Endoscopic Extraction of Biliary Fascioliasis Diagnosed Using Intraductal Ultrasonography in a Patient with Acute Cholangitis.

Fasciola hepatica infection may result in biliary obstruction with or without cholangitis in the chronic biliary phase. Because clinical symptoms and signs of F. hepatica are similar to other biliary diseases that cause bile duct obstruction, such as stones or bile duct malignancies, that are, in fact, more common, this condition may not be suspected and diagnosis may be overlooked and delayed.

The early onset of disease may be a risk factor for decreased bone mineral density in patients with inflammatory bowel disease.

Background/aims: The pathogenesis of bone loss in patients with inflammatory bowel disease (IBD) is complex, multifactorial, and only partly understood. We aimed to examine the extent and risk factors of bone mass reduction and to analyze the impact of early onset of a disease before attaining peak bone mass in IBD patients.

Methods: We compared the risk factors for osteoporosis and BMD at the lumbar spine and the hip bone in IBD patients.

Aortoenteric fistula diagnosed by double balloon enteroscopy: a case report.

A secondary aortoenteric fistula (AEF) is a direct communication between the gastrointestinal tract and the aorta in a patient who has undergone major surgery on the aorta, often an aorta graft operation. We experienced a patient who had undergone graft interposition for abdominal aortic aneurysm and was admitted due to three episodes of hematemesis and following hamatochezia. Gastroscopy, colonoscopy, and radioactive iodine scan failed to identify the bleeding site in the patient.

Impact of patient education with cartoon visual aids on the quality of bowel preparation for colonoscopy.

Background: High-quality bowel preparation is a prerequisite for colonoscopy. Few studies have evaluated visual aids as a means of improving the quality of bowel preparation.

Objective: To assess the effect of patient education by using cartoon visual aids on the quality of bowel preparation.

Should colonoscopy be performed in patients with cryptogenic liver abscess?

Background/aim: The interruption of a mucosal barrier by colon cancer or a polyp can lead to the development of a liver abscess. This study aimed to evaluate the possible contribution of colon cancer to the development of liver abscess and the necessity of colonoscopy in patients presenting with cryptogenic liver abscess.

Methods: We reviewed the medical records of 268 patients diagnosed with liver abscess between January 2001 and April 2010.