Publications by authors named "Gracia Viana Rodriguez"

Article Synopsis
  • Non-cirrhotic portal hypertension (NCPH) includes liver diseases with portal hypertension but no cirrhosis, and the understanding of its progression and diagnosis is limited.
  • A study evaluated 50 patients, categorizing them based on the presence of specific portal hypertension features, and assessed their liver health over an average of 50 months.
  • Both patient groups had similar survival rates; however, lower platelet counts and higher liver stiffness measurements indicated poorer outcomes, highlighting the need for close monitoring of patients without specific PH features due to their risk for progression.
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Pancreatic tuberculosis (TB) warrants heightened suspicion in individuals with pancreatic lesions and risk factors such as HIV, organ transplantation, or pertinent immigration history. We present a 38-year-old man who presented with hemodynamically unstable gastrointestinal bleeding. He was found to have pancreatic TB complicated by a duodenal ulcer with fistula.

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Postbanding ulcer bleeds (PBUBs) are an uncommon complication of variceal band ligation. They are often treated with proton pump inhibitors in addition to endoscopic interventions such as epinephrine injections, hemostatic clips, electrothermal cautery, or further band ligation. Over-the-scope clips are being increasingly used for the management of acute nonvariceal upper gastrointestinal bleeds, but their use in the management of PBUBs has been reported only once before.

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Background And Aims: Fatty liver is common in obesity as well as in partial lipodystrophy (PL) syndromes, characterized by deficient adipose tissue. Insulin resistance is key to fatty liver pathogenesis in both entities. We aimed to compare the contributions of insulin resistance and adipose tissue to hepatic steatosis in PL and non-syndromic, obesity-associated non-alcoholic fatty liver disease (NS-NAFLD).

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Sarcoidosis is a multisystemic disease which features non-necrotizing granulomas in lungs and other organs. Hepatic involvement in sarcoidosis varies between a mild asymptomatic disease and a progressive inflammatory granulomatous disease with or without cirrhosis. In this case presentation, we present a case of hepatic sarcoidosis complicated by clinically significant portal hypertension including splenomegaly and gastroesophageal varices successfully treated with immunosuppression to achieve portal hypertension reversal.

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Introduction: Bile duct involvement is a key finding of primary biliary cholangitis (PBC). The aim of this study was to evaluate baseline ductopenia and disease progression.

Methods: Retrospective longitudinal histological follow-up of treatment-naive patients with PBC.

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Article Synopsis
  • Inborn errors of immunity (IEIs) are rare, inherited immune system defects affecting around 500,000 people in the U.S., with many patients now living into adulthood due to better diagnosis and treatment options.
  • As these patients survive longer, they are increasingly facing hepatobiliary diseases, which can lead to significant health issues and complications.
  • The review highlights specific liver diseases associated with IEIs and advocates for collaborative care among specialists to improve diagnosis and management of hepatic complications.
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