• Hepatosplenic Lesions from Cat Scratch Disease

Hepatosplenic Lesions from Cat Scratch Disease

Researchers describe an unusual case of cat scratch disease, with hepatosplenic involvement, in the January 2017 issue of Clinical Gastroenterology and Hepatology. Sean K. Verma et al report on a 28-year-old man with no past medical history presented with fevers, chills, abdominal pain, night sweats, 3 weeks of weight loss,

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  • Can Yoga Reduce Symptoms of IBS?

Can Yoga Reduce Symptoms of IBS?

Yoga might be a feasible and safe adjunct treatment for irritable bowel syndrome (IBS), a systematic review shows in the December issue of Clinical Gastroenterology and Hepatology. The review found evidence for beneficial effects of yoga on gastrointestinal (GI) symptoms, quality of life, and anxiety, although further studies are needed. IBS is

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  • A Twisted Stomach

A Twisted Stomach

Researchers report a case of gastric rotation, with inversion of the greater and lesser curvatures along the long axis of the stomach, in the May issue of Gastroenterology. Fady G. Haddad et al describe a 56-year-old woman with history of peptic ulcer disease, diverticulosis, hypertension, and hypothyroidism who presented with acute post-prandial epigastric pain.

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  • Distinguishing a Pancreatic Pseudocyst from a Mucinous Cystic Neoplasm

Distinguishing a Pancreatic Pseudocyst from a Mucinous Cystic Neoplasm

Researchers describe the case of a patient with what appeared to be a pancreatic pseudocyst that was found to be a benign mucinous cystic neoplasm (MCN), based on analysis of a cyst wall biopsy. In the March issue of Gastroenterology, Katie Connor et al  describe a 22-year-old woman who came

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  • What is the Best way to Manage Diverticulitis, and how Many People Have it?

What is the Best way to Manage Diverticulitis, and how Many People Have it?

Not all patients with multiple episodes of diverticulitis should undergo preventative surgery, shows a Markov decision model published in the January 2016 issue of Clinical Gastroenterology and Hepatology. Elective surgery after 2 episodes produces fewer quality-adjusted life-years (QALYs) than surgery after 3 episodes or conservative or medical treatments, the model found.

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  • Should All Patients with IBS be Screened for Celiac Disease?

Should All Patients with IBS be Screened for Celiac Disease?

Screening patients with irritable bowel syndrome (IBS) or other functional gastrointestinal disorders for celiac disease isn’t much more effective than screening the general population, researchers report in the November issue of Clinical Gastroenterology and Hepatology. Celiac disease produces symptoms similar to those of IBS, such as lower abdominal pain, diarrhea,

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  • What Causes Visceral Hypersensitivity in Patients with Irritable Bowel Syndrome?

What Causes Visceral Hypersensitivity in Patients with Irritable Bowel Syndrome?

Colon tissues from patients with irritable bowel syndrome (IBS) produce increased levels of specific polyunsaturated fatty acid (PUFA) metabolites, which stimulate sensory neurons to generate visceral hypersensitivity. This occurs via activation of transient receptor potential (TRP) cation channels, researchers show in the August issue of Gastroenterology. IBS is characterized by abdominal

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Bone Tumors, Abdominal Pain, and Aspirin

Physicians report an unusual case of a man with abdominal pain that responded to aspirin therapy, in the October issue of Gastroenterology. It turns out that the pain was caused by a prostaglandin-producing benign bone tumor. Harpal S. Dhaliwal et al. describe examination of a 33-year-old man with an 18-month history

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  • Can Mesalamine Prevent Diverticulitis Recurrence?

Can Mesalamine Prevent Diverticulitis Recurrence?

Mesalamine is no better than placebo in preventing recurrent diverticulitis, and is not recommended for its treatment, researchers conclude from 2 international phase 3 studies. The findings are published in the October issue of Gastroenterology. Diverticular disease is characterized by formation of small pouches (diverticula) that push outward through weak spots in the colon wall.  Diverticulitis

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  • What is the Cause of this Mechanic’s Abdominal Pain?

What is the Cause of this Mechanic’s Abdominal Pain?

A 56-year-old male auto mechanic experienced fever, chills, drenching night sweats, malaise, nausea, and abdominal pain and distention for 6 weeks, associated with 15 kg of lost weight. Twenty years ago he was diagnosed with ileocolonic Crohn’s disease, but he had been asymptomatic on mercaptopurine therapy for the past 10 years. He stopped smoking

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