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Middle East Journal of Digestive Diseases
Scopus
ISSN 2008-5230 · Iranian Association of Gastroenterology and Hepatology, Shiraz University of Medical Sciences · 104 articles in the index
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Journal Article
Post-infectious Irritable Bowel Syndrome: A Narrative Review
The Irritable bowel syndrome (IBS) is a functional disorder of alimentary system, which may be caused by infectious gastroenteritis determined as post infectious irritable bowel syndrome (PI-IBS). The prevalence of PI-IBS is reported to be 4-36% in patients with infectious gastroenteritis. The…
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Journal Article
Effect of Aggressive Fluid Therapy on Outcomes after Endoscopic Retrograde Cholangiopancreatography: A Randomized Controlled Clinical Trial
BACKGROUND Pancreatitis is a serious complication of endoscopic retrograde cholangiopancreatography (ERCP), which may lead to death. The purpose of this study was to evaluate the preventive effect of aggressive fluid therapy on the incidence of post-ERCP pancreatitis. METHODS In double-blind…
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Journal Article
Solitary Rectal Ulcer Syndrome: A Narrative Review
Solitary rectal ulcer syndrome is a multifactorial pathology, which entails a variety of clinical, histologic and endoscopic aspects that needs step-wise logical approach for management especially in relapsing refractory cases. Apart from the diagnostic dilemma that may be faced due to similarities…
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Journal Article
A 30-Year-Old Man with Acute Motor Axonal Neuropathy Subtype of Guillain-Barré Syndrome Having Hepatitis A Virus Infection
Guillain-Barré syndrome (GBS) is an acute monophasic immune-mediated polyradiculoneuropathy. Here, we report a case of a young man with acute motor axonal neuropathy (AMAN) subtype of GBS having hepatitis A virus (HAV) infection. A 30-year-old man with icterus was referred to emergency center of…
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Journal Article
Evaluation of the Additive Effect of Domperidone on Patients with Refractory Gastroesophageal Reflux Disease Symptoms; A Randomized Double Blind Clinical Trial
BACKGROUND Gastroesophageal reflux disease (GERD) is a common problem with annoying symptoms. It is associated with negative impact on quality of life. Prokinetic agents may be used in combination with acid suppression agents as an adjunctive in patients with GERD refractory to proton pump…
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Journal Article
Transhiatal versus Left Transthoracic Esophagectomy for Gastroesophageal Junction Cancer; The Impact of Surgical Approach on Postoperative Complications
BACKGROUND Esophagectomy is the mainstay of treatment for esophageal cancer. Although different surgical approaches have been described, choosing the most appropriate technique is still on debate. We compared the complications of transhiatal esophagectomy (THE) versus left transthoracic…
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Journal Article
Altered Consciousness Associated with Chronic Liver Disease
A 58-year-old woman came to clinic suffering from a headache, which started suddenly, and also had right hemiparesis. The patient felt drowsy while being admitted. She had no history of head trauma, but had history of chronic liver dysfunction, with a low blood platelet count. She was also…
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Journal Article
Hepatitis B Vaccine Acceptability among Nurses: A Theory Based Conceptualization
BACKGROUND Hepatitis B is the most common occupational disease in health care providers. It can be followed by several complications. The aim of this study was to determine the cognitive determinants of hepatitis B (HB) vaccination Acceptability among nurses based on the Health Belief Model (HBM)…
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Journal Article
Anesthesia Related Complications of Gastrointestinal Endoscopies; A Retrospective Descriptive Study
BACKGROUND Gastrointestinal endoscopic procedures are widely used for diagnostic and therapeutic measures. Analgesia and sedation/anesthesia are inseparable parts of these studies and their related complications are inevitable. METHODS In a retrograde descriptive study in Shahid Beheshti Hospital…
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Journal Article
Esophageal Lichen Planus Stricture
Lichen planus is a dermatologic chronic inflammatory disease that usually involved the skin and mucosa. Esophageal lichen planus with stricture is rare presentation of this disease. It is usually associated with oral mucosal involvement and commonly presenting in middle-age female. In present case…
