Journal of Clinical Gastroenterology and Treatment is an international, open access, peer reviewed journal that publishes clinical information in all areas of gastro-enteric system. The journal aims to set a forum for publication, education, and exchange of opinions, and to encourage research and publications globally. The Journal provides the clinicians, surgeons and health professionals with a platform to contribute their findings and help raise awareness on management of the gastrointestinal tract and liver diseases. We aim to publish highest quality clinical content via open access platform providing the readers at no cost, immediate and unlimited access.

Journal of Clinical Gastroenterology and Treatment is an open journal providing the readers information on research updates, discovery and innovation in various aspects of Biology of the Gastrointestinal Tract and Liver, Acute Abdominal Pain, Chronic Abdominal Pain, Esophageal Disease, Dyspepsia, Nausea and Vomiting, Diarrhea, Intestinal Gas, Constipation, Gastrointestinal Bleeding, Nutrition in Gastrointestinal Disease, Eating Disorders, Stomach and Duodenum, Pancreas, Biliary Tract, Small and Large Intestine, Liver, Psychosocial Disorders, Advances in Treatment, Endoscopy, Gastric Cancer, Ulcerative Colitis, Disease Pathology, Prevention and Management, etc. The journal accepts all manuscript formats such as Original Article, Reviews, Mini Reviews, Short Communications, Case Reports, Clinical Image, Perspectives/Opinions, Letters, Short Note and Commentaries. All articles published in the journal are subject to a rigorous peer review process. It encourages authors to publish their experimental and theoretical results in detail to disseminate the updated research findings.

 
Journal Information

Title: Journal of Clinical Gastroenterology and Treatment

ISSN: 2469-584X

Editor-in-chief: Bo Jin

NLM title abbreviation: J Clin Gastroenterol Treat

ISO abbreviation: J Clin Gastroenterol Treat

Other titles: JCGT

Category: Gastroenterology/Hepatology

Country of publication: USA

Language: English

DOI: 10.23937/2469-584X

Publication format (s): Electronic and print

Publication policy: Open Access; COPE guide

Peer review: Double blind

Review speed: 3 weeks

Fast-track review: 10 days

Publication type(s): Periodicals

Publisher: ClinMed International Library

Contact email: contact@clinmedjournals.org

 
Articles Search by   Keyword   |   Journal title   |   Author name   |   DOI

 

 Open Access DOI:10.23937/2469-584X/1510062

Knowledge and Attitudes of Internal Medicine Trainees' Co-Prescribing Patterns of Gastroprotective Agents in Patients Taking Long-Term Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Nikki Duong, Alice Lee and James H Lewis

Article Type: Research Article | First Published: July 13, 2018

The side effect profile of NSAIDs is well-established. For prevention of NSAID-related ulcers, the evidence suggests that misoprostol and PPIs (proton pump inhibitors) are superior to H2RAs (histamine-2-receptor-antagonists). Current guidelines recommend use of the lowest possible NSAID dose, as well as consideration of the patients' gastrointestinal and cardiovascular risk profile....
 

 Open Access DOI:10.23937/2469-584X/1510061

Rectal Cancer Metastasis to an Anal Fissure

Kelly Cristine de Lacerda Rodrigues Buzatti, Igor Guedes Nogueira Reis, Isabelle Reis Daldegan and Beatriz Deoti Silva Rodrigues

Article Type: Case Report | First Published: June 27, 2018

Rectal cancer metastasis to an anal fissure is an extremely rare condition, being the most common dissemination mechanisms lymphatic and blood vessels. However, it is possible that feces carry tumor cells from proximal regions of the intestine to implant in injured areas of the anal mucosa, such as anal fistula, anal fissure or hemorrhoidectomy wound....
 

 Open Access DOI:10.23937/2469-584X/1510060

Can Pre-Operative Endoscopy Identify Patients at Risk for Gastroesophageal Reflux Disease after Sleeve Gastrectomy?

Rami R Mustafa, Leena Khaitan, MichaƂ Robert Janik, Adel Alhaj Saleh, Mohammed Alshehri, Seyed Mohammad Kalantar Motamedi, Adil Khan, Heba elghalban, Tomasz Rogula and Mujjahid Abbas

Article Type: Research Article | First Published: June 04, 2018

Obesity is a multinational public health burden as obesity has doubled since 1980 with 1.5 billion adults gone into obesity in 2008. In the United States, 34 percent of US adults 20-years-old and older are overweight, 34% obese, and 6% are Morbid obese. Obesity is precisely linked to diabetes, hypertension and other chronic disease increase risk, Making big load on public health....
 

 Open Access DOI:10.23937/2469-584X/1510059

Inadequate Antiviral Use in Pregnant Women with Chronic Hepatitis B at High Risk for Vertical Transmission

Woodard C DO, Gelsomino T, Latronica A, Hooks ML, Aboelsoud M and Wu DY

Article Type: Research Article | First Published: May 30, 2018

Chronic hepatitis B affects approximately 1.25 million persons in the United States, leading to significant morbidity and mortality from liver cirrhosis and hepatocellular carcinoma. The risk of perinatal transmission of hepatitis B to infants born to HBsAg-positive mothers has been reported to be as high as 90 percent without the use of active and passive immunization....
 

 Open Access DOI:10.23937/2469-584X/1510058

Massive Splenic Infarction with Specific Sonographic Feature: Two Case Reports with Rare Etiologies

Mortazavi AR, Joudi M, Zabolinejad N, Aelami MH, Farhangi H and Alamdaran SA

Article Type: Case Report | First Published: May 26, 2018

We reported two pediatric rare cases with massive splenic infarction that in both of them the interspersed hyperechoic linear striation of the splenic parenchyma was first suggestive sign of infarction, and diagnosis was confirmed by color Doppler and surgery....
 

