Editor-in-Chief, Deputy Editor 2017-2019

 

Editor-in-Chief:

Tom MOREELS

 

Deputy Editor:

Nicolas LANTHIER

 

Letters



Black esophagus and duodenal perforation : more than an incidental association


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Black esophagus has an estimated incidence ranging from 0.01% to 0.28% in large endoscopy series (1). It is characterized by a circumferential black colored necrotic esophageal mucosa with a predilection to the distal esophagus and turning sharply to normal at the gastroesophageal junction. The etiology includes a combined effect of ischemic injury, impaired esophageal mucosal defense systems, and backflow injury from gastric contents. Herein we report a patient with black esophagus and perforated duodenal ulcer suggesting that the common blood supply of the two entities makes them etiologically related. [Product Details...]



Characteristic imaging findings of duodenal perforation


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Two patients were admitted to emergency room with complaint of abdominal pain with abrupt onset and retroperitoneal free air was detected in pararenal area on CT. In this paper, characteristic CT findings of patients diagnosed with duodenal perforation are presented under the light of literature data. (Acta gastroenterol. belg., 2015, 78, 248-249). [Product Details...]



CMV gastritis in the immunocompetent host


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The human cytomegalovirus (CMV) is a well known intestinal pathogen in the immunocompromised host. Immunocompetent patients however are rarely affected (1). We report a case of CMV gastritis in a 78 year old immunocompetent male with a blank medical history. He presented with symptoms of anorexia, nausea, mild epigastric discomfort and a weight loss of three kilograms. The clinical examination was unremarkable. Blood analysis showed a reactive lymphocytosis with mild elevation of liver enzymes (AST 41 U/L [tibodies were positive, with low IgG avidity suggesting a recent infection. HIV serology was negative. The patient was treated with proton pump inhibitors and made a full recovery. [Product Details...]



Hepatitis B resolution after autologous Bone Marrow Transplantation


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Hepatitis B (HBV) reactivation after receiving cytotoxic chemotherapy (CT), immunosuppressive therapy or after bone marrow transplantation (BMT) is a common and serious problem, which can lead to hepatitis, hepatic failure and even death (1,2). Although HBV has uncertain viral kinetics in immunosuppressive patients, HBsAg loss or seroconversion is not an expected result. Herein, for the first time, we describe HBV resolved patient immediately after autologous BMT. [Product Details...]



Leukoclastic vasculitis extending from esophagus to terminal ileum


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Leucocytoclastic vasculitis (LCV) is commonly presented as a skin disease by affecting the small vessels of targeted area. Containing loops of vessels with end- capillaries makes the small intestine villus potantially target area of LcV, when obstructed with immune complexes. (Acta gastroenterol. belg., 2015, 78, 250-251). [Product Details...]



Retrograde dilation of a complex radiation-induced esophageal stricture through percutaneous gastrostomy


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Upper esophageal strictures occur in approximately 3-4% of patients who receive radiotherapy for head and neck cancers. The standart initial treatment is dilation by using bougie or throughthe- scope balloon dilators. Endoscopic treatment requires the passage of a guidewire through the stricture which cannot be accomplished in some of the patients with complex strictures. Retrograde dilation of esophageal strictures through a mature percutaneous gastrostomy tract have been reported in a limited number of cases and small case series up to date and can be considered as a rescue treatment before considering surgery in such patients. Herein we report retrograde dilatation of a radiation-induced complex esophageal stricture through the percutaneous gastrostomy tract in a patient with operated larynx cancer. (Acta gastroenterol. belg., 2015, 78, 246-247). [Product Details...]



Splenic abscess in ulcerative colitis under anti tumor necrosis factor treatment


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Splenic abscess are rare conditions. Since morbidity and mortality rates are high, immediate diagnosis should be required. Here we presented an ulcerative colitis patients who develops splenic abscess under anti tumor necrosis factor treatment. (Acta gastroenterol. belg., 2015, 78, 252). [Product Details...]


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