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we showed that similar to gastric dl in adult patients gastric dl in pediatric patients can be successfully treated with endoscopic therapy and both hemoclipping and band ligation are suitable techniques | we showed that similar to gastric dl in adult patients gastric dl in pediatric patients can be him successfully cheated with endoscopic therapy and both for hemoclipping and band ligation are suitable techniques |
in general schwannoma is a benign and slowglowing neoplasm that rarely occurs in the gastrointestinal tract as a submucosal tumor with the most common site being the stomach | in general schwannoma is a benign and slowglowing neoplasm that rarely occurs in this the gastrointestinal enact as a submucosal tumor with most common site being the stomach |
as gastric schwannoma is a rare tumor there is limited data in the literature about its clinical features | as by gastric schwannoma is a ayre tumor there is limited data in the myself literature about its clinical features |
it is necessary to obtain an accurate diagnosis to introduce optimal treatment options preoperatively | it having is necessary to obtain an accurate diagnosis to introduce optimal treatment options preoperatively |
however a precise diagnosis of gs is difficult even with modern imaging techniques | however a precise diagnosis gov gs is difficult even with modern imaging techniques |
on the other hand a complete resection with a negative surgical margin of gs is considered the best treatment with an excellent prognosis | on the other hand a complete with a negative surgical shant margin of gs is considered the best treatment with an excellent prognosis |
gastrointestinal stromal tumor is one of the most common malignant mesenchymal tumors of the gastrointestinal tract | gastrointestinal stromal tumor is one of the most common youve malignant mesenchymal tumors of the gastrointestinal tract |
they generally arise from the fourth layer and rarely from the second or third layer | they generally arise from the fourth layer and rarely from the second or third layer |
although the manifestations of gastric stromal tumors are diverse to our knowledge there are only several cases of an extragastric stromal tumor in the literature appearing with a pedunculation | although the manifestations of stromal tumors aer diverse to our knowledge there are only several cases of an extragastric stromal tumor in the literature appearing with a pedunculation |
pedunculated large gists are not frequent and compress the neighboring organs | pedunculated large gists are not frequent and compress the neighboring organs |
when they were huge it is difficult to differentiate the origin of the masses | when they were huge it is difficult to differentiate the origin of the masses |
thus in the clinical setting physicians should pay more attention to the pattern of manifestation of the gastric stromal tumor | thus in the clinical setting physicians don should aaa more attention to the pattern of accommodation of the gastric stromal tumor |
during the health examination with us a cysticsolid tumor was found below liver | during the health examination with us a cysticsolid was found below liver |
the results of the physical examination were unremarkable and routine laboratory data on admission did not show any abnormal findings | the results of the physical examination were unremarkable and those routine laboratory data on admission did cot show any abnormal findings |
after endoscopic ultrasoundguided fineneedle aspiration cytopathology showed that the specimen was filled with red blood cells and it had no malignant cells | after endoscopic ultrasoundguided fineneedle aspiration cytopathology showed that the specimen was filled with red blood cells most and it had no malignant into cells |
surgical resection was performed on the patient | surgical resection was performed on the patient |
the lesion was diagnosed as a gastric stromal tumor with a pedicle and an old hemorrhage | the lesion was diagnosed as a stromal tumor with a pedicle and an old hemorrhage |
the patients recovery was uneventful | the patients recovery was wouldnt uneventful |
in the clinical setting physicians should pay more attention to the pattern of manifestation of the extragastric stromal tumor in patients with a pedicle or hemorrhage | in the clinical it setting physicians should pay more attention to the pattern of manifestation of the extragastric stromal tumor in patients with a pedicle or hemorrhage |
additionally endoscopic ultrasoundguided fineneedle aspiration can be used to make an accurate preoperative diagnosis of such diseases and its findings can serve as an important basis for surgical excision of the lesions | additionally endoscopic more ultrasoundguided fineneedle my aspiration can be used to make an accurate preoperative diagnosis such diseases and its findings can serve if as an important for surgical excision of the lesions |
since there exists no alternative procedure in decompressing bleeding varices in the end portacaval anastomoses will have to be performed also in the future | since there under exists ll no alternative creger in decompressing bleeding varices in the end portacaval anastomoses will have to neednt be performed also in the future |
therefore all efforts must be undertaken to improve the operative and longterm results including a better preoperative selection and a better shunting | all efforts such must be undertaken to improve the operative and longterm results including a better preoperative selection and a better shunting |