 Open Access DOI:10.23937/2469-584X/1510057

Pseudomelanosis of the Stomach and Duodenum

Kevin Pelland and Xuchen Zhang

Article Type: Case Report | First Published: April 19, 2018

Pseudomelanosis of the upper gastrointestinal tract is rare and classically associated with oral iron intake, upper gastrointestinal bleeding, diabetes mellitus, end stage renal disease and antihypertensive medication use. Duodenal involvement is well described, but only few cases of combined stomach and duodenal involvement have been reported to date. The lesion is indolent but can mimic more concerning entities like malignant melanoma....
 

 Open Access DOI:10.23937/2469-584X/1510056

Reactivation of Chronic HBV Infection Leading to HCC following Treatment of HCV with an Interferon-Based Regimen

Divya Chalikonda, Charles Kistler, Xiangdong David Ren and Hie-Won Hann

Article Type: Case Report | First Published: March 31, 2018

Hepatitis B virus (HBV) and hepatitis C virus (HCV) are the most significant hepatocarcinogens. Increased risk for the development of Hepatocellular carcinoma (HCC) was observed in patients with dual infection compared to those with either HBV or HCV infection alone....
 

 Open Access DOI:10.23937/2469-584X/1510055

Gastrointestinal Dysbiosis Accompanied of Helicobacter Pylori Infection and its Correction by Probiotic

Ermolenko E, Varsin S, Baryshnikova N, Svarval A, Ferman R, Besedina N, Zakrevskaya A, Molostova A and Suvorov A

Article Type: Research Article | First Published: February 16, 2018

Investigation of gastric and colon microbiota in Helicobater pylori-infectes patients shown that: 1. Gastric microbiota in H. pylori-positive and H. pylori-negative patients was different and the samples from H. pylori-positive patients were characterized by the higher growth of opportunistic bacteria; 2. The link between H. pylori in stomach and colon microbiota is possible; 3. After eradication without probiotics we saw decreasing level of Bifi...
 

 Open Access DOI:10.23937/2469-584X/1510054

A Retrospective Study of Catheter-Related Thrombosis Using the Central Vein Catheters for the Ulcerative Colitis Patients

Shinichiro Koketsu, Shinichi Sameshima, Takashi Okuyama, Hiroshi Shigematsu and Masatoshi Oya

Article Type: Research Article | First Published: January 22, 2018

Leukocyte apheresis is a therapeutic option for moderate-to-severe active ulcerative colitis in Japan. It causes fewer complications, however, leukocyte apheresis requires the use of a relatively large caliber of peripheral venous line for hemodialysis. We reluctantly used a large caliber catheter with a double-lumen into the central vein. Catheter-related thrombosis and infection cases were occasionally observed during leukocyte apheresis. ...
 

 Open Access DOI:10.23937/2469-584X/1510053

Association of Helicobacter Pylori Infection and Diabetes Mellitus Type 2 Subjects in Yaounde Cameroon Using a Panel of Serum Biomarkers (PGII, HpIgG): A Case Control Study

Ebule IA, Djune FAK, Njeambosay BA, Doh GN, Metaghue G, Majuikouo L, Befolo MHDM, Nkayo M, Tanni B, Heugueu C, FEUATSAPK C, Noah ND, Paloheimo L and Syrjanen K

Article Type: Research Article | First Published: December 30, 2017

Infection to Helicobacter pylori has been associated to many gastrointestinal diseases including gastritis, peptic ulcer disease, gastroesophageal reflux disease, atrophic gastritis and gastric cancer. Chronic infections are frequent and severe in patients with diabetes mellitus (DMT2), probably due to the impairment of their immune status. The link between H. pylori infection and diabetes mellitus (DM) remains controversial....
 

 Open Access DOI:10.23937/2469-584X/1510052

Atrophic Gastritis and Gastric Cancer Risk amongst Diabetes Mellitus Type 2 Subjects and Controls in Yaounde Cameroon Using a Panel of Serum Biomarkers (PGI, G-17)

Ebule IA, Djune FAK, Njeambosay BA, Doh G N, Befolo MHDM, Nkayo M, Metaghue G, Majuikouo L, Tanni B, Heugueu C, FEUATSAPK C, Noah ND, Paloheimo L and Syrjanen K

Article Type: Research Article | First Published: December 30, 2017

Gastric inflammation is a precursor to many gastrointestinal disorders including, peptic ulcer disease, atrophic gastritis and gastric cancer. Gastritis is frequent and usually severe in patients with diabetes mellitus (DMT2), probably due to the impairment of their immune status. Atrophic gastritis is usually accompanied by low hydrochloric acid, low pepsinogens and hypergastrinemia and is the most significant risk condition for gastric cancer....
 

 Open Access DOI:10.23937/2469-584X/1510051

The Role of Wide Area Transepithelial Sampling WATS 3D as an Adjunct to Standard Forceps Biopsy in Barrett's

Meghana Vellanki and Steven Clayton

Article Type: Case Report | First Published: December 30, 2017

Barrett's esophagus requires surveillance to monitor for dysplasia and esophageal adenocarcinoma. New methods have been developed to detect dysplasia and esophageal adenocarcinoma. One of these methods, the wide area transepithelial sampling 3D brush biopsy (WATS 3D) is a computer-assisted brush-biopsy technique that uses an abrasive sampling instrument to detect dysplasia or esophageal adenocarcinoma compared to the standard four quadrant biopsy...
 

