Fibre-optic endoscopy was compared prospectively with double-contrast radiology in 53 consecutive patients admitted with acute gastrointestinal haemorrhage. The bleeding site was correctly identified by endoscopy in 94% of patients and the final diagnosis was correctly given in 89%. The corresponding figures with radiology were 83% and 74%. Among the 50 patients with a final diagnosis of a blee...

tres daily was admitted into the hospital two years ago because of severe microcytic anemia (Hb: 9.2 g/dL, MCV: 71 fl). He was not taking anti-inflammatory drugs, or any other medication. Upper gastrointestinal endoscopy, ileocolonoscopy and small bowel barium follow-through were all normal. The patient was discharged on oral iron supplements with a diagnosis of chronic iron deficiency anemia o...

BACKGROUND The changing epidemiology of a disease often provides valuable insight into possible etiopathogenic mechanisms. There have been significant changes over the last several decades in disease manifestations of the foregut in Western Europe, North America and Asia. This time trend analysis was carried out to determine if any changes have occurred in the prevalence of diseases of the uppe...

Gastrointestinal endoscopy is rarely performed in low-income countries in sub-Saharan Africa. One reason is the lack of available medical doctors and specialists in these countries. At Zomba Central Hospital in Malawi, clinical officers (non-physician clinicians with 4 years of formal training) were trained in upper gastrointestinal endoscopy. Prospectively recorded details of 1732 consecutive ...

Bariatric surgery is a prevalent procedure due to the high incidence of obesity and comorbidities. Upper gastrointestinal endoscopy is one of the procedures used to evaluate the patient before surgery. However, its role is questionable. The incidental findings during endoscopy are variable including inflammatory diseases, and ulcers, and epithelial and stromal tumors. Herein a report of two obe...

INTRODUCTION There is increasing interest in sedation for upper gastrointestinal endoscopy (UGE). Prospective randomized studies comparing sedation properties and complications of propofol and midazolam/meperidine in upper gastrointestinal endoscopy (UGE) are few. AIM To compare propofol and midazolam/meperidine sedation for UGE in terms of cardiopulmonary side effects, patient and endoscopis...

a 78-year-old woman presented with epigastric pain following the use of non-steroidal anti-inflammatory drugs (nsaids) for joint pain relief. she underwent ugi endoscopy. during ugi endoscopy she suffered from severe retching despite the use of sedatives. at 6 hours after the procedure, she developed raccoon eyes with chemosis. biopsy from the gastrointestinal (gi) mucosa revealed amyloidosis.

gastrointestinal melanoma (gim) is occasionally observed in general practice. we report a case of melanoma dispersed diffusely in the stomach and duodenum with no skin involvement.

background : proton pump inhibitors (ppis) are currently the most effective agents for acid related disorders. however, studies show that 25-75% of patients receiving intravenous pantoprazole had no appropriate justification, indicating high rate of inappropriate prescribing in hospitals. the aim of this study is to examine the appropriate use of intravenous pantoprazole in accordance with guid...

INTRODUCTION Symptoms of dyspepsia are common but most patients do not have major upper gastrointestinal pathology. Endoscopy is recommended for dyspeptic patients over the age of 45, or those with certain "alarm" symptoms. We have evaluated the effectiveness of age and "alarm" symptoms for predicting major endoscopic findings in six practising endoscopy centres. METHODS Clinical variables of...