Necrotizing granulomatous gastritis and gastric perforation of unknown etiology: a first case report.


:A unique case of granulomatous gastritis of unknown etiology is reported. The patient, a 43-year-old Haitian woman, suffered a gastric perforation from a disease process limited to the stomach. The stomach was markedly enlarged and edematous with transmural, serpiginous granulomatous tracks throughout the gastric wall, but most numerous in the fundic region. Accompanying acute and chronic inflammatory infiltrates were scant. No microorganisms, parasites, foreign body particles, or other known granulogenic materials could be identified. Clinical and pathologic features also differed markedly from granulomatous gastritis seen in sarcoidosis, Crohn's disease, or isolated granulomatous gastritis as defined by Fahmi et al. Infection by a parasite for which man is not the definitive host seems the most likely etiology.


J Clin Gastroenterol


Compton CC,Von Lichtenberg F




Has Abstract


1983-02-01 00:00:00












  • Duodenal ulceration into the cystic artery with massive hemorrhage.

    abstract::This is a case presentation of a unique cause of intestinal bleeding. A duodenal ulcer eroded into the superficial branch of the cystic artery, causing massive intestinal hemorrhage. The patient, a 76-year-old woman, presented with left upper abdominal and left back pain secondary to cystic lesions in the pancreas bod...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审


    authors: Iwamura T,Uchino R,Oshikata S,Shimozono T,Kubota E,Toyoda K

    更新日期:1999-03-01 00:00:00

  • Unilateral Versus Bilateral Lung Transplantation: Do Different Esophageal Risk Factors Predict Chronic Allograft Failure?

    abstract:GOALS:To assess the effect of unilateral versus bilateral lung transplantation (LTx) on esophageal motility and gastroesophageal reflux, and the association with the development of obstructive chronic lung allograft dysfunction (o-CLAD). BACKGROUND:We have shown that esophagogastric junction outflow obstruction, incom...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Tangaroonsanti A,Lee AS,Vela MF,Crowell MD,Erasmus D,Keller C,Mallea J,Alvarez F,Almansa C,DeVault KR,Houghton LA

    更新日期:2019-04-01 00:00:00

  • Rapid growth of untreated esophageal squamous-cell carcinoma in 10 patients.

    abstract::We documented the natural history of esophageal carcinoma and its rapid growth by measuring the change in tumor diameter radiographically in 10 patients during an observation period because the diagnosis had been missed. Nine men and one woman (age range, 48-74 years; mean, 60 years) were included in the study. Eight ...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Haruma K,Tokutomi T,Yoshihara M,Sumii K,Kajiyama G

    更新日期:1991-04-01 00:00:00

  • Probiotics in critically ill patients.

    abstract::Severe sepsis with associated multisystem organ dysfunction is a leading cause of death in patients hospitalized in intensive care units. The gastrointestinal system plays a key role in the pathogenesis of multisystem organ dysfunction owing to a breakdown of intestinal barrier function and increased translocation of ...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审


    authors: Madsen K

    更新日期:2008-09-01 00:00:00

  • Efficacy of low-dose antacids in the treatment of peptic ulcers: pharmacological explanation?

    abstract::Antacids have been used as remedies for benign gastroduodenal disorders for centuries. They were regarded to be effective in relieving gastric pain and symptoms of hyperacidity and in promoting ulcer healing. The effectiveness was based on empiric observations and was not derived from the controlled clinical trials da...

    journal_title:Journal of clinical gastroenterology

    pub_type: 临床试验,杂志文章,meta分析


    authors: Sewing KF

    更新日期:1991-01-01 00:00:00

  • Assessment of the capability of a gelling complex made of tara gum and the exopolysaccharides produced by the microorganism Streptococcus thermophilus ST10 to prospectively restore the gut physiological barrier: a pilot study.

    abstract:BACKGROUND:Leaky gut, or intestinal permeability, is the phenomenon of the gut wall exhibiting increased absorbency. It is pretty well recognised that an altered or damaged bowel lining or gut wall may result from unbalanced diet, parasites, infection, or medications and that this allows substances such as toxins, micr...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,随机对照试验


    authors: Del Piano M,Balzarini M,Carmagnola S,Pagliarulo M,Tari R,Nicola S,Deidda F,Pane M

    更新日期:2014-11-01 00:00:00

  • Cytomegalovirus-associated perianal ulcerations in AIDS.

