Use of Endoscopic Suturing for the Treatment of Malignant Gastric Ulcer-Related Hemorrhage.

Gastrointestinal bleeding secondary to malignancy can be difficult to manage with traditional endoscopic therapies. Endoscopic suturing is a relatively new technology with limited data available regarding its use for bleeding related to peptic ulcer disease. We describe a case where endoscopic suturing was successfully used to control gastrointestinal hemorrhage from a previously known malignant ulceration that was refractory to traditional interventions.

The Residency Match in South Dakota: A National Comparison of Specialty and Geographic Trends.

Background: Current estimates suggest progressively increasing need for rural family medicine and primary care providers in the near future. Predominantly rural states such as South Dakota have even greater difficulty in attracting these providers. Since its founding, the Sanford School of Medicine (SSOM) at the University of South Dakota has designed its curriculum to encourage students to choose these specialties and practice within the state upon completing residency.

Cushing's Syndrome in a Pregnant Patient Secondary to Adrenal Adenoma: Treatment With Unilateral Adrenalectomy.

Background: A pregnant woman presented with Cushing's syndrome (CS) secondary to adrenal adenoma and was treated with laparoscopic-assisted right adrenalectomy during the second trimester of pregnancy.

Summary: Our patient is a 33-year-old woman who presented with hypertension and cushingoid appearance at 21 weeks gestational age. Laboratory evidence indicated CS was likely, and imaging found a 2.