Indian Journal of Gastroenterology最新文献

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The effectiveness of a conservative approach in the management of groove pancreatitis. 保守治疗沟型胰腺炎的疗效观察。
IF 2
Indian Journal of Gastroenterology Pub Date : 2025-01-18 DOI: 10.1007/s12664-024-01715-x
Ajith Thomas, Anand Vimal Dev, Anoop John, Reetu Amrita John, Lalji Patel, Reuben Thomas Kurien, Anu Eapen, Ebby George Simon, Amit Kumar Dutta, Rajeeb Jaleel, Anjilivelil Joseph Joseph, Sudipta Dhar Chowdhury
{"title":"The effectiveness of a conservative approach in the management of groove pancreatitis.","authors":"Ajith Thomas, Anand Vimal Dev, Anoop John, Reetu Amrita John, Lalji Patel, Reuben Thomas Kurien, Anu Eapen, Ebby George Simon, Amit Kumar Dutta, Rajeeb Jaleel, Anjilivelil Joseph Joseph, Sudipta Dhar Chowdhury","doi":"10.1007/s12664-024-01715-x","DOIUrl":"https://doi.org/10.1007/s12664-024-01715-x","url":null,"abstract":"<p><strong>Background: </strong>Groove pancreatitis (GP) is a form of pancreatitis that affects the pancreaticoduodenal groove area, which lies between the head of the pancreas, the second part of the duodenum and the distal bile duct, presenting as abdominal pain and gastric outlet obstruction. In this study, we present the clinical and radiological characteristics of individuals diagnosed with groove pancreatitis at our center and discuss the use of a conservative treatment approach in managing GP.</p><p><strong>Methods: </strong>The data of patients with groove pancreatitis treated at our center between January 2012 and December 2021 was analyzed. The clinical, laboratory and radiological features were recorded and patients were followed up for at least six months in the pancreatic clinic by a specialist doctor.</p><p><strong>Results: </strong>Fifty patients were included in the study. Most patients were males (98%) in the middle age group (35 to 55 years) (70%) with chronic alcohol use and/or smoking noted in 48 (96%) of them. Ninety-six per cent presented with recurrent abdominal pain. The most common imaging features were the thickening of the medial duodenal wall (100%) followed by enhancement of the scar tissue in the groove (98%). All patients were initially treated conservatively with advice to abstain from addictions, of whom 35 patients were followed up. Twenty per cent of the patients (seven out of 35) did not respond and required a step-up approach with endoscopic retrograde cholangiopancreatography (for biliary obstruction), celiac block (for ongoing abdominal pain) and surgery (gastrojejunostomy for gastric outlet obstruction, Frey's procedure for abdominal pain). Most patients were asymptomatic at follow-up (mean follow-up of 30 months).</p><p><strong>Conclusion: </strong>The diagnosis of GP continues to be a challenge. A step-up approach appears to be a reasonable strategy in managing GP as most of them can be managed conservatively.</p>","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004779","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
Hereditary pancreatitis with a N29I mutation in the PRSS1 (Trypsinogen) gene: A case report from India. PRSS1(胰蛋白酶原)基因N29I突变的遗传性胰腺炎:印度一例报告
IF 2
Indian Journal of Gastroenterology Pub Date : 2025-01-17 DOI: 10.1007/s12664-024-01722-y
Merlyn Rodrigues, Priyanka Mattela, Rupjyoti Talukdar, Chandan Peddapulla, Sundeep Lakhtakia, Mitnala Sasikala, Nageshwar Reddy Duvvur, Ravikanth Vishnubhotla
{"title":"Hereditary pancreatitis with a N29I mutation in the PRSS1 (Trypsinogen) gene: A case report from India.","authors":"Merlyn Rodrigues, Priyanka Mattela, Rupjyoti Talukdar, Chandan Peddapulla, Sundeep Lakhtakia, Mitnala Sasikala, Nageshwar Reddy Duvvur, Ravikanth Vishnubhotla","doi":"10.1007/s12664-024-01722-y","DOIUrl":"https://doi.org/10.1007/s12664-024-01722-y","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004778","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
Total pancreatic lipomatosis presenting as pancreatic exocrine insufficiency. 以胰腺外分泌功能不全为表现的全胰脂肪瘤病。
IF 2
Indian Journal of Gastroenterology Pub Date : 2025-01-15 DOI: 10.1007/s12664-024-01724-w
Satinder Pal Singla, Suprabhat Giri, Swati Das, Sarat Chandra Panigrahi, Bipadabhanjan Mallick, Manoj Kumar Sahu