 Open Access DOI:10.23937/2469-584X/1510050

Visceral and Cutaneous Sarcoma Kaposi in a Patient with Ulcerative Colitis: Case Report and Review of the Literature

Natalia G Vallianou, Eleni Geladari, Evangelia Margellou, George Liadakis, Christina Vourlakou and Evangelos Kokkinakis

Article Type: Case Report | First Published: December 20, 2017

Sarcoma Kaposi is rare and most commonly affects the skin. Herein, we present a patient with ulcerative colitis, who developed intestinal Kaposi's sarcoma only six months after being diagnosed with ulcerative colitis. Therefore, we may conclude that sarcoma Kaposi was not due to immunosuppressive treatment, as its cutaneous form appeared only twenty days after having started azathioprine, mesalazine and corticosteroids enema....
 

 Open Access DOI:10.23937/2469-584X/1510049

LRAT Promoter Hypermethylation as a Prognostic Marker for Colorectal Cancer Impairs Retinol Metabolism

Vania DePaoli, Francis Barany and Yu-Wei Cheng

Article Type: Short Communication | First Published: September 30, 2017

Retinoids and its derivatives are known to regulate tumor progression. Our previous study in Colorectal Cancer (CRC) has shown that the expression of LRAT, a gene converts excess retinol into retinyl ester to balance retinoids homeostasis, may be regulated by its promoter methylation status to modulate the retinoids synthesis....
 

 Open Access DOI:10.23937/2469-584X/1510048

Presence of Fundic Gland Polyps in Patients Undergoing Upper Gastrointestinal Endoscopy: Incidence and the Relation with the Use of Proton Pump Inhibitors

RJLF Loffeld

Article Type: Research Article | First Published: September 30, 2017

All consecutive patients who underwent endoscopy in the years 2006-2015 in whom FGP's were seen were included. An extensive search was done in order to assess use of PPI's. As a control group all consecutive patients in 2012, in whom no macroscopic abnormalities were seen, were used....
 

 Open Access DOI:10.23937/2469-584X/1510047

A Case of Serial Liver Injury Induced by Plant Food Supplements in a Young Healthy Man

Gianluca Cappelleri, Enrico Sangiovanni and Mario Dell'Agli

Article Type: Case Study | First Published: July 08, 2017

The use of botanicals is increasingly throughout the world. They are ingredients of different types of products, such as herbal medicinal products, Plant Food Supplements (PFS), and functional foods. They are commonly taken to promote health and treat or prevent diseases, even if, in most of cases, there is no clear evidence of their clinical efficacy....
 

 Open Access DOI:10.23937/2469-584X/1510046

Pediatric Ulcerative Colitis from Prevalence to Outcome

Hasan M Isa, Afaf M Mohamed, Halima E Al-Jowder and Khadija A Matrook

Article Type: Research Article | First Published: June 30, 2017

Pediatric Ulcerative Colitis (UC) is an Inflammatory Bowel Disease (IBD) that has potential morbidities, lifelong challenges and can leave both physical and psychosocial impacts. This study aimed to review the epidemiology, clinical presentations, and way of diagnosis, therapeutic approaches, complications and outcome of pediatric patients with UC....
 

 Open Access DOI:10.23937/2469-584X/1510045

Giant Hiatus Hernia and Association with Gastro-Oesophageal Reflux: A Review

Kevin J Chan, Bernard M Smithers and Michael W Hii

Article Type: Review Article | First Published: May 31, 2017

A Hiatus Hernia (HH) describes the protrusion of intra-abdominal contents, through the oesophageal hiatus of the diaphragm and into the mediastinum. The hernia typically contains the stomach to varying degrees but may include other organs such as the omentum, colon, liver, pancreas and spleen....
 

 Open Access DOI:10.23937/2469-584X/1510044

Effect of EGF on Bax, Bcl-2 and Fas Expression in Ulcerous Disease and N87 Cell Line

Fatma Soylemez, Ozlem Izci Ay, Ertan Ay, Engin Altintas, Cagatay H Turkseven and Mehmet E Erdal

Article Type: Research Article | First Published: May 15, 2017

To evaluate the effect of EGF in primary culture of ulcer patients and N87 cell line on expressions of apoptotic genes. Ulcer patients who applied to Gastroenterology Clinic of Mersin University Medical Faculty were included in this study. EGF application to the primary culture of biopsy samples with ulcer patients and gastric cancer cell-line (ATCC-NCI-N87) has been carried out at three different doses....
 

 Open Access DOI:10.23937/2469-584X/1510043

A Case of Acute Liver Failure Involving a Big Liver and a Small Cell

SAL Hall, T Thomas, R Pathi, KR Muller and AJ Wigg

Article Type: Case Report | First Published: March 02, 2017

Liver transplantation (LT) is an effective treatment for eligible patients with Acute Liver Failure (ALF). Prompt evaluation and decision making are required as there is often a small window of opportunity for LT before deterioration of patient health makes LT futile....
 

 Open Access DOI:10.23937/2469-584X/1510042

Acute Appendicitis in Pediatric Patients: An Updated Narrative Review

Abigail B Podany, Anthony Y Tsai and Peter W Dillon

Article Type: Review Article | First Published: February 21, 2017

Acute appendicitis is the most common pediatric surgical emergency worldwide. The diagnosis and management in children involves a unique set of challenges for clinicians. While the diagnosis is primarily clinical, utilization of imaging and laboratory studies can aid practitioners in making a more prompt diagnosis, preventing complications from appendiceal perforation and limiting the rate of negative appendectomies. In children special emphasis ...
 

 Open Access DOI:10.23937/2469-584X/1510041

Trends in Inflammatory Bowel Disease- Comparison Between the Arab and Jewish Population in Israel

Benjaminov Fabiana, Stein Assaf, Segal Ramona, Konikoff Fred M, Naftali Timna and Hermoni Doron

Article Type: Research Article | First Published: January 19, 2017

Genetic and environmental factors have a major influence on the pathophysiology of inflammatory bowel disease (IBD). Older studies reported a very low prevalence of IBD among the Arab population in Israel. Evaluate the current prevalence and disease characteristics of IBD in the Israeli-Arab population and to compare them to the Jewish population in the same area....
 

