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[PMID]:29480864
[Au] Autor:Khan S; Su S; Jiang K; Wang BM
[Ad] Endereço:Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, PR China.
[Ti] Título:Retrograde gastroesophageal intussusception after peroral endoscopic myotomy in a patient with achalasia cardia: A case report.
[So] Source:Medicine (Baltimore);97(2):e9609, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Retrograde gastroesophageal intussusception (RGEI) is a relatively rare gastrointestinal (GI) disorder in which a portion of the stomach wall invaginates into the esophagus. More recently, peroral endoscopic myotomy (POEM) has emerged as an endoscopic alternative to surgical myotomy for achalasia, and, to the best of our knowledge, our case is the first RGEI after POEM to be reported. PATIENT CONCERNS: A 22-year-old male was presented with a history of vomiting, intractable retching and hematemesis for 3 days. He had a history of achalasia and underwent POEM 3 years ago caused by symptoms of severe dysphagia to solid and liquid. DIAGNOSES: Initially, the patient was diagnosed with a blood-filled esophagus, and the mid esophagus was occluded with a ball-like mass, however, the final diagnosis of RGEI was made by thoracotomy. INTERVENTIONS: A therapeutic strategy of conservative treatment and left transthoracic surgery were applied. OUTCOMES: The surgery and post operative course were uneventful, and he remained asymptomatic 1 year after operation. LESSONS: POEM is a reliable and minimally invasive endoscopic method for esophageal achalasia. Early recognition and severity of RGEI are essential to decrease the unwanted complications. Upper GI series, esophagogastroduodenoscopy and computed tomography scan are helpful for diagnostic purposes of RGEI. Conservative treatment, endoscopic intervention, and surgery are the mainstay of treatments for RGEI.
[Mh] Termos MeSH primário: Endoscopia Gastrointestinal
Acalasia Esofágica/cirurgia
Intussuscepção/etiologia
Miotomia
Complicações Pós-Operatórias
Gastropatias/etiologia
[Mh] Termos MeSH secundário: Tratamento Conservador
Endoscopia Gastrointestinal/métodos
Acalasia Esofágica/diagnóstico por imagem
Acalasia Esofágica/patologia
Junção Esofagogástrica
Seres Humanos
Intussuscepção/diagnóstico por imagem
Intussuscepção/patologia
Intussuscepção/terapia
Masculino
Miotomia/métodos
Complicações Pós-Operatórias/terapia
Gastropatias/diagnóstico por imagem
Gastropatias/patologia
Gastropatias/terapia
Procedimentos Cirúrgicos Torácicos
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009609


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[PMID]:28468689
[Au] Autor:De Silva WSL; Gamlaksha DS; Jayasekara DP; Rajamanthri SD
[Ad] Endereço:Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka. supun85@gmail.com.
[Ti] Título:A splenic artery aneurysm presenting with multiple episodes of upper gastrointestinal bleeding: a case report.
[So] Source:J Med Case Rep;11(1):123, 2017 May 03.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Splenic artery aneurysm is rare and its diagnosis is challenging due to the nonspecific nature of the clinical presentation. We report a case of a splenic artery aneurysm in which the patient presented with chronic dyspepsia and multiple episodes of minor intragastric bleeding. CASE PRESENTATION: A 60-year-old, previously healthy Sri Lankan man presented with four episodes of hematemesis and severe dyspeptic symptoms over a period of 6 months. The results of two initial upper gastrointestinal endoscopies and an abdominal ultrasound scan were unremarkable. A third upper gastrointestinal endoscopy detected a pulsatile bulge at the posterior wall of the gastric antrum. A contrast-enhanced computed tomogram of his abdomen detected a splenic artery aneurysm measuring 3 × 3 × 2.5 cm. While awaiting routine surgery, he developed a torrential upper gastrointestinal bleeding and shock, leading to emergency laparotomy. Splenectomy and en bloc resection of the aneurysm with the posterior stomach wall were performed. Histology revealed evidence for a true aneurysm without overt, acute, or chronic inflammation of the surrounding gastric mucosa. He became completely asymptomatic 2 weeks after the surgery. CONCLUSIONS: Splenic artery aneurysms can result in recurrent upper gastrointestinal bleeding. The possibility of impending catastrophic bleeding should be remembered when managing patients with splenic artery aneurysms after a minor bleeding. Negative endoscopy and ultrasonography should require contrast-enhanced computed tomography to look for the cause of recurrent upper gastrointestinal bleeding.
