2,635 results match your criteria Lower Gastrointestinal Bleeding Surgical Treatment


[Acute Suppurative Appendicitis Diagnosed by Acute Lower Gastrointestinal Hemorrhage].

Korean J Gastroenterol 2019 Jan;73(1):45-49

Division of Gastroenterology, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea.

A 49-year-old man visited the emergency room of Korea University Ansan Hospital with hematochezia starting the day before the visit. Recently, he was on anti-platelet medication due to hypertension. The patient had no definite symptoms other than hematochezia. Read More

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http://dx.doi.org/10.4166/kjg.2019.73.1.45DOI Listing
January 2019
2 Reads

Endoscopic biliary self-expandable metallic stent in malignant biliary obstruction with or without sphincterotomy: systematic review and meta-analysis.

Endosc Int Open 2019 Jan 3;7(1):E26-E35. Epub 2019 Jan 3.

Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, Bologna, Italy.

 To assess the rate of adverse events and the technical success rate of biliary stenting with or without EBS.   A literature search up to February 2017 was performed. Studies assessing adverse events (AEs) and technical success rates of stenting with or without EBS were considered. Read More

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http://dx.doi.org/10.1055/a-0752-9956DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327725PMC
January 2019
5 Reads

Initial management for acute lower gastrointestinal bleeding.

World J Gastroenterol 2019 Jan;25(1):69-84

Department of Gastroenterology, Graduate School of Medicine, the University of Tokyo, Tokyo 113-8655, Japan.

Acute lower gastrointestinal bleeding (LGIB) is a common indication for hospital admission. Patients with LGIB often experience persistent or recurrent bleeding and require blood transfusions and interventions, such as colonoscopic, radiological, and surgical treatments. Appropriate decision-making is needed to initially manage acute LGIB, including emergency hospitalization, timing of colonoscopy, and medication use. Read More

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http://dx.doi.org/10.3748/wjg.v25.i1.69DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328962PMC
January 2019
3 Reads

Anticoagulant Therapy for Disseminated Intravascular Coagulation After Gastrointestinal Surgery.

Anticancer Res 2019 Jan;39(1):25-31

Department of Respiratory Medicine, Omuta Tenryo Hospital, Omuta, Japan.

Many studies about anticoagulant therapy for disseminated intravascular coagulation (DIC) confused gastrointestinal surgery-related DIC with DIC unrelated to a prior operation. Furthermore, the potentially increased risk of bleeding by anticoagulants complicates their use. We carried out a systematic review to describe the efficacy and safety of anticoagulant agents for DIC after gastrointestinal surgery. Read More

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http://dx.doi.org/10.21873/anticanres.13076DOI Listing
January 2019
2 Reads

Analysis of the factors influencing the outcome of bleeding of the lower digestive tract. A report of 15 consecutives cases.

Ann Ital Chir 2018 ;89:212-216

The authors present a series of 15 patients with lower gastrointestinal bleeding. 11 (73%) out of 15 patients, were directly subjected to surgery, and 4 (37%) attempted to stop hemorrhage with angiography. In the group of patients undergoing surgery we had a mortality of 1 out of 12 (8%). Read More

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January 2018
2 Reads

Perioperative surgery- and anaesthesia-related risks of laparoscopic Roux-en-Y gastric bypass - a single centre, retrospective data analysis.

BMC Anesthesiol 2018 Dec 13;18(1):190. Epub 2018 Dec 13.

Institute of Anaesthesiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

Background: Conservative obesity treatment often leads to limited results. Bariatric surgery is highly efficient, but the candidates are at risk of developing perioperative complications. Bariatric outcomes have been well described in the past, but there are only few reports of perioperative outcomes. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0654-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293573PMC
December 2018
6 Reads

[Role of oncologic radiotherapy in multidisciplinary team treatment of malignant acute abdomen].

Authors:
Yuhong Dai Hong Qiu

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Nov;21(11):1212-1217

Tongji Hospital Cancer Center, Tongji Medical College Affiliated, Huazhong University of Science and Technology,Wuhan 430030, China. Email:

Malignant acute abdomen is a emergency with abrupt onset, rapid progress and often a complex etiology, presenting difficulties for treatment and high mortality. Therefore, multidisciplinary team (MDT) treatment modality is required. Compared with single-discipline diagnosis and treatment modality, diagnosis made from MDT discussion is more accurate, where specialists can improve efficiency and quality of the treatment through better communication. Read More

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November 2018
4 Reads

Inverted Meckel´s diverticulum: a rare cause of ileo-ileal intussusceptions and lower gastrointestinal bleeding.

