Journal of Gastrointestinal and Digestive System最新文献_第8页

Total Esophagectomy and Endoscopic Radiofrequency Ablation for a Case of Diffuse Esophageal Papillomatosis: Case Report 全食管切除术联合内镜射频消融治疗弥漫性食管乳头状瘤病1例

Journal of Gastrointestinal and Digestive System Pub Date : 2016-11-14 DOI: 10.4172/2161-069X.1000478

A. Romano, M. Grassia, G. Esposito, M. Petrillo, M. Pezzella, F. Romano, F. Torelli, A. Volpicelli, F. Ferraraccio, G. Nardone, N. Martino

{"title":"Total Esophagectomy and Endoscopic Radiofrequency Ablation for a Case of Diffuse Esophageal Papillomatosis: Case Report","authors":"A. Romano, M. Grassia, G. Esposito, M. Petrillo, M. Pezzella, F. Romano, F. Torelli, A. Volpicelli, F. Ferraraccio, G. Nardone, N. Martino","doi":"10.4172/2161-069X.1000478","DOIUrl":"https://doi.org/10.4172/2161-069X.1000478","url":null,"abstract":"Esophageal squamous papilloma (ESP) is a benign epithelial lesion. ESP is extremely rare and it has been described in few cases in literature. The etiology of ESP may be associated to chronic mucosal irritation and HPV infection. It is usually asymptomatic and mostly discovered as an incidental finding during upper gastrointestinal endoscopy. It is considered a benign neoplasia but recent reports have stressed the potential malignant evolution of these lesions. A 53 year old caucasian woman presented with a four years history of disphagia not responsive to medical therapy. At upper endoscopy, esophageal mucosa appeared hyperemic and completely covered by numerous (>100) sessile peduncolate papules. Biopsies demostrating atypical epithelial proliferation confirmed the diagnosis of esophageal squamal papillomatosis with low grade and focal high grade dysplasia; in situ hybridization studies for HPV were perfomed and it was positive for the type 16. We report a case of diffuse esophageal papillomatosis with histologic and microbiologic findings of genotype 16 HPV and Lichen Planus infection successfully treated with an Ivor Lewis Esophagectomy and a second look endoscopy by radiofrequency ablation.","PeriodicalId":388922,"journal":{"name":"Journal of Gastrointestinal and Digestive System","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130917579","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: 5

The Role of Heated Intraperitoneal Chemotherapy (HIPEC) in Low-Grade Appendiceal Neoplasm: Friend or Foe? 腹腔内加热化疗(HIPEC)在低级别阑尾肿瘤中的作用:是好是坏?

Journal of Gastrointestinal and Digestive System Pub Date : 2016-11-09 DOI: 10.4172/2161-069X.1000477

Andrea S. Porpiglia, D. Nguyen, J. Farma, S. Reddy

引用次数: 1

Anal Canal Electrosensitivity Test on Child Patients after Total Colectomy,Mucosal Protectomy and Ileal J Pouch-Anal-Anastomosis 儿童全结肠切除术、粘膜保护术及回肠J袋-肛管吻合术后肛管电敏试验

Journal of Gastrointestinal and Digestive System Pub Date : 2016-11-09 DOI: 10.4172/2161-069X.1000476

R. Tomita

{"title":"Anal Canal Electrosensitivity Test on Child Patients after Total Colectomy,Mucosal Protectomy and Ileal J Pouch-Anal-Anastomosis","authors":"R. Tomita","doi":"10.4172/2161-069X.1000476","DOIUrl":"https://doi.org/10.4172/2161-069X.1000476","url":null,"abstract":"Objectives: To clarify the role of anal canal sensitivity in soiling (minor incontinence; the seepage of mucus and/or stool during nighttime and/or daytime) in child patients after ileal J pouch-anal-anastomosis (IPAA), the author studied the sensory function of the anal canal. Twelve patients one year after IPAA for ulcerative colitis were studied (8 males, 4 females; aged 10.5 to 14.5 years, average 13.0 years). Setting: Nihon University Hospital at Itabashi/Department of Pediatric Surgery Methods: Four patients showed soiling (group A) and 8 patients showed continence (group B). Group C serving as controls consisted of 12 children with normal defecation (9 males, 3 females; aged 6 to 15 years, average 11.7 years). The anal canal sensitivity thresholds (ACST) on the oral side of the dentate line (ODL) and the anal side of the dentate line (ADL) were measured by anal canal electrosensitivity test. Results: No patients in group A could discriminate between flatus and feces, but all those in group B could discriminate between them. In terms of ACST at the ODL, sensitivity levels of groups A and B were significantly lower than that of group C (P=0.0249, P=0.0004, respectively). In terms of ACST at the ADL, significantly lower sensitivity was found in patients of group A than in groups B and C (P=0.0039, P=0.0021, respectively). Conclusion: The anal transitional zone may not contribute to discrimination between flatus and feces and not influence soiling following IPAA. Soiling after IAPP may be caused by damage to the sensory nerves in the ADL","PeriodicalId":388922,"journal":{"name":"Journal of Gastrointestinal and Digestive System","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122981483","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 endoscopic innovation from China 来自中国的胃肠内镜创新