[Mh] Termos MeSH primário: Aneurisma Roto/complicações
Hemorragia Gastrointestinal/etiologia
Artéria Esplênica
[Mh] Termos MeSH secundário: Abdome/diagnóstico por imagem
Aneurisma Roto/diagnóstico por imagem
Aneurisma Roto/cirurgia
Endoscopia Gastrointestinal
Seres Humanos
Masculino
Meia-Idade
Esplenectomia
Artéria Esplênica/diagnóstico por imagem
Artéria Esplênica/patologia
Estômago/cirurgia
Tomografia Computadorizada por Raios X
Resultado do Tratamento
Ultrassonografia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1282-7


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[PMID]:29384933
[Au] Autor:Jin Y; Ying J; Zhang K; Fang X
[Ad] Endereço:Department of Anesthesiology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou.
[Ti] Título:Endotracheal intubation under video laryngoscopic guidance during upper gastrointestinal endoscopic surgery in the left lateral position: A randomized controlled trial.
[So] Source:Medicine (Baltimore);96(52):e9461, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patients undergoing upper gastrointestinal endoscopic surgeries are generally placed in the left lateral position and require endotracheal intubation to maintain airway patency. We conducted a prospective, randomized, controlled study to evaluate the feasibility of intubation under video laryngoscopic guidance in the left lateral position during upper gastrointestinal endoscopic surgery. METHODS: We compared the data of patients (n = 120) who underwent intubation under video laryngoscopic guidance in the supine or left lateral position. Patients in Group S (n = 59) were initially placed in the supine position and then shifted to the left lateral position after airway establishment. Patients in Group L (n = 61) were placed in the left decubitus position during both induction and intubation. Laryngoscopic view, intubation time, success rate, hemodynamic changes, adverse effects, and complications of intubation were compared between the groups. RESULTS: The 2 groups showed no difference in terms of time required for intubation (Group L, 23.95 ±â€Š4.43 seconds and Group S, 23.44 ±â€Š4.78 seconds; P = .545) and number of intubation attempts. Further, the overall rate of intubation success was 100% in both groups. However, Group S exhibited significant hemodynamic changes during shift of decubitus (P < .001) and severe sore throat (P = .030). The incidences of other adverse effects such as productive cough, dryness of mouth, hoarseness, oral mucosal injury, dental injury, and hypoxia in the 2 groups were comparable. CONCLUSION: We concluded that intubation in the lateral position under video laryngoscopic guidance is safe and feasible performed in the left lateral position and prevents the hemodynamic change and sore throat resulting from change in decubitus.
[Mh] Termos MeSH primário: Endoscopia Gastrointestinal/métodos
Intubação Intratraqueal/efeitos adversos
Intubação Intratraqueal/métodos
Laringoscopia/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Manuseio das Vias Aéreas/instrumentação
Manuseio das Vias Aéreas/métodos
Feminino
Hemodinâmica
Rouquidão
Seres Humanos
Laringoscopia/instrumentação
Masculino
Meia-Idade
Faringite
Estudos Prospectivos
Decúbito Dorsal
Centros de Atenção Terciária
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009461


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[PMID]:28456770
[Au] Autor:Hirschmann S; Atreya R; Englbrecht M; Neurath MF
[Ad] Endereço:Medical Clinic 1, Department of Medicine, University Hospital Erlangen, University of Erlangen-Nurnberg, Germany.
[Ti] Título:Safety and efficacy of intravenous cyclophosphamide pulse therapy in therapy refractory Crohn's disease patients.