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Journal Article
Enhanced Th17 Responses in Patients with Autoimmune Hepatitis
BACKGROUND T cells are major players in chronic inflammatory diseases such as autoimmune hepatitis (AIH). However, it is not clear which subset of T cells participates in the pathophysiology of the disease. The aim of this study was to assess the expression profile of signature transcription factor…
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Journal Article
An Unusual Treatment for Massive and Refractory Bleeding after Endoscopic Retrograde Cholangiopancreatography
A 52-year-old woman with a history of laparoscopic cholecystectomy within the past 2 weeks, presented to the emergency department with abdominal pain and icter from 2 days earlier. She complained of an epigastric pain with radiation to the back, which was aggravated after taking a meal and did not…
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Journal Article
The Effect of Hemostasis Powder® on Treatment of Bleeding from Benign Ulcers of Upper Gastrointestinal Tract; A Pilot Study
BACKGROUND Gastrointestinal (GI) bleeding is one of the most prevalent internal medical emergencies. Despite using several methods of treatment, effective treatment cannot be achieved in some patients. Hemostasis powder® is a mineral-herbal product. This emulsion was able to coagulate blood in, in…
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Journal Article
Primary Anorectal Amelanotic Melanoma: The First Case Report from Saudi Arabia
Anorectal melanomas are exceptionally uncommon and only 30% of anorectal melanomas are amelanotic. We report here a case of an anorectal amelanotic melanoma in a female patient. An 84-year-old patient complained of anal mass for 3 months. On examination, there was a 7.0 cm mass prolapsing through…
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Journal Article
Clinical Outcomes of Modified versus Traditional Technique for the Surgery of Hydatid Cyst of the Liver: A Case Control Study
BACKGROUND Echinococcus granulosis is a parasitic infection most commonly involving the liver. Iran is a hyperendemic area for this disease according to WHO. Despite improvements in medical and interventional radiological techniques, surgery remains the gold standard of treatment; however evidence…
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Journal Article
Esophageal Pharmacobezoar in a Patient with Achalasia: A Case Report
A few cases with esophageal bezoar have been reported in achalasia. We describe here a rare case of esophageal pharmacobezoar after ingestion of ferrous sulfate capsules in a patient with achalasia. A 29-year-old woman presented with severe dysphagia since five days earlier. She had history of…
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Journal Article
Clinical and Pathological Features of Ulcerative Colitis in Patients with and without Clostridium Difficile Infection; An Observational Study
BACKGROUND A dramatic rise in the rate of clostridium difficile infection (CDI) in patients with inflammatory bowel disease (IBD) has been reported in recent years. METHODS In this observational case control study, 65 patients ulcerative colitis (UC) with flare up were included and were divided…
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Journal Article
An Increased Level of Aryl Hydrocarbon Receptor in Patients with Pancreatic Cancer
BACKGROUND Aryl-carbon receptor (AhR), a ligand-activated transcription factor, is best known for its ability to mediate the effects of environmental toxins such as 2,3,7,8-tetrachlorodibenzo-p-dioxin. AhR is expressed in several tumor cells and regulates the expression of genes in the signal…
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Journal Article
An Unusual Cause of Upper Gastrointestinal Tract Obstruction
A 79-year-old man presented to emergency department with the complaint of abdominal pain and vomiting since two days earlier. He had no history of abdominal pain or gastrointestinal disease. On physical examination, he was dehydrated and a significant distension was noted in the upper abdomen…
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Journal Article
A Two-Step Approach for Diagnosing Glutamate Dehydrogenase Genes by Conventional Polymerase Chain Reaction from Clostridium difficile Isolates
BACKGROUND Clostridium difficile is the major causative agent of nosocomial antibiotic-associated colitis. The gold standard for C. difficile detection is stool culture followed by cytotoxic assay, although it is laborious and time-consuming. We developed a screening test based on a two-step…