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Air below the right diaphragmEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Khan Aaisha, Waqas SarmadSaudi Journal of Gastroenterology 2009 15(4):291-292 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Khan Aaisha, Waqas Sarmad Source Type: journals

Isolated pancreatic hypoplasia: A rare but significant radiological findingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Rastogi Rajul, Kumar Rakesh, Bhargava Sumeet, Rastogi VaibhavSaudi Journal of Gastroenterology 2009 15(4):289-290 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Rastogi Rajul, Kumar Rakesh, Bhargava Sumeet, Rastogi Vaibhav Source Type: journals

Unusual obstruction of nasojejunal feeding tubeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Gurjar Mohan, Rao Bhaskar P, Azim AfzalSaudi Journal of Gastroenterology 2009 15(4):288-288 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Gurjar Mohan, Rao Bhaskar P, Azim Afzal Source Type: journals

Leukocyte apheresis in the management of ulcerative colitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Helmy Ahmed, Abdulla Maheeba, Kagevi Ingvar, Al Kahtani KhalidSaudi Journal of Gastroenterology 2009 15(4):283-287Ulcerative colitis is a chronic inflammatory disease that affects the colon and rectum. Its pathogenesis is probably multifactorial including the influx of certain cytokines into the colonic mucosa, causing disease activity and relapse. The hypothesis of removing such cytokines from the circulation by leukocytapheresis was implemented to reduce disease activity, maintain remission, and prevent relapse. Many recent reports not only in Japan, but also in the West, have highlighted its beneficial effects in both a...
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Helmy Ahmed, Abdulla Maheeba, Kagevi Ingvar, Al Kahtani Khalid Source Type: journals

Primary lymphoma of the colonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tauro Leo F, Furtado Harold W, Aithala Panambur S, D'Souza Clement S, George Celine, Vishnumoorthy Santhrupth HSaudi Journal of Gastroenterology 2009 15(4):279-282Primary lymphoma of the colon is a rare tumor of the gastrointestinal (GI) tract and comprises only 0.2-1.2% of all colonic malignancies. The most common variety of colonic lymphoma is non-Hodgkin's lymphoma (NHL). The GI tract is the most frequently involved site, accounting for 30-40% of all extra nodal lymphomas, approximately 4-20% of which are NHL. The stomach is the most ...
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Tauro Leo F, Furtado Harold W, Aithala Panambur S, D'Souza Clement S, George Celine, Vishnumoorthy Santhrupth H Source Type: journals

DISH phagia!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Santosh Rai P VSaudi Journal of Gastroenterology 2009 15(4):278-278 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Santosh Rai P V Source Type: journals

Acute acalculous cholecystitis revealing hepatitis A virus infection in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arroud Mounir, Benmiloud Sara, Oudghiri Bouchra, Afifi My Abderrahmane, Hida Moustapha, Bouabdallah YoussefSaudi Journal of Gastroenterology 2009 15(4):277-277 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Arroud Mounir, Benmiloud Sara, Oudghiri Bouchra, Afifi My Abderrahmane, Hida Moustapha, Bouabdallah Youssef Source Type: journals

Lymphocytic enterocolitis in systemic lupus erythematosusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a female patient with microscopic enterocolitis as one of the presenting manifestations of SLE. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Hegazi Mohamed O, Owayed Salem F, Mourou Mohamed, Joneja Munish, Mashankar Anant Source Type: journals

Pseudocyst of ectopic pancreas of the duodenal wall masquerading as malignant cystic tumor of pancreasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a patient who underwent pancreaticoduodenectomy for a cystic lesion in the region of the pancreatic head and duodenum. Preoperatively, we had suspected a malignant lesion; however, it turned out to be ectopic pancreatic tissue in the duodenal wall, with the changes of chronic pancreatitis and pseudocyst formation. With this report we seek to highlight the rarity of this particular pathologic combination and the difficulties in its correct preoperative diagnosis and management. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Sharma Dharamanjai K, Agarwal Shaleen, Saran Ravindra K, Agarwal Anil K Source Type: journals

