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Pneumatosis Intestinalis in a Patient with Chronic Bronchiectasis
Hindawi Limited - Tập 22 Số 10 - Trang 847-850 - 2008
Pneumatosis intestinalis has been described in association with many
gastrointestinal tract disorders including infection, ischemia and obstruction.
It has also been described in patients with chronic obstructive pulmonary
disease, connective tissue disorders, organ transplantation, leukemia and
various states of immunodeficiency. In the present paper, the case of a
66-year-old woman with chronic ...
Keeping an Eye on Crohn’s Disease: Orbital Myositis as the Presenting Symptom
Hindawi Limited - Tập 11 Số 6 - Trang 497-500 - 1997
Episodic periorbital swelling due to presumed orbital inflammation and myositis
caused intermittent apparent proptosis and was the presenting symptom of
ileocecal Crohn's disease (CD) in a teenage female with a family history of
autoimmune disorders and CD. Orbital myositis, a very rare extraintestinal
manifestation of inflammatory bowel disease (IBD), likely represents a process
of impaired immun...
Endoscopic Mucosal Resection Using a Cap: Techniques for Use and Preventing Perforation
Hindawi Limited - Tập 13 Số 6 - Trang 477-480 - 1999
Endoscopic mucosal resection (EMR) is one of several local treatments that
provide a specimen for histopathological analysis. The authors developed a
technique of EMR using a transparent plastic cap (EMRC) in 1992. By using the
EMRC procedure, any part of the gastrointestinal tract mucosa can be easily
accessed. The technical details of EMRC are described. The authors have
performed EMR in 380 cas...
The Value of Alarm Features in Identifying Organic Causes of Dyspepsia
Hindawi Limited - Tập 14 Số 8 - Trang 713-720 - 2000
The unaided clinical diagnosis of dyspepsia is of limited value in separating
functional dyspepsia from clinically relevant organic causes of dyspepsia
(gastric and esophageal malignancies, peptic ulcer disease and complicated
esophagitis). The identification of one or more alarm features, such as weight
loss, dysphagia, signs of gastrointestinal bleeding, an abdominal mass or age
over 45 years ma...
Evidence-Based Recommendations for Short- and Long-Term Management of Uninvestigated Dyspepsia in Primary Care: An Update of the Canadian Dyspepsia Working Group (CanDys) Clinical Management Tool
Hindawi Limited - Tập 19 Số 5 - Trang 285-303 - 2005
The present paper is an update to and extension of the previous systematic
review on the primary care management of patients with uninvestigated dyspepsia
(UD). The original publication of the clinical management tool focused on the
initial four- to eight-week assessment of UD. This update is based on new data
from systematic reviews and clinical trials relevant to UD. There is now direct
clinical...
Counselling by Primary Care Physicians May Help Patients with Heartburn-Predominant Uninvestigated Dyspepsia
Hindawi Limited - Tập 24 Số 3 - Trang 189-195 - 2010
OBJECTIVE: To determine whether strategies to counsel and empower patients with
heartburn-predominant dyspepsia could improve health-related quality of
life.METHODS: Using a cluster randomized, parallel group, multicentre design,
nine centres were assigned to provide either basic or comprehensive counselling
to patients (age range 18 to 50 years) presenting with heartburn-predominant
upper gastroi...
A One-Year Economic Evaluation of Six Alternative Strategies for the Management of Uninvestigated Upper Gastrointestinal Symptoms in Canadian Primary Care
Hindawi Limited - Tập 24 Số 8 - Trang 489-498 - 2010
BACKGROUND: The cost-effectiveness of initial strategies in managing Canadian
patients with uninvestigated upper gastrointestinal symptoms remains
controversial.OBJECTIVE: To assess the cost-effectiveness of six management
approaches to uninvestigated upper gastrointestinal symptoms in the Canadian
setting.METHODS: The present study analyzed data from four randomized trials
assessing homogeneous a...
Ursodeoxycholic Acid and Atorvastatin in the Treatment of Nonalcoholic Steatohepatitis
Hindawi Limited - Tập 17 Số 12 - Trang 713-718 - 2003
BACKGROUND/AIMS: Nonalcoholic steatohepatitis (NASH) is a serious disorder with
the potential to gradually progress to cirrhosis. It is generally associated
with obesity, diabetes and hyperlipidemia. Currently, there is no established
therapy for NASH. The aim of the present study was to evaluate the effectiveness
of atorvastatin and ursodeoxycholic acid (UDCA) in the treatment of
NASH.METHODS: Th...
Musculoskeletal Injuries among ERCP Endoscopists in Canada
Hindawi Limited - Tập 16 Số 6 - Trang 369-374 - 2002
BACKGROUND: There are few reports in the literature describing musculoskeletal
complaints among endoscopists, and none are specific to those who perform
endoscopic retrograde cholangiopancreatography (ERCP).PURPOSE: To examine the
current practices of ERCP endoscopists and the prevalence of musculoskeletal
injuries.METHODS: A self-report survey was sent to physicians practising ERCP
across Canada ...
Toward an Integrated Clinical, Molecular and Serological Classification of Inflammatory Bowel Disease: Report of a Working Party of the 2005 Montreal World Congress of Gastroenterology
Hindawi Limited - Tập 19 Số suppl a - Trang 5A-36A - 2005
The discovery of a series of genetic and serological markers associated with
disease susceptibility and phenotype in inflammatory bowel disease has led to
the prospect of an integrated classification system involving clinical,
serological and genetic parameters. The Working Party has reviewed current
clinical classification systems in Crohn’s disease, ulcerative colitis and
indeterminate colitis, ...
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