19,613 results match your criteria Upper Gastrointestinal Bleeding


Management of adverse events related to endoscopic resection of upper gastrointestinal neoplasms: Review of the literature and recommendations from experts.

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

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http://dx.doi.org/10.1111/den.13388DOI Listing

Role of Spleen Stiffness Measurement by 2D-Shear Wave Elastography in Ruling Out the Presence of High-Risk Varices in Cirrhotic Patients.

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

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http://dx.doi.org/10.1007/s10620-019-05616-4DOI Listing

Resuming Anticoagulation following Upper Gastrointestinal Bleeding among Patients with Nonvalvular Atrial Fibrillation-A Microsimulation Analysis.

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

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http://dx.doi.org/10.12788/jhm.3189DOI Listing

Retrospective study of etiology of non variceal acute gastrointestinal bleeding in Eastern Himalayan region of india in Sikkim.

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

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http://dx.doi.org/10.4103/jfmpc.jfmpc_330_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436319PMC
February 2019

Comparison of Hemospray and Endoclot for the treatment of gastrointestinal bleeding.

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

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https://www.wjgnet.com/1007-9327/full/v25/i13/1592.htm
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http://dx.doi.org/10.3748/wjg.v25.i13.1592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452236PMC
April 2019
1 Read

Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient.

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

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http://dx.doi.org/10.4103/ijn.IJN_360_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440334PMC

Unusual Cystic Fibrosis Transmembrane Conductance Regulator Mutations and Liver Disease: A Case Series and Review of the Literature.

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

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http://dx.doi.org/10.1016/j.transproceed.2018.11.007DOI Listing

Baffling Cause of Upper Gastrointestinal Bleeding!

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.

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http://dx.doi.org/10.1159/000488604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454382PMC

Locally advanced renal cell carcinoma: cause of upper gastrointestinal bleeding.

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

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

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2019-22999
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http://dx.doi.org/10.1136/bcr-2019-229992DOI Listing
April 2019
2 Reads

The role of acid suppressants in the prevention of anticoagulant-related gastrointestinal bleeding: a systematic review and meta-analysis.

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

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http://dx.doi.org/10.5009/gnl19009DOI Listing

Gastrointestinal Bleeding After HeartMate II or HVAD Implantation: Incidence, Location, Etiology, and Effect on Survival.

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

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http://dx.doi.org/10.1097/MAT.0000000000000998DOI Listing
April 2019
1 Read

A Rare Case of Extramedullary Plasmacytoma Presenting as Massive Upper Gastrointestinal Bleeding.

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

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http://dx.doi.org/10.7759/cureus.3993DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443515PMC
January 2019
1 Read

Transcatheter arterial embolisation can be the standard treatment for non-variceal upper gastrointestinal bleeding refractory to endoscopy.

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

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

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https://www.hkmj.org/abstracts/v25n2/164.htm
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http://dx.doi.org/10.12809/hkmj187486DOI Listing
April 2019
6 Reads

Prophylactic pre-esophagogastroduodenoscopy tracheal intubation in patients with upper gastrointestinal bleeding.

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

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http://dx.doi.org/10.1080/08998280.2018.1530007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442910PMC
January 2019
2 Reads

Severe gastrointestinal hemorrhage related to everolimus: a case report.

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

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http://link.springer.com/10.1007/s12328-019-00978-8
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http://dx.doi.org/10.1007/s12328-019-00978-8DOI Listing
April 2019
4 Reads

Upper Gastrointestinal Bleeding: Etiologies and Management.

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

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https://linkinghub.elsevier.com/retrieve/pii/S00256196193009
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http://dx.doi.org/10.1016/j.mayocp.2019.01.022DOI Listing
April 2019
5 Reads

ANCYLOSTOMIASIS CAUSING UPPER GASTROINTESTINAL BLEEDING: REAL-TIME ENDOSCOPIC PICTURES.