Avoidance of radiotherapy-related, gastrointestinal complications in a patient with systemic lupus erythematosus: A case report and review of literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Alsaeed EyadSaudi Journal of Gastroenterology 2009 15(4):268-270Systemic lupus erythematosus (SLE) is associated with major gastrointestinal complications due to radiotherapy. A patient with active SLE and grade 4 nephropathy presented with inoperable advanced cancer of the cervix which proved to be contraindicated for chemotherapy. The patient was treated with intensity-modulated radiotherapy technique (IMRT). The patient, however, did not experience severe radiotherapy-related complications as expected with conventional techniques of radiotherapy. The tolerance of SLE patients to radiotherapy can thus be achieved by prop...
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Alsaeed Eyad Source Type: journals

Adenocarcinoma of the small bowel: A surgical dilemmaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Vagholkar Ketan, Mathew TonySaudi Journal of Gastroenterology 2009 15(4):264-267Malignant tumors of the small intestine are among the rarest types of gastrointestinal cancers. Due to their infrequent occurrence and the multitude of tumor types (viz, adenocarcinomas, carcinoids, sarcomas, and lymphomas), not much is known about their natural history and presentation, and there is often delay in the diagnosis. Adenocarcinoma is the commonest histologic type of small bowel cancer. There are no prospective randomized trials that have elucidated the best diagnostic and therapeutic options for this rare condition. In this articl...
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Vagholkar Ketan, Mathew Tony Source Type: journals

Spontaneous tubercular enterocutaneous fistula developing in the scar of a surgery done 14 years earlierEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of spontaneous tubercular enterocutaneous fistula, which occurred after a long interval of 14 years after an appendicectomy. A 32-year-old male presented with the complaint of fecal matter coming out continuously from an opening present over the scar of previous surgery. The only significant past history was that of appendicectomy done 14 years back for acute appendicitis (nontubercular). Histopathology of tissue taken from the margins of the fistulous opening showed caseating granuloma, consistent with tuberculosis. Treatment was provided successfully in the form of fistulectomy and right hemicolectomy wi...
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Singh Onkar, Gupta Shilpi, Moses Sonia, Jain Devendra K Source Type: journals

The stranded stone: Relationship between acute appendicitis and appendicolithEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: We conclude that the presence of an appendicolith i) has no particular predilection for gender or age, and ii) is not associated with a diagnosis of appendicitis. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Aljefri Ahmad, Al-Nakshabandi Nizar Source Type: journals

Comparison of MR enteroclysis with colonoscopy in Crohn's disease-first locust bean gum study from TurkeyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Gadolinium-enhanced MRE with oral locust bean gum is very efficient in the detection and follow-up of the intestinal and extraintestinal findings of Crohn's disease. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Narin Burcu, Sungurlu Faik, Balci Aysun, Arman Alper, Kurdas Oya O, Simsek Masum Source Type: journals

Molecular gate keepers succumb to gene aberrations in colorectal cancer in Kashmiri population, revealing a high incidence areaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Mutations of the p53 and K-ras genes are some of the most common genetic changes in the development of human CRC. The high frequency of p53 gene mutations implicates p53 as a predominant factor for CRC in the high-risk ethnic Kashmiri population. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Sameer A Syed, Ul Rehman Shakeel, Pandith Arshad A, Syeed Nidda, Shah Zaffar A, Chowdhri Nissar A, Wani Khursheed A, Siddiqi Mushtaq A Source Type: journals

Irritable bowel syndrome in a Bangladeshi urban community: Prevalence and health care seeking patternEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions : The prevalence of IBS in the urban community was found to be similar to that in rural communities. A higher rate of consultation was found among urban IBS subjects than in the rural subjects, with sex not seen to be a discriminator to seek consultation. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Perveen Irin, Hasan Mahmud, Masud Mohammed A, Bhuiyan Mohammed M.R, Rahman Mohammed M Source Type: journals

Serrated colonic polyps in a teaching hospital in Saudi Arabia: Prevalence and review of classificationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The prevalence of serrated colorectal polyps in our geographic area seems to be similar to that in western populations. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Bokhary Rana Source Type: journals

Natural course of fulminant hepatic failure: The scenario in Bangladesh and the differences from the westEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The etiology of FHF in Bangladesh is different from that in the West. Prolongation of prothrombin time and occurrence of cerebral edema are predictors of the worst prognosis. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Alam Shahinul, Azam Golam, Mustafa Golam, Azad Abul Kalam, Haque Izazul, Gani Shakil, Ahmad Nooruddin, Alam Khorshed, Khan Mobin Source Type: journals

