scholarly journals Limited Wedge Resection of a Duodenal Gist in a Patient with Intermittent Melena

2021 ◽  
Keyword(s):  
Wedge Resection ◽  
Gi Bleeding ◽  
Gi Tract ◽  
Epigastric Discomfort ◽  
Stromal Tumors ◽  
Upper Gi ◽  
Duodenal Gist ◽  
Upper Gi Endoscopy ◽  
Subepithelial Lesion ◽  
Unexplained Symptoms

Gastrointestinal Stromal Tumors account for 1% - 2% of all gastrointestinal (GI) tract tumors. Among GISTs, duodenal localization occurs in less than 5% and usually presents with upper GI bleeding. A 45-year-old man presented in the outpatient department with complaints of epigastric discomfort, intermittent melena and undocumented weight loss for the preceding 3 months. Initial upper GI endoscopy showed mild duodenitis and no other upper GI pathology. For unexplained symptoms, a CT Scan was performed which demonstrated a well-defined solid lesion along the second part of the duodenum. An endoscopic ultrasound (EUS)-guided biopsy of a subepithelial lesion at D2 was performed. Immunohistochemistry findings were suggestive of GIST. Wedge resection of the duodenal mass was done. Duodenal GIST should be considered as a differential in cases of GI bleeding when other differentials have been ruled out. Limited resection of duodenal GIST should be considered over pancreaticoduodenectomy, in case of small size tumors.

scholarly journals The “mule” with golden eggs: Retrieval of unusual foreign body

2015 ◽  
Vol 06 (02) ◽  
pp. 079-080
Author(s):  
Chhavi Wadhwa ◽  
Shibumon Madhavan ◽  
Alfred J. Augustine ◽  
Suresh Shenoy ◽  
Abid Mirza
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gi Tract ◽  
Unusual Foreign Body ◽  
Upper Gi ◽  
Intentional Ingestion ◽  
History Of ◽  
Upper Gi Endoscopy ◽  
Pass Through ◽  
Body Packers

AbstractForeign body ingestions often consist of benign objects that will readily pass through the gastrointestinal (GI) tract without necessitating further intervention. There are various reports in the literature about intentional ingestion of foreign bodies in prisoners and body packers, which required intervention. We present a case of 44-year-old male with a history of intentional ingestion of 30 gold pellets as a carrier from Dubai to India. The pellets were successfully retrieved by upper GI endoscopy after 1-week of observation and unsuccessful attempts of conservative trial. There have been many foreign body extractions but gold retrieval has been a rare case.

scholarly journals Upper GI Endoscopy in Children: An Experience from Bangabandhu Sheikh Mujib Medical University (BSMMU)

2017 ◽  
Vol 40 (1) ◽  
pp. 17-20
Author(s):  
Md Wahiduzzaman Mazumder ◽  
Md Rukunuzzaman ◽  
Atiar Rahman ◽  
SM Baqui Billah ◽  
Kaniz Sultana ◽  
...  
Keyword(s):  
Esophageal Varices ◽  
Common Finding ◽  
Gi Bleeding ◽  
Gi Endoscopy ◽  
Upper Gi Bleeding ◽  
Endoscopic Findings ◽  
Upper Gi ◽  
Post Procedure ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

Background: Upper gastrointestinal (UGI) endoscopy is a safe and sensitive investigation in the diagnosis of upper gastrointestinal diseases. There is limited study on paediatric upper GI endoscopy in our country. This study was done only in BSMMU, a tertiary care health facility of Bangladesh.Objectives: The aim of the study was to find out the indications, common endoscopic findings and immediate post procedure complication of UGI endoscopy in children.Methods: This is a retrospective analysis of 100 patients from August 2013 to October 2014. The indications for UGI endoscopy, common endoscopic findings and immediate post procedure complications were collected from case recording &were analyzed.Results: The commonest indication was upper GI bleeding in the form of hematemesis with or without melenae (41%). The most common finding was esophageal varices (49%). Less common findings were esophagitis, gastritis & gastro-duodenal ulcer. There was no post procedure complication.Conclusion: In the study, the commonest indication for Pediatric UGI endoscopy was upper GI bleeding and the commonest endoscopic abnormality was esophageal varices. No immediate post procedure complication was noted in the study.Bangladesh J Child Health 2016; VOL 40 (1) :17-20

scholarly journals Hemostasis Achieved Endoscopically for Diverticular Bleeding from the Horizontal Portion of the Duodenum

