2,664 results match your criteria Lower Gastrointestinal Bleeding Surgical Treatment


Optimal dilation time for combined small endoscopic sphincterotomy and balloon dilation for common bile duct stones: a multicentre, single-blinded, randomised controlled trial.

Lancet Gastroenterol Hepatol 2019 Apr 16. Epub 2019 Apr 16.

Fifth Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou, China; Hepatopancreatobiliary Surgery Institute of Gansu Province, Clinical Medical College Cancer Center of Lanzhou University, Lanzhou, China; Key Laboratory of Biological Therapy and Regenerative Medicine Transformation Gansu Province, Lanzhou, China. Electronic address:

Background: Endoscopic sphincterotomy is the established treatment for common bile duct stones. Balloon dilation offers an alternative. Prolonged dilation (300 s) with a 10 mm diameter balloon decreases the occurrence of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). Read More

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http://dx.doi.org/10.1016/S2468-1253(19)30075-5DOI Listing

A Case of Hemorrhagic Gastric Metastasis from Hepatocellular Carcinoma Successfully Treated Using Coil Embolization of the Left Gastric Artery.

Intern Med 2019 Apr 17. Epub 2019 Apr 17.

Department of Gastroenterology and Hepatology, Saiseikai Niigata Daini Hospital, Japan.

A 62-year-old man initially underwent transcatheter arterial chemoembolization for the treatment of hepatocellular carcinoma (HCC). One year after the initial treatment, he developed anemia. Upper gastrointestinal endoscopy revealed irregularly elevated tumors in the lower anterior gastric body, which were diagnosed to be metastasis from HCC. Read More

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http://dx.doi.org/10.2169/internalmedicine.2172-18DOI Listing
April 2019
1 Read

Malakoplakia of the colon following renal transplantation in a 73 year old woman: report of a case presenting as intestinal perforation.

Diagn Pathol 2019 Mar 13;14(1):22. Epub 2019 Mar 13.

Department of Radiology, Maisonneuve-Rosemont Hospital, 5415 Boulevard de L'Assomption, Montreal, QC, Canada.

Background: Malakoplakia is a chronic inflammatory disease characterized by tissue infiltrates of large granular macrophages containing distinctive intracytoplasmic inclusions termed Michaelis-Gutmann (MG) bodies. The genitourinary system is the most commonly involved site, followed by the gastrointestinal tract. Malakoplakia may occur as a complication of primary or secondary immunosuppression and, therefore, renal transplant recipients are at risk. Read More

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http://dx.doi.org/10.1186/s13000-019-0799-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416959PMC
March 2019
2 Reads

[Meta-analysis on safety and efficacy of dual antiplatelet therapy combining with proton pump inhibitors for patients after percutaneous coronary intervention].

Zhonghua Xin Xue Guan Bing Za Zhi 2019 Feb;47(2):129-140

Department of Cardiology, Lanzhou University Second Hospital, Lanzhou 730030, China.

To analyze the impact of dual antiplatelet (DAPT) therapy combining with or without proton pump inhibitors (PPI) on the main outcomes after percutaneous coronary intervention (PCI). The PubMed, EMBASE and Cochrane Library were searched for relevant literature and the references obtained from these sources were retrieved manually from inception till September 2017. Inclusion and exclusion criteria were established follow the Cochrane review standard. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-3758.2019.02.010DOI Listing
February 2019
1 Read

Blunt Abdominal Trauma in a European Trauma Setting: Need for Complex or Non-Complex Skills in Emergency Laparotomy.

Scand J Surg 2019 Feb 20:1457496919828244. Epub 2019 Feb 20.

1 Department of Orthopedics and Traumatology, Trauma Unit, Töölö Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Background And Aims:: Blunt abdominal trauma can lead to substantial organ injury and hemorrhage necessitating open abdominal surgery. Currently, the trend in surgeon training is shifting away from general surgery and the surgical treatment of blunt abdominal trauma patients is often done by sub-specialized surgeons. The aim of this study was to identify what emergency procedures are needed after blunt abdominal trauma and whether they can be performed with the skill set of a general surgeon. Read More

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http://dx.doi.org/10.1177/1457496919828244DOI Listing
February 2019

Acute abdomen in drug abusers.

