2,857 results match your criteria Lower Gastrointestinal Bleeding Surgical Treatment


[Successful treatment of an aortoduodenal fistula after operation on the abdominal portion of the aorta].

Angiol Sosud Khir 2020 ;26(2):170-174

I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of the Russian Federation, Ryazan, Russia; Regional Clinical Hospital, Ryazan, Russia.

Gastrointestinal haemorrhage is a common cause of emergency admission of patients to surgical hospitals. Within the structure of nosological entities, not unreasonably referred to the rarest causes of gastrointestinal bleeding is the formation of an aortointestinal fistula whose early diagnosis is of paramount importance. The clinical picture may be different but it is mostly represented by gastrointestinal haemorrhage. Read More

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http://dx.doi.org/10.33529/ANGIO2020213DOI Listing
January 2020

Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial.

Authors:

Lancet 2020 Jun;395(10241):1927-1936

Background: Tranexamic acid reduces surgical bleeding and reduces death due to bleeding in patients with trauma. Meta-analyses of small trials show that tranexamic acid might decrease deaths from gastrointestinal bleeding. We aimed to assess the effects of tranexamic acid in patients with gastrointestinal bleeding. Read More

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http://dx.doi.org/10.1016/S0140-6736(20)30848-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306161PMC

Prolapsed giant rectal gastrointestinal stromal tumor presented with incarceration A rare case of emergency rectal lesion.

Ann Ital Chir 2020 Jun 10;9. Epub 2020 Jun 10.

Prolapse of the tumor is an extremely rare clinical presentation in patients with rectal gastrointestinal stromal tumor (GIST). A 79-year-old male patient was consulted in the in-patient ward of internal medicine clinic of our hospital due to his incarcerated hemorrhagic mass protruding from the anal canal. Anal inspection revealed an incarcerated prolapsed hemorrhagic mass larger than 10 cm in diameter that looked like a cauliflower. Read More

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Contemporary Nationwide Trends and In-Hospital Outcomes of Adjunctive Stenting in Patients Undergoing Catheter-Directed Thrombolysis for Proximal Deep Vein Thrombosis.

J Vasc Surg Venous Lymphat Disord 2020 Jun 6. Epub 2020 Jun 6.

Department of Cardiovascular Diseases, Temple University Hospital, Philadelphia, PA. Electronic address:

Objective: Outflow venous stenting as an adjunct to catheter directed thrombolysis is performed to prevent recurrent thrombosis and to reduce the risk of post-thrombotic syndrome. Historical data shows that stenting improves outcomes of surgical thrombectomy in patients with iliofemoral deep vein thrombosis (DVT), and recent observational data suggests that stenting improves long-term outcomes of catheter-directed thrombolysis (CDT). However, the impact of stenting during CDT on acute safety outcomes is unknown. Read More

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http://dx.doi.org/10.1016/j.jvsv.2020.04.034DOI Listing

Endoscopic papillectomy of benign papillary tumors: A single-center experience.

Medicine (Baltimore) 2020 May;99(22):e20414

Department of Gastroenterology, Changhai Hospital, Changhai Road 168, Shanghai.

Endoscopic treatment of duodenal papillary tumors is well described. This study aims to provide new evidence for the treatment of benign papillary tumors through comparisons between endoscopic snare papillectomy (ESP) and endoscopic mucosal resection (EMR).Between May 2010 and December 2017, 72 patients were enrolled. Read More

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http://dx.doi.org/10.1097/MD.0000000000020414DOI Listing
May 2020
5.723 Impact Factor

Computed tomography versus lower endoscopy as initial diagnostic method for evaluating patients with hematochezia at emergency room.

Medicine (Baltimore) 2020 May;99(22):e20311

Division of Gastroenterology, Department of Internal medicine, Chungnam National University School of Medicine, Daejeon, Korea.

For acute lower gastrointestinal bleeding (LGIB), lower gastrointestinal endoscopy is the preferred initial diagnostic test. However, it is difficult to perform urgently. Computed tomography (CT) is a convenient alternative. Read More

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http://dx.doi.org/10.1097/MD.0000000000020311DOI Listing

Acute hemorrhagic rectal ulcer: Experience in 11 patients at an urban acute care center in the USA: A case series.

Medicine (Baltimore) 2020 May;99(18):e19836

Introduction: Acute hemorrhagic rectal ulcer (AHRU) is a rare entity which has most frequently been described in Japan and Taiwan literature. This study characterizes 11 AHRUs identified and managed at an urban acute care hospital in the United States of America (USA).