Rozhl Chir 2018 ;97(8):399-401

Intussusception due to an inverted Meckel's diverticulum in adults is rare. We present a case report of a 28-year-old man with Meckel's diverticulum as a cause of ileo-ileal intussusceptions and lower gastrointestinal bleeding. The patient was admitted to the hospital with incomplete small bowel obstruction, abdominal pain and massive rectal bleeding. Read More

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January 2018
2 Reads

First-line endoscopic treatment with over-the-scope clips in patients with either upper or lower gastrointestinal bleeding: a multicenter study.

Endosc Int Open 2018 Nov 7;6(11):E1317-E1321. Epub 2018 Nov 7.

Surgical Digestive Endoscopy, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.

Endoscopic treatment is the mainstay approach for gastrointestinal bleeding, in either upper (UGIB) or lower (LGIB) tract. The over-the-scope clip (OTSC) may overcome limitations of standard clips or thermocoagulation in high-risk bleeding lesions. We evaluate the main clinically relevant outcomes following endoscopic hemostasis with OTSC in high-risk lesions and/or patients. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0746-8435
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http://dx.doi.org/10.1055/a-0746-8435DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221819PMC
November 2018
21 Reads

Black esophagus: a case report.

Tunis Med 2018 Feb;96(2):142-147

Introduction: Acute esophageal necrosis, also known as black esophagus, is a rare digestive complication, frequently manifested by an upper gastrointestinal hemorrhage and occurs in patients with comorbidities.

Aim: To report the case of a patient with a black esophagus revealed by an upper gastrointestinal hemorrhage.

Observation: A 72-year-old patient with a history of diabetes mellitus, hypertension and ischemic heart disease was hospitalized in surgical intensive care unit for hemorrhagic shock induced by cholecystectomy. Read More

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February 2018
14 Reads

Barium Enema for Treatment for Diverticular Bleeding.

ACG Case Rep J 2018 26;5:e71. Epub 2018 Sep 26.

Department of Abdominal Surgery, Isala Hospital, Zwolle, Netherlands.

Diverticula of the colon are the most common cause of lower gastrointestinal bleeding in adults. In cases of persistent loss of blood or severe acute hemorrhage, treatment is required. However, if these modern intervention techniques are inadequate, surgical resection of the colon may be required. Read More

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http://acgcasereports.gi.org/barium-enema-for-treatment-for-
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http://dx.doi.org/10.14309/crj.2018.71DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160609PMC
September 2018
3 Reads

Usefulness of the clip-flap method of endoscopic submucosal dissection: A randomized controlled trial.

World J Gastroenterol 2018 Sep;24(35):4077-4085

Department of Gastroenterology, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan.

Aim: To prospectively investigate the efficacy and safety of clip-flap assisted endoscopic submucosal dissection (ESD) for gastric tumors.

Methods: From May 2015 to October 2016, we enrolled 104 patients with gastric cancer or adenoma scheduled for ESD at Shiga University of Medical Science Hospital. We randomized patients into two subgroups using the minimization method based on location of the tumor (upper, middle or lower third of the stomach), tumor size (< 20 mm or > 20 mm) and ulcer status: ESD using an endoclip (the clip-flap group) and ESD without an endoclip (the conventional group). Read More

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http://dx.doi.org/10.3748/wjg.v24.i35.4077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148425PMC
September 2018
7 Reads

Lower Gastrointestinal Bleeding.

Surg Clin North Am 2018 Oct 17;98(5):1059-1072. Epub 2018 Jul 17.

Department of Surgery, Southern Illinois University School of Medicine, PO Box 19663, Springfield, IL 62794-9663, USA. Electronic address:

Lower gastrointestinal bleeding entails a range of severity and a multitude of options for localization and control of bleeding. With experience in trauma, critical care, endoscopy, and definitive surgical interventions, general surgeons are equipped to manage this condition in various clinical settings. This article examines traditional and emerging options for bleeding localization and control available to general surgeons. Read More

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http://dx.doi.org/10.1016/j.suc.2018.06.007DOI Listing
October 2018
3 Reads

An updated meta-analysis of transanal drainage tube for prevention of anastomotic leak in anterior resection for rectal cancer.

Surg Oncol 2018 Sep 22;27(3):333-340. Epub 2018 May 22.

Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address:

Background: Anastomotic leakage (AL) is one of the most serious complications after anterior resection for rectal cancer. Transanal drainage tube (TDT) placement is widely used to reduce AL, but its efficacy remains controversial. We performed a meta-analysis to evaluate the effectiveness of TDT for prevention of AL, using updated evidence. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09607404183012
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http://dx.doi.org/10.1016/j.suronc.2018.05.018DOI Listing
September 2018
10 Reads

The Natural History of Gastrointestinal Bleeding in Patients without an Obvious Source.

