FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3093749891> ?p ?o ?g. }

• W3093749891 endingPage "S1463" @default.
• W3093749891 startingPage "S1462" @default.
• W3093749891 abstract "INTRODUCTION: A small intestine bleed accounts for approximately 5-10% of all gastrointestinal (GI) bleeds. Evaluation of GI bleeding may include both esophagogastroduodenoscopy (EGD) and colonoscopy, but when inconclusive, video capsule endoscopy (VCE) should be considered. Small intestinal bleeds may be a result of inflammatory lesions, tumors, medications, and vascular anomalies including arteriovenous malformations or varices. Non-steroidal anti-inflammatory drugs (NSAIDS) commonly cause GI tract ulcers or erosions and rarely, diaphragmatic disease. In our case, we illustrate a case of GI bleeding in the setting of small bowel diaphragmatic disease, necessitating surgical intervention. CASE DESCRIPTION/METHODS: A 40 year old female with a three year history of recurrent melena presented from an outside hospital with melena, abdominal pain, and anorexia for one week duration. She also noted a 10 pound weight loss over two weeks. She denied alcohol or NSAID use. Of note, the patient had an EGD, colonoscopy, and VCE procedure 10 months prior, which were inconclusive. A workup for her chronic anemia included a bone marrow biopsy, noting absent iron stores and no signs of malignancy. Prior to her transfer, laboratory evaluation revealed a hemoglobin of 2.7 g/dL, for which she was given 6 units of pRBCs. She also underwent a repeat EGD and colonoscopy which were unremarkable. The patient was transferred to our hospital for higher level of care. A VCE was done to evaluate her GI bleeds which demonstrated a retained pill camera in her ileum with associated erosions. A CT scan was obtained which revealed two capsules in the ileum, anasarca, and concern for strictures. It was determined that the erosions caused by the retained pill camera were likely contributing to her GI bleeding and anemia. Subsequently, she underwent laparoscopy with partial small bowel resection; pathology noted very narrow strictures with fibrotic bands suggestive of diaphragm disease. Her anasarca and weight loss were attributed to malnourishment secondary to diaphragm disease. DISCUSSION: Diaphragm disease is often linked to heavy NSAID use, commonly presenting as protein loss enteropathy, anemia, GI bleeds and subacute obstruction. It is essential to ensure passage of capsules into the cecum after a VCE procedure. Clinicians should be vigilant about patients with these presentations as it may be indicative of small bowel pathology such as diaphragm disease, potentially leading to sequelae such as obstruction or retention requiring surgery.Figure 1.: Video capsule endoscopy image demonstrating retained pill camera.Figure 2.: Video capsule endoscopy image demonstrating small bowel erosions and stricture.Figure 3.: CT scan demonstrating two retained pill cameras." @default.
• W3093749891 created "2020-10-29" @default.
• W3093749891 creator A5016655468 @default.
• W3093749891 creator A5016930093 @default.
• W3093749891 date "2020-10-01" @default.
• W3093749891 modified "2023-09-27" @default.
• W3093749891 title "S2798 Gastrointestinal Bleed in Setting of Small Bowel Diaphragmatic Disease" @default.
• W3093749891 doi "https://doi.org/10.14309/01.ajg.0000713240.02109.d5" @default.
• W3093749891 hasPublicationYear "2020" @default.
• W3093749891 type Work @default.
• W3093749891 sameAs 3093749891 @default.
• W3093749891 citedByCount "0" @default.
• W3093749891 crossrefType "journal-article" @default.
• W3093749891 hasAuthorship W3093749891A5016655468 @default.
• W3093749891 hasAuthorship W3093749891A5016930093 @default.
• W3093749891 hasBestOaLocation W30937498911 @default.
• W3093749891 hasConcept C121608353 @default.
• W3093749891 hasConcept C126322002 @default.
• W3093749891 hasConcept C141071460 @default.
• W3093749891 hasConcept C2776259030 @default.
• W3093749891 hasConcept C2777214474 @default.
• W3093749891 hasConcept C2777333622 @default.
• W3093749891 hasConcept C2777424391 @default.
• W3093749891 hasConcept C2778012290 @default.
• W3093749891 hasConcept C2778080469 @default.
• W3093749891 hasConcept C2778260677 @default.
• W3093749891 hasConcept C2778435480 @default.
• W3093749891 hasConcept C2778451229 @default.
• W3093749891 hasConcept C2779134260 @default.
• W3093749891 hasConcept C2780955771 @default.
• W3093749891 hasConcept C2780970106 @default.
• W3093749891 hasConcept C2781143854 @default.
• W3093749891 hasConcept C526805850 @default.
• W3093749891 hasConcept C71924100 @default.
• W3093749891 hasConcept C90924648 @default.
• W3093749891 hasConceptScore W3093749891C121608353 @default.
• W3093749891 hasConceptScore W3093749891C126322002 @default.
• W3093749891 hasConceptScore W3093749891C141071460 @default.
• W3093749891 hasConceptScore W3093749891C2776259030 @default.
• W3093749891 hasConceptScore W3093749891C2777214474 @default.
• W3093749891 hasConceptScore W3093749891C2777333622 @default.
• W3093749891 hasConceptScore W3093749891C2777424391 @default.
• W3093749891 hasConceptScore W3093749891C2778012290 @default.
• W3093749891 hasConceptScore W3093749891C2778080469 @default.
• W3093749891 hasConceptScore W3093749891C2778260677 @default.
• W3093749891 hasConceptScore W3093749891C2778435480 @default.
• W3093749891 hasConceptScore W3093749891C2778451229 @default.
• W3093749891 hasConceptScore W3093749891C2779134260 @default.
• W3093749891 hasConceptScore W3093749891C2780955771 @default.
• W3093749891 hasConceptScore W3093749891C2780970106 @default.
• W3093749891 hasConceptScore W3093749891C2781143854 @default.
• W3093749891 hasConceptScore W3093749891C526805850 @default.
• W3093749891 hasConceptScore W3093749891C71924100 @default.
• W3093749891 hasConceptScore W3093749891C90924648 @default.
• W3093749891 hasIssue "1" @default.
• W3093749891 hasLocation W30937498911 @default.
• W3093749891 hasLocation W30937498912 @default.
• W3093749891 hasOpenAccess W3093749891 @default.
• W3093749891 hasPrimaryLocation W30937498911 @default.
• W3093749891 hasRelatedWork W2401247035 @default.
• W3093749891 hasRelatedWork W2914930600 @default.
• W3093749891 hasRelatedWork W2977659510 @default.
• W3093749891 hasRelatedWork W2977838544 @default.
• W3093749891 hasRelatedWork W2979117579 @default.
• W3093749891 hasRelatedWork W2979207420 @default.
• W3093749891 hasRelatedWork W2980084675 @default.
• W3093749891 hasRelatedWork W2991233935 @default.
• W3093749891 hasRelatedWork W4230731974 @default.
• W3093749891 hasRelatedWork W3093871998 @default.
• W3093749891 hasVolume "115" @default.
• W3093749891 isParatext "false" @default.
• W3093749891 isRetracted "false" @default.
• W3093749891 magId "3093749891" @default.
• W3093749891 workType "article" @default.