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  • Article
  • Open Access
6 Citations
1 Views
4 Pages

Upper Gastrointestinal Bleeding: Audit of a Single Center Experience in Western India

  • Jignesh B. Rathod,
  • Dharmendra K. Shah,
  • Bhargav D. Yagnik and
  • Vipul D. Yagnik

30 November 2011

Upper gastrointestinal (GI) bleeding is defined as bleeding proximal to the ligament of Treitz. The most important aspect of management of GI bleeding is to locate the site and cause of bleeding. The aim of the study is to find out the common etiolog...

  • Article
  • Open Access
1 Views
2 Pages

Refractory Hematemesis Caused by Haemoductal Pancreatitis

  • Chandrasekharan Rajasekharan,
  • Velayudhan Ganga and
  • Thampi Jayapal

We report a case of a 48-year-old female, who presented with refractory haemetemesis. Her oesophago-gastroduodenoscopy showed only a healing ulcer but profuse bleeding was seen from duodenum. In spite of a negative oesophago-gastroduodenoscopy she wa...

  • Article
  • Open Access
4 Citations
4,950 Views
11 Pages

Trends in Upper Gastrointestinal Bleeding in Children: The Impact of Helicobacter pylori Infection and Non-Steroidal Anti-Inflammatory Drug Use

  • Felicia Galos,
  • Mara Ioana Ionescu,
  • Mihai Daniel Luca Mirea,
  • Anca Andreea Boboc,
  • Andreea Ioan and
  • Catalin Boboc

Upper gastrointestinal bleeding (UGIB) is a significant concern in children, contributing to 6–20% of cases in pediatric intensive care units. This study evaluates the roles of Helicobacter pylori (H. pylori) infection and non-steroidal anti-in...

  • Case Report
  • Open Access
2 Citations
1,449 Views
2 Pages

Brunner’s Gland Hyperplasia: A Rare Cause of Gastrointestinal Bleeding

  • Lubna Kamani,
  • Ravi Raj,
  • Rabia Ali and
  • Faisal Siddiqi

22 June 2020

Brunner’s gland hyperplasia (BGH) is an unusual entity that presents with large duodenal polyp or mass and rarely causes gastrointestinal bleeding. It is usually asymptomatic and often an incidental finding during the esophagoduodenoscopy (EGD). Howe...

  • Article
  • Open Access
8 Citations
1,152 Views
6 Pages

Risk Scoring Systems to Predict In-Hospital Mortality in Patients with Acute Variceal Bleeding due to Hepatitis C Virusinduced Liver Cirrhosis

  • Moataz Hassanien,
  • Maged El-Ghannam,
  • Mohamed Darwish El-Talkawy,
  • Yosry Abdelrahman,
  • Gamal El Attar and
  • Hoda Abu Taleb

This study was designed to validate and to compare accuracy of the prognostic scores; mainly Child Turcotte Pugh (CTP), creatinine-modified Child Turcotte Pugh (CTP-Cr), model for end-stage liver disease (MELD), albumin bilirubin score (ALBI), and AI...

  • Case Report
  • Open Access
797 Views
2 Pages

Interesting Case of Spontaneously Resolved Dysphagia in a Young Female due to Complicated Esophageal Tuberculosis

  • Dhaval Choksi,
  • Alisha Chaubal,
  • Ruchir Patel,
  • Chetan Rathi,
  • Meghraj Ingle and
  • Prabha Sawant

Mycobacterium tuberculosis can affect any organ of the body. Gastrointestinal tubercular involvement is fairly common. Esophageal tuberculosis though is uncommon. Esophageal tuberculosis accounts for only 0.3% of gastrointestinal tuberculosis. It pre...

  • Case Report
  • Open Access
6 Citations
911 Views
3 Pages

22 March 2017

Meckel’s diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. Painless intestinal hemorrhage is a frequently occurring complication that relates to MD in children. Bowel obstruction is a rare complication of MD i...

