Journal of Gastroenterology Research

ICV Value = 91.33

 ISSN: 2578-6210

Journal of Gastroenterology Research

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Table of Content: Volume 5, Issue 2

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Review Article Pages 224-228

Trials of Meridian Therapies, Such as Acupuncture, Moxibustion, Hijama and Marma, in the Management of Irritable Bowel Syndrome: A Review of the Limitations

Authors: Affifa Farrukh, MB MSc, LLM MRCP, FRCP FRCPI

Abstract: This review considers the role of meridian therapies, such as acupuncture, moxibustion, marma and hijama, in treatment of patients with irritable bowel syndrome (IBS) and the difficulties of designing clinical trials to assess their effectiveness. The issue of distinguishing case from non-case because of a lack of a uniform and consistent definition of the disease together with choice of appropriate placebos are analysed and the “rituals of healing” associated with such therapies considered.

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Research Article Pages 214-223

The Identification of Stomach Cancer with Semi- Automatic Region Growing Segmentation Method

Authors: Ali YASAR, Ismail SARITAS and Huseyin KORKMAZ

Abstract: This study was conducted so as to identify the cancerous area in the stomach in a semi automatic way using image processing techniques. The aim was to identify the area suspected of being cancerous by studying the point which the doctor suspected of being cancerous in the patients. Although we cannot say that the whole area which was diagnosed as cancerous

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Letter to the Editor Pages 212-213

All Autoimmune Gastritis Are Not Created the Same

Authors: Massimo RUGGE, Robert M GENTA, Ludovica BRICCA and Edoardo SAVARINO

Abstract: The increased risk of gastric cancer (GC) in Lynch syndrome is well established. In their manuscript Saulino, et al. further support the hypothesis, previously put forward by Adar, et al. of a causative relationship between MSH2 mutation (as observed in mismatch repair-related Lynch syndrome) and autoimmune gastritis, and -as a consequence- between autoimmune gastritis and gastric adenocarcinoma. In a retrospective series of 562 histologically consistent, serologically confirmed autoimmune gastritis, we detected neoplastic lesions (both non-invasive and invasive) in only 4 high-stage gastritis patients (Operative Link on Gastritis Assessment [OLGA] stages III and IV), 3 of whom with a history of H. pylori infection

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Research Article Pages 202- 207

Cholangitis after Hemobilia: A Brief Overview

Authors: Daisuke Muroya, Koji Okuda, Shoichiro Arai, Masanori Akashi, Yoriko Nomura, Yuichi Goto, Toshihiro Sato, Hisamune Sakai, Yoshinobu Okabe, Toru Hisaka, Yoshito Akagi, Satoshi Taniwaki, Hironobu Sou and Tetsuo Imamura

Abstract: Hemobilia, defined as the hemorrhage into the biliary tract and blood clots in the bile duct is an uncommon cause of severe cholangitis. The majority of hemobilia are caused by iatrogenic and trauma, gallstones, inflammation, vascular disorders, and malignancy. Hemobilia can cause recurrent obstructive cholangitis and it may bring a fatal patient’s condition. The management of major hemobilia consists of hemostasis and reduction of biliary pressure to prevent or cure a cholangitis occurred in succession. Angiography and interventional radiologic intervention is regarded as the gold standard for diagnosis and treatment, respectively. However, the management of the cholangitis after hemobilia was technically challenging requiring multiple therapeutic choices including endoscopic approach. A further research is needed in this area.

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Clinical Image Pages 200-201

An Unusual Finding on Rectal Retroflexion

Authors: Manar Shmais MD, Fadi F Francis, MD and Jana G Hashash MD, MSc

Abstract: A 66-year-old male patient with hypertension and diabetes mellitus presented for a screening colonoscopy. He had no gastrointestinal complaints, namely no abdominal pain, change in bowel habits, rectal bleeding or anal itching. Colonoscopy showed diffuse diverticular disease throughout the colon. Upon retroflexion in the rectum, a 3 mm cerebriform, pale polypoid lesion was seen just proximal to the dentate line (Figure 1). After closer inspection of the lesion and use of i-scan, this lesion appeared broad based and had a rubbery surface (Figure 2).

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