Monthly Archives: June 2017
Reply
We thank Dr Zhang for his interest in our paper.1 We disagree, however, with the points raised. Before giving a point-to-point comment to his statements, we would like to emphasize that—as stated on page 981 of the publication—our work was a proo… Continue reading
An Unusual Cause of Recurrent Gastrointestinal Bleeding After Whipple’s Surgery
Question: A 55-year-old Caucasian woman was admitted to the hospital with recurrent melena and hematochezia. Her past medical history was significant for a well-differentiated neuroendocrine tumor of the head of the pancreas for which she had undergone… Continue reading
An Unusual Cause of Right Upper Quadrant Pain
Question: A 32-year-old man with a 2-year history of pain localized to the right upper quadrant was referred to our clinic for evaluation. Pain was reported as dull and constant that was exacerbated by eating. He also reported occasional nausea and vom… Continue reading
Safety Signal for the Simple Double Ablation Regimen When Using the Barrx 360 Express Radiofrequency Ablation Balloon Catheter
As principal investigators of an ongoing randomized study evaluating different ablation regimens for the Barrx 360 express RFA balloon catheter (360 Express; GI solutions Covidien/Medtronic, Sunnyvale, CA), we feel the responsibility to communicate our… Continue reading
Submucosal Tumor of the Stomach With Drastic, Short-term Changes in Morphology
Question: A 47-year-old man was referred to our institution for detailed examination of gastric tumor. One year previously, the patient was diagnosed as having a submucosal tumor in the upper gastric corpus by screening esophagogastroduodenoscopy (… Continue reading
An Unusual Cause of Obscure Gastrointestinal Bleeding
Question: A 54-year-old man was referred to our hospital with a 1-month history of intermittent tarry to bloody stool. His medical history included hepatitis B–related liver cirrhosis and hepatocellular carcinoma (HCC). His hepatoma was diagnosed 1 y… Continue reading
A Man With Intermittent Abdominal Pain, Liver Injury, and Renal Impairment
Question: A 45-year-old man presented with intermittent abdominal pain, dark urine, and constipation for 6 months. Laboratory tests of the initial episode showed total bilirubin 109.9 μmol/L (reference range, 3.4-20.5), alanine aminotransferase 3500 U… Continue reading
Achalasia: It’s Not All About the Lower Esophageal Sphincter
Question: A 66-year-old man with cirrhosis secondary to hepatitis C (complicated with development of esophageal varices) and achalasia (diagnosed in 1980s, failed Botox injections, pneumatic dilatation, calcium channel blockers, and now status post pe… Continue reading
A Rarissime Case of Abnormally Appearing Appendix
Question: A 68-year-old woman presented for screening colonoscopy. She stated no fever or chills and denied any pain, including abdominal pain, overt gastrointestinal bleeding, or change in bowel habits. The patient did not have chronic medical conditi… Continue reading
Gastric Lesion in a Patient With Lynch Syndrome
Question: An asymptomatic, 67-year-old woman was referred for esophagogastroduodenoscopy (EGD) and ileocolonoscopy in view of her diagnosis of Lynch syndrome (LS). The EGD revealed generalized erythema of the gastric mucosa and a urease test was positi… Continue reading