Nuria Logan and Peter Marck
Certain thoughts, ideas, and even diseases fall in and out of fashion over time. One example of the latter is diverticulosis. As the older population in wealthy countries grows, diverticulosis is becoming more common. It affects the majority of people over the age of 80, places a significant strain on health-care resources, and is strangely overlooked by many gastroenterologists. There is a startling lack of evidence and many unsolved concerns for such a frequent and possibly essential disorder. Many clinicians, funding agencies, and fundamental scientists have been hesitant to promote study and investigate diverticulosis. It's not unexpected that medical treatment for diverticulosis has progressed slowly during the last half-century.
DOI: 10.37421/2952-8518.2023.8.214
An acquired gastric Dieulafoy like lesion refers to a rare vascular abnormality found in the stomach that resembles Dieulafoy's lesion, a condition characterized by an abnormally dilated and fragile artery that causes sudden and potentially life-threatening gastrointestinal bleeding. In this case, the acquired lesion is caused by an unusual redirection of blood supply from the left phrenic artery to an enlarged splenule. This comprehensive approach not only enhances clinical practice but also informs health policy development for the betterment of public health.
Vamin Salong
Nutritional support and intervention are essential aspects of managing head and neck cancer. Many patients with this condition are malnourished
upon diagnosis, and most of those undergoing treatment will require nutritional assistance. This paper offers a concise summary of key nutritional
considerations for these patients and offers practical recommendations for clinicians in their care. Due to the potential impact of head and neck
cancers on swallowing and eating, early nutritional assessment is critical. This evaluation typically includes an assessment of the patient's weight
history, dietary intake, and physical examination.
Warif Zaid
This suggests that the study is focused on identifying and comprehending the mental and emotional aspects that play a role in influencing
nutritional choices and habits in individuals with MND. Psychological factors can include thoughts, emotions, attitudes, and perceptions related to
food and eating, this indicates that the study is interested in how these psychological factors affect the dietary choices and eating patterns of people
living with MND. It's important to note that MND is a neurodegenerative disease that can impact motor functions, making it relevant to investigate
how psychological factors might influence nutritional behaviour in this specific patient population.
Sabez Rahlon
This comprehensive approach not only enhances clinical practice but also informs health policy development for the betterment of public health,
an acquired gastric Dieulafoy like lesion refers to a rare vascular abnormality found in the stomach that resembles Dieulafoy's lesion, a condition
characterized by an abnormally dilated and fragile artery that causes sudden and potentially life-threatening gastrointestinal bleeding. In this case,
the acquired lesion is caused by an unusual redirection of blood supply from the left phrenic artery to an enlarged splenule.
Sabez Rahlon
An acquired gastric Dieulafoy like lesion refers to a rare vascular abnormality found in the stomach that resembles Dieulafoy's lesion, a condition
characterized by an abnormally dilated and fragile artery that causes sudden and potentially life-threatening gastrointestinal bleeding. In this case,
the acquired lesion is caused by an unusual redirection of blood supply from the left phrenic artery to an enlarged splenule. This comprehensive
approach not only enhances clinical practice but also informs health policy development for the betterment of public health,
Asala M Awaysa*, Areen E Ershaid, Arein AM Abufara, Jenan E Ershaid, Shereen Ershaid, Layth Al Karaja and Mosab Samamra
DOI: 10.37421/2952-8518.2023.8.228
This case report discusses a chronic enteritis case which is a challenging disease marked by an inflammation in the small intestine. As well as, it may involve gastroenteritis and enterocolitis. Through the report, a clinical course of an adult 46-year-old male patient free past illness has showed multiple complicated GI issues after a series of checkups started on October, 2022. Such as, gastroscopy, colonoscopy and CT. Due to his complain of abdominal pain and diarrhea started 5 months ago before the diagnosis and receiving the proper treatment as a patient suffers from Crohn’s disease. Several lab tests have been taking in aim to identify the causative agent of signs and symptoms the patient showed. The clear result appears in the blood CX which indicated the presence of S. maltophilia sensitive on suprim. This type of obligate aerobic bacteria is classifying as gram negative bacillus which is opportunistic pathogen-uncommon cause of chronic enteritis disease found mostly as causative agent among hospitalized patients. This case shows importance in medical field due the presence of a rare pathogen as a dominant cause of chronic human gastrointestinal infection that should be treated urgently.
Background: Drug-induced liver injury (DILI) is caused due to various types of medications, herbs, or other xenobiotics, in the absence of other etiologies. DILI has been observed with different clinical features and biochemical abnormalities. Herbal products are responsible for DILI in many cases (10%). There exists no specialized gold standard method to diagnose or predict DILI, and the disease has been commonly diagnosed with the RUCAM score. Tinospora Cordifolia (Gulvel/Guduchi), which is readily available in the hilly area of western Maharashtra as a wild plant, has been used in Ayurveda for the treatment of hepatotoxicity. Furthermore, it is consumed as an immunemodulator during the COVID 19 pandemic.
Case presentations: During last year, there is a sudden increase in hepatitis cases. We observed 16 patients who consumed Tinospora Cordifolia (Gulvel/Guduchi) and depicted instability in liver function tests. This research found no other reason responsible for such complaints in these patients. All these patients had a RUCAM score greater than six. They had mild to severe level symptoms in which fourteen patients were recovered with supportive care. It was noted that elderly females were affected commonly, in which one mortality case happened secondary to ACLF. The study observed no cases in the family even after the consummation of similar products with similar doses.
Conclusion: Tinospora Cordifolia (Gulvel/Guduchi) can cause mild to severe grade hepatotoxicity with high doses, most probably in genetically susceptible elderly patients. Additionally, the study also states that mortality is rare. However, to confirm this observation and to provide prompt details, more research must be carried out.
Soheila Shekari*, Asal Ataie Jafari, Mahmood Mahmoodi Majd Abadi, Shahryar Eghtesadi and Seyed Saeed Seyedian
Diets rich in fruits and vegetables, seeds and nuts play an important role in reducing inflammatory bowel disease. Consumption of dietary antioxidants reduces inflammatory bowel disease. In the present study, the relationship between Dietary Total Antioxidant Capacity (DTAC) and inflammatory bowel disease was studied in Golestan Hospital, Ahvaz, Iran. This study was performed on 86 individuals in the healthy group and 86 patients with inflammatory bowel disease. A 147-item food frequency questionnaire was used to collect data. Ferric ion Reducing Antioxidant Power (FRAP) values were used to calculate the DTAC. Data were analyzed using SPSS software version 23. The mean age was 33.4 ± 7.4 for the healthy group and 36.5 ± 10.7 for the patient group (P<0.05). The control group had a higher dietary antioxidant capacity compared to the patient group (the healthy group received higher antioxidant vitamins including alpha-carotene, lycopene, vitamin C, vitamin A) (P=0.001). In the original model and modified logistic regression models, individuals in the highest quartile of DTAC had a lower risk of IBD (OR: 1.78, 95% CI:(0/51-6.21); P: 0/001). High levels of DTAC were associated with reduced IBD risk. It seems that a diet with high antioxidant capacity can prevent IBD.
Clinical Gastroenterology Journal received 33 citations as per Google Scholar report
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