2015 ◽  
Vol 8 ◽  
pp. CGast.S32421
Author(s):  
Yasumasa Matuso ◽  
Hiroshi Yasuda ◽  
Midori Suzuki ◽  
Shinya Ishigooka ◽  
Shun-Ichiro Ozawa ◽  
...  
Keyword(s):  
Endoscopic Hemostasis ◽  
Gi Bleeding ◽  
Force Transmission ◽  
Diverticular Bleeding ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Horizontal Portion ◽  
Upper Gastrointestinal

Diverticulum of the horizontal portion of the duodenum is a rare cause of upper gastrointestinal (GI) bleeding. Since it is difficult to access the horizontal portion of the duodenum by standard upper GI endoscopy, only a very few cases of endoscopic hemostasis have been reported. Herein, we report a case of diverticular bleeding from the horizontal portion of the duodenum for which hemostasis was achieved using a small-caliber colonoscope, which has an insertion part designed with a passive-bending function/high-force transmission and a transparent tip hood.

scholarly journals Questions for confirming superiority of endoscopy for GI stromal tumors in the upper GI tract

2016 ◽  
Vol 83 (4) ◽  
pp. 850
Author(s):  
Chen-Guang Dai ◽  
Li-Li Zhao ◽  
Zhen-Zhen Liu ◽  
Li Liu ◽  
Xiang Wang ◽  
...  
Keyword(s):  
Gi Tract ◽  
Stromal Tumors ◽  
Upper Gi ◽  
Upper Gi Tract

Endoscopic versus surgical resection of GI stromal tumors in the upper GI tract

2016 ◽  
Vol 83 (2) ◽  
pp. 318-326 ◽  
Author(s):  
Moon Kyung Joo ◽  
Jong-Jae Park ◽  
Ho Kim ◽  
Jin Sung Koh ◽  
Beom Jae Lee ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Gi Tract ◽  
Stromal Tumors ◽  
Upper Gi ◽  
Upper Gi Tract

scholarly journals Yield of colonoscopy with special reference to lower gastrointestinal bleeding in a tertiary referral center in Eastern India

2015 ◽  
Vol 6 (03) ◽  
pp. 110-114
Author(s):  
Gautam Ray
Keyword(s):  
Clinical Symptoms ◽  
Deficiency Anemia ◽  
Gi Bleeding ◽  
Tertiary Referral Center ◽  
Upper Gi ◽  
Predominant Symptom ◽  
Comparison Results ◽  
Lower Gi Bleeding ◽  
Upper Gi Endoscopy ◽  
Gi Bleed

Abstract Background: Little data exist on the yield of colonoscopy in its different indications, especially gastrointestinal (GI) bleeding. Furthermore, there are no formal guidelines regarding the timing of its performance in the work up for lower GI bleeding. Methods: In a retrospective study, spanning from January 2007 to December 2013, the clinical data of all the patients undergoing colonoscopy were retrieved from the hospital records including the predominant symptom which mandated colonoscopy and results of the other tests done before colonoscopy including upper GI endoscopy (esophagogastroduodenoscopy [EGD]). The type of GI bleed (overt or occult) along with the presence or absence of iron deficiency anemia (IDA) was noted. The yield of EGD in the corresponding years in those having a presentation with lower GI bleed and/or IDA was also noted for comparison. Results: Overall yield of colonoscopy was low (25.7%) like for all its indications except lower GI bleed where its yield was highest (45.2%). 81.2% of the cases with a diagnosis presented with lower GI bleed, highest for colon cancer (90%), and polyps (86.1%). Cases of occult bleed more often had a positive diagnosis than overt bleed (P = 0.02). EGD yielded positive findings in more cases (43.2%, P = 0.00) than colonoscopy (except piles). Colonic cancers and polyps were presented with hematochezia when compared to gastric cancer which presented more often with occult bleed and other clinical symptoms. Conclusion: EGD should be done first in lower GI bleeding to exclude upper GI source and select subsequent colonoscopy. For hematochezia and occult bleed, colonoscopy is important whether IDA is present or not.

scholarly journals Clinical profile and the outcome of corrosive injury of GI tract

