http://www.saudijgastro.com/currentissue.asp Table of Contents:Saudi J Gastroenterol 2010 - 16(3) Saudi Journal of Gastroenterology Medknow Publications1319-3767 Kok-Ann Gwee Uday C Ghoshal Editorial Saudi Journal of Gastroenterology 2010 16(3):143-144doi:10.4103/1319-3767.65178 Saudi Journal of Gastroenterology 10.4103/1319-3767.65178 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=143;epage=144;aulast=Gwee http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=143;epage=144;aulast=Gwee163 143 144 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=143;epage=144;aulast=Gwee Kok-Ann Gwee, Uday C Ghoshal

Saudi Journal of Gastroenterology 2010 16(3):143-144

]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=143;epage=144;aulast=Gwee Waleed K Al-hamoudi Review Article Saudi Journal of Gastroenterology 2010 16(3):145-153doi:10.4103/1319-3767.65181 Saudi Journal of Gastroenterology 10.4103/1319-3767.65181 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=145;epage=153;aulast=Al-hamoudi http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=145;epage=153;aulast=Al-hamoudi163 145 153 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=145;epage=153;aulast=Al-hamoudi Waleed K Al-hamoudi

Saudi Journal of Gastroenterology 2010 16(3):145-153

Liver cirrhosis is associated with a wide range of cardiovascular abnormalities including hyperdynamic circulation, cirrhotic cardiomyopathy, and pulmonary vascular abnormalities. The pathogenic mechanisms of these cardiovascular changes are multifactorial and include neurohumoral and vascular dysregulations. Accumulating evidence suggests that cirrhosis-related cardiovascular abnormalities play a major role in the pathogenesis of multiple life-threatening complications including hepatorenal syndrome, ascites, spontaneous bacterial peritonitis, gastroesophageal varices, and hepatopulmonary syndrome. Treatment targeting the circulatory dysfunction in these patients may improve the short-term prognosis while awaiting liver transplantation. Careful fluid management in the immediate post-transplant period is extremely important to avoid cardiac-related complications. Liver transplantation results in correction of portal hypertension and reversal of all the pathophysiological mechanisms that lead to the cardiovascular abnormalities, resulting in restoration of a normal circulation. The following is a review of the pathogenesis and clinical implications of the cardiovascular changes in cirrhosis.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=145;epage=153;aulast=Al-hamoudi Majid Sorouri Mohammad A Pourhoseingholi Mohsen Vahedi Azadeh Safaee Bijan Moghimi-Dehkordi Asma Pourhoseingholi Manijeh Habibi Mohammad R Zali Original Article Saudi Journal of Gastroenterology 2010 16(3):154-160doi:10.4103/1319-3767.65183 Saudi Journal of Gastroenterology 10.4103/1319-3767.65183 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=154;epage=160;aulast=Sorouri http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=154;epage=160;aulast=Sorouri163 154 160 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=154;epage=160;aulast=Sorouri Majid Sorouri, Mohammad A Pourhoseingholi, Mohsen Vahedi, Azadeh Safaee, Bijan Moghimi-Dehkordi, Asma Pourhoseingholi, Manijeh Habibi, Mohammad R Zali

Saudi Journal of Gastroenterology 2010 16(3):154-160

Background/Aim: To study the prevalence and risk factors of functional bowel disorders (FBD) in Iranian community using Rome III criteria. Materials and Methods: This study was a cross-sectional household survey conducted from May 2006 to December 2007 in Tehran province, Iran, including 18,180 participants who were selected randomly and interviewed face-to-face by a validated questionnaire based on Rome III criteria. Results: In all, 1.1% met the Rome III criteria for irritable bowel syndrome (IBS), 2.4% for functional constipation (FC), and 10.9% of the participants had any type of FBD. Among participants with functional dyspepsia, 83.8% had FBD; the majority cases were unspecified functional bowel disorder (U-FBD). Of the subjects fulfilling the IBS criteria, IBS with constipation (52%) was the most frequent subtype. In the multivariate analysis, women had a higher risk of any FBDs than men, except for functional diarrhea (FD). The prevalence of FBD, FC and FD increased and IBS decreased with increasing age. Marital status was only associated with a decrease in the risk of FBD and FD, respectively. IBS subtypes compared with FC and FD. There was no significant difference between FC and IBS with constipation (IBS-C), except for self-reported constipation; while, IBS with diarrhea (IBS-D) had more symptoms than FD. Conclusion: This study revealed a low rate of FBDs among the urban population of Tehran province. The ROME III criteria itself, and the problems with interpretation of the data collection tool may have contributed in underestimating the prevalence of FBD. In addition the reliability of recall over 6 months in Rome III criteria is questionable for our population.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=154;epage=160;aulast=Sorouri Parul J Shukla Savio G Barreto Original Article Saudi Journal of Gastroenterology 2010 16(3):161-167doi:10.4103/1319-3767.65184 Saudi Journal of Gastroenterology 10.4103/1319-3767.65184 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=161;epage=167;aulast=Shukla http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=161;epage=167;aulast=Shukla163 161 167 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=161;epage=167;aulast=Shukla Parul J Shukla, Savio G Barreto

