International Journal of Gastroenterology最新文献

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Effect of Somatostatin Plus Diclofenac in Comparison with Diclofenac Before ERCP on the Pancreatitis Double Blinded Randomized Clinical Trial 生长抑素加双氯芬酸与ERCP前双氯芬酸对胰腺炎双盲随机临床试验的影响
International Journal of Gastroenterology Pub Date : 2023-03-20 DOI: 10.11648/j.ijg.20230701.12
Homa Abri, F. Zamani, Mahsa Agahi, H. Ajdarkosh, A. Faraji, M. Khoonsari, Elham Sobhrakhshankhah, N. Motamed, M. Sohrabi, F. Safarnezhad Tameshkel, Roghaye Sahraei, P. Sadeghipour, M. Nikkhah
{"title":"Effect of Somatostatin Plus Diclofenac in Comparison with Diclofenac Before ERCP on the Pancreatitis Double Blinded Randomized Clinical Trial","authors":"Homa Abri, F. Zamani, Mahsa Agahi, H. Ajdarkosh, A. Faraji, M. Khoonsari, Elham Sobhrakhshankhah, N. Motamed, M. Sohrabi, F. Safarnezhad Tameshkel, Roghaye Sahraei, P. Sadeghipour, M. Nikkhah","doi":"10.11648/j.ijg.20230701.12","DOIUrl":"https://doi.org/10.11648/j.ijg.20230701.12","url":null,"abstract":"of Somatostatin Plus Diclofenac in","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133608668","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
Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report 回肠-回肠肠套叠1例
International Journal of Gastroenterology Pub Date : 2023-03-20 DOI: 10.11648/j.ijg.20230701.13
Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara, Gamage Manisha Daminda Kariyawasam, Ishan De Zoysa
{"title":"Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report","authors":"Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara, Gamage Manisha Daminda Kariyawasam, Ishan De Zoysa","doi":"10.11648/j.ijg.20230701.13","DOIUrl":"https://doi.org/10.11648/j.ijg.20230701.13","url":null,"abstract":": Intussusceptions are rare entities among adult and adolescent populations. It is relatively common among children. Due to the lack of specific clinical features in adult and adolescent patients, its diagnosis is often delayed. Adult and adolescent intussusception could be due to many reasons","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128558135","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
The Homeostatic Protein Fam3D Orchestrates Colon Mucosal Protection Against Infection, Inflammation, and Carcinogenesis 稳态蛋白Fam3D协调结肠黏膜保护对抗感染、炎症和癌变
International Journal of Gastroenterology Pub Date : 2023-02-21 DOI: 10.11648/j.ijg.20230701.11
Keqiang Chen, Weiwei Liang, T. Yoshimura, W. Gong, Jiaqiang Huang, Simone Difilippantonio, Georgette N. Jones, Jimmy York, G. Trinchieri, Ying Wang, J. Ming Wang
{"title":"The Homeostatic Protein Fam3D Orchestrates Colon Mucosal Protection Against Infection, Inflammation, and Carcinogenesis","authors":"Keqiang Chen, Weiwei Liang, T. Yoshimura, W. Gong, Jiaqiang Huang, Simone Difilippantonio, Georgette N. Jones, Jimmy York, G. Trinchieri, Ying Wang, J. Ming Wang","doi":"10.11648/j.ijg.20230701.11","DOIUrl":"https://doi.org/10.11648/j.ijg.20230701.11","url":null,"abstract":"","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123258243","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
Progress in the Application of Interventional Technique in Malignant Obstructive Jaundice 恶性梗阻性黄疸介入技术的应用进展
International Journal of Gastroenterology Pub Date : 2021-08-31 DOI: 10.11648/J.IJG.20210502.14
Lipeng Yang, Xingyuan Zhang, S. Fan, Xuefeng Cao
{"title":"Progress in the Application of Interventional Technique in Malignant Obstructive Jaundice","authors":"Lipeng Yang, Xingyuan Zhang, S. Fan, Xuefeng Cao","doi":"10.11648/J.IJG.20210502.14","DOIUrl":"https://doi.org/10.11648/J.IJG.20210502.14","url":null,"abstract":"Malignant obstructive jaundice (MOJ) is usually due to the terminal stages of tumor, so there is no time for curative surgery. Hyperbilirubinemia caused by MOJ can cause damage to systems throughout the body and affect the survival prognosis. Symptomatic treatment is needed even in the advanced stage of the disease. Interventional therapy and surgery are the main means to relieve biliary obstruction, but patients have poor tolerance to surgery at this time, and the risk of surgery is high. At this time, the focus of treatment is to remove the