 Open Access DOI:10.23937/2469-584X/1510040

One Size Doesn't Fit All: IBD in Arabs and Jews in Israel, Potential Environmental and Genetic Impacts

Aaron Lerner and Torsten Matthias

Article Type: Editorial | First Published: January 07, 2017

Inflammatory bowel disease (IBD) is influenced by genetic susceptibility and surrounding environmental factors. Despite unknown etiology, the environmental factors are continuously unraveled. Studying ethnical differences in a well characterized and stable region might disclose etiologies and pathophysiological mechanism. The ethnical trends in IBD in Israel disclosed incidents, epidemiological, clinical, therapeutical and morbidity differences b...
 

 Open Access DOI:10.23937/2469-584X/1510039

MMPs, ADAMs and Their Natural Inhibitors in Inflammatory Bowel Disease: Involvement of Oxidative Stress

Filippo Fontani, Vladana Domazetovic, Tommaso Marcucci, Maria Teresa Vincenzini and Teresa Iantomasi

Article Type: Review Article | First Published: January 05, 2017

Matrix metalloproteinases (MMPs) are enzymes involved in the degradation of extracellular matrix proteins and in several functions such as wound repair. The regulation of MMPs occurs at various levels including expression and inhibition by tissue specific inhibitors of MMPs (TIMPs). An alteration of intracellular redox state can modulate the activation and/or expression of MMPs. The increased expression and activity of MMPs are related to inflamm...
 

 Open Access DOI:10.23937/2469-584X/1510038

Esophago-Pulmonary Fistula Caused by Lung Cancer Treated with a Covered Self-Expandable Metallic Stent

Takashi Abe, Takayuki Nagai and Kazunari Murakami

Article Type: Clinical Image | First Published: December 01, 2016

A 71-year-old man was diagnosed with squamous cell lung cancer in the right lower lobe. He was treated with chemotherapy (first line: TS-1/CDDP; second line: carboplatin/nab-paclitaxel) and radiation therapy (41.4 Gy), but his disease continued to progress. The patient complained of relatively sudden-onset chest pain and high-grade fever. Computed tomography (CT) showed a small volume of air in the lung cancer of the right lower lobe, so the pati...
 

 Open Access DOI:10.23937/2469-584X/1510037

Rare Delayed Metastasis of Uveal Melanoma Presenting as Fulminant Liver Failure

Natalia G Vallianou, Charikleia Kouvidou, Eleni Geladari, Kyriakos Trigkidis, Eleni Antypa and Evangelos Kokkinakis

Article Type: Case Report | First Published: November 09, 2016

Uveal melanoma is the most common primary intraocular malignant tumor in adult. Here, we present a patient who died due to hepatic encephalopathy, which was attributed to liver metastasis, which occurred nine years after the revelation of the uveal melanoma....
 

 Open Access DOI:10.23937/2469-584X/1510036

Portal Hypertension Does Not Preclude the Efficacy of Direct-acting Anti-Hepatitis C Viral Therapy

Kazuhiko Morii, Takeharu Yamamoto, Shinichiro Nakamura, Mitsuki Fukumoto, Reiko Iwamoto, Mai Yoshioka and Hiroaki Okushin

Article Type: Research Article | First Published: October 24, 2016

Purpose: This study aimed to investigate whether patients with hepatitis C virus (HCV)-related cirrhosis and clinically significant portal hypertension (CSPH) could show satisfactory virological and safety outcomes on direct-acting antiviral (DAA) therapy. Methods: Patients with HCV-related cirrhosis treated with DAA therapy were collected in the period between December 2014 and December 2015. Patient characteristics, therapeutic details, and saf...
 

 Open Access DOI:10.23937/2469-584X/1510035

Extrahepatic Portal Vein Obstruction in the Pediatric Age: A Medical Challenge

Parisa Khodayar-Pardo and Andres Pena Aldea

Article Type: Mini Review | First Published: October 04, 2016

Extrahepatic portal vein obstruction (EHPVO), although rare in children, is a significant cause of portal hypertension (PHT) which leads to life-threatening gastrointestinal bleeding in the pediatric age group. PHT may also lead to other complications such as hypersplenism, cholangiopathy, ascites, and even hepatopulmonary syndrome and portopulmonary hypertension that may require organ transplantation....
 

 Open Access DOI:10.23937/2469-584X/1510034

Current Status of Colorectal Cancer: From Prevention to Treatment

Maite Dominguez-Ayala, Alberto Loizate Totoricaguena, Izaskun del Hoyo Aretxabala, Beatriz Uriarte Vergara, Inigo Vilar Achabal and Jesus Maria Gomez Zabala

Article Type: Research Article | First Published: October 04, 2016

The management process of colorectal cancer (CRC) comprises a large number of strategic moments for disease treatment. Key points of progress on this disease research range from the the initial screening phase, where screening tests and maximum population coverage are crucial, to the decision on what is the best personalized treatment at different disease stages. An overview of each of these phases will be conducted, unifying in one article the t...
 

 Open Access DOI:10.23937/2469-584X/1510033

Risk Factors of Intestinal Metaplasia in Northwest of China

Li Ke, Di Zhang, Yu Chen, Linhui Zhang, Shaohua Zhu, Anhui Wang, Lei Shang, Xiaomeng Cui, Xin Liu, Yongquan Shi and Daiming Fan

Article Type: Research Article | First Published: September 19, 2016

The aim of this study was to find out the risk factors of gastric intestinal metaplasia (IM) in northwest of China. A retrospective case-control study was conducted with a well-designed questionnaire, including basic information and related factors. Totally 2157 subjects with benign upper gastrointestinal disorders from Xijing hospital and the second affiliated hospital of Xi'an Jiaotong University were enrolled in this study, among which 332 cas...
 

