Gastroenterology, Hepatology & Digestive Disorders最新文献_第4页

Intussusception: Highlighted Aspects 肠套叠:重点方面

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 2018-10-30 DOI: 10.33425/2639-9334.1020

A. Almaiman

{"title":"Intussusception: Highlighted Aspects","authors":"A. Almaiman","doi":"10.33425/2639-9334.1020","DOIUrl":"https://doi.org/10.33425/2639-9334.1020","url":null,"abstract":"Intussusception is a clinical disorder characterized by the telescoping of a proximal part of the bowel into its distal part. The point that invaginates into its adjacent part is known as the \"Intussusceptum\" (also referred to as the lead point), while the distal segment that receives the folding is known as the ''Intussuscipien''. This is one of the most important causes of acute abdomen in children, particularly infants and toddlers (3 months 3 years), however it is a rare condition in adults and brings about a variety of symptoms and patterns; be it acute, intermittent, or chronic. This disorder particularly triggers worrisome matters that are deemed target worthy in the clinical setting. One of these matters is managing the possible shock that comes about with the excessive compromise of the mesenteric blood supply, which ends up thickening the intestinal wall leading to fatal complications of ischemia and perforation. Intussusception's diagnostic approach also happens to be its therapeutic approach, which is non-operative reduction (be it air or barium enema). The recurrence risk of Intussusception is one that demands a cautious observation in an in-patient setting, as the reduction management helps in limiting said risk allowing the recurrence to alter between 24 and 48 hours onwards. In recent years, there has been a presentation of this disorder in children who were provided with the Rotavirus vaccine bringing about different post-marketing surveillances to understand the possible risks of developing Intussusception. Along with the general overview on the topic of Intussusception the following highlights will be included: an emphasis on the potential complications of Intussusception, its distinguishing presentation between children and adults, favoring air over liquid enema in reduction management, and Intussusception's increasing risk if/when the Rotavirus vaccine is given.","PeriodicalId":211573,"journal":{"name":"Gastroenterology, Hepatology & Digestive Disorders","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123111852","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

Secret Sonic Weapons’ War Lead To Carcinogenesis 秘密声波武器的战争导致致癌

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 2018-07-26 DOI: 10.32474/ddipij.2018.02.000129

R. Skopec

引用次数: 0

Influence of Pancreatic Steatosis on the Structural Changes of the Liver and Pancreas in Children with Overweight and Obesity 超重和肥胖儿童胰腺脂肪变性对肝脏和胰腺结构改变的影响

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 2018-06-30 DOI: 10.33425/2639-9334.1013

M StepanovYu, Zavhorodnia N Yu, Lukianenko O Yu, G HravirovskaN, Yahmur V.B, Konenko I.S

引用次数: 0

Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report 肉芽肿性肝炎并不明原因持续发热1例报告

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 2018-06-30 DOI: 10.33425/2639-9334.1009

M. Magrath, M. Pearlman, Lan Peng, William Lee

引用次数: 0

Yes or No for Heliosphere Airfilled Gastric Balloon 是或否为日光球充气胃球囊

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 2018-06-30 DOI: 10.33425/2639-9334.1011

Falih M. Algazgooz, Ali Dawood Al-Hilf, W. H. Al-Sewadi

{"title":"Yes or No for Heliosphere Airfilled Gastric Balloon","authors":"Falih M. Algazgooz, Ali Dawood Al-Hilf, W. H. Al-Sewadi","doi":"10.33425/2639-9334.1011","DOIUrl":"https://doi.org/10.33425/2639-9334.1011","url":null,"abstract":"Objective: Obesity among the most common nutritional disorders is rising worldwide. It lead to many health problems like metabolic disorders, strock and even cancer. We share our experience by using air-filled gastric balloon (heliosphere type). Its safety, tolerability and its efficacy in weight reduction. Methods: This study was conducted on 106 patients at one center (Al-Sadr Teaching Hospital) for the period from June 2014 to June 2015, using air-filled gastric balloon with air inflation of 600-720 ml. The BMI of the patients was (36-58) with the prevalence of 44% male and 56% females. After consent, preballoon investigation tests, balloon was inserted with the aid of conscious sedation at the endoscopy unit. The balloon was filled with 600-720 ml of air. All patients following the procedure were given analgesia and antiemetic for five days and PPIs for six months. Diet and the importance of the exercise were part of the preballoon insertion phase and protocol. The balloon was removed after 6 months. Results: In this study, the 106 patients with BMI (36-58) were subjected for introduction of air-filled gastric balloons over a period of six months and a follow up for them continued for up to two years. Our patients were classified into three categories: Acceptable or good weight reduction with a mean weight reduction of 13.5 kgs, failure of weight reduction and early removal of the balloon due to unacceptable periodic pain and gastric ulcer on follow up endoscopy. Conclusion: Despite the effective weight reduction in selected group of patients, the air filled gastric balloon is a temporary solution for obesity or as a bridge for surgery in sever morbidly obese patients. It has an unacceptable incidence of gastric ulcer.","PeriodicalId":211573,"journal":{"name":"Gastroenterology, Hepatology & Digestive Disorders","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115780244","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

