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Duodenal Leiomyosarcoma Presenting with Gastrointestinal Bleeding and Obstruction: A Case Report

Hong SM, Kim GH, Kim D, Lee S

Duodenal leiomyosarcoma is a rare condition with a poor prognosis. Early diagnosis of duodenal leiomyosarcoma is challenging because it presents with nonspecific symptoms and endoscopic biopsies usually do not enable...
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Basic Arterial Anatomy and Interpretation of CT Angiography for Intra-Abdominal or Gastrointestinal Bleeding: Correlation with Conventional Angiographic Findings for Beginners

Han DY, Hwang JH, Kang HJ, Yoon J, Kwon SH, Seo TS, Oh JH

It is essential to identify the causative artery in case of active intra-abdominal or gastrointestinal bleeding. A thorough understanding of the basic arterial anatomy is required to identify the causative...
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Newly Diagnosed Klippel-Trenaunay Syndrome Presenting with Rectal Polyposis in a Male Pediatric Patient: A Case Report

Jeong SH, Joo D, Lim TJ, Lee YJ

Klippel-Trenaunay syndrome (KTS) is a rare disorder characterized by a triad of abnormal bone and soft tissue growth, the presence of a port-wine stain, and venous malformations. Gastrointestinal (GI) manifestations...
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Endoscopic Hemostasis for Non-Variceal Upper Gastrointestinal Bleeding: New Frontiers

Kichler A, Jang S

Non-variceal upper gastrointestinal bleeding (NVUGIB) refers to blood loss from the gastrointestinal tract proximal to the ligament of Treitz due to lesions that are non-variceal in origin. The distinction of...
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Gastric Complications after Adjuvant Radiotherapy for Breast Cancer

Cho WK, Choi DH, Park W, Kim H, Kim S, Shin MH, Cha H

PURPOSE: In some patients who receive adjuvant radiotherapy (RT) for the left breast, the stomach is located inside the RT field. This study investigates the incidence of gastric complications following...
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Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult

Cha S, Kwon BS, Hong N, Park JS, Byun SK, Choi SC, Kim YS

Ischemic colitis primarily affects the elderly with underlying disease, but it rarely occurs in young adults with risk factors, such as coagulopathy or vascular disorder. Moreover, it is extremely rare...
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Endovascular hemostasis for endoscopic procedure-related gastrointestinal bleeding

Park M, Kim JW, Shin JH

Gastrointestinal (GI) bleeding is a common complication of various endoscopic procedures. In most cases, GI bleeding responds to conservative management. And if indicated, endoscopic hemostasis is performed. However, if endoscopic...
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Endoscopic closure devices: A review of technique and application for hemostasis

Wellington J, Canakis A, Kim R

Acute gastrointestinal bleeding is a common, yet challenging, and potentially problematic medical emergency for clinicians to manage. Given its significantly high health care associated costs and increased morbidity and mortality...
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Rectal Ulcer Developed in Systemic Lupus Erythematosus without Ischemic Colitis

Sohn KC, Heo WG, Chu MS, Kim EJ, Chung JH, Choi SC, Yun KJ, Seo GS

Rectal involvement by systemic lupus erythematosus (SLE) is quite rare. Approximately 14 cases have been reported worldwide, but only one with ischemic colitis has been reported in Korea. A 17-year-old...
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Performance of Three Scoring Systems in Predicting Massive Transfusion in Patients with Unstable Upper Gastrointestinal Hemorrhage

Lee DH, Lee KM, Lee SM, Lee BK, Cho YS, Choi G, Yun SW

PURPOSE: After trauma and surgery, upper gastrointestinal bleeding (UGIB) is the most common condition that can require massive transfusion (MT). The present study aimed to analyze and compare the prognostic...
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Efficacy and clinical outcomes of angiography and transcatheter arterial embolization for gastrointestinal bleeding in Crohn's disease