  • Case Report
  • Open Access
1 Citations
2,287 Views
7 Pages

Beyond Tumors: Gastric Syphilis Emulating a Gastric Neoplasia

  • Claudia Guerrero Muñoz,
  • Andres Castañeda Agredo,
  • Maria Jose Romero Valle,
  • Andrés Mauricio Silva Silva,
  • Marta León del Campo,
  • Claudia Azpirtarte Sánchez,
  • Marta Domínguez Fraga,
  • Manuel Vicente Milán Pilo,
  • Benjamin Arturo Polo Lorduy and
  • Orencio Bosch Esteva
  • + 3 authors

13 April 2024

We present the case of a 35-year-old male with a first-degree family history of gastric cancer (his father was diagnosed at the age of 45), who was presumed to have gastric cancer himself when evaluating the features of his upper endoscopy performed...

  • Article
  • Open Access
10 Citations
4,154 Views
8 Pages

Infectious Esophagitis in Romanian Children: From Etiology and Risk Factors to Clinical Characteristics and Endoscopic Features

  • Mădălina Adriana Bordea,
  • Alexandru Pîrvan,
  • Dan Gheban,
  • Ciprian Silaghi,
  • Iulia Lupan,
  • Gabriel Samașca,
  • Lia Pepelea,
  • Lia Monica Junie and
  • Carmen Costache

30 March 2020

Objectives. The aim of this study is to provide information about prevalence, etiology, risk factors, clinical characteristics and endoscopic features of various types of infectious esophagitis in children. Methods. We performed a total of 520 upper...

  • Case Report
  • Open Access
5 Citations
913 Views
3 Pages

A Family of Congenital Hepatic Fibrosis and Atypical Retinitis Pigmentosa

  • Sunil Pawar,
  • Vinay Zanwar,
  • Ashok Mohite,
  • Ravindra Surude,
  • Pravin Rathi and
  • Meenakshi Balasubramani

5 November 2015

Congenital hepatic fibrosis is a rare cause of portal hypertension and esophageal varices in children. We report cases of siblings with biopsy proven congenital hepatic fibrosis and with atypical retinitis pigmentosa. They presented with repeated epi...

  • Article
  • Open Access
906 Views
13 Pages

Clinical and Endoscopic Features of Upper Gastrointestinal Bleeding Associated with Helicobacter pylori Infection: A Retrospective Cohort Study in the Colombian Caribbean (2021–2023)

  • Lizeth Garzón-Guerron,
  • Carlos Jiménez-Lacouture,
  • Andrés Cadena Bonfanti,
  • Alex Dominguez Vargas and
  • Henry J. González-Torres

Background/Objectives: Helicobacter pylori infection is a key etiological factor in upper gastrointestinal bleeding (UGIB) due to its role in mucosal injury and ulcer formation. Despite its clinical relevance, data from the Colombian Caribbean are li...

  • Case Report
  • Open Access
1 Citations
2,483 Views
6 Pages

Aorto-esophageal fistula (AEF) is a condition with an extremely high mortality rate that often causes massive gastrointestinal bleeding, commonly resulting from esophageal perforation due to foreign bodies or aortic aneurysmal malformations. This cas...

  • Case Report
  • Open Access
1 Citations
5,561 Views
4 Pages

Traumatic Tonsillar Hemorrhage during Hemophilia A Treatment with Emicizumab

  • Fumiya Inoue,
  • Kazuki Terada,
  • Kazuki Furudate,
  • Yasushi Noguchi and
  • Shunji Igarashi

30 March 2022

Reports on the treatment of bleeding associated with emicizumab administration are scarce. Herein, we report the case of an eight-year-old boy with moderate hemophilia A with an inhibitor who experienced tonsillar hemorrhage while undergoing emicizum...

  • Interesting Images
  • Open Access
1,074 Views
6 Pages

4 December 2024

Gastric duplication cysts (GDCs) are rare congenital anomalies, often identified during infancy or childhood. Although typically benign, there have been sporadic reports of malignant transformations, including adenocarcinoma and rare mixed tumors. He...

