9,534 results match your criteria Upper Gastrointestinal Bleeding Surgical Treatment


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

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

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

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

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

[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
1 Read

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

Endoscopic injection sclerotherapy for pediatric bleeding esophageal varices complicated by gastric vein, main portal vein, splenic mesenteric junction, and splenic vein occlusion: a case report.

BMC Gastroenterol 2019 Feb 28;19(1):37. Epub 2019 Feb 28.

Liver Transplant Program, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Background: Endoscopic injection sclerotherapy (EIS) is a life-saving procedure for pediatric patients with bleeding gastric varices (GV) associated with advanced liver cirrhosis and severe portal hypertension. Because of the lack of an endoscopic banding ligation device for pediatric patients, EIS is usually performed for bleeding esophageal varices (EV) in infants with congenital biliary atresia.

Case Presentation: We present a case of a 15-month-old female infant with type I biliary atresia with jaundice (total serum bilirubin, 22. Read More

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http://dx.doi.org/10.1186/s12876-019-0955-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396477PMC
February 2019
2 Reads

Therapeutic effect of a temporary transpyloric stent in refractory post-surgical gastroparesis: a case report.

BMC Surg 2019 Feb 27;19(1):27. Epub 2019 Feb 27.

Department of General Surgery, the First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China.

Background: Gastroparesis is a syndrome characterized by delayed gastric emptying with associated symptoms. It was reported that the symptoms of diabetic gastroparesis had been greatly improved by transpyloric stent placement. However, the use of stents in benign conditions is considered to be contraindicated because of the increasing risk of complications, such as stent migration, reflux, perforation, bleeding, and, most importantly, new strictures caused by stent-induced tissue hyperplasia. Read More

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http://dx.doi.org/10.1186/s12893-019-0490-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391776PMC
February 2019
10 Reads

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

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

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

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

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

Acute abdomen in drug abusers.

Authors:
L Hána M Ryska

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

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

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February 2019
1 Read

Replacement of infected aortoiliac vascular grafts with bifurcated BioIntegral Surgical No-React bovine pericardial xenografts.

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

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http://dx.doi.org/10.1111/xen.12496DOI Listing
February 2019
2 Reads

Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta.

Langenbecks Arch Surg 2019 Mar 13;404(2):253-255. 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

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http://dx.doi.org/10.1007/s00423-019-01759-0DOI Listing
March 2019
1 Read
2.160 Impact Factor

Surgical outcomes and quality of life between laparoscopic and open approach for hepatic hemangioma: A propensity score matching analysis.

Medicine (Baltimore) 2019 Feb;98(6):e14485

Department of Liver Surgery, Center of Liver Transplantation, West China Hospital.

The main objective of the study was to compare the surgical outcomes and quality of life (QOL) of patients with hepatic hemangioma either by laparoscopic or open surgery using a propensity score analysis.We retrospectively reviewed patients with hepatic hemangioma undergoing laparoscopic liver surgery (LLS) or open liver surgery (OLS) between January 2016 and December 2017. Intraoperative and postoperative characteristics, and quality of life, according to Short Form-36 Healthy Survey (SF-36) questionnaire, were compared between groups. Read More

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http://dx.doi.org/10.1097/MD.0000000000014485DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380717PMC
February 2019
8 Reads

Comparison of D2 and D2 plus radical surgery for advanced distal gastric cancer: a randomized controlled study.

World J Surg Oncol 2019 Feb 6;17(1):28. Epub 2019 Feb 6.

Department of Abdominal Surgery, Zhejiang Cancer Hospital, Hangzhou, 310022, China.

Background: The optimal extent of lymph node (LN) dissection for advanced distal gastric cancer remains controversial. The present study compared the safety and efficacy of extended LN dissection (D2 plus) with standard D2 radical surgery for advanced distal gastric cancer.

Methods: Eligible patients were enrolled and randomly assigned into two groups: D2 group and D2 plus group. Read More

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http://dx.doi.org/10.1186/s12957-019-1572-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366021PMC
February 2019
2 Reads

Treatment for gastric 'indefinite for neoplasm/dysplasia' lesions based on predictive factors.

World J Gastroenterol 2019 Jan;25(4):469-484

Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, South Korea.

Background: Gastric 'indefinite for neoplasm/dysplasia' (IFND) is a borderline lesion that is difficult to diagnose as either regenerative or neoplastic. There is a need for guidance in the identification of a subset of patients, who have an IFND lesion with a higher risk of malignant potential, to enable risk stratification and optimal management.