obstruction of the biliary tract as early as possible to avoid the further aggravation of jaundice, progressive deterioration of liver function and other serious complications. Biliary interventional therapy has the special advantage of minimally invasive, and is an effective treatment for patients with advanced MOJ. Currently, bile duct interventional therapy mainly includes bile duct interventional drainage, biliary stent implantation, iodine-125 (125 I) seed strand implantation, biliary radiofrequency ablation(RFA)and Intraluminal brachytherapy (ILBT), etc. Each of which has its own advantages and disadvantages in clinical application. With the progress of medical technology and the improvement and perfection of hardware equipment, the combination of multiple clinical departments and multiple operation methods will become a new trend of MOJ interventional therapy.","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131420461","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
An Emerging Clinical Form of Acute Pancreatitis in Covid-19 Covid-19急性胰腺炎的新临床形式
International Journal of Gastroenterology Pub Date : 2021-08-04 DOI: 10.11648/J.IJG.20210502.13
Meriem Atrassi, Karima Ryouni, Dalal Ben Sabbahia, A. Abkari
{"title":"An Emerging Clinical Form of Acute Pancreatitis in Covid-19","authors":"Meriem Atrassi, Karima Ryouni, Dalal Ben Sabbahia, A. Abkari","doi":"10.11648/J.IJG.20210502.13","DOIUrl":"https://doi.org/10.11648/J.IJG.20210502.13","url":null,"abstract":"Background: As the global severe acute respiratory syndrome coronavirus (SARS-CoV-2) pandemic continues, new clinical forms of the disease continue to emerge. While the coronavirus is responsible for gastrointestinal symptoms and acute hepatitis, researchers at the Royal University Hospital of Liverpool say they have identified cases of COVID-19-linked pancreatitis in young patients with COVID-19. Objectives: To establish influence of concomitant COVID-19 on clinical presentation and treatment strategy of patients with AP. Methods: This is a case report of pediatric patient admitted to a Pediatric Gastroenterology Unit, A. Harouchi Hospital, CHU Ibn Rochd, Casablanca, Morocco in October 2020 during the COVID-19 pandemic. Results: We report the observation of a 16-year-old girl, who received symptomatic outpatient treatment for influenza-like illness with a fever of 38.5°C before rapidly evolving in 1 week to stage E pancreatitis, where a SARS-COV2 IgG and IgM viral serology was requested coming back positive with a negative nasopharyngeal PCR covid. Conclusion: In conclusion, pancreatitis caused by SARS-CoV-2 is a real but rare entity; in fact COVID-19 can present as pancreatitis. This case highlights acute pancreatitis as a complication associated with COVID-19 and underlines the importance of measuring pancreas-specific plasma amylase in patients with COVID-19 and abdominal pain. This diagnosis is important for adequate treatment and better management of systemic repercussions, such as SIRS, decreasing SARS-CoV-2 mortality.","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116368176","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
Incidence of Gastric Cancer in the Patients with Schizophrenia: A Meta-analysis 精神分裂症患者胃癌发病率的meta分析
International Journal of Gastroenterology Pub Date : 2021-08-02 DOI: 10.11648/J.IJG.20210502.12
Jiachen Gao, Yuhang Wang, Zi-jun Jia, Tingting Zhou, Xiangwen Zhang, G. Zu
{"title":"Incidence of Gastric Cancer in the Patients with Schizophrenia: A Meta-analysis","authors":"Jiachen Gao, Yuhang Wang, Zi-jun Jia, Tingting Zhou, Xiangwen Zhang, G. Zu","doi":"10.11648/J.IJG.20210502.12","DOIUrl":"https://doi.org/10.11648/J.IJG.20210502.12","url":null,"abstract":"Background: Several studies have reported the incidence of gastric cancer (GC) in the patients with schizophrenia, but the incidence of GC in schizophrenia patients remains controversy. It is necessary to perform a meta-analysis to detect the incidence of GC in schizophrenia patients. Methods: We search the relevant articles from PubMed, EMBASE, Web of Science, the Cochrane Library and Chinese electronic databases. The incidence of GC in schizophrenia patients and heterogeneity were