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Specialty: Gastroenterology

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Total 421 results found since Jan 2013.

Portal pneumatosis in a patient with severe Salmonella colitis
Rev Esp Enferm Dig. 2021 Jul 23. doi: 10.17235/reed.2021.8090/2021. Online ahead of print.ABSTRACT65-year-old patient with a history of ischemic stroke with residual ophthalmoparesis, positive in fecal occult blood screening, pending colonoscopy, who attended the emergency room due to 3 days with pain, abdominal distension and diarrhea. In the emergency room, he presented with diffuse abdominal pain, hemodynamic instability with acute renal failure and metabolic acidosis, with severe elevation of acute phase reactants. Abdominal fluid resuscitation and CT (computed tomography) were performed, which reported dilatation of t...
Source: Revista Espanola de Enfermedades Digestivas - July 23, 2021 Category: Gastroenterology Authors: Jaume Ortega Alcaide S ílvia Pérez Farré Jose Enrique Sierra Gra ñón Jorge Juan Olsina Kissler Source Type: research

Impact of inflammatory bowel disease on hospital outcomes in acute ischemic stroke: a nationwide cohort study
ConclusionsUC and CD do not appear to be associated with a higher risk of mortality or increased healthcare usage in AIS. AIS risk assessment in patients with IBD is important but should be done in a similar fashion to the general population.
Source: International Journal of Colorectal Disease - July 14, 2021 Category: Gastroenterology Source Type: research

Fr127 PENTADECAPEPTIDE BPC 157 IN STROKE RATS COUNTERACTS STRESS GASTRIC LESIONS, THROMBOSIS AND INTRACRANIAL, PORTAL AND CAVAL HYPERTENSION, AND AORTAL HYPOTENSION
Source: Gastroenterology - May 1, 2021 Category: Gastroenterology Authors: Slaven Gojkovic, Jaksa Vukojevic, Ivan Krezic, Sanja Strbe, Hrvoje Vranes, Katarina Oroz, Luka Coric, Karol Simonji, Marijan Tepes, Eva Lovric, Anita Skrtic, Sven Seiwerth, Predrag Sikiric Tags: AGA Abstracts Source Type: research

Successful Distancing: Telemedicine in Gastroenterology and Hepatology During the COVID-19 Pandemic
AbstractTelemedicine involves delivering healthcare and preventative care services to patients without the need for in-person encounters. Traditionally, telemedicine has been used for acute events (e.g., stroke, used to relay essential information to the emergency department) and chronic disease management (e.g., diabetes and chronic kidney disease management). Though the utilization of telemedicine in gastroenterology and hepatology has been modest at best, especially for inflammatory bowel diseases and chronic liver disease management, since the onset of coronavirus disease 2019 (COVID-19) pandemic, utilization of teleme...
Source: Digestive Diseases and Sciences - March 3, 2021 Category: Gastroenterology Source Type: research

Intraperitoneal microdialysis detects intestinal leakage earlier than hemodynamic surveillance and systemic inflammation in a pig model.
CONCLUSION: Intraperitoneal fecal contamination leads to a rapid and pronounced intraperitoneal increase in lactate, decrease in glucose while pyruvate and glycerol levels remain unchanged. This distinct metabolic pattern of peritoneal inflammation can be easily detected by microdialysis. Observation of this pattern may minimize time to safe diagnosis of intestinal perforations after intraperitoneal fecal contamination. PMID: 33356757 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Gastroenterology - December 29, 2020 Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research

Intestinal Ischemic Manifestations of COVID-19
We read with interest the article by Norsa et  al1 on intestinal ischemia in patients with coronavirus disease 2019 (COVID-19). They further highlight the coagulopathy known to cause vascular obstructions in patients with severe COVID-19, in whom microthrombi are typically found in the lung circulation; however, also myocardial infarction and ischemic stroke were reported, particularly in the late phase of the disease. The patients reported by Norsa et al had either small or large bowel ischemia, splenic infarct, or pulmonary thromboembolism, which were fatal in 4 of the 7 cases.
Source: Gastroenterology - December 29, 2020 Category: Gastroenterology Authors: Antonio Ponzetto, John Holton, Massimo Porta Tags: Correspondence Source Type: research

The effect of the COVID-19 pandemic on ED referrals and care for stroke patients: A four-year comparative study
Publication date: Available online 26 December 2020Source: Journal of Critical CareAuthor(s): Saban Mor, Reznik Anna, Shachar Tal, R. Wilf-Miron, Sivan-Hoffmann Rotem
Source: Journal of Critical Care - December 28, 2020 Category: Gastroenterology Source Type: research