Authors:
Mohamed AbdAllah

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.

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http://dx.doi.org/10.1097/SGA.0000000000000423DOI Listing
April 2019
1 Read

Is Endurance Exercise Safe? The Myth of Pheidippides.

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

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http://dx.doi.org/10.14423/SMJ.0000000000000961DOI Listing
April 2019
2 Reads

Upper gastrointestinal bleeding in Egyptian patients with cirrhosis: Post-therapeutic outcome and prognostic indicators.

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

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http://dx.doi.org/10.1111/jgh.14659DOI Listing
March 2019
1 Read

Aberrant Inferior Pancreaticoduodenal Artery During Upper Gastrointestinal Bleed Embolization.

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

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http://dx.doi.org/10.7759/cureus.3945DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433453PMC
January 2019

Interventions for Preventing Upper Gastrointestinal Bleeding in People Admitted to Intensive Care Units.

Authors:
Adam S Cooper

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.

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http://ccn.aacnjournals.org/lookup/doi/10.4037/ccn2019916
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http://dx.doi.org/10.4037/ccn2019916DOI Listing
April 2019
4 Reads

Hemobilia: historical overview, clinical update, and current practices.

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

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http://dx.doi.org/10.1111/liv.14111DOI Listing
April 2019
6 Reads

Implementation of endoscopic submucosal dissection for early upper gastrointestinal tract cancer after primary experience in colorectal endoscopic submucosal dissection.

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

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http://dx.doi.org/10.1055/a-0854-3610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428673PMC
April 2019
1 Read

Emergency Department Presentation of a Patient with a Severe Upper Gastrointestinal Bleed: A Simulation Case for Training Emergency Medicine Residents.

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

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http://dx.doi.org/10.7759/cureus.3908DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426558PMC
January 2019
1 Read

Randomized controlled trial of hemostatic powder versus endoscopic clipping for non-variceal upper gastrointestinal bleeding.

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

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http://dx.doi.org/10.1007/s00464-019-06769-zDOI Listing
March 2019
1 Read

Management of acute upper gastrointestinal bleeding.

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

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http://www.bmj.com/lookup/doi/10.1136/bmj.l536
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http://dx.doi.org/10.1136/bmj.l536DOI Listing
March 2019
2 Reads

Nivolumab-induced hepatitis: A rare side effect of an immune check point inhibitor.

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

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http://dx.doi.org/10.1177/1078155219837342DOI Listing
March 2019
7 Reads

Predictors of blood transfusion and in-hospital outcomes in patients with gastric antral vascular ectasia (GAVE): a nationwide population-based analysis.

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

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http://dx.doi.org/10.21037/atm.2019.01.11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389573PMC
February 2019
1 Read

Hemobilia following Percutaneous Liver Biopsy in the Setting of Malignancy (with Video): Diagnosis and Management of a Rare Cause of Upper Gastrointestinal Bleeding.

Authors:
B Pabla M Porayko

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

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https://www.hindawi.com/journals/crigm/2019/3087541/
Publisher Site
http://dx.doi.org/10.1155/2019/3087541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398082PMC
February 2019
3 Reads

Unusual cause of Upper Gastrointestinal Bleeding in Cirrhosis.

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

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

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http://dx.doi.org/10.1016/j.cgh.2019.03.026DOI Listing
March 2019
3 Reads

[Efficacy and safety of digestive tract stent placement under direct visual endoscopy without X-ray monitoring in treatment of digestive tract stricture].

Authors:
Hong Shen Feng Ji

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

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December 2018
2 Reads

Performance of Three Scoring Systems in Predicting Massive Transfusion in Patients with Unstable Upper Gastrointestinal Hemorrhage.

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

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https://synapse.koreamed.org/DOIx.php?id=10.3349/ymj.2019.60
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http://dx.doi.org/10.3349/ymj.2019.60.4.368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433562PMC
April 2019
3 Reads

Epidemiology, Clinical Characteristics, and Management Status of Hepatitis B: A Cross-sectional Study in a Tertiary Care Hospital at Karachi, Pakistan.

