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Clinical Gastroenterology Journal

Open Access

Current Issue

Volume 6, Issue 2 (2021)

    Case Report Pages: 1 - 3

    Splenic Abscess is a Rare Complication of Gastric Arteriovenous Malformation Management

    Mahmoud Moubark

    Background: In the last decade, newly development of endovascular techniques gives good chance in the treatment of GIT vascular malformations. As the frequency of its use is increasing progressively, we in this study analyze the short- and mid-term radiological and clinical outcomes of a case with gastric arteriovenous malformation treated endovascular. Conclusion: Gastric AVM is rare, and its management depends on the size and extent of the lesion. We assume that the use of histoacryl in the treatment of AVM carries significant risk unlike dealing with direct AV fistula. It is safer to use coils to embolize the feeding artery

    Editorial Pages: 1 - 1

    Insights of Gastroenteritis

    Florina Orwell

    Gastroenteritis (stomach flu) is a common, worldwide disease and almost everyone suffers from it a few times in their life because it is almost impossible to avoid contact with some of the viral and bacterial causes. It is an illness triggered by the infection and inflammation of the digestive system. Typical symptoms include abdominal cramps, diarrhea and vomiting. In many cases, the condition heals itself within a few days. The main complication of gastroenteritis is dehydration, but this can be prevented if the fluid lost in vomit and diarrhea is replaced. A person suffering from severe gastroenteritis may need fluids administered intravenously (directly into the blood stream via a vein – the setup is often referred to as a ‘drip’). Some of the causes of gastroenteritis include viruses, bacteria, bacterial toxins, parasites, particular chemicals and some drugs.

    Editorial Pages: 1 - 1

    Editorial Note on Gastroesophageal Reflux Disease

    Nizaj Akbul

    Gastroesophageal Reflux Disease (GERD), commonly referred to as heartburn, is a condition resulting from stomach acid moving backward from the stomach into the esophagus (the tube that connects the mouth to the stomach). The acid causes burning, inflammation and pain on the lining of the esophagus and can eventually lead to permanent damage of the lining. Tightness in the chest may also be felt, and sometimes heartburn can be confused with symptoms of a heart attack. This backward flow of acid is also called reflux when symptoms are brief and intermittent and do not cause on-going symptoms. Many people experience acid reflux from time to time. GERD is mild acid reflux that occurs at least twice a week, or moderate to severe acid reflux that occurs at least once a week. Most people can manage the discomfort of GERD with lifestyle changes and over-the-counter medications. But some people with GERD may need stronger medications or surgery to ease symptoms. The term “gastroesophageal” refers to the stomach and esophagus. Reflux means to flow back or return. Gastroesophageal reflux is when what’s in your stomach backs up into your esophagus. In normal digestion, your LES opens to allow food into your stomach. Then it closes to stop food and acidic stomach juices from flowing back into your esophagus.

    Editorial Pages: 1 - 1

    Development of Gastric Varices

    Mohammad Asif Senawi

    Gastric varices are an important Porto systemic collateral pathway, occurring in ~20% of patients with portal hypertension. They are considered distinct from oesophageal varices in that they have a propensity to haemorrhage at comparatively lower portal pressures, and are also associated with higher mortality rate with hemorrhage. The patients with cirrhosis or high portal blood pressure are highly prone to gastric variceal bleeding than the patients with splenic vein thrombosis (SVT). The bleeding leads to heavy loss of blood, which should be compensated by blood transfusion to regulate the blood circulation and to maintain the hemoglobin level 7-8 g/dL. This technique is a recovery approach to lower the risk of rebleeding and mortality. Gastric varices are treated by primary prophylaxis and secondary prophylaxis. The primary treatment includes drug therapy.

    Awards 2021 Pages: 1 - 1

    Awards 2021: 21nd World Congress on Advances in Gastroenterology

    Augustine Turner

    Expert Level (Scientific Service Achievement Award) The Scientific Service Achievement Award is the most esteemed award for the experts who have made exceptional and significant contributions at the field of Gastroenterology and Urology. These awards also provide a prospect to acknowledge those who play a major role in the progression to reach patients safety and requirements and nurses help in improving the life of people. Eligibility Criteria for this award.

    Volume 6, Issue 4 (2021)

      Image Article Pages: 1 - 2

      H. pylori Gastritis Presenting as Multiple Black Macules in the Gastric Antrum

      Tharani Sundararajan, Sheng Chen, Madhusudhanan Jegadeesan and Ramprasad Jegadeesan

      A 59-year-old male with past medical history of asthma, hypertension, type 2 diabetes mellitus, hyperlipidemia and coronary artery disease presented with complaints of intermittent epigastric pain, nausea and vomiting for past four months. CT of abdomen and pelvis showed moderate circumferential thickening in segments of mid small bowel and thickening of the lower esophagus.

      Case Report Pages: 1 - 2

      Non-Healing Gastric Ulcer in a Patient with Rheumatoid Arthritis

      Tharani Sundararajan, Krati Chauhan, Rakesh Mandal, Zafar Quader and Ramprasad Jegadeesan

      Leflunomide has been reported to impair ulcer healing by inhibiting DNA synthesis. To the best of our knowledge, we report a first case of non-healing gastric ulcer in a patient treated with leflunomide for rheumatoid arthritis. Patient developed gastric ulcer secondary to NSAID use which did not heal for several years despite being on PPI therapy and avoiding NSAIDs. Gastric ulcer healing was documented after stopping leflunomide.

      Research Article Pages: 1 - 5

      Efficacy and Safety of Tenofovir Alafenamide in Treatment Naive Patients with Hepatitis B-Virus Related Decompensated Cirrhosis: A Prospective Observational Study

      Sanjeev Jha*, Ravikant Kumar, Saurabh Kumar, Ravi Keshri, Aditya V. Singh, Gaurav Kumar and Samir S. Bhagwat

      Chronic Hepatitis B virus (CHB) infection is the major public health problem associated with significant morbidity and mortality due to complications of cirrhosis and development of Hepatocellular Carcinoma (HCC) [1]. 11% annual incidence of decompensation in patients with compensated chronic liver disease has been reported in a population based cohort study [2]. In patients with decompensated liver disease, the annual risk of HCC and mortality increases by 7%-8% and up to 20%- 50% respectively [3]. Antiviral therapy has shown to reduce liver disease progression and mortality in patients with Decompensated Cirrhosis (DC) [4].

      Editorial Pages: 1 - 1

      Editorial Note on Endoscopic Surgery

      Emma Horson

      An endoscopy is a process in which doctors use specialized instruments to sight and operate on the internal organs of the body. It permits surgeons to see the problems within our body without making large cuts. In this process the surgeon inserts an endoscope through a small cut or an opening in the body such as the mouth or anus. An endoscope is a flexible tube with an attached camera that allows the doctor to see the organ. Doctor can use forceps and scissors on the endoscope to operate or eradicate tissue for biopsy.

      Editorial Pages: 1 - 1

      Brief Note on Diverticulosis

      Morad Claude

      Diverticulosis is a disease with the formation of pouches on the wall of colon. When these pouches are infected and inflamed bacteria grow in the pouches and lead the infection and inflammation. The symptoms of diverticulosis are abdominal pain, fever and chills, bloating and gas, constipation, diarrhea, loss of appetite. Diverticulitis is identifies through, X-ray and CT scan, blood test and complete blood count.

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