The success of the eradication treatment for Helicobacter pylori in managing ulcer disease has further refined the indications for ulcer surgery. More patients are spared unnecessary surgery and its untoward sequelae. It is intriguing that surgery has been effective, given that Helicobacter pylori infection is the underlying culprit. Recent studies show that the prevalence of Helicobacter pylor...

Background: Endoscopic treatment with combined modalities is considered standard of care for patients with high-risk peptic ulcer bleeding. This study compared epinephrine injection plus bipolar probe coagulation with bipolar probe coagulation alone in patients with high-risk peptic ulcer bleeding. Methods: Patients with endoscopically confirmed peptic ulcer bleeding (active or visible vessel) ...

By BENJAMIN R. GENDEL, M.D. C HRONIC LEG ULCERS have been described as a complication of several diseases of the blood and are best known in association with sickle cell anemia. Diggs and Ching1 reported that chronic ulcers or scars of old ulcers were present in 75 per cent of adults with this disease. However, it is less commonly appreciated that other diseases of the blood may present the com...

By BENJAMIN R. GENDEL, M.D. C HRONIC LEG ULCERS have been described as a complication of several diseases of the blood and are best known in association with sickle cell anemia. Diggs and Ching1 reported that chronic ulcers or scars of old ulcers were present in 75 per cent of adults with this disease. However, it is less commonly appreciated that other diseases of the blood may present the com...

Contact dermatitis 39 (9.4) Psoriasis 9 (2.2) Fungal infections 35 (8.4) Recurrent aphthous stomatitis 8 (1.9) Drug reactions 28 (6.7) No dermatologic disease 8 (1.9) Cellulitis 27 (6.4) Seborrhoeic dermatitis 7 (1.7) Xerosis cutis 15 (3.6) Behçet disease 7 (1.7) Pruritus 15 (3.6) Malignancy 7 (1.7) Vasculitis 14 (3.4) Oral candidiasis 7 (1.7) Stasis dermatitis 14 (3.4) Acneiform disease 6 (1.4...

With any operation there are three requirements. First, the mortality must be minimal. In our series during the past ten years there have been 1,033 vagotomies of various types with two deaths, a rate of 0.19 per cent. There are many other published series with a comparably low mortality. Secondly, there must be an acceptably low incidence of recurrent ulcer and, thirdly, undesirable side effec...

The cutaneous extension of gallbladder thyroid carcinoma is uncommon and among the aggressive forms disease. We are reporting case a woman 54 that shows acute festered thyroiditis worsened by necrotic ulcer wound on skin lasting 3 weeks amid big neglected hetero-multinodular goitre, evolving since 20 years. anatomopathological test showed with severe inflammation. treatment consisted complete t...

Although arteriovenous malformations (AVM) occur frequently in digestive organs, pancreatic AVM is rare. The clinical symptoms of pancreatic AVM are variable and include gastrointestinal bleeding, abdominal pain, jaundice, portal hypertension, pancreatitis, and duodenal ulcer. However, choledochoduodenal or pancreaticoduodenal fistulas complicated with ascending infection and pancreatitis is ex...

A 77-year-old man with a history of surgical resection of malignant melanoma involving the fifth toe of his left foot 14 years ago presented at the Kariya Toyota General Hospital with a 3-month history of skin ulcer at the same site and red nodules on the lower left leg. Malignant melanoma was suspected, and the patient was referred to our department. On examination, a skin ulcer measuring 25 ×...