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Background: Liver transplant recipients often remain transiently hypercoagulable following transplantation. This is due to the inherent bleeding and clotting risks associated with the surgical procedure and to a disruption in coagulation homeostasis associated with cirrhotic disease. There is no guidance on the application of ph.. Read More
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A Comparative Study between T-Tube Drainage vs. Stent in Open CBD Exploration
Choledocholithiasis is presence of stones in common bile duct. Choledocholithiasis develops in about 10%-15% of patients with gall stones. There are two methods for extracting CBD stones endoscopic retrograde cholangiopancreatography or surgically by CBD exploration. ERCP is preferred method in management of CBD stones. In patie.. Read More
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Background: Functional constipation is a common problem in childhood. The parents’ understanding of defecation and constipation in children affects the prevention and recognition of this disorder. Objective: The aim of his research is to develop parental Knowledge, Attitude, and Practice (KAP) questionnaire towards defeca.. Read More
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Clinical Utility of EsoGuard® as a Barrett's Esophagus Triage Test for On-duty Firefighters
Background: Firefighters have frequent exposure to smoke and compounds shown to increase the risk of esophageal neoplasia. However, many are unaware of their risk for Esophageal Adenocarcinoma (EAC) or the precursor condition Barrett's Esophagus (BE), and screening endoscopy can be difficult to accommodate with shift schedules. .. Read More
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Introduction: Gastroesophageal Reflux Disease (GERD) is the regurgitation or rise of gastric or duodenal contents beyond the gastroesophageal junction, and its prevalence ranges from 15% to 30%. It has been underdiagnosed due to lack of consultation with a health professional and due to self-medication. Interventions include pha.. Read More
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Lactulose and mannitol have been used to assess intestinal permeability and several methodologies have been used. Objectives: This study aimed to validate the high performance liquid chromatography method coupled with tandem mass spectrometry to measure mannitol and lactulose sugars. Materials and methods: We used a High Perfo.. Read More
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Sclerosing Encapsulating Peritonitis: A Mysterious Cause of Small Bowel Obstruction
Sclerosing encapsulating peritonitis, also known as abdominal cocoon, is a rare condition of unknown etiology which results in intestinal obstruction due to total or partial encapsulation of the small bowel by a fibrocollagenous membrane. A high index of clinical suspicion is required for preoperative diagnosis. The early clinic.. Read More
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Purpose: Primary resection and anastomosis for malignant acute obstruction of left colon offers a single stage surgical option without a stoma. Our aim was to determine the outcome of subtotal colectomy in acutely obstructed left colonic cancer. Methods: A retrospective review of all patients who underwent subtotal colectomy fo.. Read More
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Therapeutic Potential ofTrichosanthes dioica Plant (Pointed Gourd)-A Review
Trichosanthes dioica, also referred as "Sespadula" in English and "Parwal" in Hindi, is found abundantly throughout India. T. dioica leaf juice is used as a febrifuge, tonic in alopecia and in subacute liver enlargement instances. Leaf and fruit remedies for drunkenness and jaundice are mentioned in the Charaka Samhita. The imma.. Read More
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Eosinophilic Esophagitis (EoE) is a major cause of dysphagia and food impaction. Recognition and diagnosis of EoE have been increasing rapidly, but the role of Proton Pump Inhibitors (PPIs) for the diagnosis of EoE and treatment of esophageal eosinophilia remains controversial. Initial diagnostic algorithms for EoE relied on a P.. Read More
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GEJ Signet Ring Cell with Skip Lesion to Mid Esophagus Post Neoadjuvant (FLOT-4)
Signet ring cells consider one of the rare diagnosis that can be managed among the oncological diseases. Confined on poor prognosis and advancement of their stage. Not seems to be affected properly with the chemotherapy. And still the surgical option is the best in operable cases to decrease the burden of the disease... Read More
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Background: Urinary Tract Infection (UTI) occurs more in women than men. Escherichia coli are responsible in most cases. The microbial (Lactobacillus) species which inhabit in the vaginal tract play an important role in the prevention of infection. Irrational use of antibiotics contributes to changes in antibiotic susceptibility.. Read More
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Jatropha tanjorensis Ameliorate Effects of Aspirin Induced Stomach UIcer in Wistar Rats
Background: Jatropha tanjorens is considered a potential source of medicinal agents to treat different diseases. Aim: This study investigated the comparative effects of J. tanjorensis ethanolic leaves extract and amlodipine on gastro intestinal function in aspirin induced ulcer in wistar rats. Methods: Wistar rats of both sexes.. Read More
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Mesenteric Panniculitis as a Manifestation of Giardiasis in Tropical Regions: A Case Report
Background: Mesenteric panniculitis is a very rare gastroenterological condition, especially in adults. This patient had a very unorthodox manifestation of a common protozoal intestinal parasite. From this case, we can learn that in cases of non-specific abdominal pain with mesenteric panniculitis, we should also look for common.. Read More
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Introduction: Procalcitonin (PCT) has been studied for early identification of Ischemia and/or Necrosis (I/N) in children with Intestinal Obstruction (IO) secondary to Adhesive Small Bowel Obstruction (ASBO). However, the causes of IO in children are numerous. Purpose: To correlate the level of PCT with the presence of I/N. Re.. Read More
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Is Metabolic Syndrome a Risk Factors for Precancerous Colonic Lesions?
Introduction: Metabolic syndrome (MS) is considered a possible risk factor for CRC, also because it affects bowel cleansing. As primary aim, association between MS or each parameter of MS and the prevalence and histology of precancerous colonic lesions (PCL) was examined. The secondary aim was to analyze the impact of these on b.. Read More
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Introduction: Gastric cancer (GC) is mostly related to Helicobacter pylori (Hp) infection, and risk-stratified screening (RS) for GC has been adopted in some cities. We aimed to investigate the efficacy of RS as compared with barium X-ray screening (XR) recommended by Japan for GC. Methods: Repeated cross-sectional study from t.. Read More
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Background: Immune Thrombocytopenia (ITP) is an acquired autoimmune disorder that has a combination of suppressed platelet production and immune mediated platelet destruction. Despite the presence of thrombocytopenia, chronic ITP patients have a higher risk of arterial or venous thromboembolism compared to normal people. Case p.. Read More
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Introduction: In this study, we compared LAB metabolites with Yuquan Pill (a traditional Chinese medicine used in diabetic patients) to confirm the efficacy of LAB metabolites alone in diabetes patients. Methods: Sixty untreated diabetic patients were divided into two groups, and a 3 month interventional clinical trial was cond.. Read More
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To Study the Significance of Serum Uric Acid Level in Chronic Liver Disease
Introduction: Chronic liver disease is one of the frequent causes of death, especially in the developing world. The increasing prevalence of chronic liver disease has been noted in recent times. Hyperuricemia results in endothelial dysfunction, insulin resistance, oxidative stress and adipose tissue inflammation, which leads to .. Read More
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