Kim M, Shin JH, Kim PH, Ko GY, Yoon HK, Ko HK

BACKGROUND: To retrospectively investigate the use of angiography as a diagnostic tool and evaluate technical and clinical efficacy of transcatheter arterial embolization (TAE) in Crohn's disease-related gastrointestinal (GI) bleeding. METHODS: Institutional...
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Predictors for the need for endoscopic therapy in patients with presumed acute upper gastrointestinal bleeding

Kim SS, Kim KU, Kim SJ, Seo SI, Kim HS, Jang MK, Kim HY, Shin WG

BACKGROUND/AIMS: Selecting patients with an urgent need for endoscopic hemostasis is difficult based only on simple parameters of presumed acute upper gastrointestinal bleeding. This study assessed easily applicable factors to...
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Gastric Duplication Cyst Presenting as Massive Gastrointestinal Bleeding

Youssef A, Ibrahim A, AlShehabi , Omran A, Sharara AI

Gastric duplication cysts (GDCs) are rare congenital anomalies. Presentation of GDCs varies from an asymptomatic abdominal mass to fulminant or massive gastrointestinal (GI) bleeding. Herein, we describe a case of...
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Endoscopic Management with a Novel Over-The-Scope Padlock Clip System

Goenka MK, Rodge GA, Tiwary IK

BACKGROUND/AIMS: The Padlock clip is a recently introduced over-the-scope clip (OTSC) that requires the use of an alternate technique and has a different design from previous OTSCs. However, data regarding...
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Validation of Glasgow-Blatchford score, Pre-Rockall score, and AIMS65 score to predict active bleeding in patients with upper gastrointestinal bleeding in normotensive patients and suggestion for developing new predictors

Kim D, Ha YR, Ahn JH, Kim YS, Shin TY, Jung RB, Lee KH, Yu W, Yoon YT

OBJECTIVE: The aim of this study was to validate the Glasgow-Blatchford score (GBS), Pre-Rockall score (PRS), and AIMS65 score to predict active bleeding in patients with normotension and upper gastrointestinal...
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Primary malignant melanoma without melanosis of the colon

Yi NH, Lee JW, Lee SH, Kim JH, Jee SR, Seol SY

Primary malignant melanoma (PMM) of the gastrointestinal tract is rare. Reported cases of PMM of the lower gastrointestinal tract typically describe anal and rectal involvement rather than colonic lesions. This...
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Endoscopy Timing in Patients with Acute Upper Gastrointestinal Bleeding

Alexandrino G, Domingues , Carvalho R, Costa MN, Lourenço , Reis J

BACKGROUND/AIMS: The role of very early (≤12 hours) endoscopy in nonvariceal upper gastrointestinal bleeding is controversial. We aimed to compare results of very early and early (12–24 hours) endoscopy in...
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Continuous Infusion versus Intermittent Dosing with Pantoprazole for Gastric Endoscopic Submucosal Dissection

Lee BE, Kim GH, Song GA, Seo JH, Jeon HK, Baek DH, Kim DU

BACKGROUND/AIMS: Proton pump inhibitors are widely used to prevent gastric endoscopic submucosal dissection (ESD)-related bleeding, but no standard administration regimens have been established. We aimed to prospectively compare the effects...
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Acute Suppurative Appendicitis Diagnosed by Acute Lower Gastrointestinal Hemorrhage

Kim DH, Lee JH, Kim D, Hwang S, Kang K, Koo JS

A 49-year-old man visited the emergency room of Korea University Ansan Hospital with hematochezia starting the day before the visit. Recently, he was on anti-platelet medication due to hypertension. The...
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Endoscopic Diagnosis of Aortoesophageal Fistula Not Presenting Hematemesis

Lee JY, Jang JS, Kim DK, Cha JH, Choi WJ

Aortoesophageal fistula (AEF) is an extremely rare but lethal cause of massive gastrointestinal hemorrhage. Characteristic symptoms are mid-thoracic pain, sentinel minor hemorrhage, and massive hemorrhage after a symptom-free interval. Prompt...
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