Monthly Archives: November 2017

Most T1 colorectal tumors treated by radical surgery can now be cured by endoscopic submucosal dissection. Although 70%–80% of T1 colorectal tumors are classified as high risk, fewer than 16% of these patients actually have lymph node metastases. Bio… Continue reading →

Question: A 77-year-old woman was referred for continuous left upper quadrant abdominal pain and a hypointense splenic mass on T2-weighted magnetic resonance imaging sequences of the spine, ordered for suspicion of degenerative disc disease. Clinical … Continue reading →

We thank the authors for their correspondence regarding our recent article on the association between aflatoxin and gallbladder cancer (GBC) in Gastroenterology.1 As the authors of this letter discuss, there are a number of outstanding questions to be … Continue reading →

Question: A 63-year-old woman was admitted to the emergency room for vomiting and abdominal pain localized in the epigastric region for the past 48 hours. Past medical history included ulcerative colitis, arterial hypertension, and asthma. Four months … Continue reading →

Question: An 81-year-old woman presented to our clinic with abdominal distension and constipation for the past 1 week. She had nausea, vomiting, and an unintentional 15-pound weight loss over the past few months. Past medical history was significant fo… Continue reading →

Question: A 65-year-old woman presented to emergency department with progressively worsening abdominal pain and diarrhea. She reports her symptoms started 8 months ago but have progressed to include nausea, vomiting, decreased appetite, and a 13-lb wei… Continue reading →

Question: A 48-year-old man was referred to our hospital with a 12-hour history of acute massive upper gastrointestinal (GI) bleeding. He denied previous similar episodes or chronic medical illnesses. Two days before admission, he was seen in another h… Continue reading →

Question: A 41-year-old man presented with sudden-onset upper abdominal pain and fevers. His only past medical history was antiphospholipid syndrome, diagnosed after 2 deep vein thromboses, and discoid lupus. He had been treated with warfarin for >10 years, but took no other medications. Continue reading →

Question: A 38-year-old man presented with a 1-day history of constipation, abdominal distension, and central abdominal pain. He had similar episodes in the past and there was no history of weight loss, vomiting, or bleeding per rectum. Continue reading →

It is not clear how the complex interactions between diet and the intestinal microbiota affect development of mucosal inflammation or inflammatory bowel disease. We investigated interactions between dietary ingredients, nutrients, and the microbiota in… Continue reading →