Clinical Journal of Gastroenterology
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1145
Papers 1415
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Multiple primary malignant neoplasm (MPMN) is a rare disease with two or more malignant neoplasms in one patient. In less than 0.1% of cancer patients, four or more occur. MPMN is frequently associated with hereditary cancer syndrome, although in rare cases, it is not. A female patient developed 17 MPMNs. Although they were successfully treated with surgery, radiation, and adjuvant chemotherapy, the patient died from the recurrence of ovarian cancer. To explore genetic susceptibility to MPMN, im...
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#1Nobutake Yamamichi (UTokyo: University of Tokyo)H-Index: 35
#2Takeshi Shimamoto (UTokyo: University of Tokyo)H-Index: 11
Last. Kazuhiko Koike (UTokyo: University of Tokyo)H-Index: 73
view all 13 authors...
BACKGROUND Mucosal atrophy and enlarged folds of stomach by double-contrast upper gastrointestinal barium X-ray radiography (UGI-XR) are two major features of Helicobacter pylori-induced chronic gastritis. These were previously shown to be risk indicators of gastric cancer, but their predictability for clinicopathological characters of developed gastric cancer is unelucidated. In addition, evidence for decreasing the mortality of gastric cancer by appropriate follow-up of UGI screening is needed...
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#1Kevin Zheng (Albert Einstein College of Medicine)
#2Lawrence J. Brandt (Albert Einstein College of Medicine)H-Index: 54
Last. Darlene LeFrancois (Albert Einstein College of Medicine)H-Index: 2
view all 3 authors...
A 42-year-old man presented with 6 months of unexplained left lower quadrant abdominal pain and hematochezia accompanied by weight loss despite extensive evaluations. Stool studies for pathogens were unrevealing, but an abdominal contrast-enhanced computed tomography revealed findings of chronic inferior mesenteric vein thrombosis. Colonoscopy demonstrated ulcerated strictures and gangrene confined to the sigmoid and descending colons, and biopsies confirmed changes of chronic irreversible colon...
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#1Masakatsu Nakamura (Kanazawa Medical University)H-Index: 26
#2Toshimi Otsuka (Kanazawa Medical University)H-Index: 7
Last. Tomiyasu Arisawa (Kanazawa Medical University)H-Index: 30
view all 12 authors...
We encountered three cases with incidental penetration of a straight Amsterdam-type bile duct plastic stent into the duodenal papilla. All patients had undergone insertion of a biliary plastic stent due to common bile duct stones. However, in all three cases, we observed penetration of the biliary plastic stent into the duodenal papilla just before the elective surgery or at the time of plastic stent replacement. We, therefore, performed stent dissection using a bipolar snare and were able to sa...
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#1Yoshitsugu MisumiH-Index: 3
#2Yuko FujiiH-Index: 1
Last. Kouichi NonakaH-Index: 13
view all 4 authors...
Emergency endoscopy in coronavirus disease 2019 (COVID-19) patients should be avoided whenever possible to ensure the safety of medical staff; however, it may be unavoidable in some cases. We report a case of emergency lower gastrointestinal endoscopy performed with full personal protective equipment in a patient on extracorporeal membrane oxygenation with severe COVID-19 pneumonia admitted in a restricted area under negative pressure in the intensive care unit. To avoid the risk of fecal-oral t...
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#1Karim Osman (Mayo Clinic)H-Index: 2
#2Ayse Tuba Kendi (Mayo Clinic)H-Index: 4
Last. Daniel B. Maselli (Mayo Clinic)H-Index: 3
view all 3 authors...
Angioedema is a self-limited, localized tissue swelling, resulting from fluid extravasation into interstitial spaces. It may occur in isolation or be accompanied by urticaria and/or anaphylaxis. The phenomenon has been linked to multiple medications, including non-steroidal anti-inflammatory drugs (NSAIDs) and angiotensin-converting enzyme inhibitors (ACEIs). NSAID-induced angioedema is observed in < 0.3% of patients taking NSAIDs. While isolated visceral angioedema has been reported from ACEIs,...
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#1Wataru MiwaH-Index: 1
#2Takashi HiratsukaH-Index: 1
Last. Yo KatoH-Index: 2
view all 5 authors...
Recently, an association has been suggested between development of white globe appearance lesions in the noncancerous stomach and treatment with a potassium-competitive acid blocker or a proton pump inhibitor. We previously reported two cases with development of white globe appearance lesions after vonoprazan treatment, suggesting a similar association. Here, we present the follow-up report of one of those two cases, concerning a 68-year-old woman who developed multiple white globe appearance le...
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#1Wataru Ueno (Jichi Medical University)
#2Naoto Sato (Jichi Medical University)H-Index: 1
Last. Hironori Yamamoto (Jichi Medical University)H-Index: 54
view all 12 authors...
Liver cirrhosis is frequently complicated by spontaneous portosystemic shunt (SPSS) due to portal hypertension. Shunt embolization is considered when symptoms related to SPSSs are refractory to endoscopic and/or medical therapies. However, little information is available on the treatment of patients with multiple and large SPSS. We report a successfully managed case in which patient with such SPSS received two embolization procedures within 6 months. A 57-year-old man with alcoholic liver cirrho...
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#1Yuzuru Sakamoto (Hokkaido University)H-Index: 3
#2Shingo Shimada (Hokkaido University)H-Index: 10
Last. Akinobu Taketomi (Hokkaido University)H-Index: 51
view all 10 authors...
Neuroendocrine tumors (NETs) account for approximately 1-2% of all gastrointestinal tumors. In particular, primary hepatic NETs (PHNETs) are extremely rare. A 42-year-old female patient was given a diagnosis of liver tumor after a medical check-up with ultrasonography. An enhanced CT scan and MRI were suggestive for a hepatic hemangioma or adenoma, but the possibility of hepatocellular carcinoma could not be denied. Moreover, this tumor grew larger, so we performed a laparoscopic partial hepatec...
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#1Kosuke Sato (Tohoku University)
#2Jun Inoue (Tohoku University)H-Index: 25
Last. Atsushi Masamune (Tohoku University)H-Index: 53
view all 8 authors...
Hepatitis C virus reactivation (HCVr) was defined previously as an increase in HCV RNA level of ≥ 1 log10 IU/mL from baseline HCV RNA level after chemotherapies or immunosuppressive therapies, but HCVr during a steroid monotherapy has rarely been reported. Here we report a 75-year-old Japanese female with chronic hepatitis C (genotype 2a) who developed HCVr after the administration of prednisolone for interstitial pneumonia. She experienced alanine aminotransferase (ALT) flare with icterus, but ...
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