iosr-JDMS   Volume-18 ~ Issue-2 ~ February-2019

Abstract: The aim of the study was to evaluate the functional results of surgical management of distal humerus fractures in adults involving the articular surface. PATIENTS AND METHODS: This is a prospective study of 30 cases of distal humerus fractures in adults involving the articular surface who are admitted to Guntur government hospital between November 2012 and September 2014.Cases were taken according to inclusion and exclusion criteria. RESULTS: In our study 30 cases were treated.25 were males and 5 patients were females.The mean age was 35 years.63.33% of the fractures.........

[1]. 1)Ozer H,Solak S,Turanli S,Baltaci G,Colakoglu T,Bloukbasi S-Arch Orthop Trauma Surg .2006 Oct;126(8):574
[2]. 2)Amit Pankaj,G.Mallinath,Rajesh Malhotra,Surya Bhan,"Indian J.Orthop,Surgical management of intercondylar fracture using Triceps reflecting anconeus pedicle approach,2007,41:219-223
[3]. 3)Sanchez,sotelo,Joaquin,M.D.Ph.d Torchia Michael E.,Ordriscoll,Shawn W.M.D.Complex distal humeral fractures internal fixation with a principle based parallel plate technique.The Journal of bone and joint Surgery2007:89:961-969
[4]. 4)K.Reising ,O.Hauschild,P.C.Strohm,N.P.Suedkamp-Stanilisation of articular fractures of the distal humerus: Early experience with a novel perpendicular plate system Injury Volume 40,Isuue 6,Pages 611-617,June 2009
[5]. Green A- Open reduction and internal fixation with 90-90 plating of bicolumn distal humerus fractures.I course Lect.2009;58:515

Abstract: Sickle Cell Disease (SCD) is a genetic abnormality and the control and cure still has no defined solution. It is the most prevalent inherited non communicable blood disorder world wide.1 SCD is more prevalent among the tribal population. Sickle Cell Crisis (SCC) is a sudden and unpredictable episode of pain that occurs with varying frequency and severity in people with SCD, and is usually followed by periods of remission. Simple measures like vaccination in childhood, adequate oral intake of fluids with electrolytes and avoidance of exposure to extreme temperatures etc. can prevent the episodes of SCC and improve the quality of life.2 The purpose of the study was to develop an effective Sickle Cell Crisis Prevention and Management Teaching Programme to reduce the number.........

[1]. S R. Genetic Disorder - Sickle Cell Anemia: [Internet]. 2017 [cited 7 March 2017]. Available from: http//sickle-cell anaemia.blogspot.in/2011/11/works- cited.html
[2]. Mohanty D, Mukherjee MB. Sickle Cell disease in India, Curr Opin Hematol.2002 Mar; 9(2) : 117-22.
[3]. B. Modell and M. Darlison. Global epidemiology of haemoglobin disorders and derived service indicators. Bulletin of the World Health Organization. 2008 (6) 480 - 487.
[4]. Mainous AG, Tanner RJ, Harle CA, Baker R, Shokar NK, Hulihan MM. Attitude toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians. Anemia. 2015 Feb 22; 2015: e853835
[5]. Ebrahim SH, Khoja TAM, Elachola H, Atrash HK, Memish Z, Johnson A. Children who come and go: the state of sickle cell disease in resource-poor countries. American journal of preventive medicine. 2010 Apr;38(4 Supp):S568–70

Abstract: Background and objectives: The prevalence of ESBL and ampC producing strains among E.coli and Klebsiellapneumoniae was assessed among different samples received in Microbiology. Methods: A total of 210 non-repeating clinical isolates of E.coli and Klebsiellapneumoniae were collected from various specimens of patients with hematological malignancy over a period of 3 months (July 2016 to September 2016) prospectively in a tertiary care cancer hospital in South India. This study assessed the prevalence of ESBL and ampC and also compared the sensitivity and specificity of different phenotypic methods of ESBL and ampC detection. Results: The prevalence of ESBL and ampC β-lactamases among E.coli and Klebsiellapneumoniae was found to be 44.76% and 10.95% respectively.......

