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).
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: At the focal point Source Type: research

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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.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Clinical research study Source Type: research
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.
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Source: Journal of the National Comprehensive Cancer Network : JNCCN - Category: Cancer & Oncology Tags: J Natl Compr Canc Netw Source Type: research
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Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research
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Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research
Diabetes mellitus (DM) is a common feature in cirrhotic individuals, due to the bidirectional relationship between impaired glucose metabolism and chronic liver disease [1]. On the one hand, type 2 DM is a risk factor for non-alcoholic fatty liver disease (NAFLD) [2] and, though not included in the most widely used prognostic tools [3], is a major predictor of adverse outcomes in cirrhotic individuals both before [4]and after [5] 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 ...
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Source: Current Otorhinolaryngology Reports - Category: ENT & OMF Source Type: research
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