Subject(s)
Gastric Fistula/etiology , Pancreatic Fistula/etiology , Prosthesis Failure/adverse effects , Stents/adverse effects , Adult , Endoscopy, Digestive System , Gastric Fistula/therapy , Humans , Male , Pancreas/abnormalities , Pancreas/diagnostic imaging , Pancreatic Ducts/abnormalities , Pancreatic Fistula/therapy , RadiographySubject(s)
Mycobacterium tuberculosis/isolation & purification , Pancreas/microbiology , Pancreatic Diseases/diagnosis , Tuberculosis/diagnosis , Adult , Antitubercular Agents/therapeutic use , Biopsy , Diagnosis, Differential , Endosonography , Humans , Male , Pancreatic Diseases/drug therapy , Pancreatic Diseases/microbiology , Tomography, X-Ray Computed , Tuberculosis/drug therapy , Tuberculosis/microbiologySubject(s)
Abdominal Abscess/diagnosis , Endosonography , Stomach Diseases/diagnosis , Abdominal Abscess/therapy , Aged , Anti-Bacterial Agents/therapeutic use , Contrast Media , Drainage , Endoscopic Ultrasound-Guided Fine Needle Aspiration , Humans , Male , Stomach Diseases/therapy , Tomography, X-Ray ComputedSubject(s)
Esophageal Stenosis/therapy , Mediastinal Diseases/therapy , Adult , Dilatation , Drainage , Endosonography , Esophageal Stenosis/complications , Esophageal Stenosis/diagnostic imaging , Humans , Male , Mediastinal Diseases/complications , Pancreatic Pseudocyst/complications , Pancreatic Pseudocyst/therapy , Pleural Effusion/complications , Pleural Effusion/therapySubject(s)
Pancreatic Diseases/diagnostic imaging , Pancreatic Diseases/microbiology , Tuberculosis/diagnostic imaging , Adult , Antitubercular Agents/therapeutic use , Common Bile Duct/diagnostic imaging , Dilatation, Pathologic/diagnostic imaging , Dilatation, Pathologic/microbiology , Dilatation, Pathologic/pathology , Endosonography , Female , Humans , Pancreatic Diseases/pathology , Pancreatic Ducts/diagnostic imaging , Tuberculosis/drug therapy , Tuberculosis/pathologyABSTRACT
Ascites can pose a difficult diagnostic problem and in some patients, despite extensive work-up, diagnostic laparoscopy or laparotomy is required. We evaluated the usefulness of endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) of peritoneal nodules in 12 âpatients with undiagnosed ascites (9 âmen, 3 women; mean [SD] age 47.5 [11.8] years). On EUS, peritoneal deposits, noted as hyperechoic rounded lesions compared with surrounding anechoic ascitic fluid, were observed in 10/12 âpatients (83.3%). Cytological examination of EUS-FNA samples from these deposits revealed metastatic adenocarcinoma in four patients, poorly differentiated carcinoma in one patient and pseudomyxoma peritonei in one patient. It also revealed inflammatory cells without granulomas in four patients, and polymerase chain reaction (PCR) for Mycobacterium tuberculosis was positive in 2/4 patients (50%). Deposits were larger and clearly defined in malignant ascites in comparison with tubercular ascites. No complications of EUS-FNA were observed.
Subject(s)
Ascites/etiology , Biopsy, Fine-Needle/methods , Endosonography , Peritoneal Neoplasms/diagnosis , Peritonitis, Tuberculous/diagnosis , Adenocarcinoma/complications , Adenocarcinoma/diagnosis , Adult , Aged , Carcinoma/complications , Carcinoma/diagnosis , Carcinoma/diagnostic imaging , Carcinoma/pathology , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Peritoneal Neoplasms/complications , Peritoneum/diagnostic imaging , Peritoneum/pathology , Peritonitis, Tuberculous/complications , Pseudomyxoma Peritonei/complications , Pseudomyxoma Peritonei/diagnosisABSTRACT
BACKGROUND: Gastroesophageal reflux disease (GERD) and its complications are thought to be infrequent in India; there are no data from India on the prevalence of and risk factors for GERD. The Indian Society of Gastroenterology formed a task force aiming to study: (a) the frequency and profile of GERD in India, (b) factors including diet associated with GERD. METHODS: In this prospective, multi-center (12 centers) study, data were obtained using a questionnaire from 3224 subjects regarding the frequency, severity and duration of heartburn, regurgitation and other symptoms of GERD. Data were also obtained regarding their dietary habits, addictions, and lifestyle, and whether any of these were related or had been altered because of symptoms. Data were analyzed using univariate and multivariate methods. RESULTS: Two hundred and forty-five (7.6%) of 3224 subjects had heartburn and/or regurgitation at least once a week. On univariate analysis, older age (OR 1.012; 95% CI 1.003-1.021), consumption of non-vegetarian and fried foods, aerated drinks, tea/coffee were associated with GERD. Frequency of smoking was similar among subjects with or without GERD. Body mass index (BMI) was similar in subjects with and without GERD. On multivariate analysis, consumption of non-vegetarian food was independently associated with GERD symptoms. Overlap with symptoms of irritable bowel syndrome was not uncommon; 21% reported difficulty in passage of stool and 9% had mucus in stools. About 25% of patients had consulted a doctor previously for their gastrointestinal symptoms. CONCLUSION: 7.6% of Indian subjects have significant GERD symptoms. Consumption of non-vegetarian foods was an independent predictor of GERD. BMI was comparable among subjects with or without GERD.
Subject(s)
Gastroesophageal Reflux/diagnosis , Gastroesophageal Reflux/epidemiology , Surveys and Questionnaires , Adult , Diet , Female , Gastroesophageal Reflux/therapy , Heartburn/etiology , Humans , India/epidemiology , Life Style , Male , Middle Aged , Prospective Studies , Sickness Impact Profile , Societies, MedicalABSTRACT
Vascular anomalies involving the small bowel are an uncommon cause of gastrointestinal bleeding in childhood. We present here an 11-year-old boy who presented with severe anemia and malena. The routine investigations did not reveal any pathology. A capsule endoscopy study was performed, which clinched the diagnosis and identified two intestinal hemangiomas. The hemangiomas were resected and the child recovered.
Subject(s)
Endosonography/methods , Esophageal Diseases/diagnosis , Esophagogastric Junction/diagnostic imaging , Biopsy, Fine-Needle/methods , Constriction, Pathologic/pathology , Deglutition Disorders/etiology , Endoscopy, Gastrointestinal , Esophagogastric Junction/pathology , Humans , Male , Middle Aged , Tomography, X-Ray Computed , Ultrasonography, Doppler, ColorSubject(s)
Colonoscopy , Crohn Disease/diagnostic imaging , Intestinal Obstruction/diagnostic imaging , Pneumoradiography , Tomography, X-Ray Computed , Adult , Biopsy , Catheterization , Colonoscopes , Constriction, Pathologic , Female , Humans , Imaging, Three-Dimensional , Pneumoradiography/instrumentation , Radiographic Image Interpretation, Computer-Assisted , Tomography, X-Ray Computed/instrumentation , User-Computer InterfaceABSTRACT
Concomitant parasitism is not uncommon especially in tropical countries with low socioeconomic status. Here we report an unusual combination of intestinal infection due to Strongyloides stercoralis, Blastomyces hominis and non-cholera Vibrio in a patient suffering from acute gastroenteritis and hypoalbuminemia. Early recognition and accurate treatment of gastrointestinal infections and infestations before the patient develops complications is important.