Case Reports in Gastrointestinal Medicine最新文献

{"title":"A Novel Case of Sarcoidosis-Lymphoma Syndrome.","authors":"Mario Tavakoli, Alexander Pan, Sam Papasotiriou","doi":"10.1155/crgm/8829729","DOIUrl":"10.1155/crgm/8829729","url":null,"abstract":"<p><p>Sarcoidosis-lymphoma syndrome (SLS) is a rare condition that elucidates the association between sarcoidosis and the development of lymphoma. It is believed that the chronic active inflammation from sarcoidosis increases the risk of malignant transformation of lymphoid cells. There are only 4 documented cases of mucosa-associated lymphoid tissue (MALT) lymphoma in patients with sarcoidosis, and we present the first reported case of a patient with <i>Helicobacter pylori</i> (<i>H. pylori</i>)-negative gastric MALT lymphoma preceding the diagnosis of gastric sarcoidosis.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"8829729"},"PeriodicalIF":0.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous Migration of a Postcholecystectomy Surgical Clip From the Common Bile Duct to the Cecum Nineteen Years After Surgery: A Case Report.","authors":"Marina Takawy, Tausif Syed, Mostafa Najim, Richard Alweis, Jason Gutman","doi":"10.1155/crgm/7768285","DOIUrl":"10.1155/crgm/7768285","url":null,"abstract":"<p><p>Postcholecystectomy clip migration (PCCM) is a rare but recognized complication following cholecystectomy. The clinical presentation of PCCM often mimics that of choledocholithiasis, with symptoms including right upper quadrant pain and obstructive jaundice. Although the exact mechanisms underlying clip migration remain unclear, several theories have been proposed in the literature. While most cases occur shortly after the procedure, with clips migrating to the common bile duct (CBD) or, less commonly, to the duodenum; some instances may occasionally present much later, such as the case described here. An 85-year-old female presented with symptoms consistent with CBD obstruction, and the initial imaging revealed a clip in the CBD. Endoscopic retrograde cholangiopancreatography (ERCP) was planned; however, subsequent imaging showed that the clip had disappeared. Three days later, the clip was found in the cecum, and the patient's symptoms had improved. Given the patient's clinical progress, conservative management was pursued, allowing the clip to pass naturally without further intervention. While clip migration can lead to serious complications such as CBD obstruction or cholangitis, requiring procedural or surgical management, spontaneous resolution with conservative care, although rare, has been reported. The factors contributing to clip migration may include procedural factors early after surgery or chronic inflammatory changes and tissue necrosis that develop years after the cholecystectomy. Emerging techniques such as clipless surgery and the use of absorbable sutures are under development to reduce the risk of clip migration. In conclusion, despite its rarity, PCCM should be considered in patients with a history of cholecystectomy who present with symptoms suggestive of CBD obstruction. Although uncommon, clip migration may occur without significant complications and can resolve spontaneously, as demonstrated in this case. Conservative management may be an appropriate approach in select cases, particularly when the patient is clinically improving.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"7768285"},"PeriodicalIF":0.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13494345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Duodenal Perforation Due to Migrated Plastic Biliary Stent, Successfully Managed Endoscopically: A Case Report.","authors":"Tamzyn Huisamen, Shiraz Gabriel, Ahmed Abdelsalam, Renaldo Kortje, Desiree Moodley","doi":"10.1155/crgm/1965411","DOIUrl":"10.1155/crgm/1965411","url":null,"abstract":"<p><p>Endoscopic retrograde cholangiopancreatography (ERCP) with plastic biliary stent placement is a common treatment for biliary obstruction. Although stent migration occurs in up to 10% of cases, duodenal perforation is rare and associated with significant morbidity if diagnosis is delayed. We report the case of a man in his 60s who underwent ERCP with insertion of a 70-mm duodenal-bend plastic biliary stent for acute cholangitis. Ten days later, he re-presented with acute abdominal pain and elevated inflammatory markers. Imaging and repeat ERCP demonstrated distal stent migration with duodenal perforation. The stent was removed, and the defect was successfully managed with a single through-the-scope clip. Notably, this complication occurred despite the absence of recognised risk factors for stent migration or perforation, suggesting that clinically significant stent-related complications may occur even in patients considered to be at relatively low risk. This case emphasises the need to consider stent-related complications in any patient presenting with abdominal pain after ERCP and demonstrates that early endoscopic management can achieve favourable outcomes in appropriately selected patients.