Aim: To determine the clinical and pathologic factors for the accurate diagnosis of gastric IFND lesions. Read More

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http://dx.doi.org/10.3748/wjg.v25.i4.469DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350171PMC
January 2019
5 Reads

Feasibility of gastric endoscopic submucosal dissection with continuous low-dose aspirin for patients receiving dual antiplatelet therapy.

World J Gastroenterol 2019 Jan;25(4):457-468

Department of Endoscopy, New Tokyo Hospital, Matsudo, Chiba 270-2232, Japan.

Background: Endoscopic submucosal dissection (ESD) for gastric neoplasms during continuous low-dose aspirin (LDA) administration is generally acceptable according to recent guidelines. This retrospective study aimed to investigate the effect of continuous LDA on the postoperative bleeding after gastric ESD in patients receiving dual antiplatelet therapy (DAPT).

Aim: To investigate the feasibility of gastric ESD with continuous LDA in patients with DAPT. Read More

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http://dx.doi.org/10.3748/wjg.v25.i4.457DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350173PMC
January 2019
1 Read

Various initial presentations of Epstein-Barr virus infection-associated post-transplant lymphoproliferative disorder in pediatric liver transplantation recipients: Case series and literature review.

Pediatr Transplant 2019 03 20;23(2):e13357. Epub 2019 Jan 20.

Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Division of Gastroenterology, Mahidol University, Bangkok, Thailand.

PTLD is a rare but potentially life-threatening condition, which shows a higher prevalence in children than in adults. From 129 children who underwent LT, we reported 5 cases with biopsy-proven PTLD at a single teaching hospital. Four patients had shared clinical presentations including fever, lymphadenopathy, and splenomegaly. Read More

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http://doi.wiley.com/10.1111/petr.13357
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http://dx.doi.org/10.1111/petr.13357DOI Listing
March 2019
13 Reads

Portal vein pseudoaneurysm secondary to pancreatic lymphoma and biliary stent insertion: a rare cause of haemobilia.

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

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http://dx.doi.org/10.1186/s42155-018-0011-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319504PMC
June 2018
2 Reads

Initial management for acute lower gastrointestinal bleeding.

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

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

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

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http://dx.doi.org/10.3748/wjg.v25.i1.69DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328962PMC
January 2019
4 Reads

Acute upper gastrointestinal bleeding: a guide for nurses.

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

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http://www.magonlinelibrary.com/doi/10.12968/bjon.2019.28.1.
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http://dx.doi.org/10.12968/bjon.2019.28.1.53DOI Listing
January 2019
26 Reads

Gastrointestinal Bleeding Secondary to Iliac Artery Pseudoaneurysm in a Patient With Remote Pancreas Transplant: A Case Report.

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

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183072
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http://dx.doi.org/10.1016/j.transproceed.2018.05.015DOI Listing
December 2018
19 Reads

Gastric Stump Cancer Following Gastrectomy After Renal Transplantation: A Case Report.

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

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183072
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http://dx.doi.org/10.1016/j.transproceed.2018.05.016DOI Listing
December 2018
13 Reads

A case report of endoscopic therapy for radiation-induced hemorrhagic gastritis in patient with recurrent hepatocellular carcinoma.

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

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http://dx.doi.org/10.1097/MD.0000000000013535DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320029PMC
December 2018
4 Reads

Endoscopic full-thickness resection for gastric gastrointestinal stromal tumor originating from the muscularis propria.

Rev Assoc Med Bras (1992) 2018 Nov;64(11):1002-1006

Department of Gastroenterology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai 264000, Shandong Province, China.

Objective: This study retrospectively reviewed 46 cases of gastric gastrointestinal stromal tumors treated by endoluminal endoscopic full-thickness resection (EFR) microsurgery in our gastrointestinal endoscopy center. We aimed to evaluate the EFR for the treatment of gastric gastrointestinal stromal tumors originating from the muscularis propria.

Methods: A total of 46 patients with gastric gastrointestinal stromal tumors originated from the muscularis propria layer from January 2012 to June 2015 were treated with EFR. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1806-9282.64.11.1002DOI Listing
November 2018
17 Reads

Complicated duodenal-jejunal diverticulosis: case report.