Authors:
L Hána M Ryska

Rozhl Chir Winter 2019;98(1):14-17

Introduction: Acute abdomen is one of the most important issues in abdominal surgery. Our study aims to describe the differences in clinical presentation of patients, in the course of their hospitalization, and in morbidity and mortality of patients with drug abuse; another aim is to describe our own experience with drug abusers with acute abdomen. Method: Patients with the history of drug abuse and with non-traumatic acute abdomen were included retrospectively to our set. Read More

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April 2019
1 Read

Transperineal versus transrectal prostate biopsy in the diagnosis of prostate cancer: a systematic review and meta-analysis.

World J Surg Oncol 2019 Feb 13;17(1):31. Epub 2019 Feb 13.

Department of Urology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Background: Because conventional prostate biopsy has some limitations, optimal variations of prostate biopsy strategies have emerged to improve the diagnosis rate of prostate cancer. We conducted the systematic review to compare the diagnosis rate and complications of transperineal versus transrectal prostate biopsy. We searched for online publications published through June 27, 2018, in PubMed, Scopus, Web of Science, and Chinese National Knowledge Infrastructure databases. Read More

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http://dx.doi.org/10.1186/s12957-019-1573-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375152PMC
February 2019
3 Reads

Proton pump inhibitors receiving and prognosis of patients after scheduled percutaneous coronary interventions.

Ter Arkh 2018 Sep;90(9):92-100

Department of Clinical Problems of Atherothrombosis of the National Medical Research Center for Cardiology, Moscow, Russia.

Aim: The urgency of the study is determined by the lack of data necessary in order to assess the safety of prolonged use of proton pump inhibitors (PPI) in patients with IHD combined with anti-aggregant therapy. The aim of the study was to study the relationship between the use of PPI and the risk of thrombotic complications in patients undergoing planned procedures of percutaneous coronary interventions (PCI) and receiving dual antiplatelet therapy.

Materials And Methods: The study is a prospective register of patients who successfully underwent planned percutaneous coronary intervention (PCI). Read More

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http://dx.doi.org/10.26442/terarkh201890992-100DOI Listing
September 2018
1 Read

[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
4 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
12 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
4 Reads

Acute-on-chronic liver failure in children with biliary atresia awaiting liver transplantation.

Pediatr Transplant 2019 03 30;23(2):e13339. Epub 2018 Dec 30.

Paediatric Liver, Gastroenterology and Nutrition Centre, King's College Hospital, London, UK.

Objectives: Acute-on-chronic liver failure (ACLF) is an acute decompensation of cirrhosis complicated by other organ failure and is associated with increased mortality and morbidity. ACLF has not been studied in children with biliary atresia (BA), which is the commonest indication for pediatric liver transplantation (LT) worldwide. This study aims to evaluate ACLF and outcomes in children with BA while awaiting deceased donor LT. Read More

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http://dx.doi.org/10.1111/petr.13339DOI Listing
March 2019
22 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
3 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
4 Reads

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

BMC Anesthesiol 2018 12 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
10 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
6 Reads

Major bleeding risk of endoscopic sphincterotomy versus endoscopic papillary balloon dilatation in hemodialysis patients.

Saudi J Gastroenterol 2019 Mar-Apr;25(2):106-112

Institute of Medicine, Chung Shan Medical University; School of Medicine, Chung Shan Medical University; Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.

Background/aims: Endoscopic sphincterotomy (EST) and endoscopic papillary balloon dilatation (EPBD) are used for therapeutic endoscopic retrograde cholangiopancreatography (ERCP). The postprocedure bleeding rate for EPBD is low in the normal population; however, this bleeding rate in a group of patients prone to bleeding, such as patients with end-stage renal disease, is not well-established. We therefore evaluated the post-EST and post-EPBD bleeding rate among hemodialysis (HD) patients based on data from Taiwan's National Health Insurance Research Database (NHIRD). Read More

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http://dx.doi.org/10.4103/sjg.SJG_246_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457181PMC
April 2019
18 Reads

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

Rozhl Chir Summer 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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April 2019
3 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
Publisher Site
http://dx.doi.org/10.1055/a-0746-8435DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221819PMC
November 2018
30 Reads

Assessment of endoscopic Doppler to guide hemostasis in high risk peptic ulcer bleeding.

Scand J Gastroenterol 2018 Oct - Nov;53(10-11):1311-1318. Epub 2018 Nov 5.

a Clinic for Internal Medicine IV (Gastroenterology, Hepatology and Infectious Diseases) , Jena University Hospital , Jena , Germany.

