scholarly journals Duodenal Lipoma - Report of Two Cases and Review of the Literature

1990 ◽  
Vol 4 (4) ◽  
pp. 147-150
Author(s):  
Jeremy Goldberg ◽  
Stewart M Hamilton ◽  
RD Cherry ◽  
RW Sherbaniuk ◽  
Laurence D Jewell
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Bleeding ◽  
Motility Disorder ◽  
Upper Gastrointestinal Endoscopy ◽  
Pathological Findings ◽  
Review Of The Literature ◽  
Esophageal Motility Disorder ◽  
Bleeding Management ◽  
Endoscopic Findings ◽  
Upper Gastrointestinal

Diagnostic upper gastrointestinal endoscopy has increased the frequency with which duodenal lipomas are encountered in clinical practice. Although the smaller lesions are usually incidental endoscopic findings unrelated to symptoms, an accurate diagnosis depends upon biopsy and histological assessment Larger lesions may bleed or obstruct. The authors present two cases: one lipoma was found incidentally during the investigation of an esophageal motility disorder; the other larger one presented as a mass lesion in a patient with upper gastrointestinal bleeding. Pathological findings suggested that the lipoma was the cause of the bleeding. Management is briefly discussed.

scholarly journals Correlation of Clinical, Endoscopic, and Pathological Findings among Suspected Peptic Ulcer Disease Patients in Abuja, Nigeria

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Onyedika Godfrey Okoye ◽  
Oluwole Olayemi Olaomi ◽  
Alexander M.E. Nwofor ◽  
Paul Jibrin ◽  
Cephas Shallangwa Batta ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Pathological Findings ◽  
Histological Findings ◽  
National Hospital ◽  
Ulcer Disease ◽  
Endoscopic Findings ◽  
H Pylori ◽  
Upper Gastrointestinal

Background. Peptic ulcer disease (PUD) remains one of the most prevalent gastrointestinal diseases and has been linked to Helicobacter pylori (H. pylori) infection. This condition may be suspected on clinical grounds, but diagnosis is established using upper gastrointestinal endoscopy. Aims. To determine the correlation between the endoscopic and pathological findings among suspected PUD patients who have been referred for diagnostic upper gastrointestinal endoscopy in National Hospital Abuja. Methods. This is a hospital-based prospective study conducted among suspected PUD patients at National Hospital Abuja over a one-year period. Clinical, endoscopic, and histological findings were ascertained and documented. Data obtained were analyzed using SPSS version 21.0. Tests of significance were done using the chi-square test and Student t -test at 95% confidence intervals. Results. One hundred and thirty-two patients were included in the study. The ages ranged from 15 to 87 years, mean age 43.30 ± 11.94 years. Seventy-seven (58.3%) patients had abnormal endoscopic findings, of whom 37 (28.0%) had PUD. Prevalence of H. pylori infection was 42.2% and was found in 81.1% of PUD patients. H. pylori was significantly associated with confirmed PUD ( p < 0.001 ) and abnormal endoscopic findings ( p < 0.001 ). No association was found between normal endoscopic findings and histological findings ( p = 0.924 ). Conclusion. There is a poor correlation between clinical and endoscopic diagnoses of PUD. H. pylori was found to be significantly associated with PUD and abnormal endoscopic findings. Endoscopic facilities should therefore be made available and accessible for proper PUD diagnosis. Empirical treatment of H. pylori in patients with diagnosed PUD is strongly recommended.

scholarly journals Manometrically jackhammer esophagus with fluoroscopically/endoscopically distal esophageal spasm: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Apichet Sirinawasatien ◽  
Pallop Sakulthongthawin
Keyword(s):  
Chest Pain ◽  
High Resolution ◽  
Gastrointestinal Endoscopy ◽  
Motility Disorder ◽  
Upper Gastrointestinal Endoscopy ◽  
Channel Blockers ◽  
Esophageal Motility Disorder ◽  
High Resolution Manometry ◽  
Esophageal Spasm ◽  
Upper Gastrointestinal

Abstract Background Jackhammer esophagus is a rare esophageal motility disorder that can result in dysphagia, chest pain, and gastro-esophageal reflux symptoms. High-resolution manometry is the gold standard for diagnosis, while corkscrew esophagus on upper gastrointestinal endoscopy is an uncommon manifestation. Case presentation 72-year-old man who presented with progressive dysphagia for three months without symptoms of chest pain or heartburn. Initial workup showed a corkscrew esophagus on upper gastrointestinal endoscopy; subsequently, high-resolution manometry revealed an esophago-gastric junction outflow obstruction with hypercontractile (jackhammer) esophagus. Treatment with calcium channel blockers and proton pump inhibitors was successful and relieved his symptoms near completion. Conclusions Even though the corkscrew esophagus is typically for distal esophageal spasm, the hypercontractile (jackhammer) esophagus can appear. The high-resolution manometry can help to distinguish each specific motility disorder.