    abstract::We report two patients with the acquired immune deficiency syndrome and cytomegalovirus associated perianal ulcerations. Both complained of chronic, painful, nonhealing ulcers that required surgical intervention for diagnosis and palliation. One patient developed diffuse cytomegalovirus infection and both had poor res...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Kamel PL

    更新日期:1992-03-01 00:00:00

  • Younger hepatocellular carcinoma patients have better prognosis after percutaneous radiofrequency ablation therapy.

    abstract:GOALS:To evaluate the impact of age on the prognosis of patients with hepatocellular carcinoma (HCC) undergoing percutaneous radiofrequency ablation (RFA). BACKGROUND:Whether age plays an important role in the outcomes of HCC after RFA remains controversial. STUDY:Two hundred fifty-eight consecutive treatment naive H...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Kao WY,Chiou YY,Hung HH,Su CW,Chou YH,Huo TI,Huang YH,Wu WC,Lin HC,Lee SD,Wu JC

    更新日期:2012-01-01 00:00:00

  • Prophylactic placement of gastrostomy feeding tubes before radiotherapy in patients with head and neck cancer: is it worthwhile?

    abstract:BACKGROUND:After radiation treatment of head and neck cancer, placement of gastrostomy feeding tubes can be technically difficult. The practice of placing tubes before treatment is probably justified if the tube is used for more than 4 weeks and if complications are infrequent. The aim of this study was to determine th...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Scolapio JS,Spangler PR,Romano MM,McLaughlin MP,Salassa JR

    更新日期:2001-09-01 00:00:00

  • Massive bleeding from multiple gastric ulcerations in a patient with lymphocytic gastritis and celiac sprue.

    abstract::Uncontrolled hemorrhage and multisystem organ failure developed in a patient with celiac sprue, lymphocytic gastritis, and diffuse gastric ulceration. A proximal small bowel biopsy showed villous atrophy and lymphoplasmacytic infiltration consistent with celiac sprue. At autopsy, there were no gross or histologic find...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Weiss AA,Yoshida EM,Poulin M,Gascoyne RD,Owen DA

    更新日期:1997-07-01 00:00:00

  • Assessment of Gastric Emptying Times Between Pediatrics and Adults With Cyclic Vomiting Syndrome.

    abstract:BACKGROUND & AIMS:Cyclic vomiting syndrome (CVS) is characterized by episodes of nausea and vomiting separated by symptom-free intervals. Rome IV guidelines have now distinguished CVS from other disorders such as cannabinoid hyperemesis. The pathogenesis of CVS, however, is poorly understood. Limited data exist on gast...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Kamal A,Sarvepalli S,Selvakumar P,Lopez R,Radhakrishnan K,Gabbard S

    更新日期:2020-10-01 00:00:00

  • Patients with sporadic colorectal cancer or advanced adenomatous polyp have elevated anti-JC virus antibody titer in comparison with healthy controls: a cross-sectional study.

    abstract:OBJECTIVE:JC virus (JCV) is thought to infect approximately 80% of the human population. Antibodies against JCV can be found in the sera of many people with and without colorectal carcinoma (CRC). We hypothesized that JCV antibody titer will be higher in CRC patients than in healthy controls. AIM:To evaluate this hypo...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Niv Y,Vilkin A,Levi Z

    更新日期:2010-08-01 00:00:00

  • Esophagorespiratory Fistulas: Survival and Outcomes of Treatment.

    abstract:GOAL:The purpose of this study was to characterize outcomes of esophagorespiratory fistulas (ERF) by etiology and initial treatment strategy. BACKGROUND:ERF is a morbid condition for which optimal treatment strategies and outcomes are still in evolution. STUDY:Medical records and images were reviewed for all patients...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Lenz CJ,Bick BL,Katzka D,Nichols FC,Depew ZS,Wong Kee Song LM,Baron TH,Buttar NS,Maldonado F,Enders FT,Harmsen WS,Dierkhising RA,Topazian MD

    更新日期:2018-02-01 00:00:00

  • Abdominal Obesity is More Predictive of Advanced Colorectal Neoplasia Risk Than Overall Obesity in Men: A Cross-sectional Study.

