically present in the stomach, pyloric canal, duodenal bulb, and third or fourth portion of the duodenum. In this study, we determined the clinical significance of ectopic papilla of Vater by endoscopic retrograde cholangiopancreatogram (ERCP).A retrospective study was conducted by reviewing the medical records of 6133 patients receiving ERCP from 1988 to 2011. Read More

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http://dx.doi.org/10.1097/MD.0000000000014642DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407926PMC
February 2019
1 Read

Repeated Treatment with Y-Microspheres in Intrahepatic Cholangiocarcinoma Relapsed After the First Radioembolization.

Cancer Biother Radiopharm 2019 Feb 13. Epub 2019 Feb 13.

1 Department of Nuclear Medicine, Santa Maria Goretti Hospital, Latina, Italy.

Background: The aim of this study was to evaluate the safety and efficacy of repeated administration of Y-microspheres in intrahepatic cholangiocarcinoma (ICC) relapsed after the first radioembolization (RE).

Methods: Nine patients with ICC relapsed after the first Y-RE were enrolled. Six patients presented recurrence in the right hepatic lobe, 3 in the left lobe. Read More

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http://dx.doi.org/10.1089/cbr.2018.2718DOI Listing
February 2019
1 Read

[CONTRIBUTION OF CONVENTIONAL CHEST/ABDOMINAL PLAIN FILMS FOR THE DECISION-MAKING PROCESS IN PATIENTS WITH PREVIOUS ABDOMINAL SURGERIES, WHO HAVE SUSPECTED GASTROINTESTINAL PERFORATION].

Harefuah 2019 Jan;158(1):21-24

The Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel.

Introduction: Gastrointestinal perforation is a well-known phenomenon among patients presented to emergency rooms. Common causes for perforation are gastric and duodenal ulcers, colon tumors and trauma. Some patients are operated on immediately due to the clear clinical picture of acute abdomen. Read More

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January 2019
15 Reads

A Giant Duodenal Leiomyoma Showing Increased Uptake on 18F-Fluorodeoxyglucose Positron Emission Tomography.

Case Rep Surg 2018 9;2018:7827163. Epub 2018 Sep 9.

Department of Gastroenterological Surgery, Kariya Toyota General Hospital, Kariya, Japan.

Background: Although 18F-fluorodeoxyglucose positron emission tomography (FDG-PET/CT) is now widely used in their differential diagnosis, it is sometimes difficult to distinguish between benign and malignant diseases.

Case Presentation: A 44-year-old woman was found to have abnormalities on health screening. Magnetic resonance imaging for detailed examination showed an intra-abdominal tumor measuring 12 cm in the major axis near the cranial end of the uterus. Read More

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https://www.hindawi.com/journals/cris/2018/7827163/
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http://dx.doi.org/10.1155/2018/7827163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151219PMC
September 2018
4 Reads

Serum anti- antibody titer and its association with gastric nodularity, atrophy, and age: A cross-sectional study.

World J Gastroenterol 2018 Sep;24(35):4061-4068

Medical Education Center, Keio University School of Medicine, Tokyo 160-8582, Japan.

Aim: To clarify the role of serum anti- () antibody titers in gastric cancer.

Methods: In this cross-sectional study, the effect of patients' baseline characteristics and endoscopic findings on their serum antibody titers were assessed. We evaluated consecutive patients who underwent esophagogastroduodenoscopy and their first evaluation for infection using a serum antibody test. Read More

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http://dx.doi.org/10.3748/wjg.v24.i35.4061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148426PMC
September 2018
14 Reads

The characteristics of 83 giant peptic ulcers in Chinese children: Evaluation and follow-up.

Saudi J Gastroenterol 2018 Nov-Dec;24(6):360-364

Department of Gastroenterology, Children's Hospital of Fudan University, Shanghai, China.

Background/aims: Giant peptic ulcers (GPUs) are detrimental for all patients, especially for children. However, few reports have described GPUs in children. This study aims to evaluate the characteristics of GPUs in Chinese children and to identify risk factors. Read More

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http://dx.doi.org/10.4103/sjg.SJG_147_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6253915PMC
January 2019
11 Reads

Retrospective analysis of cases with an ectopic opening of the common bile duct into duodenal bulb.

Adv Clin Exp Med 2018 Oct;27(10):1361-1364

Department of Gastroenterology, Faculty of Medicine, Mersin University, Turkey.

