scholarly journals Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Sakshi Kapur ◽  
Pradeep Mahal ◽  
Levin Miles ◽  
Adnan Hussain
Keyword(s):  
Submucosal Tumor ◽  
Subtotal Gastrectomy ◽  
Gastric Carcinoid ◽  
Review Of The Literature ◽  
Gastric Submucosal Tumor ◽  
Upper Gi ◽  
Metastatic Lesions ◽  
Dyspeptic Symptoms ◽  
Upper Gi Endoscopy ◽  
Adequate Tissue

We report a case of a 40-year-old female who presented with dyspeptic symptoms for six months. Upper GI endoscopy revealed a submucosal nodule in gastric antrum. Using “jumbo biopsy unroofing technique” we were able to get adequate tissue for analysis. Histopathology revealed a type III gastric carcinoid. Patient was treated with laparoscopic distal subtotal gastrectomy with Roux-en-Y reconstruction and partial omentectomy. Although there was no evidence of metastasis on initial presentation, eighteen months later, patient was found to have multiple metastatic lesions in her liver. Patient’s lesions were treated withintra-arterial (hepatic artery) Yttrium-90.

scholarly journals Evaluation of 105 Cases of Dyspepsia by Upper Gastrointestinal Endoscopy and Ultrasonography of Hepatobiliary System in a Rural Setting

2019 ◽  
Vol 11 (2) ◽  
pp. 25-29
Author(s):  
Azizun Nessa ◽  
Muhammad Rabiul Hossain ◽  
Md Habibur Rahman ◽  
SM Mizanur Rahman ◽  
Abdullah Al Mamun ◽  
...  
Keyword(s):  
Functional Dyspepsia ◽  
Gastrointestinal Endoscopy ◽  
Cross Sectional Study ◽  
Upper Gastrointestinal Endoscopy ◽  
Sectional Study ◽  
Cross Sectional ◽  
Upper Gi ◽  
Dyspeptic Symptoms ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

Introduction: Dyspepsia affects up to 40% of the general population and significantly reduces the quality of life. Dyspeptic symptoms may be associated with endoscopically negative conditions, such as functional dyspepsia, or with organic lesions like peptic ulcer and oesophagitis which are easily detected by endoscopy. On the other hand, such lesions may also be asymptomatic and there is not always a clear cause and effect relationship between endoscopic findings and symptoms. Objective: To determine the prevalence of significant endoscopic lesion and or ultrasonographic findings and their association with dyspeptic symptoms in Bangladeshi rural population. Materials and Methods: This prospective cross sectional study was carried out in Nov 2015 to Dec 2015 in a field mobile hospital of Bangladesh Army, established in Daudkandi, Comilla where total 1094 uninvestigated dyspeptic patients were invited to participate in this cross sectional study and 105 typical dyspeptic patients were finally recruited as per Rome III criteria. Participants underwent clinical assessment through a preformed structured questionnaire and non video upper gastrointestinal endoscopy (UGIE) and ultrasonogram (USG) of hepatobiliary system (HBS). Results: The mean age of 105 participants (male-29; female-76) studied was 36.51±7.26 years with female preponderance (72.38%). Predominant symptoms were epigastric pain (69.52%), flatulence (34.28%), heart burn (28.57%) and diffuse abdominal pain (22.85%). Regarding treatment 48(45.71%) patients took proton pump inhibitors (PPI), 24 patients (22.85%) took H2 receptor blocker and 13 patients (12.38%) were on antacids irregularly. Seventeen patients (16.15%) had no history of medications for dyspepsia. Most of the patients (76.19%) had symptoms of less than 5 years. Organic dyspepsia was found in 68(64.76%) and functional dyspepsia in 37(35.23%) participants. Percentage of functional dyspepsia in male was 24.13% and in female it was 39.47% and the difference was statistically significant (p<0.05). In the organic dyspepsia group, upper GI endoscopy revealed 07(6.66%) duodenal ulcer, 02(1.9%) gastric ulcer, 04(3.8%) prepyloric ulcer and other inflammatory lesions like prepyloric gastritis in 46(43.80%) patients, antral gastritis in 06(5.7%) patients, duodenitis in 08(7.61%) patients and erosive oesophagitis in 03 patients(2.86%). Further USG revealed cholelithiasis in 02(1.90%) and gall bladder (GB) polyp in 01(0.95%) participants which could be the reason for their dyspeptic symptoms. Thirty Seven (35.23%) participants had normal UGIE (and also normal USG of HBS) but they had significant dyspeptic symptoms. Conclusion: Most of the patients (64.76%) in this study had significant upper GI endoscopic findings and labeled as organic dyspepsia and combined use of upper GI endoscopy and USG of HBS provided better yield for aetiological diagnosis of dyspepsia if there is any. Journal of Armed Forces Medical College Bangladesh Vol.11(2) 2015: 25-29

scholarly journals Gall stones and dyspepsia: does upper gastrointestinal endoscopy have a pivotal role?

