Daily Archives: August 3, 2017

Question: A 43-year-old woman presented for management of a complication of her bariatric surgery. The history goes back to September 2000 when the patient presented with a body mass index (BMI) of 45 (120 kg to 1.63 m). An adjustable gastric band was … Continue reading →

Interactions between commensal microbes and the immune system are tightly regulated and maintain intestinal homeostasis, but little is known about these interactions in humans. We investigated responses of human CD4+ T cells to the intestinal microbiot… Continue reading →

Question: A 32-year-old woman with a past medical history relevant for active smoking and Behçet disease diagnosed 15 years before, with vascular, articular manifestations and an acute pancreatitis that was attributed to ischemia owing to Behçet vas… Continue reading →

Question: A 51-year-old man was referred to our tertiary medical center for a 3-year history of intermittent abdominal pain, diarrhea, and associated nontender, nonitchy cutaneous erythema and swelling of his upper and lower extremities (Figure A) and … Continue reading →

Question: A 30-year-old woman presented with recurrent episodes of biliary colic for last 3 months. There was no history of fever, yellowish discoloration of eyes or urine, and weight loss. Clinical examination was normal. Laboratory investigations rev… Continue reading →

Question: A 21-year-old man with a 3-year history of hematochezia presented to the gastroenterology department with drop bright red blood after defecation, which was aggravated after eating spicy foods. He denied any history of hepatitis. On physical e… Continue reading →

Question: An 88-year-old man was admitted to our hospital with the chief complaint of left flank pain. He had a history of ileocecal resection and sigmoidectomy for the treatment of colon cancer 7 years ago and has been treated for diabetes mellitus for >20 years. Laboratory findings showed a mild elevation of the white blood cell count (12,000/μL) and C-reactive protein (6.3 mg/dL), blood sugar (180 mg/dL), and hemoglobin A1c (8.9%) levels. No elevation of tumor marker levels was observed. Imaging studies showed an irregularly shaped, 70-mm tumor in the left side of the abdomen with an invasive growth pattern toward the abdominal wall and colon. Continue reading →

Question: A 75-year-old woman with celiac disease diagnosed 30 years ago who is not compliant with a gluten-free diet, and has gastroesophageal reflux disease and hypothyroidism, presented with gradually worsening abdominal distension, severe intermit… Continue reading →

This document presents the official recommendations of the American Gastroenterological Association (AGA) on therapeutic drug monitoring (TDM) in inflammatory bowel disease (IBD). The guideline was developed by the AGA’s Clinical Guidelines Committee… Continue reading →

Question: A 30-year-old woman presented with recurrent episodes of biliary colic for last 3 months. There was no history of fever, yellowish discoloration of eyes or urine, and weight loss. Clinical examination was normal. Laboratory investigations rev… Continue reading →