Background: Ectopic opening of the common bile duct (EOCBD) is a very rare entity. It has been reported in the 3rd or 4th portion of the duodenum, pyloric canal, duodenal bulb, and the stomach.

Objectives: The aim of this study was to evaluate the clinical characteristics, laboratory values and imaging studies of patients with EOCBD into the duodenal bulb retrospectively. Read More

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http://dx.doi.org/10.17219/acem/69691DOI Listing
October 2018
7 Reads

Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment.

Pan Afr Med J 2018 26;29:177. Epub 2018 Mar 26.

Department of General Surgery, Tahar Sfar Hospital, Mahdia, Tunisia.

Peptic ulcer complication has decreased over le last years. Spontaneous bilio-digestive fistulas, in the absence of primary biliary disease, remain a very unusual complication of the upper digestive tract. The choledochoduodenal fistula is an extremely rare entity which can be caused by a duodenal peptic ulcer. Read More

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http://dx.doi.org/10.11604/pamj.2018.29.177.15043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057557PMC
August 2018
6 Reads

Lack of Diagnosis of Pneumoperitoneum in Perforated Duodenal Ulcer After RYGB: a Short Case Series and Review of the Literature.

Obes Surg 2018 Sep;28(9):2976-2978

Department of Surgery, NYU Langone Medical Center, 6th floor, 530 1st avenue, New York, NY, 10016, USA.

Perforated duodenal ulcer following RYGB is an unusual clinical situation that may be a diagnostic challenge. Only 23 cases have previously been reported. We present five cases. Read More

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http://dx.doi.org/10.1007/s11695-018-3321-xDOI Listing
September 2018
3 Reads

Efficacy and safety of computed tomography-guided I brachytherapy for lymph node metastatic from hepatocellular carcinoma.

J Cancer Res Ther 2018 ;14(4):754-759

Department of Interventional Radiology, Southwest Hospital, Third Military Medical University, Chongqing, China.

Purpose: A survival benefit may be associated with the positive control of extrahepatic lymph node metastasis (LNM) of hepatocellular carcinoma (HCC). However, no standard treatment exists. The aim of this study was to evaluate the safety and efficacy of iodine-125 (I) brachytherapy (BT) of LNM of HCC, especially in patients with multiple lymph nodules or repeated lymph node recurrence. Read More

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http://www.cancerjournal.net/text.asp?2018/14/4/754/235083
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http://dx.doi.org/10.4103/jcrt.JCRT_245_17DOI Listing
October 2018
17 Reads

SPECT/CT image-based dosimetry for Yttrium-90 radionuclide therapy: Application to treatment response.

J Appl Clin Med Phys 2018 Sep 1;19(5):435-443. Epub 2018 Jul 1.

Varian Medical Systems, Atlanta, GA, USA.

This work demonstrates the efficacy of voxel-based Y microsphere dosimetry utilizing post-therapy SPECT/CT imaging and applies it to the prediction of treatment response for the management of patients with hepatocellular carcinoma (HCC). A Y microsphere dosimetry navigator (RapidSphere) within a commercial platform (Velocity, Varian Medical Systems) was demonstrated for three microsphere cases that were imaged using optimized bremsstrahlung SPECT/CT. For each case, the Y SPECT/CT was registered to follow-up diagnostic MR/CT using deformable image registration. Read More

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http://dx.doi.org/10.1002/acm2.12400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123162PMC
September 2018
4 Reads

Primary aortoduodenal fistula associated with abdominal aortic aneurysm with presentation of gastrointestinal bleeding: a case report.

BMC Cardiovasc Disord 2018 06 7;18(1):113. Epub 2018 Jun 7.

Department of Emergency Medicine, Taichung Veterans General Hospital, No. 1650 Taiwan Boulevard Sect. 4, Taichung, 40705, Taiwan.

Background: Primary aortoduodenal fistula (ADF) is a rare cause of gastrointestinal (GI) bleeding and is difficult to diagnose as the clinical presentation is subtle. Clinicians should keep a high level of suspicion for an unknown etiology of GI bleeding, especially in older patients with or without abdominal aortic aneurysm (AAA). Computed tomographic angiography (CTA) can be used to detect primary ADF. Read More

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http://dx.doi.org/10.1186/s12872-018-0852-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992757PMC
June 2018
17 Reads

Synchronous double superficial mixed gastrointestinal mucus phenotype gastric cancer with gastritis cystica profunda and submucosal lipoma: A case report.