2019 ◽  
Vol 6 (6) ◽  
pp. 1938 ◽  
Author(s):  
Harsha Narayan ◽  
Nagaraj Ravishankar ◽  
Shivakumar Shivabasappa ◽  
Nalini Kotekar
Keyword(s):  
Incidental Finding ◽  
Gallstone Disease ◽  
Gall Stone ◽  
Management Plan ◽  
Upper Gastrointestinal Endoscopy ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Gall Stones ◽  
Dyspeptic Symptoms ◽  
Upper Gi Endoscopy

Background: Asymptomatic gallbladder stones are often diagnosed as an incidental finding. Gallstone disease is asymptomatic in most patients diagnosed to have gall stone and cholecystectomy is considered to be the treatment of choice. However, less focus has been given to patient selection and to the symptoms of this disease in order to understand prevailing symptoms after surgery. Studies suggest that approximately 25% of patients undergoing cholecystectomy will not experience relief of symptoms, and that dyspeptic symptoms are least likely to be cured by cholecystectomy. Post-cholecystectomy syndrome (PCS) consists of a group of symptoms that persist after cholecystectomy. It is defined as early if occurring in the post-operative period and late if it manifests after months or years. The objectives of the study were to emphasize the importance of endoscopic evaluation as a routine pre-operative investigative tool in patients with dyspepsia and gall stones and evaluate the prevalence of dyspeptic symptoms in patients with gall stone disease.Methods: 92 patients with USG proven gall stones presenting with dyspepsia attending OPD or admitted in surgery department (JSS Hospital) were studied. Upper GI endoscopy was performed to detect for significant lesions.Results: Most common endoscopic finding was gastritis. Malignancy was found in 3 (3.3%) patients. The management plan was changed for 9 (13.6%) patients.Conclusions: Significant endoscopic findings were observed in 72.8% of patients. Routine pre-operative upper GI endoscopy is recommended in all patients with gall-stone disease who present with dyspepsia to avoid unnecessary cholecystectomy.

scholarly journals Endoscopic obturation with tissue adhesive for bleeding gastric stromal tumor: a case report

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199135
Author(s):  
Song Wang ◽  
Kaiguang Zhang ◽  
Mei Xiao
Keyword(s):  
Gastric Tube ◽  
Submucosal Tumor ◽  
Partial Gastrectomy ◽  
Stromal Tumor ◽  
Tissue Adhesive ◽  
Tarry Stool ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Gastric Stromal Tumor ◽  
Stomach Fundus

Primary endoscopic hemostasis for bleeding gastrointestinal stromal tumor (GIST) is rarely reported. Herein, we report the case of a patient with a bleeding GIST that was treated with endoscopic obturation with tissue adhesive. A 46-year-old man presented with hematemesis and tarry stool for 1 day. Upper GI endoscopy revealed a bleeding submucosal tumor at the stomach fundus and an exposed pulsatile vessel was seen at the defect. Endoscopic obturation with tissue adhesive was performed to treat the defect and the bleeding was successfully stopped. No recurrence of bleeding was observed through a gastric tube, and 6 days after endoscopic obturation, the patient underwent laparoscopic partial gastrectomy. Endoscopic obturation with tissue adhesive is a feasible and effective method to treat bleeding GIST.

scholarly journals Synchronous Adenocarcinoma and Gastrointestinal Strom al Tumour (GIST) of the Stomach

2019 ◽  
Vol 19 (1) ◽  
pp. 31-34
Author(s):  
Syed Masud Reza ◽  
Md Mamunur Rahman ◽  
Abdullah Al Mamun ◽  
Md Mozammel Hoque ◽  
S M Amjad Hossain ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Gastrointestinal Stromal Tumours ◽  
Poorly Differentiated Adenocarcinoma ◽  
Upper Gi ◽  
Mesenchymal Neoplasms ◽  
Dyspeptic Symptoms ◽  
Upper Gi Endoscopy ◽  
Submucosal Mass ◽  
Poorly Differentiated ◽  
Upper Abdominal

Gastrointestinal stromal tumours are rare mesenchymal neoplasms of gastrointestinal tract with a malignant potential and unpredictable behavior and stomach is the commonest location involved. However coexistence of gastric carcinoma and GIST is very rare. A 32- year-old male patient who presented with upper abdominal dyspeptic symptoms, was evaluated with Upper GI Endoscopy which revealed an ulcerated lesion in the antral part of the stomach. Biopsy was taken and histopathological examination revealed the lesion as poorly differentiated adenocarcinoma. Distal radical gastrectomy revealed another 3cm of submucosal mass of GIST along with the existing adenocarcinoma. Journal of Surgical Sciences (2015) Vol. 19 (1) : 31-34