Methods: A total of 2253 inpatients underwent colonoscopy. Read More

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http://dx.doi.org/10.1097/MD.0000000000019836DOI Listing

Opioid Use and Morbidities during Left Ventricular Assist Device Support.

Int Heart J 2020 May 29;61(3):547-552. Epub 2020 Apr 29.

Department of Surgery, University of Chicago Medical Center.

The use of opioids during left ventricular assist device (LVAD) support is increasing, but the implication remains unknown. We investigated the association between the use of opioid and morbidities during LVAD supports. We retrospectively reviewed the clinical data of patients who received LVAD between 2014 and 2017, which were stratified by the use of opioid at post-LVAD 3 months. Read More

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http://dx.doi.org/10.1536/ihj.19-660DOI Listing

[Analysis of robotic natural orifice specimen extraction surgery on 162 cases with rectal neoplasms].

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Apr;23(4):384-389

Department of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, China.

To explore the safety and feasibility of da Vinci robot surgical systems in natural orifice specimen extraction surgery (NOSES) for rectal neoplasms. A descriptive cohort study was used. Inclusion criteria: (1) age ≥18 years old; (2) diagnosis of rectal cancer by biopsy via colonoscopy or benign neoplasm locating in rectum that could not be resected locally through the anus; (3) R0 resection can be achieved by preoperative evaluation; (4) the CDmax (maximum circumferential diameter) was ≤5 cm or specimens could still be extracted from the anus despite a CDmax exceeding 5 cm but was along the longitudinal axis of the rectum. Read More

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http://dx.doi.org/10.3760/cma.j.cn.441530-20191017-00453DOI Listing

A Unique Presentation of Spontaneous Compartment Syndrome due to Acquired Hemophilia A and Associated Malignancy: Case Report and Literature Review.

World J Oncol 2020 Apr 29;11(2):72-75. Epub 2020 Mar 29.

Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA.

Hemophilia is a bleeding diathesis that is most commonly congenital and causes a tendency for significant bleeding during procedures and often manifests as hemarthrosis. However, more rarely, hemophilia can be acquired. Our paper focuses on acquired hemophilia A (AHA), which is caused by the development of an autoantibody (an inhibitor) to factor VIII. Read More

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http://dx.doi.org/10.14740/wjon1260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141160PMC

Extravasation and fluid collection on computed tomography imaging in patients with colonic diverticular bleeding.

PLoS One 2020 9;15(4):e0229884. Epub 2020 Apr 9.

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan.

Objective: We evaluated the characteristics of patients with diverticular bleeding in whom emergency endoscopy should be proactively performed and those in whom it is unnecessary for spontaneous hemostasis following conservative treatment.

Methods: This study involved 132 patients in whom diverticular bleeding was diagnosed on lower gastrointestinal endoscopy. We evaluated the rate of identification of the bleeding diverticulum during endoscopy and the rate of spontaneous hemostasis following conservative treatment. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229884PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145113PMC

Laparoscopy-assisted endoscopic full-thickness resection of upper gastrointestinal subepithelial tumors: A single-center early experience.

Mol Clin Oncol 2020 May 5;12(5):461-467. Epub 2020 Mar 5.

Department of Surgery, Faculty of Medicine, Thammasat University, Pathumthani 12120, Thailand.

Recently, there have been important developments in minimally invasive full-thickness resection of subepithelial tumors (SETs) of the upper gastrointestinal tract. However, there remain challenges with techniques such as laparoscopy-endoscopy cooperative surgery (LECS) and non-exposed endoscopic wall-inversion surgery (NEWS). The aim of the present study was to further investigate the feasibility, efficacy and safety of laparoscopy-assisted endoscopic full-thickness resection (ETFR) of SETs and to evaluate the clinical outcomes. Read More

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http://dx.doi.org/10.3892/mco.2020.2011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7087464PMC

Timing of Endoscopy for Acute Upper Gastrointestinal Bleeding.

N Engl J Med 2020 04;382(14):1299-1308

From the Institute of Digestive Disease, the Chinese University of Hong Kong, Shatin, Hong Kong.

Background: It is recommended that patients with acute upper gastrointestinal bleeding undergo endoscopy within 24 hours after gastroenterologic consultation. The role of endoscopy performed within time frames shorter than 24 hours has not been adequately defined.

