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Treatment of Chronic Hepatitis C in a Patient Affected by Systemic SclerosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The currently recommended treatment for patients infected with hepatitis C virus (HCV) is pegilated interferon α (IFN α) plus ribavirin. Despite the numerous benefits of this therapy, there is an increasing concern regarding his tolerance. Among the most common side effects, interferon may trigger the onset or exacerbation of autoimmune diseases. When chronic hepatitis C coexists with an autoimmune disorder, it is not clear whether using interferon is better than avoiding it. We evaluated the disease state of a 55-year old female affected by sistemic sclerosis (SSc), during and after therapy with IFN;...
Source: Gastroenterology Research and Practice - November 17, 2009 Category: Gastroenterology Source Type: journals

A Prospective Comparison of EUS-Guided FNA Using 25-Gauge and 22-Gauge NeedlesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. The 22-gauge and 25-gauge needles have similar overall diagnostic yield. The 25-gauge needle appeared superior in the subset of patients with hard lesions and pancreatic masses. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - November 17, 2009 Category: Gastroenterology Source Type: journals

Clinical Relevance of Transjugular Liver Biopsy in Comparison with Percutaneous and Laparoscopic Liver BiopsyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Despite smaller biopsy samples the impact on the clinical decision process was found to be comparable to PLB and mLLB. TJLB represents a helpful tool to determine hepatocellular necrosis rates in patients with acute liver failure. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - November 15, 2009 Category: Gastroenterology Source Type: journals

Prognostic Value of Microvascular Density in Dukes A and B (T1–T4, N0, M0) Colorectal CarcinomasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. MVD expressed as the total number of vessels had no a statistically significant influence on the evolution of CRC. However, neoplasias with a greater % of vascular were associated to a better outcome. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - November 5, 2009 Category: Gastroenterology Source Type: journals

Characterization of Follicular Lymphoma in the Small Intestine Using Double-Balloon EndoscopyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe endoscopic analysis of 3 cases of follicular lymphoma in the small intestine using double-balloon endoscopy. Double-balloon endoscopy revealed multiple nodular lesions and elevated white patches, multiple polypoid lesions, and scattered white polypoid and nodular lesions in the duodenum and small intestine. Fuji Intelligent Chromo Endoscopy demonstrated small, whitish nodules, and narrow-band imaging showed a coiled, elongated vascular pattern within the elevated lesions. These cases are the first follicular lymphomas in the small intestine evaluated using narrow-band imaging or Fuji Intelligent Chromo Endoscop...
Source: Gastroenterology Research and Practice - November 5, 2009 Category: Gastroenterology Source Type: journals

Increased Porphyrins in Primary Liver Cancer Mainly Reflect a Parallel Liver DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hepatic porphyries have been associated with an increased risk of primary liver cancer (PLC), which on the other hand may cause an increased porphyrin production. To evaluate the role of an underlying liver disorder we analyzed porphyrins in patients with hepatocellular carcinoma (HCC) (n=65), cholangiocellular carcinoma (n=3), or suspected PLC, which turned out to be metastases (n=18) or a benign disorder (n=11). None of the patients had a family history of porphyry or clinical signs of porphyry. Increased aminolevulinic acid or porphyrin values were common not only in patients with PLC (43%) but also in metastatic (...
Source: Gastroenterology Research and Practice - October 18, 2009 Category: Gastroenterology Source Type: journals

Difficulty in Assessing Quality of Life Outcomes in a Fluctuating Disease: A Hypothesis Based on GastroparesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An underlying assumption of quality of life outcome research is that after some intervention a “steady-state” of quality of life is reached which can be identified as an endpoint, and, hence, the “outcome.” However, in some disease processes, no so such steady-state is reached. The hypothesis presented is that a disease process with a waxing and waning course will make it difficult to determine a quality of life endpoint. After clinical observation, a pilot study of patients with either diabetic or idiopathic gastroparesis with gastric neurostimulation their records were reviewed to identify the num...
Source: Gastroenterology Research and Practice - October 15, 2009 Category: Gastroenterology Source Type: journals

ABO Incompatible Liver Transplantation as a Bridge to Treat HELLP SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The following is a case report of a primiparous woman who developed fulminant liver failure in the setting of HELLP syndrome complicated by hepatic rupture. It is unique in that a timely ABO compatible liver donor was unavailable, necessitating the transplantation of an ABO incompatible organ. Despite aggressive therapy, severe reperfusion injury and humoral rejection dictated retransplantation with an ABO compatible organ on postoperative day 15, resulting in rapid clinical recovery. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - September 28, 2009 Category: Gastroenterology Source Type: journals

