scholarly journals Endoscopic Treatment of Solitary Colonic Ganglioneuroma

2020 ◽  
Vol 14 (1) ◽  
pp. 34-38
Author(s):  
Toshio Arai ◽  
Hiroki Yamada ◽  
Takeya Edagawa ◽  
Satoshi Yoshida ◽  
Shunji Maekura ◽  
...  
Keyword(s):  
Ganglion Cells ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Neurofibromatosis I ◽  
Fecal Occult ◽  
Electromagnetic Resonance ◽  
Spindle Cell Proliferation ◽  
Old Japanese ◽  
S 100 ◽  
Protein Immunoreactivity

Ganglioneuromas (GNs) in adults are uncommon clinical entities, especially in the colon. Patients with GNs without multiple endocrine neoplasia or neurofibromatosis-I are normally asymptomatic; however, GNs can present with abdominal pain, weight loss, bleeding, and anemia, depending on the size and location. Here, we present a case of solitary colonic GN treated with endoscopic mucosal resection. A 40-year-old Japanese outpatient with a positive fecal occult blood test visited our hospital. We performed diagnostic colonoscopy, which revealed a polyp of 15-mm diameter in the ascending colon. Electromagnetic resonance imaging was performed, and the histological examination revealed benign polypoid spindle-cell proliferation, ganglion cells, and thick nerve bundles, which was positive for S-100 protein immunoreactivity consistent with GN.

Sa107 THE ROLE OF FECAL OCCULT BLOOD TEST IN THE EVALUATION OF ANEMIA IN THE INTENSIVE-CARE UNIT: A RETROSPECTIVE STUDY ASSESSING THE CLINICAL UTILITY OF THE TEST

2021 ◽  
Vol 160 (6) ◽  
pp. S-423-S-424
Author(s):  
Thanita Thongtan ◽  
Anasua Deb ◽  
Ashley Maveddat ◽  
Paibul Suriyawongpaisal ◽  
Passisd Laoveeravat ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Test ◽  
Clinical Utility ◽  
Fecal Occult Blood Test ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Occult Blood Test ◽  
Fecal Occult

scholarly journals The ‘Natural History’ of Declined Outpatient Gastroenterology Referrals

2012 ◽  
Vol 26 (11) ◽  
pp. 785-790 ◽  
Author(s):  
Emelie M de Boer ◽  
David Pincock ◽  
Sander Veldhuyzen van Zanten
Keyword(s):  
Natural History ◽  
Occult Blood ◽  
Total Sample ◽  
Fecal Occult Blood ◽  
X Rays ◽  
University Of Alberta ◽  
Fecal Occult ◽  
Gastrointestinal Problems ◽  
Clinical Consequences ◽  
History Of

OBJECTIVE: To evaluate the ‘natural history’ of outpatients who were referred to the Division of Gastroenterology at the University of Alberta Hospital (Edmonton, Alberta) for gastrointestinal problems and were subsequently declined.METHODS: Patients were tracked for 12 months after they were referred and declined for the following indications: abdominal pain, rectal bleeding, fecal occult blood test-positive stools and iron deficiency. For each patient, data regarding consultations by other gastroenterologists or surgeons working in the region, clinically relevant diagnoses and the number of gastrointestinal-related x-rays performed were obtained.RESULTS: Of a total sample size of 230 patients, 110 (47.8%) were seen by another gastroenterologist or surgeon after decline. A significant diagnosis was made in 21 patients (9.1%), which had immediate clinical consequences in 29%. Forty per cent of patients underwent one or more gastointestinal-related x-rays before being declined, which increased to 55% after decline.CONCLUSION: Approximately 50% of declined patients were seen by other gastroenterologists or surgeons in the region. In 9.1% of these patients, a clinically important diagnosis was made, of which one-quarter had immediate medical consequences.

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