MedGenMed Gastroenterology

 
 
  • Ewing's Sarcoma Metastasis to the Gastric Wall in a 72-Year-Old The authors have been unable to find any cases of Ewing's sarcoma metastatic to the stomach or the GI tract in the literature, and therefore believe that this represents the first reported case.
  • Endoscopic Screening and Surveillance for Barrett's Esophagus Chronic reflux results in Barrett's metaplastic change, and the route to carcinoma is a stepwise progression, through dysplasia to invasive carcinoma.
  • A 2-Year-Old Boy With Emesis and Facial Edema A 2-year-old boy presented with an 8-day history of emesis and a 1-day history of facial edema. Read the case report and make the diagnosis.
  • Acute Lower Gastrointestinal Bleeding This 83-year-old woman passed abundant red blood and clots from the rectum for 3 hours before admission to hospital.
  • Diagnosis of Autoimmune Hepatitis Albert J. Czaja, MD, reviews the clinical, laboratory, and histologic features of autoimmune hepatitis and addresses routine application of its codified diagnostic criteria.
  • Obscure Gastrointestinal Bleeding -- The Role of Endoscopy Obscure gastrointestinal bleeding is defined as bleeding of unknown origin that persists or recurs after an initial negative endoscopic evaluation including colonoscopy and/or upper endoscopy.
  • Recurrent PBC After Liver Transplantation Ten to forty percent of patients develop clinical, biochemical, and histologic changes consistent with recurrent PBC after orthotopic liver transplantation.
  • Epidemiology of Hepatitis B -- Clinical Implications Jacob Alexander, MD, and Kris V. Kowdley, MD, FACP, explore the latest information regarding HBV, ranging from geographic distribution to issues in transmission and genotyping.
  • Chronic Hepatitis B -- Who Should Be Treated? The authors discuss criteria for determining when and how to most effectively intervene with antiviral therapy for chronically infected patients.
  • Laparoscopic Roux-En-Y Gastric Bypass for Morbid Obesity The patient is a 42-year-old woman with a BMI of 39 who has failed several diet treatments for losing weight.
  • The Extrahepatic Consequences of Cirrhosis Cirrhosis has multisystem effects and complications. Extrahepatic manifestations should be taken into consideration when treating a cirrhotic patient to optimize clinical outcomes.
  • Jaundice in a Traveler Returning From India The patient is a 59-year-old long-time resident of the United States who recently returned from a 1-month trip to his native home in India.
  • A 2-Year-Old Girl With Chronic and Recurrent Emesis This patient presented for a second opinion with the chief complaint of abdominal pain of 5 days' duration and vomiting for 1 day. Read the case report and make the diagnosis.
  • Gastroduodenal Obstruction From Morgagni Hernia The authors report the case of a 91-year-old white female nursing home resident with chronic intermittent nausea and vomiting who presented to the emergency department.
  • Noninvasive Diagnosis of Liver Fibrosis in Patients With CHC The prognosis and management of chronic liver diseases greatly depends on the degree and progression of liver fibrosis. Until recently, liver biopsy was the only way to evaluate fibrosis in the liver.
  • A 58-Year-Old Man With Dysphagia The patient was admitted to the medical service with a 4- to 5-month history of progressive dysphagia, initially to solids and then liquids, resulting in a 30-lb weight loss. What is your diagnosis?
  • Atypical Manifestations of Gastroesophageal Reflux Disease GERD may manifest typically with heartburn and regurgitation or atypically as laryngitis, asthma, cough, or noncardiac chest pain. Diagnosis of these atypical manifestations may be difficult.
  • A Pustular Skin Rash in a Woman With 2 Weeks of Diarrhea A 27-year-old woman presented with a 2-week history of diarrhea, fever, and pustular skin rash. She had a prior diagnosis of UC. What is your approach to work-up?
  • Ileocolonic Intussusception A 51-year-old white woman with no significant past medical history presented to the ED with 2 days of progressive nausea, vomiting, watery diarrhea, and subsequent right lower quadrant pain.
  • Hereditary Diffuse Gastric Cancer To the authors' knowledge, this is the first case report of a laparoscopic total gastrectomy for hereditary diffuse gastric cancer and CDH-1 gene mutation.