- Characterization of esophageal inflammation in patients with achalasia. A retrospective immunohistochemical study. [Journal Article]
- HPHum Pathol 2018 Nov 28
- Clinical decision making and application of an active rehabilitation program for a person with the neuromuscular symptoms of Allgrove syndrome: a case report. [Journal Article]
- PTPhysiother Theory Pract 2018 Dec 03; :1-8
- CONCLUSIONS: It appears that in this case, this patient with Allgrove syndrome demonstrated a significant increase in endurance, balance, and a return to functional activities and participation following a 10-week physical therapy program consisting of task-oriented exercise, aerobic training, postural control exercises, and patient education. Due to the pathophysiology of Allgrove syndrome, these patients cannot be exercised in a traditional manner. It is prudent to perform these interventions with precautions including frequent monitoring of vitals, rest breaks in cool environments, close supervision during balance tasks, and submaximal exercise at a Borg scale of moderate intensity. C.A.'s overall improvements illustrate the potential value of complementing the medical management of persons with Allgrove syndrome with active exercise interventions.
- Calcium Receptor and Nitric Oxide Synthase Expression in Circular Muscle of Lower Esophagus from Patients with Achalasia. [Letter]
- CMChin Med J (Engl) 2018 Dec 05; 131(23):2882-2885
- Clostridium difficile Causing Empyema. [Journal Article]
- CRCase Rep Gastroenterol 2018 Sep-Dec; 12(3):633-639
- Extraintestinal Clostridium difficile infection (CDI) is extremely uncommon. High mortality and poor outcomes have been observed among individuals with this rare medical condition. Empyema is one of ...
Extraintestinal Clostridium difficile infection (CDI) is extremely uncommon. High mortality and poor outcomes have been observed among individuals with this rare medical condition. Empyema is one of the extraintestinal manifestations of CDI. Possible mechanisms to develop this parapneumonic effusion are aspiration and contamination of the chest tube. We present a 42-year-old Hispanic male with C. difficile empyema without any prior history of CDI.
- Peroral Endoscopic Myotomy with Water Pump-Assisted Submucosal Tunnel Creation. [Journal Article]
- GPGE Port J Gastroenterol 2018; 25(6):331-332
- Long-Term Efficacy of Peroral Endoscopic Myotomy for Patients with Achalasia: Outcomes with a Median Follow-Up of 36 Months. [Journal Article]
- DDDig Dis Sci 2018 Nov 26
- CONCLUSIONS: POEM is safe and effective in treating achalasia and has a favorable long-term efficacy.
- The dysphagia stress test for rapid assessment of swallowing difficulties in esophageal conditions. [Journal Article]
- NMNeurogastroenterol Motil 2018 Nov 25; :e13512
- CONCLUSIONS: The DST is the first rapid assessment tool designed for gastroenterology clinics with direct observation of swallowing ability across several conditions to mitigate issues related to patient self-report of esophageal symptoms.
- Preoperative Gastroesophageal Reflux Disorder Is Associated With Increased Morbidity in Patients Undergoing Abdominal Surgery. [Journal Article]
- JSJ Surg Res 2018; 232:587-594
- CONCLUSIONS: Preoperative GERD is associated with increased postoperative complication rate. Surgeons should consider assessing GERD in patients undergoing abdominal operations.
- Gelatinase B/Matrix Metalloproteinase-9 as Innate Immune Effector Molecule in Achalasia. [Journal Article]
- CTClin Transl Gastroenterol 2018 Nov 19; 9(11):208
- CONCLUSIONS: We provide new biomarkers and insights into innate immune mechanisms in the autoimmune pathology of achalasia. Our results imply that extracellular protease inhibition is worthwhile to test as therapeutic intervention in achalasia.
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- Mycobacterium fortuitum infection associated with achalasia. [Journal Article]
- TMTunis Med 2018; 96(5):311-313
- The association achalasia and non tuberculous Mycobacteria lung infection is described in the literature. Most of the time Mycobacterium Fortuitum is responsible of aspiration pneumonia that didn't r...
The association achalasia and non tuberculous Mycobacteria lung infection is described in the literature. Most of the time Mycobacterium Fortuitum is responsible of aspiration pneumonia that didn't respond to usual antibiotic therapy. We report a new case about a 15 year-old woman with Allgrove's syndrome history. The chest imaging showed a right pulmonary condensation and the diagnosis was bacteriological. Mycobacterium Fortuitum resistant to Rifampicin, isoniazid, Pyrazinamide and ethamabutol was isolated. She was treated by cotrimoxazole, ciprofloxacin and clarithromycin for 12 months, with a good clinical, radiological and bacteriological evolution. With the purpose to prevent the relapse the patient was treated by cardiomyotomy.