Am Surg 2018 Aug;84(8):1345-1349

With the advent of proton pump inhibitors and H. Pylori treatment, the old dogma "the most common cause of lower GI bleeding is upper GI bleeding" may no longer be valid. We sought to determine the most common causes of GI bleeding in patients without an obvious source and their clinical outcomes. Read More

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August 2018
15 Reads

[Option for different surgeries in treating small gastrointestinal stromal tumors].

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2018 Jul;43(7):767-771

Department of Gastroenterology, Xiangya Hospital, Central South University, Changsha 410008, China.

Objective: To explore the differences in biological characteristics for the small gastrointestinal stromal tumors and the incidence of complications and recurrence between the traditional surgical treatment and endoscopic treatment.
 Methods: We collected the relevant clinical and pathological data from patients who were diagnosed as gastrointestinal stromal tumors with the diameter less than 2 cm by the Department of Pathology of Xiangya Hospital from January 2009 to December 2015. The complications and recurrence after the surgical treatment were analyzed. Read More

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http://dx.doi.org/10.11817/j.issn.1672-7347.2018.07.011DOI Listing
July 2018
12 Reads

Video capsule endoscopy is safe and effective in suspected small bowel bleeding among left ventricular assist device recipients.

Int J Artif Organs 2018 Dec 3;41(12):833-837. Epub 2018 Aug 3.

1 Gastroenterology Department, Rabin Medical Center, Petah Tikva, Israel.

Introduction:: Suspected small bowel bleeding is frequently encountered in left ventricular assist device recipients and the identification of the culprit lesion may be challenging. Data regarding the safety and yield of small bowel capsule in the investigation of suspected small bowel bleeding are limited. We aimed to evaluate the safety and efficacy of small bowel video capsule endoscopy for the investigation of suspected small bowel bleeding among left ventricular assist device recipients. Read More

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http://journals.sagepub.com/doi/10.1177/0391398818790205
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http://dx.doi.org/10.1177/0391398818790205DOI Listing
December 2018
6 Reads

Sodium Polystyrene Sulfonate and Cytomegalovirus-Associated Hemorrhagic Duodenitis: More than Meets the Eye.

Am J Case Rep 2018 Aug 3;19:912-916. Epub 2018 Aug 3.

Division of Internal Medicine, University Hospital Basel, University of Basel, Basel, Switzerland.

BACKGROUND Hemorrhagic duodenitis is an exceptionally rare adverse event of sodium polystyrene sulfonate (SPS) treatment and is a common manifestation of cytomegalovirus (CMV) reactivation. SPS is known to cause marked inflammation in the lower gastrointestinal tract, including colonic necrosis, whereas involvement of the small bowel is uncommon. Although its effectiveness and safety has been disputed since its introduction, SPS remains widely used due to lack of alternatives. Read More

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http://dx.doi.org/10.12659/AJCR.910655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085982PMC
August 2018
3 Reads

PORTAL PRESSURE DECREASE AFTER ESOPHAGOGASTRIC DEVASCULARIZATION AND SPLENECTOMY IN SCHISTOSOMIASIS: LONG-TERM VARICES BEHAVIOR, REBLEEDING RATE, AND ROLE OF ENDOSCOPIC TREATMENT.

Arq Gastroenterol 2018 Apr-Jun;55(2):170-174

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Gastroenterologia, Disciplina de Cirurgia do Aparelho Digestivo.

Background: Schistosomiasis is an endemic health problem affecting about four million people. The hepatosplenic form of the disease is characterized by periportal hepatic fibrosis, pre-sinusoidal portal hypertension and splenomegaly. Liver function is preserved, being varices bleeding the main complication of the disease. Read More

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http://dx.doi.org/10.1590/S0004-2803.201800000-30DOI Listing
September 2018
5 Reads

Gastroesophageal variceal bleeding - An overview of current treatment options.

Acta Gastroenterol Belg 2018 Apr-Jun;81(2):305-317

Department of Internal Medicine, Division of Gastroenterology, Clinical Hospital Centre Rijeka, 51000 Rijeka, Croatia, University of Rijeka, Faculty of Health Studies, 51000 Rijeka, Croatia.

Gastroesophageal variceal hemorrhage is the most important clinical event that results from portal hypertension. It is a lifethreatening condition that demands rapid and efficient treatment. The first step in bleeding control is hemodynamic stabilization and pharmacological treatment, which includes administration of vasoactive drugs and short-term antibiotic prophylaxis. Read More

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September 2018
3 Reads

Transumbilical single-incision laparoscopic-assisted technique for removal of ileocecal foreign body.

