An Unusual Presentation of Gastric Fistula following Peptic Perforation Repair: A Case Report

ConclusionA gastrocutaneous fistula diagnosed at sixth month following the peptic perforation repair and causing minimal discomfort to the patient is a rare presentation. The abdominal wound following the surgery was possibly not healing because of the underlying fistula.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research

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Although the epidemiology of acute upper GI bleeding (UGIB) has been changing, UGIB is still a common cause of hospital admissions worldwide, with peptic ulcers accounting for at least 30% of the UGIB episodes in large database studies.1-3 International consensus on the management of nonvariceal UGIB recommends the following: prompt assessment and risk stratification of patients, adequate resuscitation with judicious use of blood transfusion, pre-endoscopic acid suppression with proton pump inhibitors to reduce need for endoscopic therapy, early endoscopy within 24 hours of admission, and acid suppression with proton pump ...
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Original article Source Type: research
Conclusion: H. pylori-induced follicular gastritis is considered as an additional risk factor for bleeding from gastric varices. PMID: 30881448 [PubMed]
Source: Gastroenterology Research and Practice - Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research
ConclusionsLAERCP is a safe and successful procedure for the treatment of common bile duct lithiasis when conventional biliary access is not feasible, notably after RYGB. Larger trials still need to be performed to evaluate efficacy, technical success, and complications related to this technique.
Source: Journal of Visceral Surgery - Category: Surgery Source Type: research
The objective of this study was to develop a scoring model to predict the occurrence of significant bleeding in patients taking warfarin with a supra-therapeutic international normalized ratio.MethodsData were collected from the medical records of patients taking warfarin with an international normalized ratio>  3.5. The characteristics of bleeding episodes and the need for transfusion of blood products were recorded. Regression models were constructed to predict the occurrence of significant bleeding (requiring a transfusion of more than 2 units of packed red blood cells, intrapericardial or intracrani al h...
Source: Clinical Drug Investigation - Category: Drugs & Pharmacology Source Type: research
ConclusionOsteoarthritis has significant association with multimorbidity, which increases medicines intake and health care utilization. Comorbidities in OA should be considered for designing integrated care approach.
Source: Clinical Epidemiology and Global Health - Category: Epidemiology Source Type: research
In conclusion, we identified novel variants ofH  pylori CagLHM sequences in Iranian population such as NKMGK, which was associated with disease risk for PUD. Further studies using a large number of strains are required to better clarify the function of certain CagLHM motifs in gastric carcinogenesis and disease outcome.
Source: Cancer Medicine - Category: Cancer & Oncology Authors: Tags: ORIGINAL RESEARCH Source Type: research
CONCLUSION: On the basis of our study, we found some useful models for the antiulcer activity of drugs and we suggest that if we use In-vitro and In-vivo methods together, then, we get the most relevant result in our research area. PMID: 30864527 [PubMed - as supplied by publisher]
Source: Current Clinical Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Curr Clin Pharmacol Source Type: research
This report shows that noninvasive treatment alone can be effective in some cases with mild symptoms. PMID: 30847447 [PubMed]
Source: Accident and Emergency Nursing - Category: Emergency Medicine Authors: Tags: Arch Acad Emerg Med Source Type: research
CONCLUSIONS: Despite a high proportion of patients being at risk of VTE, the rate of adequate thromboprophylaxis prescription for surgical inpatients at Frere Hospital, East London, SA is very low. Increased availability of mechanical prophylaxis, as well as interventions to improve the rate of adequate prophylaxis prescription, needs to be evaluated for feasibility and effect in this hospital and other SA public hospitals. PMID: 30834875 [PubMed - in process]
Source: South African Medical Journal - Category: African Health Tags: S Afr Med J Source Type: research
CONCLUSIONS: A precise understanding of the burden of disease profile is essential for national, provincial and district budgeting and resource allocation. Ongoing surveillance such as that performed in the study provides this critical information. PMID: 30834864 [PubMed - in process]
Source: South African Medical Journal - Category: African Health Tags: S Afr Med J Source Type: research
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