EUS coil and glue for gastric varices-prevent, treat and rescue, one therapy to rule them all?

Background And Objectives: In portal hypertension, gastric varix-associated bleeding is known to have higher transfusion requirements, uncontrolled bleeding, rebleeding, intensive care unit requirements, and death. EUS-guided coil insertion is now an acceptable modality for endoscopic management in cases of gastric varices. With this study, we discuss our large single-center experience in the use of EUS for coil and glue injection in gastric varices.

Cytomegalovirus Duodenitis Causing Persistent Hypoalbuminemia and Ascites After Liver Transplantation.

A 44-year-old male had persistent hypoalbuminemia and ascites after liver transplantation. Imaging of the liver and gastrointestinal system was normal. Urine examination was negative for proteinuria.

Guillain-Barré syndrome: rare extra-intestinal manifestation of hepatitis B.

Extrahepatic syndromes are uncommon manifestations of acute and chronic hepatitis B. The pathogenesis likely involves an aberrant immunologic response to extrahepatic viral proteins. Antiviral therapy reduces the availability of these viral protein antigens and thus halts immune activation.

Knowledge sharing in a health infomediary: role of self-concept, emotional empowerment, and self-esteem.

Health infomediary systems are emerging as important knowledge sharing platforms that help patients manage their own health outside of traditional health care delivery models. Patients participate in health infomediaries to learn from other patients' experiences and knowledge. Knowledge sharing is an important aspect of the success of a health infomediary.