Medicine (Baltimore) 2018 Jun;97(22):e10825

Department of Pathology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu.

Introduction: Synchronous double superficial gastric cancer with gastritis cystica profunda (GCP) and submucosal lipoma is a rare disease and is difficult to diagnose and treat.

Case Presentation: A 61-year-old man was referred to our hospital with upper abdominal discomfort for the past 10 days. One year ago, the patient underwent surgery for duodenal ulcer and perforation. Read More

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http://dx.doi.org/10.1097/MD.0000000000010825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392680PMC
June 2018
5 Reads

Diverticular Perforation: A Fatal Complication to Forestall in Cushing Syndrome.

J Clin Endocrinol Metab 2018 08;103(8):2811-2814

Diabetes, Obesity and Endocrinology Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland.

Context: Patients taking exogenous glucocorticoids are at risk for gastrointestinal (GI) complications, including peptic ulcer disease with perforation and gastric bleeding. However, little is known about the GI comorbidity in patients with endogenous hypercortisolemia.

Case Descriptions: We describe six patients with endogenous Cushing syndrome (CS) who developed sudden perforation of colonic diverticula necessitating urgent exploratory laparotomy. Read More

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https://academic.oup.com/jcem/article/103/8/2811/5005946
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http://dx.doi.org/10.1210/jc.2018-00829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276718PMC
August 2018
12 Reads

Upper gastrointestinal endoscopy applied in pediatrics: endoscopic and histological findings, including Helicobacter pylori.

Rev Gastroenterol Peru 2018 Jan-Mar;38(1):40-43

Endoscopy Service, Hospital Ana Costa. São Paulo, Brazil; Faculty of Medicine, University of São Paulo. São Paulo, Brazil.

Objective: To present and discuss the endoscopic and histological results, as well as the incidence of Helicobacter pylori and other diseases, indications and characteristics of upper digestive endoscopies performed in children.

Material And Methods: Twenty-five endoscopies were performed in children aged six months to 11 years (mean 7.69 years), from February 2013 to January 2016. Read More

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November 2018
5 Reads

Case report of gastric distension due to superior mesenteric artery syndrome mimicking hollow viscus perforation: Considerations in critical care ultrasound.

Medicine (Baltimore) 2018 May;97(20):e10757

Department of Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Rationale: Critical care ultrasound identifies the signs of free intraperitoneal air and echogenic free fluid always indicates hollow viscus perforation (HVP) and needs immediate surgical interventions. However, in rare cases, these classic signs may also mislead proper clinical decisions. We report perforated viscus associated large peritoneal effusion with initial critical care ultrasound findings, whereas computed tomography (CT) examination confirmed a giant stomach due to superior mesenteric artery syndrome (SMAS). Read More

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http://dx.doi.org/10.1097/MD.0000000000010757DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976289PMC
May 2018
2 Reads

[Clinical Value of Multi-slice Spiral Enhanced CT in Diagnosing Mild Digestive Tract Hemorrhage].

Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2018 Apr;40(2):139-145

Department of Radiology,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China.

Objective To investigate the clinical value of multi-slice spiral CT(MSCT) in the diagnosis of mild digestive tract hemorrhage. Methods Thirty-five patients with mild gastrointestinal hemorrhage were examined by enhanced MSCT.CT signs were observed and compared with pathologic examination findings. Read More

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http://dx.doi.org/10.3881/j.issn.1000-503X.2018.02.001DOI Listing
April 2018
4 Reads

Late duodenal metastasis from renal cell carcinoma with newly developed malignant lymphoma: A case report.

Mol Clin Oncol 2018 Apr 31;8(4):553-556. Epub 2018 Jan 31.

Department of Cancer Pathology, Hokkaido University Graduate School of Medicine, Sapporo 064-0804, Japan.

Duodenal metastasis from renal cell carcinoma (RCC) is rare. The current case report presents a very rare case of late duodenal metastasis from RCC with newly developed malignant lymphoma (diffuse large B-cell lymphoma: DLBCL) at the same time. A 64-year-old man with systemic lymph nodes swelling who had undergone left nephrectomy for RCC 25 years previously, was admitted to the present hospital. Read More

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http://dx.doi.org/10.3892/mco.2018.1563DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844005PMC
April 2018
9 Reads

Endoscopic submucosal dissection for the diagnosis and therapy of pedunculated gastric cancer with prolapse into the duodenal bulb: A case report.