Keywords:AmpC, Enterobacteriaceae, ESBL, prevalence, resistance

[1]. Agarwal P, Ghosh AN, Kumar S, Basu B, Kapila K. Prevalence of extended spectrum beta-lactamases among E.coli and Klebsiella pneumonia isolates in a tertiary care hospital. Indian J PatholMicrobiol 2008;51(1):139-42.
[2]. Philippon A, Labia R, Jacoby G. Extended-spectrum beta-lactamases. Antimicrob Agents Chemother 1989;33(8):1131-6.
[3]. PottahilShinu, Rajesh Bareja, ManojGoyal, Varsha A Singh, PriyaMehrishi, Monika Bansal et al. Extended-spectrum β-lactamase and AmpC β-lactamase Production among Gram-negative bacilli isolates obtained from urinary tract infections and wound infections. IJCP 2014;24(11):1019-26Goossens H, Grabein B. Prevalence and antimicrobial susceptibility data for extended-spectrum beta-lactamaseandAmpC-producing Enterobacteriaceae from the MYSTIC Program in Europe and the United States (1997- 2004). DiagnMicrobiol Infect Dis 2005;53(4):257-64.
[4]. Goossens H, Grabein B. Prevalence and antimicrobial susceptibility data for extended-spectrum beta-lactamaseandAmpC-producing Enterobacteriaceae from the MYSTIC Program in Europe and the United States (1997- 2004). DiagnMicrobiol Infect Dis 2005;53(4):257-64.
[5]. Günseren F, Mamikoğlu L, Oztürk S, Yücesoy M, Biberoğlu K, Yuluğ N, et al. A surveillance study of antimicrobial resistance of gram-negative bacteria isolated from intensive care units in eight hospitals in Turkey. J AntimicrobChemother 1999;43(3):373-8

Abstract: Background: Osteoporosis is a major disease which has significant implications on public health. Osteoporosis is three times more common in women as compared to men. The main purpose of our study was to determine the effectiveness of BMD camp in the screening of patients for osteoporosis in males and females in the 18 – 77 years of age group. Methodology:This was a prospective cross-sectional study carried out in the OPD of Srinivas Institute of Medical Sciences and Research Centre,Mukka, Mangalore. Apparently healthy relatives of patients attending the Orthopaedics OPD were selected. BMD was tested using calcaneal quantitative ultrasound. Results:Out of 180 participants 62 were male and 118 were females. Out of 180 participants 35% of study participants were having........

[1]. World Health Organization. Assessment of Fracture Risk and its Application to screening for postmenopausal osteoporosis. Report of a WHO study Group. Geneva: World Health Organization; 1994.
[2]. Hunter DJ, Sambrook PN. Bone loss Epidemiology of bone loss. Arthritis Res Ther 2000; 2:441-5.
[3]. Warming L, Hassager C, Christiansen C. Changes in bone mineral density with age in men and women: A longitudinal study. Osteoporosis Int 2002; 13: 105-12.
[4]. Finkelstein JS, Brockwell SE, Mehta V, Greendale GA, Sowers MR, Ettinger B, et al. bone mineral density changes during the menopause transition in a multiethnic cohort of women. J Clin Endocrinal Metab 2008; 93 : 861-8
[5]. Kanis JA , Johnell O, Oden A, Sembo I, Redlund Johnell I, Dawson A, et al. Long-term risk of osteoporotic fracture in Malmo. Osteoporos Int 2000; 11: 669-74.

Abstract: Aim of study: To follow the sequential expression of Myo D in the DMBA-painted hamster buccal pouches, following early thymoquinone intraperitoneal injections. Material and Methods: Eighty male golden Syrian hamsters were divided into 3 groups: Group I: (10 animals) served as negative control, 5 hamsters were euthanized before starting the experiment, and the other 5 at end of the experiment. Group II: (10 animals) positive control (the left buccal pouches were painted with the carcinogen 0.5% DMBA 3/wk / 6 weeks), five hamsters were euthanized at second day of last painting and 5 hamsters 2 weeks later. Group.........

