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Xenotransplantation 2019 Feb 15:e12496. Epub 2019 Feb 15.

Department of Vascular Surgery, Institute of Hematology and Transfusiology, Warsaw, Poland.

The infection of a vascular prosthesis is potentially fatal, and its effective treatment still remains the greatest challenge for vascular surgeons. We present our initial experience using bovine pericardial vascular prostheses to replace infected aortoiliac vascular grafts. Six consecutive patients with infection of the graft were prospectively included in this study. Read More

Langenbecks Arch Surg 2019 Feb 13. Epub 2019 Feb 13.

Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, Sydney, Australia.

Background: Delayed massive post-pancreatectomy haemorrhage (PPH) is a highly lethal complication after pancreatectomy. Angiographic procedures have led to improved outcomes in the management of these patients. In the setting of an acute haemorrhage, laparotomy and packing are often required to help stablise the patient. Read More

CVIR Endovasc 2018 28;1(1). Epub 2018 Jun 28.

2University College London Hospital, Euston Road, London, NW1 2BU UK.

Background: Haemobilia, defined as bleeding from the biliary tree, is a rare entity. The most common cause of haemobilia is iatrogenic trauma, which accounts for 70% of cases. Pseudoaneurysms of the portal vein are an extremely rare cause of haemobilia with only four reported cases to date. Read More

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

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

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

Br J Nurs 2019 Jan;28(1):53-59

Consultant Gastroenterologist, Department of Gastroenterology, Queen Elizabeth Hospital, Birmingham.

This article outlines latest evidence-based care for patients with acute upper gastrointestinal (GI) bleeding. It aims to help gastroenterology and general medical ward nurses plan nursing interventions and understand the diagnostic treatment options available. Acute upper GI bleeding can present as variceal or non-variceal bleeding and has a high death rate. Read More

Transplant Proc 2018 Dec 29;50(10):4087-4089. Epub 2018 May 29.

Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN. Electronic address:

Background: Vascular complications represent the most common cause of early graft failure after pancreatic transplantation (PT). Pseudoaneurysms are uncommon vascular complications that usually present within the first year post transplantation.

Case Report: A 49-year-old man with history of type 1 diabetes mellitus presented for evaluation with a 2-day history of painless hematochezia. Read More

Transplant Proc 2018 Dec 29;50(10):3973-3977. Epub 2018 May 29.

Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

A patient who had previously undergone a gastrectomy due to gastric ulcer perforation was admitted to our hospital. He presented with epigastric pain and poor oral intake accompanied with gastrointestinal bleeding, and was diagnosed with gastric stump cancer. He had a history of renal transplantation and was administered immunosuppressive agents. Read More

Medicine (Baltimore) 2018 Dec;97(51):e13535

Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University.

Rationale: Radiation-induced hemorrhagic gastritis is an infrequent cause of upper gastrointestinal bleeding and difficult to manage. The current standard treatment has not been well established.

Patient Concerns: We described a 32-year-old male patient with hemorrhagic gastritis induced by external radiotherapy for hepatocellular carcinoma recurrence. Read More

G Chir 2018 Nov-Dec;39(6):395-398

Background: Bleedings such as melaena are related to diseases in the upper gastrointestinal tract. In 0.06% - 5% of cases these incidents are due to the presence of diverticula of the small intestine, which are asymptomatic and unrecognized in most patients and are only fully diagnosed in cases when complications occur. Read More

Medicine (Baltimore) 2018 Dec;97(50):e13712

Department of Gastroenterology, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China.

Rationale: Currently, the mainstream treatment for gastric bezoars is endoscopic lithotripsy. This report describes traditional Chinese medicine (TCM) purgative cured a 62-year-old woman with a huge gastric bezoar accompanied by isolated esophageal venous aneurysms and multiple bleeding gastric ulcers.

Patient Concerns: A 62-year-old woman with several symptoms, including epigastric pain, nausea, and vomiting, hiccups, heartburn, and dark, loose stools. Read More

Medicine (Baltimore) 2018 Dec;97(50):e13703

Department of Liver Transplantation and Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong University.

Many patients in China have portal hypertension secondary to liver cirrhosis. Splenectomy and devascularization have become an efficacious surgical procedure for portal hypertension, and has been recommended in China as the first choice for the treatment of portal hypertension for a long time. As a result of advances in laparoscopic equipment and techniques, splenectomy and esophagogastric devascularization have been carried out with laparoscope. Read More

Arq Gastroenterol 2018 Jul-Sep;55(3):221-229

Universidade de São Paulo, Faculdade de Medicina, Departamento de Endoscopia Gastrointestinal, SP, Brasil.

