Editor-in-Chief, Deputy Editor 2017-2019

 

Editor-in-Chief:

Tom MOREELS

 

Deputy Editor:

Nicolas LANTHIER

 

Letters



An unusual polyp at the appendiceal orifice : appendix inversion


Price: €10,00

Polypoid lesions originating from the base of the appendix are usually embrassing for the endoscopists because of low levels of awareness due to their rarity and increased risk of complications following therapeutic interventions because of thin walled cecum. Herein we present a patient with a unusual polyp at the base of the appendix which was diagnosed by non-invasive methods. A-56-year old woman was admitted to our hospital with constipation. She underwent colonoscopy which demonstrated a 1 cm long smooth polyp covered with normal mucosa at the base of the appendix (Fig. 1). Past medical history revealed an incidental appendectomy operation 20 years ago. A diagnosis of appendix inversion was reached based on the typical endoscopic appearance of the polyp and history of appendectomy. Inversion of the appendix is an unusual finding encountered during colonoscopy. It may be due to intussusception mostly seen in patients with cystic fibrosis or appendectomy especially via the old ligation-inversion technique (1,2). The typical endoscopic appearance is a 3-5 cm long polyp originating from the base of the appendix, covered with normal mucosa. Differential diagnosis include appendiceal endometriosis, adenomatous and juvenile polyps. Biopsy may be obtained for differential diagnosis. Therapeutic interventions are unnecessary and may lead to perforation especially in those due to intussusception. [Product Details...]



Protection of epithelial tight junction : a new therapeutic approach in the treatment of infectious diarrhea


Price: €10,00

Infectious diarrhea is a major gastrointestinal disease associated with morbidity and/or mortality in many countries. It is now well demonstrated that besides various modes of single bacterial penetration of epithelial cell or membrane receptor activation the bacterial invasion is linked to tight junction (intercellular) opening giving rise to a massive bacterial invasion of cells and submucosal layer (1). This invasion triggers mucosal defense mechanisms including water secretion (diarrhea), stimulation of the local resident immune system and attraction of circulating immune cells (neutrophils, T-lymphocytes, macrophages) and phenotypic changes of epithelial cells corresponding to an inflammatory reaction (2). Until now, only very few investigations have taken into consideration the bacterial mechanisms involved in TJ opening (3-4). [Product Details...]



Rare complication of upper gastrointestinal endoscopy : bilateral swelling of parotid glands


Price: €10,00

Gastrointestinal endoscopic procedures are used quite frequently in clinical practice and have very rare complications. Possible complications include ; infections, piercing or tearing of an organ, excessive bleeding, an allergic reaction to the anaesthetic. Swelling of the parotid glands has previously been reported as a rare complication of peroral endoscopy. Mechanism of this is unclear but retention of secretions may cause a blockage of salivary duct or duo to the dehydration secretions can get thicker that oclude salivary gland (1,3). In this article, development of bilateral parotid glands swelling after upper gastrointestinal endoscopy is presented. 54 years old man who had a total gastrectomy duo to the menetier disease is admitted to our clinic with dysphagia. After gastrectomy operation, stent had been implanted to the stricture that developed on the anastomosis at osephageal junction in other medical center. He applied to our clinic with dysphagia for two days. upper gastrointestinal endoscopy was performed and residue of eating was seen on the proximal end of the stent. It was taken out by bascet in this procedure. Just after the procedure we noted swelling of his bilateral parotid glands (Fig. a,b). A firm mass was palpated with no crepitation and erythema on the parotid glands. No significant pathology was found except swelling of parotid glands.We hidrated him and after 3 hours his swelling is totally get reduced (Fig. c,d). The problem has not recurred since. [Product Details...]



Succesful treatment of type-1 gastric carsinoid by endoscopic polypectomy and argon plasma coagulation


Price: €10,00

Neuroendocrine tumors (NETs) are originating from neuroendocrine cells. Discrimination of the subtypes of gastric NETs is important for their management (1). Suggested management of these tumors have been controversial and been containing different therapeutic strategies (2). We herein report a rare case of type 1 gastric NET which was treated with endoscopic polypectomy and argon plasma coagulation (APC). A-44-year-old woman was admitted to our hospital due to epigastric pain. On admission, laboratory tests showed low hemoglobin, mean corpuscular volume (MCV) and B12 levels. The patient underwent to esophagogastroduodenoscopy (EGD) because of iron and B12 deficiency. EGD examination revealed multiple intraluminal polypoid lesions in gastric corpus (there were 7 small nodular lesions in diameter [Product Details...]


  • «« Start
  • « Prev
  • 1
  • Next »
  • End »»
Results 1 - 4 of 4