Case Reports in Gastroenterology最新文献_第10页

Normal Splanchnic Blood Flow in a Patient with Severe Stenosis of the Celiac Artery and Superior Mesenteric Artery. 腹腔动脉和肠系膜上动脉严重狭窄患者的正常内脏血流。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000528879

Henriette Tovgaard Nielsen, Christian Høyer, Bjarke Klit Søndergaard, Jan Abrahamsen

引用次数: 0

Onset of Oral Lichen Planus Led to Direct-Acting Antiviral Therapy in a Patient with Long-Term Hepatitis C: The Role of a Dentist as Gatekeeper. 长期丙型肝炎患者发生口腔扁平苔藓导致直接抗病毒治疗:牙医作为看门人的作用。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000528681

Yumiko Nagao, Masahide Tsuji

{"title":"Onset of Oral Lichen Planus Led to Direct-Acting Antiviral Therapy in a Patient with Long-Term Hepatitis C: The Role of a Dentist as Gatekeeper.","authors":"Yumiko Nagao, Masahide Tsuji","doi":"10.1159/000528681","DOIUrl":"https://doi.org/10.1159/000528681","url":null,"abstract":"Oral lichen planus (OLP), a chronic inflammatory mucocutaneous disease, is an extrahepatic manifestation of a hepatitis C virus infection. In recent years, direct-acting antivirals (DAAs) have made great strides in the treatment of hepatitis C. However, there might be a lack of information about the treatment strategies available among those with this condition. Herein, we report a case of an 85-year-old female patient who was diagnosed with hepatitis C at the age of 55 but had not received antiviral treatment over the past 30 years. She underwent DAA treatment following a recommendation from her oral surgeon after the onset of OLP. The patient had declined interferon therapy in the past, owing to concerns about its side effects. She was unaware of the benefits of DAA treatment, probably due to communication difficulties caused by senile hearing loss. Consultation with an oral surgeon for an erosive form of OLP led her to receive antiviral therapy for hepatitis C. She achieved a sustained virologic response (SVR) following the DAA treatment, along with improvements in the signs and symptoms of OLP. Oral surgeons play an important role as gatekeepers in guiding untreated hepatitis patients toward appropriate treatment.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"26-33"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/86/crg-2022-0017-0001-528681.PMC9893994.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10717125","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 Hemostatic Treatment for Acute Gastrointestinal Bleeding by Combined Modality Therapy with PuraStat and Endoscopic Hemoclips. PuraStat与内镜止血夹联合治疗急性消化道出血。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000528896

Kimitoshi Kubo, Shuhei Hayasaka, Ikko Tanaka

{"title":"Endoscopic Hemostatic Treatment for Acute Gastrointestinal Bleeding by Combined Modality Therapy with PuraStat and Endoscopic Hemoclips.","authors":"Kimitoshi Kubo, Shuhei Hayasaka, Ikko Tanaka","doi":"10.1159/000528896","DOIUrl":"https://doi.org/10.1159/000528896","url":null,"abstract":"Acute gastrointestinal bleeding (AGIB) is a common condition leading to hospitalization and is associated with significant morbidity and mortality. Various endoscopic treatments have been reported for AGIB, while its endoscopic hemostasis treatment by combined modality with PuraStat and endoscopic hemoclips remains less well documented. We report 6 cases of AGIB, i.e., 5 cases of ulcer bleeding and 1 case of ruptured gastric varices in 3 males and 3 females aged 49-97 years (mean age, 77 years), 2 and 1 of whom had been on antithrombotic drugs and nonsteroidal anti-inflammatory drugs, respectively, with 2 of these found to be in critical condition with hemorrhagic shock. Types of bleeding treated included oozing bleeding from visible vessels (n = 3), spurting bleeding from visible vessels (n = 2) and from gastric varices (n = 1). In all cases, complete hemostasis was achieved with no rebleeding. To our knowledge, this report represents a valuable addition to the AGIB literature describing endoscopic hemostasis by combined modality therapy with PuraStat and endoscopic hemoclips.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"89-95"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/ed/crg-2022-0017-0001-528896.PMC9906041.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10745666","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

Carcinoid Heart Disease-Induced Right-Sided Heart Failure as a Culprit for Significant Ascites. 类癌性心脏病诱发的右侧心力衰竭是严重腹水的罪魁祸首。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000529633

Yan Huang, Dae Yong Park, Anas Almoghrabi, Michael G Nanna

引用次数: 0

Delayed Perforation of Colorectal Endoscopic Submucosal Dissection Treated by Endoscopic Ultrasound-Guided Drainage. 超声引导下引流治疗结直肠内镜下粘膜下夹层延迟穿孔。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000529480

Koichi Hamada, Yoshiki Shiwa, Akira Kurita, Yukitoshi Todate, Yoshinori Horikawa, Kae Techigawara, Masafumi Ishikawa, Takayuki Nagahashi, Yuki Takeda, Daizo Fukushima, Noriyuki Nishino, Hideo Sakuma, Michitaka Honda

