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).
Arteriovenous fistulas created in patients with chronic kidney disease often lose patency and fail to become usable. This prospective trial evaluated the efficacy of vonapanitase, a recombinant human elastase, in promoting radiocephalic fistula patency and use for hemodialysis.
ConclusionIn this paper, recent deep learning object detection methods are adapted to detect esophageal abnormalities automatically. The evaluation of the methods proved its ability to locate abnormal regions in the esophagus from endoscopic images. The automatic detection is a crucial step that may help early detection and treatment of EAC and also can improve automatic tumor segmentation to monitor its growth and treatment outcome.
Conclusions: Although bisphosphonate use is recommended for all patients with newly diagnosed MM receiving antineoplastic therapy, 45% of patients in the United States did not receive this guideline-recommended care. PMID: 30659126 [PubMed - in process]
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Conclusion: There was a high prevalence of abnormal findings on hysteroscopy among the studied women mostly intrauterine adhesions, endometrial polyps and submucous fibroids. These findings indicate a need to incorporate hysteroscopy in the routine evaluation of female infertility in the region.
Diabetes mellitus (DM) is a common feature in cirrhotic individuals, due to the bidirectional relationship between impaired glucose metabolism and chronic liver disease . On the one hand, type 2 DM is a risk factor for non-alcoholic fatty liver disease (NAFLD)  and, though not included in the most widely used prognostic tools , is a major predictor of adverse outcomes in cirrhotic individuals both before and after  orthotopic liver transplantation (OLT). On the other hand, certain aetiological agents of liver disease, including HCV and NAFLD, may cause β-cell dysfunction and/or insulin resistance, thus ...
Conclusion: When it comes to safety and efficacy, the use of lower calyceal single-access PCNL has a very low complication rate compared to upper calyceal access PCNL, especially pneumothorax and bleeding.
AbstractPurpose of ReviewTo review whether drug-induced sleep endoscopy (DISE) aids in obstructive sleep apnea surgical planning, if it changes the initial proposal, and if so, does it contribute to increased surgical success or unnecessary morbidity?Recent FindingsA DISE and surgical outcomes multicenter cohort study (n = 275) reported no association for surgical outcomes with velopharyngeal and epiglottic collapse. Oropharyngeal and tongue base collapse on the other hand were associated with lower odds of surgical response.SummaryDISE changes surgical planning mainly in regard to the approach of the tongue ba...
AbstractBackgroundRecent evidence has indicated an increased risk of Barrett ’s esophagus (BE) in the long term after sleeve gastrectomy (SG).AimThe aim of the study is to investigate the spectrum of gastroesophageal reflux disease (GERD) symptoms as well as the prevalence of BE, at minimum 5 years after SG in patients who underwent SG in different bariatric centers of two countries: France and Italy.Patients and MethodsFive high volume outpatient centers dedicated to bariatric surgery that routinely perform upper GI endoscopy before any bariatric procedures were invited to participate in the study. From Januar...