Comparison of azithromycin and metronidazole in a quadruple-therapy regimen for Helicobacter pylori eradication in dyspepsiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: No significant difference exists between the two quadruple-therapy regimens that were tested. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Agah Shahram, Shazad Babak, Abbaszadeh Babak Source Type: journals

Occult hepatitis B infection and its possible impact on chronic hepatitis C virus infectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Habibollahi Peiman, Safari Saeid, Daryani Nasser E, Alavian Seyed MSaudi Journal of Gastroenterology 2009 15(4):220-224As a well-recognized clinical phenomenon, persistent detectable viral genome in liver or sera in the absence of other serological markers for active hepatitis B virus (HBV) replication is called occult HBV infection. The main mechanism through which occult infection occurs is not completely understood and several possible explanations, such as integration into human genome and maintenance in peripheral mononuclear cells, exist. Occult HBV infection has been reported in different populations, especially amo...
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Habibollahi Peiman, Safari Saeid, Daryani Nasser E, Alavian Seyed M Source Type: journals

KRAS and TP53 mutations in colorectal carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Al-Kuraya Khawla SSaudi Journal of Gastroenterology 2009 15(4):217-219 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Al-Kuraya Khawla S Source Type: journals

Saudi Journal of Gastroenterology: A tale of passion and perseveranceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sanai Faisal M, Abdo Ayman A, Al Zubaidy Ahmad, Al Mofleh Ibrahim, El Mouzan MohammedSaudi Journal of Gastroenterology 2009 15(4):215-216 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - September 30, 2009 Category: Gastroenterology Authors: Sanai Faisal M, Abdo Ayman A, Al Zubaidy Ahmad, Al Mofleh Ibrahim, El Mouzan Mohammed Source Type: journals

Bleeding per rectum in a patient with an amputated fingerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aijaz Hakeem, Hakim Shafi, Shubana Rasool, Muneer AhmadSaudi Journal of Gastroenterology 2009 15(3):213-214 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Aijaz Hakeem, Hakim Shafi, Shubana Rasool, Muneer Ahmad Source Type: journals

Growth factors as treatment for inflammatory bowel disease: A concise review of the evidence toward their potential clinical utilityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Josue Barahona-Garrido, Jorge Hernandez-Calleros, Ignacio Garcia-Juarez, Jesus K Yamamoto-FurushoSaudi Journal of Gastroenterology 2009 15(3):208-212In the process of inflammation and repair of the intestinal mucosa in inflammatory bowel disease (IBD), there occurs a complex and an unknown interplay of innate and adaptive immune mechanisms. This interaction of factors may explain why IBD is characterized by a relapsing and remitting clinical course. Different components of innate immunity, hormones and interleukins in IBD have been suggested to be impaired. The growth hormone, epidermal growth factor, keratinocyte growth f...
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Josue Barahona-Garrido, Jorge Hernandez-Calleros, Ignacio Garcia-Juarez, Jesus K Yamamoto-Furusho Source Type: journals

Helicobacter pylori infection in developing countries: The burden for how long?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Barik A SalihSaudi Journal of Gastroenterology 2009 15(3):201-207Approximately 50% (over 3 billion) of the world populations are known to be infected with Helicobacter pylori , mainly in the developing countries . Among those, hundreds of millions of people develop peptic ulceration during their lifetime and still tens of millions might progress to gastric cancer. Possible modes of H. pylori transmission generally described are through direct contact between family members ...
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Barik A Salih Source Type: journals

Biliary cystadenoma mimicking hydatid cystEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
MH Raza, AZ Rab, Shehtaj Khan, Reyaz AhmadSaudi Journal of Gastroenterology 2009 15(3):199-200 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: MH Raza, AZ Rab, Shehtaj Khan, Reyaz Ahmad Source Type: journals