Methods: To evaluate whether urgent endoscopy improves outcomes in patients predicted to be at high risk for further bleeding or death, we randomly assigned patients with overt signs of acute upper gastrointestinal bleeding and a Glasgow-Blatchford score of 12 or higher (scores range from 0 to 23, with higher scores indicating a higher risk of further bleeding or death) to undergo endoscopy within 6 hours (urgent-endoscopy group) or between 6 and 24 hours (early-endoscopy group) after gastroenterologic consultation. Read More

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http://dx.doi.org/10.1056/NEJMoa1912484DOI Listing

[The effect of perioperative ERAS pathway management on short-and long-term outcomes of gastric cancer patients].

Zhonghua Yi Xue Za Zhi 2020 Mar;100(12):922-927

Department of Gastrointestinal surgery, the Affiliated Hospital of Qingdao University, Qingdao 266071, China.

To compare postoperative short-term outcomes and long-term prognosis between perioperative Enhanced Recovery After Surgery (ERAS) and conventional pathways protocols in gastric cancer patients. This is a single institute retrospective cohort study, all patients were pathologically proved to be gastric adenocarcinoma, underwent standard radical gastrectomy with D2 lymphadenectomy during the period of 2007-2012. Total 2124 cases were eligible to be analysed and divided into ERAS groups and Non-ERAS group according to the different perioperative pathway protocol. Read More

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http://dx.doi.org/10.3760/cma.j.cn112137-20190711-01325DOI Listing

Acute esophageal necrosis: A systematic review and pooled analysis.

World J Gastrointest Surg 2020 Mar;12(3):104-115

First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens 11527, Greece.

Background: Acute esophageal necrosis (AEN) is a rare entity with multifactorial etiology, usually presenting with signs of upper gastrointestinal bleeding.

Aim: To systematically review all available data on demographics, clinical features, outcomes and management of this medical condition.

Methods: A systematic literature search was performed with respect to the PRISMA statement (end-of-search date: October 24, 2018). Read More

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http://dx.doi.org/10.4240/wjgs.v12.i3.104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061242PMC

[Vertical supraumbilical incision versus left lower oblique incision for specimen retrieval during laparoscopic rectal surgery].

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Mar;23(3):289-293

Department of Gastrointestinal Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China.

To compared the short-term surgical outcomes of the vertical supraumbilical incision with the left lower oblique incision for specimen retrieval in laparoscopic resection for rectal cancer. A retrospective cohort study was performed. Inclusion criteria: (1) rectal cancer confirmed by colonoscopy and pathological examination; (2) undergoing the operation for the first time; (3) laparoscopic rectal surgery performed by the same surgeon team; (4) age of > 18 years and < 76 years old. Read More

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http://dx.doi.org/10.3760/cma.j.cn.441530-20190222-00044DOI Listing

Colonoscopic Finding of Patients with Lower Gastrointestinal Bleeding at Different Age Group in Eastern Part of India - An Observational Study.

Authors:
Jayanta Paul

Prague Med Rep 2020 ;121(1):25-34

Department of Gastroenterology, Desun Hospital and Heart Institute, Kolkata, India.

Incidence of lower gastrointestinal (GI) bleeding (LGIB) is increasing over time. It can be seen in all age group patients, commonly associated with pre-existing comorbidities and is one of the common indications of colonoscopy. This study was done to identify common causes of LGIB in eastern part of India, because there is no previous study from Eastern India to identify the common causes of lower GI bleeding diagnosed by colonoscopy in different age group patients. Read More

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http://dx.doi.org/10.14712/23362936.2020.2DOI Listing

Discharge Hemoglobin Association with Long-Term Outcomes of ST-Elevation Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Intervention.

Cardiovasc Ther 2020 27;2020:8647837. Epub 2020 Feb 27.

Cardiovascular Center, The First Hospital of Jilin University, Changchun 130021, China.

Background: Anemia following acute myocardial infarction (AMI) is associated with poor outcomes. While previous studies in patients with AMI have focused on anemia at admission, we hypothesized that hemoglobin (Hb) decline during hospitalization and lower discharge Hb would be associated with greater long-term mortality in patients undergoing primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI).

Methods: We analyzed records of 983 STEMI patients who were treated with primary PCI. Read More

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http://dx.doi.org/10.1155/2020/8647837DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068153PMC

Effect of breast-conserving surgery and modified radical mastectomy on operation index, symptom checklist-90 score and prognosis in patients with early breast cancer.

