Tropical gastroenterology : official journal of the Digestive Diseases Foundation最新文献

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Clinical Profile and Outcome of Young Patients with Extrahepatic Biliary Obstruction at A High-Volume Tertiary Care Centre in Northern India 印度北部一个高容量三级保健中心的年轻肝外胆道梗阻患者的临床概况和结局
Ravikant Thakur
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引用次数: 0
Correlation of Gastric Scintigraphy and Clinical Symptoms in the Diagnosis of Gastroparesis and its Impact on Quality of Life: A Pan India Real World Study 胃轻瘫诊断与临床症状的相关性及其对生活质量的影响:一项泛印度真实世界研究
R. R
{"title":"Correlation of Gastric Scintigraphy and Clinical Symptoms in the Diagnosis of Gastroparesis and its Impact on Quality of Life: A Pan India Real World Study","authors":"R. R","doi":"10.7869/tg.618","DOIUrl":"https://doi.org/10.7869/tg.618","url":null,"abstract":"Background : Gastroparesis with its varied etiology is one of the major health issues in India. Poor correlation between delayed gastric emptying and its symptoms is well-known. This study was planned to evaluate the proportion of confirmed gastroparesis by scintigraphy among patients with suggestive clinical features, their underlying aetiologies and clinical profiling in a real-world setting in India. Settings and Design : Patients clinically diagnosed with gastroparesis, presenting varyingdegreesofsymptoms for at least 12-weeks, were enrolled in this multic-entric,cross-sectional, clinico-epidemiological study. Results : Overall, 196/201 enrolled patients underwent gastric scintigraphy; 88 (45%) were found to be scintigraphically positive and 108 (55%) patients were only clinically positive. Underlying etiologies of gastroparesis were idiopathic (51.2%), type-2 diabetes (44.8%), type-1 diabetes (2.5%) and psychological conditions (1.5%). Most patients presented symptoms like postprandial fullness (75.6%), bloating (50.7%), abdominal pain (45.3%), nausea (41.3%), abdominal discomfort (40.3%), early satiety (37.8%) and vomiting (17.9%) of moderate severity. Common dietary risk factors were fatty diet (66.7%), fiber-rich food (57.7%) and carbonated drinks (18.9%). Weight loss (6.5%), esophagitis (5.5%) and electrolyte disturbances (0.5%) were the associated complications. About 89.8% were on proton-pump inhibitors, followed by prokinetics (51.8%) and antiemetics (8.4%). The mean PAGI-QoL score was 3.6 ± 0.94, suggesting a moderate effect of gastroparesis on QoL. Conclusion : Poor correlation exists between gastric scintigraphy and gastrointestinal symptoms, thus reiterating the significance of the clinical diagnosis of gastroparesis, especially in diabetes. Only about half of the patients were prescribed prokinetics, emphasizing the need for appropriate pharmacotherapy using prokinetics for holistic management of gastroparesis.","PeriodicalId":23281,"journal":{"name":"Tropical gastroenterology : official journal of the Digestive Diseases Foundation","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87900549","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
Dizygotic Twins with Irritable Bowel Syndrome and Interleukin-6 Promoter Polymorphism (-174 G/C) 异卵双胞胎伴肠易激综合征与白细胞介素-6启动子多态性(-174 G/C)
S. Acharyya
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引用次数: 0
Seroprevalence of Hepatitis C Virus in Liver Disease Patients and Blood Donors from Northern India 印度北部肝病患者和献血者中丙型肝炎病毒的血清阳性率
Deepak Kumar
{"title":"Seroprevalence of Hepatitis C Virus in Liver Disease Patients and Blood Donors from Northern India","authors":"Deepak Kumar","doi":"10.7869/tg.617","DOIUrl":"https://doi.org/10.7869/tg.617","url":null,"abstract":"","PeriodicalId":23281,"journal":{"name":"Tropical gastroenterology : official journal of the Digestive Diseases Foundation","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75829300","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
Successful Management of Chylothorax in Cirrhosis of the Liver using Trans-jugular Intrahepatic Portosystemic Shunt (TIPS) 经颈静脉肝内门体分流术(TIPS)成功治疗肝硬化乳糜胸
Ajay Jain
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引用次数: 0
Irreducible Rectal Prolapse in a Patient with Anorectal Malformation: Arduous to Reduce 肛门直肠畸形患者的难治性直肠脱垂:难以复位
H. Bhattacharjee
