Gastroenterology: Medicine & Research最新文献_第4页

Complications of Gastroenteritis By Typhoid Fever in Amazonia: Clinical Cases Genetic Evaluation from Intestinal Drilling, Pneumonia and Cholestatic Hepatitis 亚马逊地区伤寒引起的肠胃炎并发症的临床病例:肠道钻孔、肺炎和胆汁淤积性肝炎的遗传评价

Gastroenterology: Medicine & Research Pub Date : 2020-10-06 DOI: 10.31031/GMR.2020.05.000607

A. R. Marinho

{"title":"Complications of Gastroenteritis By Typhoid Fever in Amazonia: Clinical Cases Genetic Evaluation from Intestinal Drilling, Pneumonia and Cholestatic Hepatitis","authors":"A. R. Marinho","doi":"10.31031/GMR.2020.05.000607","DOIUrl":"https://doi.org/10.31031/GMR.2020.05.000607","url":null,"abstract":"Typhoid fever is a systemic disease caused by Salmonella enterica serotype Typhi, characterized by high fever accompanied by intestinal disorders, whose transmission occurs through the consumption of contaminated water and food [1,2]. The method used for the diagnosis is culture, which can result in false negatives due to previous use of antibiotics. Failure to diagnose the outcome makes therapeutic conduct unfeasible, constituting an aggravating factor in the clinic than some cases. One way around this problem is to use assays based on the amplification of nucleic acids [3,4]. Typhoid fever remains one of the most important infectious diseases in the world, which has seen little decrease in mortality rates since the 1990s [5]. Countries in East and Southeast Asia, Africa, the Caribbean, Central and South America currently suffer from this public health problem [6]. The World Health Organization (WHO) estimates that there are 11 to 20 million new cases in the world and approximately 128,000 to 161,000 deaths each year [7]. In Brazil, between 2001 and 2019, 1,745 cases of typhoid fever were confirmed, the Brazilian Amazon, although it represents 59% of the Brazilian territory, but with the lowest population density, 12.83% of the total population, reported the largest number of cases at all parents with 1,491 (85.44% of the national total) [8]. Thus, the Evandro Chagas Institute (IEC) invests in the program aimed at the surveillance of gastroenteric diseases and their complications with a focus on laboratory diagnosis of patients with suspected typhoid fever from all over the Brazilian Amazon [9].","PeriodicalId":130011,"journal":{"name":"Gastroenterology: Medicine & Research","volume":"50 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130382572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obscure Cause of Upper Gastrointestinal Hemorrhage 上消化道出血原因不明

Gastroenterology: Medicine & Research Pub Date : 2020-09-11 DOI: 10.31031/GMR.2020.05.000606

J. Koch

{"title":"Obscure Cause of Upper Gastrointestinal Hemorrhage","authors":"J. Koch","doi":"10.31031/GMR.2020.05.000606","DOIUrl":"https://doi.org/10.31031/GMR.2020.05.000606","url":null,"abstract":"A 31year-old man presented to an outside institution’s emergency department with headache, vomiting and no signs of bleeding. With decreased hemoglobin (hgb) of 4.6g/dl and normal head computerized tomography (CT), he was discharged on iron supplement. He presented to our emergency department 3 weeks later with weakness, tachycardia, hypotension, hgb of 5g/dl and a positive fecal occult blood test. With a normal colonoscopy and CT enterography, the patient was discharged to receive biweekly transfusions, and later underwent an outpatient small bowel capsule. Two months later the patient presented with weakness with no overt signs of bleeding and hgb was 4.2g/dl. Push enteroscopy identified a nearly circumferential mass in the proximal jejunum with stigmata of recent hemorrhage. Subsequently six months from the initial presentation, the patient underwent laparoscopic small bowel resection of a 7.3cm friable mass. The histopathology confirmed the endoscopic biopsy findings of a benign lymph vascular proliferation, favoring lymphangioma and an adjacent mesenteric lymph node with marked sinusoidal lymphangiectasia. One week post-surgery, the patient reported feeling well with an increased hgb of 7.1g/dl.","PeriodicalId":130011,"journal":{"name":"Gastroenterology: Medicine & Research","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132037659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intestinal Microbiota Transplantation in Children 儿童肠道菌群移植

Gastroenterology: Medicine & Research Pub Date : 2020-08-17 DOI: 10.31031/gmr.2020.05.000604

Á. Tiburcio

引用次数: 0

Evaluation of a Modified Jejunoileal Bypass Technique (Lazzarotto and Souza Procedure): Causes of Reversal and Types of Possible Procedures 改进的空肠回肠旁路技术(Lazzarotto和Souza手术)的评价:逆转的原因和可能的手术类型

Gastroenterology: Medicine & Research Pub Date : 2020-08-10 DOI: 10.31031/gmr.2020.05.000603

S. Almazeedi

引用次数: 0

Giant Fecaloma Causing Large Bowel Obstruction: A Case Report 巨大粪瘤引起肠梗阻1例

Gastroenterology: Medicine & Research Pub Date : 2020-08-10 DOI: 10.31031/gmr.2020.05.000602

Arcelia Guerson Gil

引用次数: 2

EUS-Guided Micro-Forceps Biopsy for the Diagnosis of Lymphoma: A Case Series eus引导下的微钳活检诊断淋巴瘤:一个病例系列

