Open Access DOI:10.23937/2469-584X/1510093
Resumption of Anticoagulation in Patients with Gastrointestinal Bleeding: A Look into the If and When
Iqbal Qamar, MD, Christina Gomez, MD, Huzaifa Khalid, MD, Umme Ferdaush, MD and Osama Kaddourah, MD, MPH
Article Type: Prospective Cohort Study | First Published: 2023/06/30
Non-interventional prospective study of all patients in our hospital who were admitted for GI bleeding while on anticoagulation in 2022. The primary outcomes were GI bleeding events, thrombotic events and mortality events within 90 days. We ran a logistic regression analysis to assess correlation between resumption of anticoagulation and primary outcomes. We ran a Mantel-Haenszel analysis between primary outcomes, various bleeding scores to determine a safe timing of resumption in our patient po...
Open Access DOI:10.23937/2469-584X/1510092
Dengue Fever in Liver Transplant Recipients: A Report of 3 Cases
Sachin Jain and NR Dash
Article Type: Case Series | First Published: 2023/06/15
Presented 3 months after transplantation with history of febrile illness with myalgia, arthralgia, thrombocytopenia, leukopenia. His low platelet and WBC counts were initially attributed to hypersplenism. Dengue was diagnosed using NS1antigen test and he was managed conservatively as for dengue fever. He recovered well and his graft is functioning well till last follow up....
Open Access DOI:10.23937/2469-584X/1510091
Gastro-Intestinal Cancer among Iraqi Patients
Nadham Kadham Mahdi, MSc, PhD, Mustafa Sadic Al-Kahazzawi, CABR and Eman Adnan Al-Kamil, DCH, MSc, PhD
Article Type: Review Article | First Published: 2023/04/6
The incidence of gastro-intestinal cancers among Iraqis is reviewed from 1973-2021 in different Iraqi provinces. The incidence rates are also illustrated in relation to age, sex, site of cancer and year of registration. Incidence rate differs widely in relation to locality, age, sex and race. Many factors have been considered as Iraq exposed to the Iraq-Iran war, gulf war and the usage of uranium weapon in the south part of Iraq. ...
Open Access DOI:10.23937/2469-584X/1510083
Altered Mental Status as the Primary Presentation of Stercoral Colitis
Himax Patel, MD, Anna Madia, BS and Idris F Ali Amghaiab, MS
Article Type: Case Report | First Published: December 01, 2021
Constipation is prevalent in the elderly. Rarely, severe constipation leads to stercoral colitis, a condition which results from fecal impaction in the colon causing increased intraluminal pressure, ulcer formation, and perforation of the colonic tissue. This condition can be fatal if it is not recognized early and promptly treated. Early detection is often difficult as this disease primarily affects elderly patients with history of dementia, stroke, or other neurologic disorders, and can cause ...
Open Access DOI:10.23937/2469-584X/1510082
It’s Not Always What it Says on the Tin: A Rare Case of Adenocarcinoma of the Ileocaecal Valve
Neasa Mc Gettigan, MB BCh BAO, MRCPi, MSc, Edric Leung, MB BCh BAO, MRCPi and Subhasish Sengupta, MBBS, MD, MRCP(UK), FRCPI
Article Type: Clinical Image | First Published: November 29, 2021
A 57-year-old male presented with a four week history of shortness of breath on exertion, fatigue and melaena with no underlying medical or family history. Recent blood tests with his primary care physician demonstrated an iron deficiency anaemia with a haemoglobin of 7 g/dL and MCV of 68 fl. Oesophagogastroduodenoscopy (OGD) was performed in the first instance which did not show any evidence of recent bleeding or cause of the melaena. Of note, a CEA level was normal at 1.2 ng/ml. A colonoscopy ...
