W1092 Exocrine and Endocrine Gastric Mucosal Changes Under Medical or Surgical Antireflux Therapy. Results of a 5-Yr Follow up in the Lotus Trial

Portal hypertensive gastropathy (PHG) encompasses the gastric mucosal changes occurring in the setting of portal hypertension,both cirrhotic and non-cirrhotic. Its significance lies in causing acute gastrointestinal bleeding and insidious chronic blood loss presenting as iron deficiency anemia. Diagnosis of PHG is straight-forward, made endoscopically often characterized by a mosaic-like pattern resembling ‘snake-skin’, with or without red spots. Treatment of acute GI bleed is hemodynamic stabilization, vasoconstrictor therapy, antibiotic prophylaxis, non-selective beta-blockers. Endoscopic treatment like APC has a small role. In severe cases, TIPS and shunt surgery can be offered. Secondary prophylaxis of PHG bleeding with non-selective b-blockers is recommended. Keywords: Portal hypertension, Gastrointestinal bleeding, Cirrhosis, Beta-blockers

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Gastric mucosal changes in H. Pylori infection: A cross sectional study from Karnataka

Medpusle International Journal of Pathology ◽

10.26611/1051026 ◽

2019 ◽

Vol 10 (2) ◽

pp. 95-98

Author(s):

Shashikala P ◽

◽

Shweta S Kollur ◽

Keyword(s):

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Mucosal Changes ◽

H Pylori ◽

Gastric Mucosal Changes

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Gastric mucosal changes of tuberculosis

The American Journal of Digestive Diseases ◽

10.1007/bf02998156 ◽

1942 ◽

Vol 9 (12) ◽

pp. 407-411 ◽

Cited By ~ 7

Author(s):

Donovan C. Browne ◽

Gordon Mchardy ◽

Carl Wilen

Keyword(s):

Mucosal Changes ◽

Gastric Mucosal Changes

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Pulsed Dye Laser Treatment of Laryngeal Granulomas

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348940511400305 ◽

2005 ◽

Vol 114 (3) ◽

pp. 198-201 ◽

Cited By ~ 29

Author(s):

Stephen B. Clyne ◽

Jamie A. Koufman ◽

Stacey L. Halum ◽

Gregory N. Postma

Keyword(s):

Laser Treatment ◽

Standard Therapy ◽

Speech Therapy ◽

Surgical Excision ◽

Dye Laser ◽

Pulsed Dye Laser ◽

Therapy Failure ◽

The Mean ◽

Antireflux Therapy

Laryngeal granulomas are effectively treated with antireflux therapy and speech therapy. Failure to respond leads to treatment with Botox or surgical excision. We report on the use of the pulsed dye laser for treating chronic granulomas that do not respond to standard therapy. We performed a retrospective review from September 2002 to September 2003. Patients identified with chronic granulomas that were not responding to standard therapy were treated in our office with the pulsed dye laser. Ten patients were identified; the mean age was 58 years. Two patients underwent more than one pulsed dye laser treatment. Five of the 10 had resolution of their lesions, and 3 had a partial response. Two were unchanged. The average follow-up was 6 months, and there were no complications. We conclude that in-office use of the pulsed dye laser is a relatively safe and effective method for treating laryngeal granulomas that do not respond to antireflux therapy and speech therapy.

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Gastric Mucosal Changes Caused by Lugol's Iodine Solution Spray: Endoscopic Features of 64 Cases on Screening Esophagogastroduodenoscopy

Gastroenterology Research and Practice ◽

10.1155/2010/494195 ◽

2010 ◽

Vol 2010 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Daisuke Tsurumaru ◽

Takashi Utsunomiya ◽

Shuji Matsuura ◽

Masahiro Komori ◽

Satoshi Kawanami ◽

...

Keyword(s):

Gastric Mucosa ◽

Gastric Body ◽

Gastric Disease ◽

Iodine Solution ◽

Lugol’S Iodine ◽

Reticular Pattern ◽

Before And After ◽

Mucosal Changes ◽

Greater Curvature ◽

Gastric Mucosal Changes

Aim. To clarify the endoscopic mucosal change of the stomach caused by Lugol's iodine solution spray on screening esophagogastroduodenoscopy (EGD).Methods. Sixty-four consecutive patients who underwent EGD for esophageal squamous cell carcinoma screening were included in this study. The records for these patients included gastric mucosa findings before and after Lugol's iodine solution was sprayed. The endoscopic findings of the greater curvature of the gastric body were retrospectively analyzed based on the following findings: fold thickening, exudates, ulcers, and hemorrhage.Results. Mucosal changes occurred after Lugol's solution spray totally in 51 patients (80%). Fold thickening was observed in all 51 patients (80%), and a reticular pattern of white lines was found on the surface of the thickened gastric folds found in 28 of the patients (44%). Exudates were observed in 6 patients (9%).Conclusion. The gastric mucosa could be affected by Lugol's iodine; the most frequent endoscopic finding of this effect is gastric fold thickening, which should not be misdiagnosed as a severe gastric disease.

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The effect of dexamethasone on gastric mucosal changes following sialoadenectomy in rat

Journal of Endocrinological Investigation ◽

10.1007/bf03347552 ◽

2005 ◽

Vol 28 (10) ◽

pp. 700-703 ◽

Cited By ~ 2

Author(s):

B. Elitok ◽

Ö. M. Elitok ◽

M. A. Ketani ◽

D. Kurt ◽

Z. Kanay

Keyword(s):

Mucosal Changes ◽

Gastric Mucosal Changes

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Spontaneously Identified Gastric Sarcoidosis: A Report of Three Cases

Journal of International Medical Research ◽

10.1177/147323000303100312 ◽

2003 ◽

Vol 31 (3) ◽

pp. 239-243 ◽

Cited By ~ 8

Author(s):

K Kawaura ◽

T Takahashi ◽

K Kusaka ◽

J Yamakawa ◽

T Itoh ◽

...

Keyword(s):

Lymph Nodes ◽

Histological Analysis ◽

Partial Gastrectomy ◽

Abdominal Discomfort ◽

Accurate Diagnosis ◽

Granulomatous Disease ◽

Mucosal Biopsy ◽

Histopathological Findings ◽

Mucosal Changes

Sarcoidosis is a systemic granulomatous disease, frequently involving the lungs, lymph nodes, eyes and skin. Gastric sarcoidosis is very rare. We report three patients diagnosed initially with gastric sarcoidosis. Two had no other identified involvement, and one had involvement of the lungs and hilar lymph nodes. Gastroscopy was performed because of abdominal discomfort or as a follow-up examination for partial gastrectomy. This revealed atrophic lesions with nodular mucosal changes in the antrum and granular mucosa, and residual gastritis was found at the site of gastroduodenal anastomosis. Non-caseating epitheloid-cell granulomas were found in all patients following histological analysis. Gastroscopy and histopathological findings in gastric mucosal biopsy samples from suspicious sites are essential in establishing an accurate diagnosis of gastric sarcoidosis.

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