Medicine (Baltimore) 2020 Mar;99(11):e19279

Galactophore Department.

The present study aims to analyze the effects of breast-conserving surgery and modified radical mastectomy on operation indexes, Symptom checklist-90 scores and prognosis in patients with early breast cancer.The clinical data of 128 patients with breast cancer who were treated in our hospital from May 2015 to May 2016 were included into the analysis. These patients were divided into 2 groups, according to the different modes of operation (n = 64): control group, patients underwent modified radical mastectomy; observation group, patients underwent early breast conserving surgery. Read More

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http://dx.doi.org/10.1097/MD.0000000000019279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220131PMC

Intramural hematoma of colon: Case report of 2 cases.

Medicine (Baltimore) 2020 Mar;99(10):e19404

Department of Radiology, First Hospital of Jilin University, Changchun, Jilin Province, China.

Introduction: Colonic intramural hematomas are rarely encountered clinical entity. Colonic intramural hematomas are frequently associated with blunt trauma, and they could occur spontaneously in patients under anticoagulant therapy or with bleeding diathesis. There were few reports on synchronous colon cancer and intramural hematoma. Read More

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http://dx.doi.org/10.1097/MD.0000000000019404DOI Listing
March 2020
5.723 Impact Factor

The Yield of Upper Gastrointestinal Endoscopy at a Pediatric Tertiary Care Center.

Isr Med Assoc J 2020 03;22(3):164-168

Institute of Gastroenterology, Nutrition, and Liver Disease, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.

Background: The number of investigative esophagogastroduodenoscopies (EGD) in children has increased over several decades, despite their unclear diagnostic yields.

Objectives: To evaluate the indications for performing EGD, their diagnostic yields, and consequences on pediatric patient management.

Methods: A retrospective chart review was performed of consecutive pediatric patients aged 0-18 years, who underwent EGD between January and August 2014. Read More

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[Treatment strategy for gastrointestinal tumor under the outbreak of novel coronavirus pneumonia in China].

Authors:
Y H Chen J S Peng

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Feb;23(2):I-IV

Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.

The outbreak of the novel coronavirus pneumonia (NCP) has become a public health emergency in China. Chinese authorities and health agencies had devoted great efforts to control this disease. As surgeons specialized in the treatment of gastrointestinal tumors, we should always be aware of the prevention for NCP and incorporate this awareness into every detail of clinical practice. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2020.02.001DOI Listing
February 2020

[Clinical value of capsule endoscopy in small intestinal diseases].

Zhonghua Nei Ke Za Zhi 2020 Feb;59(2):124-128

Department of Gastroenterology, People's Hospital Affiliated to Shanxi Medical University, Taiyuan 030012, China.

To analyze the clinical value of capsule endoscopy (CE) in small intestinal diseases and to explore the correlation between the diagnosis and clinical characteristics. From June 2016 to April 2019, a total of 194 patients receiving CE were enrolled in the Department of Gastroenterology, Shanxi People's Hospital, including 68 patients with obscure gastrointestinal bleeding, 104 with chronic abdominal pain and 22 with diarrhea. The detection rate of small intestinal lesions by CE was 53. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2020.02.006DOI Listing
February 2020

Acute Lower Gastrointestinal Bleeding: Evaluation and Management.

Am Fam Physician 2020 02;101(4):206-212

Mike O'Callaghan Military Medical Center, Nellis Air Force Base, NV, USA.

Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease is the most common source, accounting for 40% of cases. Hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel disease are other common sources. Read More

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February 2020

Safety of Endoscopy for Hospitalized Patients With Acute Myocardial Infarction: A National Analysis.

Am J Gastroenterol 2020 03;115(3):376-380

Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

Introduction: Patients hospitalized with myocardial infarction (MI) are at risk of gastrointestinal bleeding because of the need for antiplatelet agents and/or anticoagulation. The data regarding the safety of endoscopy after MI are limited. This study sought to assess mortality rates of patients hospitalized with acute MI who require esophagogastroduodenoscopy or colonoscopy using the National Inpatient Sample (NIS) database. Read More

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http://dx.doi.org/10.14309/ajg.0000000000000528DOI Listing

Comparison of surgical outcomes between video-assisted anal fistula treatment and fistulotomy plus seton for complex anal fistula: A propensity score matching analysis - Retrospective cohort study.

Int J Surg 2020 Mar 1;75:99-104. Epub 2020 Feb 1.

Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, China; Institute of Gastrointestinal Surgery and Translational Medicine, Tongji University School of Medicine, Shanghai, China. Electronic address:

Background: Video-assisted anal fistula treatment (VAAFT) is a new minimally invasive technique for treating complex anal fistula (CAF). This study aimed to compare the efficacy and safety of VAAFT with fistulotomy plus seton (FPS) for treatment of CAF.

Materials And Methods: We included 148 patients with CAF receiving surgical treatment at our hospital between January 2017 and December 2018. Read More

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http://dx.doi.org/10.1016/j.ijsu.2020.01.137DOI Listing

Meckel diverticulum: one pathology, different clinical presentations. A report of two cases.

G Chir 2019 Sep-Oct;40(5):437-440

Meckel diverticulum is the most prevalent congenital malformation of gastrointestinal tract and usually it remains asymptomaRomatic. Approximately in 25% of cases Meckel diverticulum comes to be symptomatic with various clinical presentations where lower gastrointestinal hemorrhage or intestinal obstruction represent the most frequent clinical outcome. In present paper two cases of complicated Meckel diverticulum in young patients are described; in both cases diagnosis was difficult and initially mistaken with other pathologies. Read More

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February 2020

Analyses of clinical efficacy of ultrasound-guided radiofrequency ablation in liver cancer adjacent to the gallbladder and its prognosis.

J BUON 2019 Nov-Dec;24(6):2411-2417

Department of Ultrasound, Hubei Maternal and Child Health Hospital, Wuhan 430070, China.

Purpose: To explore the clinical efficacy of ultrasound-guided radiofrequency ablation (RFA) in liver cancer adjacent to the gallbladder and to analyze its prognosis.

Methods: 80 patients with liver cancer adjacent to the gallbladder, who were admitted to our hospital from January 2015 to April 2018, were enrolled and divided into the Observation group (n=40) and the Control group (n=40). All of the patients underwent cholecystectomy and lymph node dissection combined with postoperative chemotherapy. Read More

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Effect of Intra-operative Intra-arterial Thrombolysis on Long Term Clinical Outcomes in Patients with Acute Popliteal Artery Aneurysm Thrombosis.

Eur J Vasc Endovasc Surg 2020 02 6;59(2):255-264. Epub 2020 Jan 6.

Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Objective: Acute lower limb ischaemia (ALI) as a result of popliteal artery aneurysm (PAA) thrombosis represents a significant problem. The aim of this study was to investigate outcome of intra-operative intra-arterial thrombolysis in the treatment of acute ischaemia due to PAA thrombosis in terms of major adverse limb events (MALE), overall survival, and intrahospital complications, especially those associated with bleeding.

Methods: A total of 156 patients with Rutherford grade IIa and IIb acute ischaemia resulting from PAA thrombosis were admitted between 1 January 2011 and 1 January 2017. Read More

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http://dx.doi.org/10.1016/j.ejvs.2019.10.013DOI Listing
February 2020

Methicillin-resistant Staphylococcus aureus portends a poor prognosis after endovascular repair of mycotic aortic aneurysms and aortic graft infections.

J Vasc Surg 2020 Jul 13;72(1):276-285. Epub 2019 Dec 13.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine of USC, University of Southern California, Los Angeles, Calif.

Objective: Mycotic aortic aneurysms and aortic graft infections (aortic infections [AIs]) are rare but highly morbid conditions. Open surgical repair is the "gold standard" treatment, but endovascular repair (EVR) is increasingly being used in the management of AI because of the lower operative morbidity. Multiple organisms are associated with AI, and bacteriology may be an important indication of mortality. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.08.274DOI Listing
July 2020
3.021 Impact Factor

Endoscopic Band Ligation for Acute Lower Gastrointestinal Bleeding.

Intern Med 2019 15;58(24):3505-3508. Epub 2019 Dec 15.

Department of Gastroenterology, St. Luke's International Hospital, Japan.

Objective Endoscopic band ligation (EBL) is commonly performed to treat colonic diverticular bleeding (CDB). However, EBL is not suitable for other disorders that cause acute lower gastrointestinal bleeding (ALGIB), and the safety and efficacy of the procedure are not well known. This study aimed to evaluate the efficacy and safety of EBL for non-colonic diverticular bleeding (non-CDB) and investigate the application of EBL to ALGIB. Read More

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http://dx.doi.org/10.2169/internalmedicine.3185-19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949462PMC

An Unusual Cause of Lower Gastrointestinal Bleeding.