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

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December 2018
2 Reads

A huge gastric bezoar treated by traditional Chinese medicine purgative: A case report.

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

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http://Insights.ovid.com/crossref?an=00005792-201812140-0012
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http://dx.doi.org/10.1097/MD.0000000000013712DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320034PMC
December 2018
18 Reads

Efficacy and safety of laparoscopic splenectomy and esophagogastric devascularization for portal hypertension: A single-center experience.

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

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http://dx.doi.org/10.1097/MD.0000000000013703DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320041PMC
December 2018
3 Reads
5.723 Impact Factor

USEFULNESS OF GASTRIC SUBMUCOSAL DISSECTION DEPTH TO EVALUATE SKILL ACQUIREMENT IN SHORT TERM TRAINING COURSES IN ESD: AN EXPERIMENTAL STUDY.

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

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http://dx.doi.org/10.1590/S0004-2803.201800000-58DOI Listing
January 2019
2 Reads

[Role of oncologic radiotherapy in multidisciplinary team treatment of malignant acute abdomen].

Authors:
Yuhong Dai Hong Qiu

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

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

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

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November 2018
6 Reads

Timing of upper gastrointestinal endoscopy does not influence short-term outcomes in patients with acute variceal bleeding.

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

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http://dx.doi.org/10.3748/wjg.v24.i44.5025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262253PMC
November 2018
17 Reads

Recent trends in the prevalence of Helicobacter Pylori in symptomatic children: A 12-year retrospective study in a tertiary centre.

J Pediatr Surg 2019 Feb 6;54(2):255-257. Epub 2018 Nov 6.

Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China. Electronic address:

Objective: Helicobacter pylori infection is common among Asians. However, evidence in the recent years has demonstrated a decrease in the prevalence of H. pylori infection among children and adults worldwide. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.079DOI Listing
February 2019
4 Reads

Cryotherapy in the management of premalignant and malignant conditions of the esophagus.

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

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http://dx.doi.org/10.3748/wjg.v24.i43.4862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250921PMC
November 2018
15 Reads

Duodenal gastrointestinal stromal tumors appear similar to pancreatic neuroendocrine tumors: A case report.

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

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183051
Publisher Site
http://dx.doi.org/10.1016/j.ijscr.2018.11.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260393PMC
November 2018
10 Reads

Eicosapentaenoic acid and aspirin, alone and in combination, for the prevention of colorectal adenomas (seAFOod Polyp Prevention trial): a multicentre, randomised, double-blind, placebo-controlled, 2 × 2 factorial trial.

Lancet 2018 12 19;392(10164):2583-2594. Epub 2018 Nov 19.

Nottingham Clinical Trials Unit, School of Medicine, University of Nottingham, Queen's Medical Centre, Nottingham, UK.

Background: The omega-3 polyunsaturated fatty acid eicosapentaenoic acid (EPA) and aspirin both have proof of concept for colorectal cancer chemoprevention, aligned with an excellent safety profile. Therefore, we aimed to test the efficacy of EPA and aspirin, alone and in combination and compared with a placebo, in individuals with sporadic colorectal neoplasia detected at colonoscopy.

Methods: In a multicentre, randomised, double-blind, placebo-controlled, 2 × 2 factorial trial, patients aged 55-73 years who were identified during colonoscopy as being at high risk in the English Bowel Cancer Screening Programme (BCSP; ≥3 adenomas if at least one was ≥10 mm in diameter or ≥5 adenomas if these were <10 mm in diameter) were recruited from 53 BCSP endoscopy units in England, UK. Read More

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http://dx.doi.org/10.1016/S0140-6736(18)31775-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6294731PMC
December 2018
27 Reads
45.217 Impact Factor

Laparoscopic intragastric resection of melanoma cardial lesion.

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

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https://linkinghub.elsevier.com/retrieve/pii/S09607404183009
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http://dx.doi.org/10.1016/j.suronc.2018.08.002DOI Listing
December 2018
15 Reads

Acute esophageal necrosis (black esophagus) complicating calcific uremic arteriolopathy
.

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

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http://dx.doi.org/10.5414/CN109470DOI Listing
January 2019
14 Reads

First-line endoscopic treatment with over-the-scope clips in patients with either upper or lower gastrointestinal bleeding: a multicenter study.

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

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

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

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0746-8435
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http://dx.doi.org/10.1055/a-0746-8435DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221819PMC
November 2018
28 Reads

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

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

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

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

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

Is it Possible to Implant HeartMate 3 Less Invasively? New Pump, New Approach.