    abstract:GOALS:We aimed to ascertain whether waist circumference (WC) is associated with risk of colorectal neoplasia (CRN), independent of body mass index (BMI). BACKGROUND:Although several studies have reported the association between abdominal obesity, measured by WC, and CRN, it remains unclear whether their association is...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Kim NH,Jung YS,Park JH,Park DI,Sohn CI

    更新日期:2019-08-01 00:00:00

  • Predictive factors for metachronous recurrence of early gastric cancer after endoscopic treatment.

    abstract::Since endoscopic treatment has been evaluated and become established as treatment for early gastric cancer, metachronous recurrence has become a major problem. In this report, predictive factors for recurrence were studied using the Kaplan-Meier method and Cox's proportional hazards regression model in 76 patients who...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Arima N,Adachi K,Katsube T,Amano K,Ishihara S,Watanabe M,Kinoshita Y

    更新日期:1999-07-01 00:00:00

  • "Healed" experimental gastric ulcers remain histologically and ultrastructurally abnormal.

    abstract::The present study was designed to assess histologic and ultrastructural features of gastric mucosa in the areas of grossly healed ulcers (acetic acid-induced gastric ulcers) in rats. The specific question we studied was whether the structure and cellular composition of the gastric mucosa in an area of grossly healed u...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Tarnawski A,Hollander D,Krause WJ,Dabros W,Stachura J,Gergely H

    更新日期:1990-01-01 00:00:00

  • The classification of digestive problems into "organic" and "functional" should not be abandoned: a surgical point of view.

    abstract::To avoid the two pitfalls of medicine, it is essential to maintain the distinction between "functional disorders" and "organic diseases." Medicalization consists in forgetting the suffering of a patient and focusing on a sick organ. This is incorrect scientifically, because it dismisses the complexity of science by de...

    journal_title:Journal of clinical gastroenterology

    pub_type: 评论,杂志文章


    authors: Devroede G

    更新日期:1991-10-01 00:00:00

  • Fibrinous pericarditis in alcoholic liver disease.

    abstract::The autopsy data at the University of Southern California Liver Unit was studied during a 6-year period to investigate the relationship of fibrinous pericarditis with liver diseases. We found 18 cases of fibrinous pericarditis in 220 patients with alcoholic liver disease but none in 32 patients with fulminant and suba...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Yang SS,Kanel G

    更新日期:1989-02-01 00:00:00

  • Androgenic/Anabolic steroid-induced toxic hepatitis.

    abstract::Athletes and bodybuilders often misuse androgenic/anabolic steroids. When used in therapeutic doses, these drugs produce clinical jaundice in just a small number of recipients. We present a 26-year-old male bodybuilder who self-administered high doses of androgenic/anabolic steroids that induced liver damage. One mont...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Stimac D,Milić S,Dintinjana RD,Kovac D,Ristić S

    更新日期:2002-10-01 00:00:00

  • Irritable bowel syndrome subtypes defined by Rome II and Rome III criteria are similar.

    abstract:BACKGROUND:The implications of the Rome III recommendations to change the irritable bowel syndrome (IBS) subtype criteria for stool pattern are unknown. AIM:(1) Determine the level of agreement between Rome II and Rome III subtypes and (2) compare the behaviors of Rome II and Rome III subtypes over time. METHODS:Fema...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Dorn SD,Morris CB,Hu Y,Toner BB,Diamant N,Whitehead WE,Bangdiwala SI,Drossman DA

    更新日期:2009-03-01 00:00:00

  • Predictors for Celiac Disease in Adult Cases of Duodenal Intraepithelial Lymphocytosis.

    abstract:BACKGROUND:Duodenal intraepithelial lymphocytosis (D-IEL) is an early marker for celiac disease (CD). However, the majority of cases are due to non-CD-related conditions. GOALS:To identify the predictors of CD when presented with D-IEL. METHODS:A total of 215 adult patients with D-IEL had undergone prospective and sy...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Aziz I,Key T,Goodwin JG,Sanders DS

    更新日期:2015-07-01 00:00:00

  • Diverticular Disease and Colorectal Cancer: Incidental Diagnosis or Real Association? Final Answer.

    abstract::Associations between diverticular disease of the colon and the colorectal cancer has been studied for >60 years. Observational, cross-sectional, and case-control studies as well as large population-based studies gave conflicting results and association was not fully proven. Obtaining the proof was difficult because bo...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Regula J

    更新日期:2016-10-01 00:00:00

  • Comparison of distribution of intraesophageal pH during nighttime recumbency among patients with gastroesophageal reflux disease.