 Open Access DOI:10.23937/2469-584X/1510032

Diarrhea as First Symptom in Systemic Erythematous Lupus in Child - A Case Report

Milena Rios Santos, Patricia Cerqueira Lima, Luciana Rodrigues Silva, Marilia Menegassi Zotareli, Cibele Dantas Ferreira Marques and Hemerson Dyego Novais Gomes

Article Type: Case Report | First Published: August 30, 2016

The systemic erythematous lupus (LES) is a chronic inflammatory disease of autoimmune aetiology, characterized by the involvement of multiple organs and systems. It can be related to the production of different antibodies and the formation of immune complexes. It is a universally distributed disease which most frequently affects young females in childbearing age. It is uncommon to occur before ten years of age and very rare before five years of a...
 

 Open Access DOI:10.23937/2469-584X/1510031

Hepatotoxicity from Alpha-Methyldopa During Pregnancy: Two Case Reports

Raul Adrover, Cecilia Siri, Daniel Cocozzella, Carlos Quarin, Juan Rome and Horacio Aziz

Article Type: Case Series | First Published: July 29, 2016

A 29-year-old woman in her third pregnancy (at 22 weeks), with a history of arterial hypertension under treatment with enalapril, which medication was switched to α-methyldopa on gestation week 8. She then began to experience coluria, generalized pruritus, and asthenia. Four days before consultation, she presented with jaundice. ...
 

 Open Access DOI:10.23937/2469-584X/1510030

Profile of 151 Patients Undergoing Open Gastrostomy an a Cancer Hospital

Matheus Matta Machado Mafra Duque Estrada Meyer, Edmilson Celso Santos, Thalita Ezequiel de Souza, Paulo Vilela Neto, Laura Mendes Franca, Luisa Godinho Soares Bomfa, Marina Janot Pacheco de Castro, Paula Ferreira Possa, Rita de Cassia Melo Rabelo and Marcos Campos Wanderley Reis

Article Type: Original Article | First Published: July 08, 2016

The gastrostomy is a procedure that aims to ensure a feeding pathway for patients who are unable to maintain adequate long term oral intake. Currently there are described the classical open technique and minimally invasive techniques, such as percutaneous endoscopic and percutaneous fluoroscopic gastrostomy, each one with its profile of indications and complications....
 

 Open Access DOI:10.23937/2469-584X/1510029

Discordance Between Endoscopic & Histological Findings Warrant a Reassessment of the Pathological Specimen

Koh ZL Sharon, Yamamoto H and Tsang BS Charles

Article Type: Case Report | First Published: July 01, 2016

We report a 52-year-old man who underwent a screening colonoscopy, which revealed a sessile rectal polyp with neoplastic features on magnified chromo-endoscopy. Based on pit pattern analysis and endoscopic Ultrasound (EUS), Endoscopic Submucosal Dissection (ESD) was performed for a presumptive diagnosis of an early rectal neoplastic lesion (limited to the mucosa and upper third of the submucosa). Histopathological examination however reported it ...
 

 Open Access DOI:10.23937/2469-584X/1510028

Colonic Lipoma: Incidental and Urgent Management, Report of Two Cases and Review of the Literature

Justo I, Marcacuzco A, Caso O, Cambra F, Garcia-Nebreda M, Nutu A, Rivas C and Jimenez C

Article Type: Case Series | First Published: May 29, 2016

Lipomas are benign tumors rarely found in the digestive tract, particularly rare in the colon, that were first described by Bauer in 1757 as an unusual cause of intussusception in the adult. Lipomas are most often small, asymptomatic and identified as incidental findings during colonoscopy. Nonetheless, up to 25% are symptomatic in the form of abdominal pain, bleeding, diarrhea or intussusception. Ninety percent of lipomas in the colon are locate...
 

 Open Access DOI:10.23937/2469-584X/1510027

Abdominal Upper Gi Injury in 416 Polytraumatized Patients

Matthias Heuer, Bjorn Hussmann, Rolf Lefering, Gernot M Kaiser, Sven Lendemans and TraumaRegister DGU

Article Type: Original Research | First Published: May 29, 2016

In multiple-injury patients, the stomach and duodenum are part of the injury pattern to varying degrees in around 0.5-2% of the documented cases. In industrialized countries, abdominal injuries are mostly caused by a blunt accident mechanism. And yet, the abdominal upper GI injury is frequently not directly life-threatening. In 30-40% of the cases, complications occur, which may lead to a significant reduction in quality of life, e.g. due to nutr...
 

 Open Access DOI:10.23937/2469-584X/1510026

Utilization and Accuracy of Biopsy in Patients with Hepatocellular Carcinoma in a Community based Setting

Courtney B Sherman, Wei Zhao, Douglas A Corley and Jennifer Guy

Article Type: Original Research | First Published: May 28, 2016

iver biopsy is not routinely recommended for the diagnosis of hepatocellular carcinoma (HCC). Identification of characteristic imaging findings is usually sufficient for diagnosis and biopsy is recommended for a subset of patients with indeterminate lesions based on imaging or clinical characteristics. The study aim was to determine real-world utilization and accuracy of liver biopsy in patients ultimately diagnosed with HCC in a community settin...
 

