Dieulafoy Lesion: An Unusual Cause of Excessive Gastric Bleeding in a Neonate

Following a spontaneous vaginal delivery, a 2470-g, 36-week estimated gestational age male infant was admitted to a level III newborn intensive care unit for mild respiratory distress. The delivery was uneventful; initially, the infant required supplemental oxygen but was quickly weaned off all respiratory support. He was not enterally fed. At 28 hours of age, 6 mL of frank blood was drawn from the nasogastric tube, followed by the passing of melanotic stools. Fetal hemoglobin was confirmed by an Apt test.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Insights and Images Source Type: research

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CONCLUSION: The route of gastroentric (antecolic and retrocolic) reconstruction has no impact on DGE after PPPD. PMID: 30792049 [PubMed - as supplied by publisher]
Source: Asian Journal of Surgery - Category: Surgery Authors: Tags: Asian J Surg Source Type: research
Discussion Gastrostomy tubes (GT or GTubes) have been used to support patients for about a century. They are placed between the abdominal skin and the stomach either percutaneously or surgically. The tubes can be a standard long tube with either a bumper or inflatable balloon internally and externally they have a retention piece to hold the GT in place. A button or low profile tube are similar but extend just beyond the skin. Reasons for GT placement include: Nutritional support Hydration maintenance Medication management Aspiration avoidance Gastric stasis decompression Obstruction bypass Quality of life improvement for...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Abstract Percutaneous endoscopic gastrostomy (PEG) is widely used to provide nutritional support for patients with dysphagia and/or disturbed consciousness preventing oral ingestion, and PEG tube placement is a relatively safe and convenient non-surgical procedure performed under local anesthesia. However, the prevention of PEG-insertion-related complications is important. A 64-year-old man with recurrent pneumonia underwent tracheostomy and nasogastric tube placement for nutritional support and opted for PEG tube insertion for long-term nutrition. However, during the insertion procedure, needle puncture had to be...
Source: Korean J Gastroenter... - Category: Gastroenterology Authors: Tags: Korean J Gastroenterol Source Type: research
​BY GREGORY TAYLOR, DO, &SHERIF EL-ALAYLI, DOA 60-year-old man with a significant history of alcohol abuse, metastatic hepatocellular carcinoma, and cirrhosis presented to the emergency department complaining of vomiting up bright red blood. The patient was reportedly supposed to have an esophagogastroduodenoscopy (EGD) six months earlier but failed to follow up.He had two episodes of melena the night before and two episodes of hematemesis that morning. He was also experiencing fatigue, weakness, and abdominal pain, which he described as achy and localized to the epigastric region. He had refused treatment for his he...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
ConclusionIdentifying bleeding as a complicated Meckel ’s diverticulum following blunt trauma to the abdomen can be challenging due to its low incidence and difficulties while making the diagnosis.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
Aim: Removal of batteries from the external auditory canal (EAC) or nasal cavity is an ENT emergency. This should be done immediately at time of presentation, but can be especially challenging in children. Complications from impacted button batteries include nasal septal perforation with saddle nose deformity, bleeding, infection and liquefactive necrosis of the EAC with a malignant otitis externa type presentation. We previously used a magnetic probe in the form of a nasogastric tube fixation magnetic bridle, which worked reasonably effectively in removing a button battery from a child's ear, but was not perfect due to it...
Source: International Journal of Surgery - Category: Surgery Authors: Source Type: research
This study assessed easily applicable factors to predict cases in need of urgent endoscopic hemostasis due to acute upper gastrointestinal bleeding. Methods: The consecutively included patients were divided into the endoscopic hemostasis and nonendoscopic hemostasis groups. We reviewed the enrolled patients' medical records and analyzed various variables and parameters for acute upper gastrointestinal bleeding outcomes such as demographic factors, comorbidities, symptoms, signs, laboratory findings, rebleeding rate, and mortality to evaluate simple predictive factors for endoscopic treatment. Results: A total of ...
Source: The Korean Journal of Internal Medicine - Category: Internal Medicine Authors: Tags: Korean J Intern Med Source Type: research
ConclusionAlthough uncommon, gastric ischemia is associated with significant mortality. Endoscopy and CT imaging play an important role in its diagnosis. The management of gastric ischemia is dictated by its severity and associated comorbidities.
Source: Digestive Diseases and Sciences - Category: Gastroenterology Source Type: research
Authors: Karakonstantis S, Tzagkarakis E, Kalemaki D, Lydakis C, Paspatis G Abstract INTRODUCTION: The usefulness of nasogastric aspiration and nasogastric lavage in patients with gastrointestinal bleeding is controversial, as evidenced by conflicting recommendations, both among and within society guidelines. Areas covered: Considering these controversies, we reviewed the evidence regarding the following questions: 1) Can nasogastric lavage stop or slow down the bleeding and improve subsequent endoscopic visualization? 2) Is nasogastric aspiration helpful for the localization of bleeding? 3) Can nasogastric aspirat...
Source: Expert Review of Gastroenterology and Hepatology - Category: Gastroenterology Tags: Expert Rev Gastroenterol Hepatol Source Type: research
Publication date: August 2017 Source:The Lancet, Volume 390, Supplement 1 Author(s): Alaa eldeen Al-Masri, Marwan Al-Aqad, Khamis Elessi, Khaled Matar, Oseid Alser, Afaf Elsafeen Background Early recognition, comprehensive assessment, and evidence-based care are crucial to reduce morbidity and mortality due to non-variceal upper gastrointestinal bleeding (UGIB). The aim of this study was to compare the present treatment of non-variceal UGIB in Gaza hospitals with the best available, evidence-based recommendations. Methods We distributed 47 questionnaires to doctors in medical departments of three hospitals (Naser Hospital...
Source: The Lancet - Category: General Medicine Source Type: research
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