Background: Endoscopic submucosal dissection (ESD) is a complex endoscopic procedure, with high rates of adverse events and technical difficulties. To overcome that problem, many training centers published the importance of animal models for skill acquirement in ESD. However, no study has used the submucosal dissection depth (DSUB) as a parameter to evaluate the learning curve in ESD, which might be a relevant factor since an optimal resection plane is important to achieve a curative resection and avoid intraoperative complications. Read More

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

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

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

World J Gastroenterol 2018 Nov;24(44):5025-5033

Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul 03080, South Korea.

Aim: To examine the association between the timing of endoscopy and the short-term outcomes of acute variceal bleeding in cirrhotic patients.

Methods: This retrospective study included 274 consecutive patients admitted with acute esophageal variceal bleeding of two tertiary hospitals in Korea. We adjusted confounding factors using the Cox proportional hazards model and the inverse probability weighting (IPW) method. Read More

World J Gastroenterol 2018 Nov;24(43):4862-4869

Department of Gastroenterology, Digestive Disease Surgery Institute, Cleveland Clinic, Cleveland, OH 44195, United States.

Endoscopic cryotherapy is a relatively new thermal ablative modality used for the treatment of neoplastic lesions of the esophagus. It relies on cycles of rapid cooling and thawing to induce tissue destruction with a cryogen (liquid nitrogen or carbon dioxide) leading to intra and extra-cellular damage. Surgical treatment was once considered the standard therapeutic intervention for neoplastic diseases of the esophagus and is associated with considerable rates of morbidity and mortality. Read More

Int J Surg Case Rep 2018 15;53:358-361. Epub 2018 Nov 15.

Department of Surgery, Jichi Medical University, Tochigi, Japan.

Introduction: Duodenal gastrointestinal tumors (GISTs) are rare. Duodenal GISTs and pancreatic neuroendocrine tumors (NETs) may appear similar on imaging studies. GISTs arising from the second or third portions of duodenum may be incorrectly diagnosed as pancreatic NETs. Read More

Surg Oncol 2018 Dec 17;27(4):642. Epub 2018 Aug 17.

Department of Human Pathology in Adulthood and Childhood, University of Messina, Messina, Italy.

Background: Gastrointestinal tract involvements of metastatic melanoma are rare; 7% of gastrointestinal tract metastases of melanoma concerns the stomach [1]. Actually, bleeding from gastric melanoma metastasis is very rare. For the first time in Literature, this video shows a laparoscopic intragastric resection [2] of a cardial lesion of melanoma. Read More

Clin Nephrol 2019 Jan;91(1):48-51

The current case report describes a chronic hemodialysis patient presenting with painful penile ulceration that was clinically and histologically proven to be related to calcific uremic arteriolopathy. The patient subsequently developed severe upper gastrointestinal bleeding that was both endoscopically and histologically shown to be due to acute esophageal necrosis (AEN), also known as necrotizing esophagitis and "black esophagus". AEN is a rare condition characterized by diffuse necrosis of the esophageal mucosa. Read More

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

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

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

Transl Gastroenterol Hepatol 2018 21;3:71. Epub 2018 Sep 21.

General Surgery and Surgical Oncology, Morgagni-Pierantoni Hospital, Forlì, Italy.

Background: Gastrointestinal stromal tumors (GIST) are the most frequent mesenchymal tumours in the digestive tract. The duodenal GIST (dGIST) is the rarest subtype, representing only 4-5% of all GIST, but up to 21% of the resected ones. The diagnostic and therapeutic management of dGIST may be difficult due to the rarity of this tumor, its anatomical location, and the clinical behavior that often mimic a variety of conditions; moreover, there is lack of consent for their treatment. Read More

World J Gastroenterol 2018 Oct;24(38):4412-4418

Division of Hematology and Medical Oncology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei 10491, Taiwan.

Gastric polyposis is a rare disease. Not all polyps progress to cancer. Monoallelic mutation in Fanconi anemia (FA) genes, unlike biallelic gene mutations that causes typical FA phenotype, can increase risks of cancers in a sporadic manner. Read More

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

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

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

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

Med Sci Monit 2018 Oct 6;24:7119-7129. Epub 2018 Oct 6.

Institute of Digestive Diseases, Chinese PLA General Hospital, Beijing, China (mainland).