Squamous cell carcinoma of the rectum 21 years after radiotherapy for cervical carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Kevin K Leung, Joseph Heitzman, Anand MadanSaudi Journal of Gastroenterology 2009 15(3):196-198Squamous cell carcinoma (SCC) of the rectum is an extremely rare malignancy, accounting for 0.1-0.2% of rectal malignancies. It is associated with ulcerative colitis, prior radiation, schistosomiasis, ovarian cancer, endometrial cancer, human papilloma virus, colocutaneous fistulas and colonic duplication. Prior reported cases of SCC of the rectum have involved treatment with brachytherapy and external beam radiation. This case is particularly interesting because of the remote exposure of radiation (21 years previously) an...
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Kevin K Leung, Joseph Heitzman, Anand Madan Source Type: journals

Esophageal trachealization: A feature of eosinophilic esophagitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abdulrahman A Al-Hussaini, Toufic Semaan, Imad A El HagSaudi Journal of Gastroenterology 2009 15(3):193-195Eosinophilic esophagitis (EE) is an inflammatory condition characterized by intense eosinophilic infiltration of the esophagus. EE is frequently misdiagnosed as gastroesophageal reflux disease. Here, we present a child with EE and a characteristic endoscopic finding, &quot;ringed esophagus&quot;. An 11-year-old Saudi boy presented with dysphagia for 1 year. He had experienced an intermittent sensation of solid food sticking in his chest, which was relieved by drinking liquids. A barium swallow ex...
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Abdulrahman A Al-Hussaini, Toufic Semaan, Imad A El Hag Source Type: journals

Solitary rectal ulcer syndrome: A clinicopathological study of 13 casesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: SRUS is a rare disorder and only 13 cases were diagnosed in Farwania hospital over a 6-year period. The clinical presentation of our patients was variable. The presence of polyps and multiple ulcerations on endoscopy is further evidence that SRUS is a misnomer. Surface serration, fibromuscular obliteration, and crypts' distortion are the most characteristic features. The presence of diamond crypts is an additional diagnostic feature. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Nabeel Al-Brahim, Naser Al-Awadhi, Saleh Al-Enezi, Saqer Alsurayei, Mahmoud Ahmad Source Type: journals

Crocetin reduces TNBS-induced experimental colitis in mice by downregulation of NFkBEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: These findings suggest that crocetin exerts beneficial effects in experimental colitis, and therefore we propose that this carotenoid may have therapeutic implications for human UC and can be administered along with the conventional therapy of UC (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Hamid A Kazi, Zhiyu Qian Source Type: journals

A survey of surgical management of acute cholecystitis in eastern Saudi ArabiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Early LC for AC is practiced by th e majority of surgeons in Eastern Saudi Arabia. This practice is significantly associated with increased number of cholecystectomies performed as well as with the percentage performed with a laparoscopic approach. According to the current literature, early LC for AC results in a shorter total hospital stay and reduced cost of treatment. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Abdulmohsen A Al-Mulhim Source Type: journals

Retrospective study of the clinical profile and prognostic indicators in patients of alcoholic liver disease admitted to a tertiary care teaching hospital in Western NepalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: ALD was predominantly seen among the productive age group with a high morbidity and mortality. Jaundice, ascites, hepatic encephalopathy at presentation and female sex are poor prognostic indicators along with discriminant score > 32, AST:ALT &#8805; 2, USG-proven cirrhosis, coagulopathy, hyperbilirubenemia and high ESR. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Om K Pathak, Raju Paudel, Om B Panta, Hom P Pant, Bishnu R Giri, Baikuntha Adhikari Source Type: journals

Acute appendicitis: Is removal of a normal appendix still existing and can we reduce its rate?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In spite of the advances in the diagnostic and imaging techniques, the rates of negative findings on appendicectomy have not decreased much. Clinical judgment is still the most important factor in the management of patients with suspected acute appendicitis. The routine use of CT scan or diagnostic laparoscopy for all patients who are suspected to have appendicitis is neither cost-effective nor safe. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Gamal Khairy Source Type: journals

Stapled hemorrhoidopexy: The Aga Khan University Hospital ExperienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Stapled hemorrhoidopexy procedure was found safe, well tolerated by patients with minimal parenteral analgesic use and early discharge from the hospital. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Ali Athar, Tabish Chawla, Pishori Turab Source Type: journals

