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Navigating Challenges in a Case of Unusual Hepatic and Pulmonar Sarcoidosis: A ...

Abstract Introduction: Sarcoidosis, a systemic granulomatous disorder with uncertain etiology, commonly involves the lungs and, to a lesser extent, the liver. Case Presentation: A previously healthy 35-year-old Congolese female was admitted with a 7-month history of jaundice, itching, and weight loss. Despite markedly mixed hepatitis of a cholestatic pattern of liver injury, liver function tests remained normal...

Long-Term Abdominal Drains as a Therapeutic Option in Refractory Ascites - A Sy...

Abstract Introduction: Refractory ascites (RA) is the most common complication of end-stage liver disease (ESLD) with a significant burden in terms of symptoms and overall quality of life (QoL). There are limited therapeutic options available for this population and most ultimately undergo serial large-volume paracentesis (LVP). Long-term abdominal drains (LTAD) are commonly used for malignant ascites drainage b...

Olmesartan-Induced Gastropathy: An Important Cause to Think about in Refractory...

Abstract Background: Angiotensin receptor blockers are a pharmacological class widely used as antihypertensive therapy. Recently, a relationship between these agents and gastrointestinal disease has been described, namely, enteropathy, gastropathy, and microscopic colitis. The mechanism is unknown, but it is thought that a cell-mediated immune reaction is involved and does not appear to be a class effect. Treat...

Testicular Seminoma Presenting as Gastrointestinal Bleeding: A Rare Cause of Me...

Abstract Introduction: Gastric metastases are quite infrequent. When arising from testicular germ cell tumors, gastric metastases are usually associated with nonseminomas. Case Report: A 45-year-old man presented with upper gastrointestinal bleeding, severe anemia, and elevated lactate dehydrogenase. Endoscopy revealed three atypical-looking gastric ulcers. Abdominal computed tomography showed an extensive hete...

Pancreatic Insulinoma: When Surgery Is Not an Option

Appropriateness of Endoscopic Procedures: A Prospective, Multicenter Study

Abstract Introduction: Advances in endoscopy and open-access systems led to an increase in endoscopic procedures. However, overuse of endoscopy has been consistently reported. This study aims to assess the appropriateness of esophagogastroduodenoscopy (EGD) and colonoscopy referral in the private and public setting. Patients and Methods: We conducted a prospective, multicenter study at 2 public and 5 private en...

Adenoma Recurrence after Endoscopic Piecemeal Mucosal Resection of Colorectal F...

Abstract Introduction: Endoscopic mucosal resection (EMR) is the treatment of choice for non-invasive colorectal flat lesions. When endoscopic piecemeal mucosal resection (EPMR) is performed, endoscopic surveillance is necessary due to the risk of recurrence. The Sydney EMR Recurrence Tool (SERT) is a 0-4 scale that classifies lesions according to size, occurrence of intraprocedural bleeding (IPB) and presence ...

Sigmoid Perforation by a Migrated Plastic Biliary Stent

Gastric Myeloid Sarcoma

Variation between Pathological Measurement and Endoscopically Estimated Size of...

Background and Aims: Accurate determination of colonic polyp size is vital to an appropriate surveillance. The main aim of this study was to evaluate variation between the polyp size reported by the endoscopist and its pathological measurement. Methods: A retrospective analysis of all colonic adenomatous polyps resected in a 12-month period was performed at our center. Endoscopic and pathological size for each ...