BACKGROUND This study aimed to discover the common cause of non-variceal upper-gastrointestinal bleeding (NVUGIB) by conducting a multi-center retrospective study from 2008 to 2012. MATERIAL AND METHODS Hospitalized patients ages ≥18 years old, from 8 hospitals in China, diagnosed with NVUGIB by endoscopy from 1 January 2008 to 31 December 2012 were enrolled. Questionnaires were developed and a data-entry graphical user interface was designed by using EpiData software. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Sep;21(9):1025-1031

Department of Thoracic Surgery, Guangzhou Women and Children's Medical Center, Guangzhou 510120, China.

Objective: To summarize the experience of applying gastric tube esophagoplasty for complicated diseases of esophagus in children and the short-middle-term efficacy.

Methods: A retrospective and observational case series study was performed.

Inclusion Criteria: (1) burn length of esophagus > 2 cm, multisegmental or extensive esophageal scar stenosis, and about 6 months after burn; (2) longitudinal diameter of esophageal tumor > 2 cm, or esophagus considered as impossible to reserve;(3) Severe esophageal fistula with diameter > 2 cm, or relapse again after ≥3 times of repair; (4) Tracheal cartilaginous esophageal heterotopia with a length of >2 cm or no end to end anastomosis after removal of the esophageal lesion. Read More

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

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

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

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

World J Gastroenterol 2018 Sep;24(35):3965-3973

Department of Gastroenterology, Digestive Disease Surgery Institute, Cleveland Clinic, OH 44195, United States.

Esophageal carcinoma is a highly lethal cancer associated with high morbidity and mortality. Esophageal squamous cell carcinoma and esophageal adenocarcinoma are the two distinct histological types. There has been significant progress in endoscopic diagnosis and treatment of early stages of cancer using resection and ablation techniques, as shown in several trials in the recent past. Read More

Surg Clin North Am 2018 Oct 29;98(5):1047-1057. Epub 2018 Jul 29.

General Surgery Residency Program, UnityPoint Health, 1415 Woodland Avenue, Suite 130, Des Moines, IA 50309, USA; General Surgery, Trauma and Critical Care, The Iowa Clinic, 1212 Pleasant Street, Suite 211, Des Moines, IA 50309, USA; Trauma Services, UnityPoint Health, Iowa Methodist Medical Center, 1200 Pleasant Street, Des Moines, IA 50309, USA. Electronic address:

Upper gastrointestinal bleeding (UGIB), defined as intraluminal hemorrhage proximal to the ligament of Treitz, can range from mild and asymptomatic to massive life-threatening hemorrhage. For the purposes of this article, the authors define an acute UGIB to be one that results in new acute symptoms and is, therefore, potentially life-threatening. UGIB requires a systematic approach to evaluation and treatment, similar to the management of a trauma patient. Read More

Int J Surg 2018 Oct 18;58:52-56. Epub 2018 Sep 18.

Inonu University, Department of Gastrointestinal Surgery, Malatya, Turkey. Electronic address:

Background: Bleeding from the staple line is a rare but serious problem following bariatric surgery. Staple line bleeding control (SLBC) can be achieved in different ways such as the application of sutures, clips, glue or buttressing materials over the staple line. Cauterization alone is generally not preferred due to concerns about debilitating the staple line. Read More

Medicine (Baltimore) 2018 Sep;97(36):e12118

Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China.

Endoscopic full-thickness resection (EFTR) is the main treatment for gastric tumors originating from the muscularis propria or gastric extra-luminal growth tumors. Successful closure of the gastric wall defect is a critical step during EFTR.The aim of this retrospective study was to evaluate the feasibility and safety of the endoscopic prepurse-string suture (p-EPSS) technique using an endoloop and several metallic clips during EFTR to close the perforation. Read More

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

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

Ned Tijdschr Geneeskd 2018 Jul 20;162. Epub 2018 Jul 20.

Reinier de Graaf Gasthuis, afd. Inwendige Geneeskunde, Delft.

An 85-year-old man came to the emergency room because of vomiting a black fluid and melaena. He was hypotensive and had severe anaemia. We suspected an upper digestive tract bleeding and an gastroscopy was performed, which showed necrosis of the entire oesophagus. Read More

Diagn Interv Radiol 2018 Sep;24(5):292-294

Department of Radiology, CHA Bundang Medical Center, CHA University, Gyeonggi-do, Korea.

Duodenal variceal bleeding is a rare but potentially life-threatening complication of portal hypertension. Endoscopic therapy is usually the initial treatment option for bleeding duodenal varices, but it is not always feasible or successful. We present a technique of coil-assisted retrograde transvenous obliteration in a patient with duodenal varices originating from the inferior pancreaticoduodenal vein and draining into the right ovarian vein. Read More

Dig Dis Sci 2018 10;63(10):2541-2546

Division of Gastroenterology and Hepatology, Department of Medicine, University of New Mexico School of Medicine, MSC 10-5550, 87131, Albuquerque, NM, Mexico.