{"title":"Irreducible Rectal Prolapse in a Patient with Anorectal Malformation: Arduous to Reduce","authors":"H. Bhattacharjee","doi":"10.7869/tg.622","DOIUrl":"https://doi.org/10.7869/tg.622","url":null,"abstract":"","PeriodicalId":23281,"journal":{"name":"Tropical gastroenterology : official journal of the Digestive Diseases Foundation","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88414346","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 Histopathological Study of Congenital Pouch Colon and its Impact on Management 先天性结肠袋的组织病理学研究及其对治疗的影响
S. Acharya
{"title":"A Histopathological Study of Congenital Pouch Colon and its Impact on Management","authors":"S. Acharya","doi":"10.7869/tg.619","DOIUrl":"https://doi.org/10.7869/tg.619","url":null,"abstract":"","PeriodicalId":23281,"journal":{"name":"Tropical gastroenterology : official journal of the Digestive Diseases Foundation","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88277685","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
Invasive Gastrointestinal Mucormycosis Presenting as Pneumonia 表现为肺炎的侵袭性胃肠道毛霉菌病
A. Balekuduru, Athish Shetty, G. Ramachandraiah, S. Subbaraj
{"title":"Invasive Gastrointestinal Mucormycosis Presenting as Pneumonia","authors":"A. Balekuduru, Athish Shetty, G. Ramachandraiah, S. Subbaraj","doi":"10.7869/TG.589","DOIUrl":"https://doi.org/10.7869/TG.589","url":null,"abstract":"Mucormycosis (zygomycosis) is a mould infection caused by a group of ubiquitous fungi (Mucorales). Rhizopus oryzae is the most common cause of mucormycosis1. The risk factors for the development of invasive mucormycosis are diabetes mellitus, particularly with ketoacidosis, corticosteroid use, neutropenic states in organ/stem cell transplantation or hematologic malignancies, malnourished states in renal failure, low birth infants, human immunodeficiency virus (HIV) infection and states of iron overload or treatment with desferoxamine. Nosocomial outbreaks may occur by transmission through contaminated bandages, tongue depressors and intravenous catheters1.","PeriodicalId":23281,"journal":{"name":"Tropical gastroenterology : official journal of the Digestive Diseases Foundation","volume":"8 1","pages":"94-96"},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91280996","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
Non-steroidal Anti-inflammatory Drug Induced Duodenal Diaphragm Managed with Endoscopic Dilation 非甾体抗炎药诱导的十二指肠膈经内镜扩张治疗
Ankur Gupta, D. Sonkar, A. Shukla
{"title":"Non-steroidal Anti-inflammatory Drug Induced Duodenal Diaphragm Managed with Endoscopic Dilation","authors":"Ankur Gupta, D. Sonkar, A. Shukla","doi":"10.7869/TG.591","DOIUrl":"https://doi.org/10.7869/TG.591","url":null,"abstract":"","PeriodicalId":23281,"journal":{"name":"Tropical gastroenterology : official journal of the Digestive Diseases Foundation","volume":"29 1","pages":"99-101"},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82639059","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
Intra-Biliary Colorectal Metastasis in Lynch Syndrome: Fifteen Years After the Index Cancer Lynch综合征的胆道内结直肠转移:指数癌后15年
Anju Mullath, A. Koshy, Roy j. Mukkada, A. Chettupuzha, S. Paul, P. Mathew, P. Mahadevan, Murali Krishna
{"title":"Intra-Biliary Colorectal Metastasis in Lynch Syndrome: Fifteen Years After the Index Cancer","authors":"Anju Mullath, A. Koshy, Roy j. Mukkada, A. Chettupuzha, S. Paul, P. Mathew, P. Mahadevan, Murali Krishna","doi":"10.7869/TG.590","DOIUrl":"https://doi.org/10.7869/TG.590","url":null,"abstract":"Tropical Gastroenterology 96 The duration of antifungal treatment is guided by the resolution of clinical and radiological features which may take 6 to 8 weeks. The recommended therapeutic drug level of posaconazole is a trough concentration of 1 μg/mL or higher4. Delayed presentation with inability to remove the infected intestinal segment and use of parenteral antifungal therapy alone in an immunocompromised patient might have led to fatality in our case. Therefore, a high degree of clinical suspicion, early diagnosis and prompt surgical debridement with anti -fungal therapy might improve survival.","PeriodicalId":23281,"journal":{"name":"Tropical gastroenterology : official journal of the Digestive Diseases Foundation","volume":"118 1","pages":"96-99"},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76996024","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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