GE Portuguese Journal of Gastroenterology最新文献_第9页

Sodium-Polystyrene Sulfonate-Induced Colitis. 聚苯乙烯磺酸钠引起的结肠炎。

IF 0.9

GE Portuguese Journal of Gastroenterology Pub Date : 2023-03-01 DOI: 10.1159/000521195

Francisco Souza Dos Santos, Gabriel Peixoto Aver, Thais Vieira Paim, Floriano Riva, Eduardo Brambilla, Jonathan Soldera

引用次数: 0

An Unusual Endoscopic Finding of Gastric Crohn's Disease. 胃克罗恩病的一个不寻常的内镜发现。

IF 0.9

GE Portuguese Journal of Gastroenterology Pub Date : 2023-03-01 DOI: 10.1159/000520907

Isabel Garrido, João Santos-Antunes, Guilherme Macedo

{"title":"An Unusual Endoscopic Finding of Gastric Crohn's Disease.","authors":"Isabel Garrido, João Santos-Antunes, Guilherme Macedo","doi":"10.1159/000520907","DOIUrl":"https://doi.org/10.1159/000520907","url":null,"abstract":"A 37-year-old woman with a past medical history of obesity (body mass index 50 kg/m2) and Crohn’s disease (Montreal classification – A2 L2+L4 B1) was referred to our institution for bariatric surgery after several unsuccessful weight loss attempts. The diagnosis of Crohn’s disease was established at age 19 (Fig. 1) and at that time she started therapy with azathioprine and a prednisolone taper. Due to poor control of the disease, the patient underwent several long courses of corticosteroid therapy. At this point, she began to gradually increase her weight. Over the past 4 years, the patient has been on infliximab at 5 mg/kg every 8 weeks, with evidence of clinical and endoscopic remission. A preoperative esophagogastroduodenoscopy was requested in order to assess the upper gastrointestinal tract for any abnormal findings as well as the presence of Helicobacter pylori (HP) infection. The endoscopy revealed retracted scar tissue in the gastric body (Fig. 2a) and antrum (Fig. 2b), with lesions with a bamboo-joint-like appearance and several pseudopolyps (Fig. 3). The esophagus and duodenum appeared normal. Histopathologic examination of biopsies from the stomach demonstrated mild foveolar hyperplasia and HP-negative chronic gastritis, with no signs of activity. No epithelioid granulomas, glandular atrophy, dysplasia, or signs of malignancy were identified. The patient underwent a sleeve gastrectomy without complications. The surgical specimen did not reveal any specific sign for inactive Crohn’s disease. Indeed, histopathological evaluation of the surgical specimen showed chronic gastritis and hyperplasia of the foveolar epithelium cells, without active inflammation, granulomas, dysplasia, or signs of malignancy. Five months after the surgery, she has already lost 36 kg and Crohn’s disease remains in remission. Crohn’s disease is defined by chronic inflammation that may involve any site of the gastrointestinal tract.","PeriodicalId":51838,"journal":{"name":"GE Portuguese Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7a/99/pjg-0030-0166.PMC10050835.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235466","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}

引用次数: 1

Erratum. 勘误表。

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GE Portuguese Journal of Gastroenterology Pub Date : 2023-03-01 DOI: 10.1159/000528336

引用次数: 0

Erratum. 勘误表。

IF 0.9

GE Portuguese Journal of Gastroenterology Pub Date : 2023-03-01 DOI: 10.1159/000528335

引用次数: 0

Erratum. 勘误表。

IF 0.9

GE Portuguese Journal of Gastroenterology Pub Date : 2023-03-01 DOI: 10.1159/000528363

引用次数: 0

Erratum. 勘误表。

IF 0.9

GE Portuguese Journal of Gastroenterology Pub Date : 2023-03-01 DOI: 10.1159/000528291

引用次数: 0

SX-ELLA Danis-Stent for Refractory Acute Esophageal Variceal Bleeding. SX-ELLA danis支架治疗难治性急性食管静脉曲张出血。

IF 0.9

GE Portuguese Journal of Gastroenterology Pub Date : 2023-03-01 DOI: 10.1159/000520273

Pedro Currais, Gonçalo Nunes, Marta Patita, Élia Coimbra, Jorge Fonseca

引用次数: 0

Therapeutic Endoscopic Ultrasound: Current Indications and Future Perspectives. 治疗性内镜超声：当前适应症和未来展望。

IF 0.9

GE Portuguese Journal of Gastroenterology Pub Date : 2023-02-20 eCollection Date: 2023-09-01 DOI: 10.1159/000529089

Andrew Canakis, Todd H Baron

引用次数: 0

Embryonal Sarcoma of the Liver in the Adult: Challenges in the Diagnosis of a Rare Entity. 成人肝胚胎性肉瘤：罕见实体瘤诊断中的挑战。

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GE Portuguese Journal of Gastroenterology Pub Date : 2023-02-09 eCollection Date: 2024-02-01 DOI: 10.1159/000528121

Guilherme Nogueira Fontinha, João Martins Gama, Rui Caetano Oliveira, Augusta Cipriano

{"title":"Embryonal Sarcoma of the Liver in the Adult: Challenges in the Diagnosis of a Rare Entity.","authors":"Guilherme Nogueira Fontinha, João Martins Gama, Rui Caetano Oliveira, Augusta Cipriano","doi":"10.1159/000528121","DOIUrl":"10.1159/000528121","url":null,"abstract":"Introduction: Embryonal sarcoma of the liver (ESL) is a rare neoplasm of the liver occurring mainly in paediatric ages. Making the correct diagnosis can be challenging as the laboratory and radiological findings that are often nonspecific, and the tumour immunophenotype is poorly defined and even somewhat variable.Case presentation: A large epigastric mass was detected in a computerized tomography scan of a 43-year-old woman presenting with abdominal pain and bloating. The mass was biopsied and submitted to histopathological study. Microscopically the tumour had sarcomatoid features and showed multinucleated cells with periodic acid-Schiff (PAS)-positive globules. Immunostaining revealed positivity for vimentin, CD10, glypican-3, and α1-antitrypsin and negativity for keratins, muscle, adipocytic, and melanocytic differentiation markers. The patient was then submitted to a left hepatectomy with similar histological findings.Discussion: ESL in adults is a rarity and its diagnosis requires the exclusion of other entities. While some microscopic features are very common, they remain nonspecific. The main feature is the presence of multinucleated cells with PAS-positive hyaline globules. While ancillary testing is key, the immunophenotype also lacks specificity and ESL may have variable staining for glypican-3 and epithelial or muscle differentiation markers. Although it has been described for more than 3 decades, the prognosis and optimal treatment are still not well defined, but surgery has yielded favourable results.","PeriodicalId":51838,"journal":{"name":"GE Portuguese Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10928870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81382994","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}

引用次数: 0

Endoscopic Resection of Gastrointestinal Neuroendocrine Tumors: Safe and Effective. 内镜下胃肠道神经内分泌肿瘤切除术：安全有效。

IF 1

GE Portuguese Journal of Gastroenterology Pub Date : 2023-02-06 eCollection Date: 2023-03-01 DOI: 10.1159/000528982

Nélia Abreu, Joana Carvão

引用次数: 0