USE OF ROADMAP FLUOROSCOPY IN UPPER GI ENDOSCOPY

2020 ◽  
Author(s):  
J Weigt ◽  
W Elhossary ◽  
W Obst ◽  
P Maciej
Keyword(s):  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy

scholarly journals A comparative study of multi-detector CT portography versus endoscopy in evaluation of gastro-esophageal varices in portal hypertension patients

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Hany El-Assaly ◽  
Lamiaa I. A. Metwally ◽  
Heba Azzam ◽  
Mohamed Ibrahim Seif-Elnasr
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Esophageal Varices ◽  
Imaging Modality ◽  
Splenic Vein ◽  
Gastric Varices ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Vein Diameter

Abstract Background Portal hypertension is a major complication resulting from obstruction of portal blood flow, like cirrhosis or portal vein thrombosis, that leads to portal hypertension. MDCT angiography has become an important tool for investigation of the liver as well as potentially challenging varices by detailing the course of these tortuous vessels. This information is decisive for liver transplantation as well as for common procedures in which an unexpected varix can cause significant bleeding. Results This study included an assessment of 60 cases of portal hypertension (28 males and 32 females), their age ranged from 42 to 69 years (mean age = 57.2 ± 6.63). All patients were diagnosed with portal hypertension, underwent upper GI endoscopy followed by a triphasic CT scan with CT angiographic assessment for the screening of gastro-esophageal varices. CT is highly sensitive as compared to upper GI endoscopy (sensitivity 93%) in detecting esophageal varices. Gastric varices detected by CT in 22 patients (37%) compared to 14 patients (23%) detected by endoscopy. While paraesophageal varices were detected in 63% of patients and retro-gastric varices in 80% of patients that were not visualized by endoscopy. Our study reported that the commonest type of collaterals were the splenic collaterals, and we also found there is a significant correlation between the portal vein diameter and the number of collaterals as well as between the portal vein diameter and splenic vein diameter. Conclusions Multi-slice CT serves as an important non-invasive imaging modality in the diagnosis of collaterals in cases of portal hypertension. CT portography can replace endoscopy in the detection of high-risk varices. It also proved that there is a correlation between portal vein diameter, splenic vein diameter, and number of collaterals.

scholarly journals LMA® Gastro™: A paediatric experience

2021 ◽  
pp. 0310057X2098159
Author(s):  
Charlotte L Taylor ◽  
Steven R Wilson ◽  
Laura L Burgoyne ◽  
Yasmin Endlich
Keyword(s):  
Success Rate ◽  
Education Programme ◽  
Paediatric Population ◽  
Airway Device ◽  
Older Children ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Trial Basis ◽  
Endoscopy Outcomes

The laryngeal mask airway, the LMA® Gastro™ (Teleflex Medical, Athlone, Ireland), is a novel airway device which permits upper gastrointestinal (GI) endoscopy to be performed via a dedicated large calibre oesophageal lumen. It has been validated in adult studies, but to our knowledge, there have been no data published regarding its use in a paediatric population. Following a brief education programme, the LMA Gastro was introduced on a trial basis at our institution and made freely available. Over a four-month period, our pre-existing endoscopy audit framework captured data on a total of 55 patients who had the LMA Gastro device chosen as the primary airway for elective upper GI endoscopy. These data were collected prospectively by the treating anaesthetist and included a range of airway and endoscopy outcomes. Of the 55 patients, the LMA Gastro provided an adequate airway in 52 (94.5%). Forty-six (88.5%) were sited on first attempt, and 50 (96.2%) insertions were rated ‘easy’ by the anaesthetist. Aside from three insertion failures, there were no airway events. The endoscopy success rate was 100% in the 52 patients who had an LMA Gastro airway successfully inserted. First-pass oesophageal access was achieved in 51 (98%) cases, and 100% of insertions were rated ‘easy’ by the gastroenterologist. Despite our relative inexperience with it, the device had a high success rate for airway maintenance and oesophageal access in our paediatric patient population. In our institution, the LMA Gastro provided a useful airway option in older children undergoing elective upper GI endoscopy.

Artificial intelligence in upper GI endoscopy ‐ current status, challenges and future promise

2021 ◽  
Vol 36 (1) ◽  
pp. 20-24
Author(s):  
Honggang Yu ◽  
Rajvinder Singh ◽  
Seon Ho Shin ◽  
Khek Yu Ho
Keyword(s):  
Artificial Intelligence ◽  
Current Status ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy
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