analyzed with STATA10.0 software. Results: Our meta-analysis included total 283,422 patients with schizophrenia and 1,024 patients with GC in nine articles. The incidence of GC in schizophrenia patients was 0.62% (95%CI: 0.005-0.008; P<0.001), but there is obvious heterogeneity (I2=98.7%). We next performed subgroup analysis to explore the incidence of GC in schizophrenia patients by gender and region. The GC incidence in male schizophrenia patients (0.28%, 95%CI: 0.001-0.003; P<0.001) was higher than that in female patients (0.23%, 95%CI: 0.002-0.004). In European countries, the GC incidence in schizophrenia patients (0.98%, 95%CI: 0.005-0.008) was higher than that in Asian countries (0.13%, 95%CI: 0.000-0.002; P<0.001). Conclusion: The incidence of GC in patients with schizophrenia was 0.62%. The GC incidence was higher in male and European countries schizophrenia patients, but large cohort studies are needed to confirm further.","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125437530","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: 2
Efficacy and Tolerability of Oral Iron Protein Succinylate in the Treatment of Iron Deficiency Anemia in Adults with Gastrointestinal Diseases 口服琥珀酸铁蛋白治疗成人胃肠疾病缺铁性贫血的疗效和耐受性
International Journal of Gastroenterology Pub Date : 2021-07-16 DOI: 10.11648/J.IJG.20210502.11
L. Izquierdo
{"title":"Efficacy and Tolerability of Oral Iron Protein Succinylate in the Treatment of Iron Deficiency Anemia in Adults with Gastrointestinal Diseases","authors":"L. Izquierdo","doi":"10.11648/J.IJG.20210502.11","DOIUrl":"https://doi.org/10.11648/J.IJG.20210502.11","url":null,"abstract":"Iron deficiency anemia (IDA) is commonly associated with several pathological gastrointestinal (GI) conditions in adults, being induced through different mechanisms, such as chronic bleeding, chronic inflammation, malabsorption, autoimmune re-actions, or, quite frequently, as a combination of different mechanisms. All patients must be treated with iron supplementation with the aim of restoring normal hemoglobin levels and iron status. Oral iron compounds are the first line treatment options for ID clinical conditions, according to International Guidelines, as they have proven to be efficacious, safe, and relatively inexpensive. However, ferric salts are scarcely absorbed, and ferrous compounds present a poor GI tolerability. Iron-protein succinylate (IPS), an iron complex that keeps ferric iron bonded to the protein content of a succinylated casein shell at acid pH values, has been shown to release gradually iron into the intestinal lumen, protecting the gastrointestinal mucosa from eventual damage, an ensuring an optimal intestinal iron absorption. This review focuses on IPS in the treatment of IDA associated to a variety of GI medical conditions in adults. Results from diverse studies including IDA due to acute and chronic GI conditions, as well as IDA associated to gastric surgery, confirm a consistent improvement in hematologic parameters and clinical symptoms, and an optimal tolerability profile.","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131893239","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-medicine Methods of Treatment of Gastroesophageal Reflux Disease 胃食管反流病的非药物治疗方法
International Journal of Gastroenterology Pub Date : 2021-05-21 DOI: 10.11648/J.IJG.20210501.15
M. Efendiyeva
{"title":"Non-medicine Methods of Treatment of Gastroesophageal Reflux Disease","authors":"M. Efendiyeva","doi":"10.11648/J.IJG.20210501.15","DOIUrl":"https://doi.org/10.11648/J.IJG.20210501.15","url":null,"abstract":"Few decades away a problem of throwing of acidic gastric content into an esophagus was reduced to the concept of reflux-esophagitis. In-depth study of pathogenesis of a disease resulted in “gastroesophageal reflux disease” (GERD) term which is acknowledged as leading disease of digestive system in terms of frequency and dangerous complications. GERD formation is determined by influence of numerous factors, however, it is generally accepted, that it is mainly related to insufficiency of lower esophageal sphincter (LES). Also, role of vasoactive intestinal peptide (VIP) in regulation of functional state of LES is