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Endoscopic submucosal dissection (ESD), the standard treatment for early gastric cancer, typically results in homogeneous flat scars. However, in some cases, polypoid nodule scars (PNS) may develop, complicating the cancer recurrence assessment. This case report describes a 60-year-old man with a history of infection who underwent two ESD procedures: first for early antral gastric cancer and then for gastric body adenoma.
View Article and Find Full Text PDFAn 88-year-old woman with pernicious anemia and atrial fibrillation on apixaban was admitted for evaluation of refractory anemia. Characteristic findings on computed tomography and upper gastrointestinal endoscopy confirmed the diagnosis of gastric antral vascular ectasia. This case highlights the importance of endoscopic surveillance in refractory anemia, even when other causes of anemia are present, and emphasizes the need for clinicians to remain vigilant for easily overlooked signs on computed tomography.
View Article and Find Full Text PDFAn unusual association: gastric xanthelasma presenting with iron deficiency anemia: a case report.
J Med Case Rep
March 2025
Department of Pathology, Bartın State Hospital, Tuna Mahallesi 846. Cadde No:15, 74100, Merkez Bartın, Turkey.
Background: Gastric xanthelasma is a rare, benign lesion with uncertain clinical significance. Despite its asymptomatic nature, it may coexist with conditions like chronic gastritis and iron deficiency anemia.
Case Presentation: A 71-year-old Turkish male presented with iron deficiency anemia, chronic fatigue, and upper abdominal pain.
Background: Chronic gastroduodenal symptoms arise from heterogenous gastric motor dysfunctions. This study applied multimodal physiological testing using gastric emptying scintigraphy (GES) with intragastric meal distribution (IMD) and Gastric Alimetry® body surface gastric mapping (BSGM) to define motility and symptom associations.
Methods: Patients with chronic gastroduodenal symptoms underwent simultaneous supine GES and BSGM with 30 m baseline, 99mTC-labelled egg meal, and 4 h postprandial recording.
A delayed gastric antral vascular ectasia: A case report and literature review.
Medicine (Baltimore)
December 2024
Zhejiang Academy of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China.
Rationale: Gastric antral vascular ectasia (GAVE) is a rare cause of gastrointestinal bleeding. It presents challenges in both diagnosis and treatment.
Patient Concern: We reported a female patient who was initially misdiagnosed with hemorrhage of the digestive tract.
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