  • Case Report
  • Open Access
961 Views
7 Pages

20 November 2025

Background and Clinical Significance: Sengstaken–Blakemore tube insertion is a temporary but important intervention for uncontrolled upper gastrointestinal bleeding, especially when endoscopic hemostasis fails. Case presentation: We present the...

  • Case Report
  • Open Access
22 Citations
3,255 Views
15 Pages

Uncommon Presentation of Gastric Duplication Cyst with Left-Sided Portal Hypertension: A Case Report and Literature Review

  • Adrian Boicean,
  • Diana Prisca,
  • Dan Georgian Bratu,
  • Ciprian Ionut Bacila,
  • Ciprian Tanasescu,
  • Radu Chicea,
  • Sorin Radu Fleaca,
  • Sabrina Andreea Birsan,
  • Cristian Ichim and
  • Adrian Hasegan
  • + 6 authors

Gastric duplication cysts (GDCs) in adults are exceedingly rare, with only a few documented cases in medical literature. The spectrum of clinical presentations varies widely, ranging from asymptomatic to severe symptoms such as hematemesis, vomiting...

  • Review
  • Open Access
1 Citations
1,852 Views
42 Pages

Hypericum ascyron L. (H. ascyron) is a significant medicinal plant traditionally used for various conditions like hematemesis, hemoptysis, injuries from falls, irregular menses, dysmenorrhea, and liver fire-induced headaches. A comprehensive literatu...

  • Case Report
  • Open Access
447 Views
6 Pages

A Pedunculated Esophageal Chondromatous Hamartoma in a Child

  • Dan-Alexandru Iozsa,
  • Maria Puscasu,
  • Catalin Gabriel Cirstoveanu,
  • Vlad Denis Constantin,
  • Anca Silvia Dumitriu,
  • Stana Paunica and
  • Nicolae Sebastian Ionescu

Esophageal tumors are uncommon in pediatric population and most of them are benign. Esophageal hamartomas have been reported extremely rare in children. These can present as intramural tumors of the esophageal wall or as polyps. Dysphagia is the main...

  • Case Report
  • Open Access
9 Citations
5,298 Views
13 Pages

Idiopathic Pulmonary Hemorrhage in Infancy: A Case Report and Literature Review

  • Fabio Del Duca,
  • Aniello Maiese,
  • Federica Spina,
  • Giacomo Visi,
  • Raffaele La Russa,
  • Paola Santoro,
  • Maria Serenella Pignotti,
  • Paola Frati and
  • Vittorio Fineschi

Acute idiopathic pulmonary hemorrhage in infants (AIPHI) is a rare and quite low-described entity. Nowadays, pathophysiological mechanisms are poorly understood, although the lethality remains high. We present an autopsy case report of a 2-day-old ma...

  • Review
  • Open Access
49 Citations
10,881 Views
19 Pages

A Review of the Botany, Phytochemistry, Pharmacology and Toxicology of Rubiae Radix et Rhizoma

  • Mingqiu Shan,
  • Sheng Yu,
  • Hui Yan,
  • Peidong Chen,
  • Li Zhang and
  • Anwei Ding

20 December 2016

Rubia cordifolia Linn (Rubiaceae) is a climbing perennial herbal plant, which is widely distributed in China and India. Its root and rhizome, Rubiae Radix et Rhizoma (called Qiancao in China and Indian madder in India), is a well known phytomedicine...

  • Case Report
  • Open Access
1,600 Views
6 Pages

19 February 2025

Background and Clinical Significance: Upper gastrointestinal (GI) bleeding is a common emergency, typically requiring prompt intervention. This case report presents a unique situation where apparent GI bleeding was ultimately identified as anaphylaxi...

  • Article
  • Open Access
3 Citations
2,353 Views
14 Pages

Multidisciplinary Therapeutic Management in Complex Cervical Trauma

  • Florentina Severin,
  • Andrei-Mihail Rosu,
  • Mirela Tiglis,
  • Laura-Elisabeta Checherita,
  • Gina Stegaru,
  • Mihail Dan Cobzeanu,
  • Razvan Hainarosie,
  • Bogdan Mihail Cobzeanu and
  • Octavian Dragos Palade

17 March 2023

Background and Objectives: In the current literature, mandatory surgical exploration is a controversial topic, with some advocating for it and others against it, proposing a selective conservative management. This multidisciplinary therapeutic approa...

