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Acta Gastroenterologica Belgica is supported by grants
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Letters
A new cause of acute hepatitis : Gemifloxacin.Price: €10,00 |
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| We wish to draw attention to a largely unreported side
effect of the drug Gemifloxacin, drug induced hepato -
toxicity, which has been observed in our institution.
Gemifloxacin is a recently introduced fluoroquinolone
antibiotic which is frequently used for its
broad spectrum. In generally gemifloxacin is well tolerated
with most side effects being comparable with other
compounds. The most frequent side effects are abdominal
pain, diarrhoea, and headaches (1).
Factors that determine individual vulnerability to liver
toxicity may include age, genetic predisposition, systemic
disease, nutritional status and concomitant exposure
to other hepatotoxic agents. Most of the druginduced
liver injuries are idiosyncratic reactions and
occur in an unpredictable manner. These reactions may
occur at any time during exposure to a drug (2). [Product Details...] |
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An unusual complication of nasogastric tubePrice: €10,00 |
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| Multiple case reports of complications of malpositioned
feeding tubes continue to surface. Most are due to
inadvertent placement in the respiratory tract. Isolated
reports of a nasally placed tube entering the brain following
head injury continue to occur, as do reports of
esophageal and gastric perforation in neonates. A recent
study showed that malpositioned tubes are not routinely
recorded in risk management databases (1). But maybe
the most important complication of nasogastric tubes
(NGT) is GI bleeding. It has been reported that prolonged
use of NGT can even result in life-threatening
aortoesophageal fistula formation in patients with a
double aortic arch (2). Herein we report a case with a
buried NGT and GI hemorrhage after the unsuccessful
attempt to remove the NGT. [Product Details...] |
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Choledochal cyst and crossed fused ectopic kidney – a hitherto unknown associationPrice: €10,00 |
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| Choledochal cyst is an uncommon biliary tract anomaly
defined as dilatation of extrahepatic bile tree with or
without intrahepatic biliary dilatation. It is one of the
important differential diagnosis of jaundice and abdominal
pain in the pediatric population. Though association
with various developmental anomalies is already known,
its combination with Crossed fused ectopic kidney has
not been reported before in the literature to the best of
our knowledge. [Product Details...] |
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Collagenous colitis and ileitis under treatment with duloxetinePrice: €10,00 |
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| Collagenous colitis (CC) is a disease that causes
chronic diarrhea, that could be diagnosed with a normal
colonoscopic examination. Diagnosis is based on the
histopathologic examination of the mucosa containing
thickened subepithelial collagen layer (1). Etiology and
pathophsiology of CC are not known exactly (2). In this
article, the first case with CC and CI (Collagenous ileitis)
associated with duloxetine [Serotonin norephinefrine
reuptake inhibitor (SNRI)] treatment for major depression
is presented. [Product Details...] |
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Gangliocytic Paraganglioma of the duodenum : A rare entityPrice: €10,00 |
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| Gangliocytic paraganglioma (GP) is a rare condition
and the available data consist mainly of case descriptions.
The lesion was first described by Dahl et al. in
1957 (1). The term GP was introduced by Kepes and
Zcharias and is derived from his histological features of
neurendocrine tumor, paraganglioma and ganglio -
neuroma. The tumor is typically located in the second or
third part of the duodenum (2). [Product Details...] |
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Multicentric CD34 negative epithelioid angiosarcoma of the digestive systemPrice: €10,00 |
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| We would like to report a particular case of a gastro -
intestinal angiosarcoma that recently occurred in our
hospital. A 74-year-old male was referred to our surgical
department because of severe anemia due to repeated
episodes of melena and right cervical swelling associated
with an oral lump of the upper dental arcade which
was bleeding profusely (Fig. 1). A gastroscopy showed
some haemorrhagic gastric and duodenal polyps, some
of which were removed. A colonoscopy revealed the
presence of multiple rectal, sigmoid and colonic polyps
grossly similar to the gastric ones (Fig. 1). A total body
CT scan showed multiple nodules, localized both in peritoneum,
next to duodenum, spleen and mesenteric artery
and in retro-peritoneum. [Product Details...] |
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Acta Gastro-Enterologica Belgica is indexed in NCBI/PubMed.
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Printed by Universa Press, Wetteren, Belgium. ©vzw/asbl Acta Gastro-Enterologica Belgica