{"title":"Total pancreatic lipomatosis presenting as pancreatic exocrine insufficiency.","authors":"Satinder Pal Singla, Suprabhat Giri, Swati Das, Sarat Chandra Panigrahi, Bipadabhanjan Mallick, Manoj Kumar Sahu","doi":"10.1007/s12664-024-01724-w","DOIUrl":"https://doi.org/10.1007/s12664-024-01724-w","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983416","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
Giant peritoneal loose body: An exceedingly uncommon entity. 巨大腹膜松散体:一种极为罕见的实体。
IF 2
Indian Journal of Gastroenterology Pub Date : 2025-01-15 DOI: 10.1007/s12664-024-01729-5
Divij Agarwal, Shivanand Gamanagatti, Dipin Sudhakaran, Rajendra Kumar Behera
{"title":"Giant peritoneal loose body: An exceedingly uncommon entity.","authors":"Divij Agarwal, Shivanand Gamanagatti, Dipin Sudhakaran, Rajendra Kumar Behera","doi":"10.1007/s12664-024-01729-5","DOIUrl":"https://doi.org/10.1007/s12664-024-01729-5","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983410","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
Pre-emptive underwater coagulation of large blood vessels during POEM. POEM术中大血管的先发制人水下凝血。
IF 2
Indian Journal of Gastroenterology Pub Date : 2025-01-15 DOI: 10.1007/s12664-024-01731-x
Zaheer Nabi, Pradev Inavolu, Rajesh Goud, Santhosh Darisetty, D Nageshwar Reddy
{"title":"Pre-emptive underwater coagulation of large blood vessels during POEM.","authors":"Zaheer Nabi, Pradev Inavolu, Rajesh Goud, Santhosh Darisetty, D Nageshwar Reddy","doi":"10.1007/s12664-024-01731-x","DOIUrl":"https://doi.org/10.1007/s12664-024-01731-x","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983412","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
Lymphangiogram in primary intestinal lymphangiectasia. 原发性肠淋巴管扩张的淋巴管造影。
IF 2
Indian Journal of Gastroenterology Pub Date : 2025-01-08 DOI: 10.1007/s12664-024-01725-9
Suriya Nedunchezhian, Anand Kumar Raghavendran, Athish Shetty, Harshith Kramadhari, Ganesh Bhat
{"title":"Lymphangiogram in primary intestinal lymphangiectasia.","authors":"Suriya Nedunchezhian, Anand Kumar Raghavendran, Athish Shetty, Harshith Kramadhari, Ganesh Bhat","doi":"10.1007/s12664-024-01725-9","DOIUrl":"https://doi.org/10.1007/s12664-024-01725-9","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948209","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
Gastrointestinal symptoms and disorders of gut-brain interaction in pregnancy. 妊娠期肠脑相互作用的胃肠道症状和紊乱。
IF 2
Indian Journal of Gastroenterology Pub Date : 2025-01-04 DOI: 10.1007/s12664-024-01705-z
Abhinav Jain, Shraddha Ramchandani, Shobna Bhatia
{"title":"Gastrointestinal symptoms and disorders of gut-brain interaction in pregnancy.","authors":"Abhinav Jain, Shraddha Ramchandani, Shobna Bhatia","doi":"10.1007/s12664-024-01705-z","DOIUrl":"https://doi.org/10.1007/s12664-024-01705-z","url":null,"abstract":"<p><p>Gastrointestinal (GI) symptoms occur frequently in pregnant women, resulting in poor quality of life. These patients frequently require co-management with the obstetrician and a physician/GI specialist. The causation is complex and multifactorial. It is a result of a combination of maternal changes in pregnancy and feto-placental hormonal effects on the GI tract (the feto-placental-gut axis). Additional factors such as the gut-brain interaction, genetics, immune response and effects of maternal supplements during pregnancy also contribute to the causation of symptoms. The most common of these symptoms include nausea and vomiting followed by heartburn. The common lower GI symptoms include constipation and hemorrhoids. Irritable bowel syndrome (IBS) is also common in a pregnant patient. But there is a paucity of literature and high-quality studies concerning the management of IBS. This review addresses the pathophysiology and clinical and laboratory evaluation of the common upper GI and lower GI symptoms and their management. A majority of symptoms are mild and lifestyle modifications with non-pharmacological measures should be the first-line management, whereas drugs should be used judiciously in case of non-response or severe symptoms. The nutritional status of the mother and the fetus needs close monitoring. Drugs that are routinely used in pregnancy are discussed with regard to the safety of the mother and the fetus. GI endoscopy may be needed in select patients and the indications for endoscopy and colonoscopy in pregnancy along with special pregnancy-related precautions are discussed. Most symptoms improve to pre-pregnancy state after delivery.</p>","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926983","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
