Tag Archives: Gastroenterology
cartoon of wheat in red x over stomach

Delay in Diagnosis of Celiac Disease in Patients Without Gastrointestinal Complaints

The purpose of our study is to investigate the delay in diagnosis of patients with biopsy-proven celiac disease in those who present with gastrointestinal complaints vs nongastrointestinal complaints at our tertiary care center. Celiac disease is an autoimmune disorder that affects approximately 1% of the population worldwide. Celiac disease can have variable clinical presentations; it […]

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Upper gastrointestinal study with Gastrografin (Bracco Diagnostic Inc, Monroe Township, NJ) revealed irregularity of the distal antrum in the prepyloric region and marked narrowing of the pylorus, duodenal bulb, and postbulbar duodenum (arrow).

Gastric Crohn’s Disease: A Rare Cause of Intermittent Abdominal Pain and Vomiting

Crohn’s disease is a chronic idiopathic inflammatory disease that may involve any part of the gastrointestinal tract from the mouth to the anus. It most commonly affects the terminal ileum and cecum, and less commonly is isolated to the colon. Crohn’s disease involving the stomach or duodenum is uncommon and described in only 0.5% to 4% of […]

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Abdominal CT scan showing a large pancreatic fluid collection with pancreatic necrosis (red arrows) and ascites in the pericolic gutters (blue arrows).

Chylous Ascites: An Unusual Complication of Necrotizing Pancreatitis

  A 59-year-old woman with hypertension presented to the emergency department with abdominal pain secondary to gallstone pancreatitis. She had no history of liver disease, tuberculosis, or cancer. She was febrile to 38.9°C (102°F), blood pressure 49/29 mm Hg, heart rate 124 beats per minute, respiratory rate 31 breaths per minute, and normal oxygenation. Abdominal […]

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Computed tomography angiography with contrast of the aorta.

Deadly Diarrhea: The Clever Disguise of Aortic Dissection

  Aortic dissection is one of the great imitators that can present in many ways clinically, depending on the portion of the aorta undergoing dissection.1 Therefore, it is of utmost importance to discuss the variety of presentations, including those that are rare, so as not to miss this potentially fatal diagnosis. Our case is important because […]

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Chest radiograph with epigastric air-fluid level. The stomach has been displaced superiorly into the chest.

Intermittent Gastric Volvulus Mimicking Acute Coronary Syndrome

Intermittent gastric volvulus plagued a 61-year-old white woman with chest pain for months before it was observed on esophagogastroduodenoscopy (EGD). She presented to the Emergency Department with complaints of progressively worsening localized, burning, left-sided and substernal chest pain that was identical to her previous myocardial infarction. Her chest pain was associated with nausea, vomiting, and […]

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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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