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Total 517 results found since Jan 2013.

Eosinophilic esophagitis in children with esophageal atresia
Summaryy Eosinophilic esophagitis (EoE) has only rarely been reported in esophageal atresia (EA) patients. A retrospective case analysis of all EA patients born at our center between January 1999 and April 2012 was performed. A total of 113 of patients were identified; 10 patients were excluded as a result of inadequate data. Eighteen patients (17%) were diagnosed with EoE. The average number of eosinophilis was 30/high‐power field (HPF) (19/HPF–80/HPF). The median age for diagnosis of EoE was 1 year and 6 months (8 months–8 years and 7 months). Children with EoE had a significantly greater incidence of reflux sympto...
Source: Diseases of the Esophagus - August 15, 2013 Category: Gastroenterology Authors: J. Dhaliwal, V. Tobias, E. Sugo, V. Varjavandi, D. Lemberg, A. Day, T. Bohane, O. Ledder, A. Jiwane, S. Adams, G. Henry, A. Dilley, E. Shi, U. Krishnan Tags: Original article Source Type: research

Diagnosis of allergic rhinitis: inter‐rater reliability and predictive value of nasal endoscopic examination: a prospective observational study
ConclusionsPatient symptoms and nasal endoscopy findings do not provide reliable diagnosis of allergic rhinitis. Turbinate color and hypertrophy are believed to be related to allergic rhinitis; however, these were subject to marked inter‐rater variability in this study.This article is protected by copyright. All rights reserved.
Source: Clinical Otolaryngology - August 27, 2013 Category: ENT & OMF Authors: Erdem Eren, Ayşe Aktaş, Seçil Arslanoğlu, Aylin Kopar, Ejder Ciğer, Yılmaz Özkul, Kazım Önal, Hüseyin Katılmiş Tags: Original Article Source Type: research

The ideal puncture approach for PCNL: Fluoroscopy, ultrasound or endoscopy?
Bannakij LojanapiwatIndian Journal of Urology 2013 29(3):208-213Percutaneous renal access is a common procedure in urologic practice. The main indications are drainage of an obstructed and hydronephrotic kidney and antegrade renal access prior to percutaneous renal surgeries such as percutaneous nephrolithotomy (PCNL) and percutaneous endopyelotomy (EP). The contraindications for this technique are patients with history of allergy to topical or local anesthesia and patients with coagulopathy. The creation of a percutaneous tract into the renal collecting system is one of the important steps for percutaneous renal access. T...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Bannakij Lojanapiwat Source Type: research

Gliadin Does Not Induce Mucosal Inflammation or Basophil Activation in Patients With Nonceliac Gluten Sensitivity
Conclusions: Unlike the duodenal mucosa from patients with celiac disease, upon incubation with gliadin, mucosa from patients with NCGS does not express markers of inflammation, and their basophils are not activated by gliadin. The in vitro gliadin challenge therefore should not be used to diagnose NCGS.
Source: Clinical Gastroenterology and Hepatology - May 1, 2013 Category: Gastroenterology Authors: Cristina Bucci, Fabiana Zingone, Ilaria Russo, Ivonne Morra, Raffaella Tortora, Norberto Pogna, Giulia Scalia, Paola Iovino, Carolina Ciacci Tags: Alimentary Tract Source Type: research

Eosinophilic oesophagitis: From physiopathology to treatment
Abstract: Eosinophilic oesophagitis is a chronic inflammatory disease characterized by eosinophilic infiltration of the oesophageal mucosa. Food and aero-allergens are involved in its pathogenesis. Dysphagia and food impaction are the dominant symptoms in adult with eosinophilic oesophagitis. However, a wide range of symptoms has been noticed such as chest pain or gastro-oesophageal reflux disease-like symptoms. Upper gastro-intestinal endoscopy and oesophageal biopsies are crucial for the diagnosis of eosinophilic oesophagitis. Endoscopy might be normal or reveal typical patterns such as rings, furrows, exudates, oedema, ...
Source: Digestive and Liver Disease - April 1, 2013 Category: Gastroenterology Authors: Sabine Roman, Edoardo Savarino, Vincenzo Savarino, François Mion Tags: Review Articles Source Type: research

18F-FDG PET/CT of a rectal carcinoma and a sigmoid adenoma
Introduction Positron-emission tomography (PET) with intravenously injected 18F-fluorodeoxyglucose (18F-FDG) provides ‘functional’ images of cellular glucose metabolism (FDG-PET). Integrated CT provides additional ‘anatomical’ images of the body’s X-ray attenuation (FDG-PET/CT).1 For diagnosis, FDG-avid foci are visually identified on the PET images, their 18F-FDG uptake can be semiquantitatively measured for instance by the maximum standardised uptake value (SUVmax), and the foci are matched to anatomical structures using the coregistered CT images.1 Some 18F-FDG is also excreted by the urina...
Source: Postgraduate Medical Journal - October 15, 2013 Category: Journals (General) Authors: Menke, J., Schaefer, I.-M., Sahlmann, C. O. Tags: Endoscopy, Journalology, Immunology (including allergy), Colon cancer, Lung cancer (oncology), Screening (oncology), Radiology, Lung cancer (respiratory medicine), Surgical diagnostic tests, Gastrointestinal surgery, General surgery, Radiology (diagnostic Source Type: research

