INTRODUCTION We conducted a meta-analysis in order to investigate the effect of histamine-2-receptor antagonists (H2RA) versus sucralfate on stress ulcer prophylaxis in mechanically ventilated patients in the intensive care unit (ICU). METHODS A systematic literature search of Medline, EMBASE, Cochrane Central Register of Controlled Trials (1966 to January 2010) was conducted using specific s...

BACKGROUND Gastrointestinal (GI) bleeding is one of the most common complications after continuous-flow left ventricular assist device implantation. More than one third of patients with incident bleed go on to develop recurrent GI bleeding. Octreotide, a somatostatin analog, is proposed to reduce the risk of recurrent GI bleeding in this population. METHODS AND RESULTS This multicenter, retro...

Critically ill patients are at risk for stress ulcers in the upper digestive tract. Various factors have been associated with this condition. Patients who critically of bleeding due to related mucosal disease (SRMD). Upper gastrointestinal tract problems usually occur as a result severe physiological stress. may develop gastric erosion and which can be fatal. Routine pharmacological use ulcer p...

BACKGROUND Proton pump inhibitors (PPIs) are frequently prescribed for prophylaxis of nosocomial upper gastrointestinal tract bleeding. Some inpatients receiving PPIs may have no risk factors for nosocomial upper gastrointestinal tract bleeding, and PPIs may be continued unnecessarily at hospital discharge. We aimed to assess the effect of standardized guidelines on PPI prescribing practices. ...

secondary aortoenteric fistula (saf) is an uncommon but very important complication of abdominal aortic reconstruction. the complication often occurs months to years after aortic surgery. the clinical manifestation of the aortoenteric fistula is always upper gastrointestinal bleeding. treatment of the disease is early surgical intervention. if operative treatment is not performed promptly, the ...

background: helicobacter pylori (h. pylori) infection and nonsteroidal anti-inflammatory drugs (nsaids) are two major causes of gastroduodenal mocusal damages. the results of the epidemiological studies in relation to interaction between h. pylori and nsaids on the development of mocusal damages are conflicting. the present study was designed to determine the association of h. pylori and nsaids...

introduction: to retrospectively analyze the outcome of patients who underwent meckel’s scan in a local centre in hong kong over the past fifteen years. diagnostic values in different referring indications were also reviewed. methods: all patients who referred for meckel’s scan in a local hospital in hong kong from 1/1/1996 to 31/12/2010 were identified. patients’ demographic data, presenting s...

Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most widely prescribed medications in the World. A frequent complication of NSAID use is gastroduodenal bleeding. Risk factors for gastroduodenal bleeding while on NSAID therapy are age, prior peptic ulcer and co-medication with anti-platelet agents, anticoagulants, glucocorticosteroids and selective serotonin-reuptake inhibitors (SSRI). Pre...

tc-99m pertechnetate scintigraphy is the modality of choice for diagnosis of meckel's diverticulum. interpretation of meckel's scan identifies a focal area of radiopharmaceutical uptake in the anterior abdomen similar to normal gastric mucosa. the activity must be of the same pattern and intensity as gastric uptake. we present a 13-year-old patient with gastrointestinal bleeding and a...

introduction: to retrospectively analyze the outcome of patients who underwent meckel’s scan in a local centre in hong kong over the past fifteen years. diagnostic values in different referring indications were also reviewed. methods: all patients who referred for meckel’s scan in a local hospital in hong kong from 1/1/1996 to 31/12/2010 were identified. patients’ demographic data, presenting s...