ADVANCES IN DIGESTIVE MEDICINE

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Impact of interleukin‐28B polymorphism on HCV‐1 infected patients treated with response‐guided therapy
ADVANCES IN DIGESTIVE MEDICINE - Tập 2 - Trang 25-32 - 2015
Tsung-Ming Chen, Pi-Teh Huang, Bio-Chia Show, Chen-Fan Wen, Yi-Ping Chen
SummaryBackgroundSingle nucleotide polymorphisms (SNPs) of interleukin‐28B (IL28B) were associated with sustained virological response (SVR) in hepatitis C virus genotype 1 (HCV‐1) infected patients treated with a standard 48‐week regimen of peginterferon and ribavirin combination. Whether IL28B SNP genotype would be the influential prognosticator for patients treated with response‐guided therapy ... hiện toàn bộ
Reticulocyte production index as a predictor of clinically significant anemia in chronic hepatitis C patients receiving pegylated interferon combination therapy
ADVANCES IN DIGESTIVE MEDICINE - Tập 3 - Trang 18-23 - 2016
Sheng-Lei Yan, Cheng-Shyong Chang, Chien-Hua Chen, Yung-Hsiang Yeh, Chien-Yu Tsai
SummaryBackgroundThis work was conducted to study the relationship of reticulocyte production index to clinically significant anemia in chronic hepatitis C patients receiving pegylated interferon combination therapy.MethodsA total of 69 chronic hepatitis C patients receiving pegylated interferon combination therapy were included. Clinically significant anemia was defined as a hemoglobin level of <... hiện toàn bộ
Probable autoimmune hepatitis and systemic sclerosis complicated by reversible posterior leukoencephalopathy syndrome: An unusual association
ADVANCES IN DIGESTIVE MEDICINE - Tập 3 - Trang 111-114 - 2016
Wen-Han Chang, Chih-Jen Chen, Chia-Yuan Liu, Ming-Jen Chen, Horng-Yuan Wang, Ching-Chung Lin
SummarySystemic sclerosis is a multisystem autoimmune rheumatic disorder characterized by fibrosis in the skin and internal organs but rarely with hepatic or brain involvement. Reversible posterior leukoencephalopathy syndrome is characterized by a unique pattern of brain vasogenic edema in the setting of neurotoxicity predominantly in the parietal and occipital regions. We report a case of system... hiện toàn bộ
Immunoglobulin G4‐related disease with recurrent obstructive jaundice
ADVANCES IN DIGESTIVE MEDICINE - Tập 3 - Trang 28-30 - 2016
Yu-Hsiang Chiu, De-Chuan Chan, Yu-Lueng Shih
SummaryA 51‐year‐old man was referred to our clinic for recurrent obstructive jaundice and underwent pylorus‐preserving pancreaticoduodenectomy for a suspected malignancy. The pathology showed immunoglobulin G4 positive plasma cell infiltrated at the pancreas and the gallbladder. We discuss the cost‐effectiveness of serum immunoglobulin G4 level prior to arranging for a pancreaticoduodenectomy, wh... hiện toàn bộ
A rare presentation of clinically intractable hypertension: Pancreatic paraganglioma
ADVANCES IN DIGESTIVE MEDICINE - Tập 3 - Trang 132-134 - 2016
Chao-Ming Tseng, Jen-Wei Tsai, Chi-Ming Tai, Chi-Yang Chang, TaoQian Tang, Hsiu-Po Wang
SummaryParaganglioma is a rare extra‐adrenal pheochromocytoma which originates from chromaffin cells within the ganglia of the sympathetic trunk and of the celiac, renal, suprarenal, and hypogastric plexuses. Pancreatic paragangliomas are rarer still. And even then, paragangliomas are mostly reported to be nonfunctional. We report a case of a 64‐year‐old woman with underlying disease of hypertensi... hiện toàn bộ
Unexpected and unintentional fish bone ingestion causing acute abdomen and uncommon small intestinal perforation
ADVANCES IN DIGESTIVE MEDICINE - Tập 3 - Trang 200-202 - 2016
Tsung-Han Yang, Chiao-Yi Lu
AbstractPerforation of the mesenteric small bowel is an uncommon cause of acute abdomen in the emergency department. Early diagnosis is difficult owing to unspecific clinical presentations. The most common causes of perforation are tumor, trauma, Crohn's disease, ischemia, and foreign body ingestion. Currently, computed tomography (CT) is often the initial modality used to assess patients with acu... hiện toàn bộ
A case of massive lower gastrointestinal bleeding from a rectal Dieulafoy lesion
ADVANCES IN DIGESTIVE MEDICINE - Tập 2 - Trang 108-110 - 2015
Yuan-Kai Lee, Ming-Jong Bair, Huan-Lin Chen, I-Tsung Lin, Chia-Hsien Wu
SummaryA Dieulafoy lesion is an uncommon and sometimes life‐threatening cause of gastrointestinal hemorrhage. Typically, it presents as a tiny mucosal defect with an exposed protruding artery with normal surrounding mucosa. An 84‐year‐old woman developed sudden massive hematochezia and had an unstable hemodynamic status. The source of bleeding was found to be an exposed vessel in the rectum withou... hiện toàn bộ
Ileal ulcers in a patient with Henoch‐Schönlein purpura
ADVANCES IN DIGESTIVE MEDICINE - Tập 2 - Trang 145-148 - 2015
Ying-Yu Shih, Cheng-Chao Liang, Cheng-Kuan Lin, Wei-Fan Hsu, Chien-Sheng Wu, Chen-Shuan Chung
SummaryHenoch‐Schönlein purpura (HSP) is a systemic vasculitis characterized by a classic tetrad of nonthrombocytopenic palpable purpura, arthritis, gastrointestinal, and renal involvement. The most common gastrointestinal complaint is abdominal pain. The characteristic endoscopic findings are ulcers seen in the second portion of the duodenum. We present the case of a 45‐year‐old man suffering fro... hiện toàn bộ
Utility of balloon expulsion test in patients with constipation: Preliminary results in a single center
ADVANCES IN DIGESTIVE MEDICINE - Tập 3 - Trang 181-186 - 2016
Ching-Sheng Hsu, Tso-Tsai Liu, Chih-Hsun Yi, Wei-Yi Lei, Jui-Sheng Hung, Chien-Lin Chen
SummaryBackgroundPelvic floor dyssynergia can be a cause of idiopathic constipation. Although pelvic floor dyssynergia can be diagnosed by rectal balloon expulsion (BE) and anorectal manometry, the utility of BE in the evaluation of constipation in clinical practice remains to be determined. To this end, we examined the role of BE among different body positions in Taiwanese people with constipatio... hiện toàn bộ
Modified endoscopic mucosal resection of gastric heterotopic pancreas: Report of two cases
ADVANCES IN DIGESTIVE MEDICINE - Tập 1 - Trang 21-24 - 2014
Po-Hao Liao, Horng-Yuan Wang, Shou-Chuan Shih, Ming-Jen Chen
SummaryHeterotopic pancreas is a congenital anomaly characterized by the presence of ectopic pancreatic tissue far from the pancreas. The treatment of heterotopic pancreas may include expectant observation, endoscopic resection, or surgery. The aim of this study was to describe the technique of cap‐assisted endoscopic mucosal resection for the management of heterotopic pancreas of the stomach. Two... hiện toàn bộ
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