Artif Organs 2018 Dec 4;42(12):1132-1138. Epub 2018 Nov 4.

Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.

HeartMate 3 (HM3) left ventricular assist device (LVAD) is a compact, intrapericardial, centrifugal flow pump with a fully magnetically levitated rotor and a wide range of operation (2-10 L/min) to accommodate a broad range of clinical needs. We analyzed our experience with Heartware VAD (HVAD) and HM3 implantation through minimally invasive left thoracotomy (MILT) and upper minimal J sternotomy. Between March 2015 and October 2016, 31 patients who underwent LVAD implantation through MILT were included in this study. Read More

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http://doi.wiley.com/10.1111/aor.13289
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http://dx.doi.org/10.1111/aor.13289DOI Listing
December 2018
33 Reads

Case 1: Hematemesis in a 30-month-old Boy.

Pediatr Rev 2018 Nov;39(11):560-561

Department of Pediatrics.

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http://dx.doi.org/10.1542/pir.2017-0290DOI Listing
November 2018
2 Reads

Treatment strategies for bleeding from gastroduodenal artery pseudoaneurysms complicating the course of chronic pancreatitis-A case series of 10 patients.

Indian J Gastroenterol 2018 Sep 30;37(5):457-463. Epub 2018 Oct 30.

Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India.

We analyzed our experience with management of gastroduodenal artery (GDA) pseudoaneurysms associated with chronic pancreatitis using a multidisciplinary approach. We treated 10 patients with GDA pseudoaneurysms (all men, aged 24-62 year) who underwent treatment during April 1998 to December 2016. All had presented with recent hematemesis and/or melena. Read More

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http://link.springer.com/10.1007/s12664-018-0897-y
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http://dx.doi.org/10.1007/s12664-018-0897-yDOI Listing
September 2018
22 Reads

Surgical treatment of gastrointestinal stromal tumors of the duodenum: a literature review.

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

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http://tgh.amegroups.com/article/view/4573/5350
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http://dx.doi.org/10.21037/tgh.2018.09.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6182027PMC
September 2018
27 Reads

Black esophagus: a case series and literature review of acute esophageal necrosis.

Scand J Gastroenterol 2018 Oct - Nov;53(10-11):1421-1424. Epub 2018 Oct 24.

a Department of Gastroenterology and Hepatology , Gelderse Vallei Hospital , Ede , The Netherlands.

Black esophagus or acute esophageal necrosis (AEN) is a rare medical disorder which is characterized by a diffuse circumferential black esophageal mucosa. The majority of patients present with signs of upper gastrointestinal bleeding. Diagnosis is made based on esophagogastroduodenoscopy. Read More

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https://www.tandfonline.com/doi/full/10.1080/00365521.2018.1
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http://dx.doi.org/10.1080/00365521.2018.1513064DOI Listing
April 2019
12 Reads

Pneumomediastinum as a complication of esophageal intramural pseudodiverticulosis.

Acta Gastroenterol Belg 2018 Jul-Sep;81(3):433-435

Department of Gastroenterology, University Hospitals Gasthuisberg, Leuven, Belgium.

Dysphagia is a common complaint of patients seen at the outpatient clinic as well as at the emergency room. We report esophageal intramural pseudodiverticulosis (EIPD) as a cause of dysphagia that is less known by physicians and it is rarely described in the literature. EIPD is characterized by multiple, segmental or diffuse, flask-like outpouchings in the esophageal wall corresponding to dilated and inflamed excretory ducts of the submucosal esophageal glands. Read More

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February 2019
3 Reads

D1359Y mutation in a patient with gastric polyposis and cancer susceptibility: A case report and review of literature.

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

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http://dx.doi.org/10.3748/wjg.v24.i38.4412DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189845PMC
October 2018
4 Reads

Black esophagus: a case report.

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

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

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

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

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February 2018
24 Reads

Peptic Ulcer Is the Most Common Cause of Non-Variceal Upper-Gastrointestinal Bleeding (NVUGIB) in China.

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

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https://www.medscimonit.com/abstract/index/idArt/909560
Publisher Site
http://dx.doi.org/10.12659/MSM.909560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6187964PMC
October 2018
47 Reads

[Application of gastric tube esophagoplasty to complicated diseases of esophagus in children].

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

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September 2018
23 Reads