Keywords: Experimental oral carcinogenesis (DMBA/ HBP model), TNF-α, Thymoquinone, Muscle regeneration, Myo D expression, Nonmyogenic precursor cells, Mesenchymal Stem Cells, Pericytes

[1]. Mognetti B. Di Carlo F and Berta GN. Animal models in oral cancer research. Oral Oncol. 2006; 42(5): 448-508.
[2]. Hassan MM. Abdel-Latif GA and El-Hossary WH. Protective and promising myogenic effect of two thymoquinone formulations in relation to the pouch-induced carcinogenic model. IOSR J Dent Med Sci (IOSR-JDMS). 2017; 16(5): 54-66.
[3]. El-Khoriby SAS. Chemopreventive effect of different doses of nano-thymoquinone on chemically-induced oral carcinogenesis. M.Sc. thesis, Suez Canal University, Egypt, 20015
[4]. Schneider-Stock R, Fakhoury IH, Zaki AM, El-Baba CO, Gali-Muhtasib HU.: Thymoquinone: fifty years of success in the battle against cancer models. Drug Disc Today, 2014; 19(1): 18-30
[5]. Lionel B. The History, basic science and biology of TNF, Special Report. HSS Genomics Center, Hospital for Special Surgery, on line Posted: 9/20/2003

Abstract: Background:- Dyslipidemia in patients with type 2 DM is very common in Indian scenario and it is a very worrisome condition. Its control reduces the mortality and morbidity in type 2 DM patients. Aim:- To establish the efficay of Rosuvastatin in management of dyslipidemia in type 2 DM patients. Settings and Design:- Tertiary care hospital, Interventional study. Conclusion:- Rosuvastatin is well tolerated and effective drug in the management of dyslipidemia in type 2 diabetic patients. The effective dose is 10mg daily as a single dose at any time of day..

[1]. Harrison's Principles of Internal Medicine 18th ed.
[2]. Hurst's The Heart, 13th ed.
[3]. Chen Z, Peto R, Collins R,et al. Serum cholesterol concentration and coronary heart disease in population with low cholesterol concentrations. BMJ. 1991; 303:276-82
[4]. Gupta R. Meta-Analysis of Hypertension in India. Indian Heart J. 1997;49:43-8.
[5]. Koenig W, Ridker PM. Rosuvastatin for primary prevention in patients with European systemic coronary risk evaluation risk ≥5% or Framingham risk ≥20%: post hoc analyses of the JUPITER trial by European health authorities. Eur Heart J. 2011;32:75-83.

Abstract: HCV is a blood borne virus that attacks the liver and can cause chronic hepatitis, liver cirrhosis (27%) and liver cancer (25%). So detection of HCV infection in suspected patients by a reliable rapid method is a need of hours. The present study was conducted to assess comparative efficacy ELISA and rapid screening techniques (ICT) for the diagnosis of HCV amongst suspected viral hepatitis cases. A total of 2512 non-repetitive blood samples from patients of various indoor and OPD department were screened for anti-HCV antibody by both ICT and ELISA taking ELISA as a gold standard. The overall prevalence of HCV was found to be .95%. The overall sensitivity and specificity rate of ICT based test was 85.7% and 100% respectively. In comparison ELISA methodology showed both 100% sensitivity and specificity. Although EIAs shows better degree of sensitivity but due to its cost and as it is a time taking procedure it mayless preferable in comparison to ICT in our resourse limited country with high volume of case load.