Gastroenterology 2020 03 12;158(4):834-835. Epub 2019 Dec 12.

Alfred Hospital, Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1053/j.gastro.2019.12.007DOI Listing

A study on the correlation of gastrointestinal bleeding and meteorological factors - is there a weather condition for GI bleeding?

Z Gastroenterol 2019 Dec 11;57(12):1476-1480. Epub 2019 Dec 11.

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

Aim:  We tried to identify a possible correlation between meteorological factors and the frequency of gastrointestinal bleeding (GIB).

Methods:  We analyzed all endoscopic examinations performed because of suspected GIB from 2013 to 2016 at Jena University Hospital, Germany. Confirmed bleeding events were correlated with local meteorological data and meteorological season using multivariate analysis. Read More

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http://dx.doi.org/10.1055/a-1008-9863DOI Listing
December 2019

[Antithrombotic therapy and digestive endoscopy: a difficult management.]

Recenti Prog Med 2019 Nov;110(11):535-542

UOC Gastroenterologia ed Endoscopia Digestiva, PTP Nuovo Regina Margherita, Roma.

Antithrombotic therapy (antiplatelet and anticoagulant) is frequently used in clinical practice for the prevention of thromboembolic events in patients at risk, such as those with atrial fibrillation or pro-thrombotic conditions. On the other hand, endoscopic investigations on the upper digestive tract (gastroscopy, endoscopic retrograde colangiopancreatography) and lower (colonoscopy) are increasingly performed to prevent, diagnose and treat different diseases of digestive tract. Therefore, it is not uncommon for a patient to undergo endoscopic examination while taking antithrombotic therapy. Read More

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http://dx.doi.org/10.1701/3265.32328DOI Listing
November 2019

The role of colonoscopy and endotherapy in the management of lower gastrointestinal bleeding.

Authors:
Neil Sengupta

Best Pract Res Clin Gastroenterol 2019 Oct - Dec;42-43:101615. Epub 2019 May 29.

Section of Gastroenterology, University of Chicago Medical Center 5841 S Maryland Avenue, MC 4076, Chicago, IL, 60637, USA. Electronic address:

Colonoscopy is an integral diagnostic and therapeutic tool in the management of patients with lower gastrointestinal bleeding (LGIB). After resuscitation, reversal of coagulopathy, and exclusion of a proximal source of bleeding, colonoscopy should be performed in most patients with LGIB. Bowel preparation, typically with polyethylene glycol based solutions, is needed to closely inspect the colonic mucosa for bleeding sources. Read More

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http://dx.doi.org/10.1016/j.bpg.2019.05.002DOI Listing
February 2020

Safety and effectiveness of inguinal hernia repair in patients with liver cirrhosis: a retrospective study and literature review.

Hernia 2020 Jun 26;24(3):489-494. Epub 2019 Nov 26.

Department of Hernia and Abdominal Wall Surgery, The First People's Hospital of Xiaoshan, Hangzhou, 311200, China.

Purpose: Inguinal hernia is a common feature of decompensated liver cirrhosis and a frequent cause of life-threatening complications. The traditional treatment of inguinal hernia in patients with liver cirrhosis includes non-operative management; however, emerging data suggest elective surgical repair as a preferable approach. Therefore, we aimed to assess the outcomes of inguinal hernia repair in patients with liver cirrhosis and describe their clinical characteristics. Read More

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http://dx.doi.org/10.1007/s10029-019-02087-4DOI Listing

The Use of the Overstitch to Close Endoscopic Resection Defects.

Gastrointest Endosc Clin N Am 2020 Jan 16;30(1):163-171. Epub 2019 Oct 16.

Division of Gastroenterology and Hepatology, University of Colorado Hospital, Anschutz Medical Campus, 1635 Aurora Court, F735, Aurora, CO 80045, USA. Electronic address:

Endoscopic resection of luminal gastrointestinal neoplasia offers a minimally invasive, lower risk alternative that can be successful in the appropriate setting. Bleeding and perforation can occur with endoscopic mucosal resection and endoscopic submucosal dissection. Defect closure with conventional endoclips or modified technique using endoloops can decrease the risk of adverse events. Read More

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http://dx.doi.org/10.1016/j.giec.2019.08.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202237PMC
January 2020

Use of the Endoscopic Clipping Over the Scope Technique to Treat Acute Severe Lower Gastrointestinal Bleeding in the Colon and Anal Transition Zone.

