Juniper Publishers Gastroenterology Open Access Journals

    ADVANCED RESEARCH IN GASTROENTEROLOGY & HEPATOLOGY   JUNIPER PUBLISHERS Authored by Valerii Giorgio Abstract Superficial gastrointestinal neoplasia may be removed endoscopically.ESD (Endoscopic submucosal dissection) isaneffectiveandsafe procedurewhich allows “en bloc” resection of superficial gastrointestinal lesions.The most common adverse events ofESD are perforation and bleeding.Late perforation are rare and occur in 0.22% according to literature.We report a case of delayedrectal perforation, occurring 16days after ESDof a 65 x 35-mm laterally spreading tumor (LST) nodular mixed type(G-MIX), ofthe rectum.The perforation wascompletely unexpected because ofabsence of post-ESD risk factors and the long period of wellness of the patient after the procedure. Keywords:  Colorectal lesion; Endoscopic Submucosal; Dissection; Delayed rectal perforation Abbrevations: LST: Laterally Spreading Tumor; G-MIX: Nodular Mixed Type; EMR: Endoscopic Mucosal Resection; ESD: ...

                   ADVANCED RESEARCH IN GASTROENTEROLOGY & HEPATOLOGY   JUNIPER PUBLISHERS Authored by Torres-Salazar Quitzia Introduction Appendiceal tumors constitute a heterogeneous group of neoplasms with an incidence ranging from 0.4 to 1% of all gastrointestinal tumors [1]. The most common age at onset is the sixth decade of life [2] and it is more frequent in males. Its presentation is variable, however, the most significant symptom is pain typically located in the right iliac fossa, so it is very common to confuse it with acute appendicitis [3]. Most appendiceal neoplasms are clinically silent and the diagnosis can only be made by formal histopathology. The clinical and pathologic characteristics are unusually varied compared to other gastrointestinal malignancies and require expert clinical judgment for optimal treatment [4]. The classification of appendiceal mucinous tumors (AMT) is controversial when they lack aspects...

    ADVANCED RESEARCH IN GASTROENTEROLOGY & HEPATOLOGY   JUNIPER PUBLISHERS Authored by  Quitzia Libertad Torres Salazar Abstract Introduction:  Intestinal occlusion represents a frequent cause of medical attention in the emergency department, within the current management guidelines it is well established that conservative treatment should be used as the first option. Gastrographic® has been recommended to be used as a contrast agent as a predictor of successful conservative management; however, it is not usually available for use in public hospitals in our country. Objective:  To determine whether oral low-osmolarity water-soluble contrast [LOWS] is useful in identifying patients with bowel obstruction who will have a good response with conservative management. Material and Methods:  Prospective, non-randomized, cohort study conducted in patients over 18 years of age, who presented with a diagnosis of intestinal obstruction. A nasogastric tube wa...