Rom J Morphol Embryol 2018 ;59(2):543-548

IInd Surgical Clinic, University of Medicine and Pharmacy of Craiova, Romania;

This paper presents a very rarely encountered case of a 45-year-old female, admitted in our Surgical Clinic for upper digestive bleeding (repeated hematochezia). The upper endoscopy was negative, but the barium meal discovered an apparently extrinsic duodenal (D3) stenosis; abdominal ultrasound diagnosed a left liver mass suggesting a metastatic tumor. The hematochezia relapse, with hemodynamic instability imposed emergency surgery; on laparotomy, a bleeding tumor located on the duodenopancreatic region was discovered, and a pylorus-preserving pancreaticoduodenectomy (Traverso-Longmire) was performed. Read More

J Vasc Surg 2019 Feb 25;69(2):592-595. Epub 2018 Aug 25.

Division of Surgical Oncology, Department of Surgery, UCLA, Los Angeles, Calif.

Termed hemosuccus pancreaticus by Sandblom in 1970, hemorrhage from the pancreatic duct into the gastrointestinal tract represents a rare and challenging problem. Patients present with repeated upper gastrointestinal bleeding that is intermittent but often self-limited. In most cases, this pathophysiologic process is secondary to pancreatitis, chronic inflammation, and subsequent splenic artery pseudoaneurysm bleeding. Read More

Int J Surg Case Rep 2018 13;51:130-133. Epub 2018 Aug 13.

Department of Surgery, Okayama Saiseikai General Hospital, Japan.

Introduction: Cases of a foreign body ingestion often require surgical treatment due to perforation or penetration. There is a possibility that plastic bread bag clips also cause serious adverse events when they are ingested.

Presentation Of A Case: We report a rare case of peritonitis with small intestinal perforation caused by a plastic bread bag clip that needed surgical treatment. Read More

Int J Surg 2018 Oct 23;58:26-30. Epub 2018 Aug 23.

Department of Intervention, Affiliated Huangyan Hospital of Wenzhou Medical University, Taizhou No 1 People's Hospital, Huangyan, 318020, China. Electronic address:

Introduction: This study aims to explore whether metallic clips could be a kind of localizer and guider in transcatheter arterial embolization for patients with non-variceal upper gastrointestinal bleeding, who received an unmanageable endoscopic therapy.

Methods: A total of 18 patients with non-variceal hemorrhage of the upper gastrointestinal tract, who received an unmanageable endoscopic therapy at *** Hospital of **** Province from July 2010 to December 2016, were included into this study. One or two metallic clips were placed on the margin of the bleeding point to be a mark during the endoscopic therapy. Read More

Zhonghua Jie He He Hu Xi Za Zhi 2018 Aug;41(8):622-627

Department of Respiratory Disease, Third Hospital of Xiamen, Xiamen 361100, China.

To investigate the clinical characteristics and causes of misdiagnosis of esophageal bronchial fistula secondary to esophageal diverticulum. A case of esophageal bronchial fistula secondary to esophageal diverticulum was described with regard to its diagnosis and treatment process. A systematic literature review was performed for similar published cases in Wanfang, CNKI and Pubmed databases, using the key words "esophageal diverticulum, esophageal bronchial fistula" from January 1946 to August 2017. Read More

Saudi J Gastroenterol 2018 Nov-Dec;24(6):360-364

Department of Gastroenterology, Children's Hospital of Fudan University, Shanghai, China.

Background/aims: Giant peptic ulcers (GPUs) are detrimental for all patients, especially for children. However, few reports have described GPUs in children. This study aims to evaluate the characteristics of GPUs in Chinese children and to identify risk factors. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Aug;21(8):841-852

Surgical Section of Chinese Society of Digestive Endoscopology; Chinese Physicians Association Endoscope Branch Digestive Endoscopy Professional Committee; Gastrointestinal Surgery Section of Chinese Society of Surgery.

The Chinese Consensus on Endoscopic Diagnosis and Management of Gastrointestinal Submucosal Tumors is the first guideline in the area of gastrointestinal submucosal tumors(SMT) in China. SMTs of the Gastrointestinal tract are bulge lesions that originate from muscularis mucosa, submucosa, or muscularis propria. Endoscopic treatment of SMT is an effective way to improve the quality of life for patients, to reduce the burden on patients' families and the society, and to save national medical resources. Read More

BMJ Open 2018 Aug 20;8(8):e023721. Epub 2018 Aug 20.

Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Objectives: This study used national audit data to describe current management and outcomes of patients undergoing surgery for complications of peptic ulcer disease (PUD), including perforation and bleeding. It was also planned to explore factors associated with fatal outcome after surgery for perforated ulcers. These analyses were designed to provide a thorough understanding of current practice and identify potentially modifiable factors associated with outcome as targets for future quality improvement. Read More

World J Gastroenterol 2018 Aug;24(30):3462-3468

Department of Gastroenterology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China.

Heterotopic gastric mucosa (HGM) in the rectum is an extremely rare clinical entity which may be missed or misdiagnosed due to a lack of knowledge. In the present study, a 14-year-old girl visited our hospital due to a 5-year history of repeated hematochezia. Colonoscopy showed a solitary superficial depressed lesion approximately 5 cm in size and a concomitant 1. Read More

BMC Surg 2018 Aug 17;18(1):62. Epub 2018 Aug 17.

Department of Histopathology and Cytology, Habib Thameur Hospital, Tunis El Manar University, Tunis, Tunisia.

Background: Since the advent of immunohistochemistry for the diagnosis of stromal tumours, the incidence of leiomyosarcomas has significantly decreased. Nowadays, gastric leiomyosarcoma is an exceptionally rare tumour. We report the second case in the English literature of gastric leiomyosarcoma revealed with massive bleeding and hemodynamic instability and diagnostic pitfalls that we encountered. Read More

Gastroenterol Res Pract 2018 12;2018:3670739. Epub 2018 Jul 12.

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

Hemobilia refers to bleeding from and/or into the biliary tract and is an uncommon cause of gastrointestinal hemorrhage. Hemobilia has been documented since the 1600s, but due to its relative rarity, it has only been more critically examined in recent decades. Most cases of hemobilia are iatrogenic and caused by procedures involving the liver, pancreas, bile ducts, and/or the hepatopancreatobiliary vasculature, with trauma and malignancy representing the two other major causes. Read More

BMJ Case Rep 2018 Aug 16;2018. Epub 2018 Aug 16.

Department of Surgery, Franciscus Gasthuis & Vlietland, Schiedam, The Netherlands.

Laparoscopic cholecystectomy is a commonly performed surgical procedure. The postoperative course is often uncomplicated; however, complications like infection, biliary leakage, and bleeding and bile duct injury can occur. Here we report on a patient with common bile duct obstruction and haemobilia due to a false aneurysm of the right hepatic artery after laparoscopic cholecystectomy, masked by biliary pancreatitis, complicated by an infarction of the liver after embolisation. Read More

Medicine (Baltimore) 2018 Aug;97(33):e11713

Department of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.

Rationale: Gastric mucosa-associated lymphoid tissue (MALT) lymphoma is the most common and best-studied extranodal marginal zone lymphoma of the MALT. It is characterized by an indolent clinical course and excellent survival compared with other malignant tumor. Complications such as obstruction, perforation or bleeding are rarely observed. Read More

Ann Transl Med 2018 Jul;6(13):268

Hepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic Research Institute and Diabetes Center, Attikon University General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Endoscopic placement of self-expandable metal stent (SEMS) is an efficient method for the palliative decompression of malignant gastro duodenal obstruction. However, its role in treating benign obstructive conditions is controversial. We herein present an unusual case of recurrent upper gastrointestinal (GI) bleeding episodes due to ischemic lesions induced by an uncovered SEMS placed several years before to treat post peptic ulcer pyloric obstruction. Read More

Ann Vasc Surg 2018 Nov 4;53:272.e11-272.e17. Epub 2018 Aug 4.

Department of Radiology and Medical Imaging, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.

Background: Although surgical resection and graft replacement therapy for thoracic aortic aneurysms has advanced greatly over the last 20 years, significant perioperative morbidity and mortality still occur, particularly in patients considered high risk due to significant coexisting medical illness or previous operations performed for the treatment of intrathoracic disease.

Methods: The case described is that of a patient with a giant (13.8 cm) symptomatic descending thoracic aorta aneurysm (DTAA), previously treated endovascularly 15 years ago. Read More

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

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

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

Cochrane Database Syst Rev 2018 08 3;8:CD011717. Epub 2018 Aug 3.

Department of Surgery, University of the Witwatersrand, 7 York Road, Johannesburg, Gauteng, South Africa, 2193.

Background: Hepatosplenic schistosomiasis is an important cause of variceal bleeding in low-income countries. Randomised clinical trials have evaluated the outcomes of two categories of surgical interventions, shunts and devascularisation procedures, for the prevention of variceal rebleeding in people with hepatosplenic schistosomiasis. The comparative overall benefits and harms of these two interventions are unclear. Read More