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Dig Endosc 2019 Apr;31 Suppl 1:4-20

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

Prevention therapy is recommended for lesions >1/2 of the esophageal circumference. Locoregional steroid injection is recommended for lesions >1/2-3/4 of the esophageal circumference and oral steroids are recommended for lesions >1/2 of the subtotal circumference. For lesions of the entire circumference, oral steroid combined with injection steroid is considered. Read More

Dig Dis Sci 2019 Apr 15. Epub 2019 Apr 15.

Academic Department of Gastroenterology, Laiko General Hospital, Medical School of National, Kapodistrian University of Athens, 17 Aghiou Thoma, 11527, Athens, Greece.

Background And Aim: To evaluate if spleen stiffness measurement (SSM) can rule out the presence of high-risk varices in patients with cirrhosis, avoiding an upper gastrointestinal endoscopy (UGE).

Methods: We enrolled 71 cirrhotic patients irrespective of liver disease's etiology. 2D shear wave elastography (SWE) of spleen and UGE was performed. Read More

J Hosp Med 2019 Apr 8;14:E1-E7. Epub 2019 Apr 8.

Cleveland Clinic, Medicine Institute, Center for Value-based Care Research, Cleveland, Ohio.

Background: Among patients with nonvalvular atrial fibrillation (NVAF) who have sustained an upper gastrointestinal bleed (UGIB), the benefits and harms of oral anticoagulation change over time. Early resumption of anticoagulation increases recurrent bleeding, while delayed resumption exposes patients to a higher risk of ischemic stroke. We therefore set out to estimate the expected benefit of resuming anticoagulation as a function of time after UGIB among patients with NVAF. Read More

J Family Med Prim Care 2019 Feb;8(2):573-575

Department of Gastroenterology, Central Referral Hospital, Sikkim Manipal Institute of Medical Sciences, Sikkim Manipal University, 5th Mile, Tadong, Gangtok, Sikkim, India.

Upper gastrointestinal bleeding is one of the most commonly encountered emergencies in day-to-day practice. In the present retrospective study, the various causes of acute nonvariceal upper gastrointestinal bleeding (NVUGIB), its management modalities, and the final outcome of patients were studied.

Methods: A retrospective study of etiology of upper gastrointestinal (UGI) bleeding for a period of 13 months, January 2015 to February 2016 in Department of Gastroenterology, Central Referral Hospital, Gangtok, was conducted. Read More

World J Gastroenterol 2019 Apr;25(13):1592-1602

Ludwig Demling Endoscopy Center of Excellence, Division of Gastroenterology, Friedrich-Alexander-University, Erlangen 91054, Germany.

Background: Gastrointestinal (GI) bleeding is a common indication for endoscopy. For refractory cases, hemostatic powders (HP) represent "touch-free" agents.

Aim: To analyze short term (ST-within 72 h-) and long-term (LT-within 30 d-) success for achieving hemostasis with HP and to directly compare the two agents Hemospray (HS) and Endoclot (EC). Read More

Indian J Nephrol 2019 Mar-Apr;29(2):132-134

Department of Nephrology, PGIMER, Chandigarh, India.

Massive rectal bleeding is an uncommon presentation of ileal tuberculosis (TB). We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the technetium labeled red blood cell scan showed active bleeding from terminal ileum and caecum. Read More

Transplant Proc 2019 Apr 7;51(3):790-793. Epub 2019 Jan 7.

Transplant Institute, Medstar Georgetown University Hospital, Washington, DC, USA. Electronic address:

Cystic fibrosis (CF) is caused by a mutation in the CF transmembrane conductance regulator (CFTR) gene, deranging the activity of chloride channels on the epithelial cell surface. Herein we describe end-stage liver disease in 3 infants with rare CFTR gene mutations; 2 of them were heterozygous. Case 1 was a premature male infant with negative CF screening at birth who developed a small bowel obstruction in the neonatal period requiring an ileostomy, with subsequent cholestatic liver disease and portal hypertension. Read More

GE Port J Gastroenterol 2019 Mar 27;26(2):142-144. Epub 2018 Apr 27.

Department of Gastroenterology and Liver Disease, SPS Hospital, Ludhiana, India.

BMJ Case Rep 2019 Apr 11;12(4). Epub 2019 Apr 11.

Gastroenterology and Hepatology, Banner University Medical Center Tuscon, Tucson, Arizona, USA.

Gut Liver 2019 Apr 11. Epub 2019 Apr 11.

Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea.

