Journal of clinical gastroenterology
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J. Clin. Gastroenterol. · Apr 1992
Case ReportsProstate cancer metastatic to the stomach. Clinical aspects and endoscopic diagnosis.
Although prostate carcinoma is the most common malignancy in males, it rarely involves the gastrointestinal (GI) tract. We report the first case of endoscopically diagnosed prostate carcinoma metastatic to the stomach in an 88-year-old man whose heralding symptoms were nausea, vomiting, and epigastric pain. The initial diagnosis was not suggested at presentation, but an upper endoscopy and biopsy suggested adenocarcinoma of uncertain primary site subsequently confirmed to be of prostatic origin by immunohistochemical staining. We review the clinical aspects and endoscopic diagnosis of this condition.
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J. Clin. Gastroenterol. · Jan 1992
Case ReportsConcurrent superficial squamous cell carcinoma of the esophagus and early gastric adenocarcinoma. Report of a case.
We report a patient with concurrent superficial carcinomas of the esophagus and stomach. The tumors occurred in a 68-year-old woman. ⋯ This is the first reported case of associated superficial esophageal and gastric cancers originating from a Western country. Such an association may be more frequent than realized, and therefore it is important to examine both the stomach and esophagus if a patient has one of these tumors.
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J. Clin. Gastroenterol. · Jan 1992
Case ReportsSengstaken-Blakemore tube for control of massive bleeding from gastric varices in hiatal hernia.
Hemorrhage from varices in a hiatal hernia sac was controlled by a Sengstaken-Blakemore tube. There is little data available regarding the safety and effectiveness of balloon tamponade in patients with hiatal hernia. Therefore we review the available literature and discuss balloon tamponade in patients with a hiatal hernia.
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Colonic volvulus has been a rarely reported complication of celiac sprue. We describe two patients with long-standing celiac sprue, one in whom a recurrent sigmoid volvulus developed, and in the other, a cecal volvulus. Following surgery, both are now asymptomatic on a gluten-free diet. ⋯ A motility disorder in celiac sprue has also been proposed. Thus these factors together would suggest that the likelihood of development of colonic volvulus in celiac sprue would be relatively great. The possibility of underlying celiac sprue should be considered in patients with colonic volvulus who have a background history of recurrent abdominal distention or malabsorptive symptoms.