Introduction: Rebleeding or emergency surgery in failed endoscopic therapy of peptic ulcer bleeding are associated with high rates of morbidity and mortality. The clinical benefit of an endoscopic Doppler (ED) examination prior to endoscopic injection therapy was evaluated in high risk ulcer patients for rebleeding episode. Standard injection therapy (non-Doppler (ND)) was compared with targeted injection therapy after examination of the supplying vessel in the ulcer base by the ED. Read More

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https://www.tandfonline.com/doi/full/10.1080/00365521.2018.1
Publisher Site
http://dx.doi.org/10.1080/00365521.2018.1509121DOI Listing
April 2019
20 Reads

Lower Rebleeding Rate after Endoscopic Band Ligation than Endoscopic Clipping of the Same Colonic Diverticular Hemorrhagic Lesion: A Historical Multicenter Trial in Saga, Japan.

Intern Med 2019 Mar 17;58(5):633-638. Epub 2018 Oct 17.

Department of Internal Medicine, Saga Medical School, Japan.

Objective This historical control study was performed to evaluate i) the rebleeding rate of bleeding colon diverticula treated with endoscopic band ligation (EBL) versus endoscopic clipping (EC) and ii) risk factors for rebleeding of diverticula initially treated by endoscopic hemostasis. Methods From January 2010 to December 2012, 68 patients were treated with EC, and from January 2013 to August 2016, 67 patients were treated with EBL. All patients in each group were followed up for one year to check for rebleeding. Read More

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http://dx.doi.org/10.2169/internalmedicine.1473-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443565PMC
March 2019
3 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
24 Reads

Laparoscopic splenectomy and azygoportal disconnection combining with pre- and postoperative endoscopic intervention - A sandwich-style sequential therapy for portal hypertensive bleeding: A retrospective cohort study.

Turk J Gastroenterol 2018 11;29(6):669-675

Department of Hepatobiliary Surgery, Clinical Medical College of Yangzhou University, Yangzhou, China.

Background/aims: In patients who survive the first esophageal variceal bleeding (EVB) resulting from portal hypertension, the probability of fatal esophageal variceal re-bleeding (EVR) is high. We have developed a sandwich-style sequential therapy combining laparoscopic splenectomy and azygoportal disconnection (LSD) with preoperative and postoperative endoscopic intervention (LSDE). The aim of the present study was to investigate whether LSDE is safe and effective and to evaluate whether the postoperative EVR rate for LSDE was lower than that for LSD without periodical postoperative endoscopic intervention (NLSDE). Read More

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http://dx.doi.org/10.5152/tjg.2018.18106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284672PMC
November 2018
6 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
5 Reads

Efficacy of Surgicel® (Fibrillar) for preventing bleeding after endoscopic submucosal dissection for gastric epithelial tumors.

J Dig Dis 2018 Nov 11;19(11):657-663. Epub 2018 Nov 11.

Digestive Disease Center and Research Institute, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon and Seoul, South Korea.

Objective: Surgicel (Fibrillar), i.e. oxidized regenerated cellulose, is used to control oozing bleeding after surgery, but few studies have assessed its effect on complications after endoscopic treatment. Read More

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http://doi.wiley.com/10.1111/1751-2980.12672
Publisher Site
http://dx.doi.org/10.1111/1751-2980.12672DOI Listing
November 2018
29 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
10 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
4 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
Publisher Site
http://dx.doi.org/10.1016/j.suronc.2018.05.018DOI Listing
September 2018
15 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
21 Reads

Low Fibrinogen Levels Are Associated with Bleeding After Varices Ligation in Thrombocytopenic Cirrhotic Patients.

Ann Hepatol 2018 Jun;17(5):830-835

Gastroenterology Unit, Department of Internal Medicine, University of Genoa, Ospedale Policlinico San Martino - IRCCS per l'Oncologia, Genoa, Italy.

Introduction And Aim: EVBL is a procedure frequently performed in cirrhotic patients for primary prophylaxis of bleeding. Patients with cirrhosis display various degrees of alteration of common coagulation parameters, and it is not known whether these alterations may predict post-EVBL bleeding. To evaluate factors predictive of post-endoscopic variceal band ligation (EVBL) bleeding in cirrhotic patients with thrombocytopenia. Read More

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https://annalsofhepatology.publisherspanel.com/gicid/01.3001
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http://dx.doi.org/10.5604/01.3001.0012.0775DOI Listing
June 2018
8 Reads

Lower Endoscopic Diagnostic Yields Observed in Non-hematemesis Gastrointestinal Bleeding Patients.

Dig Dis Sci 2018 12 22;63(12):3448-3456. Epub 2018 Aug 22.

Department of Gastroenterology, University of Massachusetts Medical Center, Worcester, MA, 01655, USA.