Unusual appearance of hepatic cavernous hemangioma on ultrasound in a patient with fatty liver. 脂肪肝患者肝海绵状血管瘤的超声表现异常。
IF 2
Indian Journal of Gastroenterology Pub Date : 2024-12-21 DOI: 10.1007/s12664-024-01710-2
Divij Agarwal, Sunil Taneja, Pankaj Gupta
{"title":"Unusual appearance of hepatic cavernous hemangioma on ultrasound in a patient with fatty liver.","authors":"Divij Agarwal, Sunil Taneja, Pankaj Gupta","doi":"10.1007/s12664-024-01710-2","DOIUrl":"https://doi.org/10.1007/s12664-024-01710-2","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872068","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
EUS-guided biliary drainage in patients with malignant biliary obstruction with total gastrectomy status: Jejunum to rescue. eus引导下胆道引流在恶性胆道梗阻全胃切除术患者中的地位:空肠抢救。
IF 2
Indian Journal of Gastroenterology Pub Date : 2024-12-19 DOI: 10.1007/s12664-024-01713-z
Ramesh Uddarraju, Jimmy Narayan, Anuraag Jena, Girish Kumar Pati, Manjit Kanungo, Swarup Patnaik, Vasista Palnati
{"title":"EUS-guided biliary drainage in patients with malignant biliary obstruction with total gastrectomy status: Jejunum to rescue.","authors":"Ramesh Uddarraju, Jimmy Narayan, Anuraag Jena, Girish Kumar Pati, Manjit Kanungo, Swarup Patnaik, Vasista Palnati","doi":"10.1007/s12664-024-01713-z","DOIUrl":"https://doi.org/10.1007/s12664-024-01713-z","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854016","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
ABC score is a better predictor for 30-day mortality in upper gastrointestinal bleeding: A prospective single-center study. ABC评分能更好地预测上消化道出血患者30天死亡率:一项前瞻性单中心研究
IF 2
Indian Journal of Gastroenterology Pub Date : 2024-12-19 DOI: 10.1007/s12664-024-01703-1
Vikas Pemmada, Athish Shetty, Shiran Shetty, Ganesh Pai C, Balaji Musunuri, Siddheesh Rajpurohit, Ganesh Bhat
{"title":"ABC score is a better predictor for 30-day mortality in upper gastrointestinal bleeding: A prospective single-center study.","authors":"Vikas Pemmada, Athish Shetty, Shiran Shetty, Ganesh Pai C, Balaji Musunuri, Siddheesh Rajpurohit, Ganesh Bhat","doi":"10.1007/s12664-024-01703-1","DOIUrl":"https://doi.org/10.1007/s12664-024-01703-1","url":null,"abstract":"<p><strong>Background: </strong>Acute upper gastrointestinal bleeding (UGIB) still has a mortality rate of about 10%. Several pre-endoscopy scoring systems have been developed to predict the outcome, but none accurately predict mortality. The present study was aimed at comparing the new ABC score (age, blood tests and comorbidities) with other pre-existing scoring systems to predict mortality.</p><p><strong>Methods: </strong>This prospective single-center study was done at a tertiary hospital in India in 2022-2023. Patients > 18 years presenting with UGIB within 48 hours were included in the study. They were divided into variceal and non-variceal UGIB cohorts and were followed for 30 days after receiving standard-of-care treatment.</p><p><strong>Results: </strong>Out of 296 patients, 168 (56.7%) had variceal (V) bleed, while 128 (43.2%) individuals had a non-variceal (NV) type of GI bleed. The mortality rate was 9.8% (n = 29), which was higher among the V bleed group compared to the NV bleed group (8.7% vs. 1.1%). The area under the receiver operating characteristics (AUROC) for ABC score was the highest (0.75) compared to other scoring systems and was also more significant among deaths related to V bleed (0.76) than NV bleed (0.64). Hypoalbuminemia and > 3 blood transfusions are significant factors in predicting mortality.</p><p><strong>Conclusion: </strong>Our study demonstrates that the ABC score is superior to other scores in predicting 30-day mortality in patients with UGIB. ABC score may be a better predictor of mortality among V bleed patients than NV bleeds.</p>","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854008","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
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