Editor-in-Chief, Deputy Editor 2017-2019

 

Editor-in-Chief:

Tom MOREELS

 

Deputy Editor:

Nicolas LANTHIER

 

Letters



Does endoscopic ultrasound-guided fine-needle aspiration of pancreatic cystic lesions provides adequate material for cytology and biochemical analysis ?


Price: €10,00

Recent data suggest that endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) is of limited value in the management of pancreatic cysts (1). In this prospective study endoscopic ultrasound (EUS)-guided FNA was done in 128 patients. Material was sent for cytology from 124/128 patients (96.8%). A classifying diagnosis was obtained in only 44/124 patients (35.4%). Sufficient fluid was available for biochemical analysis in 80/124 cases (64.5%) and analysis succeeded in 70/124 patients (56.4%). Given these results the authors concluded that EUS-FNA has a limited role in the diagnostic approach of pancreatic cysts [Product Details...]



Inflammatory myofibroblastic tumor of the small bowel


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First described in the lung, inflammatory myofibroblastic tumors (IMT) are pseudosarcomatous lesions that occur in the viscera and soft tissue of children and young adults. Intraabdominal and retroperitoneal locations have been associated with higher degrees of cellular atypia, more aggressive clinical course, higher local recurrence and even distant metastases (1). [Product Details...]



Pentoxifylline for slow to resolve hepatopulmonary syndrome post liver transplantation : Helpful or Unnecessary ?


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Hepatopulmonary syndrome (HPS), characterized by hypoxia due to intrapulmonary vasodilation and shunting usually in the setting of cirrhotic portal hypertension, affects at least 20% of cirrhotic patients (3). While liver transplantation (LT) is the only effective treatment for HPS, depending on the severity, recipients may experience protracted hypoxia post-LT (1). Hypoxia following LT imposes risks to the recipient such as graft ischemia. Although patients with HPS receive priority for LT, these patients have inferior outcomes, with 1 year recipient survival rates approximating just 70% as compared to 90% in age-matched controls (1,2). [Product Details...]



Pineapple juice ingestion for gastric discomfort in diabetic gastroparesis.


Price: €10,00

Diabetes mellitus with associated gastropathy has also been described as a risk factor for phytobezoar formation (1). The dissolution of phytobezoars with the use of pineapple juice has been reported (2,3). Here we describe a patient with diabetes mellitus type 2 and gastroparesis whose gastric discomfort was relieved by the ingestion of pineapple juice. A 49-year-old man with type 2 diabetes mellitus, abdominal distension and anemia was referred to our clinic for endoscopic evaluation. Two years prior to referral, the patient had begun to use insulin therapy due to his diabetes being poorly controlled. Gastroscopy showed undigested food in the stomach without findings of gastric outlet obstruction (Fig. 1). Pineapple juice ingestion was suggested to the patient as a treatment option, and he began drinking 75 ml of Dimes® 100% pineapple juice 3 times a day (after each meal). After 3 days of this treatment, repeat gastroscopy revealed an empty stomach (Fig. 2). At this time the patient reported that his gastric discomfort had resolved. [Product Details...]



Ventricular tachyarrhythmia after adalimumab therapy in a patient with Crohn’s disease


Price: €10,00

was admitted to our Department in February 2010 because of the exacerbation of Crohn’s Disease (CD) with a presence of an active perianal fistula. He was then qualified for the biological therapy. A routine electrocardiogram (ECG) performed at that time demonstrated a normal sinus rhythm – 75 beats/min. Subsequently, adalimumab was introduced in standard doses. [Product Details...]


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