Cardiac and Pulmonary Vascular Risk Stratification in Liver Transplantation
Cardiovascular disease complications are the leading cause of early (short-term) mortality among liver transplant recipients. The increasingly older candidate pool has multiple comorbidities necessitating cardiac and pulmonary vascular disease risk stratification of patients for optimal allocation of scarce donor livers. Arrhythmias, heart failure, stroke, and coronary artery disease are common pretransplant cardiovascular comorbidities and contribute to cardiovascular complications after liver transplant. Valvular heart disease and portopulmonary hypertension present intraoperative challenges during liver transplant surge...
Source: Clinics in Liver Disease - October 26, 2020 Category: Gastroenterology Authors: Blessing Aghaulor, Lisa B. VanWagner Source Type: research

Parental, Perinatal, and Childhood Risk Factors for Development of Irritable Bowel Syndrome: A Systematic Review.
Conclusions: More effort is needed to identify what fetal and maternal factors are associated with low birth weight and IBS. A well-executed prospective birth cohort with a collection of bio-samples and functional data will provide a better understanding of how adversity and the interplay between genetics, epigenetics, and numerous risk factors affect the development of IBS. PMID: 32989183 [PubMed]
Source: Journal of Neurogastroenterology and Motility - September 30, 2020 Category: Gastroenterology Tags: J Neurogastroenterol Motil Source Type: research

Beta-blockers in refractory ascites – is it truly the end of the road?
We read with great interest the study by Tellez et  al.1 highlighting mechanisms of hemodynamic alterations and associated renal dysfunction with the use of a 4-week non-selective beta-blocker (NSBB) therapy in refractory ascites (RA) and diuretic responsive ascites (DRA).1 They proposed ejection intra-ventricular pressure difference (EIVPD) as a n ovel load-independent measure that predicts LV systolic function decline better than standard load-dependent measures (ejection fraction and stroke volume).
Source: Journal of Hepatology - August 26, 2020 Category: Gastroenterology Authors: Rohit Mehtani, Akash Roy, Nipun Verma, Madhumita Premkumar, Virendra Singh Tags: Letter to the Editor Source Type: research

Collateral Effect of Coronavirus Disease 2019 Pandemic on Hospitalizations and Clinical Outcomes in Gastrointestinal and Liver Diseases: A Territory-wide Observational Study in Hong Kong
As of July 22, 2020 there were more than 14.9 million cases and 616,000 deaths due to coronavirus disease 2019 (COVID-19) worldwide.1 Medical resources were shifted to management of infected patients, and declines in hospitalizations for acute coronary syndrome and stroke were observed.2,3 The world is now being exposed to a third wave of the pandemic, and the disruption to endoscopy service is considerable, leading to potential delays in the diagnosis of cancers and management of gastrointestinal (GI) bleeding.
Source: Gastroenterology - July 25, 2020 Category: Gastroenterology Authors: Louis H.S. Lau, Sunny H. Wong, Terry C.F. Yip, Grace L.H. Wong, Vincent W.S. Wong, Joseph J.Y. Sung Tags: Brief Communication Source Type: research

Tu1031 THE INFLUENCE OF DIRECT ORAL ANTICOAGULANTS ON DELAYED BLEEDING IN PATIENTS WITH EARLY GASTRIC NEOPLASMS WHO UNDERWENT ENDOSCOPIC SUBMUCOSAL DISSECTION
Direct oral anticoagulants (DOAC) are widely prescribed for prevention of stroke in elderly patients with atrial fibrillation and approved indication for DOAC has been expanded. We aimed to evaluate the risk of delayed bleeding in patients who had taken DOAC and underwent endoscopic submucosal dissection (ESD) for gastric neoplasms.
Source: Gastrointestinal Endoscopy - May 31, 2020 Category: Gastroenterology Authors: Jinju Choi, Soo-Jeong Cho, Ayoung Lee, Jue L. Kim, Hyunsoo Chung, Sang Gyun Kim Tags: Poster abstracts Source Type: research

Tu1164 HYGIEACARE PREP FOR COLONOSCOPY CONSISTENTLY PROVIDES 97% ADEQUACY, AND IS AGNOSTIC TO PREDICTORS OF POOR ORAL BOWEL PREP
The quality of bowel preparation (BP) before colonoscopy plays a pivotal role in the safety, efficacy and quality of the outcome of colonoscopy. Inadequate BP is evident in more than 25% of all colonoscopies. High-quality BP is critical for detection of precancerous lesions.. Inadequate BP is correlated with patient-specific factors including age, male gender, medications, comorbidities such as chronic constipation, diabetes, gastrointestinal surgery, cirrhosis, stroke, and irritable bowel disease (IBD).
Source: Gastrointestinal Endoscopy - May 31, 2020 Category: Gastroenterology Authors: James A. Underwood, Pradeep Bekal, Orly Levitan, Dawn B. Burleson, David A. Johnson Tags: Poster abstracts Source Type: research