Background/aims: : Although acid suppressants are widely used for the prevention or treatment ofdrug-induced upper gastrointestinal bleeding (GIB), evidence regarding the prevention ofanticoagulant-related GIB is scarce. The aim of this study was to evaluate the protective effect of acidsuppressants against anticoagulant-related GIB.

Methods: : A systematic review was conducted ofstudies that evaluated the protective effect of acid suppressants against anticoagulant-related GIB foundin PubMed, the Cochrane library, EMBASE, and KoreaMed from the date of database inception to April2018. Read More

ASAIO J 2019 Apr 4. Epub 2019 Apr 4.

From the Division of Cardiothoracic Transplantation and Circulatory Support, Baylor College of Medicine, Houston, Texas.

The number of patients on destination therapy is increasing as long-term survival on continuous-flow left ventricular assist device (CF-LVAD) therapy has improved. Gastrointestinal bleeding (GIB) is a common complication after CF-LVAD implantation, and its risk correlates with longer support time, emphasizing the importance of GIB management. The lower pulsatility of CF-LVADs may promote arteriovenous malformations, that amplify the bleeding risk. Read More

Cureus 2019 Jan 31;11(1):e3993. Epub 2019 Jan 31.

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

Gastrointestinal (GI) involvement by multiple myeloma is a rare entity. Clinical manifestations depend on the site and extent of involvement. GI bleeding, obstruction, and perforation can complicate the disease course. Read More

Hong Kong Med J 2019 Apr;25(2):164-166

Department of Radiology, Princess Margaret Hospital, Laichikok, Hong Kong.

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):22-25. Epub 2019 Jan 15.

Department of Internal Medicine, Texas Tech University Health Sciences CenterLubbockTexas.

The indications for endotracheal intubation (ETI) during an esophagogastroduodenoscopy (EGD) procedure remain unclear. This study performed a descriptive analysis of patients who underwent prophylactic tracheal intubation during or before an EGD to prevent pulmonary aspiration. We selected patients with an upper gastrointestinal bleed in an intensive care unit who underwent EGD between 2000 and 2013. Read More

Clin J Gastroenterol 2019 Apr 6. Epub 2019 Apr 6.

Department of Surgery, The Jikei University School of Medicine, 3-19-18 Nishi-shinbashi, Minato-ku, Tokyo, 105-8471, Japan.

Everolimus is an mTOR (the mammalian target of rapamycin) inhibitor, which is used for the treatment of advanced renal cell carcinoma. Life-threatening hemorrhages are extremely rare adverse effect of everolimus. We herein report a successfully treated case of severe everolimus-related gastrointestinal hemorrhage by emergency surgical resection for patient with advanced renal cell carcinoma. Read More

Mayo Clin Proc 2019 Apr;94(4):697-703

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.

Upper gastrointestinal bleeding is a medical condition routinely encountered in clinical practice. Overt upper gastrointestinal bleeding usually presents as melena or hematemesis but can also present as hematochezia in cases of brisk bleeding. The initial evaluation of a patient with suspected upper gastrointestinal bleeding begins with assessment of hemodynamic status, identification of potential risk factors, and appropriate triage of level of care. Read More

Gastroenterol Nurs 2019 Mar/Apr;42(2):179-180

Mohamed AbdAllah, MSc, is Assistant Researcher, Medical Research Division, National Research Center, Giza, Egypt; GI Endoscopy Unit (Gieluka), Faculty of Medicine, Cairo University, Egypt.

South Med J 2019 Apr;112(4):210-214

From the Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock.

With the increase in participation in endurance events in the general population, patient concern may arise as to whether endurance exercise is safe. Acute but not chronic increases in blood urea nitrogen, creatinine, and urine albumin occur in endurance exercise. Iron-deficiency anemia may be observed in female athletes. Read More

J Gastroenterol Hepatol 2019 Mar 14. Epub 2019 Mar 14.

Hepatology Department, National Liver Institute, University of Menoufia, Shebeen El-Kom, Egypt.

Background And Aim: Upper gastrointestinal bleeding (UGIB) is a serious complication of portal hypertension in cirrhotic patients. The objective of this study is to identify the risk factors for morbidity and mortality occurring after an UGIB attack.

Methods: A total of 1097 UGIB attacks in 690 patients with liver cirrhosis were studied. Read More

Cureus 2019 Jan 23;11(1):e3945. Epub 2019 Jan 23.

Radiology, University of Kentucky College of Medicine, Lexington, USA.