Megacystis-Microcolon-Intestinal Hypoperistalsis Syndrome: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of a female newborn with antenatal ultrasound revealing intestinal mass and bilateral hydroureteronephrosis. The case was admitted for intestinal obstruction after birth. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - September 24, 2009 Category: Gastroenterology Source Type: journals

Esophageal Clearance Patterns in Normal Older Adults as Documented with Videofluoroscopic EsophagramEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Normal esophageal bolus transport in asymptomatic healthy older adults has not been well defined, potentially leading to ambiguity in differentiating esophageal swallowing patterns of dysphagic and healthy individuals. This pilot study of 24 young (45–64 years) and old (65+years) men and women was designed to assess radiographic esophageal bolus movement patterns in healthy adults using videofluoroscopic recording. Healthy, asymptomatic adults underwent videofluoroscopic esophagram to evaluate for the presence of ineffective esophageal clearance, namely, intraesophageal stasis and intraesophageal reflux. Intraesoph...
Source: Gastroenterology Research and Practice - September 23, 2009 Category: Gastroenterology Source Type: journals

Rectal Visceral Sensitivity in Women with Irritable Bowel Syndrome without Psychiatric Comorbidity Compared with Healthy VolunteersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Non-constipated IBS patients without psychiatric disorders had increased visceral sensitivity regarding volume thresholds but normal pressure thresholds. Our study suggests that the lowered volume threshold was due to increased rectal tone. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - September 17, 2009 Category: Gastroenterology Source Type: journals

The Effects of Maturation on the Colonic Microflora in Infancy and ChildhoodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Colonic microflora show both a bacteria-specific and general pattern of maturation which is most profound within the first year. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - September 16, 2009 Category: Gastroenterology Source Type: journals

ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal BleedingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of massive gastrointestinal bleeding from an arteriovenous malformation (AVM) within a jejunal diverticulum to underscore the significance of such coexisting pathologies. Mesenteric angiogram was chosen to help identify the source of bleeding and to offer an intervention. Despite endovascular coiling, emergent intestinal resection of the bleeding jejunal segment was warranted to ensure definitive treatment. However several reports have shown jejunal diverticulosis as a rare cause of massive GI bleeding. The coexistence of jejunal diverticulum and AVM is rare and massive bleeding from an acquired Dieulafoy-...
Source: Gastroenterology Research and Practice - September 10, 2009 Category: Gastroenterology Source Type: journals

Cronkhite-Canada Syndrome: A Case Report and Review of LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cronkhite-Canada syndrome (CCS) is a rare syndrome first described in 1955. (1) Since then, 400 cases worldwide have been reported in the literature. The disease is characterized by diffuse gastrointestinal polyposis, dystrophic changes of the fingernails, alopecia, cutaneous hyperpigmentation, diarrhea, weight loss, and abdominal pain. (2) The etiology is currently unknown, but an autoimmune process is suspected. The workup is based on history and physical followed by imaging and endoscopy with biopsy to confirm gastrointestinal polyposis. The goal of treatment focuses on symptomatic management of the patient and nutritio...
Source: Gastroenterology Research and Practice - August 25, 2009 Category: Gastroenterology Source Type: journals

Colorectal Carcinoma with Extremely Low CA19-9Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. In patients with extremely low CA19-9, who consist of 9.8% of colorectal carcinoma cases, postoperative sequential measurement of serum level of CA19-9 contributed neither to assessment of curability of surgical resection nor to detection of recurrence. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - August 24, 2009 Category: Gastroenterology Source Type: journals

Short Bowel Patients Treated for Two Years with Glucagon-Like Peptide 2: Effects on Intestinal Morphology and Absorption, Renal Function, Bone and Body Composition, and Muscle FunctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. GLP-2 treatment reduces fecal weight by approximately 1000 g/d and enables SBS patients to maintain their intestinal fluid and electrolyte absorption at lower oral intakes. This was accompanied by a 28% improvement in creatinine clearance. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - August 20, 2009 Category: Gastroenterology Source Type: journals

Ultrasonographic Study of Gallbladder Wall Thickness and Emptying in Cirrhotic Patients without GallstonesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. In patients with compensated liver cirrhosis without gallstones gallbladder wall thickness is increased whereas its contractility is reduced. These early structural and functional alterations could play a role in gallstone formation in more advanced stages of the disease. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - August 10, 2009 Category: Gastroenterology Source Type: journals

Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Common bile duct stones (CBDSs) may occur in up to 3%–14.7% of all patients for whom cholecystectomy is preformed. Patients presenting with CBDS have symptoms including: biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic. It is important to distinguish between primary and secondary stones, because the treatment approach varies. Stones found before, during, and after cholecystectomy had also differing treatments. Different methods have been used for the treatment of CBDS but the suitable therapy depends on conditions such as patient' satisfaction, number and size of stones, and the s...
Source: Gastroenterology Research and Practice - August 6, 2009 Category: Gastroenterology Source Type: journals

Small-bowel Diverticulosis: Imaging Findings and Review of Three CasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report, we present clinical and morphological findings in three patients where small-bowel diverticulitis was surgically proven. The relevant literature is reviewed, and typical imaging properties are discussed. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - August 3, 2009 Category: Gastroenterology Source Type: journals

SmallBowel Diverticulosis: Imaging Findings and Review of Three CasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report, we present clinical and morphological findings in three patients where small bowel diverticulitis was surgically proven. The relevant literature is reviewed, and typical imaging properties are discussed. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - August 2, 2009 Category: Gastroenterology Source Type: journals

Nevus-Like Appearance of Primary Malignant Melanoma of the EsophagusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present here a case of 56-year-old woman with epigastric pain and her endoscopic finding revealed several flat and black pigmented mucosal lesions within the distal portion of the esophagus which looked like flat nevus. The histopathology and immunohistochemical profile of the tissue specimens were diagnostic of malignant melanoma. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - July 27, 2009 Category: Gastroenterology Source Type: journals

Bone Health in a Nonjaundiced Population of Children with Biliary AtresiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. These preliminary results demonstrate that children with BA, including those without jaundice, are likely to have compromised bone health even when accounting for height and puberty, which are common confounding factors in chronic disease. Further investigation is needed to identify the determinants of poor bone mineral status and to develop strategies to prevent osteoporosis later in life. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - July 6, 2009 Category: Gastroenterology Source Type: journals

Short Bowel Patients Treated for Two Years with Glucagon-Like Peptide 2 (GLP-2): Compliance, Safety, and Effects on Quality of LifeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Long-term treatment with GLP-2 is feasible in SBS patients, although caution must be exercised in patients with a history of abdominal pain. Although conclusions cannot be made in a noncontrolled trial, the high reported compliance might reflect a high treatment satisfaction, where the clinical benefits of GLP-2 may outweigh the discomforts of injections. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - July 5, 2009 Category: Gastroenterology Source Type: journals

Atrial Natriuretic Peptide in Young and Elderly Children with Mild GastroenteritisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Dehydration due to AGE does not change the ANP's plasma levels. A weak positive correlation between sodium levels and ANP was found r=0.29. The significant finding of our study is the difference in ANP levels related to age, in the control as well as the GE group. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - July 1, 2009 Category: Gastroenterology Source Type: journals

Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a CaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report provides evidence to consider phytobezoar as a possible cause of small bowel obstruction in patients previously treated with abdominal radiotherapy. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 30, 2009 Category: Gastroenterology Source Type: journals

Large Intestine Histopathology of Pegylated-Interferon-Alpha Plus Ribavirin Treated Chronic Hepatitis C PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Nicotine Enemas for Active Crohn's Colitis: An Open Pilot StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. In this relatively small study of patients with active Crohn's colitis, 6 mg nicotine enemas appeared to be of clinical benefit in most patients. They were well tolerated and safe. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

