Acute Variceal Bleeding (AVB) is a life-threatening complication of portal hypertension that necessitates prompt and effective intervention. Endoscopic Ligation (EVL) the primary treatment modality; however, anatomical variations, such as oesophageal webs, can impede procedure. The present report describes 40-year-old female patient presenting with haematemesis melena. Endoscopy confirmed active variceal bleeding, but advancement an endoscope equipped band ligator was obstructed by...

Systemic lupus erythematosus (SLE) is an autoimmune inflammatory condition with a varied clinical presentation. It can involve multiple organ systems and has the potential to impact any part of gastrointestinal tract. Intestinal pseudo-obstruction (IPO) rare yet severe manifestation SLE. Two-thirds SLE patients IPO present concomitant hydroureteronephrosis. This report details case young woman who presented as initial The presence proteinuria bilateral hydroureteronephrosis in this patient...

Introduction: Hyponatremia is a common electrolyte disturbance in cirrhotic patients, resulting from impaired renal water excretion due to elevated levels of Antidiuretic Hormone (ADH) and strongly associated with morbidity mortality. Despite its significance, optimal management strategies remain debatable. Aim: To evaluate the impact varying hyponatremia on clinical outcomes patients liver cirrhosis assesses efficacy different treatment modalities. Materials Methods: A prospective...

ABSTRACT Eosinophilic esophageal myositis (EoEM) is a rare condition affecting the muscularis propria without any involvement of squamous epithelium or submucosa. Patients may present with chest pain, dysphagia, weight loss, recurrent episodes food impaction. Similar symptoms are also seen in eosinophilic esophagitis making diagnosis difficult. Endoscopic ultrasound helps define layer and allows for deeper biopsy. Early essential as EoEM can be treated medically, although surgical endoscopic...

Hepatic encephalopathy (HE) is associated with a poor prognosis. There no study on the prevention of recurrence L-ornithine L-aspartate (LOLA).We conducted double-blind randomized controlled trial at tertiary center. Consecutive patients cirrhosis who had recovered from HE were to receive LOLA (6 g thrice daily) or similar amount placebo by computer-based randomization for 6 months. Patients assessed psychometric scores using five paper-pencil tests, critical flicker frequency test, arterial...

Background and Aim Esophageal involvement in tuberculosis (TB) is rare usually secondary. Data on esophageal TB are scarce. We aimed to analyze clinical endoscopic features outcomes of treatment TB. Methods retrospectively identified patients with from January 2014 December 2016 at GB Pant Hospital. Well‐defined granuloma or without caseation and/or acid‐fast bacilli staining either biopsy the adjacent mediastinal lymph node fine‐needle aspiration cytology (FNAC) specimen, along response...

Studies comparing surgical versus endoscopic drainage of pseudocyst customarily include patients with both acute and chronic pseudocysts the modalities used for are protean. We compared outcomes following cystogastrostomy (ECG) (SCG) in pseudocyst.Seventy-three requiring from 2011 to 2014 were analysed (18 excluded: transpapillary n = 15; cystojejunostomy 3). The remaining 55 divided into two groups, ECG 35 SCG 20, their (technical success, successful drainage, complication rate hospital...

Although peritoneal tuberculosis (TB) is one of the important differential diagnoses among cirrhotic patients with ascites, a biopsy not always available. High ascitic fluid adenosine deaminase (ADA) has been indicative TB. On other hand, studies to assess its diagnostic utility based on confirmation in are scarce.Patients new-onset ascites were enrolled prospectively from tertiary hospital. Peritoneal was applied according clinical judgment when required. Based pathology diagnosis...

Background Pancreatic solid pseudopapillary tumor (SPN) and pancreatic neuroendocrine tumors (Pan‐NET) have close resemblance on imaging cytomorphology, though they differ in their prognosis treatment strategy. SPNs are low‐grade indolent while Pan‐NETs harbor malignant potential with propensity to metastasize. We aim differentiate SPN from Pan‐NET based cyto‐morphology; classify nuclear membrane (NM) irregularities or folds into four grades see whether bear any difference respect the two...

Introduction Peritoneal tuberculosis (PTB) is a paucibacillary disease with poor mycobacterial yield in ascitic fluid. The Xpert® MTB/RIF assay (Gene Xpert) new tool for the diagnosis of (TB) and has not yet been studied on peritoneal tissue. present study aimed to investigate tissue obtained at peritoneoscopy. Methods This retrospective data were collected from hospital records. patients who underwent peritoneoscopy along included this study. Those proven PTB considered as cases while those...

Scope-induced duodenal perforation is a life-threatening complication and surgery remains the standard of care. With advent over-the-scope clip (OTSC), scope-induced perforations are increasingly managed conservatively, though there no study comparing this form non-surgical treatment with surgery. We aimed to compare OTSC in management duodenum.We retrospectively collected data patients. Perforations identified treated within 24 h procedure were analyzed. Factors analyzed spectrum, etiology,...

