Case Reports in Gastroenterology最新文献_第10页

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

Colonic Dilatation Complicating Acute Severe Ulcerative Colitis Managed Successfully with Accelerated Infliximab Dosing. 加速英夫利昔单抗治疗急性严重溃疡性结肠炎的结肠扩张成功。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000529152

Hoang Huu Bui, Luan Minh Dang, Diem Thi-Ngoc Vo, Chuong Dinh Nguyen

引用次数: 0

Non-Intentional N-Acetylcysteine Overdose Associated with Cerebral Edema and Brain Death. 非故意n-乙酰半胱氨酸过量与脑水肿和脑死亡相关

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000529169

Emma E M Spence, Sey Shwetz, Lauren Ryan, Natalie Anton, Ari R Joffe

{"title":"Non-Intentional N-Acetylcysteine Overdose Associated with Cerebral Edema and Brain Death.","authors":"Emma E M Spence, Sey Shwetz, Lauren Ryan, Natalie Anton, Ari R Joffe","doi":"10.1159/000529169","DOIUrl":"https://doi.org/10.1159/000529169","url":null,"abstract":"N-acetylcysteine is the established treatment for acetaminophen toxicity. This medication's complex dosing schedule engenders a high incidence of medication errors. While nuisance side effects are common, only rare case reports describe serious outcomes associated with N-acetylcysteine administration, all of which take place in the setting of non-intentional N-acetylcysteine overdose. This case report contributes to a small but growing literature that suggests that large N-acetylcysteine overdose may have devastating outcomes. We describe a 15-year-old female who presented with stage III acetaminophen toxicity and who received a non-intentional 6-fold overdose of intravenous N-acetylcysteine due to a medication prescribing error. During the N-acetylcysteine infusion dosing error, the patient had clinical deterioration including seizure followed by cerebral edema and brain herniation that progressed to brain death. She developed agitation and worsening headache within 2 h of the dosing error, which progressed to seizure and intubation 14 h into the dosing error. Although possibly due to hepatic encephalopathy, at the time she developed fixed dilated pupils, her lactate, international normalized ratio, aspartate aminotransferase, and alanine aminotransferase had all improved. On review of the literature, other case reports of seizures (n = 4) and cerebral edema with brain herniation (n = 3) were found, suggesting our patient was not an isolated case. Clinicians need to be aware of the common occurrence of dosing errors for N-acetylcysteine infusions. We suggest institutions review their N-acetylcysteine ordering, dosing, and mixing protocols in order to avoid similar rare errors in the future. Iatrogenic overdose of N-acetylcysteine can cause seizure, cerebral edema, and brain death.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"96-103"},"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/10/7a/crg-2022-0017-0001-529169.PMC9909444.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10765792","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: 2

Percutaneous Trans-Esophageal Gastrostomy for Oral Intake in a Case of Anastomotic Obstruction following Total Gastrectomy. 经皮经食管胃造口术治疗全胃切除术后吻合口梗阻1例。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-01-01 DOI: 10.1159/000530137

Masayuki Shishida, Daisuke Sumitani, Masatsugu Yano, Makoto Ochi, Yuzo Okamoto, Shigeto Yoshida, Kazuaki Tanabe, Hideki Ohdan

{"title":"Percutaneous Trans-Esophageal Gastrostomy for Oral Intake in a Case of Anastomotic Obstruction following Total Gastrectomy.","authors":"Masayuki Shishida, Daisuke Sumitani, Masatsugu Yano, Makoto Ochi, Yuzo Okamoto, Shigeto Yoshida, Kazuaki Tanabe, Hideki Ohdan","doi":"10.1159/000530137","DOIUrl":"https://doi.org/10.1159/000530137","url":null,"abstract":"Gastric cancer is one of the most common diseases globally. Total gastrectomy is often performed surgically. However, late-stage anastomotic passage obstruction after total gastrectomy is relatively rare. Here, we report a case involving a 73-year-old male patient who experienced repeated aspiration pneumonia due to anastomotic passage obstruction 22 years after a total gastrectomy for gastric cancer. He was eventually hospitalized in the Department of Gastroenterology at our hospital because of difficulty eating. Computed tomography revealed prominent dilation of the esophagus and the blind end of the elevated jejunum. Upper gastrointestinal endoscopy revealed a poorly extended site on the main side of the elevated jejunum; however, the passage through the scope was good. A percutaneous trans-esophageal gastrostomy was performed for oral intake. The patient experienced decreased nausea and vomiting. He gained weight, and his general condition improved. He did not feel inconvenienced by percutaneous trans-esophageal gastrostomy and had no desire for surgery. Follow-up observations are currently being conducted, with tubes exchanged every 6 months. There are no reports of percutaneous trans-esophageal gastrostomy for oral intake for anastomotic passage obstruction following total gastrectomy; therefore, we report this as a reference when similar cases are encountered.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"197-203"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9394129","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