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Gastric Necrosis, A Rare Disease with a Complex Diagnostic Approach 胃坏死,一种诊断方法复杂的罕见疾病
Pub Date : 2024-02-29 DOI: 10.47363/jghr/2024(5)159
Nieves Arellano Athenea
Gastric necrosis represents a rare condition and available literature is mostly in the form of case-reports being clinically under-recognized and therefore not diagnosed at an early stage. It is also a disease for which a definitive treatment has not yet been established since it can vary significantly from a conservative medical management to and aggressive surgical management, depending on the patient´s general conditions and medical history.
胃坏死是一种罕见的疾病,现有文献大多以病例报告的形式出现,临床上对这种疾病的认识不足,因此没有在早期阶段进行诊断。此外,这种疾病的确切治疗方法尚未确定,因为根据患者的一般情况和病史,从保守的药物治疗到积极的手术治疗,治疗方法会有很大的不同。
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引用次数: 0
Unveiling the Uncommon: Cocaine-Induced Budd-Chiari Syndrome - A Rare Medical Puzzle 揭开不寻常的面纱:可卡因诱发的巴德-卡里综合征--一个罕见的医学谜团
Pub Date : 2023-12-31 DOI: 10.47363/jghr/2023(4)157
Adel Ekladious, Ritesh Bhandari, Muhammad M Javaid
Cocaine, a potent stimulant derived from coca plant leaves, is well-documented for its adverse cardiovascular effects. Among these complications, thrombosis has gained prominence as a significant concern, leading to thrombotic events in various vascular beds throughout the body, highlighting cocaine’s systemic pro-thrombotic impact. However, its role in hepatic vascular disorders remains relatively underrecognized. This case report details the clinical presentation of a 23-year-old male with Budd-Chiari syndrome linked to cocaine use disorder, emphasizing the critical need for healthcare providers to recognize hepatic vascular disorders as possible outcomes of cocaine abuse.
可卡因是一种从古柯叶中提取的强效兴奋剂,其对心血管的不良影响有据可查。在这些并发症中,血栓形成已成为一个突出的重要问题,导致全身各处血管床发生血栓事件,凸显了可卡因对全身血栓形成的促进作用。然而,人们对可卡因在肝血管疾病中的作用认识相对不足。本病例报告详细介绍了一名患有与可卡因使用障碍有关的巴德-恰里综合征的 23 岁男性患者的临床表现,强调医疗保健提供者亟需认识到滥用可卡因可能导致肝血管紊乱。
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引用次数: 0
Research on Acute Toxicity and the Effect of Methanol Extract Pleurotus Eous Mushroom in Rats: An In Vivo Study 平菇甲醇提取物对大鼠急性毒性及作用的体内研究
Pub Date : 2023-06-30 DOI: 10.47363/jghr/2023(4)154
Shantha Selva Kumari
Objective: The present study was aimed to investigate the toxic effects of acute toxicity administration of methanol extract of Pleurotus Eous in wistar rats weighing (150-200g) as per OECD guidelines.
目的:根据OECD指南,研究白藜芦醇提取物急性毒性给药对体重150 ~ 200g的wistar大鼠的毒性作用。
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引用次数: 0
Principles Medical Teachings and Assistance in the Middle Ages History of the Medical School of Salerno 萨勒诺医学院中世纪历史中的原则、医学教学和援助
Pub Date : 2023-06-30 DOI: 10.47363/jghr/2023(4)150
A. Molfese
Man, by chance, discovered that a tree leaf, placed on the body “in a poor state”, to heal a disease, performed its task, so herbs and plants were the first medicines of man as well as products animals and minerals. Primitive medicine was born with the creation of the world handed down with drawings in numerous caves and caverns from all peoples, from Asia to Africa to the Americas, with paleopathology it was able to trace the diseases from human fossil remains.
人类偶然发现,将一片树叶放在“虚弱状态”的身体上,可以治疗疾病,因此草药和植物是人类最早的药物,同时也是动物和矿物质的产物。原始医学随着世界的创造而诞生,从亚洲到非洲再到美洲,在无数的洞穴和洞穴中流传着所有民族的绘画,通过古病理学,它能够从人类化石遗骸中追踪疾病。
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引用次数: 0
A Rare Presentation of AKI Due to Retroperitoneal Fibross as A Result of Gastric Linitis Plastica: A Case-Based Review 一例罕见的由胃局限性炎引起的腹膜后纤维纤维化引起的AKI:一项基于病例的回顾
Pub Date : 2023-06-30 DOI: 10.47363/jghr/2023(4)155
Anne Marie Habib
Short bowel syndrome (SBS) refers to a condition resulting from loss of bowel or loss of small bowel absorptive surface area due to surgical resection or bypass leading to maldigestion, malabsorption and malnutrition.
短肠综合征(SBS)是指由于手术切除或旁路手术导致肠道或小肠吸收表面积丧失,导致消化不良、吸收不良和营养不良的一种疾病。
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引用次数: 0
Home Remedies 家庭的补救措施
Pub Date : 2023-06-30 DOI: 10.47363/jghr/2023(4)152
C. Karkour
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引用次数: 0
Amyand’s Hernia-A Case Report 艾米兰德疝气病例报告
Pub Date : 2023-04-30 DOI: 10.47363/jghr/2023(4)153
Amyand’s hernia is a rare condition consisting of the presence of the vermiform appendix within the hernia sac in the inguinal region. Despite not being frequent, or rarely reported, it deserves attention for proper care. Its involvement is more frequent in men of any age group and often goes unrecorded because the content of the hernial sac is reduced even before its identification.