{"title":"Delayed Perforation of Colorectal Endoscopic Submucosal Dissection Treated by Endoscopic Ultrasound-Guided Drainage.","authors":"Koichi Hamada, Yoshiki Shiwa, Akira Kurita, Yukitoshi Todate, Yoshinori Horikawa, Kae Techigawara, Masafumi Ishikawa, Takayuki Nagahashi, Yuki Takeda, Daizo Fukushima, Noriyuki Nishino, Hideo Sakuma, Michitaka Honda","doi":"10.1159/000529480","DOIUrl":"https://doi.org/10.1159/000529480","url":null,"abstract":"We report a case of a 70-year-old male with delayed perforation in the cecum treated by endoscopic ultrasonography-guided drainage for a pelvic abscess. The lesion was a 50-mm laterally spreading tumor, and endoscopic submucosal dissection (ESD) was performed. No perforation was detected during the operation, and en bloc resection was achieved. He had fever and abdominal pain on postoperative day (POD) 2. Computed tomography (CT) revealed the intra-abdominal free air, leading to a diagnosis of delayed perforation after ESD. Vital signs were stable, the perforation was considered minor, and endoscopic closure was attempted. The colonoscopy under fluoroscopy showed no perforation in the ulcer and no leakage of the contrast medium. He was managed conservatively with antibiotics and nothing per os. Symptoms improved; however, a follow-up CT on POD 13 revealed a 65-mm pelvic abscess, and endoscopic ultrasound (EUS)-guided drainage was successfully performed. The follow-up CT on POD 23 showed the reduction of abscess, and the drainage tubes were removed. Emergent surgical treatment is crucial in delayed perforation because it has a poor prognosis, and reports of conservative therapy for colonic ESD with delayed perforation are few. The present case was managed with antibiotics and EUS-guided drainage. Thus, EUS-guided drainage can be a treatment option for delayed perforation after colorectal ESD, if the abscess is localized.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"148-154"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/5c/crg-2022-0017-0001-529480.PMC9984940.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9424442","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

Gastrointestinal Involvement of Eosinophilic Granulomatosis with Polyangiitis with Histological Evidence of Treatment Response. 嗜酸性肉芽肿病合并多血管炎累及胃肠道及治疗反应的组织学证据。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000529671

Mark Lai, Tony He, Emily K Wright

引用次数: 0

Leukocytoclastic Vasculitis Associated with Adalimumab Therapy for Crohn's Disease. 与阿达木单抗治疗克罗恩病相关的白细胞破碎性血管炎

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000529045

Lankai Cathy Xu, Sirisha Grandhe, Joseph G Marsano

引用次数: 0

Acute Late-Onset Cirrhosis in Zellweger Spectrum Disorder. 齐薇格谱系障碍的急性迟发性肝硬化。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000529353

Mark Hsu, Amith Subhash

引用次数: 0

Retroperitoneal and Mediastinal Emphysema after Sigmoid Colon Resection. 乙状结肠切除术后腹膜后和纵隔肺气肿。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000529282

Ryusei Yamamoto, Katsushi Yoshida, Masataka Ando, Yoshitaka Toyoda, Aya Tanaka, Kenji Kato, Ryuzo Yamaguchi

引用次数: 0

Regression of Autoimmune Gastritis after Eradication of Helicobacter pylori. 幽门螺杆菌根除后自身免疫性胃炎的消退。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000528388

Tohru Kotera, Yurika Nishimi, Ryoji Kushima, Ken Haruma

{"title":"Regression of Autoimmune Gastritis after Eradication of Helicobacter pylori.","authors":"Tohru Kotera, Yurika Nishimi, Ryoji Kushima, Ken Haruma","doi":"10.1159/000528388","DOIUrl":"https://doi.org/10.1159/000528388","url":null,"abstract":"Abstract We report a case of autoimmune gastritis (AIG) in which gastric mucosal atrophy improved with Helicobacter pylori eradication. Based on endoscopic findings (advanced gastric atrophy with vascular visibility and diffuse redness in remnant oxyntic mucosa), a woman in her 40s was suspected of having AIG coexisting with an active H. pylori infection. This was confirmed by a positive anti-parietal cell antibody (PCA, 1:160), an elevated serum gastrin level (638 pg/mL), and positive anti-H. pylori antibody (Hp Ab, 15.5 U/mL) and H. pylori stool antigen tests. Seven months after eradication, reduced vascular visibility and disappearance of diffuse redness on endoscopy and reduced PCA (1:40) and Hp Ab (5.1 U/mL) titers were observed, although histopathological findings (basal-predominant lymphocytic infiltration, destruction of parietal and chief cells, pseudopyloric metaplasia, and enterochromaffin-like cell hyperplasia) were consistent with AIG. Endoscopy 26 months after eradication showed further improvement in atrophic findings in the gastric corpus and histopathological recovery of parietal and chief cells in fundic glands. Serum gastrin levels returned to normal (64 pg/mL), and the PCA titer fell further (1:20).","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"34-40"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/85/crg-2022-0017-0001-528388.PMC9894002.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10717118","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: 7