World journal of gastroenterology : WJG
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World J. Gastroenterol. · Sep 2009
Case ReportsMuscle hematoma: a critically important complication of alcoholic liver cirrhosis.
An iliopsoas hematoma can occur either spontaneously or secondary to trauma or bleeding tendency due to hemophilia and anticoagulant therapy. Although liver cirrhosis is commonly associated with coagulopathy, iliopsoas hematoma is very rare. We herein, present a case of bilateral iliopsoas hematoma in a patient with alcoholic cirrhosis, and review the literature on muscle hematoma associated with cirrhosis. ⋯ The mortality rate was 75% despite early diagnosis and low risk scores for cirrhosis. Muscle hematoma in patients with cirrhosis is closely related to alcoholism, and the mortality rate of the condition is extremely high. In conclusion, muscle hematoma should be recognized as an important complication of cirrhosis.
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World J. Gastroenterol. · Sep 2009
Papers featured in the World Journal of Gastroenterology from 2006 to 2007.
To analyze papers published in the World Journal of Gastroenterology (WJG) from 2006 to 2007. We investigated the highly cited papers for geographic distribution of the cited authors, as well as the distribution of the citing journals and year of citation. ⋯ The papers in WJG have a high number of citations, and have been cited in numerous journals by authors from various countries. The results imply that WJG has an influential academic profile in gastroenterology around the world.
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World J. Gastroenterol. · Sep 2009
ReviewBlood glucose control in patients with severe sepsis and septic shock.
The main pathophysiological feature of sepsis is the uncontrollable activation of both pro- and anti-inflammatory responses arising from the overwhelming production of mediators such as pro- and anti-inflammatory cytokines. Such an uncontrollable inflammatory response would cause many kinds of metabolic derangements. One such metabolic derangement is hyperglycemia. ⋯ Also specific targeting of glycemic control in diabetic patients should be considered. Since there is a significant correlation between success rate of glycemic control and the degree of hypercytokinemia in septic patients, some countermeasures to hypercytokinemia may be an important aspect of successful glycemic control. Thus, in future, use of an artificial pancreas to avoid hypoglycemia during insulin therapy, special consideration of septic diabetic patients, and control of hypercytokinemia should be considered for more effective glycemic control in patients with severe sepsis and septic shock.