 Open Access DOI:10.23937/2469-584X/1510025

Unusual Mixed Presentations of Multiple Jejunal Diverticulae with Small Bowel Obstruction and Perforation - Case Report

Lillian Reza, Madeeha Aziz, Olga Tsiamita and Abraham Ayantunde

Article Type: Case Report | First Published: May 26, 2016

Jejunal diverticulae are a rare phenomenon that is usually asymptomatic but can present with chronic abdominal pain or as an acute abdomen when complicated by intestinal diverticulitis, obstruction, haemorrhage or perforation. The clinical presentation is often atypical and therefore diagnosis occurs at surgical intervention or occasionally during an imaging investigation. Surgical resection of the affected bowel segment with primary anastomosis ...
 

 Open Access DOI:10.23937/2469-584X/1510024

Listeriosis Complicating Infliximab Treatment in Crohn's Disease

FW Chen, W Matar, M Hersch and J Freiman

Article Type: Case Report | First Published: May 06, 2016

Listeria monocytogenes, a gram-positive rod, infects the central nervous system in neonates, pregnant woman and those immunosuppressed by naturally occurring illnesses and by therapeutic agents, including agents such as infliximab. We report here the first published case of Listeriosis complicating Infliximab therapy in Crohn's disease in Australia....
 

 Open Access DOI:10.23937/2469-584X/1510023

Ileal Volvulus Over Cecal Appendix and Meckel's Diverticulum in the Absence of the Mesodiverticular Band: Case Report and Literature Review

Fabio Uggeri, Enrico Pinotti, Giulia Lo Bianco, Luca Nespoli and Fabrizio Romano

Article Type: Case Report | First Published: April 25, 2016

Meckel's diverticulum has an incidence of 2-4% and is the most common congenital defect of the gastrointestinal tract. It is usually asymptomatic, it may become clinically evident in the presence of complications such as haemorrhage, obstruction or diverticulitis. We here report the case of a young patient of 11 years old with intestinal obstruction caused by a volvulus over a loop formed by the adhesion of Meckel's diverticulum to the cecal appe...
 

 Open Access DOI:10.23937/2469-584X/1510022

Management of Hemosuccus Pancreaticus after Surgical Drainage of a Pancreatic Pseudocyst - A Rare Cause of Upper Gastrointestinal Bleeding Running Head - Management of Hemosuccus Pancreaticus

Petko I Karagyozov, Bilyana H Teneva, Ivan P Tishkov, Zhenya N Georgieva and Marina Vloka

Article Type: Case Report | First Published: April 23, 2016

Haemosuccus pancreaticus (HP) is a rare life threatening and difficult to diagnose cause of upper gastro-intestinal hemorrhage. It presents bleeding from the ampulla of Vater via the pancreatic duct. A 34-year-old woman was discharged from the Surgery Department after operation of pancreatic pseudocysts. Later she was rehospitalized twice due to bleeding from the contact drainage and melena. The upper GI endoscopy found gastric varices without bl...
 

 Open Access DOI:10.23937/2469-584X/1510021

Deception in Crohn's Disease: A Case of Cryptogenic Multifocal Ulcerous Stenosing Enteritis

Huafeng Shen, David R Cave and Seymour Katz

Article Type: Case Report | First Published: April 21, 2016

Cryptogenic multifocal ulcerous stenosing enteritis is a rare idiopathic condition, characterized by multiple small intestinal fibrous strictures with superficial ulcerations. It typically has a chronic or relapsing clinical course and has been mainly reported from Asia and Europe. We report a case of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) in a patient with chronic anemia with melena and intermittent abdominal pain. The clini...
 

 Open Access DOI:10.23937/2469-584X/1510020

Validation of a Simple, Patient Directed, Symptom based Index for Intestinal Inflammation

Hyok Jun Kwon, Sharon Dudley-Brown, Merrilee Williams, Marie-Michelle Sullivan and Michael Schultz

Article Type: Research Article | First Published: April 12, 2016

Optimal management of the Inflammatory Bowel Diseases (IBD) aims for low levels of inflammation to reduce complication rates and disease burden. Scoring systems have been developed to monitor disease but most have not been validated or have shortcomings that limit their practical use. Our aim was to compare two patient related outcome scoring systems with established and validated tools to estimate disease severity in patients with IBD....
 

 Open Access DOI:10.23937/2469-584X/1510019

Helicobacter Pylori: A Review of Epidemiology, Treatment, and Management

Yana Thaker, Andrew Moon and Anita Afzali

Article Type: Review Article | First Published: April 09, 2016

Helicobacter pylori, a gram-negative, helical bacilli that live in the gastric epithelium was first isolated in 1983. It was discovered by Marshall and Warren who cultured Campylobacter pyloridis, which was later reclassified as Helicobacter pylori. It is transmitted via the fecal-oral, gastro-oral, or oral-oral routes....
 

 Open Access DOI:10.23937/2469-584X/1510018

Use of Ultrasound in Pediatric Patients with Suspected Acute Appendicitis in a General Hospital: Analysis of 3.5 Years

Guillermo Padron Arredondo

Article Type: Research Article | First Published: March 31, 2016

Acute appendicitis is the most common cause of abdominal pain in the pediatric population and requires surgery. Its diagnosis is suspected on the basis of clinical findings widely known. However, the classic signs are not always present and symptoms may be nonspecific and overlap with other causes of abdominal pain. The clinical presentation is also complicated in the pediatric population for their limited communication skills....
 

 Open Access DOI:10.23937/2469-584X/1510017

Coexistence of Acute Appendicitis and Perforated Meckel's Diverticulitis: A Rare Presentation in Older Adults

Rahman Senocak, Mehmet Ince, Sahin Kaymak, Zafer Kilbas and M Tahir Ozer

Article Type: Case Report | First Published: February 12, 2016

An appendectomy is one of the most commonly performed abdominal surgical procedures. During this operation, a Meckel's diverticulum (MD) can occasionally be found as an incidental finding, but the coexistence of both appendicitis and a perforated MD is fairly rare. Complications associated with an MD commonly occur in males, but the frequency of complications decreases with aging. Here, we present a rare case with a simultaneous coexistence of ap...
 