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"1965411"},"PeriodicalIF":0.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13494346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Misplaced Pocket of Air: Intramural Gastric Air Most Consistent With Gastric Emphysema.","authors":"Priyanka Panwar, Lavender Otom, Subo Marsa, Gerald Odong, Steven Idet, Irene Muchiri, Hussein Abdulsamad, John Odhiambo, Christopher Opio, Amos Mwasamwaja, Saleem Abdulkarim","doi":"10.1155/crgm/4593660","DOIUrl":"10.1155/crgm/4593660","url":null,"abstract":"<p><strong>Background: </strong>Gastric emphysema (GE), or gastric pneumatosis, is a rare, noninfectious cause of intramural gastric air that must be distinguished from emphysematous gastritis (EG), a highly lethal infectious entity. Despite similar radiographic appearances, these conditions differ substantially in etiology, clinical course, management, and prognosis.</p><p><strong>Cases: </strong>We report three hemodynamically stable patients with CT-confirmed intramural gastric air most consistent with GE. Two had associated portal venous gas. The cases occurred in distinct clinical contexts: infectious gastroenteritis with retching, transient midgut volvulus with obstructive gastric overdistension, and alcohol-related upper gastrointestinal bleeding with forceful vomiting and a Mallory-Weiss tear. Although early EG could not be excluded with absolute certainty, the absence of sustained systemic toxicity, peritonitis, endoscopic necrosis, or clinical deterioration supported conservative management.</p><p><strong>Conclusion: </strong>Intramural gastric air should be interpreted in clinical context rather than by CT appearance alone, particularly when portal venous gas or early antibiotic exposure complicates diagnostic certainty. Stable patients without systemic toxicity, peritonitis, endoscopic necrosis, or clinical deterioration may be managed conservatively with multidisciplinary input, while escalation should be reserved for suspected ischemia, perforation, sepsis, or clinical decline.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"4593660"},"PeriodicalIF":0.6,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148689961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Management of Jejunal Diverticular Bleeding: A Case Report and Systematic Review of the Literature.","authors":"Marta Pettinelli, Benedetto Neri, Dario Biasutto, Claudia Marinaccio, Giulia Parisi, Leandro Corradino, Margareth Martino, Francesco Maria Di Matteo","doi":"10.1155/crgm/1928370","DOIUrl":"10.1155/crgm/1928370","url":null,"abstract":"<p><p>Bleeding from a jejunal diverticulum is a rare and potentially severe condition, challenging both to diagnose and to treat. We report the case of a 56-year-old woman presenting with massive melena, who initially underwent esophagogastroduodenoscopy (EGD) and abdominal angio-CT, both unable to identify the bleeding source. After negative urgent ileocolonoscopy, second-look EGD showed fresh blood in the distal duodenum with no potentially bleeding lesions. This observation prompted us to perform a push enteroscopy that revealed an ulcer with oozing bleeding from a vessel located on the neck of a jejunal diverticulum. Hemostasis was successfully achieved by the placement of 4 through-the-scope clips. Currently, device-assisted enteroscopy (DAE) is the standard technique for the treatment of most causes of small bowel bleeding. However, DAE is performed only by dedicated endoscopists, is not available on a large scale, and is time-consuming. The present case report suggests the possible role of push enteroscopy as both a diagnostic and therapeutic procedure in the presence of signs suggesting a proximal origin of small bowel bleeding. This technique may indeed avoid unnecessary delay in small bowel bleeding management.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"1928370"},"PeriodicalIF":0.6,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visceral Leishmaniasis-Associated Hemophagocytic Lymphohistiocytosis in a Patient With Crohn's Disease in Therapy With Anti-TNFα: A Challenging Diagnostic Case Report.","authors":"Caterina Pelligra, Lorenzo Bolis, Andrea Costantino, Maurizio Vecchi","doi":"10.1155/crgm/6403158","DOIUrl":"10.1155/crgm/6403158","url":null,"abstract":"<p><strong>Background: </strong>Hemophagocytic lymphohistiocytosis (HLH) is a rare yet life-threatening hyperinflammatory syndrome, increasingly reported in patients with inflammatory bowel disease (IBD) receiving biologic therapy. While Epstein-Barr virus and cytomegalovirus represent the most frequent infectious triggers, visceral leishmaniasis (VL) is extremely uncommon and may be easily ignored outside endemic areas.