Colonic Lipoma: Incidental and Urgent Management, Report of Two Cases and Review of the Literature
Justo I, Marcacuzco A, Caso O, Cambra F, Garcia-Nebreda M, Nutu A, Rivas C and Jimenez C
Article Type: Case Series | First Published: May 29, 2016
Lipomas are benign tumors rarely found in the digestive tract, particularly rare in the colon, that were first described by Bauer in 1757 as an unusual cause of intussusception in the adult. Lipomas are most often small, asymptomatic and identified as incidental findings during colonoscopy. Nonetheless, up to 25% are symptomatic in the form of abdominal pain, bleeding, diarrhea or intussusception. Ninety percent of lipomas in the colon are located at the submucosal layer, with only few originati...
Abdominal Upper Gi Injury in 416 Polytraumatized Patients
Matthias Heuer, Bjorn Hussmann, Rolf Lefering, Gernot M Kaiser, Sven Lendemans and TraumaRegister DGU
Article Type: Original Research | First Published: May 29, 2016
In multiple-injury patients, the stomach and duodenum are part of the injury pattern to varying degrees in around 0.5-2% of the documented cases. In industrialized countries, abdominal injuries are mostly caused by a blunt accident mechanism. And yet, the abdominal upper GI injury is frequently not directly life-threatening. In 30-40% of the cases, complications occur, which may lead to a significant reduction in quality of life, e.g. due to nutrition problems and/or in chronic post-traumatic/ -...
Utilization and Accuracy of Biopsy in Patients with Hepatocellular Carcinoma in a Community based Setting
Courtney B Sherman, Wei Zhao, Douglas A Corley and Jennifer Guy
Article Type: Original Research | First Published: May 28, 2016
iver biopsy is not routinely recommended for the diagnosis of hepatocellular carcinoma (HCC). Identification of characteristic imaging findings is usually sufficient for diagnosis and biopsy is recommended for a subset of patients with indeterminate lesions based on imaging or clinical characteristics. The study aim was to determine real-world utilization and accuracy of liver biopsy in patients ultimately diagnosed with HCC in a community setting during an era when liver biopsy was commonly uti...
Unusual Mixed Presentations of Multiple Jejunal Diverticulae with Small Bowel Obstruction and Perforation - Case Report
Lillian Reza, Madeeha Aziz, Olga Tsiamita and Abraham Ayantunde
Article Type: Case Report | First Published: May 26, 2016
Jejunal diverticulae are a rare phenomenon that is usually asymptomatic but can present with chronic abdominal pain or as an acute abdomen when complicated by intestinal diverticulitis, obstruction, haemorrhage or perforation. The clinical presentation is often atypical and therefore diagnosis occurs at surgical intervention or occasionally during an imaging investigation. Surgical resection of the affected bowel segment with primary anastomosis is the preferred treatment of choice in complicate...
Listeriosis Complicating Infliximab Treatment in Crohn's Disease
FW Chen, W Matar, M Hersch and J Freiman
Article Type: Case Report | First Published: May 06, 2016
Listeria monocytogenes, a gram-positive rod, infects the central nervous system in neonates, pregnant woman and those immunosuppressed by naturally occurring illnesses and by therapeutic agents, including agents such as infliximab. We report here the first published case of Listeriosis complicating Infliximab therapy in Crohn's disease in Australia....
Deception in Crohn's Disease: A Case of Cryptogenic Multifocal Ulcerous Stenosing Enteritis
Huafeng Shen, David R Cave and Seymour Katz
Article Type: Case Report | First Published: April 21, 2016
Cryptogenic multifocal ulcerous stenosing enteritis is a rare idiopathic condition, characterized by multiple small intestinal fibrous strictures with superficial ulcerations. It typically has a chronic or relapsing clinical course and has been mainly reported from Asia and Europe. We report a case of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) in a patient with chronic anemia with melena and intermittent abdominal pain. The clinicopathological features of CMUSE are different fro...
Validation of a Simple, Patient Directed, Symptom based Index for Intestinal Inflammation
Hyok Jun Kwon, Sharon Dudley-Brown, Merrilee Williams, Marie-Michelle Sullivan and Michael Schultz
Article Type: Research Article | First Published: April 12, 2016
Optimal management of the Inflammatory Bowel Diseases (IBD) aims for low levels of inflammation to reduce complication rates and disease burden. Scoring systems have been developed to monitor disease but most have not been validated or have shortcomings that limit their practical use. Our aim was to compare two patient related outcome scoring systems with established and validated tools to estimate disease severity in patients with IBD....
Helicobacter Pylori: A Review of Epidemiology, Treatment, and Management
Yana Thaker, Andrew Moon and Anita Afzali
Article Type: Review Article | First Published: April 09, 2016
Helicobacter pylori, a gram-negative, helical bacilli that live in the gastric epithelium was first isolated in 1983. It was discovered by Marshall and Warren who cultured Campylobacter pyloridis, which was later reclassified as Helicobacter pylori. It is transmitted via the fecal-oral, gastro-oral, or oral-oral routes....