Category: GI

In the Neo-adjuvant Treatment of Gastro-esophageal Cancers

Pre- and peri-operative strategies are becoming standard for the management of Localized gastro-esophageal cancer. For localized gastric/gastro-esophageal junction (GEJ) cancer there are conflicting data that a peri-operative approach with cisplatin-based chemotherapy improves survival, with the benefits seen in esophageal cancer likely less than a 5—10% incremental improvement. Further trends toward improvement in local control and [...]

Feb 06, 2010 | 0 comments | View Post

Incision less Procedure for Acid Reflux/GERD

Surgeons form Bolton Medical College are using incision less alternative to traditional surgery and laparoscopic treatment for acid reflux of GERD Surgeon are using the new procedure called EsophyX TIF (Transoral Incisionless Fundaplication) according to them they can repair the valve between the esophagus and stomach which effectively stop GERD. GERD is gastro esophageal reflex disease [...]

Jan 28, 2010 | 1 comment | View Post

Recurrent Abdominal Pain .

A 51-year-old woman presents to an outpatient surgical consultation for abdominal pain. She first noted the pain 9 months ago. She states that the pain occurs about every 3-4 weeks, and that each episode lasts 2-3 days at a time. The pain is described as “excruciating” when it occurs, causing her to double over, and [...]

Jan 18, 2010 | 4 comments | View Post

Recurrent Abdominal Pain With Abdominal Distention

A 70-year-old woman presents to the emergency department (ED) with progressive abdominal pain (this is her second presentation; she recently presented to the ED with similar complaints). Over the last few years, she has experienced multiple short periods of abdominal pain that always resolve spontaneously a few hours after taking over-the-counter analgesics or with the [...]

Jan 15, 2010 | 7 comments | View Post

A 77-Year-Old Man With Suddenly Worsened Abdominal Pain

A 77-year-old man presents to the emergency department (ED) in the early morning with a 4-hour history of severe, generalized abdominal pain. He describes some “cramp-like” abdominal pain and bilious vomiting yesterday, but states he simply “got on with things”. His condition had worsened considerably by late evening. He describes the sudden onset of generalized, [...]

Jan 14, 2010 | 7 comments | View Post

Clinical Implications of Mucosal Healing for the Management of IBD

Mucosal healing (MH) has emerged as an important treatment goal for patients with IBD. Historically, the therapeutic goals of induction and maintenance of clinical remission seemed insufficient to change the natural history of IBD. Evidence has now accumulated to show that MH can alter the course of IBD, as it is associated with sustained clinical [...]

Dec 21, 2009 | 0 comments | View Post

Benefits and Challenges of Radiation Therapy in Gastric Cancer

Gastric cancer is a highly virulent neoplasm with high morbidity and mortality. Although the benefit of radiation therapy (RT) combined with chemotherapy in gastric cancer has been established, challenges remain in providing accurate and safe radiation delivery. Improved understanding of patterns of gastric cancer relapse and tumor spread, and of organ motion in the abdomen, [...]

Dec 17, 2009 | 2 comments | View Post

Diagnosis?????

36 years old female (Jehovah’s Witness) presented with the chief complaints of epigastric pain which is colicky in nature, jaundice. On radiological examination she was diagnosed as cholelithiasis, for that she had undergone surgery – cholecyestomy was done and discharged. After 2 years she again came to hospital with complaints of right sub costal pain, [...]

Dec 11, 2009 | 5 comments | View Post