[So] Source:J Physiol Pharmacol;68(1):57-67, 2017 Feb.
[Is] ISSN:1899-1505
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:A major challenge in the management of persistently active Crohn's disease patient's refractory to treatment regimen following the current guidelines is the induction of remission, which is a prerequisite for subsequent maintenance therapy. The aim of this study was to evaluate both the clinical and endoscopic benefit of intravenous cyclophosphamide pulse therapy in patients with active and therapy refractory Crohn's disease. Nine patients with acute moderate to severe Crohn's disease, not responding to conventional as well as biological therapy regimen received 3 - 9 cycles of monthly treatments with intravenous cyclophosphamide (680 - 1000 mg) in an uncontrolled setting and were retrospectively analyzed. Eight of nine patients (88.9%) had a clinical response (measured by a decrease in the Harvey-Bradshaw index, HBI ≥ 3) and two of nine patients (22.2%) achieved clinical remission (HBI ≤ 4) at week 8 after two applications of intravenous cyclophosphamide therapy. These response and remission rates remained unchanged after individual completion of cyclophosphamide therapy. Median HBI decreased from 18 (7 - 25) at the beginning of therapy to 7 (3 - 18) at week 8. 5 of 9 patients (56%) showed endoscopic response (defined by a reduction of ulcers) and one patient (11%) reached endoscopic remission (defined by the absence of ulcers) after the last application of cyclophosphamide. Arthralgia, which was present in 4 of 9 (44%) patients, was unchanged in most patients after cyclophosphamide therapy, although one patient described a marked reduction in joint pain. Cyclophosphamide pulse therapy was well tolerated during the whole treatment course in all subjects. One patient with long-standing Crohn's disease was diagnosed with a high-grade intraepithelial neoplasia in the rectum and underwent surgical intervention, where the diagnosis of an early stage adenocarcinoma was made. We concluded that intravenous cyclophosphamide pulse therapy was well tolerated by most patients and effective for inducing clinical and endoscopic response and remission in patients with therapy refractory Crohn's disease. In patients who are unresponsive to available therapies, including available biological treatment options, cyclophosphamide therefore represents a potential option to induce therapeutic response, which must then be maintained by other treatment modalities.
[Mh] Termos MeSH primário: Doença de Crohn/tratamento farmacológico
Ciclofosfamida/administração & dosagem
Imunossupressores/administração & dosagem
[Mh] Termos MeSH secundário: Administração Intravenosa
Adulto
Proteína C-Reativa/análise
Doença de Crohn/sangue
Doença de Crohn/patologia
Ciclofosfamida/efeitos adversos
Ciclofosfamida/uso terapêutico
Resistência a Medicamentos
Endoscopia Gastrointestinal
Feminino
Seres Humanos
Imunossupressores/efeitos adversos
Imunossupressores/uso terapêutico
Masculino
Meia-Idade
Pulsoterapia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Immunosuppressive Agents); 8N3DW7272P (Cyclophosphamide); 9007-41-4 (C-Reactive Protein)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


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[PMID]:28455456
[Au] Autor:Inayat F; Ullah W; Hussain Q; Shafique K
[Ad] Endereço:New York-Presbyterian Hospital, Weill Cornell Medical College, New York City, New York, USA.
[Ti] Título:Crohn's disease presenting as gastric outlet obstruction: a therapeutic challenge?
[So] Source:BMJ Case Rep;2017, 2017 Apr 28.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Isolated gastric Crohn's disease with initial presentation related to gastric outlet obstruction is an unusual clinicopathological entity. We undertake here a literature review of this rare initial presentation of isolated gastric Crohn's disease and discuss the formidable diagnostic and therapeutic challenges encountered in such patients.