A Systematic Review of the Histopathology and Immunochemistry in Duodenal Gangliocytic Paragangliomas with Lymph Node Metastases to Identify Predictors of Malignancy 十二指肠神经节细胞副神经节瘤伴淋巴结转移的组织病理学和免疫化学的系统综述，以确定恶性肿瘤的预测因素

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 2018-06-30 DOI: 10.33425/2639-9334.1010

Luke B. Hartford, Alexsi Sherazadishvili, K. Leslie, J. Parfitt

引用次数: 0

Laparoscopic Longitudinal Pancreatojejunostomy for Chronic Pancreatitis: Report of First Ukraine Experience 腹腔镜纵向胰空肠吻合术治疗慢性胰腺炎:第一次乌克兰经验报告

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 2018-06-30 DOI: 10.33425/2639-9334.1008

V. Yareshko, I. Mikheiev

{"title":"Laparoscopic Longitudinal Pancreatojejunostomy for Chronic Pancreatitis: Report of First Ukraine Experience","authors":"V. Yareshko, I. Mikheiev","doi":"10.33425/2639-9334.1008","DOIUrl":"https://doi.org/10.33425/2639-9334.1008","url":null,"abstract":"Introduction: Surgery is a more effective option for pain relief in chronic pancreatitis. It relates to those patients, who don't have an increase in the head of the pancreas, and there is only dilatation of the main pancreatic duct, a good result can give the performance of laparoscopic longitudinal pancreatojejunostomy. Materials and Methods: Four attempts of laparoscopic lateral pancreatojejunostomy were made in patients with early chronic pancreatitis without an increase in the head of the pancreas. There were two females and two men and average age was 42,6. The indications for surgery in all patients was abdominal pain and dilatation main pancreatic duct (the average diameter was 12,8 mm). We used five-port technique. After opening omental bursa, we found, punctured and opened the main pancreatic duct. Then, using two linear staplers Endo-Gia 60 to handle the jejunum loops by Roux-en-Y. We we performed single-row longitudinal pancreatojejunostomy with barbed-suture V-Loc. Results: We had two conversions to open surgery, because of theinability to find the main pancreatic duct and bleeding. The average operation time was 207 minutes. Post-operative stay was average 9 days and on median follow-up of 12 month. Post-operatively, there were no major morbidity and nil mortality. All patients had complete pain relief and significant weight gain. Conclusion: Laparoscopic longitudinal pancreaticojejunostomy is safe, effective and feasible, especially with \"early chronic pancreatitis\" without an increase in the head of the pancreas. Research Article Citation: Volodymyr Yareshko, Iurii Mikheiev. Laparoscopic Longitudinal Pancreatojejunostomy for Chronic Pancreatitis: Report of First Ukraine Experience. Gastroint Hepatol Dig Dis. 2018; 1(2): 1-4.","PeriodicalId":211573,"journal":{"name":"Gastroenterology, Hepatology & Digestive Disorders","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117034578","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

HBV Seroprevalence and Genetic Diversity among HIV Patients in the Department of Lekoumou in Congo Brazzaville 刚果布拉柴维尔Lekoumou省HIV患者的HBV血清阳性率和遗传多样性

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 2018-06-30 DOI: 10.33425/2639-9334.1014

Mimiesse-Monamou Jile Florient, A. Clausina, A. Mboumba, N. George, M. Arnaud, A. Brunel, N. Marlyse, Itoua-Ngaporo Ngala Akoa, Atipo Ibara Blaise Irénée, Rutaganda Eric, D. Gassaye, Moukassa Donatien, Ibara Jean-Rosaire