Protective effect of L-arginine against necrosis and apoptosis induced by experimental ischemic and reperfusion in rat liverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Thus, it may be concluded that L-arginine afforded significant protection from necrosis and apoptosis in I/R injury by upregulated Bcl-2 gene and nitric oxide production. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Pronobesh Chattopadhyay, Gunjan Shukla, Arun Kumar Wahi Source Type: journals

Acute biliary pancreatitis: Diagnosis and treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Zakaria M HazemSaudi Journal of Gastroenterology 2009 15(3):147-155Gallstones are the commonest cause of acute pancreatitis (AP), a potentially life-threatening condition, worldwide. The pathogenesis of acute pancreatitis has not been fully understood. Laboratory and radiological investigations are critical for diagnosis as well prognosis prediction. Scoring systems based on radiological findings and serologic inflammatory markers have been proposed as better predictors of disease severity. Early endoscopic retrograde cholangiopancreatography (ERCP) is beneficial in a group of patients with gallstone pancreatitis. Laparosc...
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Zakaria M Hazem Source Type: journals

Bleeding per rectum in a patient with an amputated fingerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hakeem Aijaz, Shafi Hakim, Rasool Shubana, Ahmad MuneerSaudi Journal of Gastroenterology 2009 15(3):213-214 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Hakeem Aijaz, Shafi Hakim, Rasool Shubana, Ahmad Muneer Source Type: journals

Growth factors as treatment for inflammatory bowel disease: A concise review of the evidence toward their potential clinical utilityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Barahona-Garrido Josue, Hernandez-Calleros Jorge, Garcia-Juarez Ignacio, Yamamoto-Furusho Jesus KSaudi Journal of Gastroenterology 2009 15(3):208-212In the process of inflammation and repair of the intestinal mucosa in inflammatory bowel disease (IBD), there occurs a complex and an unknown interplay of innate and adaptive immune mechanisms. This interaction of factors may explain why IBD is characterized by a relapsing and remitting clinical course. Different components of innate immunity, hormones and interleukins in IBD have been suggested to be impaired. The growth hormone, epidermal growth factor, keratinocyte growth f...
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Barahona-Garrido Josue, Hernandez-Calleros Jorge, Garcia-Juarez Ignacio, Yamamoto-Furusho Jesus K Source Type: journals

Helicobacter pylori infection in developing countries: The burden for how long?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Salih Barik ASaudi Journal of Gastroenterology 2009 15(3):201-207Approximately 50% (over 3 billion) of the world populations are known to be infected with Helicobacter pylori , mainly in the developing countries . Among those, hundreds of millions of people develop peptic ulceration during their lifetime and still tens of millions might progress to gastric cancer. Possible modes of H. pylori transmission generally described are through direct contact between family members ...
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Salih Barik A Source Type: journals

Biliary cystadenoma mimicking hydatid cystEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Raza M H, Rab A Z, Khan Shehtaj, Ahmad ReyazSaudi Journal of Gastroenterology 2009 15(3):199-200 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Raza M H, Rab A Z, Khan Shehtaj, Ahmad Reyaz Source Type: journals

Squamous cell carcinoma of the rectum 21 years after radiotherapy for cervical carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Leung Kevin K, Heitzman Joseph, Madan AnandSaudi Journal of Gastroenterology 2009 15(3):196-198Squamous cell carcinoma (SCC) of the rectum is an extremely rare malignancy, accounting for 0.1-0.2% of rectal malignancies. It is associated with ulcerative colitis, prior radiation, schistosomiasis, ovarian cancer, endometrial cancer, human papilloma virus, colocutaneous fistulas and colonic duplication. Prior reported cases of SCC of the rectum have involved treatment with brachytherapy and external beam radiation. This case is particularly interesting because of the remote exposure of radiation (21 years previously) an...
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Leung Kevin K, Heitzman Joseph, Madan Anand Source Type: journals

Esophageal trachealization: A feature of eosinophilic esophagitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Al-Hussaini Abdulrahman A, Semaan Toufic, El Hag Imad ASaudi Journal of Gastroenterology 2009 15(3):193-195Eosinophilic esophagitis (EE) is an inflammatory condition characterized by intense eosinophilic infiltration of the esophagus. EE is frequently misdiagnosed as gastroesophageal reflux disease. Here, we present a child with EE and a characteristic endoscopic finding, &quot;ringed esophagus&quot;. An 11-year-old Saudi boy presented with dysphagia for 1 year. He had experienced an intermittent sensation of solid food sticking in his chest, which was relieved by drinking liquids. A barium swallow ex...
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Al-Hussaini Abdulrahman A, Semaan Toufic, El Hag Imad A Source Type: journals