Int J Surg Case Rep 2018 9;43:49-55. Epub 2018 Feb 9.

Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara-city, Tochigi, 329-2763, Japan.

Introduction: Preoperative diagnosis of gastric cancer invasion is not always sufficiently accurate. Diagnostic endoscopic submucosal dissection (ESD) can be performed for the purpose of accurate decision making and to avoid partial treatment vs aggressive over-treatment. We present a patient with the gastric cancer with indeterminate pre-operative diagnosis for depth of the invasion. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.02.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5849812PMC
February 2018
44 Reads

Imaging of non-neoplastic duodenal diseases. A pictorial review with emphasis on MDCT.

Insights Imaging 2018 Apr 31;9(2):121-135. Epub 2018 Jan 31.

Department of Diagnostic Imaging Institute (IDI) and Girona Biomedical Research Institute (IDIBGI), Dr. Josep Trueta University Hospital, Av/ Francia s/n, Girona, Spain.

A wide spectrum of abnormalities can affect the duodenum, ranging from congenital anomalies to traumatic and inflammatory entities. The location of the duodenum and its close relationship with other organs make it easy to miss or misinterpret duodenal abnormalities on cross-sectional imaging. Endoscopy has largely supplanted fluoroscopy for the assessment of the duodenal lumen. Read More

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http://dx.doi.org/10.1007/s13244-018-0593-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893489PMC
April 2018
10 Reads

Emphysematous pancreatitis associated with penetrating duodenal ulcer.

World J Gastroenterol 2017 Dec;23(48):8666-8670

Unit of Internistic Ultrasound, Department of Medicine and Science of Aging, "G. D'Annunzio" University of Chieti, Chieti 66100, Italy.

In the "proton pump inhibitors era", a penetrating peptic ulcer (PPU) represents an exceptional cause of abdominal pain, and was more frequently observed in the past where there was not an effective antacid treatment. Ulcer-induced pancreatitis is very rare, too, and manifests with persistent, intense pain radiating to the back. A mild to severe pancreatitis with peripancreatic fluid collection can be observed at imaging. Read More

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http://dx.doi.org/10.3748/wjg.v23.i48.8666DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5752726PMC
December 2017
4 Reads

Double duodenal perforation following foreign body ingestion.

BMJ Case Rep 2017 Dec 7;2017. Epub 2017 Dec 7.

Department of General Surgery, Aneurin Bevan University Health Board, Newport, UK.

Intentional ingestion of a foreign body in adults is a rare clinical presentation. This case is one of a 27-year-old Sudanese man who presented having swallowed a ballpoint pen intentionally. Clinical examination and plain chest radiograph exhibited no signs indicative of perforation with only a raised C reactive protein identified on blood tests. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2017-22318
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http://dx.doi.org/10.1136/bcr-2017-223182DOI Listing
December 2017
6 Reads

Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact.

Rev Esp Enferm Dig 2018 Feb;110(2):102-108

Sº Digestivo A, Complejo Hospitalario de Navarra, España.

Background: Capsule endoscopy was primarily designed for the investigation of the small bowel. However, it may also identify lesions in other segments of the gastrointestinal tract. The aim of the current study was to evaluate the incidence of gastroduodenal abnormalities during small bowel capsule endoscopy and its impact on patient diagnosis and management. Read More

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http://dx.doi.org/10.17235/reed.2017.5114/2017DOI Listing
February 2018
11 Reads

Enormous postoperative perforation after endoscopic submucosal dissection for duodenal cancer successfully treated with filling and shielding by polyglycolic acid sheets with fibrin glue and computed tomography-guided abscess puncture.

Clin J Gastroenterol 2017 Dec 1;10(6):524-529. Epub 2017 Nov 1.

Division of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe, Japan.

A female in her 70s underwent esophagogastroduodenoscopy (EGD) for screening, and a 0-IIa lesion measuring approximately 15 mm was detected in the descending portion of the duodenum. Due to the malignant potency of the lesion, endoscopic submucosal dissection (ESD) was performed. Microperforation occurred during ESD. Read More

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http://dx.doi.org/10.1007/s12328-017-0791-7DOI Listing
December 2017
3 Reads

Aggressive resection of metachronous triple biliary cancer.

J Med Invest 2017 ;64(3.4):299-304

Department of Surgery, Tokushima University Graduate Shool of Biomedical Sciences.

