The frequency of microscopic and focal active colitis in patients with irritable bowel syndrome

<p>Abstract</p> <p>Background</p> <p>Irritable bowel syndrome (IBS) is a chronic functional bowel disorder. The frequency of microscopic colitis and focal active colitis in the colonic mucosa has been investigated in IBS patients.</p> <p>Methods</p> <p>Between June 2007 and September 2010, 378 patients (between 16 and 84 years) were recruited prospectively. Of these 378 patients, 226 patients were diagnosed with IBS using the Rome III criteria. 152 control patients were also enrolled who were undergoing colonoscopy for colorectal cancer screening or investigation of anemia. Histopathological abnormalities identified during colonoscopy were compared between the IBS and control groups.</p> <p>Results</p> <p>The average age of the IBS group was 46.13 ± 14.16 years and and the average age of the control group was 57.01 ± 13.07 years. The prevalence of microscopic colitis (MC) in the diarrhea predominant and the mixed subgroup of IBS patients was 4.32% (7/162) whereas in all IBS patients, the prevalence was 3.09% (7/226). MC was not found in the 152 control cases, (p = 0.045). Lymphocytic colitis was seen in 7 IBS patients, with 1 case in the mixed group and 6 cases in the diarrhea group and there was a significant difference in the frequency of lymphocytic colitis between the IBS subgroups (p < 0.01). Focal active colitis was found in 6.6% (15/226) of the IBS patients and in none of the controls (p < 0.01), and there was no differences between IBS subtypes.</p> <p>Conclusion</p> <p>Microscopic colitis was more often found in the diarrhea predominant/mixed subgroups of IBS patients and in patients who were older women. In patients who are older woman with non-constipated IBS, it may be reasonable to perform a biopsy to screen for microscopic colitis. Focal active colitis was significantly increased in patients with IBS compared to controls.</p

Diagnostic and Therapeutic Capability of Double-Balloon Enteroscopy in Clinical Practice

Advances in technology have facilitated the common use of small-bowel imaging. Intraoperative enteroscopy was the gold standard method for small-bowel imaging. However, noninvasive capsule endoscopy and invasive balloon enteroscopy are currently the main endoscopic procedures that are routinely used for small-bowel pathologies, and the indications for both techniques are similar. Although obstruction is a contraindication for capsule endoscopy, it is not considered to be problematic for double-balloon enteroscopy. The most important advantage of double-balloon enteroscopy is the applicability of therapeutic interventions during the procedure; however, double-balloon enteroscopy has certain advantages as well as disadvantages

What is the effective clinical use of small bowel capsule endoscopy in real life?

Capsule endoscopy (CE) is a noninvasive and easy method for evaluating the gastrointestinal (GI) tract. Since the wireless CE system was first developed, many new technical improvements have been made in order to gain maximum benefit from thisprocedure. However, at this stage, it remains a diagnostic modality, the main indication for its use being obscure GI bleeding. CE is only contraindicated in symptomatic intestinal obstruction. New indications for use and therapeutic options may become possible with the further development of nanotechnologies

Synthesis, characterization and electrochemistry of 1-phenoxypropan-2-yloxy substituted phthalocyanines

AKCAY, Hakki Turker/0000-0002-8502-9608WOS: 0005751677000124-(1-phenoxypropan-2-yloxy)phthalonitrile (3) and peripherally tetra 1-phenoxypropan-2-yloxy substituted zinc(II) (4), cobalt(II) (5) and copper(II) (6) phthalocyanine were prepared. Structural characterization of novel complexes was performed by spectrophotometric measurements. the determination of the redox active or redox inactive metal center effect on the electrochemistry, in-situ spectroelectrochemisty and electrocolorimetry of compounds were performed in dimethylformamide. the redox properties and mechanisms were examined by electrochemical measurements. the peripherally tetra substituted cobalt(II) phthalocyanine (5) showed both metal and ligand-based redox processes, while zinc(II) (4) and cobalt(II) phthalocyanines only displayed ligand-based redox processes. These results were confirmed by electrochemical and in-situ spectroelectrochemical measurements. Moreover, the semiconducting nature of the compounds were illuminated via electrochemical measurements. (C) 2020 Elsevier B.V. All rights reserved

Rare pancreas tumor mimicking adenocarcinoma: Extramedullary plasmacytoma

Neoplastic proliferation of plasma cells is called plasma cell dyscrasias, and these neoplasms can present as a solitary neoplasm or multiple myeloma. Extramedullary plasmacytoma, in particular pancreatic plasmacytoma, is a rare manifestation of multiple myeloma. Although computerized tomography is useful for the diagnosis of extramedullary plasmacytoma, there are no specific radiologic markers that distinguish it from adenocarcinoma. Histological confirmation by biopsy is necessary for accurate diagnosis and management of the tumor. Endosonography is the most sensitive method for the diagnosis of pancreatic tumors, and the use of fine needle aspiration by endosonography is associated with a lower risk for malignant seeding and complications. Here, we report a case of pancreatic plasmacytoma in newly identified multiple myeloma as diagnosed by endosonography. Endosonography is a reliable and rapid method for the diagnosis of extramedullary plasmacytoma. Therefore, endosonographic fine needle aspiration should be the first choice for histological evaluation when pancreatic plasmacytoma is suspected. Ideally, the pathology would be performed at the same site as endosonographic biopsy. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved