Long-Term Survival of an Adolescent and Young Adult Patient with Unresectable Advanced Gastric Cancer in Whom Multidisciplinary Treatment Was Effective
We report the case of a long-term-surviving adolescent and young adult patient with unresectable advanced gastric cancer for whom multidisciplinary treatment was effective. A 29-year-old woman was referred to our hospital for further examination following a diagnosis of gastric cancer by a local physician. Esophagogastroduodenoscopy showed a deep ulcerated lesion in the lower third of the stomach, and analysis of biopsy specimens revealed an adenocarcinoma. Abdominal contrast- enhanced computed tomography showed gastric wall thickening in the lower third of the stomach. The patient underwent distal gastrectomy with lymph n...
Source: Pain Physician - February 2, 2024 Category: Anesthesiology Authors: Tsutomu Namikawa Masato Utsunomiya Keiichiro Yokota Yasuhiro Kawanishi Sachi Yamaguchi Masaya Munekage Hiromichi Maeda Hiroyuki Kitagawa Yusuke Nagata Michiya Kobayashi Kazuhiro Hanazaki Satoru Seo Source Type: research

Duodenal Web in an Elderly Patient with Abdominal Discomfort and Vomiting: A Rare Case
Arch Iran Med. 2023 Aug 1;26(8):455-458. doi: 10.34172/aim.2023.69.ABSTRACTDuodenal web is complete or incomplete obstruction of the duodenum due to a membranous web or intraluminal diverticulum. This abnormality is one of the main causes of intestinal obstruction in children. The symptoms of this disease may rarely appear in older age and cause gastric outlet obstruction in adults. In the present paper, we report a 69-year-old male patient with heartburn, abdominal discomfort, frequent non-bilious, non-bloody vomiting for the past 6 months. Furthermore, the patient had experienced a weight loss of 12 kg during this period...
Source: Archives of Iranian Medicine - February 1, 2024 Category: Middle East Health Authors: Mehdi Alimadadi Reza Ghanbari Mohanna Yousefi Somayeh Sadani Source Type: research

A Curious Case of Primary Gastric Mucosal Melanoma
We present the case of a 58-year-old woman with complaints of abdominal pain, loss of appetite and weight. Esophagogastroduodenoscopy revealed a gastric mass and systemic imaging demonstrated widespread nodal and bilateral adrenal gland involvement. Histopathology of the gastric mass confirmed primary malignant mucosal melanoma of the stomach. The patient received three cycles of Nivolumab but did not respond, and thus, was then offered best supportive care. Although infrequent, mucosal melanoma can arise from the gastrointestinal tract, and in contrast to the cutaneous form, advanced disease usually has a dismal prognosis...
Source: Korean J Gastroenter... - January 25, 2024 Category: Gastroenterology Authors: Zahabia Sohail Mirza Rameez Samar Neelam Jawed Qureshi Sidra Arshad Adeeba Zaki Source Type: research

A Curious Case of Primary Gastric Mucosal Melanoma
We present the case of a 58-year-old woman with complaints of abdominal pain, loss of appetite and weight. Esophagogastroduodenoscopy revealed a gastric mass and systemic imaging demonstrated widespread nodal and bilateral adrenal gland involvement. Histopathology of the gastric mass confirmed primary malignant mucosal melanoma of the stomach. The patient received three cycles of Nivolumab but did not respond, and thus, was then offered best supportive care. Although infrequent, mucosal melanoma can arise from the gastrointestinal tract, and in contrast to the cutaneous form, advanced disease usually has a dismal prognosis...
Source: Korean J Gastroenter... - January 25, 2024 Category: Gastroenterology Authors: Zahabia Sohail Mirza Rameez Samar Neelam Jawed Qureshi Sidra Arshad Adeeba Zaki Source Type: research

A Curious Case of Primary Gastric Mucosal Melanoma
We present the case of a 58-year-old woman with complaints of abdominal pain, loss of appetite and weight. Esophagogastroduodenoscopy revealed a gastric mass and systemic imaging demonstrated widespread nodal and bilateral adrenal gland involvement. Histopathology of the gastric mass confirmed primary malignant mucosal melanoma of the stomach. The patient received three cycles of Nivolumab but did not respond, and thus, was then offered best supportive care. Although infrequent, mucosal melanoma can arise from the gastrointestinal tract, and in contrast to the cutaneous form, advanced disease usually has a dismal prognosis...
Source: Korean J Gastroenter... - January 25, 2024 Category: Gastroenterology Authors: Zahabia Sohail Mirza Rameez Samar Neelam Jawed Qureshi Sidra Arshad Adeeba Zaki Source Type: research

A Curious Case of Primary Gastric Mucosal Melanoma
We present the case of a 58-year-old woman with complaints of abdominal pain, loss of appetite and weight. Esophagogastroduodenoscopy revealed a gastric mass and systemic imaging demonstrated widespread nodal and bilateral adrenal gland involvement. Histopathology of the gastric mass confirmed primary malignant mucosal melanoma of the stomach. The patient received three cycles of Nivolumab but did not respond, and thus, was then offered best supportive care. Although infrequent, mucosal melanoma can arise from the gastrointestinal tract, and in contrast to the cutaneous form, advanced disease usually has a dismal prognosis...
Source: Korean J Gastroenter... - January 25, 2024 Category: Gastroenterology Authors: Zahabia Sohail Mirza Rameez Samar Neelam Jawed Qureshi Sidra Arshad Adeeba Zaki Source Type: research

