Monthly Archives: March 2017

A Question on Liver Function Tests in Patients With Celiac Disease

I read with great interest the study by Choung et al1 conducted on a population living in Olmsted County, Minnesota. In this community, the prevalence of undiagnosed celiac disease was 1%. Furthermore, to compare the proportion of comorbidities betwee… Continue reading

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Immune Tolerance Phase of Chronic Hepatitis B

We read with great interest the article of Mason et al1 and 2 related editorials2,3 debating the suitability of the time-honored term immune tolerance phase. Their debate was based on current molecular and immunologic findings, and did not reach a con… Continue reading

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Young Onset Breast and Colon Cancer

Question: A 37-year-old G2P1 woman was diagnosed with ER+, PR+, Her-2 negative invasive ductal carcinoma without metastasis at 35 weeks’ gestation and after labor induction underwent neoadjuvant chemotherapy with bilateral mastectomy. BRCA1/2 testing… Continue reading

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Abdominal Compression by Waist Belt Aggravates Gastroesophageal Reflux, primarily by Impairing Esophageal Clearance

Central obesity promotes gastroesophageal reflux and this may be related to increased intra-abdominal pressure. We investigated the effect of increasing abdominal pressure by waist belt on reflux in patients with reflux disease. Continue reading

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We thank Dr Pellicano for his interest in our study.1 Although the prevalence of clinically significant liver disease in patients with celiac disease is quite low,2 we agree that as many as 40% of patients with celiac disease may have elevated liver en… Continue reading

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We are thankful to Dr Mancuso for showing interest in our recently published commentary entitled “Toward a Comprehensive New Classification of Portal Vein Thrombosis in Patients With Cirrhosis.”1 Continue reading

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We are thankful to Dr Mancuso for showing interest in our recently published commentary entitled “Toward a Comprehensive New Classification of Portal Vein Thrombosis in Patients With Cirrhosis.”1 Continue reading

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Patient-focused IBD Applications Review

The rise of smartphones and tablets has fundamentally transformed the way we interact. Mobile applications, or “apps,” created for smartphones and tablets and distributed via the Apple store (for Apple iOS devices) and the Google Play store (for An… Continue reading

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An Unusual Case of Polymicrobial Bacteremia

Question: A 75-year-old woman with a history of chronic obstructive lung disease, alcoholic cirrhosis, and a recent episode of polymicrobial bacteremia (Enterococcus avium and Bacteroides) at an outside hospital 2 months before presentation was admit… Continue reading

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A Tumor Localized in the Portal Vein

Question: A 56-year-old man underwent annual abdominal ultrasonography (US) as a medical checkup and a mass was found in his portal vein. Further examination was required and he was admitted to our hospital. He had no significant chief complaints, fami… Continue reading

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