[1]. Hepatitis C [Internet]. World Health Organization. 2018 [cited 30 October 2018]. Available from: http://www.who.int/news-room/fact-sheets/detail/hepatitis-c
[2]. GLOBAL HEALTH SECTOR STRATEGY ON VIRAL HEPATITIS 2016–2021. World health organization. 2018;.
[3]. Petruzzuiello A. Global epidemiology of hepatitis C virus infection: An up-date of the distribution and circulation of hepatitis C virus genotypes. 2018;22(34).
[4]. Hepatitis C virus: Virology, diagnosis and treatment. [Internet]. 2018 [cited 31 October 2018];7(10): 1377–1389. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4450201/
[5]. Jawetz E, Brooks G, Melnick J, Adelberg E, Carroll K, Hobden J et al. Jawetz, Melnick, &Adelberg's medical microbiology. New York: McGraw-Hill Medical; 2016.

Abstract: Background: Tuberculosis remains a worldwide public health problem. The guidelines of RNTCP suggest sputum as the initial diagnostic test for Tuberculosis. If sputum test is positive in patients who are receiving Anti tubercular therapy (ATT), without undergoing chest X-Ray. The sequel of tuberculosis of Lung can have a chronic affect on patients. Aim: The aim of this study was to determine whether new sputum positive pulmonary tuberculosis (PTB) patients must undergo chest X-Ray as a part of the initial diagnosis and treatment of PTB. Materials and Methods: 100 patients who attended our OPD with cough and sputum for two weeks with and without HIV infection underwent sputum AFB. The diagnosis of PTB was made on the basis of clinical history, physical examination, Ziehl-Neelsen.......

Keywords: [Anti-tubercular therapy, Chest (X-ray), lymphadenopathy, pleural effusion, Pulmonary Tuberculosis,]

[1]. Jamal LF, Moherdaui F. Tuberculosis and HIV infection in Brazil: magnitude of the problem and strategies for control. Scielo Analytics, Rev Saude Publica. 2007; 41(1): 104-110. [2]. Badie BM, Mostaan M, Izadi M et al. Comparing Radiological Features of Pulmonary Tuberculosis with and without HIV Infection. J AIDS Clinic Res. 2012; 3:188.
[3]. Guidance for national tuberculosis programme on the management of tuberculosis in children, Second Edition, Geneva: World Health Organization; 2014; 3, Diagnosis of TB in Children.
[4]. Vinaya S, Karkhanis et al, Pleural effusion; diagnosis treatment and management. Open Access Emergency Medicine, 2012; 4: 31-52
[5]. Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents Morbidity and Mortality. Weekly Report 58: RR-4

Abstract: In tongue the, lingual glands secrete saliva containing mucin which forms a protective layer on mucosal surfaces of tongue. Being viscoelastic, mucin is responsible for maintaining lubrication and hydration of the surface. The glands adapt to the necessities of each species. Keeping this in mind we conducted a comparative histochemical study on sublingual glands of five species of mammals for characteristic of composition of salivary secretion.Tissues from all five mammals were stained by alcian blue ph 1.0 before & after active methylation and by aldehyde fuchsin for Highly sulphated acid mucopolysaccharides. For Weakly sulphated acid mucopolysaccharides they were stained by Alcian blue ph 2.5 before and after mild methylation . For Simultaneous demonstration of sulphated and Neutral mucopolysaccharides PAS procedure was applied with alcian blue at ph 1.0 .To look for.......

[1]. Cheng SJ,Huang CF,Chen YC,Lee JJ,Chang HH, Chen HM,Chiang ML,Kuo MY,Kok SH,Tseng CY: Ultra structural changes of posterior lingual glands after hypoglossal denervation in hamsters. J Anat, 214:163-170, 2009.
[2]. Piludu M,Lantini MS,Cossu M,Piras M,Oppenheim FG,Helmerhorst EJ,Siqueira W,Hand AR:Salivary histatins in human deep posterior lingual glands (of von Ebner).Arch Oral Biol,51:967-973,2006 [3]. Saracco CG, Crabill EV.Anatomy of the human salivary glands.In: Dobrosielski-Vergona K, Ed .Biology of the salivary glands. Boca Raton: CRC Press; 1993. P.1-14.
[4]. Guyton AC and Hall JE (2007). Textbook of Medical Physiology. Nobel Med Pub, Istanbul. PP: 793
[5]. Proctor GB (2016). The physiology of salivary secretion. Periodontology 2000, 70: 11-25...