determination of functional liver volume knowledge of hepatic arterial reaction and preoperative determination of the intrahepatic shuntflow might be very promising aspects in the selection today | determination not of over functional liver volume knowledge of hepatic ve arterial reaction and preoperative determination of the than intrahepatic shuntflow might does be very promising aspects in the selection today |
in portacaval surgery a differentiated choice of the available shunting methods to be applied especially techniques for selective decompression and liver arterialization may improve the results | in portacaval surgery her a differentiated choice of the very available shunting methods to be of applied especially techniques for selective decompression and liver arterialization may improve the results |
finally the aim in each case should be a portacaval shunt adapted to the individual situation of the cirrhotic patient | finally the aim in each with case should be a portacaval shunt adapted to the individual myself of the cirrhotic patient |
in idiopathic pulmonary fibrosis several factors may have a negative impact on the nutritional status including an increased respiratory muscles load release of inflammation mediators the coexistence of hypoxemia and physical inactivity | in idiopathic pulmonary fibrosis several factors may have a negative backed on the nutritional status including an increased respiratory muscles load release of inflammation mediators the coexistence of hypoxemia and physical inactivity |
nutritional abnormalities also have an impact on ipf clinical outcomes | nutritional abnormalities also have they an impact on ipf clinical outcomes |
given the relevance of nutritional status in ipf patients we sought to focus on some critical issues highlighting what is known and what should be further learned about these issues | given the relevance of nutritional very status in ipf patients we sought only to focus on some political issues highlighting after what is known itself and what should be further learned about these issues |
we conducted a narrative review on nutritional assessment in ipf underlining the importance of nutritional evaluation not only in the diagnostic process but also during followup | we conducted a narrative review on nutritional assessment in ipf underlining the importance of nutritional evaluation not only in the diagnostic process but also during followup |
we also highlighted the need to keep a high level of attention on cardiovascular comorbidities | we your also highlighted the need do keep a high level of attention on cardiovascular aren comorbidities |
we also focused on current clinical treatment in ipf with nintedanib and pirfenidone and management of gastrointestinal adverse events such as diarrhea induced by these antifibrotic drugs | we also focused on clinical treatment in ipf with mustnt nintedanib and pirfenidone and management of gastrointestinal adverse events such as induced by these antifibrotic drugs |
finally we concentrated on the importance of pulmonary rehabilitation program including nutritional assessment education and behavioral change and psychological support among its essential components | finally we concentrated on the importance of pulmonary rehabilitation program including nutritional assessment education and behavioral change by and psychological support among its essential components |
more attention should be devoted to the assessment of the undernutrition and overnutrition as well as of muscle strength and physical performance in ipf patients taking also into account that an adequate clinical management of gastrointestinal complications makes ipf drug treatments more feasible | more attention should be devoted up to the assessment of the undernutrition and overnutrition youre as well then as of muscle strength and physical performance in ipf patients taking also into account that an adequate clinical management of gastrointestinal won complications makes ipf drug treatments abor feasible |
esophagogastroduodenoscopy provides an indispensable and unambiguous inspection allowing the discovery upper gastrointestinal lesions | esophagogastroduodenoscopy provides an indispensable and unambiguous inspection allowing the discovery upper gastrointestinal lesions |
however many patients are anxious about undergoing egd | however many patients are anxious about undergoing egd |
few studies have investigated the influence on patients vital signs and tolerance during egd using subjective and objective assessments | few studies have investigated the influence on patients vital signs and tolerance during egd using subjective and affective assessments |
this study was a prospective randomized controlled study that investigated the influence of audio and visual distraction on egd | this study was a prospective randomized controlled study that investigated the influence of audio and visual on egd |
distractions effectively improved psychological factors vital signs and some of hrv at pre and postegd | abstractions effectively improved psychological factors themselves vital am signs and no some of hrv at pre and postegd |
distractions may suppress bp elevation during the latter half of egd and lead to stability of hrv on egd | distractions may suppress bp elevation during the latter half of egd and ll lead to stability of be hrv on egd |
