Daily Archives: January 16, 2018
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We thank Drs Meyer and Vassar for their interest in our study1 and comments on the use of the Fragility Index (FI). We agree that FI may be useful as an intuitive measure of the robustness of randomized, control trials2; however, caution needs to be ex… Continue reading
Hepatic Mass in a Patient With Bladder Cancer History
Question: An 82-year-old asymptomatic man presented with an incidental finding of liver lesion on a computed tomography (CT) angiogram performed for infrarenal abdominal aortic aneurysm repair surveillance. He had a history of bladder cancer 7 years pr… Continue reading
Anticoagulation for Portal Vein Thrombosis in Cirrhosis: Selection of Appropriate Patients
A recent systematic review with meta-analysis by Loffredo et al1 updated our previous findings2 regarding the use of anticoagulation for the treatment of portal vein thrombosis (PVT) in patients with liver cirrhosis. However, when the original papers … Continue reading
Sternberg’s Surgical Pathology, 6th edition
As the prologue to the first edition of Sternberg’s Surgical Pathology states, the surgical pathologist’s career can be very lonely. Our working environment is characterized by our relationship with our microscopes, our books becoming companions in… Continue reading
An Unexpected Cause of Recurrent Melena
Question: A 62-year-old man was referred to our hospital with 2 years of recurrent symptomatic melena requiring multiple blood transfusions and iron therapy. His past medical history was not significant. His physical examination was unremarkable and la… Continue reading
Reply
We would like to thank Drs Wood, Qi, Chen, and Mancuso for the interesting comments on our recent meta-analysis regarding the effects of anticoagulants, such as low-molecular-weight heparin or vitamin K antagonists, on portal vein thrombosis (PVT) in c… Continue reading
Anticoagulation for Portal Vein Thrombosis in Liver Cirrhosis: Not Only Recanalize the Portal Vein
We read with great interest the systematic review and meta-analysis by Loffredo et al1 comparing the effect of anticoagulation therapy with no treatment on portal vein thrombosis (PVT) in cirrhotic patients. As expected, the recanalization rate was si… Continue reading