Abstract: Intussusception is second most common cause of acute abdomen in children, following appendicitis.It is seen most commonly in 5-10months of age. Most common cause of intussusception in children is idiopathic while in adults usually a lead point is seen. Ileoileocolic type of intussusception is seen only 12% found in population. Here we are presenting a case of ileoileocolic type of intussusception in child due to mesenteric lymphadenitis diagnosed intraoperatively. A male baby of 4month 15days presented with clinical features suggestive of intussusception and confirmed by ultrasound showing target sign. Patient underwent emergency laparotomy and intraoperatively ileoileocolic intussusception with multiple mesenteric lymphadenopathy was found, some part of ileum was gangrenous for which segmental resection of ileum with ileoileal anastomosis was done..

[1]. Bines J, Ivanoff B. Acute Intussusception in infants and children: Incidence,clinical presentation and management: a global perspective. Geneva: World Health Organization; 2002.
[2]. Pepper VK, Stanfill AB, Pearl RH. Diagnosis and management of pediatric appendicitis, intussusception, and Meckel diverticulum. Surg ClinNorth Am 2012;92:505–26.
[3]. Huppertz HI, Soriano-Gabarró M, Grimprel E, Franco E, Mezner Z,Desselberger U, et al. Intussusception among young children in Europe.Pediatr Infect Dis J 2006;25(1 Suppl):22–9.
[4]. Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, BullochB. Intussusception: clinical presentations and imaging characteristics.Pediatr Emerg Care 2012;28:842–4.
[5]. Ein SH, Stephens CA. Intussusception: 354 cases in 10 years. J Pediatr Surg 1971;6:16–27.

Abstract: Pit and fissure sealants are an indispensable part of preventive dentistry. They prevent occulsal caries by cutting off the nutrient supply to the bacteria in susceptible pits and fissures. Aim: The purpose of the study was to compare the flow and adaptation of Fuji VII (Glass ionomer based sealant) with Fissurit F (Resin based sealant) and also to evaluate the difference in the shear bond strengths of the same materials. Methodology: 40 premolars extracted for orthodontic reasons were used for this study and they were divided into 6 groups. After accomplishment of the different treatments 5 teeth from each group were observed under SEM for adaptation and flow of the sealant, and 10 teeth each were tested for shear bond strength of the materials. The specimens were submitted to thermocycling process and used for the evaluation of the variables. Results: It was found that Fuji VII fared a little better than Fissurit F, when comparing the flow and adaptation. Significant differences were found between the shear bond strength scores ,with Fuji VII scores being lower. Conclusion: Of the two sealants.......

Key words: preventive dentistry, pit and fissure sealants, glass ionomer

[1]. Mclean.J.W. and Wilson.A. D.:Fissure sealing and filling with an adhesive glass ionomer cement:Br Dent J 136:269 1974
[2]. Abdul Hamid, Wyatt R Hume: A study of component release from resin pit and fissure sealants in vitro: Dental Material : 13( March) 1997: 98-102
[3]. Castro LC, Galvao AC:Comparison of three different preparation methods in the improvement of sealant retention. J ClinPediatr Dent. 2004 Spring;28(3):249-52.
[4]. Lisa Seppa Helena Forss: Resistance of occlusal fissures to demineralization after loss of glass ionomer sealants in vitro: Pediatric Dentistry: 13(1) 1991:39-42
[5]. Marie- Laure Asquinazi, Jean R Jasmin, Michele Muller, Jacques Magne: In Vitro study of 99m Technetium labeled pumice: Penetration in fissures: Journal of Dentistry for Children: November¬December 1999 387-389

Abstract: We report the cases of two patients with oral lichen planus (OLP), who underwent effective treatment with the Kampo medicines (KMs): orento or hangeshashinto. These KMs are indicated in Japanese health insurance for the relief of stomatitis, but the effects of these medicines on OLP have not been established. We treated two females (69 and 54 years old) with OLP: one with orento (5.0 g/day) and one with hangeshashinto (7.5 g/day). Both KMs showed inhibitory effects on OLP and improved the patients' health-related quality of life (HRQoL) scores on the Short-Form 8 health survey and their oral HRQoL scores on the General Oral Health Assessment Index. Significant adverse events did not occur. Orento and hangeshashinto may thus be useful for the treatment of OLP

Keywords: Oral lichen planus, Kampo medicines, Orento, Hangeshashinto.