  • Article
  • Open Access
6 Citations
3,703 Views
14 Pages

Antimicrobial Resistance Molecular Mechanisms of Helicobacter pylori in Jordanian Children: A Cross-Sectional Observational Study

  • Salma Burayzat,
  • Mohammad Al-Tamimi,
  • Mohammad Barqawi,
  • Mustafa Sabri Massadi,
  • Jumanah Abu-Raideh,
  • Hadeel Albalawi,
  • Ashraf I. Khasawneh,
  • Nisreen Himsawi and
  • Maha Barber

Background: H. pylori antimicrobial resistance causes increasing treatment failure rates among H. pylori gastritis in children. This study investigates the molecular mechanisms of H. pylori antimicrobial resistance among Jordanian children. Meth...

  • Article
  • Open Access
3 Citations
2,337 Views
12 Pages

Modified BEST-J Score Model Predicts Bleeding after Endoscopic Submucosal Dissection with Fewer Factors

  • Tomoyuki Okada,
  • Tsuyoshi Mikamo,
  • Wataru Hamamoto,
  • Taku Iwamoto,
  • Toshiaki Okamoto,
  • Kazunori Maeda,
  • Atsushi Yanagitani,
  • Kiwamu Tanaka,
  • Hajime Isomoto and
  • Naoyuki Yamaguchi

12 November 2022

This study constructed a simplified post-endoscopic submucosal dissection (ESD) prediction model with a prognostic nutritional index (PNI). A total of 449 patients who underwent gastric ESD was included, divided with a ratio of 2:1, and assigned to t...

  • Article
  • Open Access
3 Citations
2,367 Views
16 Pages

Novel Prediction Score for Arterial–Esophageal Fistula in Patients with Esophageal Cancer Bleeding: A Multicenter Study

  • Sz-Wei Lu,
  • Kuang-Yu Niu,
  • Chu-Pin Pai,
  • Shih-Hua Lin,
  • Chen-Bin Chen,
  • Yu-Tai Lo,
  • Yi-Chih Lee,
  • Chen-June Seak and
  • Chieh-Ching Yen

16 February 2024

Purpose: To develop and internally validate a novel prediction score to predict the occurrence of arterial–esophageal fistula (AEF) in esophageal cancer bleeding. Methods: This retrospective cohort study enrolled patients with esophageal cancer...

  • Article
  • Open Access
1 Citations
3,855 Views
10 Pages

Prognostic Indicators of Severe Dengue Infection in Adult Patients in Thailand

  • Patcharin Khamnuan,
  • Surangrat Pongpan,
  • Pantitcha Thanatrakolsri,
  • Supa Vittaporn,
  • Punnaphat Daraswang and
  • Sirawan Samsee

Background: Dengue infection is a spreading vector borne disease with most severe infection-related fatalities occurring in adults. This study was conducted to explore prognostic indicators of dengue infection severity. Methods: This study included p...

  • Case Report
  • Open Access
990 Views
10 Pages

Systemic CD3+ T-Cell Lymphoblastic Leukemia in a Bearded Dragon (Pogona vitticeps): Clinical, Therapeutic, and Pathological Findings

  • Josip Miljković,
  • Anouk Jonker,
  • Dražen Đuričić,
  • Danijela Horvatek Tomić,
  • Maja Belić,
  • Siniša Faraguna,
  • Mirela Pavić Vulinović,
  • Ana Shek Vugrovečki,
  • Maja Lukač and
  • Iva Šmit
  • + 1 author

19 September 2025

A three-year-old male bearded dragon (Pogona vitticeps) exhibited acute anorexia. Biochemistry revealed mild hyperproteinemia (88 g/L) and elevated liver enzymes (ALT 60 U/L, AST 272 U/L), while the hematology report showed marked lymphocytosis. The...