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

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http://dx.doi.org/10.7759/cureus.3880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420331PMC
January 2019
2 Reads

Novel insights into the assessment of risk of upper gastrointestinal bleeding in decompensated cirrhotic children.

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

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http://dx.doi.org/10.1111/petr.13390DOI Listing
March 2019
3 Reads

Vascular Remodeling of Visceral Arteries Following Interruption of the Splenic Artery During Liver Transplantation.

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

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http://dx.doi.org/10.1002/lt.25447DOI Listing
March 2019
1 Read

Massive hemoperitoneum and upper gastrointestinal hemorrhage following liver rupture secondary to gallbladder perforation: A case report and literature review.

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

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http://dx.doi.org/10.1097/MD.0000000000014729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426586PMC
March 2019
1 Read

Resection of Mucosal and Submucosal Gastrointestinal Lesions and a Double Endoscope Experience.

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

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http://dx.doi.org/10.4293/JSLS.2018.00096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408942PMC
March 2019
1 Read

Lanthanum phosphate binder-induced iron deficiency anaemia.

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

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http://dx.doi.org/10.1136/bcr-2018-226157DOI Listing
March 2019
1 Read

Black Esophagus: A Rare Cause of Upper Gastrointestinal Bleeding.

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.

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http://dx.doi.org/10.1016/j.cgh.2019.02.046DOI Listing
March 2019
1 Read

Predicting lab values for gastrointestinal bleeding patients in the intensive care unit: A comparative study on the impact of comorbidities and medications.

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

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http://dx.doi.org/10.1016/j.artmed.2019.01.004DOI Listing
March 2019
2 Reads

Effects of duodenal transection timing on clinical short-term outcomes of patients with laparoscopic spleen-preserving splenic hilar lymphadenectomy for advanced proximal gastric cancer.

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

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http://dx.doi.org/10.1186/s12957-019-1590-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419489PMC
March 2019
1 Read
1.200 Impact Factor

[Operative treatment of non-malignant esophageal perforations - a summary of our experiences].

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

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https://www.akademiai.com/doi/10.1556/1046.72.2019.1.1
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http://dx.doi.org/10.1556/1046.72.2019.1.1DOI Listing
March 2019
3 Reads

Comparison of Argon Plasma Coagulation and Injection Therapy with Adrenalin and Polidocanol in the Management of Bleeding Angiodysplasia in Upper Gastrointestinal Tract.

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

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https://content.sciendo.com/view/journals/prilozi/39/2-3/art
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http://dx.doi.org/10.2478/prilozi-2018-0043DOI Listing
December 2018
3 Reads

Scoring systems for upper gastrointestinal bleeding: Which one scores better?

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.

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http://dx.doi.org/10.1007/s12664-019-00945-8DOI Listing
March 2019
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[Submucosal tunneling endoscopic resection for submucosal tumors originating from muscularis propria layer at esophagogastric junction].

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

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http://dx.doi.org/10.3760/cma.j.issn.0253-3766.2019.02.010DOI Listing
February 2019
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MRI-Guided Cryoablation of Hepatic Dome Hepatocellular Carcinomas Using 1-T Open High-Field-Strength Scanner.

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

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http://dx.doi.org/10.2214/AJR.18.19815DOI Listing
March 2019
2 Reads

[Ovesco clip as a rescue treatment of duodenal Dieulafoy lesion with active bleeding].

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

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March 2019
12 Reads

[First experience of minimally invasive surgery in the upper digestive tract].

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

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March 2019
2 Reads

Hemosuccus Pancreaticus: A Great Masquerader in Patients with Upper Gastrointestinal Bleeding.

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

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http://dx.doi.org/10.7759/cureus.3785DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395018PMC
December 2018
2 Reads