Gastrointest Endosc Clin N Am 2020 Jan;30(1):13-23

Advanced Gastrointestinal Endoscopy, Mountain View, CA, USA.

Endoscopic treatment of lower gastrointestinal bleeding can be challenging. This article reports on the use of the endoscopic clipping over the scope technique to treat acute severe lower gastrointestinal bleeding. In particular, it describes the approaches and outcomes of using the technique for acute severe bleeding in the colon and the anal transition zone. Read More

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http://dx.doi.org/10.1016/j.giec.2019.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094812PMC
January 2020

Colonoscopy for Lower Gastrointestinal Bleeding-Time Is Not of the Essence.

Authors:
Loren Laine

Gastroenterology 2020 01 12;158(1):38-39. Epub 2019 Nov 12.

Yale School of Medicine, New Haven, Connecticut and VA Connecticut Healthcare System, West Haven, Connecticut. Electronic address:

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http://dx.doi.org/10.1053/j.gastro.2019.11.009DOI Listing
January 2020

Acute Granulomatous Appendicitis and Lower Gastrointestinal Bleeding as the Presenting Features of Crohn's Disease.

Cureus 2019 Sep 28;11(9):e5793. Epub 2019 Sep 28.

Surgery, University of Central Florida College of Medicine, Orlando, USA.

A 46-year-old woman with a history of hemorrhoids presented with right-sided abdominal pain and rectal bleeding. Preoperative imaging and intraoperative observations were suggestive of acute appendicitis. The surgical pathology of removed appendix was consistent with granulomatous appendicitis. Read More

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http://dx.doi.org/10.7759/cureus.5793DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6827864PMC
September 2019

A systematic review on clinical features and management of true giant splenic artery aneurysms.

J Vasc Surg 2020 Mar 11;71(3):1036-1045.e1. Epub 2019 Nov 11.

Vascular and Endovascular Surgery Unit, University of Bari, Bari, Italy.

Background: True giant splenic artery aneurysms (GSAAs) >5 cm are rare and present unique therapeutic challenges. The aim of this study was to evaluate the anatomic and clinical characteristics of these lesions and the current surgical and endovascular techniques available for their treatment.

Methods: A systematic review of the literature from 2004 to 2018 and the personal experience of the authors with management of GSAAs are presented. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.09.026DOI Listing

Clinical efficacy of different treatments and their impacts on the quality of life of octogenarians with coronary artery disease.

Chin Med J (Engl) 2019 Nov;132(22):2657-2663

Department of Cardiology Ward 5, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

Background: Coronary artery disease (CAD) in octogenarians (age of ≥80 years) has a high risk of mortality and high medical expenses. Research shows that the prevalence of CAD is higher among octogenarians than that among younger people, but few such patients undergo percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). This study aimed to evaluate different treatments with respect to their clinical effects and impacts on quality of life of octogenarians with CAD. Read More

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http://dx.doi.org/10.1097/CM9.0000000000000504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940100PMC
November 2019

Outcomes intensive care unit placement following pediatric adenotonsillectomy.

Int J Pediatr Otorhinolaryngol 2020 Feb 24;129:109736. Epub 2019 Oct 24.

The Department of Otolaryngology, Nationwide Children's Hospital, Columbus, OH, USA. Electronic address:

Introduction: Adenotonsillectomy (AT) is the most common surgical procedure for the treatment of sleep related breathing issues in children. While overnight observation in the hospital setting is utilized frequently in children after a AT, ICU setting is commonly used for patients with sleep apnea. This objective of this study is to examine factors associated with the preoperative decision to admit patients to PICU following AT as well as co-morbidities that may justify necessity for higher level of care. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.109736DOI Listing
February 2020

Using inferior epigastric vascular anatomical landmarks for anterior inguinal hernia repair.

BMC Surg 2019 Oct 29;19(1):159. Epub 2019 Oct 29.

Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University, 374 Dianmian Road, Kunming, 650101, Yunnan Province, China.

Background: Inferior epigastric vascular anatomical landmarks for anterior inguinal hernia repair is an alternative surgical procedure. We present our experience and outcome of the way.

Methods: We performed a retrospective analysis of 230 patients who received anterior tension-free hernia repair between May 2016 to May 2017. Read More

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http://dx.doi.org/10.1186/s12893-019-0627-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820932PMC
October 2019
2 Reads

The Natural History of Iron Deficiency Anemia.