Radical resection of recurrent cholangiocellular carcinoma (CCC) is rare. To date, only two patients have been reported to undergo major hepatectomy twice after pancreatoduodenectomy (PD) for metachronous CCC. This report describes a patient who underwent three metachronous radical resections of CCC with curative intent, consisting of PD followed by two hepatectomies, for cancer of the middle bile duct. Read More

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http://dx.doi.org/10.2152/jmi.64.299DOI Listing
June 2018
23 Reads

Refractory coeliac disease: or is it?

BMJ Case Rep 2017 Sep 19;2017. Epub 2017 Sep 19.

Department of Gastroenterology, St Thomas Hospital, London, UK.

A previously healthy 33-year-old man presented with a 3-month history of nausea, anorexia and weight loss. Coeliac disease was diagnosed at another hospital with positive serology and D2 biopsies and he was started on a gluten-free diet. The details of these tests were not available to us. Read More

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http://dx.doi.org/10.1136/bcr-2017-219271DOI Listing
September 2017
5 Reads

Fatal Gastrointestinal Hemorrhage in a Patient with Brunner's Gland Hyperplasia.

Case Rep Gastroenterol 2017 May-Aug;11(2):411-415. Epub 2017 Jul 11.

Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, New Jersey, USA.

Brunner's gland hyperplasia is a rare cause of duodenal mass and gastrointestinal hemorrhage. Imaging and esophagoduodenoscopic evaluation of this condition are frequently consistent with a duodenal malignancy often resulting in surgical resection. However, the malignant potential of these lesions is still unknown, and most are benign. Read More

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http://dx.doi.org/10.1159/000477717DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5567001PMC
July 2017
13 Reads

Exposé: Different Faces of a Bleeding Giant Duodenal Ulcer.

Dig Dis Sci 2018 Apr;63(4):845-850

Internal Medicine, El Camino Hospital, Mountain View, CA, 94040, USA.

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http://dx.doi.org/10.1007/s10620-017-4736-2DOI Listing
April 2018
10 Reads

Outcomes of patients hospitalized with peptic ulcer disease diagnosed in acute upper endoscopy.

Eur J Gastroenterol Hepatol 2017 Nov;29(11):1251-1257

aDepartment of Gastroenterological Surgery bDepartment of General Practice, Unit of Primary Health Care cClinic of Gastroenterology, Helsinki University Hospital, Helsinki University, Helsinki dPrimary Health Care Unit, Kuopio University, Kuopio eResearch Department, The Social Insurance Institution of Finland, Turku, Finland.

Objectives: The incidence and complications of peptic ulcer disease (PUD) have declined, but mortality from bleeding ulcers has remained unchanged. The aims of the current study were to evaluate the significance of PUD among patients admitted for acute upper endoscopy and to evaluate the survival of PUD patients.

Patients And Methods: In this prospective, observational cohort study, data on 1580 acute upper endoscopy cases during 2012-2014 were collected. Read More

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http://dx.doi.org/10.1097/MEG.0000000000000951DOI Listing
November 2017
5 Reads

Endoscopic hemostasis for spurting duodenal bleeding using dual red imaging.

Dig Endosc 2017 11 18;29(7):816-817. Epub 2017 Sep 18.

Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan.

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http://dx.doi.org/10.1111/den.12930DOI Listing
November 2017
7 Reads

Gastroduodenal artery coiling to curb upper gastrointestinal bleeding.

J Pediatr Surg 2017 Oct 13;52(10):1699-1701. Epub 2017 Jul 13.

DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Miller School of Medicine, Miami, FL. Electronic address:

Background: Peptic ulcers in pediatric populations are uncommon and can present with upper gastrointestinal bleeding and shock on presentation. An endoscopy is done initially to identify bleeding source. However, definitive treatment is achieved with angiography. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2017.07.002DOI Listing
October 2017
8 Reads

Ulcerative colitis with acute pleurisy: A case report and review of the literature.

Medicine (Baltimore) 2017 Jul;96(30):e7630

aDepartment of Gastroenterology, First Affiliated Hospital of Dalian Medical University, Dalian bDepartment of Medical Imaging, Qingdao Women and Children's Hospital, Qingdao, China cDepartment of Radiology, First Affiliated Hospital of Dalian Medical University dDepartment of Pathology, Dalian Municipal Central Hospital, Dalian, China.

