Volume 6

A Late Gastric Adenocarcinoma Recurrence with Bone Marrow Infiltration: Presentation of an Interesting Case

Case Report

1. Abstract

Gastric cancer is a global health problem and usually is related with poor prognosis. Herein, we present a 71-year old patient case who initially diagnosed with a locally advanced, grade III, signet ring, gastric adenocarcinoma. An operation was initially performed and systemic chemotherapy was administrated afterwards.

Surgical Management of a Caustic Ingestion in a Gastric Bypass Patient: A Case Report

Case Report

1. Abstract

1.1. Introduction: Bariatric surgery is recognized as the most effective treatment for obesity. Increased rate of psychological disorders has been noted after surgery. However, no case of caustic ingestion after bariatric surgery and its surgical management has been reported in the literature.

Effects of Midodrine Among Cirrhotic Patients Undergoing Large-Volume Paracentesis: A Meta-Analysis

Review Article

1. Abstract

1.1. Background and Objectives: The development of ascites among patients with liver cirrhosis is associated with poor prognosis and quality of life. Ascites refractory to diuretic use is usually treated with Large Volume Paracentesis (LVP), a procedure that may cause Paracentesis-Induced Circulatory Dysfunction (PICD). While human albumin is known to prevent PICD, its use is largely limited due to cost.

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Impact of Helicobacter Pylori Treatment Failure On Long-Term Clinical Outcomes in Patients with Atrial Fibrillation

Research Article

1. Abstract

There was limited data about the association between the Helicobacter pylori(H.pylori) and AF in the long-term follow up. We evaluated the impact of H.pylori treatment failure on long-term clinical outcomes with AF. The echocardiography, electrocardiogram and H.pylori database were reviewed from 2017-19 to identify patients with AF and H. pylori. Among 701 patients with AF, 322(45.9%) patients had H.pylori infection. Finally 123 consecutive AF patients(mean age;59.6±10.9 years;mean 25.2±0.6 months followed-up) who underwent H.pylori eradication were enrolled and divided into two groups according to H.pylori treatment failure.

Nutritional Myths and Challanges in Celiac Disease

Research Article

1. Abstract

1.1. Background: Celiac Disease (CD) is a common chronic immune- mediated, inflammatory disorder of the small intestine induced by a permanent intolerance to dietary wheat, barley, and rye.

1.2. Discussion: Celiac disease has a multifactorial pathogenesis and common symptoms may include bulky stool, constipation, anemia, delayed growth, failure to thrive and infertility. At the time of diagnosis of celiac disease, patient and his family members are in a state of mental shock that how the patient will survive life-long without gluten. It is very important to determine hidden source of gluten being taken in the diet, of which patient is unaware, thus there is unsatisfactory clinical, biochemical and histological recovery.

Antiviral Treatment in Acute Hepatitis B

Research Article

1. Abstract

1.1. Introduction: Acute hepatitis B remains unrecognized in majority of cases as it usually presents as asymptomatic or mild disease.
The usual symptom by which common man recognizes the disease is jaundice but it occurs only in 15-40% of cases of acute hepatitis B,
thus leading to under reporting of it. Moreover, in 90-95% of adults, the disease never progresses into chronic phase and they become
hepatitis B antigen negative (HbsAg) within six months, thus majority even does not know whether they got infected with acute hepatitis
B. Only a subset of acute hepatitis B patients who develop severe disease require antiviral treatment.

Updates on The Management of Hepatocellular Adenomas

Review Article

1. Abstract

1.1. Background and Aims: Hepatocellular adenomas are benign neoplasms mostly seen in women of childbearing age. This paper presents an updated synopsis on epidemiology, natural history, diagnosis, and management of hepatocellular adenomas with emphasis on individualized approaches derived from genetic profiling of the tumors and risk stratification.

Indetermined Biliary Filling Defects: Sequential Approach Using Ultrasound, MRT and Cholangioscopy (Case Report)

Case Report

1. Abstract

Indetermined intrahepatic biliary obstruction and filling defects can be a clinical challenge not only to determine the origin, but also to solve the problem when clinical symptoms prevail. Optimal interventional algorhythms and innovative endoscopic procedures are required.

Upper Gastrointestinal Bleeding in Senegal: Preliminary Results of a Single-Centre Prospective Study

Research Article

1. Abstract

1.1. Introduction: The aim of this study was to describe the epidemiological, diagnostic, therapeutic and evolutionary characteristics of upper gastrointestinal haemorrhage in a sub-Saharan African country, namely Senegal.

Incidence of Infectious Events in Patients with Inflammatory Bowel Disease. The Impact of Treatment with Immunomodulators and Biologics

Research Article

1. Abstract

1.1. Background and Aim: To analyse the incidence of infectious events in patients with inflammatory bowel disease (IBD) and the association to concomitant medical therapy for IBD.

1.2. Methods: We performed a retrospective medical chart review of patients with inflammatory bowel disease age 18-65 years included in the Swedish Registry of Inflammatory Bowel Disease in the catchment area of Umea University Hospital, Sweden. Data was collected from the period January 1, 2006, to January 31, 2019. An infectious event was defined as an outpatient prescription of antimicrobials or a positive diagnostic test for infection.