National burden of antibiotic use for adult rhinosinusitis
Rhinosinusitis (RS) is among the most common conditions encountered in medicine, affecting approximately 15% of the adult population annually. According to major consensus guidelines, antibiotics are not recommended for most patients with uncomplicated cases of acute RS (ARS). The role of antibiotics for chronic RS (CRS) is controversial, and recent authors recommend that objective evidence by endoscopy or computed tomography should be obtained if a prolonged course of antibiotics is to be given for CRS. However, previous studies show that antibiotics are prescribed extensively to treat RS, in approximately more than 80% ...
Source: Journal of Allergy and Clinical Immunology - August 28, 2013 Category: Allergy & Immunology Authors: Stephanie Shintani Smith, Charlesnika T. Evans, Bruce K. Tan, Rakesh K. Chandra, Sean B. Smith, Robert C. Kern Tags: Letters to the Editor Source Type: research

A duodenal mass and acute pancreatitis.
In conclusion, the diagnosis of eosinophilic gastroenteritis should be considered in the patients with a duodenal mass. PMID: 24226730 [PubMed - in process]
Source: The Turkish Journal of Gastroenterology - June 1, 2013 Category: Gastroenterology Authors: Cakır OO, Bıyık M, Güngör G, Ataseven H, Demir A, Tavlı L Tags: Turk J Gastroenterol Source Type: research

PPI-Responsive Esophageal Eosinophilia and EoEPPI-Responsive Esophageal Eosinophilia and EoE
What helps to differentiate PPI-responsive esophageal eosinophilia from eosinophilic esophagitis in patients undergoing endoscopy? The American Journal of Gastroenterology
Source: Medscape Allergy Headlines - January 9, 2014 Category: Allergy & Immunology Tags: Gastroenterology Journal Article Source Type: news

Chronic low-dose aspirin use does not alter colonic mucosa in asymptomatic individuals: a prospective cross-sectional study (STROBE 1a)
Conclusions We observed no specific MC features in asymptomatic chronic low-dose aspirin users. We found subtle physiological and histopathological differences between the bowel segments.
Source: Journal of Clinical Pathology - January 15, 2014 Category: Pathology Authors: Zagorowicz, E., Mroz, A., Kraszewska, E., Rupinski, M., Kaminski, M. F., Regula, J. Tags: Endoscopy, Immunology (including allergy), Colon cancer, Inflammation, Clinical diagnostic tests Original article Source Type: research

The impact of comorbid migraine on quality‐of‐life outcomes after endoscopic sinus surgery
ConclusionPatients with comorbid migraine and CRS are more likely to have less severe evidence of disease and worse preoperative baseline QOL scores. This may imply that comorbid migraine disorder, in the setting of CRS, compels these patients to seek surgical management earlier in the disease process. Regardless, ESS provides comparable improvement for both patients with and without comorbid migraine. Level of Evidence2c. Laryngoscope, 2014
Source: The Laryngoscope - February 20, 2014 Category: ENT & OMF Authors: Adam S. DeConde, Jess C. Mace, Timothy L. Smith Tags: Allergy/Rhinology Source Type: research

Allergic enterocolitis with protein-losing enteropathy in a 5-month-old girl: a case report.
We report the case of a 5-month-old female infant who had allergic enterocolitis with protein-losing enteropathy and had low birth weight. Until the age of 4 months, she was fed only breast milk and did not experience any related problems. When she was 5-months-old, she was admitted to our hospital with the chief complaints of vomiting and diarrhea. She had whole body edema, thoracic and abdominal ascites, and bloody stools. Laboratory examinations showed the presence of hypoalbuminemia, hypogammaglobulinemia, and an elevated CRP level. Subsequently, she was fed an elemental diet with enteral tube feeding, and her conditio...
Source: Arerugi - November 1, 2013 Category: Allergy & Immunology Authors: Watanabe T, Fukuie T, Tajima I, Nomura I Tags: Arerugi Source Type: research

Modification of the lund‐kennedy endoscopic scoring system improves its reliability and correlation with patient‐reported outcome measures
ConclusionsModification of the LK system by excluding the subscores of scarring and crusting improves its reliability and its correlation with PROMs. In addition, the MLK system retains the familiarity of the widely used LK system and is applicable to any patient irrespective of surgical status. The MLK system may be a more suitable and reliable endoscopic scoring system for clinical practice and outcomes research. Level of Evidence4 Laryngoscope, 2014
Source: The Laryngoscope - April 2, 2014 Category: ENT & OMF Authors: Alkis J. Psaltis, Gang Li, Reza Vaezeafshar, Kyu‐Sup Cho, Peter H. Hwang Tags: Allergy/Rhinology Source Type: research

Unremitting abdominal pain: obscure until the first CT
We present a patient with a clinical entity that deserves better recognition, first suspected by its typical imaging findings. The case A healthy elderly patient presented with several months’ history of diffuse abdominal pain of mild to moderate intensity becoming relentless with time with no associated weight loss, fever or anorexia. Examination, X-rays, laboratory tests, gastroscopy and colonoscopy were normal and no diagnosis was reached over several months. On admission, abdominal CT revealed lymphadenopathy (up to 3.0x1.5 cm) and mesenteric fat infiltration suggestive of sclerosing mesenteritis (SCM) (figu...
Source: Postgraduate Medical Journal - April 15, 2014 Category: Journals (General) Authors: Schattner, A., Feldberg, E., Adi, M. Tags: Endoscopy, Immunology (including allergy), Pain (neurology), Colon cancer, Eating disorders, Radiology, Connective tissue disease, Dermatology, Surgical diagnostic tests, Gastrointestinal surgery, General surgery, Epidemiology Images in medicine Source Type: research

33 High-Definition Endoscopy With Virtual Chromoendoscopy for Prediction of Food Allergy in Real-Time -A Prospective, Randomized Study With Cross-Over Design
Source: Gastroenterology - May 1, 2014 Category: Gastroenterology Authors: Helmut Neumann, Michael Vieth, Gian Eugenio Tontini, Steffen Zopf, Claudia Günther, Markus F. Neurath, Yurdagül Zopf Source Type: research