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Jejunal Diverticular Bleeding on Long-Term Aspirin and Short-Term Corticosteroid Therapy.
Case Rep Gastrointest Med
November 2024
Department of Gastroenterology, Western Health, Melbourne, Victoria, Australia.
Haemorrhage is one of the most common complications of jejunal diverticula, which is a challenge to diagnose as the anatomical location of the jejunum renders it inaccessible to standard upper endoscopy, while routine imaging modalities may miss subtle or intermittent bleeding. Male gender, increasing age and colonic diverticula are known risk factors for jejunal diverticula. Nonsteroidal anti-inflammatory drugs and corticosteroids increase gastrointestinal bleeding risk.
View Article and Find Full Text PDFSmall Intestine Ectopic Varices as a Cause of Obscure Gastrointestinal Bleeding in a Cirrhotic Patient.
Cureus
August 2024
Endocrinology, Diabetes and Metabolism, Jacobs School of Medicine and Biomedical Sciences, University of Buffalo, Buffalo, USA.
Portal hypertension is a major complication of liver cirrhosis, leading to various life-threatening conditions. The most common of these is the formation and bleeding of varices at the portosystemic anastomosis. Varices are most commonly esophageal or gastric and less commonly ectopic.
View Article and Find Full Text PDFNon-specific presentation of metastatic small bowel adenocarcinoma with diagnostic challenges.
BMJ Case Rep
August 2024
Medicine, Hôpital du Jura Bernois SA, Saint-Imier, Bern, Switzerland.
Diagnosing small bowel adenocarcinomas presents challenges due to non-specific symptoms, rarity and gastroscopy and colonoscopy's limited small intestine access, highlighting targeted diagnostic procedures' necessity. We present a late-diagnosed metastatic small bowel adenocarcinoma case in a man in his 80s who had asymptomatic mild iron-deficiency anaemia 1 year before diagnosis, with no active bleeding found on endoscopies. He experienced a single rectal bleeding episode 9 months prediagnosis, with subsequent severe iron-deficiency anaemia and no clear gastrointestinal source identified on gastroscopy.
View Article and Find Full Text PDFBenign duodenojejunal junction stricture: a case report.
Ann Med Surg (Lond)
July 2024
Department of General Surgery, Tribhuvan University Teaching Hospital.
Article Synopsis
- Duodenojejunal stricture, a rare condition, can result from various factors like malignancies and chronic diseases, causing symptoms like upper abdominal pain and vomiting.
- A case study of a 67-year-old male revealed a duodenojejunal stricture that was diagnosed via CT scan, leading to successful surgical resection and anastomosis.
- Treatment options for benign strictures include methods like balloon dilatation and resection; accurate preoperative diagnosis is crucial, as benign strictures can occur even in older patients with no previous surgeries.
Complications in Patients with Surgically Altered Gastrointestinal Anatomy Undergoing Endoscopic Retrograde Cholangiopancreatography: 15-Year Experience at a Tertiary Care Center in Latin America.
Dig Dis Sci
August 2024
Department of Gastrointestinal Endoscopy, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Av. Vasco de Quiroga 15, Colonia Belisario Domínguez Sección XVI, Tlalpan, 14080, Mexico City, Mexico.
Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a common procedure, but it poses challenges in patients with surgically altered gastrointestinal anatomy (SAGA). Alternative techniques like single-balloon enteroscopy (SBE), double-balloon enteroscopy (DBE), or push enteroscopy (PE) have been used, albeit with potential complications. Limited Latin American data exists on ERCP complications in SAGA patients.
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