Journal of Gastrointestinal and Digestive System Pub Date : 2016-11-03 DOI: 10.4172/2161-069X.C1.040

Bingrong Liu

引用次数: 2

Genetic Aspects of Adult-Type Hypolactasia 成人型低乳酸血症的遗传方面

Journal of Gastrointestinal and Digestive System Pub Date : 2016-11-02 DOI: 10.4172/2161-069X.1000475

D. Dell’Edera, F. Nicoletti, M. D’Apice, A. Allegretti, A. Epifania

{"title":"Genetic Aspects of Adult-Type Hypolactasia","authors":"D. Dell’Edera, F. Nicoletti, M. D’Apice, A. Allegretti, A. Epifania","doi":"10.4172/2161-069X.1000475","DOIUrl":"https://doi.org/10.4172/2161-069X.1000475","url":null,"abstract":"Background and Objective: Lactose is a disaccharide sugar and is found in mammals milk and derivatives. Lactose intolerance is the inability to metabolize lactose, because of a lack of the required enzyme lactase in the digestive system. Genetically the physiological hypolactasia (primary LM) is associated with the LCT-13910 C/T and LCT-22018 G/A polymorphisms. The aim of this study focused on the diagnosis and treatment intolerance or malabsorption of lactose in a cohort of 983 patients for the appearance of non-specific symptoms suggestive of a lactose intolerance. Methods: The work was divided into the following phases: diagnosis of lactose intolerance or malabsorption; Check the incidence of primary lactase deficiency in the population Lucana (Italy); Evaluate the improvement of post-diagnosis symptoms and impact on quality of life (Q.O.L: Quality Of Life) as a result of enzymatic and/or food therapy in intolerant subjects. Evaluate the correlation genotype/phenotype studying variants -13910 C>T and -22018 A>G in LPH gene. Results: Of the 983 participants, 668 subjects (67.95%) had a positive homozygous mutation (associated to-13910CC hypolactasic phenotype), 314 subjects (31.94%) had a positive heterozygous mutation (associated to -13910CT lactase persistent phenotype) and only in 1 subject (0,1%) the 2 alleles were not mutated (-13910TT dominant homozygous). The present work reveals a 67.95% of participant with a positive homozygous mutation (-13910CC). Conclusions: The lactose malabsorption is a condition widespread in Italy, but much less frequently is the syndrome of intolerance. Embarking on a diet that a priori excludes milk and derivatives, in the absence of a definitive diagnosis, it can have a negative impact on the welfare of the organism The genetic test is really simple and noninvasive, confirms or excludes a malabsorption and in particular circumstances provides a predictive test to detect primary hypolactasia long before of her clinical manifestation.","PeriodicalId":388922,"journal":{"name":"Journal of Gastrointestinal and Digestive System","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123520005","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

Melanosis “Coli” in Anal Heterotopic Gastric Mucosa: A Case Report and Review of the Literature 肛门异位胃黏膜“大肠杆菌”黑素病1例报告及文献复习

Journal of Gastrointestinal and Digestive System Pub Date : 2016-09-29 DOI: 10.4172/2161-069X.1000471

Debbie R. Walley, R. Greer, M. González, C. Subramony

引用次数: 1

Novel Diagnostic Tool CISH to Demonstrate CMV DNA by Light Microscopy-A Case Report of CMV Colitis 新型诊断工具CISH在光镜下显示巨细胞病毒DNA -巨细胞病毒结肠炎1例报告

Journal of Gastrointestinal and Digestive System Pub Date : 2016-09-27 DOI: 10.4172/2161-069X.1000472

Barodawala Sm, Majethia Nk, K. Chadha

引用次数: 0

Percutaneous Endoscopic Gastrostomy and Buried Bumper Syndrome 经皮内窥镜胃造口术和埋藏性缓冲器综合征

Journal of Gastrointestinal and Digestive System Pub Date : 2016-09-18 DOI: 10.4172/2161-069X.1000469

E. Makhoul, Ralph Kamel, N. Hanna, A. Zaarour

引用次数: 2

Fitz-Hugh-Curtis Syndrome as Finding during Open Cholecystectomy andUnknown Pregnancy: Clinical Case 在开腹胆囊切除术和不明妊娠中发现的 Fitz-Hugh-Curtis 综合征：临床病例