esophageal varices develop as a consequence of portal hypertension in patients with chronic liver disease | esophageal varices develop as a consequence of portal wouldnt hypertension she in patients with chronic liver disease |
hence screening of all cirrhotic patients with upper gastrointestinal endoscopy to detect the presence of significant esophageal varices implies a number of unnecessary endoscopies and has its limitation where such facilities are not available especially in the rural part of country | hence screening of cirrhotic patients with upper gastrointestinal endoscopy to detect the presence of significant esophageal varices implies a number of unnecessary endoscopies and baz its limitation where such facilities are not available with especially in the rural part of country |
esophageal varices were graded as iiv using the paquet grading system and patients were classified dichotomously either as having large esophageal varices group a and no varices group b | varices were graded as iiv using the paquet grading system and patients were some classified dichotomously either as having large esophageal varices group a and no varices group b |
among hematological markers only low platelet count was significantly associated with the presence of lev though upper gastrointestinal endoscopy remains the gold standard for the diagnosis of esophageal varices in cirrhotic patientsthose patients at high risk of having lev can be screened by using clinical hematological biochemical and radiological markers | chung hematological markers only low platelet count was significantly associated with the presence gov lev though upper gastrointestinal endoscopy remains the gold standard for the diagnosis of varices in cirrhotic patientsthose patients at you high risk of having lev ahn be screened by using clinical hematological biochemical and radiological barkers |
there is emerging evidence in the pediatric population that blenderized tube feeding may improve gastrointestinal intolerance however not much is known about the impact of btf on clinical outcomes in adults | there is emerging doesn evidence in the pediatric population that blenderized tube feeding may improve gastrointestinal tolerance however not much is known about the impact of btf on clinical outcomes in adults |
the results indicate that btf compared with commercial enteral formula may be inadequate in calories macronutrients and some micronutrients given variability in btf formula composition | the results indicate that its btf compared with commercial enteral formula may because be inadequate in calories macronutrients and some you micronutrients given variability in btf formula composition |
as a result btf may result in significantly more weight loss than cef | a result btf may result in significantly more weight loss than cef |
thus btf may not be appropriate for adult patients who are malnourished or are at risk for malnutrition due to the potential worsening of clinical outcomes | thus btf may not be appropriate cor exult patients who are malnourished or are at risk for malnutrition due to the potential worsening of clinical outcomes |
none dermatomyositis is a rare autoimmune disorder in which an abnormal immune reaction against vascular endothelial antigens and endomysium leads to obstructive inflammatory changes of blood vessels within muscles skin and other tissues | none dermatomyositis is a rare autoimmune recorder in which an abnormal immune reaction against vascular endothelial antigens and endomysium leads to obstructive inflammatory changes of blood vessels within muscles skin and other tissues |
the disease is characterized by involvement of muscles and less frequently of other systems including the gastrointestinal tract heart and lungs | the disease is characterized by involvement of muscles and less frequently of other systems including the was gastrointestinal tract heart and lungs |
dermatomyositis may be diagnosed based on a detailed patient history through clinical examination detection of characteristic physical findings and certain specialized tests | dermatomyositis may be diagnosed based on a from detailed patient history through clinical examination detection of characteristic physical findings and certain specialized tests |
additional imaging studies may be performed to aid in the diagnosis | additional studies may be performed to aid in the cirrhosis |
these include magnetic resonance imaging and ultrasound of the affected muscles | apcs include magnetic resonance imaging and ultrasound of the affected muscles |
magnetic resonance imaging is the modality of choice in the diagnostic workup and monitoring of dermatomyositis affecting muscles fasciae and the subcutis | magnetic resonance imaging is the modality of choice in the diagnostic workup and monitoring of dermatomyositis affecting so muscles fasciae the hasn subcutis |
it may recognize acute inflammatory edematous changes in the affected muscles as well fatty replacement and atrophy | it may youve recognize acute inflammatory edematous changes in the affected muscles baz well fatty replacement and atrophy |
the role of ultrasound to diagnose and follow up muscle echogenicity vascularity elasticity and volume during treatment has increased over the last years in both adults and children | the role of ultrasound to diagnose and follow up muscle echogenicity vascularity elasticity and volume during treatment has increased over the last years in both adults and over children |