2017 ◽  
Vol 6 (1) ◽  
pp. 154
Author(s):  
Rajendran Velayudham ◽  
Senthilkumar S. ◽  
R. K. Karthikeyan
Keyword(s):  
Clinical Profile ◽  
Common Finding ◽  
Esophageal Injury ◽  
Stricture Formation ◽  
Gi Tract ◽  
Corrosive Injury ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Corrosive Ingestion

Background: Corrosive substances are common household substances that can be ingested either accidentally or intentionally with suicidal intent. The present study was conducted to analyse the clinical profile of 50 cases of corrosive injury of GI tract and to analyse the outcome of 50 cases of corrosive injury of GI tract.Methods: The Cross-sectional study was conducted on 50 cases admitted in the toxicology ward in Rajiv Gandhi Government General Hospital, madras medical college, Chennai over a period of six months. Patients with history of corrosive ingestion presenting within 24 hours of ingestion subjected to Upper GI endoscopy within 24 hours of admission. Patients presenting after 24 hours, with respiratory distress, suspected perforation either radiologically clinically and normal findings in Upper GI endoscopy were excluded. The patients were serially followed and were subjected for a re-look upper GI endoscopy after 6 weeks and the findings were compared.Results: Corrosive ingestion was more common in the age group 20-30 years and more common in males. Acid ingestion was almost twice as common as alkali ingestion. Suicidal ingestion was the most common circumstance of consumption and associated with higher grade of injury. Patients with ingestion of more than 50 ml had higher grades of injury and also were at higher risk of strictures. The spectrum of injury to the GI tract revealed esophageal injury of grade II b to be the most common finding with the duodenum being spared in majority of the cases.Conclusions: In our study, Patients with ingestion of more than 50ml had higher grades of injury and also were at higher risk of strictures. While the lesser grade injuries (0, I, IIa) were associated with complete recovery with no sequelae, the more severe grades (IIb and IIIa) were associated with higher incidence of strictures especially the circumferential lesions.  Oesophageal strictures are commonly associated with suicidal corrosive ingestion. All patients with corrosive ingestion should be subjected to early UGIE and after 6 weeks to identify stricture formation.

scholarly journals A Rare Case of Carcinoma of Unknown Primary in an Elderly Female: Parotid Metastases from Gastrointestinal Primary

2021 ◽  
Vol 42 (01) ◽  
pp. 113-114
Author(s):  
Venkata Pradeep Babu Koyyala ◽  
Sumit Goyal ◽  
Ankush Jajodia ◽  
Manish Sharma ◽  
Manoj Gupta ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Interesting Case ◽  
Primary Site ◽  
Unknown Primary ◽  
Gi Tract ◽  
Upper Gi ◽  
Elderly Female ◽  
Upper Gi Endoscopy ◽  
Rare Site

AbstractParotid gland is a rare site of metastasis from gastrointestinal (GI) tract primary cancer. Here, we present an interesting case report of parotid metastasis from unknown primary with probable lower GI tract as a primary site of cancer, with a normal colonoscopy and upper GI endoscopy. This case report highlights the importance of immunohistochemistry in taking treatment decisions during dilemmatic situations.

scholarly journals Subcutaneous emphysema, pneumothorax, pneumomediastinum and pneumoperitoneum after upper gastrointestinal endoscopy

2020 ◽  
Vol 13 (11) ◽  
pp. e236369
Author(s):  
Amr Elmoheen ◽  
Mahmoud Haddad ◽  
Khalid Bashir ◽  
Waleed Awad Salem
Keyword(s):  
Subcutaneous Emphysema ◽  
Gastrointestinal Endoscopy ◽  
Quality Of Healthcare ◽  
Upper Gastrointestinal Endoscopy ◽  
Gi Tract ◽  
Negative Effects ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

Upper gastrointestinal (GI) endoscopies are performed for several reasons. The overuse of endoscopy has negative effects on the quality of healthcare and pressurises endoscopy services. It also results in the complications. These complications include pneumoperitoneum, pneumomediastinum and subcutaneous pneumomediastinum. However, it is worth noting that these complications rarely occur during endoscopy of the upper GI tract. These complications, when they occur, indicate perforation of the retroperitoneal space or peritoneal cavity. In this article, we discuss a case of pneumoperitoneum, pneumomediastinum and subcutaneous emphysema after upper GI endoscopy.

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