New Data concerning the Epidemiology of Hepatitis B Virus Infection in GreeceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is an obvious, significant, and diachronic reduction of the prevalence of HBV infection in Greece, concerning the general population as well as some traditionally high-risk groups, mainly as a result of constant informing and the widespread initiation of preventive and prophylactic measures, as well as the improvement of health care services. Nevertheless, there are special groups and populations (economical refugees, religious minorities, HIV-positive patients, abroad pregnant women, prostitutes, etc.) who represent sacs of high HBV endemicity and need epidemiological supervision and intervention, in order to limit ...
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Extensive Atrophic Gastritis Increases Intraduodenal Hydrogen GasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The intraduodenal hydrogen levels were increased with the progression of atrophic gastritis. It is likely that the influence of hypochlorhydria on bacterial overgrowth in the proximal small intestine is more pronounced, compared to that in the stomach. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Colonic Involvement in a Patient with Chronic Lymphocytic LeukaemiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Various gastrointestinal infiltrations have been described in patients with chronic lymphocytic leukaemia (CLL). Here, we report a 69-year-old man with CLL and anaemia in whom the macroscopic finding of colonoscopy was normal, but the histological specimens revealed lymphocytic leukemia in ileum and in colon. If a CLL patient has any symptoms suggesting a possible GI manifestation of the haematologic disease or anaemia not explained by bone marrow infiltration or hemolysis, the diagnostic evaluation should include endoscopies with adequate biopsies. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Therapeutic Anticoagulant Does not Modify Thromboses Rate Vein after Venous Reconstruction Following PancreaticoduodenectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. After a portal vein resection was achieved in the course of a PD, curative postoperative anticoagulation does not prevent efficiently the onset of thrombosis. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Improved Recovery of Exfoliated Colonocytes from Feces Using Newly Developed Immunomagnetic BeadsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We demonstrated the feasibility of a new methodology for isolating colonocytes from feces. To reduce costs and improve the recovery rate of colonocytes from feces, we attempted to develop new immunomagnetic beads. Several sizes of magnetic beads were prepared and tagged with a monoclonal antibody against EpCAM. We made several new monoclonal antibodies against EpCAM, and each monoclonal antibody was tagged to the magnetic beads. In the simulation, the most efficient recovery of HT-29 cells was obtained using the smallest size of beads. Also, beads tagged with a monoclonal antibody with a higher affinity against EpCAM had a...
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Fulminant Clostridium difficile Enteritis after Proctocolectomy and Ileal Pouch-Anal AnastamosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of C. difficile enteritis in a patient with with ileal pouch-anal anastamosis (IPAA), and review previous case reports in order to better characterize this unusual condition. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Current Recommendations on Diagnosis and Management of Right-Sided DiverticulitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of a 52-year-old female with recurrent symptomatic ascending colon diverticulitis who ultimately underwent elective laparoscopic right hemicolectomy. The following is a case report and literature review pertaining to right colonic diverticular disease. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Bouveret's Syndrome: Case Report and Review of the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of Bouveret's Syndrome in an elderly patient that was successfully treated with endoscopic extraction combined with mechanical lithotripsy, and review the literature on this uncommon condition. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive ColitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of sclerosing mesenteritis of the rectosigmoid colon as a cause of severe abdominal pain, abdominal obstruction, and ischemic colic mucosal lesions. Contrast enema, colonoscopy, angiography, and CT were the imaging modalities used. A 20 cm diameter, fibrotic mass causing extensive compression of rectosigmoid colon was found at laparotomy. Histological examination showed extended fibrosis, inflammatory cells infiltration, lipophages, and granulomas within the mesenteric adipose tissue associated with erosive colitis. Clinical presentation and treatment are discussed. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Impact of Hepatitis B Exposure on Sustained Virological Response Rates of Highly Viremic Chronic Hepatitis C PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Serum anti-HBc positivity does not affect the SVR rates in treatment-naïve CHC patients with high pretreatment viral load, receiving the currently approved combination treatment. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Evaluation and Management of Patients with Noncardiac Chest PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Up to a third of patients undergoing coronary angiography for angina-like chest pain are found to have normal coronary arteries and a substantial proportion of these individuals continue to consult and even attend emergency departments. Initially, these patients are usually seen by cardiologists but with accumulating evidence that the pain might have a gastrointestinal origin, it may be more appropriate for them to be cared for by the gastroenterologist once a cardiological cause has been excluded. This review covers the assessment and management of this challenging condition, which includes a combination of education, rea...
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Tumor Necrosis Factor Receptor Superfamily, Member 1B Haplotypes Increase or Decrease the Risk of Inflammatory Bowel Diseases in a New Zealand Caucasian PopulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigates the role that selected single nucleotide polymorphisms (SNPs) and haplotypes in the TNF-alpha receptor (TNSFRSF1B) gene play in the risk of IBD in a New Zealand Caucasian population. DNA samples from 388 CD, 405 UC, 27 indeterminate colitis patients, and 293 randomly selected controls, from Canterbury, New Zealand were screened for 3 common SNPs in TNSFRSF1B: rs1061622 (c.676T>C), rs1061624 (c.∗1663A>G), and rs3397 (c.∗1690T>C), using TaqMan technologies. Carrying the rs1061624 variant decreased the risk of UC in the left colon (OR 0.73, 95%Ȁ...
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Adult Pancreatic Hemangioma: Case Report and Literature ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an adult pancreatic hemangioma diagnosed on pathological specimen review following pylorus preserving pancreaticoduodenectomy for a symptomatic cystic mass in the head of the pancreas. Eight cases of adult pancreatic hemangioma have been reported in literature since 1939. Presenting symptoms, radiographic diagnosis, pathologic characteristics, and treatment of adult pancreatic hemagiomas are discussed following review of all published cases. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Autonomic Testing in Functional Gastrointestinal Disorders: Implications of Reproducible Gastrointestinal Complaints during Tilt Table TestingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Dividing patients with FAP according to the effect of TTT on their symptoms appears to delineate 2 fundamentally different groups, with potentially different pathophysiologies and treatment responses. A prospective study is needed. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Natural Progression of Biochemical Markers of Biliary Tract Obstruction in Patients with Gallstone PancreatitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The presenting pattern and natural progression of biochemical markers of biliary tract obstruction in patients with gallstone pancreatitis have not been elucidated. We analyzed serial values of bilirubin levels following admission to discharge in 143 patients. Ninety-four of patients demonstrated a Decrescendo (falling) pattern of bilirubin levels from admission until normalization at 21 hours (median). Forty-nine patients demonstrated a Crescendo-Decrescendo (initially rising) pattern with peak levels of bilirubin occurring at 39 hours after admission followed by a subsequent normalization after a median of 119 hours. Pat...
Source: Gastroenterology Research and Practice - June 9, 2009 Category: Gastroenterology Source Type: journals