[Mh] Termos MeSH primário: Doença de Crohn/complicações
Doença de Crohn/patologia
Obstrução da Saída Gástrica/complicações
Obstrução da Saída Gástrica/patologia
[Mh] Termos MeSH secundário: Adulto
Doença de Crohn/diagnóstico
Endoscopia do Sistema Digestório/métodos
Endoscopia Gastrointestinal/métodos
Feminino
Obstrução da Saída Gástrica/diagnóstico por imagem
Gastrite/diagnóstico
Gastrite/etiologia
Seres Humanos
Estômago/patologia
Gastropatias/patologia
Tomografia Computadorizada por Raios X/métodos
Resultado do Tratamento
Perda de Peso
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


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[PMID]:29224657
[Au] Autor:Storace M; Martin JG; Shah J; Bercu Z
[Ad] Endereço:Department of Radiology, Division of Interventional Radiology and Image Guided Medicine, Emory University School of Medicine, Atlanta, GA. Electronic address: mstorac@emory.edu.
[Ti] Título:CTA As an Adjuvant Tool for Acute Intra-abdominal or Gastrointestinal Bleeding.
[So] Source:Tech Vasc Interv Radiol;20(4):248-257, 2017 Dec.
[Is] ISSN:1557-9808
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hematemesis and acute postsurgical upper gastrointestinal hemorrhage are common emergent on-call consultations for the interventional radiologist. Upper GI bleleding (UGIB) is a relatively frequent problem. The incidence and mortality vary among patient populations, but studies have shown an overall incidence ranging from 36-172 cases per 100,000 adults per year, with a mortality rate of 5%-14%. The incidence is significantly higher in men. Peptic ulcer disease is the predominant etiology, responsible for 28%-59% of UGIB. Other causes include varices, mucosal erosive disease, Mallory-Weiss syndrome, and malignancy. After assessment of hemodynamic status and airway stability with resuscitative efforts as needed, initial consultation with gastroenterology for endoscopic evaluation and treatment is well regarded as the initial therapeutic strategy. Angiography with embolization and interventional techniques directed at managing variceal hemorrhage have emerged as very capable second-line strategies for patients who have failed endoscopic therapy. In certain circumstances, the interventional radiologist may be called upon as the first line, notably for patients who have had recent surgical intervention or who have extraluminal hemorrhage. As the role of the interventional radiologist in the evaluation and treatment of UGIB continues to evolve, familiarity and knowledge of how to deal with these urgent and emergent clinical scenarios becomes paramount.
[Mh] Termos MeSH primário: Angiografia por Tomografia Computadorizada
Varizes Esofágicas e Gástricas/complicações
Hemorragia Gastrointestinal/diagnóstico por imagem
Hemorragia Pós-Operatória/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Oclusão com Balão
Angiografia por Tomografia Computadorizada/instrumentação
Embolização Terapêutica
Endoscopia Gastrointestinal
Varizes Esofágicas e Gástricas/diagnóstico
Hemorragia Gastrointestinal/etiologia
Hemorragia Gastrointestinal/terapia
Hematemese/etiologia
Hemostase Endoscópica
Seres Humanos
Masculino
Meia-Idade
Hemorragia Pós-Operatória/etiologia
Hemorragia Pós-Operatória/terapia
Valor Preditivo dos Testes
Radiografia Intervencionista
Fatores de Risco
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE


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[PMID]:28449428
[Au] Autor:Choi YH; Yoon SM; Kim EB; Oh Y; Kim K; Lee J; Park SM; Youn SJ
[Ad] Endereço:Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
[Ti] Título:A Rare Case of Pancreas Divisum Accompanied by Acute Pancreatitis Following Endoscopic Hemostasis for Duodenal Ulcer Bleeding.
[So] Source:Korean J Gastroenterol;69(4):248-252, 2017 Apr 25.