Background: Location of bleeding can present a diagnostic challenge in patients without hematemesis more so than those with hematemesis.

Aim: To describe endoscopic diagnostic yields in both hematemesis and non-hematemesis gastrointestinal bleeding patient populations.

Methods: A retrospective analysis on a cohort of 343 consecutively identified gastrointestinal bleeding patients admitted to a tertiary care center emergency department with hematemesis and non-hematemesis over a 12-month period. Read More

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http://link.springer.com/10.1007/s10620-018-5244-8
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http://dx.doi.org/10.1007/s10620-018-5244-8DOI Listing
December 2018
6 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
16 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
9 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
6 Reads

[Ascending Colon Variceal Bleeding in Cirrhotic Patient with Emergent Endoscopic Variceal Obturation with N-butyl-2-cyanoacrylate].

Korean J Gastroenterol 2018 Jul;72(1):37-41

Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Ectopic varices are rare among patients with portal hypertension, especially in the ascending colon. It is difficult to evaluate massive lower gastrointestinal bleeding in patients with liver cirrhosis by colonoscopy due to hemodynamic instability and poor bowel preparation. In Korea, there has only been one case report about ascending colon variceal bleeding, in which hemostasis was performed by venous coil embolization. Read More

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http://dx.doi.org/10.4166/kjg.2018.72.1.37DOI Listing
July 2018
13 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
7 Reads

Comparison of transjugular intrahepatic portosystemic shunt (TIPS) alone and combined with embolisation for the management of cardiofundal varices: a retrospective study.

Eur Radiol 2019 Feb 23;29(2):699-706. Epub 2018 Jul 23.

Institute of Interventional Radiology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.

Objectives: To assess the efficacy of transjugular intrahepatic portosystemic shunt (TIPS) with and without adjunctive embolisation in managing cardiofundal varices bleeding.

Methods: The retrospective study comprised 82 patients (54 men; mean age 53.9 years; mean Model of End-stage Liver Disease score 9. Read More

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http://dx.doi.org/10.1007/s00330-018-5645-2DOI Listing
February 2019
4 Reads
4.010 Impact Factor

Long-term recurrent bleeding risk after endoscopic therapy for definitive colonic diverticular bleeding: band ligation versus clipping.

Gastrointest Endosc 2018 11 20;88(5):841-853.e4. Epub 2018 Jul 20.

Department of Gastroenterology and Hepatology, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan.

Background And Aims: Very few prospective studies with over 100 samples have evaluated the long-term outcomes of endoscopic therapy for colonic diverticular bleeding (CDB). This study sought to elucidate the recurrent bleeding risk of endoscopic band ligation versus clipping for definitive CDB based on stigmata of recent hemorrhage (SRH).

Methods: Patients emergently hospitalized for acute lower GI bleeding and examined by high-resolution colonoscopy were enrolled. Read More

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http://dx.doi.org/10.1016/j.gie.2018.07.018DOI Listing
November 2018
29 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
5 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
4 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
20 Reads

Portal Hypertensive Colopathy with Pelvic Varices presenting as Severe Lower GI Bleed treated with TIPSS.

Ir Med J 2018 Feb 9;111(2):696. Epub 2018 Feb 9.

Department of Radiology, St James's Hospital, Dublin 8.

We present the case of a 71-year-old lady with a background of significant alcohol intake who presented with frank lower gastrointestinal (GI) bleeding, lower abdominal pain and haemoglobin 6.3g/dL. CT abdominal angiogram showed right-sided colonic thickening, atrophic liver and enlarged superior mesenteric vein (SMV) and right-sided pelvic varix. Read More

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February 2018
1 Read

Balloon-Occluded Retrograde Transvenous Obliteration versus Transjugular Intrahepatic Portosystemic Shunt for the Management of Gastric Variceal Bleeding.

Gut Liver 2018 11;12(6):704-713

Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.

Background/aims: Gastric varices (GVs) are a major cause of upper gastrointestinal bleeding in patients with liver cirrhosis. The current treatments of choice are balloon-occluded retrograde transvenous obliteration (BRTO) and the placement of a transjugular intrahepatic portosystemic shunt (TIPS). We aimed to compare the efficacy and outcomes of these two methods for the management of GV bleeding. Read More

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http://www.gutnliver.org/journal/view.html?doi=10.5009/gnl17
Publisher Site
http://dx.doi.org/10.5009/gnl17515DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254622PMC
November 2018
15 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
7 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
37 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
15 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
29 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
44 Reads