</p><p><strong>Case presentation: </strong>We report the case of a 31-year-old man with Crohn's disease treated with escalated anti-TNFα therapy who presented with persistent fever, pancytopenia, hyperferritinemia, hypertriglyceridemia, and progressive systemic inflammation. Both infectious and oncologic workups were initially inconclusive. PET/CT showed splenomegaly, diffuse splenic, and bone marrow hypermetabolism, raising suspicion for a lymphoproliferative disorder; however, bone marrow aspirate revealed systemic inflammation and hemophagocytosis, suggesting HLH and detected intracellular amastigotes consistent with <i>Leishmania</i> spp., subsequently confirmed by serology. Liposomal amphotericin B prompted rapid clinical and biochemical improvement, with complete resolution of HLH. Anti-TNFα was discontinued and replaced with anti-IL-12/23 therapy to maintain IBD control while minimizing infectious risk.</p><p><strong>Conclusion: </strong>In patients receiving anti-TNF therapy who present with persistent fever, cytopenias, hyperferritinemia, and unexplained systemic inflammation, HLH should be promptly investigated. Early bone marrow examination may facilitate diagnosis by revealing both hemophagocytosis and <i>Leishmania</i> amastigotes, enabling timely treatment. Following resolution of infection, transition to a biologic with a different mechanism of action, such as anti-IL-12/23 therapy, may represent a reasonable strategy for long-term IBD management.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"6403158"},"PeriodicalIF":0.6,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Diagnosis and Treatment of Active Lupus Enteritis Accompanied by Intestinal Pseudo-Obstruction as the Initial Manifestation: A Case Report and Literature Review.","authors":"Wenhan Zhuang, Meijun Ji, Pengfei Xu, Lijuan Wang, Jiyong Jing, Wensheng Pan, Chenjing Zhang","doi":"10.1155/crgm/3428538","DOIUrl":"10.1155/crgm/3428538","url":null,"abstract":"<p><strong>Background: </strong>Intestinal pseudo-obstruction (IPO) is a rare initial manifestation of systemic lupus erythematosus (SLE), often misdiagnosed as mechanical obstruction or malignant tumor, leading to unnecessary intervention measures and poor prognosis. Case Report: We report a 46-year-old female patient presenting with recurrent abdominal pain and IPO, ultimately diagnosed with SLE through multidisciplinary assessment. The patient exhibited positive antinuclear antibodies (ANAs) (+↑), homogeneous karyotype (+++ 1:1000↑), low complementemia, and lupus nephritis, meeting the diagnostic criteria for SLE. Abdominal CT showed small intestine and colon wall edema with characteristic \"target sign\" and mesenteric vascular congestion (\"comb-like sign\"). Initial treatment included pulse therapy with methylprednisolone (240 mg/day) combined with cyclophosphamide and hydroxychloroquine, with symptom relief, but recurrence occurred multiple times during the tapering period.</p><p><strong>Literature review: </strong>Analysis of 54 cases of SLE-related IPO (1997-2025) indicated:demographic characteristics: 92.6% were female, and the median age at diagnosis was 31 years. Clinical features: 81.3% of patients presented with abdominal pain; 93.0% involved the small intestine. Imaging examinations: intestinal wall edema (\"target sign\") and mesenteric vascular hyperplasia (\"comb-like sign\"); these signs indicate SLE-related small bowel involvement. Immunological examinations: the positive rate of ANAs (ANA) was 75.9%, the positive rate of anti-double-stranded DNA antibody (anti-dsDNA) was 61.1%, and the positive rate of anti-SSA antibody was 42.5%. Prognosis: Despite immunosuppressive treatment, the recurrence rate was 25%; the mortality rate was 7.5%.</p><p><strong>Conclusion: </strong>For patients with recurrent IPO accompanied by low albuminemia, elevated D-dimer, and positive autoantibodies, autoimmune etiology must be considered. Early identification and immunosuppressive treatment are crucial to avoiding unnecessary surgery.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"3428538"},"PeriodicalIF":0.6,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13409340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hiding in Plain Sight: A Case of Intestinal Tuberculosis Masquerading as Benign Lower GI Bleeding.","authors":"Lavender Otom, Priyanka Panwar, Gerald Odong, Fatma Kassim, Patricia Okiro, Christopher Opio, Saleem Abdulkarim","doi":"10.1155/crgm/7499395","DOIUrl":"10.1155/crgm/7499395","url":null,"abstract":"<p><strong>Background: </strong>Intestinal tuberculosis (TB) represents the most common form of abdominal TB, often affecting the ileocaecal region. Lower gastrointestinal bleeding is an uncommon presentation and may create significant diagnostic uncertainty, particularly in immunocompromised patients and in settings where inflammatory bowel disease is also encountered.