 Open Access DOI:10.23937/2469-584X/1510016

Giant Gastric Heterotopia in the Duodenum of an Adolescent Male and Review of the Literature

Laura El-Hage, Vinay Sood and Cary Qualia

Article Type: Case Report | First Published: February 11, 2016

Duodenal polyps are typically found during routine screening esophagogastroduodenoscopy for patients who have known hereditary polyposis syndromes. When polyps enlarge they may cause obstruction of the gastrointestinal tract, which is rare. We report an adolescent male without history of an underlying polyposis syndrome found to have multiple duodenal polyps comprised of gastric tissue during an upper endoscopy performed for vomiting....
 

 Open Access DOI:10.23937/2469-584X/1510015

Diagnosis and Management of Helicobacter pylori

Uni Wong and Leon P McLean

Article Type: Original Article | First Published: February 02, 2016

Helicobacter pylori is a common infection linked to dyspepsia, peptic ulcer disease, gastritis, gastric cancer, and MALT lymphoma. Endoscopic and nonendoscopic options may be used to diagnose H. pylori and confirm its eradication. Fourteen days of triple or quadruple therapy may be used as initial therapy, although clarithromycin-based triple therapy has become less effective over time....
 

 Open Access DOI:10.23937/2469-584X/1510014

Minimal Change Nephrotic Syndrome and Hodgkin's Lymphoma Associated with Adalimumab Therapy

James Brief, Anupama Chawla, Kathleen Usmani, Grace Gathungu, Robert Woroniecki, Daniel Coldren and Jeffrey Morganstern

Article Type: Case Report | First Published: February 02, 2016

The patient is a 16 year-old male with CD and no family history of IBD, nephrotic disease or hypertension. CD was diagnosed at age 15 after intestinal biopsies demonstrated severe disease in the terminal ileum, ascending and transverse colon. Initial attempts to treat his disease with 5-aminosalicylic acid (800 mg mesalamine TID) and 6-mercaptopurine (both 50 mg and 75 mg daily) were ineffective in controlling his gastrointestinal symptoms....
 

 Open Access DOI:10.23937/2469-584X/1510013

Colonoscopy-assisted Fecal Microbiota Transplant for Outpatient Treatment of Recurrent or Refractory Clostridium Difficile Colitis; Long Term Follow-up of 58 Patients

Daniel Greenwald, Tarun Patel, Daniel McQuillen and Amy Barto

Article Type: Research Article | First Published: January 30, 2016

Clostridium difficile infection (CDI) costs the national healthcare system billions of dollars annually, and is reaching epidemic proportions. The current study seeks to evaluate the efficacy and long term outcomes of outpatient colonoscopy-assisted fecal microbiota transplant (FMT) therapy in between 2011-2013 for recurrent or refractory CDI as part of a single center experience. Among 58 patients who underwent FMT and completed the telephone su...
 

 Open Access DOI:10.23937/2469-584X/1510012

Are Patients Hospitalized with Cirrhosis and Ascites Receiving Appropriate Diagnostic Paracentesis?

Harith Baharith, Yuhong Yuan and Marco Puglia

Article Type: Research Article | First Published: February 16, 2016

Ascites is the most common complication of cirrhosis, and is associated with increased mortality. Diagnostic paracentesis is recommended for patients who are admitted to the hospital with ascites. However, it is unknown if diagnostic paracentesis in Canadian teaching hospitals are done according to recommended guidelines. We analyzed the rate of paracentesis, determined barriers for not performing paracentesis and the association of not performin...
 

 Open Access DOI:10.23937/2469-584X/1510011

Eradication of Helicobacter Pylori Infection: Past, Present and Future

Baryshnikova NV, Uspenskiy YP and Suvorov AN

Article Type: Review Article | First Published: January 26, 2016

This review is a comprehensive summary of different variants of anti-Helicobacter pylori therapy from past strategies to the current state of the art. Nowadays we see a progressive decreasing of eradication rate in many countries in case of use standard triple therapy. It can be associated with high clarithromycin resistance of Helicobacter pylori. Gradual increase in number of the used antibiotics, the increase in duration of treatment, use of n...
 

 Open Access DOI:10.23937/2469-584X/1510010

Advances and Controversies in the Management of Locally Advanced Gastro-esophageal Adenocarcinoma

Hirva Mamdani, Kenneth A Kesler and Shadia I Jalal

Article Type: Review Article | First Published: January 09, 2016

Esophageal adenocarcinoma (EAD) has been recently described as 'the silent epidemic' because of its rapidly rising incidence. Two-thirds of patients with esophageal adenocarcinoma present with locally advanced disease. In spite of recent advances in cancer therapy, the treatment of locally advanced esophageal and gastroesophageal junction (GEJ) adenocarcinoma remains challenging. Current standard of care for fit patients with locally advanced eso...
 

 Open Access DOI:10.23937/2469-584X/1510009

Endoscopic Retrograde Cholangiopancreatography in Pediatric Biliary Diseases

Paola De Angelis, Renato Tambucci, Giulia Angelino, Filippo Torroni, Francesca Rea, Giovanni Federici di Abriola, Francesca Foschia, Tamara Caldaro, Simona Faraci, Anna Chiara Contini, Erminia Romeo and Luigi Dall'Oglio

Article Type: Review Article | First Published: January 04, 2016

Endoscopic retrograde colangio-pancreatography (ERCP) in children is currently widespread and utilized, particularly for therapeutic indication, as in adulthood. ERCP considered efficacy and safe in children, if performed by expert endoscopists. In the last year, the incoming progress of magnetic resonance image (MRI), especially in collaborator pediatric patients, eliminated many diagnostic indications for ERCP, leaving therapeutic aims as in ad...
 

