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Successful endoscopic hemoclipping of massive lower gastrointestinal bleeding from paratyphoid A fever

World Journal of Gastroenterology 2015年第3期21卷 1040-1043页

作者： Hui Wang Xiao-Lin Dong Xiao-Ming Yu Kyu Sung Chung Jian-Peng Gao Department of Gastroenterology The Affiliated Yan An Hospital of Kunming Medical University

Paratyphoid fever can be complicated by massive lower gastrointestinal bleeding with ileocolonic ulcerations,which are commonly localized using *** most common manifestations include multiple,variablesized,round or oval-shaped,punched-out ***,massive lower gastrointestinal bleeding can occur from erosion of blood *** present arare case of severe lower gastrointestinal bleeding due to paratyphoid A fever that was successfully controlled with hemoclippings.A 30-year-old man experienced high fever and hematochezia whose blood culture showed Salmonella paratyphi A.A complete colonoscopy was successfully performed up to the level of the terminal ileum,which showed multiple,shallow,ulcerated lesions over the entire terminal ileum.A bleeding vessel was seen in one of the ulcers,with overlaying blood *** hemostasis was successfully performed with four pieces of endoclip and without immediate *** report highlights the use of colonoscopy and endoscopic therapy with endoclips for lower gastrointestinal bleeding,which should be considered before surgery.

关键词： Endoscopic hemoclipping hemostasis Lower gastroint

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Impact of endoscopic screening on mortality reduction from gastric cancer

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World Journal of Gastroenterology 2015年第8期21卷 2460-2466页

作者： Chisato Hamashima Kazuei Ogoshi Rintarou Narisawa Tomoki Kishi Toshiyuki Kato Kazutaka Fujita Masatoshi Sano Satoshi Tsukioka Cancer Screening Assessment and Mana-gement Division Research Center for Cancer Prevention and Screening National Cancer Center Cancer Registry Section Niigata Cancer Center Hospital Division of Gastroenterology Niigata Cancer Center Hospital Graduate student Department of Health Mana-gement Keio University Committee of Gastroin-testinal Cancer Screening Niigata city Medical Association Niigata city Public Health Center Niigata city Government

AIM:To investigate mortality reduction from gastric cancer based on the results of endoscopic ***:The study population consisted of participants of gastric cancer screening by endoscopy,regular radiography,and photofluorography at Niigata city in *** observed numbers of cumulative deaths from gastric cancers and other cancers were accumulated by linkage with the Niigata Prefectural Cancer *** standardized mortality ratio(SMR)of gastric cancer and other cancer deaths in each screening group was calculated by applying the mortality rate of the reference ***:Based on the results calculated from the mortality rate of the population of Niigata city,the SMRs of gastric cancer death were 0.43(95%CI:0.30-0.57)for the endoscopic screening group,0.68(95%CI:0.55-0.79)for the regular radiographic screening group,and 0.85(95%CI:0.71-0.94)for the photofluorography screening *** mortality reduction from gastric cancer was higher in the endoscopic screening group than in the regular radiographic screening group despite the nearly equal mortality rates of all cancers except gastric ***:The 57%mortality reduction from gastric cancer might indicate the effectiveness of endoscopic screening for gastric *** studies and prudent interpretation of results are needed.

关键词： Gastric cancer screening Mortality Upper gastroint

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Successful treatment of life-threatening bleeding from a duodenal posterior bulb peptic ulcer by an over-the-scope-clip

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World Journal of Gastroenterology 2015年第5期21卷 1666-1669页

作者： Thorsten Brechmann Wolff Schmiegel Department of Gastroenterology and Hepatology Berufsgenossenschaftliches Universit?tsklinikum Bergmannsheil Gmb HRuhr-University Bochum44789 BochumGermany

Bleeding of peptic ulcer at the posterior duodenal bulb still is a particular endoscopic challenge with increased risk of treatment failure and worse *** this article,we report successful treatment of an actively bleeding peptic ulcer located at the posterior duodenal wall,using an over-the-scope-clip in the case of a 54-year-old male patient with hemorrhagic *** primary hemostasis was achieved and no adverse events occurred during a follow-up of 60 d.

关键词： Over-the-scope-clip Duodenal ulcer Upper gastroint

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