Daily Archives: February 9, 2018
An Abdominal Mass
Question: A 32-year-old woman presented with a chief complaint of recurrent, nonspecific gastrointestinal symptoms (anorexia, acid reflux, and epigastric pain) for 5 years. Her past history was significant for splenectomy after abdominal trauma 6 years… Continue reading
An Abdominal Mass
Question: A 32-year-old woman presented with a chief complaint of recurrent, nonspecific gastrointestinal symptoms (anorexia, acid reflux, and epigastric pain) for 5 years. Her past history was significant for splenectomy after abdominal trauma 6 years… Continue reading
A Rare Cause of Whole Gastrointestinal Duct Edema and Multiple Small Intestinal Polypoid Ulcers
Question: A 60-year-old man complaining of recurrent melena for > 2 months, accompanied by fatigue and anemia, was admitted to our gastroenterology ward. He denied experiencing hematemesis, abdominal pain, fever, osteodynia, or arthralgia. His medical history included a 6-year history of alcoholic hepatocirrhosis and type 2 diabetes mellitus. Colonoscopy found no evidence of hemorrhage. However, gastroduodenoscopy showed multiple polypoid lesions in the duodenum (Figure A, B). An abdominal computed tomography (CT) scan was performed (Figure C). Continue reading
Using Proactive Therapeutic Drug Monitoring of Anti-Tumor Necrosis Factor Therapy in Inflammatory Bowel Disease: From an Old Concept to a Future Standard of Care?
In the recently published guidelines regarding the role of therapeutic drug monitoring (TDM) in inflammatory bowel disease (IBD), the American Gastroenterological Association (AGA) advocates reactive TDM in adults with active IBD failing response to an… Continue reading
Using Proactive Therapeutic Drug Monitoring of Anti-Tumor Necrosis Factor Therapy in Inflammatory Bowel Disease: From an Old Concept to a Future Standard of Care?
In the recently published guidelines regarding the role of therapeutic drug monitoring (TDM) in inflammatory bowel disease (IBD), the American Gastroenterological Association (AGA) advocates reactive TDM in adults with active IBD failing response to an… Continue reading
Multicystic Pancreas on Endoscopic Ultrasound Imaging: Worth Thinking Outside the ‘Box’ (Pancreas)
Question: A 32-year-old Filipino woman was referred for endoscopic ultrasound (EUS) imaging of the pancreas from another hospital where she had presented with a history of intermittent abdominal pain with radiation to the back precipitated by alcohol, … Continue reading
Multicystic Pancreas on Endoscopic Ultrasound Imaging: Worth Thinking Outside the ‘Box’ (Pancreas)
Question: A 32-year-old Filipino woman was referred for endoscopic ultrasound (EUS) imaging of the pancreas from another hospital where she had presented with a history of intermittent abdominal pain with radiation to the back precipitated by alcohol, … Continue reading
Chronic Hepatitis E in a Renal Transplant Recipient: The First Report of Genotype 4 Hepatitis E Virus Caused Chronic Infection in Organ Recipient
Chronic hepatitis E (CHE) infection in organ transplant recipients has been exclusively related to genotype 3 hepatitis E virus (HEV) infection, and mainly prevalent in Western countries.1 However, it remains unclear whether other genotypes of HEV can … Continue reading
Acute Pancreatitis and Pancreatic Cancer Risk: A Nationwide Matched-cohort Study in Denmark
Acute pancreatitis may be a risk factor for pancreatic cancer. However, findings from studies on this association are conflicting. We investigated the association between acute pancreatitis and increased risk of pancreatic cancer. Continue reading