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Online Educational Video Improves Bowel Preparation and Reduces the Need for Repeat Colonoscopy

  Unsatisfactory bowel preparation has been reported in up to 33% of screening colonoscopies. Patients’ lack of understanding about how a good bowel preparation can be achieved is one of the major causes. Patient education has been explored as a possible intervention to improve this important endpoint and has yielded mixed results. We compared the […]

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An Ominous Cause of Hematemesis

  A 49-year-old physically active man presented to our emergency department with sudden-onset ongoing massive hematemesis of 1-day duration. A system review was unrevealing except for poor appetite for 2 to 3 days before presentation. His history was negative for any significant alcohol consumption or nonsteroidal anti-inflammatory intake. He denied taking any prescription or over-the-counter […]

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An Unusual Cause of Abdominal Pain: Lupus Enteritis

Lupus enteritis is a rare manifestation of systemic lupus erythematous and is considered as a form of visceral vasculitis involving predominantly the jejunum and ileum, with subsequent submucosal edema. Clinical presentation is nonspecific, and main symptoms include focal or diffuse abdominal pain, vomiting, diarrhea, and fever. Even if there is no pathognomonic imaging feature of lupus […]

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One Appendix, Two Different Pains

To the Editor: A previously healthy 27-year-old woman presented with a 1-day history of epigastric pain and nausea. She reported that the pain had migrated from the epigastric area to the lower abdomen. No other associated gastrointestinal symptoms of vomiting, diarrhea, or constipation were described, and she denied the possibility of pregnancy. On arrival, her […]

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Back Pain After Sudden Onset of Abdominal Pain in Crohn’s Disease Patient

In November 2014, a 33-year-old man presented to the Chiba University Hospital with a sudden onset of right lower abdominal pain spreading to the right lower back, developing 10 hours after gross bleeding. He had been receiving anti-tumor necrosis factor therapy for 10 years for mild to moderate Crohn’s disease with no fever. On examination, […]

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