Mahmoud Moubark
Background: In the last decade, newly development of endovascular techniques gives good chance in the treatment of GIT vascular malformations. As the frequency of its use is increasing progressively, we in this study analyze the short- and mid-term radiological and clinical outcomes of a case with gastric arteriovenous malformation treated endovascular. Conclusion: Gastric AVM is rare, and its management depends on the size and extent of the lesion. We assume that the use of histoacryl in the treatment of AVM carries significant risk unlike dealing with direct AV fistula. It is safer to use coils to embolize the feeding artery
Florina Orwell
Gastroenteritis (stomach flu) is a common, worldwide disease and almost everyone suffers from it a few times in their life because it is almost impossible to avoid contact with some of the viral and bacterial causes. It is an illness triggered by the infection and inflammation of the digestive system. Typical symptoms include abdominal cramps, diarrhea and vomiting. In many cases, the condition heals itself within a few days. The main complication of gastroenteritis is dehydration, but this can be prevented if the fluid lost in vomit and diarrhea is replaced. A person suffering from severe gastroenteritis may need fluids administered intravenously (directly into the blood stream via a vein – the setup is often referred to as a ‘drip’). Some of the causes of gastroenteritis include viruses, bacteria, bacterial toxins, parasites, particular chemicals and some drugs.
Nizaj Akbul
Gastroesophageal Reflux Disease (GERD), commonly referred to as heartburn, is a condition resulting from stomach acid moving backward from the stomach into the esophagus (the tube that connects the mouth to the stomach). The acid causes burning, inflammation and pain on the lining of the esophagus and can eventually lead to permanent damage of the lining. Tightness in the chest may also be felt, and sometimes heartburn can be confused with symptoms of a heart attack. This backward flow of acid is also called reflux when symptoms are brief and intermittent and do not cause on-going symptoms. Many people experience acid reflux from time to time. GERD is mild acid reflux that occurs at least twice a week, or moderate to severe acid reflux that occurs at least once a week. Most people can manage the discomfort of GERD with lifestyle changes and over-the-counter medications. But some people with GERD may need stronger medications or surgery to ease symptoms. The term “gastroesophageal” refers to the stomach and esophagus. Reflux means to flow back or return. Gastroesophageal reflux is when what’s in your stomach backs up into your esophagus. In normal digestion, your LES opens to allow food into your stomach. Then it closes to stop food and acidic stomach juices from flowing back into your esophagus.
Mohammad Asif Senawi
Gastric varices are an important Porto systemic collateral pathway, occurring in ~20% of patients with portal hypertension. They are considered distinct from oesophageal varices in that they have a propensity to haemorrhage at comparatively lower portal pressures, and are also associated with higher mortality rate with hemorrhage. The patients with cirrhosis or high portal blood pressure are highly prone to gastric variceal bleeding than the patients with splenic vein thrombosis (SVT). The bleeding leads to heavy loss of blood, which should be compensated by blood transfusion to regulate the blood circulation and to maintain the hemoglobin level 7-8 g/dL. This technique is a recovery approach to lower the risk of rebleeding and mortality. Gastric varices are treated by primary prophylaxis and secondary prophylaxis. The primary treatment includes drug therapy.
Augustine Turner
Expert Level (Scientific Service Achievement Award) The Scientific Service Achievement Award is the most esteemed award for the experts who have made exceptional and significant contributions at the field of Gastroenterology and Urology. These awards also provide a prospect to acknowledge those who play a major role in the progression to reach patients safety and requirements and nurses help in improving the life of people. Eligibility Criteria for this award.
Hany Eskarous* and Anuragh Gudur
Benign Recurrent Intrahepatic Cholestasis (BRIC) is a rare genetic disorder characterized by recurring episodes of jaundice. Two subtypes of BRIC have been well-characterized in the literature: BRIC I, caused by mutations in ATP8B1 gene, and BRIC II, triggered by mutations in ABCB11 gene. There are exceedingly rare cases of BRIC in which individuals do not have mutations in either of the associated genes, suggesting the possibility additional loci implicated in this disorder. Herein, we present a case of BRIC in a 21-year-old male who demonstrated clinical, biochemical and histological evidence of disease but lacked both of the associated mutations in ATP8B1 and ABCB11.
Hany Eskarous*, Jared Hassler, Kimberly Forde and Mario Mekhail
Herbal medications have been used worldwide in place of conventional medical therapies as they are readily available over the counter and usually are lower cost. Currently, these are not tightly controlled by the Food and Drug Administration agency (FDA). However, herbal medications are always overlooked etiologic agents in hepatotoxicity. We present a case of hepatotoxicity with unique pathology findings from Red Bush Tea (Rooibos Tea) consumption in a 39-year-old patient evaluated for elevated liver enzymes. Biopsy showed a congestive hepatopathy pattern on histology. The patient elevated liver enzymes improved within few weeks after stopping bush tea.
Dilip Chaurasiya
There are very few studies have been done in India to study the clinical profile of chronic liver disease patients. This is a single-center crosssectional observational study. A total of 100 patients with chronic liver disease presented to the emergency, OPD, or admitted in the ward were studied. The study aimed to study the clinical profile of patients of chronic liver disease (CLD) who have features of portal hypertension, in terms of clinical presentation, the severity of disease (Child-Pugh classification), and laboratory parameters. The secondary objective was to find out that how many cases of chronic liver disease with portal hypertension have associated portal vein thrombosis presented to OPD or admitted to the wards of our hospital? Materials and method: It was a cross-sectional observational study. The place of the study was the Department of Medicine, Lady Hardinge Medical College and Associated Hospitals, New Delhi, and the duration of the study was November 2016 to March 2018. Inclusion criteria were all the patients of chronic liver disease with portal hypertension irrespective of the cause. Results and observations: In our study, the mean age of cases was 46.72 ± 11.04 years (expressed as Mean ± SD) and males (82) outnumbered females (18). The most common cause of chronic liver disease in our study population was alcohol. It was also the most common etiology of chronic liver disease among males and the 3rd most common etiology in females. Conclusion: Overall, when all etiologies were taken into consideration, the most common attributable reason for CLD in our study was alcohol followed by Hepatitis B, followed by Hepatitis C. Among other causes, Diabetes Mellitus was associated with 11% of our study group. There were no patients with Hypertension. Portal vein thrombosis affects the clinical profile of CLD. In our study, the incidence of PVT was 11% and was most common in CLD attributed to alcohol. In our study, most of the patients with PVT indicating and reiterating the association of PVT and the Stage of CLD.
Clinical Gastroenterology Journal received 33 citations as per Google Scholar report
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