Gastroenterology: Medicine & Research Pub Date : 2020-07-31 DOI: 10.31031/gmr.2020.05.000601

Arcelia Guerson Gil

引用次数: 0

An Unusual Case of Rectal Bleeding due to Metastasis from Cholangiocarcinoma 胆管癌转移致直肠出血1例

Gastroenterology: Medicine & Research Pub Date : 2020-07-27 DOI: 10.31031/gmr.2020.04.000599

Arcelia Guerson Gil

{"title":"An Unusual Case of Rectal Bleeding due to Metastasis from Cholangiocarcinoma","authors":"Arcelia Guerson Gil","doi":"10.31031/gmr.2020.04.000599","DOIUrl":"https://doi.org/10.31031/gmr.2020.04.000599","url":null,"abstract":"Cholangiocarcinoma (CCA) is a rare, yet aggressive form of cancer that can originate from the epithelium to anywhere along the bile ducts (BD). Depending on the locations of the CCA, the treatment, prognosis, and diagnosis can be greatly impacted. The primary risk factors are sclerosing cholangitis and choledochal cysts. Anatomically, CCA are classified as intrahepatic (IH) and extrahepatic (EH). EH further divided into distal and perihilar. These subtypes have common features but also important differences that affect the pathogenesis and outcome. Histologically, a great majority of these (90%) are adenocarcinomas with the remainder being mostly squamous cell carcinomas. It is possible to support a diagnosis of malignant biliary epithelium through immunohistochemical staining. Specifically, cytokeratin-7 (CK-7) positivity is consistent with biliary tract origin. The clinical presentation of CCA varies, with some patients presenting with jaundice. However, most cases are silent and are not diagnosed until the advanced stage. Common sites of metastasis include the liver, peritoneum, and brain. Although rare, colon metastasis has been reported and requires a high index of suspicion for early detection. Here, we present a rare case of a patient with intermittent rectal bleeding secondary to colon metastasis from CCA.","PeriodicalId":130011,"journal":{"name":"Gastroenterology: Medicine & Research","volume":"25 13","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120859526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Colonoscopic Results in Patients with Hartmann’s Colostomy Hartmann结肠造口术患者的结肠镜检查结果

Gastroenterology: Medicine & Research Pub Date : 2020-07-07 DOI: 10.31031/gmr.2020.04.000597

K. Kim

{"title":"Colonoscopic Results in Patients with Hartmann’s Colostomy","authors":"K. Kim","doi":"10.31031/gmr.2020.04.000597","DOIUrl":"https://doi.org/10.31031/gmr.2020.04.000597","url":null,"abstract":"Purpose: Colonoscopy in patients with colostomy after Hartmann’s procedure could be a quite challenging or special situation. This study aimed to analyze the Colonoscopic results in patients with Hartmann’s colostomy. Methods: Total 79 consecutive patients undergoing colonoscopy before reversal of Hartmann’s operation were retrospectively reviewed. The procedure was performed first through the anus for evaluation of distal colonic/rectal stump, and then through the colostomy to the cecum or terminal ileum for proximal colon evaluation. Results: Cecal insertion was possible in 72 patients; the success rate was 91.1%. The causes of failure were poor or inadequate bowel preparation in 4 patients, colostomy stricture, colonic stenosis, and angulation in 1 patient, respectively. Completeness of the bowel preparation was poor in 21 patients and inadequate in 6 patients, showing bad preparation in 33.3%. Mean Cecal insertion time from colostomy was 5.1 minute. The Colonoscopic finding of proximal part to colostomy was nonspecific in 38 patients, polyp(s) detection in 15 patients, and diverticulosis in 15 patients. In the examination of distal stump, mean length was 18.4cm, two patients couldn’t evaluate the full length of distal stump, and 11 patients showed abnormal findings including polyps, diverticular, and inflammation. Conclusion: These results suggest that most patients with colostomy can evaluate the remained colon or rectum without technical difficulty. However bowel preparation is the most important point to complete the evaluation of the colon in patients with colostomy.","PeriodicalId":130011,"journal":{"name":"Gastroenterology: Medicine & Research","volume":"100 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128965013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hypogonadism and Hepatic Steatosis in Heterozygous Hemochromatosis 杂合性血色素沉着症的性腺功能减退和肝脏脂肪变性

Gastroenterology: Medicine & Research Pub Date : 2020-06-29 DOI: 10.31031/gmr.2020.04.000596

L. Cohen

引用次数: 0

The Effect of Extracorporeal Albumin Dialysis (ECAD) on Pruritus Using MARS Versus New Adsorbent Recirculation (OPAL) 体外白蛋白透析(ECAD)与新型吸附剂再循环(OPAL)治疗瘙痒的疗效比较

Gastroenterology: Medicine & Research Pub Date : 2020-05-23 DOI: 10.31031/GMR.2020.04.000600

Hartmut Schmidt, C. Wilms, H. Gerth, M. Hinz, S. Koball, Alexandra Rivera Luna, Victoria Rivera Luna, Claudia Pfensig, Adrian Dominik, S. Klammt, Kristin Bruederlein, S. Mitzner, Raoul Benedikt Sauer, J. Stange, A. Kortgen, C. Sponholz, M. Dollinger

引用次数: 0