Publications by authors named "Hong Thoai Nguyen"
Cameron lesions are rare causes of upper gastrointestinal bleeding (UGIB). The lesions are linear erosions or ulcers that develop in the sac of a hiatal hernia, which often go unnoticed in the upper gastrointestinal system, and are a prevalent cause of anemia resulting from iron deficiency. Postponed treatment can result in severe consequences such as potentially fatal hemorrhaging.
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- - Hypernatremia is a condition where sodium levels in the blood exceed 145 mmol/L, commonly seen in critically ill patients and psychiatric patients, especially those with major depressive disorder, due to factors like dehydration and medication effects.
- - Treatment for chronic hypernatremia involves administering isotonic saline and D5W to restore sodium levels safely, aiming for a decrease of 8-10 mmol/day, while acute cases require a more gradual correction of 1 mmol/L/hour in the initial hours.
- - A case study of a 51-year-old woman with severe depression showed successful management of her severe hypernatremia (191 mmol/L) with careful fluid administration, highlighting the importance of early intervention to prevent complications.
Aortoesophageal fistula (AEF) is an uncommon complication of esophageal cancer and can be extremely fatal if left untreated. Compared to open repair, thoracic endovascular aortic repair (TEVAR), a less invasive technique, is the initial recommended treatment in cases of hemorrhagic shock secondary to AEF, as this procedure showed a favorable outcome in controlling the overt bleeding. Here, we present a case of a patient with a history of stage IV esophageal cancer being treated with chemotherapy and an esophageal stent due to a previous tracheoesophageal fistula who presented to the emergency room due to severe gastroesophageal bleeding and hemorrhagic shock.
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