Month: April 2022

Spontaneous Small Bowel Intramural Hematoma- A Case Report with Review

1. Abstract Spontaneous Small Bowel Intramural Hematomas (SSBIMH) is a rare complication seen in patients on prolonged anticoagulants. They present as acute abdominal pain and can masquerade acute enterocolitis and bowel ischemia. Cross sectional imaging plays an important role in diagnosing since they require conservative management only. We present a case of SSBIMH in patient …

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Upper Gastrointestinal Hemorrhage: A Narrative Review

1. Abstract Upper gastrointestinal bleeding is the most common gastrointestinal emergency with a mortality rate of 2-10% reported in the literature. H. pylori and NSAID therapy are the two most common causes of upper GI bleeding. Fortunately, anti-H. pylori regimen and proton pump inhibitors respectively are the most effective strategies for the treatment of UGIB. …

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Bacteria Influence on Testosterone Level

1. Abstract 1.1. Objective: We examined Lizate of Bacillus Lyuba, which was isolated from ancient permafrost, on human. 1.2. Method and materials: There were eighteen participants included in this study. All participants underwent daily taking of lizate of 109 bacterial cells, in 40% alcohol solution (about 2-4 ml) in the morning for one month. Two …

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Management of Non-alcoholic Fatty Liver Disease in Adults: An update

1. Abstract Non-Alcoholic Fatty Liver Disease (NAFLD) is an extensive term which covers a spectrum of conditions that are characterized by evidence of hepatic steatosis on imaging or histology (macro-vesicular steatosis), and absence of secondary causes of hepatic steatosis such as significant alcohol consumption, chronic use of medications that can cause hepatic steatosis or hereditary …

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Haemorrhoidal Surgery in Patients Under Direct Oral Anticoagulants: A High Risk of Secondary Bleeding. A Prospective Bi-Centric Observational Series

1. Abstract 1.1. Purpose: Evaluate post-operative bleeding risk after haemorrhoidal surgery in patients treated by direct oral anticoagulants (DOAs). 1.2. Methods: Prospective study including all consecutive patients under DOAs operated on for haemorrhoids between 2016 and 2019. 1.3. Results: Were included 59 patients (14 women), mean age 71 years (34-85). Were performed resection of one …

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Gastric Carcinosarcoma with CD10-Positive Sarcoma Component: A Case Report

1. Abstract Carcinosarcoma of the stomach is rare and shows intimately mixed epithelial and mesenchymal elements, which has been described as carcinosarcoma and sarcomatoid carcinoma. The most common site of origin is the uterus and only few cases of gastric carcinosarcoma have been reported in the literature. We report a case of gastric carcinosarcoma with …

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Review of Meso-Rex Bypass in Pediatric Management of Portal Hypertension: Case Report

1. Abstract 1.1. Introduction: Portal hypertension (PH) is defined as pressure that is higher than normal values in the portal vein. Grand parts of the alteration of PH are founded in: the portal resistance, the flow, and the hepatic disease. Prehepatic portal hypertension (PHPH), related to thrombosis and the cavernous transformation are the major causes …

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Early Colorectal Adenocarcinoma in Adenomatous Polyp: Clinical Characteristics and Prognostic Factors from 9899 Patients

1. Abstract 1.1. Background and Aim About 85%-90% of colorectal cancer (CRC) develops from adenomatous polyps. The aim of this study is to identify the clinical characteristics and prognostic factors of early colorectal adenocarcinoma in adenomatous polyp (E-ACAP). 1.2. Methods Data of patients with E-ACAP was obtained from the Surveillance, Epidemiology, and End Results database …

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How To Approach Difficult Esophageal Intubation: a Case Report and Literary Review

1. Abstract Certain clinical conditions may make esophageal intubation difficult, and sometimes impossible, in particular when using a side-viewing duodenoscope. To date, evidences on this topic are limited to case reports or small case series, therefore there is not a standardized management of this situation. In this report we describe a case of difficult esophageal …

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Gender Difference in Clinical Outcomes of Hepatocellular Carcinoma: Prognostic Analysis Based on Propensity Score Matching and Nomogram Model

1. Abstract 1.1. Background: Whether male sex has disadvantageous effects on the prognosis for survival in hepatocellular carcinoma (HCC) remains controversial. In this retrospective study, we explored the effect of sex on HCC prognosis. We used sex as a predictor to construct prognostic models to predict HCC-related survival (HRS) and relapse free survival (RFS).