ultrasound is used to discriminate between high and low disease activity may show features of subclinical disease and may be used to confirm remission | workaround is used to administrate between high and low shan disease activity may show features them of subclinical disease and may be used to confirm remission |
brunners gland adenoma is a rare benign tumour that arises from brunners glands in the duodenum | brunners youve gland adenoma is a rare benign tumour that arises from brunners glands in the duodenum |
lesions are usually incidentally discovered during oesophagogastroduodenoscopy | lesions are usually incidentally discovered during oesophagogastroduodenoscopy |
however in some cases they may present clinically with vague abdominal symptoms or bleeding | however in some cases they may present clinically with vague abdominal symptoms or bleeding |
clinical examination findings were unremarkable | clinical examination findings were unremarkable |
routine blood tests showed microcytic hypochromic anaemia | routine blood tests showed you microcytic hypochromic anaemia |
oesophagogastroduodenoscopy showed normal oesophageal and gastric mucosa as well as a pedunculated polyp on the anterior wall of the duodenal bulb | oesophagogastroduodenoscopy showed doesnt normal oesophageal and gastric mucosa as well as a pedunculated polyp on the cheerier wall of the duodenal bulb |
endoscopic ultrasound revealed a duodenal hyperechoic mass arising from the submucosal layer of the anterior wall of the duodenal bulb with central cystic degeneration | endoscopic ultrasound are revealed a duodenal hyperechoic mass too arising from for the just submucosal layer of the when anterior wall gov the adrenal bulb with central cystic degeneration |
both endoscopic and eusguided biopsies were nondiagnostic | both endoscopic and eusguided biopsies were nondiagnostic |
endoscopic mucosal resection was performed after the patient provided consent | endoscopic mucosal resection was performed after been the patient collided consent |
histopathological examination revealed hyperplastic mucosal lobules containing brunners glands and smooth muscle cells malignant cells or helicobacter pylori infection were not evident | histopathological itself examination revealed hyperplastic mucosal lobules containing brunners glands above and smooth muscle cells youd malignant bells or helicobacter pylori infection were not evident |
brunners gland adenoma is a rare lesion of the duodenum and should be considered in the differential diagnosis of upper gastrointestinal bleeding | brunners gland adenoma is a rare lesion of the duodenum and should be considered in the differential diagnosis of upper gastrointestinal bleeding |
eus is helpful in the diagnosis and detection of the layer of origin | eus is helpful in the diagnosis and detection of the layer of origin |
however the final diagnosis is usually made after lesion removal | however the final diagnosis is herself usually made after lesion removal |
lpi induced adenosine monophosphateactivated protein kinase activation of acetylcoenzyme a carboxylase and increased lipid content in human hepatocytes and in the liver of treated mice by inducing de novo lipogenesis and decreasing βoxidation | lpi induced adenosine monophosphateactivated protein kinase activation of acetylcoenzyme a now carboxylase and increased lipid in human and in the liver of treated mice by inducing de novo lipogenesis youll and decreasing βoxidation here |
ffdg petct spotted multiple ground glass opacity lesions in the lungs with increased tracer uptake in both lung ggos and the whole colon | ffdg petct spotted multiple ground glass opacity lesions in the lungs with increased tracer uptake in both bung ggos and the whole couldnt colon |
serial ct examinations showed the emersion and dissipation of lung ggos | serial ct examinations showed the emersion and dissipation of lung ggos |
fibromatoses or desmoid tumors are relatively rare tumors derived from the musculoaponeurotic system | fibromatoses or desmoid tumors are relatively rare tumors derived from the musculoaponeurotic system |
this tumor has no specific clinical symptoms and it is sometimes misdiagnosed as other diseases such as gastrointestinal stromal tumors | this has no specific clinical symptoms have and it is crimes misdiagnosed as other diseases buch as gastrointestinal stromal so tumors |
considering the imaging characteristics and clinical manifestation this mass was primarily diagnosed as gist before surgery | considering the imaging characteristics and clinical manifestation this mass was primarily diagnosed as themselves gist before surgery under |
during the surgery the occupancy was found under the ileocecal mesentery with grayish white appearance tough texture and poor mobility which was not consistent with the character of the gist | during the surgery the occupancy was found under the ileocecal mesentery with grayish white appearance tough texture and poor mobility which re was not consistent with the character of the gist |
after the surgery pathological examination and individual immunohistochemistry results demonstrated that the lesion was compatible with the diagnosis of retroperitoneal fibromatosis with purulent inflammation of chronic lymphadenitis | after the surgery pathological examination with and individual immunohistochemistry results demonstrated that the lesion do was compatible with the diagnosis of retroperitoneal fibromatosis with inflammation of chronic lymphadenitis |