Introduction Studies suggest that ethnicity and racial factors has an important role in the variation epidemiology of stroke. The present study was conducted to assess subtypes, risk factors, outcome stroke tribal community Jharkhand state compare it with non-tribals from same geographical location. Methods We carried out a hospital-based prospective observational at Rajendra Institute Medical Sciences-Ranchi. Patients acute stroke, reporting medical outpatient department emergency January...

Systemic inflammation and organ dysfunction/failure can complicate acute decompensation (AD) of cirrhosis with progression to acute-on-chronic liver failure (ACLF), leading increased mortality. There are few studies on serum biomarkers predicting renal dysfunction (RD) or ACLF in AD. Serum cystatin C (CysC) interleukin-6 (IL-6) were evaluated for RD, ACLF, mortality AD patients.Consecutive patients seen from January 2018 June 2019 included. IL-6 CysC measured at the time index presentation....

Peritoneal tuberculosis (TBP) forms a significant proportion of abdominal (TB). Incidence TBP in literature varies from 39 to 77% total TB cases.[1] The myriad clinical presentations, paucibacillary nature TB, and fastidious tubercular bacteria make it very difficult suspect near impossible prove by routine microbial analysis. Peritoneoscopy with peritoneal biopsies for histopathology bacteriological studies may be required if noninvasive methods are unable clinch the diagnosis.[2] [3] is...

Abstract Introduction The coronavirus disease 2019 (COVID-19) pandemic has affected the healthcare system. residents who are at frontline of this have suffered most. extent training loss due to COVID-19 on gastroenterology (GE) is not studied in India. Methods We designed a 36-question based google survey and distributed it GE all across India, via email. All responses collected were analyzed using appropriate statistical methods. Results A total 140 received. No significant decrease...

A BSTRACT Auto-immune pancreatitis (AIP) is a rare benign disease commonly presented with painless obstructive jaundice and biliary obstruction complications like pseudocyst. We present case series of two patients AIP unusual presentations; one periorbital swelling, jaundice, pseudocyst, the other abdominal pain without jaundice; both showed good response steroids.

Enteric fever is a common occurrence in Southeast Asia with myriad of presentations. Partial treatment often leads to prolonged illness. Along this, bowel imaging confounds the picture tuberculosis. Colonoscopy and biopsy may help differentiate from The data on colonoscopy scarce enteric mostly available case reports gastrointestinal (GI) bleeding. We have described three cases GI involvement mimicking characteristic pinkish-bluish ileal mucosa, edema decreased distensibility, along multiple...

The accidental ingestion of a toothbrush is an extremely rare occurrence, typically involving young women with psychiatric disorders such as schizophrenia, bulimia, or anorexia nervosa. There are no known cases swallowed being expelled naturally through the rectum. Therefore, prompt extraction ingested from gastrointestinal tract using surgical endoscopic method necessity. Here, we report case psychologically healthy woman ingesting accidentally while cleaning her tongue back toothbrush. In...

Although neuroendocrine tumors (NETs) can occur in any organ, the majority of them gastrointestinal (GI) tract. We present case a 27-year-old female who presented with ascites. She underwent an ascitic fluid analysis, esophagogastroduodenoscopy (EGDscopy) biopsies, and positron emission tomography (PET) scan, all which culminated diagnosis poorly differentiated gastric NET (small cell type) peritoneal metastasis. was treated cisplatin etoposide. Depending on differentiation grade, NETs...

Abstract Background: In Saudi Arabia (SA) no data are available on precancerous stomach lesions (PSLs) or the associated risk factors. We aimed to identify PSLs and investigate factors with their progression. Methods: This 7-year prospective study screened for in asymptomatic patients aged 45–75 years central SA ( n = 35,640). Those who had high-sensitivity guaiac fecal occult blood tests (HSgFOBT+) negative colonoscopy results 1242) were subjected upper GI endoscopy followed up every 3...

Inflammatory bowel disease (IBD) and primary sclerosing cholangitis (PSC) are closely associated entities that, when present in combination, create a phenotypically different summative referred to as PSC-IBD. The hallmark of Crohn's is persistent inflammation that can affect any part the gastrointestinal system, from mouth anus, although terminal ileum proximal colon most frequently affected. sporadically impact duodenum stomach. Here, we case 12-year-old child who presented with per rectal...

Acute phlegmonous esophagitis (APE) is a rare disease caused by bacterial infection of the oesophagus, typically involving submucosal and muscularis layers. Patients may present with chest pain, dysphagia, odynophagia, dyspnoea, fever, nausea vomiting, making diagnosis difficult. We two cases APE, both young females who presented dysphagia odynophagia. The first patient had history surgery (left mastoidectomy) which might have functioned as nidus for infection, whereas second uncontrolled...