Large intramural hematoma and gastric ulcer after EMR of a small gastric polyp
A 59-year-old man underwent EMR of a 1-cm sessile polyp at the gastric antrum. He had a history of coronary artery disease, chronic kidney disease (creatinine, 460 μmol/L), and compensated liver cirrhosis (platelet count, 144 × 109/L; prothrombin time, 14 s; international normalized ratio, 1.35). He took clopidogrel, which was discontinued 1 week before EMR. We used the inject-and-cut EMR technique and injected the submucosa with 5 mL of saline solution. A small nonexpanding purplish bulge developed after injection (A).
In conclusion, the results of the study showed that urinary alpha-GST and NGAL are promising biomarkers of ON. Ambiguous results of the remaining biomarkers, i.e., urinary pi-GST and KIM-1, and serum NGAL level may be related to a relatively small study group. Their utility in an early diagnosis of ON should be reevaluated. PMID: 30327688 [PubMed - in process]
Conclusion: These results suggest that edoxaban alone and in combination with clopidogrel or aspirin are promising antithrombotic therapies for the prevention of stent thrombosis.Pharmacology 2019;103:17 –22
Conclusions: Our study finds that sevelamer is potentially cost-effective compared to CaCO3, for the treatment of hyperphosphatemia in predialysis CKD III-V. We propose that sevelamer should be an option in the treatment of Malaysian predialysis patients with hyperphosphatemia, particularly those with high calcium load. PMID: 30327732 [PubMed]
Digestive Endoscopy,Volume 0, Issue ja, -Not available-.
Oral Diseases,Volume 0, Issue ja, -Not available-.
New test uses artificial intelligence to spot polyps, where all colorectal cancers begin. Doctors hope the technology will help save lives. CBS News' Chris Martinez reports.
New test uses artificial intelligence to spot polyps, where all colorectal cancers begin. CBS News' Chris Martinez reports.
Conclusions: Chronic gastric anisakiasis, although rare, should be included in the differential diagnoses for gastric SETs, especially in regions where raw fish is widely consumed. EUS findings suggesting chronic gastric anisakiasis are heterogeneously hypoechoic lesions with hyperechoic tubular structures, mainly in the submucosal and/or muscularis propria layers. Because chronic gastric anisakiasis decreases or subsides in most cases, follow-up endoscopy 6-12 months later is recommended. PMID: 30327668 [PubMed]
Conditions: Metabolic Acidosis; Chronic Kidney Disease Interventions: Drug: TRC101; Drug: Placebo Sponsor: Tricida, Inc. Not yet recruiting
Condition: Chronic Kidney Diseases Intervention: Sponsor: Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University Recruiting