The incidence and clinical pattern of diseases differ in different parts of the world and even vary from area to area in the same country. Several factors contribute to these differences. Racial and hereditary factors, climatic conditions, socioeconomical factors, dietetic habits and mode of living are some of the important factors involved in the genesis of these variations. The pattern of gas...

BACKGROUND The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which managem...

Non-cirrhotic portal hypertension is an unusual but potentially serious liver disorder in human immunodeficiency virus-infected patients with prolonged exposure to didanosine. Due to its rarity, the diagnosis is often delayed. It is postulated that didanosine contributes to obliterative portal venopathy and causes portal hypertension. Affected patients may present with abnormal liver function o...

Methods Electronic medical records of patients requiring CRRT during their stay in our 35-bed medical-surgical ICU (January 2012-December 2013) were reviewed. Patients were excluded if they were dialysis-dependent prior to admission, started on CRRT for toxin removal only, transferred to another hospital while on CRRT or died within 24 hours of admission. Binary logistic regression was performe...

In vitropediatric gastro-intestinal digestion with recombinant human gastric lipase and pancreatin reveals substrate dependency when quantified by both titration HPLC-ELSD.

Advertisers’ claims that their NSAIDs are safer than the other companies NSAIDs may or may not be correct and it is safe to assume that any NSAID may cause GI problems The pathologic findings do not differ among the various brands available. Low-dose preparations may also cause problems although as a general rule higher doses and prolonged periods of administration result in greater problems. I...

prophylaxis were 34.6% (n=35), while the rest were on no prophylaxis. Complicated cases were: 5 cases presented with cerebral malaria, one of them succumbed while the rest recovered completely; 4 presented with uremia and were referred for dialysis, one of them passed away after the first dialysis session. Other clinical presentations were seen such as: upper gastro-intestinal bleeding, diarrhe...

Schistosoma are trematode blood flukes of the family Schistosomidae affecting the urinary and gastro-intestinal tracts. Riverine areas of the world such as in Africa, Eastern Mediterranean, Central American and East Asia are endemic for the disease, with S. haematobium accounting for most of the symptomatic genital infection. A case of a 25-year-old woman with 8 weeks amenorrhoea, lower abdomin...

BACKGROUND AND AIMS Of patients who are seen with GI hemorrhage, approximately 5% will have a small-bowel source. Management of these patients entails considerable expense. We performed a decision analysis to explore the optimal management strategy for obscure GI hemorrhage. METHODS We used a cost-effectiveness analysis to compare no therapy (reference arm) to 5 competing modalities for a 50-...