Solitary rectal ulcer syndrome: A clinicopathological study of 13 casesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: SRUS is a rare disorder and only 13 cases were diagnosed in Farwania hospital over a 6-year period. The clinical presentation of our patients was variable. The presence of polyps and multiple ulcerations on endoscopy is further evidence that SRUS is a misnomer. Surface serration, fibromuscular obliteration, and crypts' distortion are the most characteristic features. The presence of diamond crypts is an additional diagnostic feature. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Al-Brahim Nabeel, Al-Awadhi Naser, Al-Enezi Saleh, Alsurayei Saqer, Ahmad Mahmoud Source Type: journals

Crocetin reduces TNBS-induced experimental colitis in mice by downregulation of NFkBEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: These findings suggest that crocetin exerts beneficial effects in experimental colitis, and therefore we propose that this carotenoid may have therapeutic implications for human UC and can be administered along with the conventional therapy of UC (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Kazi Hamid A, Qian Zhiyu Source Type: journals

A survey of surgical management of acute cholecystitis in eastern Saudi ArabiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Early LC for AC is practiced by th e majority of surgeons in Eastern Saudi Arabia. This practice is significantly associated with increased number of cholecystectomies performed as well as with the percentage performed with a laparoscopic approach. According to the current literature, early LC for AC results in a shorter total hospital stay and reduced cost of treatment. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Al-Mulhim Abdulmohsen A Source Type: journals

Retrospective study of the clinical profile and prognostic indicators in patients of alcoholic liver disease admitted to a tertiary care teaching hospital in Western NepalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: ALD was predominantly seen among the productive age group with a high morbidity and mortality. Jaundice, ascites, hepatic encephalopathy at presentation and female sex are poor prognostic indicators along with discriminant score > 32, AST:ALT &#8805; 2, USG-proven cirrhosis, coagulopathy, hyperbilirubenemia and high ESR. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Pathak Om K, Paudel Raju, Panta Om B, Pant Hom P, Giri Bishnu R, Adhikari Baikuntha Source Type: journals

Acute appendicitis: Is removal of a normal appendix still existing and can we reduce its rate?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In spite of the advances in the diagnostic and imaging techniques, the rates of negative findings on appendicectomy have not decreased much. Clinical judgment is still the most important factor in the management of patients with suspected acute appendicitis. The routine use of CT scan or diagnostic laparoscopy for all patients who are suspected to have appendicitis is neither cost-effective nor safe. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Khairy Gamal Source Type: journals

Stapled hemorrhoidopexy: The Aga Khan University Hospital ExperienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Stapled hemorrhoidopexy procedure was found safe, well tolerated by patients with minimal parenteral analgesic use and early discharge from the hospital. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Athar Ali, Chawla Tabish, Turab Pishori Source Type: journals

Protective effect of L-arginine against necrosis and apoptosis induced by experimental ischemic and reperfusion in rat liverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Thus, it may be concluded that L-arginine afforded significant protection from necrosis and apoptosis in I/R injury by upregulated Bcl-2 gene and nitric oxide production. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Chattopadhyay Pronobesh, Shukla Gunjan, Wahi Arun Kumar Source Type: journals

Acute biliary pancreatitis: Diagnosis and treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hazem Zakaria MSaudi Journal of Gastroenterology 2009 15(3):147-155Gallstones are the commonest cause of acute pancreatitis (AP), a potentially life-threatening condition, worldwide. The pathogenesis of acute pancreatitis has not been fully understood. Laboratory and radiological investigations are critical for diagnosis as well prognosis prediction. Scoring systems based on radiological findings and serologic inflammatory markers have been proposed as better predictors of disease severity. Early endoscopic retrograde cholangiopancreatography (ERCP) is beneficial in a group of patients with gallstone pancreatitis. Laparosc...
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Hazem Zakaria M Source Type: journals