A Curious Case of Primary Gastric Mucosal Melanoma
We present the case of a 58-year-old woman with complaints of abdominal pain, loss of appetite and weight. Esophagogastroduodenoscopy revealed a gastric mass and systemic imaging demonstrated widespread nodal and bilateral adrenal gland involvement. Histopathology of the gastric mass confirmed primary malignant mucosal melanoma of the stomach. The patient received three cycles of Nivolumab but did not respond, and thus, was then offered best supportive care. Although infrequent, mucosal melanoma can arise from the gastrointestinal tract, and in contrast to the cutaneous form, advanced disease usually has a dismal prognosis...
Source: Korean J Gastroenter... - January 25, 2024 Category: Gastroenterology Authors: Zahabia Sohail Mirza Rameez Samar Neelam Jawed Qureshi Sidra Arshad Adeeba Zaki Source Type: research

A Curious Case of Primary Gastric Mucosal Melanoma
We present the case of a 58-year-old woman with complaints of abdominal pain, loss of appetite and weight. Esophagogastroduodenoscopy revealed a gastric mass and systemic imaging demonstrated widespread nodal and bilateral adrenal gland involvement. Histopathology of the gastric mass confirmed primary malignant mucosal melanoma of the stomach. The patient received three cycles of Nivolumab but did not respond, and thus, was then offered best supportive care. Although infrequent, mucosal melanoma can arise from the gastrointestinal tract, and in contrast to the cutaneous form, advanced disease usually has a dismal prognosis...
Source: Korean J Gastroenter... - January 25, 2024 Category: Gastroenterology Authors: Zahabia Sohail Mirza Rameez Samar Neelam Jawed Qureshi Sidra Arshad Adeeba Zaki Source Type: research

A Curious Case of Primary Gastric Mucosal Melanoma
We present the case of a 58-year-old woman with complaints of abdominal pain, loss of appetite and weight. Esophagogastroduodenoscopy revealed a gastric mass and systemic imaging demonstrated widespread nodal and bilateral adrenal gland involvement. Histopathology of the gastric mass confirmed primary malignant mucosal melanoma of the stomach. The patient received three cycles of Nivolumab but did not respond, and thus, was then offered best supportive care. Although infrequent, mucosal melanoma can arise from the gastrointestinal tract, and in contrast to the cutaneous form, advanced disease usually has a dismal prognosis...
Source: Korean J Gastroenter... - January 25, 2024 Category: Gastroenterology Authors: Zahabia Sohail Mirza Rameez Samar Neelam Jawed Qureshi Sidra Arshad Adeeba Zaki Source Type: research

Gastrointestinal bleeding in children: diagnostic approach
AbstractDifferent conditions may underlie gastrointestinal bleeding (GIB) in children. The estimated prevalence of GIB in children is 6.4%, with spontaneous resolution in approximately 80% of cases. Nonetheless, the initial approach plays a pivotal role in determining the prognosis. The priority is the stabilization of hemodynamic status, followed by a systematic diagnostic approach. GIB can originate from either upper or lower gastrointestinal tract, leading to a broad differential diagnosis in infants and children. This includes benign and self-limiting disorders, alongside serious conditions necessitating immediate trea...
Source: Italian Journal of Pediatrics - January 23, 2024 Category: Pediatrics Source Type: research

Prevalence and risk factors for medication-refractory reflux esophagitis in patients with systemic sclerosis in Japan
ConclusionsPatients with persistent reflux symptoms and those with absent contractility and GEFV grade III or IV should receive maintenance therapy with strong acid inhibition to prevent medication-refractory RE. (Source: Journal of Gastroenterology)
Source: Journal of Gastroenterology - January 22, 2024 Category: Gastroenterology Source Type: research

Can my surgeon scope? Trends in endoscopy training volume and experience among general surgery residents in the United States: a nationwide analysis
ConclusionThe overall endoscopy volume for general surgery residents has largely remained stable, with a minor increase in esophagogastroduodenoscopy and no change in colonoscopy. Future research should investigate whether simulation-based exercises can bridge the gap between procedural volume and learning curve requirements for endoscopy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 19, 2024 Category: Surgery Source Type: research

Management of an Ingested Foreign Body in a COVID-Positive Patient
Anesth Prog. 2023 Dec 1;70(4):178-183. doi: 10.2344/anpr-70-03-03.ABSTRACTThis case report describes a 51-year-old man who swallowed an amalgam fragment dislodged during dental treatment performed without a throat screen. The patient was transferred to the emergency department, where the foreign body was confirmed to be in the esophagus following radiographic imaging. Foreign body removal from the esophagus is routinely achieved via esophagogastroduodenoscopy (EGD). However, this incident occurred in September 2020, at the height of the COVID-19 pandemic. Because of the patient's preoperative positive COVID-19 test, the op...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Tiffany Smith Rachel Blum Raquel Rozdolski Source Type: research