Transcatheter arterial embolization (TAE) is a well-validated treatment for patients with non-variceal upper gastrointestinal (GI) bleeding who have failed endoscopic techniques. We present a case of a patient with duodenal ulcer bleeding that persisted despite endoscopic intervention. A gastroduodenal artery (GDA) embolization was performed; however, recurrence of bleeding warranted further embolization of inferior pancreaticoduodenal artery (IPDA). Read More

Crit Care Nurse 2019 Apr;39(2):102-103

Adam S. Cooper is the Clinical Practice Manager of the Institute for Nursing Excellence and Deputy Director of the UCSF JBI Centre for Synthesis and Implementation, UCSF Medical Center, San Francisco, California. He is also a member of the Cochrane Nursing Care Field.

Liver Int 2019 Apr 1. Epub 2019 Apr 1.

Division of Gastroenterology, Department of Medicine, Olive View-UCLA Medical Center, Sylmar, CA, USA.

Hemobilia refers to macroscopic blood in the lumen of the biliary tree. It represents an uncommon, but important, cause of gastrointestinal bleeding and can have potentially lethal sequelae if not promptly recognized and treated. The earliest known reports of hemobilia date to the 17 century, but due to its relative rarity and challenges in diagnosis, it has historically not been well-studied. Read More

Endosc Int Open 2019 Apr 21;7(4):E446-E451. Epub 2019 Mar 21.

Department of Medicine and Gastroenterology, Gemeinschaftskrankenhaus Bonn, Academic Teaching Hospital, University of Bonn, Bonn, Germany.

 Current guidelines recommend endoscopic submucosal dissection (ESD) as a treatment option for early cancers of the upper gastrointestinal tract with absent or minimal risk of lymph node metastasis. However, due to the low prevalence of these entities, it is difficult to achieve a competence level for ESD of upper gastrointestinal tract cancers in the Western World. Here, we present single-center data on the implementation of upper gastrointestinal ESD after previous experience with 89 colorectal ESD cases. Read More

Cureus 2019 Jan 17;11(1):e3908. Epub 2019 Jan 17.

Emergency Medicine, Memorial University of Newfoundland, St. John's, CAN.

Emergency medicine practitioners frequently encounter acute presentations requiring quick, directed treatment to ensure the best patient outcome. Training residents in the appropriate clinical and procedural skills often proves difficult when treating the patient who is critically unwell. Simulation-based medical education is an effective modality that enables teaching around life-threatening medical conditions in a safe space for learners while avoiding adverse complications for patients. Read More

Surg Endosc 2019 Mar 29. Epub 2019 Mar 29.

Gastrointestinal Endoscopy Unit, Gastroenterology Department, University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 255. Cerqueira César, São Paulo, 05403-000, Brazil.

Background And Aims: Despite advances in pharmacological and endoscopic management of non-variceal upper gastrointestinal bleeding (NVUGIB), mortality is still relevant. TC-325 (Hemospray-Cook Medical) is a mineral powder with adsorptive properties, designed for endoscopic hemostasis. There are still no comparative trials studying this new hemostatic modality. Read More

BMJ 2019 Mar 25;364:l536. Epub 2019 Mar 25.

Section of Digestive Diseases, Yale School of Medicine, New Haven, and VA Connecticut Healthcare System, West Haven, Connecticut, CT 06520, USA.

Upper gastrointestinal bleeding (UGIB) is a common medical emergency, with a reported mortality of 2-10%. Patients identified as being at very low risk of either needing an intervention or death can be managed as outpatients. For all other patients, intravenous fluids as needed for resuscitation and red cell transfusion at a hemoglobin threshold of 70-80 g/L are recommended. Read More

J Oncol Pharm Pract 2019 Mar 25:1078155219837342. Epub 2019 Mar 25.

2 Saint Francis Hospital and Medical Center, Hartford, CT, USA.

Immune checkpoint inhibitors have ushered in a new era in cancer management. Nivolumab is a human immunoglobulin G4 (IgG4) monoclonal antibody that selectively inhibits programmed cell death-1 (PD-1) activity by binding to the PD-1 receptor. This inhibits suppression of the T-cell activity, which can in turn cause increased killing of cancer cells. Read More

Ann Transl Med 2019 Feb;7(3):46

Department of Internal Medicine, Mercer University School of Medicine, Macon, GA, USA.

