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Description: Nonampullary duodenal polyps are found in up to 5% of all upper endoscopies; the vast majority are identified incidentally in asymptomatic patients. Although most are benign, adenomas are estimated to account for 10%-20% of these lesions. Most international guidelines recommend that all duodenal adenomas should be considered for endoscopic resection; this may be associated with a near 15% adverse event rate (predominantly bleeding and perforation) in prospective studies, with substantial local recurrence on surveillance.

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Duodenal ulcer (DU) is the most common gastroscopic manifestation of abdominal Henoch-Schönlein purpura (HSP), which may cause severe bleeding and often requires esophagogastroduodenoscopy (EGD) to confirm the diagnosis. However, the condition of children with HSP changes rapidly; not all children are able to undergo EGD on time, and some hospitals do not have a pediatric EGD unit. Therefore, assessing the risk factors for developing DU in HSP using simple and readily available indicators is essential.

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Article Synopsis
  • The study examined the relationship between low disaccharidase enzyme activity and gastrointestinal symptoms, particularly in patients with irritable bowel syndrome (IBS).
  • Out of 40 patients, 60% had disaccharidase deficiency, and half of those met the criteria for IBS, but most reported severe gastrointestinal symptoms regardless of enzyme levels.
  • The results indicated no significant correlation between the level of disaccharidase deficiency and the severity of symptoms or the diagnosis of IBS.
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Background And Aim: We aimed to investigate whether individuals with low pepsinogen I levels differed from those with normal pepsinogen I levels in terms of proton pump inhibitors (PPIs) use, referral to gastroscopy, and findings on gastroscopy.

Methods: Serum pepsinogen I was measured in 518 persons (mean age 51.6, SD 8.

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[Fiber endoscopic evaluation of swallowing (FEES) - an important tool for diagnosing myasthenia gravis].

Dtsch Med Wochenschr

August 2024

Klinik für Geriatrie mit Neurologie und Tagesklinik, Johanniter gGmbH, Johanniter-Krankenhaus Bonn.

History And Admission Findings:  A 76-year old man was admitted with a globus sensation and weight loss for further investigations to our geriatric ward. A gastroscopic evaluation executed before had been unremarkable.

Investigations:  Physical examination was unremarkable, including a neurological examination.

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