 Open Access DOI:10.23937/2469-584X/1510008

Validation of Steroid-Free Immunosuppression Regimen after Liver Transplantation

Ken Fukumitsu, Ahmed Hammad, Toshimi Kaido, Kohei Ogawa, Yasuhiro Fujimoto, Akira Mori, Hideaki Okajima and Shinji Uemoto

Article Type: Original Article | First Published: November 27, 2015

Liver transplantation (LT) is performed worldwide with immunosuppression being an indispensable component of the perioperative management. Calcineurin inhibitors and steroids have been the most popular and widely used drugs for a long time. However, steroids hold long-term adverse effects, as increased susceptibility to infection, hyperglycemia, hyperlipidemia, obesity, hypertension and osteopenia. Furthermore, steroids have been implicated in he...
 

 Open Access DOI:10.23937/2469-584X/1510007

Buried Balloon: A Novel Complication from Percutaneous Radiologic Gastrostomy Tube Placement

Meghana Vellanki, Steve B Clayton and Patrick Brady

Article Type: Case Series | First Published: November 16, 2015

Gastrostomy tube (G-tube) placement, once a staple of surgeons and gastroenterologists, has propagated into other fields of medicine with interventional radiology (IR) performing percutaneous radiologic gastrostomy (PRG). With more G-tubes being placed by IR, there have been novel complications associated with this technique. In the following case series, we describe one complication as a result of PRG tube placement by IR, called the 'Buried Bal...
 

 Open Access DOI:10.23937/2469-584X/1510006

Impairment of Salivary Protection in Esophageal Defense: Its Implications in Reflux Esophagitis

Harathi Yandrapu, Marek Marcinkiewicz, Tomasz Zbroch, Cezary Poplawski, Irene Sarosiek, Zbigniew Namiot and Jerzy Sarosiek

Article Type: Original Article | First Published: September 28, 2015

Gastroesophageal Reflux Disease (GERD) is a highly prevalent disease in the western world and affects approximately up to 20% of adults and nearly 25 million experience heartburn on a daily basis. Reflux esophagitis (RE) is caused by the excessive exposure of esophageal mucosa to aggressive factors like acid and pepsin leading to inflammation. Gastroesophageal reflux is a common phenomenon which would not normally cause esophageal mucosal damage ...
 

 Open Access DOI:10.23937/2469-584X/1510005

'Endoscopic Exposure Treatment' for a Small Colonic Lipoma

Toshiro Fukui

Article Type: Clinical Image | First Published: September 25, 2015

Lipomas form lobulated masses enclosed by thin and fibrous capsules. Colonic lipomas are usually discovered on colonoscopy, and gentle palpation with biopsy forceps reveals soft nature of the submucosal mass. Submucosal lipomas are usually not fixed to the underlying fascia. Large colonic ones may manifest as luminal obstruction, intussusception, volvulization or hemorrhage. Nonsurgical therapy includes endoscopic treatment for submucosal tumors ...
 

 Open Access DOI:10.23937/2469-584X/1510004

Hormonal Therapy for GI Angiodysplasia: Out of Hope After Failure of the Scope?

Ujjwal Kumar, Kevin Cowley and Frederick Weber

Article Type: Case Report | First Published: September 14, 2015

Angiodysplasia of the gastrointestinal (GI) tract can present both diagnostic and therapeutic challenges. Despite the recent advances in endoscopy, many patients continue to suffer from recurrent bleeding. We report a remarkable case of a multi-year history of transfusion-requiring obscure overt recurrent GI bleeding, refractory to multiple endoscopic therapies as well as both octreotide and thalidomide. Upon initiation of hormonal therapy, the p...
 

 Open Access DOI:10.23937/2469-584X/1510003

Effect of Biologics on the Outcomes of Inflammatory Bowel Disease: A Retrospective Study on a Large Pediatric Cohort

Hoda M. Malatyr, Bincy Abraham, Mina S. Emil, George D. Ferry and Elizabeth A. Garnett

Article Type: Research Article | First Published: September 11, 2015

The incidence of inflammatory bowel disease (IBD) in children has increased over the past 20 years and treatment with biologics is increasingly used. Objective: We assessed the associations of biologics to IBD outcomes in children. Methods: A retrospective investigation was conducted on a cohort of children with IBD between 1988/2008 who were enrolled in the Pediatric IBD registry. The diagnosis of IBD was based on clinical, radiological, e...
 

 Open Access DOI:10.23937/2469-584X/1510002

The Close Relationship between Mucosal Healing and Prognoses of Inflammatory Bowel Disease may have just Reflected the Root Mechanism of the Disease

Xiaofa Qin

Article Type: Commentary | First Published: August 27, 2015

More and more studies have shown that mucosal healing on endoscopy has been the key prognostic parameter for inflammatory bowel disease (IBD) that predicts sustained clinical remission and resection-free survival of patients. It raised a big question as why the prognosis and long term remission of IBD are most strongly related to mucosal healing as judged by the appearance and integrate of the gut surface under the endoscope, rather than the set ...
 

 Open Access DOI:10.23937/2469-584X/1510001

Expectations for Hepatitis B Universal Vaccination for Hepatitis B Virus Eradication

Toru Ishikawa

Article Type: Review Article | First Published: August 26, 2015

The incidence of hepatitis B virus (HBV)-related HCC has not declined for the past several decades. HBV is essentially a disease that could potentially be eradicated by a vaccine. According to the World Health Organization (WHO), two billion people (one-third of the global population) have been infected with HBV worldwide, and more than 240 million are chronic carriers (4-6% of the world population)....

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