  • Case Report
  • Open Access
2,466 Views
8 Pages

Black Esophagus and Recurrence of Duodenal Ulcers: Two Signs of the Same Pathogenic Pathway? A Case Report

  • Daniele Balducci,
  • Claudia Quatraccioni,
  • Luigi Maria Daretti,
  • Michele Montori,
  • Emanuele Bendia,
  • Luca Maroni and
  • Antonio Benedetti

7 August 2023

Black esophagus or acute esophageal necrosis is characterized by circumferential black discoloration of the distal esophageal mucosa. It is a rare condition with a multifactorial pathogenesis, and its most common clinical presentation is acute upper...

  • Case Report
  • Open Access
2,034 Views
7 Pages

28 December 2023

Background and Objectives: The rise in suicidal attempts has led to an increase in unusual intoxication cases. The ingestion of anhydrous calcium chloride (CaCl2) causes direct injury to the gastrointestinal wall via a thermal burn. Therefore, previo...

  • Article
  • Open Access
1 Citations
3,322 Views
11 Pages

Esophageal Cancer with Early Onset in a Patient with Cri du Chat Syndrome

  • Cesare Danesino,
  • Monica Gualtierotti,
  • Matteo Origi,
  • Angelina Cistaro,
  • Michela Malacarne,
  • Matteo Massidda,
  • Katia Bencardino,
  • Domenico Coviello,
  • Giovanni Albani and
  • Andrea Guala
  • + 2 authors

29 December 2023

Background: In Cri du Chat (CdC), cancer as comorbidity is extremely rare. In databases from Denmark, Spain, Australia, New Zealand, and Japan, no cancer was reported; in Italy and Germany, four cancers were identified out of 321 CdCs. Methods: In a...

  • Case Report
  • Open Access
2 Citations
3,933 Views
12 Pages

Unusual Canine Distemper Virus Infection in Captive Raccoons (Procyon lotor)

  • Adrian Constantin Stancu,
  • Octavian Sorin Voia,
  • Oana Maria Boldura,
  • Sorin Aurelian Pasca,
  • Iasmina Luca,
  • Anca Sofiana Hulea,
  • Oana Roxana Ivan,
  • Alina Andreea Dragoescu,
  • Bianca Cornelia Lungu and
  • Ioan Hutu

12 July 2023

Canine morbillivirus, also known as canine distemper virus (CDV), is the causative agent of canine distemper (CD), which is a serious contagious disease of canines, large felids, and, occasionally, raccoons. This study included seven raccoons from th...

  • Article
  • Open Access
1 Citations
1,591 Views
12 Pages

Defining and Evaluating the Impact of Bleeding Severity on Time to Endoscopy and Mortality Risk: A Prospective Multicenter Cohort Study

  • Clelia Marmo,
  • Cristina Bucci,
  • Marco Soncini,
  • Maria Elena Riccioni,
  • Riccardo Marmo and
  • on behalf of the GISED Study Group

28 February 2025

Background: Upper gastrointestinal bleeding severity (BleSev) is commonly defined by evaluating different factors that are frequently interdependent on each other, expressing the same underlying cause. Aim: This study aimed to define the severity of...

  • Case Report
  • Open Access
231 Views
9 Pages

EndoVAC Therapy for Post-TEVAR Secondary Esophageal Fistula: A Rare Case of Delayed Secondary Esophageal Fistula After TEVAR Managed with Endoluminal Vacuum Therapy

  • Bogdan-Mihnea Ciuntu,
  • Andreea Ludușanu,
  • Adelina Tanevscki,
  • Rareș Ștefan Costârnache,
  • Mihaela Corlade-Andrei,
  • Petru Radu Soroceanu,
  • Dan Vintilă,
  • Irina Mihaela Abdulan,
  • Mihai-Lucian Zabara and
  • Gheorghe Balan

11 March 2026

Background: Aorto-esophageal fistula is a rare but life-threatening condition most often linked to thoracic aortic aneurysms and significant upper gastrointestinal bleeding. Thoracic endovascular aortic repair (TEVAR) is a crucial, life-saving proced...