Autonomic Testing in Functional Gastrointestinal Disorders: Implications of Reproducible Gastrointestinal Complaints during Tilt Table TestingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Dividing patients with FAP according to the effect of TTT on their symptoms appears to delineate 2 fundamentally different groups, with potentially different pathophysiologies and treatment responses. A prospective study is needed. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - May 7, 2009 Category: Gastroenterology Source Type: journals

Tumor Necrosis Factor Receptor Superfamily, Member 1B Haplotypes Increase or Decrease the Risk of Inflammatory Bowel Diseases in a New Zealand Caucasian PopulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigates the role that selected single nucleotide polymorphisms (SNPs) and haplotypes in the TNF-alpha receptor (TNSFRSF1B) gene play in the risk of IBD in a New Zealand Caucasian population. DNA samples from 388 CD, 405 UC, 27 indeterminate colitis patients, and 293 randomly selected controls, from Canterbury, New Zealand were screened for 3 common SNPs in TNSFRSF1B: rs1061622 (c.676T>C), rs1061624 (c.∗1663A>G), and rs3397 (c.∗1690T>C), using TaqMan technologies. Carrying the rs1061624 variant decreased the risk of UC in the left colon (OR 0.73, 95%Ȁ...
Source: Gastroenterology Research and Practice - May 3, 2009 Category: Gastroenterology Source Type: journals

Adult Pancreatic Hemangioma: Case Report and Literature ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an adult pancreatic hemangioma diagnosed on pathological specimen review following pylorus preserving pancreaticoduodenectomy for a symptomatic cystic mass in the head of the pancreas. Eight cases of adult pancreatic hemangioma have been reported in literature since 1939. Presenting symptoms, radiographic diagnosis, pathologic characteristics, and treatment of adult pancreatic hemagiomas are discussed following review of all published cases. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - May 3, 2009 Category: Gastroenterology Source Type: journals

Evaluation and Management of Patients with Noncardiac Chest PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Up to a third of patients undergoing coronary angiography for angina-like chest pain are found to have normal coronary arteries and a substantial proportion of these individuals continue to consult and even attend emergency departments. Initially, these patients are usually seen by cardiologists but with accumulating evidence that the pain might have a gastrointestinal origin, it may be more appropriate for them to be cared for by the gastroenterologist once a cardiological cause has been excluded. This review covers the assessment and management of this challenging condition, which includes a combination of education, rea...
Source: Gastroenterology Research and Practice - April 22, 2009 Category: Gastroenterology Source Type: journals

Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive ColitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of sclerosing mesenteritis of the rectosigmoid colon as a cause of severe abdominal pain, abdominal obstruction, and ischemic colic mucosal lesions. Contrast enema, colonoscopy, angiography, and CT were the imaging modalities used. A 20 cm diameter, fibrotic mass causing extensive compression of rectosigmoid colon was found at laparotomy. Histological examination showed extended fibrosis, inflammatory cells infiltration, lipophages, and granulomas within the mesenteric adipose tissue associated with erosive colitis. Clinical presentation and treatment are discussed. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - April 18, 2009 Category: Gastroenterology Source Type: journals

Impact of Hepatitis B Exposure on Sustained Virological Response Rates of Highly Viremic Chronic Hepatitis C PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Serum anti-HBc positivity does not affect the SVR rates in treatment-naïve CHC patients with high pretreatment viral load, receiving the currently approved combination treatment. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - April 18, 2009 Category: Gastroenterology Source Type: journals

Bouveret's Syndrome: Case Report and Review of the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of Bouveret's Syndrome in an elderly patient that was successfully treated with endoscopic extraction combined with mechanical lithotripsy, and review the literature on this uncommon condition. (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - April 8, 2009 Category: Gastroenterology Source Type: journals