Background: Gastric antral vascular ectasia (GAVE) is a rare cause of chronic non-variceal upper gastrointestinal (GI) bleeding and can turn into life-threatening bleed in some patients. Packed red blood cell (PRBC) transfusions are often required in these patients during hospitalization. We aimed to investigate the hospitalization outcomes and predictors of PRBC transfusions in patients with GAVE lesions. Read More

Case Rep Gastrointest Med 2019 17;2019:3087541. Epub 2019 Feb 17.

Division of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, USA.

A 57-year-old gentleman with a past medical history of well-differentiated pancreatic neuroendocrine tumor (NET) with liver metastases was transferred to our hospital with abdominal pain. He underwent percutaneous liver biopsy three days prior to admission as a part of a study protocol for treatment of his progressive NET. He developed gastrointestinal bleeding and was found to have a distended gallbladder filled with high density material on ultrasound. Read More

Clin Gastroenterol Hepatol 2019 Mar 19. Epub 2019 Mar 19.

Department of Gastroenterology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

Zhejiang Da Xue Xue Bao Yi Xue Ban 2018 Dec;47(6):643-650

Department of Gastroenterology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

Objective: To evaluate the efficacy and safety of digestive tract stent implantation under direct visual endoscopy without X-ray monitoring in the treatment of digestive tract stricture.

Methods: The clinical data of patients undergoing digestive tract stent placement under direct visual endoscopy without X-ray monitoring in the First Affiliated Hospital of Zhejiang University School of Medicine from March 2003 to November 2017 were retrospectively analyzed. The process of procedures, the postoperative complications and the postoperative follow-up data were documented. Read More

Yonsei Med J 2019 Apr;60(4):368-374

Department of Emergency Medical Technology, Namseoul University, Cheonan, Korea.

Purpose: After trauma and surgery, upper gastrointestinal bleeding (UGIB) is the most common condition that can require massive transfusion (MT). The present study aimed to analyze and compare the prognostic performance of the Glasgow-Blatchford (GB), pre-endoscopy Rockall (PER), and modified early warning (MEW) scores for predicting MT in patients with unstable UGIB.

Materials And Methods: This retrospective observational study included patients with UGIB from March 2016 to February 2018. Read More

Cureus 2019 Jan 14;11(1):e3880. Epub 2019 Jan 14.

Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Background Hepatitis B virus (HBV) infection is a serious health problem in Pakistan. In view of the serious socioeconomic consequences, identifying patient characteristics and the current treatment for the disease will enhance HBV regulation and its medical management. Aims To describe the epidemiology, clinical characteristics, and current management status of patients infected by HBV. Read More

Pediatr Transplant 2019 Mar 19:e13390. Epub 2019 Mar 19.

Service de gastroentérologie et hépatologie pédiatrique, Département de pédiatrie, Cliniques Universitaires Saint-Luc, Bruxelles, Belgique.

Objectives: Cirrhotic children wait-listed for liver transplant are prone to bleeding from gastrointestinal varices. Grade 2-3 esophageal varices, red signs, and gastric varices are well-known risk factors. However, the involvement of hemostatic factors remains controversial because of the rebalanced state of coagulation during cirrhosis. Read More

Liver Transpl 2019 Mar 18. Epub 2019 Mar 18.

Liver Transplant Center, General Surgery 2U, University of Torino; A.O.U. Città della Salute e della Scienza, Torino, Italy.

Splenic artery (SA) ligation can be performed during liver transplantation (LT) to avoid portal hyperperfusion, which is involved in the pathogenesis of both small-for-size and splenic artery syndrome. Splenic artery can also be used as an inflow for arterial reconstruction. Exceptionally, SA interruption or agenesis has been associated with positive remodeling of collateral arteries supplying the spleen via left gastric artery, short gastric vessels and gastroepiploic arcade, with subsequent severe upper gastrointestinal bleeding. Read More

Medicine (Baltimore) 2019 Mar;98(11):e14729

Department of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chendu, Sichuan.

Rationale: Available literature states that the common reasons for non-traumatic spontaneous liver rupture are hepatocellular carcinoma, macronodular cirrhosis, hemangioma, and other tumors; gallbladder perforation is not cited as a cause.

Patient Concerns: The patient presented with sudden-onset right upper quadrant pain with tarry stool for 3 days after eating with dysphoria and increasing thirst; gradually, hemorrhagic shock developed. He had no history of trauma, no background of chronic hepatitis, and no cirrhosis. Read More

JSLS 2019 Jan-Mar;23(1)

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

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

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

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

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

US Air Force Hospital Keesler AFB, Keesler AFB, Mississippi, USA.