Journal of Gastrointestinal and Digestive System Pub Date : 2016-09-12 DOI: 10.4172/2161-069X.1000468

G. Arredondo

{"title":"Fitz-Hugh-Curtis Syndrome as Finding during Open Cholecystectomy andUnknown Pregnancy: Clinical Case","authors":"G. Arredondo","doi":"10.4172/2161-069X.1000468","DOIUrl":"https://doi.org/10.4172/2161-069X.1000468","url":null,"abstract":"Introduction: The Fitz-Hugh-Curtis syndrome is a perihepatitis produced by secondary peritonitis the rise of bacteria, as a result of pelvic inflammatory disease. In the chronic stage can be observed adhesions between abdominal wall and the liver surface characterized by the similarity to \"violin strings\". This image is considered diagnostic criterion. Clinical case: Female 37 years-old, Gesta 7, Births 5, Abortion 1, Cesarean Section 0, who intervenes surgically open to present intermittent pain for gallstone cholecystitis two years of evolution. Normal vital signs; Laboratory test preoperative: erythrocytes 3.40 × 106, hemoglobin 9.9 g/dl, hematocrit 33.8%, lymphocytes 19%, leukocytes 11.86 × 103/mm3, total neutrophil 86%. Glucose 139 mg/dl, BUN 4.35 mg/dl, urea 9.3 mg/dl, SGOT (AST) 80 U/I, SGPT (ALT) 66 U/I, Proteins 6.0 g/dl, serum albumin 3.4 mg/dl. VDRL Neg. Urinalysis: Urobilinogen 2 mg/dl; Leukocyte 15-20 x field and postoperatory pregnancy test (+). It proceeds to open cholecystectomy and during exposure of the gallbladder is located in hepatic parenchyma multiple adhesions and congestive liver. Discussion: The combination of a painful liver without biochemical evidence of hepatitis or biliary obstruction, and menorrhagia raised the suspicion of perihepatitis Fitz-Hugh-Curtis, an inflammatory process of the liver capsule due to pelvic inflammatory disease mostly caused by Chlamydia trachomatis or Neisseria gonorrhoeae. The pathophysiology of perihepatitis FHC is unclear, but direct infection of the liver capsule, hematologic or lymphatic spread as well as an exaggerated immune response has been suggested.","PeriodicalId":388922,"journal":{"name":"Journal of Gastrointestinal and Digestive System","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130031997","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

An Analysis of a New Diagnostic Test for Children with Acute Appendicitis:Plasma Leptin Level 儿童急性阑尾炎新诊断指标血浆瘦素水平分析

Journal of Gastrointestinal and Digestive System Pub Date : 2016-09-12 DOI: 10.4172/2161-069X.1000470

Harun Resit Ayangil, M. E. Dörterler, C. Turan

{"title":"An Analysis of a New Diagnostic Test for Children with Acute Appendicitis:Plasma Leptin Level","authors":"Harun Resit Ayangil, M. E. Dörterler, C. Turan","doi":"10.4172/2161-069X.1000470","DOIUrl":"https://doi.org/10.4172/2161-069X.1000470","url":null,"abstract":"Aim: In the diagnosis of acute appendicitis, the most frequently-applied laboratory tests are blood leukocyte level (WBC) and serum C-reactive protein (CRP). In recent years, it has been thought that the leptin hormone level, which has been proven to be raised in acute inflammation, could be used diagnostically in patients with acute appendicitis. In this study, we aimed to determine the relationship between WBC, CRP, and leptin levels with inflammation in acute appendicitis and to define the role of leptin in the mechanism underlying loss of appetite, which is the most frequently observed symptom. Materials and method: The study comprised 40 patients diagnosed with acute appendicitis (AA) in the Pediatric Surgery Department and a control group of 20 age-matched patients. Blood samples were taken from all subjects in both groups and the levels of WBC, CRP and leptin were measured. Body mass index was calculated and all findings were compared. Results: In the AA group, the median leptin value was measured as 1.24 ng/ml preoperatively, 1.37 ng/ml perioperatively, and 0.81 ng/ml 2 days postoperatively. The leptin value in the control group was 1.90 ng/ml. No statistically significant difference was found between the two groups with respect to the preoperative and perioperative leptin values (p>0.05). The postoperative 2nd day leptin values of the AA group were statistically significantly lower than those of the control group (p<0.05). Conclusions: In cases of suspected acute appendicitis, leptin can be a useful diagnostic parameter since its levels increase during the early stages of inflammation.","PeriodicalId":388922,"journal":{"name":"Journal of Gastrointestinal and Digestive System","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129196598","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