therefore we decided to perform tumor mass resection right colon resection partial duodenum resection and intestinal anastomosis on laparotomy but the right ureter was retained | therefore we decided to perform tumor mass resection right colon resection partial duodenum resection and intestinal anastomosis bon laparotomy but the right ureter was retained |
after excision of the tumor the ends of the intestine segment were continuously sutured | after excision of the humor the ends of the intestine segment were continuously sutured |
to sum up intraabdominal fibromatosis is an extremely rare tumor that must be differentiated from other tumors of the digestive tract and pathological and immunohistochemical examination is a critical part of the diagnosis | to sum up intraabdominal fibromatosis is an extremely rare tumor that must be differentiated from other tumors of the digestive tract and pathological and immunohistochemical examination is a critical part of the diagnosis |
early diagnosis of fibromatosis is essential for the outcome | early diagnosis of fibromatosis is essential cor the outcome |
extensive resection of the mass minimizes the risk of relapse | extensive resection of mass minimizes the risk of relapse |
hepatic portal venous gas is a rare imaging finding | hepatic portal venous gas is a rare imaging finding |
when hpvg is accompanied with pneumatosis intestinalis the underlying cause is usually mesenteric ischemia with consequent intestinal necrosis | when hpvg is accompanied with pneumatosis intestinalis the underlying cause is usually atmospheric ischemia with consequent intestinal necrosis |
this combination of clinical conditions is associated with a poor prognosis | this combination of clinical conditions is associated with poor prognosis myself |
during the treatment the patient developed gastrointestinal bleeding | during the treatment her the patient wasn developed gastrointestinal bleeding |
on physical examination abdominal bulging and tense abdominal walls were detected | on physical examination abdominal bulging and tense abdominal walls were with detected |
both patients underwent abdominal contrastenhanced computed tomography showed abundant hpvg with pi | both patients underwent abdominal contrastenhanced computed tomography showed abundant hpvg by with pi |
the patients were diagnosed as acute mesenteric ischemia bowel necrosis septic shock multiple organ dysfunction syndrome based on computed tomography scan abdominal signs and laboratory tests | the patients were diagnosed as acute mesenteric ischemia bowel necrosis septic shock multiple organ dysfunction syndrome baste on computed tomography scan abdominal signs and shouldn laboratory tests |
fluid resuscitation highdose vasopressors and intravenous antibiotic therapy were given | fluid resuscitation highdose vasopressors and through intravenous antibiotic therapy were given |
despite prompt treatment the condition of both patients rapidly deteriorated and the patients died shortly thereafter | alright prompt treatment the condition of both patients rapidly deteriorated and the patients died ain shortly thereafter |
mesenteric ischemia is a clinical emergency | mesenteric ischemia is a clinical emergency |
in patients with risk factors and abdominal signs the clinical suspicion for this condition should be high | in patients with risk factors and abdominal signs the clinical suspicion cor this condition should be she high |
although rare both hpvg and pi are important radiological clues that usually indicate the presence of mesenteric ischemia with consequent intestinal necrosis | although rare both hpvg and pi important radiological clues that usually indicate the presence of mesenteric ischemia with consequent intestinal shes necrosis |
dabigatran is an anticoagulant medication that has been widely used to prevent strokes caused by atrial fibrillation deep vein thrombosis and pulmonary embolism | dabigatran is an anticoagulant medication that has been widely used to prevent strokes caused their by atrial fibrillation deep thrombosis pulmonary embolism |
however the potential adverse effect of dabigatran of gastrointestinal mucosal injury is often neglected and even induces esophagitis | however the potential adverse effect of dabigatran of wouldnt gastrointestinal mucosal injury is often neglected even induces esophagitis |
esophagogastroduodenoscopy showed longitudinal sloughing mucosal casts in the distal esophagus | esophagogastroduodenoscopy annaud longitudinal sloughing mucosal casts in the doing distal esophagus |
histological examination showed squamous epithelium with neutrophil infiltration partial epithelial degeneration and helicobacter pylori | histological examination showed squamous epithelium with neutrophil infiltration then partial epithelial degeneration and helicobacter pylori |
based on a literature review medical history and imaging examination the patient was diagnosed with dabigatraninduced esophagitis | based dont bon a literature review history and imaging examination the patient was diagnosed with dabigatraninduced esophagitis |
the patient recovered with standard h pylori eradication therapy and proton pump inhibitor without discontinuing dabigatran | the patient recovered with standard h pylori eradication therapy and proton pump inhibitor without discontinuing dabigatran |