</p><p><strong>Case presentation: </strong>A woman in her sixties from Africa presented with recurrent diarrhoea and intermittent haematochezia over a 6-month period. Initial endoscopic evaluation was nondiagnostic. Cross-sectional imaging later demonstrated multifocal bowel involvement affecting both the small and large bowel, including ileocaecal and rectoanal disease, with associated abdominopelvic lymphadenopathy. Histopathology from repeat colonoscopy biopsy showed caseating granulomas and Ziehl-Neelsen-positive acid-fast bacilli, confirming intestinal TB. Subsequent HIV serology was positive, with a CD4 count of 55 cells/mm³ at diagnosis. The patient improved markedly following antituberculous therapy and subsequent antiretroviral treatment.</p><p><strong>Conclusion: </strong>This case highlights a diffuse presentation of intestinal TB without pulmonary involvement in a patient with newly diagnosed advanced HIV infection. It underscores the diagnostic challenge posed by overlap with more common causes of lower gastrointestinal bleeding and inflammatory bowel disease and the importance of integrating clinical, radiological, endoscopic and histopathological findings to achieve timely diagnosis and successful medical management.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"7499395"},"PeriodicalIF":0.6,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13393290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cholecystocolonic Fistula Associated With Advanced Mirizzi Syndrome Causing Chronic Diarrhea: Successful Treatment Using Cholangioscopy-Guided Lithotripsy and Surgery.","authors":"Koichiro Miyagawa, Daiki Uchihara, Shinji Oe, Yasuhisa Mori, Yuichi Honma, Masaru Harada","doi":"10.1155/crgm/6770850","DOIUrl":"10.1155/crgm/6770850","url":null,"abstract":"<p><strong>Background: </strong>Cholecystocolonic fistula (CCF) is a rare complication of advanced Mirizzi syndrome (MS) and often presents with chronic watery diarrhea due to abnormal bile entry into the colon. The optimal role of endoscopic treatment in MS with CCF remains uncertain.</p><p><strong>Case summary: </strong>A 63-year-old man presented with three months of chronic watery diarrhea. Computed tomography, magnetic resonance imaging, and endoscopic retrograde cholangiopancreatography showed an impacted cystic duct confluence stone, pneumobilia, and contrast passage into the colon, establishing the diagnosis of MS complicated by CCF. A biliary stent improved his symptoms, and peroral cholangioscopy-guided electrohydraulic lithotripsy subsequently enabled complete stone clearance. Cholangioscopy revealed no grossly apparent neoplastic lesions within the gallbladder. The patient subsequently underwent subtotal cholecystectomy with partial colectomy without biliary reconstruction. Histopathology revealed chronic cholecystitis without malignancy, and the postoperative course was uneventful.</p><p><strong>Conclusion: </strong>A stepwise approach combining cholangioscopy-guided lithotripsy with targeted surgery can reduce operative complexity and facilitate safe management of advanced MS with CCF.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"6770850"},"PeriodicalIF":0.6,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13382152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ruptured Pseudoaneurysm of Right Hepatic Artery as Immediate Complication of Lumen-Apposing Metal Stent Placement for Choledochoduodenostomy: A Case Report.","authors":"Antoine Boustany, Carson Cornell Creamer, Chidera Onwuzo, Somtochukwu Onwuzo, Rashid Abdel-Razeq, Yusuke Hashimoto","doi":"10.1155/crgm/5469497","DOIUrl":"10.1155/crgm/5469497","url":null,"abstract":"<p><p>Endoscopic ultrasound-guided biliary drainage with lumen-apposing metal stents (LAMS) is an effective alternative for the management of malignant biliary obstruction. Despite its effectiveness, the procedure carries risks including rare but severe vascular complications. We report the first case of a ruptured pseudoaneurysm of the right hepatic artery as an immediate complication of LAMS placement and subsequent covered self-expanding metal stent (cSEMS) placement. A 63-year-old female with unresectable metastatic pancreatic adenocarcinoma was admitted to our hospital with worsening abdominal pain and jaundice. Imaging revealed biliary ductal dilation and a pancreatic mass involving major vascular structures. Owing to failed endoscopic retrograde cholangiopancreatography, EUS-guided choledochoduodenostomy with LAMS placement was performed. Immediately after LAMS deployment, massive bleeding occurred, which was controlled with an additional cSEMS. Despite the initial stabilization, subsequent gastrointestinal bleeding was observed. Computed tomography angiography (CTA) revealed a right hepatic artery pseudoaneurysm that required emergent arterial embolization. This case highlights a super rapid pseudoaneurysm formation following rescue cSEMS placement for the bleeding caused by LAMS placement.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"5469497"},"PeriodicalIF":0.6,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13346771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}