{"title":"HBV Seroprevalence and Genetic Diversity among HIV Patients in the Department of Lekoumou in Congo Brazzaville","authors":"Mimiesse-Monamou Jile Florient, A. Clausina, A. Mboumba, N. George, M. Arnaud, A. Brunel, N. Marlyse, Itoua-Ngaporo Ngala Akoa, Atipo Ibara Blaise Irénée, Rutaganda Eric, D. Gassaye, Moukassa Donatien, Ibara Jean-Rosaire","doi":"10.33425/2639-9334.1014","DOIUrl":"https://doi.org/10.33425/2639-9334.1014","url":null,"abstract":"Introduction: HBV-HIV co-infection is a major public health problem. The objective of this study was to contribute to the improvement of management of HBV-HIV co-infected patients in Congo. Methods: This was a cross-sectional descriptive study conducted from January 1st to September 30th, 2016. We studied outpatients seen in hospitals and Integrated Health Center of Department of Lékoumou. Screening for HBsAg was done by rapid test (Heath Mate HBsAg plus test) and that of HIV 1 and 2 was done by immunoassay (ImmunocoCOMB II HIV). The detection of HBV DNA was made by the QIAGEN QIA Kit and the identification of genotypes by PCR product sequencing at the National Public Health Laboratory of Brazzaville. Results: During nine months of study period, 204 patients were enrolled to participate in this study. Male patients were 37.3% and female were 62.7%, with a sex ratio of 0.5. The mean age was 40.9 ± 13.4. The frequency of HBV-HIV co-infection was 2.4% (n = 5). Single infections accounted for 6.3% (n = 13) for HBV and 12.3% (n = 23) for HIV. Carriers of HBV DNA accounted for 7.8% (n = 16/204). Condom non-use was significantly associated with co-infection and mono-infection (P <0.05). HBV genotype E was more common in the study participants than genotype A. Conclusion: HIV-HBV co-infection exists. Despite the small sample size, the prevalence of infection with hepatitis B virus remains high. Two HBV genotypes, A and E, have been identified in co-infected and monoinfected patients.","PeriodicalId":211573,"journal":{"name":"Gastroenterology, Hepatology & Digestive Disorders","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116774203","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: 1

Investigating the Prevalence and Progression of Serrated Polyps – Tampa VA Experience 调查锯齿状息肉的患病率和进展-坦帕VA经验

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 2018-06-30 DOI: 10.33425/2639-9334.1012

S. Narayanan, Brijesh B. Patel, David J. Bromberg, Meghana Vellanki, P. Foulis, P. Kulkarni

引用次数: 0

Eosinophilic Esophagitis in Adult Patients with Upper Gastrointestinal Symptoms: a Cross-Sectional Study in Northeastern Egypt 有上消化道症状的成人嗜酸性食管炎:埃及东北部的一项横断面研究

Gastroenterology, Hepatology & Digestive Disorders Pub Date : 1900-01-01 DOI: 10.33425/2639-9334.1029

Mohamed El. alawy, M. A. Elmagd, Wafaa Hassan, W. Maher, Mohamed Hassan

{"title":"Eosinophilic Esophagitis in Adult Patients with Upper Gastrointestinal Symptoms: a Cross-Sectional Study in Northeastern Egypt","authors":"Mohamed El. alawy, M. A. Elmagd, Wafaa Hassan, W. Maher, Mohamed Hassan","doi":"10.33425/2639-9334.1029","DOIUrl":"https://doi.org/10.33425/2639-9334.1029","url":null,"abstract":"Background and Aim of Study: Eosinophilic Esophagitis (EoE) is a chronic immune/antigen-mediated esophageal disease characterized clinically by symptoms related to easophageal dysfunction and histologically by eosinophilpredominant inflammation. This study was performed to determine the prevelance of eosinophilic Esophagitis in Adult patients with Upper Gastrointestinal symptoms in Ismailia Governate, Egypt. Patients and Methods: This cross-sectional descriptive study recruited all patients with Upper Gastrointestinal Symptoms omitted for endoscopic evaluation at Suez Canal University Hospital, Endoscopic Unit, after giving written consent. Esophageal biopsy samples were obtained and histological evaluation for the presence of eosinophils was performed for every patient. EoE was defined with at least 15 eosinophils were present in a single high-power field. Results: Out of 354 adult patients with Upper Gastrointestinal symptoms underwent upper endoscopy, only 35 cases (10.2%) diagnosed as EoE based on presence of 15 eosinophils/HPF in esophageal biopsies. Conclusion: Patients with persistent symptoms of severe GERD, who do or do not respond to PPI should undergo UGI endoscopy with multiple biopsies to exclude EoE.","PeriodicalId":211573,"journal":{"name":"Gastroenterology, Hepatology & Digestive Disorders","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128928357","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