    abstract:BACKGROUND:Nighttime reflux has been demonstrated to be associated with a more aggressive presentation of gastroesophageal reflux disease (GERD). However, it has remained unknown until now if the difference in nighttime reflux between the different GERD groups is related to the distribution of intraesophageal pH level ...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Hershcovici T,Jha LK,Fass R

    更新日期:2012-08-01 00:00:00

  • Inadequate Bowel Cleansing Efficacy of Split-dose Polyethylene Glycol for Colonoscopy in Type 2 Diabetic Patients: A Prospective and Blinded Study.

    abstract:BACKGROUND/AIMS:Split-dose polyethylene glycol (PEG) is considered a standard bowel preparation regimen for colonoscopy in the general population. However, it is not clear whether the regimen is optimal for colonoscopy in diabetic patients. The aim of this study was to compare the efficacy and tolerability of split-dos...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,随机对照试验


    authors: Kim YH,Seo EH,Lee JS,Lee SH,Park HS,Choi SH,Park JY,Lee CW

    更新日期:2017-03-01 00:00:00

  • Granular cell myoblastoma of the esophagus.

    abstract::Granular cell myoblastoma, a rare, but generally benign tumor, is being encountered with increasing frequency in the digestive tract. Seventy-two cases have been described in the esophagus; we report two additional cases. A follow-up, available in 13 patients (including ours), reveals a low likelihood of malignant tra...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Subramanyam K,Shannon CR,Patterson M,Davis M,Gourley WK

    更新日期:1984-04-01 00:00:00

  • Fulminant hepatic failure with massive necrosis as a result of hepatitis A infection.

    abstract::Fulminant hepatic failure as a result of hepatitis A is a rarely diagnosed complication entity in developed countries. With the advent of specific serologic markers for acute hepatitis A virus infection, the incidence and pathology of fulminant hepatitis A can be more clearly defined. We describe four patients (one ad...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Masada CT,Shaw BW Jr,Zetterman RK,Kaufman SS,Markin RS

    更新日期:1993-09-01 00:00:00

  • Drug-induced QT prolongation in cirrhotic patients with transjugular intrahepatic portosystemic shunt.

    abstract:GOALS AND BACKGROUND:Nearly 40% of cytochrome P450 3A (CYP3A) activity is located in the small intestine. An earlier study has shown that cirrhotics with transjugular intrahepatic portosystemic shunts (TIPS) have diminished intestinal CYP3A activity. We hypothesized that oral CYP3A substrates known to prolong QT interv...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Vuppalanchi R,Juluri R,Ghabril M,Kim S,Thong N,Gorski JC,Chalasani N,Hall SD

    更新日期:2011-08-01 00:00:00

  • Outcomes After Conservative, Endoscopic, and Surgical Treatment of Groove Pancreatitis: A Systematic Review.

    abstract:BACKGROUND:Groove pancreatitis (GP) is a focal form of chronic pancreatitis affecting the paraduodenal groove area, for which consensus on diagnosis and management is lacking. GOALS:We performed a systematic review of the literature to determine patient characteristics and imaging features of GP and to evaluate clinic...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审


    authors: Kager LM,Lekkerkerker SJ,Arvanitakis M,Delhaye M,Fockens P,Boermeester MA,van Hooft JE,Besselink MG

    更新日期:2017-09-01 00:00:00

  • Endoscopic diagnosis of duodenal neoplasms causing upper gastrointestinal bleeding.

    abstract::Duodenal neoplasms are a rare and not often considered cause of massive upper gastrointestinal bleeding. During a 4-year period, 859 endoscopies in patients with upper gastrointestinal bleeding revealed a duodenal tumor to be the cause of bleeding in eight patients. Three patients had a primary duodenal neoplasm, two ...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章


    authors: Sharon P,Stalnikovicz R,Rachmilewitz D

    更新日期:1982-02-01 00:00:00

  • Role of Interventional Radiology in Complications of Portal Hypertension.

    abstract::Portal hypertension, a consequence of end-stage liver disease and liver cirrhosis can lead to significant morbidity and mortality for patients through abnormal fluid accumulation as well as the formation of portosystemic shunts and varices. Treatment of the sequelae of portal hypertension can be achieved through endov...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审


    authors: Shreve L,Lee EW

    更新日期:2019-05-01 00:00:00