Lanthanum carbonate is a phosphate binder that is used to reduce serum phosphate levels in patients with end-stage renal disease (ESRD). Lanthanum forms insoluble lanthanum phosphate complexes that are supposed to pass through the gastrointestinal (GI) tract unabsorbed. Phosphate binders have been reported to deposit in the GI tract and can cause mucosal injury. Read More

Clin Gastroenterol Hepatol 2019 Mar 12. Epub 2019 Mar 12.

Department of Medicine, Section of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

Artif Intell Med 2019 Mar 23;94:79-87. Epub 2019 Jan 23.

Department of Computer Engineering, Yazd University, Yazd, Iran. Electronic address:

Since a significant number of frequent laboratory blood tests are unnecessary and these tests may have complications, developing a system that could identify unnecessary tests is essential. In this paper, a value prediction approach is presented to predict the values of Calcium and Hematocrit laboratory blood tests for upper gastrointestinal bleeding patients and patients with unspecified hemorrhage in their gastrointestinal tract. The data have been extracted from the MIMIC-II database. Read More

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

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

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

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

Magy Seb 2019 Mar;72(1):3-7

I. sz. Sebészeti Klinika, Semmelweis Egyetem 1082 Budapest, Üllői út 78.

Introduction: Despite significant development in surgical and intensive therapy, esophageal perforation is still a severe, life-threatening condition. Successful therapy depends on several clinical factors, available medical equipments, but most of all on the available expertise and experience.

Patients And Methods: We retrospectively evaluated patients' data operated at the 1st Department of Surgery at Semmelweis University between 2005 and 2017 due to esophageal perforation of non-malignant origin. Read More

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

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

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

Indian J Gastroenterol 2019 Mar 12. Epub 2019 Mar 12.

Institute of Digestive and Liver Care, S L Raheja Hospital, Mahim (W), Mumbai, 400 016, India.

Zhonghua Zhong Liu Za Zhi 2019 Feb;41(2):129-134

Department of endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

To evaluate the short-term outcomes and safety of submucosal tunneling endoscopic resection (STER) for submucosal tumors (SMT) originating from muscularis propria (MP) layer at esophagogastric junction. The clinical data of 31 patients with SMT originating from MP layer at esophagogastric junction underwent STER were collected and retrospectively analyzed. The success rate of STER of the thirty-one patients was 100%. Read More

AJR Am J Roentgenol 2019 Mar 12:1-9. Epub 2019 Mar 12.

6 Department of Interventional MRI, Shandong Medical Imaging Research Institute, Shandong University, 324 Jingwu Rd, Jinan, Shandong Province 250021, People's Republic of China.

Objective: The objective of our study was to prospectively evaluate the feasibility, safety, and effectiveness of 1-T open MRI-guided percutaneous cryoablation of hepatic dome hepatocellular carcinomas (HCCs).

Subjects And Methods: Thirty-seven patients with 37 hepatic dome HCCs underwent MRI-guided percutaneous cryoablations. MR fluoroscopy with a freehand technique was applied in the procedure. Read More

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

Instituto Ecuatoriano de Enfermedades Digestivas. Guayaquil, Ecuador.

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

Rev Gastroenterol Peru 2018 Oct-Dec;38(4):340-344

Departamento de Cirugía Gastrointestinal y Endoscopia Digestiva, Instituto Nacional de Cancerología, Universidad Militar Nueva Granada. Bogotá, Colombia; Profesor Asistente de Cirugía, Facultad de Medicina, Universidad Nacional. Bogotá, Colombia.

Background: Upper gastrointestinal cancer is responsible of important numbers deaths worldwide and is widely associated with lifestyle and genetic factors. Minimally invasive surgery treatment is still controversial wit difficult learning curves, longer operative times but clear advantages in bleeding, postoperative pain, return to activities and less complications associated with de incision.

Objective: Describe our first experience in minimally invasive surgery of the upper alimentary tract for cancer at the Instituto Nacional de Cancerología. Read More

Cureus 2018 Dec 27;10(12):e3785. Epub 2018 Dec 27.

Internal Medicine, Abington Jefferson Health, Abington, USA.

Hemosuccus pancreaticus is a rare but life-threatening cause of upper gastrointestinal bleeding through the main pancreatic duct. This clinical entity is a difficult diagnosis due to its rarity, intermittent nature of the hemorrhage, and peculiar clinical presentation. It is still considered a surgical problem but advances in medical therapy may enable clinically stable patients to undergo less-invasive angiographic embolization. Read More