Browsing: Gastroenterology

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Gastroenterology , Airway

The Bougie: Not Just for a Difficult Airway

3/19/2025 Kelcie Hill, MD
Up to 200,000 patients per year in the U.S. are given percutaneous endoscopic gastrostomy (PEG) tubes. A sizeable portion of those struggle with dislodged feeding tubes. A simple piece of airway equip
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Gastroenterology , Vascular , Nephrology

Two Sides of a Compression Coin: A Comparison of Wilkie's and Nutcracker Syndrome

11/14/2024 Kay Nicole Tipton, DO, MS , Neelou Tabatabai , Field Davis, DO
The vague presentation of abdominal pain can lead you down many differential pathways. When combined with sudden or rapid weight loss, it can point to 2 rare syndromes caused by compression. Review th
Gastroenterology

Flood Syndrome: A Ruptured Umbilical Hernia in a Patient with Severe Ascites

4/14/2024 Michael Farney, DO , Earl Quinn Cummings, MD
Flood syndrome is defined as a spontaneous rupture of an umbilical hernia leading to sudden loss of ascitic fluid. It is a rare condition that carries a high mortality rate.
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Pediatric EM , Gastroenterology

Case Study: Pediatric GI Bleed With Meckel’s Diverticulum Diagnosis

1/15/2024 Daniel Epperson, MD , Sandra Schwab, MD
Pediatric GI bleeding is a somewhat uncommon presentation to the emergency department. Disposition is critical for the pediatric patient with a suspected GI bleed. In the unwell-appearing child regard
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Pediatric EM , Gastroenterology

Intussusception: Intestinal Obstruction in the Pediatric Patient

7/15/2023 Oluwatosin Adenuga, MD , Natasha Tejwani, MD , Rajesh Daftary, MD, MPH
Intussusception is the most common cause of intestinal obstruction in infants and children. Although traditional teaching revolves around the “classic triad” of paroxysmal abdominal pain, bloody stool
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Gastroenterology , Pediatric EM

Trichobezoar: A Case of Swallowed Hair in an Adolescent Patient

4/15/2023 Simi Jandu, MD , Ashima Goyal , Jatinder Gosal, MD
Trichobezoars are an uncommon diagnosis but should be considered in the differential for patients presenting to the emergency department with abdominal pain. It is especially important not to overlook
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Gastroenterology

Update on State-of-the-Art Imaging and Stool Tests for IBD in the ED

10/10/2022 Samuel J. S. Rubin, PhD , William W. Dixon, MD
For patients with IBD flare, maintain a broad differential diagnosis, promptly initiate appropriate workup for earlier intervention and better outcomes, obtain stool samples as early as feasible for l
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Critical Care , Gastroenterology

Balloon Tamponade to Stabilize Life-Threatening Rectal Bleeding

2/12/2022 Matthew Welles, MD , Robert Nocito, MD , Peter Viccellio, MD, FACEP , Scott Weingart, MD, FACEP, FCCM
Balloon tamponade devices specifically designed for upper GI bleeding are well-established as a temporizing measure in life-threatening upper gastrointestinal bleeding, but rarely have been used for l
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Gastroenterology

Bouveret Syndrome: A Rare Cause of Gastric Outlet Obstruction

2/12/2022 Collin Stinogel, DO
Gallstone-induced ileus is a rare complication of cholelithiasis. Gastric outlet obstruction caused by a gallstone is even rarer. If a patient presents to you with Bouveret syndrome, will you know how
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Gastroenterology

Torsion of the What? Epiploic Appendagitis as a Rare Cause of Abdominal Pain

4/8/2021 Ulyana Kachmar, DO , Jordan Miller, DO , Nicholas Jouriles, MD, FACEP
More than 7% of patients presenting to the ED with symptoms clinically consistent with sigmoid diverticulitis are found to have primary epiploic appendagitis.