Rationale: Inflammatory bowel diseases (IBD), including ulcerative colitis (UC) and Crohn's disease, are associated with a large number of extraintestinal manifestations. Pulmonary manifestations are infrequently seen in patients with IBD. Moreover, serositis including pleural and pericardial manifestations in UC is rare. Read More

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http://dx.doi.org/10.1097/MD.0000000000007630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5627851PMC
July 2017
28 Reads

Diffuse Small Intestine Erosions and Ulcers in an Immunocompromised Host.

Gastroenterology 2018 Apr 13;154(5):1241-1243. Epub 2017 Jul 13.

Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota.

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http://dx.doi.org/10.1053/j.gastro.2017.07.003DOI Listing
April 2018
3 Reads

The endoscopic findings of the upper gastrointestinal tract in patients with Crohn's disease.

Clin J Gastroenterol 2017 Aug 10;10(4):289-296. Epub 2017 Jul 10.

Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido, 078-8510, Japan.

Crohn's disease (CD) is a type of chronic inflammatory bowel disease (IBD) associated with ulceration, and the main foci of the inflammation in CD patients are typically the terminal ileum and colon. However, in the upper gastrointestinal tract (GIT), including the esophagus, stomach and duodenum, inflammatory lesions are also detected as well, with a relatively high frequency (30-75%). Recent advances in imaging modalities, including endoscopy, have aided in the diagnosis of CD. Read More

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http://dx.doi.org/10.1007/s12328-017-0759-7DOI Listing
August 2017
3 Reads

Duodenal hematoma caused by endoscopic hemostatic procedures (sclerotherapy).

Rev Esp Enferm Dig 2017 Sep;109(9):666

Servicio de Aparato Digestivo A, Complejo Hospitalario de Navarra, España.

Endoscopic hemostatic procedures such as local injection of epinephrine are commonly used for the treatment of bleeding ulcers. Although the risks are usually considered to be minimal, there are reports describing that duodenal intramural hematomas may develop as a complication after endoscopy especially in patients susceptible to hemorrhage such as those with anticoagulants therapy or blood dyscrasia. Read More

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http://dx.doi.org/10.17235/reed.2017.4883/2017DOI Listing
September 2017
25 Reads

Non-perforated peptic ulcer disease: multidetector CT findings, complications, and differential diagnosis.

Insights Imaging 2017 Oct 4;8(5):455-469. Epub 2017 Jul 4.

Diagnostic and Interventional Radiology Department, ASST Santi Paolo e Carlo, Via A di Rudinì 8, 20142, Milan, Italy.

Despite availability of effective therapies, peptic ulcer disease (PUD) remains a major global disease, resulting from a combination of persistent Helicobacter pylori infection and widespread use of nonsteroidal anti-inflammatory drugs. Albeit endoscopy definitely represents the mainstay diagnostic technique, patients presenting to emergency departments with unexplained abdominal pain generally undergo multidetector CT as an initial investigation. Although superficial ulcers generally remain inconspicuous, careful multiplanar CT interpretation may allow to detect deep ulcers, secondary mural and extraluminal signs of peptic gastroduodenitis, thereby allowing timely endoscopic verification and appropriate treatment. Read More

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http://link.springer.com/10.1007/s13244-017-0562-5
Publisher Site
http://dx.doi.org/10.1007/s13244-017-0562-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5621988PMC
October 2017
37 Reads

Effectiveness of arterial embolization in recurrent bleeding due to duodenal ulcer during postoperative cardiac surgery.

Rev Esp Enferm Dig 2017 Apr;109(4):289

Cirugía, Hospital Universitario Virgen de la Arrixaca. Murcia.

Upper gastrointestinal bleeding is one of the most frequent complications after cardiac surgery and endoscopic treatment (ET) is often the first-choice procedure. When it fails, surgery can be an option but has significant mortality and morbidity. We propose arterial embolization (TAE: transcatheter arterial embolization) as an alternative treatment in selected cases. Read More

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April 2017
7 Reads

Reconsideration of the primary and secondary diagnostic criteria of Meckel's diverticulum scintigraphy. A study of 93 confirmed cases.

Hell J Nucl Med 2017 Jan-Apr;20(1):11-16. Epub 2017 Mar 20.

Department of Nuclear Medicine, Children's Hospital of Fudan University, No. 399 Wanyuan Road, Minhang District, Shanghai 201102, China.

Objective: Meckel's diverticulum scintigraphy (MDS) is a common method for diagnosing ectopic gastric mucosa (EGM), but atypical images are difficult to diagnose. This study aimed to improve the understanding of the existing diagnostic criteria through a review of confirmed cases.

Subjects And Methods: A total of 352 patients underwent MDS. Read More

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http://dx.doi.org/10.1967/s002449910501DOI Listing
June 2017
14 Reads

A case of type 1 multiple endocrine neoplasia with esophageal stricture successfully treated with endoscopic balloon dilation and local steroid injection combined with surgical resection of gastrinomas.

BMC Gastroenterol 2017 Mar 7;17(1):37. Epub 2017 Mar 7.

Division of Endoscopy, Shizuoka Cancer Center, 1007, Shimonagakubo, Nagaizumi, Suntogun, Shizuoka, 411-8777, Japan.

Background: In type 1 multiple endocrine neoplasia (MEN1), esophageal diseases association with excessive gastrin secretion in Zollinger-Ellison syndrome (ZES) sometimes develop. Here, we reported a case of MEN1/ZES, who developed dysphagia due to reflux esophagitis with severe esophageal stricture. Treatment for his esophageal stricture and ZES was discussed. Read More

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http://dx.doi.org/10.1186/s12876-017-0597-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5341352PMC
March 2017
27 Reads

Bleeding gastric and duodenal ulcers: case-control study comparing angioembolization and surgery.

Scand J Gastroenterol 2017 May 15;52(5):523-530. Epub 2017 Feb 15.

d Gastrointestinal surgery, Abdominal Center , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.

Objectives: To compare the safety, efficacy and feasibility of transcatheter arterial embolization (TAE) and surgery in the treatment of bleeding gastric and duodenal ulcers (BGDUs).

Materials And Methods: The study group comprised patients receiving TAE or surgery for BGDUs after failed endoscopic hemostasis in Helsinki University Hospital (HUH) during 2000-2015. Hospital medical records provided study data. Read More

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http://dx.doi.org/10.1080/00365521.2017.1288756DOI Listing
May 2017
7 Reads

Emergency Pancreatico-Duodenectomy with Superior Mesenteric and Portal Vein Resection and Reconstruction Using a Gore-Tex Vascular Graft.

Chirurgia (Bucur) 2017 Jan-Feb;112(1):50-57

Emergency pancreatico-duodenectomy(EPD) is a very rare procedure and few reports are present in medical literature. It is an uncommon approach, usually used for emergency surgical treatment of abdominal trauma that involves the head of the pancreas or the duodenum, but it is also a surgical tool for the treatment of ruptured aneurysms, bleeding pseudocysts, duodenal perforations, uncontrollable hemorrhage from ulcers and tumors, severe infectious complications of acute pancreatitis or endoscopic retrograde cholangiopancreatography related complications (1,2). It is rarely used as the first line of treatment in case of acute bleeding from arterial pseudoaneurysm of the cephalad region of the pancreas. Read More

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http://dx.doi.org/10.21614/chirurgia.112.1.50DOI Listing
June 2017
17 Reads

[Gastrointestinal bleeding and delirium, challenges in the diagnosis of gallstone ileus: A case report and review of literature].

Cir Cir 2017 Dec 19;85 Suppl 1:53-57. Epub 2017 Jan 19.

Servicio de Cirugía General, Hospital Regional «Puebla», Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, ISSSTE, Puebla, México.

Background: Gallstone ileus is a non-strangulated mechanical obstruction of the small bowel or colon as a result of the passage of gallstones through a biliary enteric fistula. It is a rare complication of cholelithiasis, affects patients over 65 years, and the disease occurs predominantly in females. Preoperative diagnosis is difficult due to the lack of specific signs and symptoms in elderly patients with multiple comorbidities. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S000974111630122
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http://dx.doi.org/10.1016/j.circir.2016.11.003DOI Listing
December 2017
4 Reads

A Non-invasive 24 Hours Stabilization of Duodenal Ulcer Perforation by a Combination Regimen.

Cureus 2016 Dec 1;8(12):e908. Epub 2016 Dec 1.

Department of Medicine, Shifa International Hospital, Islamabad, Pakistan.

Surgical repair of perforated gastroduodenal ulcer has been extensively practiced in emergency clinical situations. Non-invasive conservation treatment is regaining the attention towards management of such ulcers. We report the case of a 50-year-old male smoker who presented in the emergency unit with acute generalized abdominal pain and guarding in the epigastric and right upper quadrant region. Read More

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http://dx.doi.org/10.7759/cureus.908DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5208553PMC
December 2016
5 Reads

Pulmonary tuberculosis presenting as post-operative fever of unknown origin.