determined. In spite of success in field of pharmacology, number of GERD patients has no downward trend which mainstreams search for non-medicine treatment methods. Physical factors affecting pathological processes by influencing regulatory processes are among these methods. Goal of this study is elaboration, scientific justification and clinical implementation of natural and preformed physical factors and acupuncture in treatment of patients with gastroesophageal reflux disease. Materials and Investigation methods: Randomized placebo-controlled study included 137 patients with gastroesophageal reflux disease, 63 (46%) men and 74 (54%) women, at the age of 18 to 65. Investigation included patients with no contraindications for physiotherapy. Patients with Barrett’s esophagus, stricture of esophagus, esophagus ulcer have also been excluded from investigation. Patients were divided into 3 groups: Ist group – 40 GERD patients, including high-frequency electromagnetic field effect and general iodine bromine bathes. II nd group - 67 GERD patients passing acupuncture treatment course. Control group was comprised of 30 GERD patients, receiving placebo MEF therapy. Treatment was carried out without medicines. Therapeutic effectiveness of complex influence of microwave electromagnetic field therapy (MEF-therapy) applied to collar area alternated with general iodine-bromine bathes on clinical manifestations of GERD is determined. Treatment course contributed to reliable decrease of increased count of VIP – a neurotransmitter, regulating LES tonus. In term, it contributed to improve of functional state of LES, reliable decrease of reflux index, and, as a result, improvement of clinical and functional indicators. Estimation of clinical manifestations of a disease among patients of 2nd group displayed positive dynamics of clinical and functional indicators. Round-clock pH-monitoring of stomach and esophageal content shows reliable decreaseof transitory relaxations of LES during single acupuncture procedure and increase of pH of gastric content. Acupuncture course also resulted in decrease of elevated VIP numbers.","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"199 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114739879","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
Streaming from a Diagnostic and Therapeutic Endoscopy Room: It Is Possible at Low Cost 从诊断和治疗内窥镜室流出:低成本是可能的
International Journal of Gastroenterology Pub Date : 2021-05-08 DOI: 10.11648/J.IJG.20210501.14
Claudio Navarrete García, L. Arango, Eduardo Valdivieso, Marcelo Ponce, C. Castillo, Carlos Barrientos, P. López, Arturo Valle, Ignacio Robles, J. Gobelet, Hugo Incopff, Diego Marutate, J. Isaguirre, Jesus Rodriguez, Alvaro Jalal, Pablo Ortiz, Wladimir Estrada, L. Villota, Carlos Jaramillo, Andrés Sánchez, C. Díaz, A. Angel, F. Puentes, Mario Jaramillo, Monica Londoño
{"title":"Streaming from a Diagnostic and Therapeutic Endoscopy Room: It Is Possible at Low Cost","authors":"Claudio Navarrete García, L. Arango, Eduardo Valdivieso, Marcelo Ponce, C. Castillo, Carlos Barrientos, P. López, Arturo Valle, Ignacio Robles, J. Gobelet, Hugo Incopff, Diego Marutate, J. Isaguirre, Jesus Rodriguez, Alvaro Jalal, Pablo Ortiz, Wladimir Estrada, L. Villota, Carlos Jaramillo, Andrés Sánchez, C. Díaz, A. Angel, F. Puentes, Mario Jaramillo, Monica Londoño","doi":"10.11648/J.IJG.20210501.14","DOIUrl":"https://doi.org/10.11648/J.IJG.20210501.14","url":null,"abstract":"Background and Aims: Before the covid-19 pandemic, medicine was practice and taught almost entirely face-to-face. The new normal, presented us with an opportunity to change the paradigm. Previously, live video transmission was only possible with the use of satellites, that were too expensive to be use regular bases. Now it is possible to broadcast live cases, from anywhere around de world, at a relative low cost. Methodology: This is a descriptive study to show the experience in transmissions of endoscopy live procedures from endoscopy rooms of different centers of Latin America ascribed to the Latin American Training Center (LAGE-TC) adapting virtual transmission technologies for a diagnostic and therapeutic