BACKGROUND The interest of the case lies in an unexpected delayed bleeding following an endoscopic procedure in a patient with post-polycythemia myelofibrosis. The case gives the opportunity to discuss the medical management and monitoring of patients with myeloproliferative disorders undergoing minimally invasive surgery interventions. CASE PRESENTATION A 75 years old woman affected by post-...

The patient, a 40-year-old male, was referred to our clinic with intermittent nausea, vomiting and symptomatic anemia for 4 months. Notable hematological indices were low hemoglobin levels of 9.6 g/dl and hematocrit levels of 35.8%, while after receiving two units of concentrated red blood cells, at discharge; they achieved levels of 15.2 g/dl and 42.3%, respectively. Esophagogastroduodenoscopy...

The major role of colonoscopy with polypectomy in reducing the incidence of and mortality from colorectal cancer has been firmly established. Yet there is cause to be uneasy. One of the most striking recent findings is that there is an alarmingly high incomplete polyp removal rate. This phenomenon, together with missed polyps during screening colonoscopy, is thought to be responsible for the ma...

from 0.3% to 6.1%, and is the most common complication of polypectomy.1 The risk of bleeding may be especially high after resecting pedunculated polyps because of the presence of a large artery in the stalk. Bleeding can occur in the immediate postpolypectomy period, or may be delayed up to 29 days.2 Several endoscopic techniques have been developed. In 1989, Hachisu3 developed a detachable sna...

Objectives. Sessile nonampullary duodenal tumors (SNADTs) are relatively rare and endoscopic resection of these lesions is considered more challenging than in other parts of the gastrointestinal tract. The aim of this study was to evaluate the feasibility of endoscopic resection for SNADT. Methods. Medical records including endoscopic resection for SNADT from July 2002 to July 2013 from 5 cente...

Surgery is the accepted standard treatment of early gastrointestinal cancer, defined as cancer with involvement confined to the mucosa or submucosa, regardless of the size or the presence of regional lymph-node metastases. However, recent progress in endoscopic technique has made it possible to treat gastrointestinal neoplasm. For example, early gastric cancer confined to the mucosa can be trea...

PURPOSE This study aimed to evaluate the clinical features of juvenile polyp and the usefulness of polypectomy with entire colonoscopy in children. METHODS We retrospectively reviewed the medical records of 83 children who were diagnosed with having juvenile polyps. RESULTS The mean age of the patients was 6.5±3.7 (range 1.3-14.5 years) years. The male to female ratio was 2.1: 1. Eighty one...

cision with an electrosurgical knife is performed until the tumor is completely resected in one piece. ESD in the colon is difficult. The difficulty is due to the unsuitable anatomical characteristics of the colon (thin wall and existence of peristalsis, folds and flexions) [6] . The rate of perforation markedly decreased with the wider practice of ESD [7] . Colonoscopic polypectomy is associat...