The Diagnosis and Prognosis of Upper Gastrointestinal Haemorrhage

1980 ◽  
Vol 66 (1) ◽  
pp. 11-14
Author(s):  
R.H. Hunt
Keyword(s):  
Gastrointestinal Bleeding ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Bleeding ◽  
Gastrointestinal Haemorrhage ◽  
Accurate Diagnosis ◽  
Upper Gastrointestinal Endoscopy ◽  
The Past ◽  
Diagnosis And Prognosis ◽  
Upper Gastrointestinal ◽  
Overall Mortality

AbstractThere have been major advances in the diagnosis and management of upper gastrointestinal bleeding over the past two decades but the overall mortality figure remains about 10 per cent. This paper reviews the place of upper gastrointestinal endoscopy in diagnosis and discusses the argument that this form of earlier, more accurate diagnosis has had no influence on the outcome of the condition.

scholarly journals Adenocarcinoma intramucoso en pólipo hiperplásico gástrico con resolución endoscópica

2021 ◽  
Vol 113 (2) ◽  
pp. 253-257
Author(s):  
José G. Yaryura Montero ◽  
◽  
Mario A. Cafaro ◽  
Ricardo A. Gigena ◽  
Ramiro X. Casa ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Gastrointestinal Endoscopy ◽  
Hyperplastic Polyp ◽  
Endoscopic Polypectomy ◽  
Upper Gastrointestinal Endoscopy ◽  
Hyperplastic Polyps ◽  
Review Of The Literature ◽  
Invasive Treatment ◽  
Upper Gastrointestinal ◽  
Gastric Hyperplastic Polyp

The prevalence of gastric polyps during upper gastrointestinal endoscopies is 6%, and 17% correspond to gastric hyperplastic polyps. They are usually incidentally found during upper gastrointestinal endoscopy; yet, large polyps may become symptomatic. The prevalence of gastric cancer in gastric hyperplastic polyps is 2.1%. The aim of this paper is to describe an atypical presentation of this disease with review of the literature. A 73-year-old male patient with anemia and subsequent diagnosis of early gastric cancer in a gastric hyperplastic polyp was treated with endoscopic polypectomy with endoloop.Minimally invasive treatment by endoscopic resection is sufficient in this type of patients.

Clinical Outcomes of Recurrent Gastric Cancer Detected by Upper Endoscopy after Curative Total Gastrectomy

2016 ◽  
Vol 103 (2) ◽  
pp. 164-169
Author(s):  
Hee Kyong Na ◽  
Ji Yong Ahn ◽  
Jeong Hoon Lee ◽  
Do Hoon Kim ◽  
Kee Don Choi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Clinical Outcomes ◽  
Gastrointestinal Endoscopy ◽  
Medical Center ◽  
Interquartile Range ◽  
Upper Gastrointestinal Endoscopy ◽  
Endoscopic Findings ◽  
Recurrent Gastric Cancer ◽  
Upper Gastrointestinal

Background/aims Endoscopically detected tumor recurrence after curative total gastrectomy is very rare. We reviewed the clinicopathological and endoscopic findings together with the clinical outcomes of these patients. Methods Seventeen patients with recurrent gastric cancer detected by upper gastrointestinal endoscopy who underwent curative total gastrectomy between January 1990 and May 2011 at the Asan Medical Center were analyzed retrospectively. Results Of the 17 patients, 5 were resectable at the time of diagnosis of recurrence and 12 were unresectable. The median interval between total gastrectomy and diagnosis of recurrence was 20.2 months (interquartile range 12.4-42.1 months). The tumors were located in the anastomotic area in 8 patients, in the proximal part of the afferent or efferent loop in 7, and in the stump of the afferent loop in 2 patients. With regard to the endoscopic findings, a mass was found in 8 cases, an ulcer in 2, stricture in 4, and nodularities in 3. Operations were performed in 3 patients, chemotherapy in 10 (including 2 receiving adjuvant chemotherapy), and conservative management in 6. Fourteen patients died from progression of the disease and the median survival period from recurrence for all 17 patients was 5.3 months (interquartile range 1.2-7.7 months). Conclusions Local recurrence of gastric cancer detected by upper gastrointestinal endoscopy after curative total gastrectomy has a poor prognosis.

scholarly journals Endoscopic Profile of the Patients with Upper Gastrointestinal Bleeding in a North–Eastern State of India - A Hospital-Based Cross-Sectional Study

2021 ◽  
Vol 8 (18) ◽  
pp. 1201-1205
Author(s):  
Koushik Chakma ◽  
Saumik Chakraborty ◽  
Avik Chakraborty
Keyword(s):  
Gastrointestinal Bleeding ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Endoscopy ◽  
Erosive Gastritis ◽  
Cross Sectional ◽  
Ulcer Disease ◽  
Upper Gi ◽  
North Eastern ◽  
Upper Gastrointestinal

BACKGROUND Upper gastrointestinal bleeding (UGIB) is one of the common medical emergencies throughout the world that may require hospital admission and results in high patient morbidity and mortality. The presentation of UGI bleeding depends on the amount and location of haemorrhage. Upper gastrointestinal endoscopy (UGIE) is the preferred investigative procedure for UGIB because of its accuracy, low rate of complication, and its potential for therapeutic interventions. The present study has been carried out to evaluate the different aetiological causes of UGIB in a tertiary care centre in the North Eastern part of India and compare the same with other studies done globally. METHODS This was a hospital based observational study with cross sectional design carried out in the Department of Medicine at Tripura Medical College & DR BRAM Teaching Hospital, Agartala. Total 376 patients were selected for this study for over a period of 2 years from January 2017 to December 2018. Upper GI endoscopy was performed in all patients after hemodynamic stabilisation. Rockall scoring system was used in non-variceal cases to predict the mortality in patients with upper GI bleeding. RESULTS A total of 376 patients had endoscopy for UGIB which included 260 (69.1 %) males and 116 (30.9 %) females, and the mean age was 47.9 (± 17.0) years. The most common cause of UGIB was peptic ulcer disease (duodenal ulcer and gastric ulcer) consisting of 31.38 %, followed by erosive gastritis (23.94 %), oesophageal varix (11.17 %), portal hypertensive gastropathy (10.64 %), duodenitis (8.51 %). Gastrointestinal malignancy (gastric and oesophageal cancers) was reported in 3.98 % and rare causes of UGIB were Mallory-Weiss syndrome (1.86 %), and esophagitis (1.60 %). Among them 4.26 % of the patients had normal endoscopy findings. CONCLUSIONS In the present study, peptic ulcer disease was the most common cause of upper gastrointestinal bleeding, followed by erosive gastritis. Rockall score of more than 4 was numerically associated with increased incidence of mortality. KEYWORDS Upper Gastrointestinal Bleeding (UGIB), Upper Gastrointestinal Endoscopy (UGIE

scholarly journals Gastric metaplasia of the duodenal mucosa in Crohn’s disease: novel histological and endoscopic findings

2021 ◽  
Vol 09 (02) ◽  
pp. E181-E189
Author(s):  
Go Ikezono ◽  
Kenshi Yao ◽  
Kentaro Imamura ◽  
Takao Kanemitsu ◽  
Masaki Miyaoka ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Gastrointestinal Endoscopy ◽  
Duodenal Mucosa ◽  
Gastric Body ◽  
Upper Gastrointestinal Endoscopy ◽  
Endoscopic Findings ◽  
Gastric Metaplasia ◽  
Mucosal Lesions ◽  
Upper Gastrointestinal

Abstract Background and study aims Upper gastrointestinal endoscopy and biopsy are useful for differential diagnosis of Crohn’s disease (CD) of the large intestine and ulcerative colitis (UC). We aimed to identify novel histopathological and endoscopic findings in the upper gastrointestinal tract in patients with CD who did not have Helicobacter pylori infection. Patients and methods Upper gastrointestinal endoscopy was performed on patients with CD and UC. Mucosal lesions detected were subsequently observed using magnifying endoscopy with narrow-band imaging (M-NBI), following which biopsy was performed. When no mucosal lesion was detected on conventional endoscopy, M-NBI and biopsy were performed on four sites: the gastric body, gastric antrum, duodenal bulb, and second portion of the duodenum. Results The prevalences of gastric metaplasia (GM) were 48 % (24/50) and 16 % (8/50) in the CD and UC groups, showing a significant difference (P = 0.001). In 23 of 24 patients with histologically proven GM in the CD group, mucosal lesions were detected using conventional white-light imaging (C-WLI). In 22 of 24 patients with histologically proven GM in the CD group, disappearance of normal villous structure and the presence of curved marginal crypt epithelium were noted using magnifying endoscopic findings characteristic of GM (M-GM). A combination of C-WLI and M-NBI yielded a significantly increased specificity (P = 0.004) and accuracy (P = 0.039). Conclusions The prevalence of GM in the duodenal mucosa was significantly higher in patients with CD than in controls. The identified endoscopic findings may be useful as novel indicators for the histological diagnosis of GM in the duodenum.

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