  • Systematic Review
  • Open Access
5 Citations
5,819 Views
24 Pages

The Prevalence of Gastrointestinal Bleeding in COVID-19 Patients: A Systematic Review and Meta-Analysis

  • Eleni Karlafti,
  • Dimitrios Tsavdaris,
  • Evangelia Kotzakioulafi,
  • Adonis A. Protopapas,
  • Georgia Kaiafa,
  • Smaro Netta,
  • Christos Savopoulos,
  • Antonios Michalopoulos and
  • Daniel Paramythiotis

21 August 2023

Introduction: Severe acute respiratory syndrome coronavirus 2 caused the coronavirus disease of 2019 (COVID-19), which rapidly became a pandemic, claiming millions of lives. Apart from the main manifestations of this infection concerning the respirat...

  • Case Report
  • Open Access
1,405 Views
12 Pages

Severe Rectal Syphilis in the Setting of Profound HIV Immunosuppression: A Case Report Highlighting ERG/CD38 Immunophenotyping and a Review of the Literature

  • Diana Marcela Carmona Valencia,
  • Juan Diego López,
  • Shirley Vanessa Correa Forero,
  • Diana Marcela Bonilla Bonilla,
  • Jorge Karim Assis and
  • Yamil Liscano

Background and Aim: Syphilis, caused by Treponema pallidum, classically presents with genital or anal chancres; rectal involvement is rare and frequently misdiagnosed as inflammatory bowel disease or malignancy. We describe an unusually severe case o...

  • Review
  • Open Access
283 Views
12 Pages

Dieulafoy’s Disease in Pregnancy: Pathophysiology, Clinical Presentation, and Management—A Case Report with Narrative Literature Review

  • Sophia Peretti,
  • Elisabetta Dolfin,
  • Silvana Ardunio,
  • Luca Marozio,
  • Maurizio Di Serio and
  • Alberto Revelli

2 March 2026

Background: Dieulafoy’s disease is a rare vascular anomaly of the gastrointestinal tract and an uncommon cause of acute upper gastrointestinal bleeding. Its occurrence during pregnancy is exceptionally rare, and the available literature is limi...

  • Article
  • Open Access
1 Citations
2,092 Views
13 Pages

Clinical Pathologic Profiles of Helicobacter pylori Reveal Age-Specific Peaking with Concomitant Chronic Gastric Inflammation, Robust Immunity, and Tissue Alterations Implying Potential Predisposition to Malignancy in Ha’il, Saudi Arabia

  • Kamaleldin B. Said,
  • Khalid F. Alshammari,
  • Safia Moussa,
  • Ruba M. Elsaid Ahmed,
  • Ahmed H. Aljadani,
  • Najd B. Albalawi,
  • Layan Al-Hujaili,
  • Ruaa Alharbi,
  • Arwa A. Alotaibi and
  • Shumukh H. Alshubrami
  • + 5 authors

11 April 2025

Background/Objectives: Helicobacter pylori (H. pylori) is a significant global health issue causing chronic gastritis, peptic ulcers, and gastric malignancies. Unfortunately, many, particularly in the Middle East, continue to exhibit alarming ra...

  • Case Report
  • Open Access
7 Citations
6,829 Views
10 Pages

Blood Transfusion Components Inducing Severe Allergic Reactions: The First Case of Kounis Syndrome Induced by Platelet Transfusion

  • Christos Gogos,
  • Konstantinos Stamos,
  • Nikolaos Tsanaxidis,
  • Ioannis Styliadis,
  • Ioanna Koniari,
  • Sophia N. Kouni,
  • Cesare de Gregorio and
  • Nicholas G. Kounis

19 January 2023

Kounis syndrome is a multisystem and multidisciplinary disease affecting the circulatory system that can be manifested as spasm and thrombosis. It can occur as allergic, hypersensitivity, anaphylactic, or anaphylactoid reactions associated with the r...