[Is] ISSN:2233-6869
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Peptic ulcer bleeding is treated using endoscopic hemostasis using clips or bands. Pancreas divisum (PD), a congenital anomaly of the pancreas, usually has no clinical symptoms; however, pancreatitis may occur if there are disturbances in the drainage of pancreatic secretions. We report an unusual case of PD accompanied by acute pancreatitis, following endoscopic band ligation for duodenal ulcer bleeding. A 48-year-old woman was admitted to our hospital due to melena. An upper endoscopy revealed a small ulcer with oozing adjacent minor papilla. An endoscopic band ligation was performed on this lesion. Acute pancreatitis developed suddenly 6 hours after the band ligation and improved dramatically after removal of the band. Magnetic resonance cholangiopancreatography was performed, revealing complete PD. Endoscopic band ligation is known as the effective method for peptic ulcer bleeding; however, it should be used carefully in duodenal ulcer bleeding near the minor duodenal papilla due to the possibility of PD.
[Mh] Termos MeSH primário: Hemostase Endoscópica/efeitos adversos
Pâncreas/anormalidades
Pancreatite/diagnóstico
Úlcera Péptica Hemorrágica/terapia
[Mh] Termos MeSH secundário: Doença Aguda
Colangiopancreatografia por Ressonância Magnética
Endoscopia Gastrointestinal
Feminino
Seres Humanos
Meia-Idade
Pâncreas/anatomia & histologia
Pancreatite/etiologia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180102
[Lr] Data última revisão:
180102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.4166/kjg.2017.69.4.248


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[PMID]:28449426
[Au] Autor:Ryu DG; Choi CW; Kang DH; Kim HW; Jeong DI; Kim WC; Shin JG; Lim TW
[Ad] Endereço:Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
[Ti] Título:[A Case of Intramural Hematoma of the Esophagus Mimicking Acute Coronary Syndrome].
[So] Source:Korean J Gastroenterol;69(4):239-242, 2017 Apr 25.
[Is] ISSN:2233-6869
[Cp] País de publicação:Korea (South)
[La] Idioma:kor
[Ab] Resumo:Intramural hematoma of the esophagus is a rare condition that can be spontaneous or secondary to trauma, toxic ingestion, or intervention. If it is the spontaneous type, it usually presents initially with epigastric pain, hematemesis or dysphagia. We present a case of intramural hematoma of the esophagus mimicking acute coronary syndrome. A 63-year-old man presented with severe acute chest pain. He has four coronary stents that were inserted five years ago, from a different hospital, and is on dual antiplatelet agents. Coronary angiography was performed immediately under the suspicion of acute coronary syndrome, and we found that there was no obvious clogging of the coronary arteries. Next, chest computed tomography was performed due to suspected aortic dissection, and the result was also negative. Four days later, endoscopy was performed and intramural hematoma covered with large ulcers was diagnosed.
[Mh] Termos MeSH primário: Doenças do Esôfago/diagnóstico
Hematoma/diagnóstico
[Mh] Termos MeSH secundário: Síndrome Coronariana Aguda/diagnóstico
Diagnóstico Diferencial
Endoscopia Gastrointestinal
Doenças do Esôfago/tratamento farmacológico
Esôfago/patologia
Hematoma/tratamento farmacológico
Seres Humanos
Masculino
Meia-Idade
Inibidores da Agregação de Plaquetas/uso terapêutico
Ticlopidina/análogos & derivados
Ticlopidina/uso terapêutico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS
[Nm] Nome de substância:
0 (Platelet Aggregation Inhibitors); A74586SNO7 (clopidogrel); OM90ZUW7M1 (Ticlopidine)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180102
[Lr] Data última revisão:
180102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.4166/kjg.2017.69.4.239


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[PMID]:27771813
[Au] Autor:Vale Rodrigues R; Santos F; Pereira da Silva J; Francisco I; Claro I; Albuquerque C; Lemos MM; Limbert M; Dias Pereira A
[Ad] Endereço:Serviço de Gastrenterologia, Instituto Português de Oncologia de Lisboa Francisco Gentil, E.P.E., Rua Prof. Lima Basto, 1099-023, Lisbon, Portugal. rita.vale.rodrigues@gmail.com.
[Ti] Título:A case of multiple gastrointestinal stromal tumors caused by a germline KIT gene mutation (p.Leu576Pro).