[1]. Sugerman PB, Savage NW, Zhou X, Walsh LJ, Bigby M. Oral lichen planus. Clin Dermatol 18: 533-539, 2000.
[2]. Sugerman PB, Savage NW. Oral lichen planus: Causes, diagnosis and management. Aust Dent J 47: 290-297, 2002.
[3]. Sugerman PB, Savage NW, Walsh LJ, Zhao ZZ, Zhou XJ, Khan A, Seymour GJ, Bigby M. The pathogenesis of oral lichen planus. Crit Rev Oral Biol Med 13: 350-365, 2002.
[4]. Ertugrul AS, Arslan U, Dursun R, Hakki SS. Periodontopathogen profile of healthy and oral lichen planus patients with gingivitis or periodontitis. Int J Oral Sci 5: 92-97, 2013.
[5]. Lundquist G, Forsgren H, Gajecki M, Emtestam L. Photochemotherapy of oral lichen planus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79: 554-558, 1995.

Abstract: Introduction: Apart from physical complications, chronic alcoholism is associated with mild to severe cognitive disturbances. Cognitive disturbances persist even when abstinent up to five years. Thus cognitive disturbance is not only rendering them into ineffective members of society but also poses a burden on the society, due to frequent conflicts with the law.
Aims & Objectives: To detect any cognitive deficits in alcoholics in a tertiary care teaching hospital by evaluating their cognitive functions and to identify the causes thereof. Materials & Method: This study included both in-patient and out-patients meeting the inclusion criteria. Detailed case history........

Keywords: Cognition; Alcohol; deficit

[1]. Jellineck, E.M. The Disease Concept of Alcoholism. New Haven, CT: Hillhouse Press. 1957

[2]. Cloninger, C.R.; et al. A new, semi-structured psychiatric interview for use in genetic linkage studies: A report on the reliability of the SSAGA. Journal of Studies on Alcohol.. 1987;55:149-58.
[3]. Brandt.J, Butter.N,Rayn.Cand Bayog.R . Cognitive loss processing of the Indo-US Symposium on Alcohol and Drug abuse1983, 1-9.
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[5]. Wilkinson D A, Carlen P L. Relationship of neuropsychological test performance to brain morphology in amnesic and nonamnesic chronic alcoholics, Acta Psychiatrica Scandinavia (Supl).1980;286: 89-101

Abstract: Background: Autoimmune diseases are a real public health problem. Any prevention policy cannot be implemented without epidemiological studies. The aim of the present study is to describe the most common autoimmune diseases in the Moroccan population. Methods:this is a cross sectional study carried out on 5270 cases, in Patients followed in the different departments of the Hospital of Rabat (Morocco), during the period between September 2000 and October 2016. Subjects were selected through simple random sampling method. Data was collected using questionnaire. the studied parameters were the age, the sex, and the type of the disease. Results: During the period, we registered......

[1]. B. Bonnotte. Physiopathologie des maladies auto-immunes. La revue de medecine interne. Volume 31, supplement 3, decembre 2010, pages S 292-S 295.
[2]. Norbert Gleicher, David H. Barad. Gender as risk factor for autoimmune diseases. Journal of autoimmunity 28 (2007) 1-6.
[3]. Ozbalcan Z, Bagislar S, Kiraz S, Akyerli CB, Ozer HT, Yavuz S, et al. Skeved X chromosome inactivation in blood cells of women with scleroderma. Arthritis Rheum 2005; 52: 1564-70.
[4]. Gleicher N, Weiner R, Vietzke M. The impact of abnormal autoimmune function on reproduction: maternal and fetal consequences. J Autoimmun 2006; 27: 161-5.
[5]. Glinda S. Cooper, Berit C. Stroehla. The epidemiology of autoimmune diseases. Autoimmunity reviews 2 (2003) 119-125.