Wideochir Inne Tech Maloinwazyjne 2018 Jun 7;13(2):266-269. Epub 2018 Feb 7.

Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, China.

The aim of this paper is to present the case of a 40-year-old man who accidentally ingested a piece of metal. The patient complained of having intermittent right lower quadrant abdominal pain for 2 days. An abdominal X-ray was performed, and a piece of metal was found in the right lower quadrant of the abdomen. Read More

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http://dx.doi.org/10.5114/wiitm.2018.73350DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041584PMC
June 2018
3 Reads

Management of Patients With Acute Lower Gastrointestinal Tract Bleeding.

JAMA 2018 Jul;320(1):86-87

Section of General Internal Medicine, University of Chicago, Chicago, Illinois.

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http://dx.doi.org/10.1001/jama.2018.5684DOI Listing
July 2018
2 Reads

Investigating the risk factors of hepatocellular carcinoma and survival analysis for cirrhosis after transjugular intrahepatic portosystemic shunt in treating portal hypertension.

J Cancer Res Ther 2018 ;14(4):826-832

Department of Oncology Interventional Radiology, Beijing Ditan Hospital, Capital Medical University, Beijing, China.

Objective: This study aimed to explore the risk factors of hepatocellular carcinoma (HCC) and survival analysis for cirrhosis after transjugular intrahepatic portosystemic shunt (TIPS) in treating portal hypertension.

Materials And Methods: A retrospective database review was performed, including 106 patients (33 females and 73 males; aged 26-68 years with mean age of 55.3 ± 9. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_930_17DOI Listing
October 2018
8 Reads

Predictive value of preoperative serum albumin levels on outcomes in patients undergoing LVAD implantation.

J Card Surg 2018 Aug 2;33(8):469-478. Epub 2018 Jul 2.

Division of Cardiothoracic Transplant and Assist Devices, Baylor College of Medicine, Houston, Texas.

Background: We performed a single-center retrospective analysis to determine whether preoperative serum albumin levels were associated with postoperative adverse events and short- and long-term survival in patients who underwent continuous-flow left ventricular assist device (CF-LVAD) implantation.

Methods: From November 2003 through March 2016, 526 patients underwent CF-LVAD implantation. Patients whose preoperative serum albumin level was normal (≥3. Read More

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http://dx.doi.org/10.1111/jocs.13745DOI Listing
August 2018
11 Reads

The Role of Endoscopic Hemostasis Therapy in Acute Lower Gastrointestinal Hemorrhage.

Gastrointest Endosc Clin N Am 2018 Jul;28(3):391-408

Clinical Medicine, University of California, San Francisco, Veterans Affairs San Francisco Medical Center, San Francisco, CA, USA.

Acute severe lower gastrointestinal bleeding (LGIB) can be treated by endoscopy safely and effectively. At present, the data on the efficacy of endoscopy in the treatment of patients with LGIB are still being collected. Thus, guidelines to manage patients with LGIB are still in development. Read More

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http://dx.doi.org/10.1016/j.giec.2018.02.010DOI Listing
July 2018
4 Reads

Colonoscopy in Acute Lower Gastrointestinal Bleeding: Diagnosis, Timing, and Bowel Preparation.

Gastrointest Endosc Clin N Am 2018 Jul;28(3):379-390

Department of Medicine, University of California San Francisco, 505 Parnassus Avenue S-357, San Francisco, CA 94143, USA; Department of Medicine, San Francisco Veteran's Affairs Hospital, 4150 Clement Street, VA 111B/GI Section, San Francisco, CA 94121, USA. Electronic address:

Lower gastrointestinal bleeding is bleeding from a colonic source. Rapid colon purge using 4 to 6 L of polyethylene glycol followed by early colonoscopy, within 24 hours of presentation, is recommended to optimize the detection and management of bleeding sources. Although the data are mixed, early colonoscopy seems to be associated with higher detection of bleeding lesions and therapeutic interventions. Read More

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http://dx.doi.org/10.1016/j.giec.2018.02.009DOI Listing
July 2018
22 Reads

Patient Presentation, Risk Stratification, and Initial Management in Acute Lower Gastrointestinal Bleeding.