Am J Med Sci 2019 11 31;358(5):357-362. Epub 2019 Aug 31.

Department of Internal Medicine, Medical University of South Carolina, Charleston, South Carolina. Electronic address:

Background: Current evidence suggests that adult men and nonmenstruating women with iron deficiency anemia (IDA) should undergo gastrointestinal (GI) evaluation to detect a potential bleeding lesion. We hypothesized that after endoscopic evaluation and treatment, IDA would be expected to resolve. Thus, we aimed to understand the natural history of IDA, in particular long-term outcomes. Read More

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http://dx.doi.org/10.1016/j.amjms.2019.08.009DOI Listing
November 2019
1 Read

Laparoscopic transhiatal suture closure for spontaneous esophageal rupture: a case report.

Surg Case Rep 2019 Oct 22;5(1):149. Epub 2019 Oct 22.

Department of General surgery, Nagoya City West Medical Center, 1-1-1 Hirate-cho, Kita-Ku, Nagoya, 462-8508, Japan.

Background: Spontaneous esophageal rupture is a rare but serious disease with high mortality. Conservative treatment and endoscopic therapy have been reported, but surgical treatment is still a basic modality of therapy. In addition to thoracotomy, recent studies have reported treatment with thoracoscopic surgery and laparoscopic transhiatal repair. Read More

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http://dx.doi.org/10.1186/s40792-019-0711-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805831PMC
October 2019
1 Read

CLINICAL UTILITY OF RISK SCORES IN VARICEAL BLEEDING.

Arq Gastroenterol 2019 30;56(3):286-293. Epub 2019 Sep 30.

TNMC & BYL Nair Charitable Hospital, Department of Gastroenterology, Mumbai, Maharashtra, India.

Background: Variceal bleeding remains important cause of upper gastrointestinal bleed. Various risk scores are used in risk stratification for non-variceal bleed. Their utility in variceal bleeding patients is not clear. Read More

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http://dx.doi.org/10.1590/S0004-2803.201900000-54DOI Listing
December 2019
1 Read

Cytomegalovirus colitis: a cause of severe lower gastrointestinal bleeding.

Cir Cir 2019 ;87(6):688-691

Servicio de Cirugía General y del Aparato Digestivo. Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas, España.

Cytomegalovirus infection is an uncommon illness that mainly affects immunocompromised subjects being associated with high morbidity and mortality rates. Reactivation or reinfection of the virus causes various symptoms ranging from asymptomatic forms to severe organ-specific complications, such as severe lower gastrointestinal bleeding. Once diagnosed the infection it is important and necessary to establish an adequate treatment with antivirals, with the surgical option for those cases with gastrointestinal complications depending on the patients clinical situation. Read More

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http://dx.doi.org/10.24875/CIRU.19000799DOI Listing
March 2020
3 Reads

[Vascular injury and anatomy during laparoscopy - assisted distal gastrectomy with D2 lymphadenectomy for gastric cancer].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Oct;22(10):955-960

Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China (is now working on Department of Gastrointestinal Surgery, the First Hospital of Jiaxing, Zhejiang Jiaxing 314000, China).

To evaluate the incidence of intraoperative vascular injury (IVI) and associated anatomical features during laparoscopy - assisted distal gastrectomy (LADG) with D2 lymphadenectomy for gastric cancer. A descriptive cohort study was performed. Clinical data and operational videos of 278 consecutive gastric cancer patients who underwent LADG with D2 lymphadenectomy for gastric cancer at Department of General Surgery of Nanfang Hospital between January 2010 and December 2017 were retrospectively analyzed. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2019.10.010DOI Listing
October 2019
2 Reads

[Analysis of influencing factors on hepatic encephalopathy in patients with non-cirrhotic portal hypertension].

Zhonghua Gan Zang Bing Za Zhi 2019 Sep;27(9):673-676

Department of Infectious Diseases, the First People's Hospital of Lianyungang, Jiangsu Province 222002, China.

To investigate the incidence of hepatic encephalopathy (HE) in patients with non-cirrhotic portal hypertension (NCPH) and to explore its risk factors. The incidence rate of HE in 150 cases with NCPH was evaluated in two hospitals, and 188 cases of compensated cirrhosis patients were taken as control. Logistic regression was used to screen for independent risk factors for HE in patients with NCPH. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1007-3418.2019.09.003DOI Listing
September 2019
1 Read