A Rare Cause of Melena With an Unusual Finding on Gastroscopy

Tomouk, Taj; Kusumawidjaja, Daniel; Libzo, Nafen

doi:10.1016/j.cgh.2015.05.024

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…Patients meeting the following inclusion criteria were eligible to participate: subjects voluntarily signed the informed consent for the clinical observation; Subject had a digital score of persistent pain (≥4) and (or) number of breakthrough cancer pain (≥3 times per day) originated from cancer, regardless of distant metastasis; pain is mainly caused by physical factors, not mental and psychological factors; subjects or caregivers can use Wechat skillfully. We defined breakthrough cancer pain as “a transient exacerbation of pain that occurs either spontaneously, or in relation to a specific predictable or unpredictable trigger, despite relatively stable and adequately controlled background pain” [ 13 ]. Patients were excluded if they met the following exclusion criteria: had a history of alcohol abuse, drug or opium abuse; new anti-cancer drugs or new radiotherapy schemes were used during clinical observation; cognitive deficits or mental disorders, or consciousness disorders; pregnancy or lactation; morphine-related contraindications; patients with unstable vital signs; patients participating in another interventional clinical study.…”

Section: Methodsmentioning

confidence: 99%

WeChat app-based reinforced education improves the quality of opioid titration treatment of cancer-related pain in outpatients: a randomized control study

Peng

Chen

et al. 2020

BMC Cancer

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Background: As inadequate pain communication contributes to difficulties in optimizing outcomes of outpatients, we investigated the effect of reinforced education using WeChat App to the opioid titration treatment of cancerrelated pain in the outpatient setting. Methods: We conducted a prospective study to compare reinforced education using Wechat with care as usual from February to December 2019. Patients in the reinforced education group received reinforced education via Wechat, while those in the control group received care as usual. Effect measurements for both groups are carried out with questionnaires at the baseline and 3 days later. Questionnaires include pain intensity (NRS), treatmentrelated adverse events, cancer-related quality of life (QOL), sleep (PSQI), satisfaction, anxiety (GAD-7) and depression (PHQ-9). Number of patients whose NRS reduced to less than three points in 24 h was the primary outcomes. Secondary outcomes included treatment-related adverse events, cancer-related quality of life, sleep, satisfaction, anxiety and depression. Results: Although there was no significant difference regarding pain intensity (NRS) between the two groups at 72 h, the rate of NRS that reduced to less than three points in 24 h was significantly higher in the Wechat group than in the control group. Patients' satisfaction was significantly higher in the Wechat group than in the control group. There was no significant difference between the two groups regarding the other findings at 72 h, including pain intensity (NRS), cancer-related quality of life (QOL), anxiety (GAD-7), depression (PHQ-9), and sleep (PSQI). However, no significant difference was found between the two groups for constipation, nausea, vomiting, dizziness, somnolence, pruritus, loss of consciousness, and death.

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Section: Methodsmentioning

confidence: 99%

WeChat app-based reinforced education improves the quality of opioid titration treatment of cancer-related pain in outpatients: a randomized control study

Peng

Chen

et al. 2020

BMC Cancer

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“…Затрудняет эндоскопическую диагностику и труднодоступная локализация, в частности в горизонтальной (нижней) или восходящей части двенадцатиперстной кишки либо дистальнее связки Трейтца [6]. При подозрении на аорто-дигестивную фистулу из-за высокой угрозы профузного кровотечения следует отказаться от биопсии [28].…”

Section: клиника и диагностикаunclassified

Aorto-digestive fistula: a rare cause of gastrointestinal bleeding

Belov¹,

Garbuzenko²,

Andrievskikh³

et al. 2021

PKiK

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Aorto-digestive fistulas are a rare but extremely dangerous cause of massive gastrointestinal bleeding with a high risk of death. The aim of the review was to examine the modern principles of aorto-digestive fistula diagnosis and optimal treatment modalities.Scientific publications and their reference lists were searched on PubMed database, Google Scholar and Russian Science Citation Index. Articles relevant to the topic, published over the past 25 years (1996-2021), were included and they were searched and categorised using the following key words: ‘gastrointestinal bleeding’, ‘aorto-digestive fistulas’, ‘diagnosis’ and ‘treatment’. Inclusion criteria were limited to gastrointestinal bleeding associated with aorto-digestive fistulas.Patients with aortic aneurysms or those who have undergone prosthetics should have increased alertness regarding the formation of aorto-digestive fistulas. With a presence of gastrointestinal bleeding and exclusion of other sources based on multispiral computed tomography data with intravenous bolus contrast enhancement, this will allow for quick verification of the diagnosis and also enable timely medical measures to be taken. In an emergency situation, to achieve rapid hemostasis in unstable patients, endovascular aortic replacement is most justified. Open reconstruction of the aorta in situ with simultaneous elimination of the hollow organ defect and sanitation of fistula-associated foci of infection should be considered as a radical intervention for aorto-digestive fistulas.Received 19 May 2021. Revised 7 July 2021. Accepted 9 July 2021.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.Contribution of the authors: The authors contributed equally to this article.

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A Rare Cause of Melena With an Unusual Finding on Gastroscopy

Cited by 2 publications

References 2 publications

WeChat app-based reinforced education improves the quality of opioid titration treatment of cancer-related pain in outpatients: a randomized control study

WeChat app-based reinforced education improves the quality of opioid titration treatment of cancer-related pain in outpatients: a randomized control study

Aorto-digestive fistula: a rare cause of gastrointestinal bleeding

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