Gastrointest Endosc Clin N Am 2018 Jul;28(3):363-377

Division of Gastroenterology, The McGill University Health Center, Montreal General Hospital, McGill University, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada; Division of Clinical Epidemiology, The McGill University Health Center, Montreal General Hospital, McGill University, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada. Electronic address:

The approach to lower gastrointestinal bleeding (LGIB) has evolved over the last few years to incorporate a multidisciplinary management strategy. Although the causes of LGIB vary depending on the age and comorbid conditions of patients, the initial resuscitation and principles of optimizing patients' condition before endoscopic evaluation, when appropriate, are the cornerstones to clinical care. The role of risk stratification is to triage patients as well as to mobilize health care resources based on predicted outcomes. Read More

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http://dx.doi.org/10.1016/j.giec.2018.02.008DOI Listing
July 2018
10 Reads

Effects of mesalazine enemas on lymphoid follicular proctitis.

Rev Esp Enferm Dig 2018 Sep;110(9):591-593

Zhujiang Hospital, Southern Medical University.

Lymphoid follicular proctitis (LFP) is an uncommon inflammatory disease that is characterized by rectal bleeding, congested and granular mucosa without ulceration and abnormal and coalescing hyperplastic lymphoid follicles without acute inflammatory changes. The lesions are usually confined to the rectal mucosa. LFP therapy is not well defined. Read More

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https://online.reed.es/fichaArticulo.aspx?iarf=230638250143-
Publisher Site
http://dx.doi.org/10.17235/reed.2018.5481/2018DOI Listing
September 2018
18 Reads

Endoscopic submucosal dissection under general anesthesia for superficial esophageal squamous cell carcinoma is associated with better clinical outcomes.

BMC Gastroenterol 2018 Jun 7;18(1):80. Epub 2018 Jun 7.

Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.

Background: Endoscopic submucosal dissection (ESD) has been widely accepted for treating superficial esophageal squamous cell carcinoma (SESCC). The aim of this study was to evaluate the efficacy and safety of ESD for SESCC and the effect of different sedation methods on their clinical outcomes.

Methods: We retrospectively analyzed a total of 169 patients (175 lesions) who underwent ESD for SESCC at Samsung Medical Center, Seoul, South Korea. Read More

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http://dx.doi.org/10.1186/s12876-018-0813-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992637PMC
June 2018
38 Reads

Preoperative Mechanical Bowel Evacuation Reduces Intraoperative Bleeding and Operation Time in Spinal Surgery.

Asian Spine J 2018 06 4;12(3):459-465. Epub 2018 Jun 4.

Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Study Design: Randomized clinical trial.

Purpose: In this study, we evaluated the effect of mechanical evacuation of the bowels prior to operation on intraoperative bleeding.

Overview Of Literature: Bleeding is the most significant complication in patients undergoing spinal surgery. Read More

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http://dx.doi.org/10.4184/asj.2018.12.3.459DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6002161PMC
June 2018
5 Reads

Treatment of Urolithiasis with Medicinal Plant : A Nationwide Cohort Study.

Evid Based Complement Alternat Med 2018 11;2018:8403648. Epub 2018 Apr 11.

Graduate Institute of Integrated Medicine, Chinese Medicine Research Center, Research Center for Chinese Medicine & Acupuncture, College of Medicine, China Medical University, Taichung, Taiwan.

Bunge (Danshen), a common medicinal plant in traditional Chinese medicine, has been tested effectively to prevent urolithiasis in animals; nevertheless, the clinical application for urolithiasis remains unclear. We thus investigated the clinical effect of Danshen by analyzing the database from the Taiwan National Institute of Health. The cohort "Danshen-users" was prescribed Chinese herb medicine Danshen after the initial diagnosis of calculus. Read More

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http://dx.doi.org/10.1155/2018/8403648DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5924994PMC
April 2018
18 Reads

Venous thromboembolism in patients with cancer: design and rationale of a multicentre, prospective registry (Cancer-VTE Registry).

BMJ Open 2018 05 30;8(5):e018910. Epub 2018 May 30.

Department of Gastrointestinal Surgery, Osaka International Cancer Institute, Osaka, Japan.

Introduction: Patients with cancer are at higher risk of venous thromboembolism (VTE) than the general population as the malignancy itself and treatment modalities, including medication and surgery, contribute to the risk of developing VTE. Furthermore, patients with cancer developing VTE have a worse prognosis than those without cancer. There are no multicentre prospective data on the occurrence and treatment of VTE in patients with cancer in Japan, and data on the outcomes, complications and incidence of VTE in these patients have not been reported. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-018910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5988100PMC
May 2018
16 Reads

Multidetector-Row Computed Tomography and Colonoscopy for Detecting a Rectal Dieulafoy Lesion as a Source of Lower Gastrointestinal Hemorrhage.

Case Rep Gastroenterol 2018 Jan-Apr;12(1):202-206. Epub 2018 Apr 27.

Department of Gastroenterology, University of Tokyo, Tokyo, Japan.

A Dieulafoy lesion of the rectum is a very rare entity that can cause massive lower gastrointestinal (GI) hemorrhage. Identifying the bleeding point is sometimes difficult because these lesions are very small. We herein describe an 82-year-old man with active hemorrhage due to a rectal Dieulafoy lesion. Read More

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http://dx.doi.org/10.1159/000488973DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968264PMC
April 2018
6 Reads

Rates of infection after colonoscopy and osophagogastroduodenoscopy in ambulatory surgery centres in the USA.

Gut 2018 09 18;67(9):1626-1636. Epub 2018 May 18.

Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, Maryland, USA.

Objective: Over 15 million colonoscopies and 7 million osophagogastroduodenoscopies (OGDs) are performed annually in the USA. We aimed to estimate the rates of infections after colonoscopy and OGD performed in ambulatory surgery centres (ASCs).

Design: We identified colonoscopy and OGD procedures performed at ASCs in 2014 all-payer claims data from six states in the USA. Read More

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http://dx.doi.org/10.1136/gutjnl-2017-315308DOI Listing
September 2018
3 Reads

Papillary fistulotomy conventional cannulation for endoscopic biliary access: A prospective randomized trial.

World J Gastroenterol 2018 Apr;24(16):1803-1811

Department of Gastroenterology and Radiology, University of Sao Paulo, Sao Paulo 04107-030, Brazil.

Aim: To compare the cannulation success, biochemical profile, and complications of the papillary fistulotomy technique catheter and guidewire standard access.

Methods: From July 2010 to May 2017, patients were prospectively randomized into two groups: Cannulation with a catheter and guidewire (Group I) and papillary fistulotomy (Group II). Amylase, lipase and C-reactive protein at T0, as well as 12 h and 24 h after endoscopic retrograde cholangiopancreatography, and complications (pancreatitis, bleeding, perforation) were recorded. Read More

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http://dx.doi.org/10.3748/wjg.v24.i16.1803DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922998PMC
April 2018
7 Reads

Total Endovascular Iliocaval Reconstruction Using Polytetrafluoroethylene Stent-Graft Placement for the Treatment of Inferior Vena Cava Resection.

Cardiovasc Intervent Radiol 2018 Jul 27;41(7):1116-1120. Epub 2018 Apr 27.

Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.

Resection of the inferior vena cava (IVC) is a rare surgical technique that is occasionally combined with nephrectomy in the setting of renal malignancy with intravascular tumor extension. While this may be fairly well tolerated in some patients due to extensive collateralization in the venous system, there is a clear potential for lower extremity venous insufficiency and deep vein thrombosis (DVT). This report describes a patient who underwent right nephrectomy and segmental IVC resection from the subhepatic space to the iliac confluence, which was complicated by profoundly symptomatic lower extremity DVT and gastrointestinal hemorrhage due to system-to-portal shunting. Read More

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http://link.springer.com/10.1007/s00270-018-1954-8
Publisher Site
http://dx.doi.org/10.1007/s00270-018-1954-8DOI Listing
July 2018
14 Reads

Two Years of Experience in the Implantation of Heartmate III.

Rev Port Cir Cardiotorac Vasc 2017 Jul-Dec;24(3-4):120

Centre Hospitalier Universitaire Vaudois- Lausanne, Suisse.

Introduction: Left ventricular assist devices as long-term mechanical circulatory support are increasingly used as an option for medically refractory advanced heart failure. Heartmate III is one of the alternative devices for circulatory support in those patients.

Objectives: Analyze a two years Heartmate III implantation Program. Read More

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July 2017
3 Reads

Colonic endoscopic mucosal resection in patients taking anticoagulants: Is heparin bridging therapy necessary?

J Dig Dis 2018 May 27;19(5):288-294. Epub 2018 May 27.

Division of Gastroenterology, Department of Internal Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan.

Objective: Heparin bridging therapy (HBT) reportedly increases the risk of post-procedural bleeding, and its safety during endoscopic interventions remains unclear. We aimed to evaluate the effects of peri-procedural HBT in patients taking anticoagulants who underwent colonic endoscopic mucosal resection (EMR) for polyps.

Methods: Patients who underwent colonic EMR while taking a single anticoagulant agent were enrolled in this study. Read More

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http://dx.doi.org/10.1111/1751-2980.12598DOI Listing
May 2018
14 Reads

Initial Management of Colonic Diverticular Bleeding: Observational Study.

Digestion 2018 19;98(1):41-47. Epub 2018 Apr 19.

Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.

Background/aims: Although colonic diverticular bleeding (CDB) often ceases spontaneously, re-bleeding occurs in about 30%. Bleeding diverticulum can be treated directly by endoscopic hemostasis; however, it is difficult to perform colonoscopy in all cases with limited medical resource and certain risks. The aim of this study was to clarify who should undergo colonoscopy as well as appropriate methods of initial management in CDB patients. Read More

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http://dx.doi.org/10.1159/000487264DOI Listing
October 2018
15 Reads

Safety, Efficacy, and Cost-Analysis of Percutaneous Endoscopic Gastrostomy and Ventriculoperitoneal Shunt Placement in a Simultaneous Surgery.

World Neurosurg 2018 Jul 12;115:e233-e237. Epub 2018 Apr 12.

Department of Neurosurgery, The University of Kansas Medical Center, Kansas City, Kansas, USA.

Background: Limited historical data suggest that concomitant placement of both a ventriculoperitoneal (VP) shunt and percutaneous endoscopic gastrostomy (PEG) tube is associated with an increased risk of complications, including VP shunt infections. Here we compare the outcomes and cost difference between 2 groups of patients, one in which a VP shunt and PEG tube were placed in the same operation and the other in which separate operations were performed.

Methods: A total of 10 patients underwent simultaneous placement of a VP shunt and PEG tube. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.04.024DOI Listing
July 2018
1 Read

Applications of Colon Capsule Endoscopy.

Authors:
Shabana F Pasha

Curr Gastroenterol Rep 2018 Apr 12;20(5):22. Epub 2018 Apr 12.

Division of Gastroenterology and Hepatology, Mayo Clinic Arizona, Scottsdale, AZ, USA.

Purpose Of Review: This is a review of colon capsule endoscopy (CCE) with a focus on its recent developments, technological improvements, and current and potential future indications.

Recent Findings: Based on the current literature, CCE II demonstrates comparable polyp detection rates as optical colonoscopy and CT colonography, and improved cost-effectiveness. The main limitation to patient acceptance is the requirement of a rigorous bowel preparation. Read More

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http://link.springer.com/10.1007/s11894-018-0628-7
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http://dx.doi.org/10.1007/s11894-018-0628-7DOI Listing
April 2018
9 Reads

Bowel preparation quality between hospitalized patients and outpatient colonoscopies.

Saudi J Gastroenterol 2018 Mar-Apr;24(2):93-99

Gastroenterology Division, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.

Background/aims: Optimal bowel preparation is essential for a complete high-quality colonoscopy. We sought to determine whether an inpatient, as opposed to an ambulatory setting, would affect the quality of bowel preparation.

Patients And Methods: A retrospective chart review was conducted in a tertiary care university hospital. Read More

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http://dx.doi.org/10.4103/sjg.SJG_485_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5900480PMC
November 2018
36 Reads
1.221 Impact Factor

[Gastrointestinal Bleeding: Update].

Dtsch Med Wochenschr 2018 Apr 3;143(7):503-508. Epub 2018 Apr 3.

Innere Medizin I, Universitätsklinikum Tübingen.

Preendoscopic Management:  In suspected gastrointestinal bleeding (GIB), standard operating procedures help in risk stratification, early patient management and endoscopy. If variceal bleeding is suspected, specific medication (vasoconstrictors, antimicrobial therapy) are additive to standard pharmacological management (PPI, erythromycin) prior to endoscopy.

Coagulation Requirments:  An emergency endoscopy can be performed independent of the patient's current coagulation status. Read More

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http://dx.doi.org/10.1055/s-0043-114049DOI Listing
April 2018
35 Reads

Massive Ileal Bleeding Secondary to a Dieulafoy's lesion.

Endosc Int Open 2018 Apr 29;6(4):E495-E497. Epub 2018 Mar 29.

 Sorbonne Paris Cité University & APHP Lariboisière Hospital, Department of Surgery, Paris, France.

Dieulafoy's lesions are a rare cause of gastrointestinal bleeding. This article presents the case of a young woman presenting with a massive ileal bleeding, secondary to a Dieulafoy's lesion. A computed-tomography angiography scan showed an arterial bleeding in the ileum and the diagnosis was confirmed by an emergency peroperative enteroscopy. Read More

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http://dx.doi.org/10.1055/s-0043-125144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876033PMC
April 2018
1 Read

Thirty-Day Readmission Among Patients With Non-Variceal Upper Gastrointestinal Hemorrhage and Effects on Outcomes.

Gastroenterology 2018 07 28;155(1):38-46.e1. Epub 2018 Mar 28.