Amyand疝是一种罕见的情况,由腹股沟区疝囊内的蚓状阑尾组成。尽管不常见或很少报道,但值得注意适当的护理。它的发生在任何年龄组的男性中都更为常见,并且经常未被记录,因为疝囊的内容物甚至在其识别之前就减少了。
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引用次数: 0
Unusual Case of Hematochezia Controlled by Endoscopic Intervention and Antibiotics 内镜干预与抗生素控制罕见便血病例
Pub Date : 2023-04-30 DOI: 10.47363/jghr/2023(4)151
Mckey Remy, Akiki Laura, Hallal Marwa
Background: Lower gastrointestinal bleeding can cause a life-threatening condition especially in the elderly with multiple comorbidities. Whilst some infectious colitis can cause bloody diarrhea, usually the blood loss is minimal and does not require an endoscopic intervention. Case Presentation: In this report, we present a case of a 64-year-old Lebanese female with multiple comorbidities including renal failure on hemodialysis, hypertension and multiple myeloma on chemotherapy who presented for an acute episode of lower GI bleeding as a result of an antibiotic associated colitis by clostridium difficile infection. Conclusion: Therefore, we should be vigilant about infectious colitis as a cause of GI bleeding in the immunosuppressed individuals and elderly with multiple comorbidities.
背景:下消化道出血可导致危及生命的疾病,特别是在有多种合并症的老年人中。虽然一些传染性结肠炎可引起血性腹泻,但通常出血量很少,不需要内镜干预。病例介绍:在本报告中,我们报告了一例64岁的黎巴嫩女性,她患有多种合并症,包括血液透析时肾功能衰竭、高血压和化疗时多发性骨髓瘤,她因艰难梭菌感染引起的抗生素相关性结肠炎而出现急性下消化道出血。结论:因此,我们应该警惕感染性结肠炎作为免疫抑制个体和有多种合并症的老年人消化道出血的原因。
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引用次数: 0
Surgical Management of Open Abdomen with Barker Dressing 巴克敷料对腹部开放性的外科治疗
Pub Date : 2023-03-31 DOI: 10.47363/jghr/2023(4)149
João Kleber de Almeida Gentile
This literature review aims to analyze the surgical treatment of enteroatmospheric fistula (EAF) and its effectiveness. Based on studies carried out from 2013 to 2022 in the PubMed, Google Academic, and Medline databases to analyze the surgical technique of the case report and compare it with other literature. The enteroatmospheric fistula (EAF), as its name indicates, is defined as an opening that connects the gastrointestinal tract and the atmosphere, located in an open abdomen, being a consequence of abdominal surgeries, traumas, perforations, ischemia, and leakage of the anastomosis after surgery. The amount of time the abdomen stays open is directly related to the risk of EAF. That is, the longer the time with the abdomen open, the more significant the risk of EAF. Among the types of fistulas, those with a high volume (>500mL) are considered the most lethal. Spontaneous closure is complex and rare, as there is not an abundance of vascularized tissue in the region, in addition to the fact that the tissue is in constant contact with the contents of the gastrointestinal tract, causing tissue irritation and delaying healing speed. Surgical procedures may be necessary
本文献综述旨在分析肠大气瘘(EAF)的手术治疗及其效果。基于PubMed、谷歌Academic、Medline数据库2013 - 2022年的研究,对病例报告的手术技术进行分析,并与其他文献进行比较。肠大气瘘(enteroatmospheric瘘,EAF),顾名顾义,是指位于开放的腹部,连接胃肠道和大气的开口,是腹部手术、创伤、穿孔、缺血、术后吻合口漏的结果。腹部张开的时间长短与EAF的风险直接相关。也就是说,打开腹部的时间越长,EAF的风险就越大。在各种类型的瘘管中,大容量(500mL)的瘘管被认为是最致命的。自发闭合是复杂而罕见的,因为该区域没有丰富的血管化组织,此外该组织与胃肠道内容物不断接触,造成组织刺激并延迟愈合速度。外科手术可能是必要的
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引用次数: 0
Relationship to Bariatric Surgery and their Gastrointestinal Hormones: how we Weight Loss? 减肥手术与胃肠激素的关系:我们如何减肥?
Pub Date : 2022-12-31 DOI: 10.47363/jghr/2022(3)148
João Kleber de Gentile
Obesity is a disease related to severe metabolic comorbidities due to the high accumulation of body fat. In the context of this pandemic, bariatric surgery is the most effective treatment for the long-term resolution of the disease, having both structural and anatomic and hormonal effects on the gastrointestinal tract. The hormones analyzed in this review are cholecystokinin, secrete, gastrin, glucagon-like peptide 1 (GLP-1), peptide YY, pancreatic polypeptide, leptin, adiponectin, ghrelin, glucose, cholesterol, gastric inhibitory peptide, insulin, and glucagon. After bariatric procedures, changes in vitamins and micronutrients are also observed, which can lead to anemia, changes in coagulation, bone metabolism, neurological, and immunological deficiencies.
肥胖是一种由于体内脂肪的高度积累而导致的严重代谢合并症的疾病。在这种大流行的背景下,减肥手术是长期解决疾病的最有效治疗方法,对胃肠道具有结构、解剖和激素作用。本综述分析的激素包括胆囊收缩素、分泌素、胃泌素、胰高血糖素样肽1 (GLP-1)、YY肽、胰多肽、瘦素、脂联素、胃饥饿素、葡萄糖、胆固醇、胃抑制肽、胰岛素和胰高血糖素。在减肥手术后,还观察到维生素和微量营养素的变化,这可能导致贫血、凝血、骨代谢、神经和免疫缺陷的变化。
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引用次数: 0
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