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Case Report
Daily cannabis use and the digestive tract : an underrecognized relationshipPrice: €10,00 |
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A 33 year old man presented with recurrent episodes of hyperemesis
with symptom-free intervals since eight years. The diagnosis
of cyclic vomiting syndrome due to longstanding and daily
cannabis use was retained, after exclusion of any organic cause of
vomiting. Although the patient was informed that the clinical
response after cessation of smoking is proven to be spectacular, he
continued the use of cannabis and kept on presenting with cyclic
symptoms of hyperemesis. (Acta gastroenterol. belg., 2010, 73, 403-
405). [Product Details...] |
Endoscopic removal of a bleeding colonic polypoid angiodysplasia : case reportPrice: €10,00 |
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Arteriovenous malformations are common causes of lower gastrointestinal
bleeding in the elderly. Among them, angiodysplasia
is one subtype that appears on endoscopy as red, flat superficial
lesions, and sometimes slightly elevated. Colonic angiodysplasia is
very rarely seen as a polypoid lesion. The present case describes a
bleeding large polypoid colonic angiodysplasia in a 60 year-old
man. It was removed endoscopically using a PolyLoop® ligature
device without complications. (Acta gastroenterol. belg., 2010, 73,
406-408). [Product Details...] |
Second primary malignancies in patients with a gastrointestinal neuroendocrine tumour : a case report and review of the literaturePrice: €10,00 |
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A second primary malignancy (SPM) is frequently reported in
patients with a gastrointestinal neuroendocrine tumour (NET).
The majority of SPM are located in the gastrointestinal tract, but
malignancies at other sites are described as well. This phenomenon
might just be coincidental due to high incidence rates of
asymptomatic NET lesions in patients who are operated or who
undergo autopsy for another primary malignancy. However, other
theories have been developed since the observed incidence rates
seem to be double as high as expected. Some authors suggest a
common genetic predisposition, while others report tumourigenic
properties of various neuroendocrine peptides, including secretin,
gastrin and cholecystokinin. This review is illustrated by a case
report of a patient in whom the radiological diagnosis of a diffuse
liver metastasized adenocarcinoma of the rectum changed dramatically
after positron emission tomography and explorative
laparoscopy to a curable adenocarcinoma of the rectum with a
simultaneous well-differentiated neuroendocrine carcinoma. (Acta
gastroenterol. belg., 2010, 73, 397-402). [Product Details...] |
Seroconversion of acute hepatitis B by antiretroviral therapy in an HIV-1 infected patientPrice: €10,00 |
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A 33-year-old man with human immunodeficiency virus type1
(HIV-1) infection was admitted because of acute hepatitis B. His
serum alanine aminotransferase level was 1200 IU/mL and CD4
cells count was 268/mm3. Antiretroviral therapy including tenofovir
and emtricitabine, which suppresses both HIV and hepatitis
B virus (HBV) replication, was initiated. The liver enzymes
decreased dramatically. The viral loads of both HIV-1 and HBV
were suppressed below detectable limits. Seroconversion from
hepatitis B surface antigen to hepatitis B surface antibody was
acquired 19 weeks later. In this case, the initiation of antiretroviral
therapy with anti-HBV activity during the acute phase of
hepatitis B had a favourable effect on HBV serostatus. (Acta gastroenterol.
belg., 2010, 73, 389-391). [Product Details...] |
Whipple’s disease. A classic case report and review of the literaturePrice: €10,00 |
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We report the case of a 43-year old carpenter with abdominal
complaints and progressive weight loss. The HLA-B27 positive
male had been suffering migratory arthropathy for five years, only
partially under control with corticosteroids and methotrexate
therapy. Endoscopic investigation showed dark staining of the
duodenal mucosa and the ileal mucosa had an erythematous
aspect with multiple white spots. Abundant periodic acid Schiff -
positive macrophages were seen on histologic examination of biopsy
samples. This is a classic presentation of Whipple’s disease, a
rare multisystemic disease caused by the Tropheryma whipplei.
Typical symptoms are arthropathy, weight loss, abdominal pain
and diarrhea, but also systemic and neurological manifestations
may occur. The otherwise lethal disease can be treated with long
term antibiotics. (Acta gastroenterol. belg., 2010, 73, 392-396). [Product Details...] |
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Acta gastroenterologica is abstracted/indexed in Current Contents, Excerpta Medica, Index medicus, ISI.
Published by © Universa Press, Wetteren, Belgium. All rights reserved.
Published by © Universa Press, Wetteren, Belgium. All rights reserved.