BMJ Case Rep 2017 Jan 6;2017. Epub 2017 Jan 6.

Department of General Surgery, East Kent Hospitals University NHS Foundation Trust, Margate, UK.

Post-operative fever is common following emergency surgery. Investigation and management of post-operative fever can be challenging when a clear source of sepsis is not evident or the underlying source of infection is not recognised. We herein report a case of secondary pulmonary tuberculosis presenting as post-operative fever following emergency laparotomy for a perforated duodenal ulcer. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2016-21632
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http://dx.doi.org/10.1136/bcr-2016-216329DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5256580PMC
January 2017
8 Reads

Laparoscopic and endoscopic co-operative surgery for non-ampullary duodenal tumors.

World J Gastroenterol 2016 Dec;22(47):10424-10431

Daisuke Ichikawa, Shuhei Komatsu, Toshiyuki Kosuga, Kazuma Okamoto, Eigo Otsuji, Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 6028566, Japan.

Aim: To assess the safety and feasibility of laparoscopic and endoscopic co-operative surgery (LECS) for early non-ampullary duodenal tumors.

Methods: Twelve patients with a non-ampullary duodenal tumor underwent LECS at our hospital. One patient had two mucosal lesions in the duodenum. Read More

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http://dx.doi.org/10.3748/wjg.v22.i47.10424DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5175255PMC
December 2016
11 Reads

Assessing for Multiple Endocrine Neoplasia Type 1 in Patients Evaluated for Zollinger-Ellison Syndrome-Clues to a Safer Diagnostic Process.

Am J Med 2017 May 21;130(5):603-605. Epub 2016 Dec 21.

Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Mayo Clinic, Rochester, Minn. Electronic address:

Background: Zollinger-Ellison syndrome is a rare cause of tumoral hypergastrinemia; 1 of 5 patients with this syndrome also has multiple endocrine neoplasia type 1. The diagnosis of this disease is complicated by the widespread use of proton pump inhibitors that can elevate serum gastrin levels, the cornerstone for biochemical diagnosis. Abrupt discontinuation of proton pump inhibitors could lead to adverse outcomes. Read More

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http://dx.doi.org/10.1016/j.amjmed.2016.11.035DOI Listing
May 2017
12 Reads

Gallbladder carcinoma - a rare cause of pyloric-duodenal stenosis.

Rom J Morphol Embryol 2016 ;57(3):1165-1170

Department of Internal Medicine, Faculty of Dental Medicine, "Ovidius" University of Constanta, Romania;

Pyloric duodenal stenosis is usually caused by pyloric, juxtapyloric or duodenal ulcer, or by postbulbar ulcer. Gallbladder cancer (GBC), duodenal diverticula, annular pancreas and superior mesenteric artery syndrome (Wilkie's syndrome) are rare causes of pyloric duodenal stenosis. The case of a 66-year-old female patient is presented. Read More

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May 2017
12 Reads

A case of gastrojejunocolic fistula with steatohepatitis.

Clin J Gastroenterol 2017 Feb 19;10(1):23-31. Epub 2016 Dec 19.

Institute of Gastroenterology Internal Medicine, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.

A man in his 30s, who had undergone retrocolic Billroth II reconstruction for perforated duodenal ulcer, presented with watery diarrhea for 2 years and suspected fatty liver. He was referred to our hospital for management of chronic diarrhea, weight loss, hepatopathy and hypoalbuminemia. Initial upper and lower gastrointestinal endoscopies were negative. Read More

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http://dx.doi.org/10.1007/s12328-016-0703-2DOI Listing
February 2017
14 Reads

Choledochoduodenal fistula in the setting of Crohn's disease.

Radiol Case Rep 2016 Dec 4;11(4):309-312. Epub 2016 Nov 4.

Department of Radiology, UC Irvine Medical Center, 101 The City Drive South, Orange, CA 92868, USA.

Of all the spontaneous fistulas that occur between the extrahepatic biliary system and the intestine, a choledochoduodenal fistula is rarely seen. When it does occur, it is most often secondary to a perforated duodenal ulcer, choledocholithiasis, or cholelithiasis. It may also be seen following complications related to iatrogenic injury or tuberculosis. Read More

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http://dx.doi.org/10.1016/j.radcr.2016.08.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5128396PMC
December 2016
12 Reads