Director of Endoscopy, Division of Gastroenterology, Department of Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address:

Background & Aims: We aimed to determine the rate of hospital readmission within 30 days of non-variceal upper gastrointestinal hemorrhage and its impact on mortality, morbidity, and health care use in the United States.

Methods: We performed a retrospective study using the Agency for Healthcare Research and Quality's Healthcare Cost and Utilization Project Nationwide Readmission Database for the year 2014 (data on 14.9 million hospital stays at 2048 hospitals in 22 states). Read More

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http://dx.doi.org/10.1053/j.gastro.2018.03.033DOI Listing
July 2018
5 Reads

Line-assisted complete closure for a large mucosal defect after colorectal endoscopic submucosal dissection decreased post-electrocoagulation syndrome.

Dig Endosc 2018 Sep 29;30(5):633-641. Epub 2018 Apr 29.

Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan.

Background And Aim: The incidence of post-endoscopic submucosal dissection (ESD) coagulation syndrome (PECS) can be decreased by closing mucosal defects. However, large mucosal defects after colorectal ESD cannot be closed endoscopically. We established line-assisted complete clip closure (LACC), a novel technique for large mucosal defects after colorectal ESD. Read More

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http://dx.doi.org/10.1111/den.13052DOI Listing
September 2018
11 Reads

The Use and Safety of a Novel Haemostatic Spray in the Endoscopic Management of Acute Nonvariceal Upper Gastrointestinal Bleeding in Children.

J Pediatr Gastroenterol Nutr 2018 Sep;67(3):e47-e50

Centre for Paediatric Gastroenterology, Sheffield Children's Hospital, Weston Bank, Sheffield, UK.

Aims And Background: Advanced endohaemostatic technique performance and experience is extremely variable in distribution amongst paediatric endoscopists. Haemostatic spray (Hemospray), a novel endohaemostatic topically applied powder has the advantage of extreme ease of use and; hence may lower the threshold of competency required by the endoscopist thereby potentially reducing mortality. The aim of the study is to prospectively evaluate the efficacy and the safety of haemostatic spray in paediatric patients with acute upper gastrointestinal bleeding (AUGIB). Read More

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http://dx.doi.org/10.1097/MPG.0000000000001967DOI Listing
September 2018
3 Reads

LIVER TRANSPLANTATION IN HEPATITIS DELTA: SOUTH AMERICA EXPERIENCE.

Arq Gastroenterol 2018 Jan-Mar;55(1):14-17

Departamento de Cirurgia, Universidade Federal do Ceará, Fortaleza, CE, Brasil.

Background: The Amazon region is one of the main endemic areas of hepatitis delta in the world and the only one related to the presence of genotype 3 of the delta virus.

Objective: To analyze the profile, mortality and survival of cirrhotic patients submitted to liver transplantation for chronic hepatitis delta virus and compare with those transplanted by hepatitis B virus monoinfection.

Methods: Retrospective, observational and descriptive study. Read More

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http://dx.doi.org/10.1590/S0004-2803.201800000-06DOI Listing
April 2018
3 Reads

Evaluation and management of lower gastrointestinal bleeding.

Dis Mon 2018 Jul 7;64(7):321-332. Epub 2018 Mar 7.

Division of Gastroenterology & Hepatology, University of Texas Medical Branch, 7400 Jones Drive, Apt 724, Galveston, TX 77551. Electronic address:

Lower gastrointestinal bleeding (LGIB) is a common cause of presentation to the emergency department and hospital admissions. The incidence of LGIB increases with age and the most common etiologies are diverticulosis, angiodysplasia, malignancy and anorectal diseases. Foremost modality for evaluation and treatment of LGIB is colonosopy. Read More

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http://dx.doi.org/10.1016/j.disamonth.2018.02.002DOI Listing
July 2018
5 Reads
0.540 Impact Factor

Bleeding Lesion of the Small Bowel: an Extensive Update Leaving No Stone Unturned.

Curr Gastroenterol Rep 2018 Mar 7;20(2). Epub 2018 Mar 7.

Department of Gastroenterology, Ghent University Hospital, De Pintelaan 185, 1K12, 9000, Ghent, Belgium.

Purpose Of Review: Gastrointestinal bleeding originating from the small bowel (SB) poses a challenge to the treating gastroenterologist. Once diagnosed, management is not a walk in the park either. This review intends to summarize the current state-of-the-art evidence in a complete way with special attention for vascular and ulcerative lesions, to provide the reader with a clinical guide and flow chart towards SB bleeding. Read More

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http://dx.doi.org/10.1007/s11894-018-0610-4DOI Listing
March 2018
2 Reads