endoscopy, to broadcast cases in real-time through the internet. Results: From April 2020 to July 31th, 2020 we have made transmissions every week, for each center, being Tuesdays designated for transmissions from Manizales in Colombia from the Union de Cirujanos SAS (Dr Lazaro Arango M), Wednesdays from San Borja Arriaran, in Santiago de Chile (fellows training center of Latin America and from where the LAGE-TC is born) (Drs. Claudio Sergio Navarrete Garcia- Cecilia Castillo T, Carlos Barrientos- Ignacio Robles and Arturo Valle) and from San Juan in Argentina (Dr Marcelo Ponce), on Thursdays from Santa Fe Argentina (Dr. Hugo Imcof), and the Clinica del Norte in Barranquilla - Colombia (Drs. Jesus Rodriguez and Alvaro Jalal). Transmissions have also been made from other centers in Santiago de Chile, Mendoza (Dr Jorge Isaguirre) and Cordoba (Dra Jackelina Gobelet) in Argentina, and in Bucaramanga - Colombia (Dr Eduardo Valdivieso – Fundacion Ildetecsa). 23 live broadcasts of cases from all the named cities in Latin America have been made, almost all from one center and being seen by the other centers already named as initial tests. One of the last meetings was held simultaneously between the Latin American Training Center in Santiago de Chile and the Hospital de San Juan in Argentina. The transmissions were done with good quality of video and sound, at a relative low cost. Conclusion: The study shows in detail different ways in which an endoscopy room can be adapted to perform live broadcasts with elements easy to get and at low cost, with good quality images. The adaptation of this technology will allow live transmission of medical classes, conferences with large audience, consultation form experts on line in other units, cities or countries, to improve medical knowledge and care.","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125827837","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
Gastric Actinomycosis Case Report and Literature Review 胃放线菌病1例报告及文献复习
International Journal of Gastroenterology Pub Date : 2021-01-22 DOI: 10.11648/J.IJG.20210501.11
P. Chernopolsky, R. Madjov, V. Bozhkov, I. Krasnaliev, V. Madjova
{"title":"Gastric Actinomycosis Case Report and Literature Review","authors":"P. Chernopolsky, R. Madjov, V. Bozhkov, I. Krasnaliev, V. Madjova","doi":"10.11648/J.IJG.20210501.11","DOIUrl":"https://doi.org/10.11648/J.IJG.20210501.11","url":null,"abstract":"Actinomycosis is an indolent infection that usually presents a diagnostic challenge to the physician. The most commonly affected zones are the cervicofacial, thoracic and abdominal areas. Abdominal actinomycosis although recognized for more than 150 years, is still wide unknown for most of the clinicians. Its various clinical manifestations are usually considered to present malignant process rather than infection. Intramural gastric actinomycosis is extremely rare clinical noosologic unit and usually the original source of infection is unknown. The usual clinical presentations include mild fever, epi- or mesogastric pain, weight loss, and bleeding from upper gastrointestinal tract. This chronic infection has tends to mimic malignancy. Gastric actinomycosis is very rare and with a good prognosis gastric disease. When established clinically, that is quite difficult diagnosis to be done before obtaining a surgical specimen. Although the findings are nonspecific, actinomycosis should be included in the differential diagnosis when CT scans show infiltrative mass with abnormal aggressiveness and dense enhancement of inhomogeneous contrast, especially in patients with leukocytosis, fever, or prolonged use of intrauterine contraceptives. We report a case of intramural gastric actinomycosis and review of cases of abdominal and gastric actinomycosis reported rarely in the literature. Reporting of such clinical case may help clinicians to increase the knowledge and awareness of this rare and treatable disease.","PeriodicalId":246347,"journal":{"name":"International Journal of Gastroenterology","volume":"989 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114058726","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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