[So] Source:Fam Cancer;16(2):267-270, 2017 04.
[Is] ISSN:1573-7292
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Multiple gastrointestinal stromal tumors (GISTs) caused by germline KIT gene mutations are an extremely rare autosomal dominant disorder. We report a case of a 21-year-old woman who presented to the emergency department with a 2-week history of asthenia, palpitations and upper gastrointestinal bleeding. After further clinical evaluation one gastric and two small bowel GISTs were diagnosed, which were surgically resected after neoadjuvant therapy with Imatinib. Diffuse hyperplasia of the interstitial cells of Cajal was also seen in the background gastric and small intestinal walls. Somatic mutational analysis of the KIT gene revealed a substitution at codon 576 in exon 11 (p.Leu576Pro) in all tumors and normal ileal mucosa. The germline nature of this mutation was confirmed by mutation analysis in peripheral blood leukocytes. However, she had no familial history of GISTs and her parents did not carry the respective germline mutation.
[Mh] Termos MeSH primário: Neoplasias Gastrointestinais/genética
Tumores do Estroma Gastrointestinal/genética
Neoplasias Primárias Múltiplas/genética
Proteínas Proto-Oncogênicas c-kit/genética
Doenças Raras/genética
[Mh] Termos MeSH secundário: Adulto
Antineoplásicos/uso terapêutico
Astenia/etiologia
Biópsia
Análise Mutacional de DNA
Endoscopia Gastrointestinal
Éxons
Feminino
Hemorragia Gastrointestinal/etiologia
Neoplasias Gastrointestinais/complicações
Neoplasias Gastrointestinais/diagnóstico
Neoplasias Gastrointestinais/terapia
Tumores do Estroma Gastrointestinal/complicações
Tumores do Estroma Gastrointestinal/diagnóstico
Tumores do Estroma Gastrointestinal/terapia
Mutação em Linhagem Germinativa
Seres Humanos
Mesilato de Imatinib/uso terapêutico
Células Intersticiais de Cajal/patologia
Intestino Delgado/patologia
Intestino Delgado/cirurgia
Terapia Neoadjuvante
Neoplasias Primárias Múltiplas/complicações
Neoplasias Primárias Múltiplas/diagnóstico
Neoplasias Primárias Múltiplas/terapia
Estômago/patologia
Estômago/cirurgia
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antineoplastic Agents); 8A1O1M485B (Imatinib Mesylate); EC 2.7.10.1 (Proto-Oncogene Proteins c-kit)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171224
[Lr] Data última revisão:
171224
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1007/s10689-016-9941-1


  10 / 16652 MEDLINE  
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[PMID]:29156183
[Au] Autor:Vargas EJ; Rizk M; Bazerbachi F; Abu Dayyeh BK
[Ad] Endereço:Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
[Ti] Título:Medical Devices for Obesity Treatment: Endoscopic Bariatric Therapies.
[So] Source:Med Clin North Am;102(1):149-163, 2018 Jan.
[Is] ISSN:1557-9859
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Endoscopic bariatric therapies (EBTs) are effective tools for the management of obesity. By mimicking restrictive and bypass surgery physiology, they provide a safe and effective treatment option with the added capabilities of reaching a broader population. Multiple efficacious medical devices, such as intragastric balloons, endoscopic suturing/plication devices, and bypass liners, at various stages of development are available in the United States. EBTs represent the newest addition to a multidisciplinary approach in obesity management. This article reviews several devices' safety and efficacy for primary care providers in the era of evolving obesity treatment.
[Mh] Termos MeSH primário: Cirurgia Bariátrica/métodos
Endoscopia Gastrointestinal/métodos
Balão Gástrico
Obesidade/cirurgia
[Mh] Termos MeSH secundário: Gerenciamento Clínico
Derivação Gástrica/métodos
Gastroplastia/métodos
Seres Humanos
Perda de Peso
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171212
[Lr] Data última revisão:
171212
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171121
[St] Status:MEDLINE



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