Abstract: L'ischémie gastrique est une entité rare en raison de la richesse de la vascularisation gastrique et est associée à une mortalité élevée, nécessitant une prise en charge rapide et multidisciplinaire. La symptomatologie clinique est souvent atypique. Nous rapportons un cas d'ischémie gastrique chez une patiente âgée de 63 ans avec des facteurs de risque cardio-vasculaire dont le motif de consultation étaitune hémorragie digestive haute associées à des epigastralgieset dont l'exploration endoscopique a révélé des lésions compatibles avec une ischémie gastrique. L'angioscanner a montré des athéromes multifocaux au niveau du tronc coeliaque et de l'artère mésentérique supérieur et de multiples calcifications aortique sans sténose significative. En raison descomorbidités et la stabilité clinique, un traitement conservateur.......

[1]. Kaptik S, Jamal Y, Jackson BK, Tombazzi C. IschemicGastropathy: An Unusual Cause of Abdominal Pain and GastricUlcers. Am J Med Sci. 2010 Jan;339(1):95-7. doi: 10.1097/MAJ.0b013e3181bb41b1.
[2]. Sharma A, Mukewar S, Chari ST, Wong Kee Song LM. Clinical Features and Outcomes of Gastric Ischemia. Dig Dis Sci. 2017 Dec;62(12):3550-3556. doi: 10.1007/s10620-017-4807-4. [3]. Jean-Pierre Chambon. Ischémie de l‟étage sus-mésocolique de l‟abdomen.Pathologie vasculaire du tube digestif, pp 161-176.
[4]. J.-P. Chambon, G. Bozzini. Anatomie de la vascularisation intestinale. Pathologie vasculaire du tube digestif, pp1-27.
[5]. Pernes JM, Auguste M, Borie H, Kovarsky S, Coppe G. Syndrome d‟ischémie digestive chronique : place des techniques de revascularisation endovasculaire.Sang Thrombose Vaisseaux2011 ; 23 (8) : 398-408 doi:10.1684/stv.2011.0643.

Abstract: Dieulafoy's lesion is a dilated, aberrant, submucosal artery that erodes overlying gastrointestinal mucosa in the absence of an underlying ulcer, aneurysm, or intrinsic mural abnormality. It is a relatively uncommon etiology of acute gastrointestinal bleeding and often difficult to diagnose outside the bleeding episode. The purpose of this publication is to illustrate the endoscopic diagnosis and therapeutic difficulties of Dieulafoy's lesions and to evaluate the effectiveness of the endoscopic treatment.

Keys words: Dieulafoy's lesion, upper gastrointestinal bleeding, endoscopic treatment

[1]. Nojkov B, Cappell MS: Gastrointestinal bleeding from Dieulafoy's lesion: clinical presentation, endoscopic findings, and endoscopic therapy. World J Gastrointest Endosc 2015; 7: 295–307
[2]. Baxter M, Aly EH. Dieulafoy's lesion: current trends in diagnosis and management. Ann R Coll Surg Engl 2010; 92: 548-554
[3]. Schmulewitz N, Baillie J. Dieulafoy lesions: a review of 6 years of experience at a tertiary referral center. Am J Gastroenterol 2001; 96: 1688-1694
[4]. Cappell MS. Gastrointestinal vascular malformations or neoplasms: Arterial, venous, arteriovenous and capillary. In: Yamada T, Alpers D, Kalloo AN, et al., eds. Textbook of Gastroenterology. 5th ed. Chichester (West Sussex), United Kingdom: Wiley-Blackwell, 2009: 2785-2810
[5]. Chung YF, Wong WK, Soo KC. Diagnostic failures in endoscopy for acute upper gastrointestinal haemorrhage. Br J Surg 2000; 87: 614-617