1. Abstract
Benign pancreatic hyperenzymemia, often known as Gullo’s syndrome, is an illness characterized by a gradual rise in pancreatic enzymes over the course of a year, without any physical or functional harm to the pancreas.

Dear Editors
During our practice in UAE, we came across many rare and unusual disease presentations that were missed by many centers because of either: Lack of awareness or failure to check detailed history including family history and proper physical examination. Joint hypermobility alone is common in the general population, affecting approximately 10 to 20 percent of individuals to some degree, it maybe
localized or generalized hypermobility.

1. Abstract
Stop NOx elimination by ammonia. Stop water clean center. Abandon bonfire inhibition rule These 3 items are essential to promote
CO2 assimilation to stop global warming stop. By increasing the supply of nitrogen and phosphorous, we can get much fish. Eat Iriko
(boiled and dried sardine) containing hyaluronic acid. for long life. By ocean dumping of radio active substance, we can do nuclear fusion
and human being will be able to live ten thousand years.

https://doi.org/10.47829/JJGH.2024.101001
1.1. Introduction:
The fibrous stroma (FS) in pancreatic ductal adenocarcinoma develops due to chronic injury during tumor invasion, yet emerging evidence indicates its crucial role in tumor invasion.

1. Clinical Case
An inoperable malignant rectosigmoid stenosis in a 75-years-old men was successfully managed by placing a self-expanding not-covered single-wire Nitinol stent. We intentionally left approximately 15 mm of stent distal to the stenosis to prevent pressure decubitus on the
healthy wall immediately downstream of the distal end of the neoplasm, precisely at the rectosigmoid junction. Few weeks later, the follow-up endoscopy, confirmed the correct stenosis’s resolution with a mild distal displacement of the stent. The patient reported normal
bowel transit, but experienced slight discomfort in the rectal area.

https://doi.org/10.47829/JJGH.2024.101002
1.1. Aims
Endoscopy units are resource intensive and contribute to a significant part of healthcare’s carbon footprint and greenhouse gas (GHG) emissions. Sustainability measures is at the forefront of shifting towards carbon neutral endoscopy practices. In 2019, our department introduced an online endoscopy education video series to replace in person pre-procedural education, minimising patient travel associated emission.

1. Abstract
1.1. Objective: This systematic literature review aims to comprehensively examine the specific risk factors contributing to the development of gastric metaplasia in Asian populations. Additionally, the review seeks to determine the prevalence of different types of gastric metaplasia among Asians while exploring variations across different Asian countries and ethnicities.

1. Abstract
1.1. Background: IM has been established as a significant risk factor for gastric cancer (GC). Understanding the risk factors for the development and progression of IM is critical for identifying high-risk individuals and implementing preventive interventions for gastric
cancer.

1. Abstract
1.1. Purpose: To report first single center long-term, prospective results in treating HCC with a combined embolization protocol of
75-150μm M1 and 100-300μm DC-BeadsTM as well as toxicity profile and identification of prognostic factors associated with better treatment outcome.

1. Abstract
Systemic lupus erythematosus (SLE) is a multi-system autoimmune disease with a wide variety of clinical manifestations. However, hepatic dysfunction is not included in the diagnostic criteria for the disease and has not been recognized properly. Abnormal liver tests are common (60%) in some point of Systemic Lupus Erythematosus (SLE) illness.