Saudi Journal of Gastroenterology 2010 16(3):161-167

Background /Aim: Complete surgical resection is associated with improved outcomes in gallbladder cancer. Whether the extra-hepatic bile duct (EHBD) should be routinely excised for gallbladder cancer is unclear. Objective: To analyze literature concerning EHBD excision to determine if it is associated with survival advantage and hence can be routinely recommended. Materials and Methods: A systematic search using Medline, Embase, and Cochrane Central Register of Controlled Trials for the years 1988-2008. Results: EHBD excision was reported to be performed routinely for T1-4 in some studies, while others reported resection to facilitate lymph node clearance or if the EHBD was grossly involved by disease that remained otherwise resectable. While one study demonstrated 100% survival in T1 disease, other reports do not demonstrate any survival benefit of EHBD excision in T1 disease. Four studies (level IV-V) demonstrated 60% to 90% five-year survival for routine excision in T2 disease, while three other studies demonstrated no survival advantage but increased morbidity due to the procedure. In T3/4 disease, one study (level IV-V) demonstrated a benefit in T4 disease only, and another study (level IV-V) reported a survival advantage in patients in whom the bile duct was not involved; five other studies showed no impact of routine EHBD excision on survival but reported morbidity following anastomotic leaks. Conclusions: Available evidence does not support routine resection of EHBD in gallbladder cancer. EHBD excision should be performed in the presence of specific indications, viz., to achieve an R0 resection of the primary tumor and/ or to aid complete lymph node dissection that would compromise the EHBD by devascularization.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=161;epage=167;aulast=Shukla Mohammad A Bhat Zahoor A Naikoo Tufail A Dass Riyaz A Lone Abdul M Dar Original Article Saudi Journal of Gastroenterology 2010 16(3):168-173doi:10.4103/1319-3767.65186 Saudi Journal of Gastroenterology 10.4103/1319-3767.65186 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=168;epage=173;aulast=Bhat http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=168;epage=173;aulast=Bhat163 168 173 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=168;epage=173;aulast=Bhat Mohammad A Bhat, Zahoor A Naikoo, Tufail A Dass, Riyaz A Lone, Abdul M Dar

Saudi Journal of Gastroenterology 2010 16(3):168-173

Background/Aim: Precise evaluation of lymph node status is one of the most important factors in determining clinical outcome in treating gastro-intestinal (GI) cancer. Sentinel lymph node (SLN) mapping clearly has become highly feasible and accurate in staging GI cancer. This study aims to investigate the feasibility and accuracy of detection of SLN using methylene blue dye in patients with carcinoma of the esophagus and assess its potential role in determining the rational extent of lymphadenectomy in esophageal cancer surgery. Materials and Methods: Thirty-two patients of esophageal cancer diagnosed on endoscopic biopsy were enrolled in this prospective study. After laparotomy, patent methylene blue was injected into the subserosal layer adjacent to the tumor. SLNs were defined as blue stained nodes within a period of 5 min. Standard radical esophagogastrectomy with lymphadenectomy was performed in all the patients. All the resected nodes were examined postoperatively by routine hematoxylin and eosin stain for elucidating the presence of metastasis, and the negative SLNs were examined further with cytokeratin immunohistochemical staining. Results: SLNs were detected in 26 (81.25%) patients out of 32 patients who were studied. The number of SLNs ranged from 1 to 4 with a mean value of 1.7 per case. The SLNs of esophageal cancer were only found in N1 area in 21 (80.77%) cases, and in N2 or N3 area in only 19.33%. The overall accuracy of the procedure was 75% in predicting nodal metastasis. SLN had a sensitivity of 85.71% in mid esophageal tumors and 93.33% in lower esophageal tumors. The SLN biopsy had sensitivity of 87.5% in the case of squamous cell carcinoma and 92.86% in the cases of adenocarcinoma of the esophagus. The accuracy of the procedure for squamous cell carcinoma and adenocarcinoma was 60% and 76.47%, respectively. Conclusion: SLN mapping is an accurate diagnostic procedure for detecting lymph node metastasis in patients with esophageal cancer and may indicate rational extent of lymphadenectomy in these patients. SLN mapping provides "right nodes" to the pathologists for detailed analysis and appropriate staging, thereby helping in individualizing the multi-modal treatment for esophageal cancer.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=168;epage=173;aulast=Bhat Jitendra D Vaghasiya Navin R Sheth Yagnik S Bhalodia Nurudin P Jivani Original Article Saudi Journal of Gastroenterology 2010 16(3):174-180doi:10.4103/1319-3767.65187 Saudi Journal of Gastroenterology 10.4103/1319-3767.65187 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=174;epage=180;aulast=Vaghasiya http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=174;epage=180;aulast=Vaghasiya163 174 180 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=174;epage=180;aulast=Vaghasiya Jitendra D Vaghasiya, Navin R Sheth, Yagnik S Bhalodia, Nurudin P Jivani

Saudi Journal of Gastroenterology 2010 16(3):174-180

Background/Aim: This study was designed to investigate the possible effect of exenatide (Glucagon like Peptide-1 receptor agonist) on liver injury (distant organ) induced by renal ischemia reperfusion (IR) in diabetic rats. Materials and Methods: In vivo renal IR was performed in both type 2 diabetic and normal rats. Each protocol comprised ischemia for 30 minutes followed by reperfusion for 24 hours and a treatment period of 14 days before induction of ischemia. Results: Lipid peroxidation, xanthine oxidase activity, myeloperoxidase activity and nitric oxide level in liver tissue were significantly increased (P < 0.01, P < 0.001, P < 0.001, P < 0.05, respectively), after IR in diabetic rats compared to normal rats. Antioxidant enzymes like glutathione, superoxide dismutase, catalase and glutathione peroxidase were significantly reduced (P < 0.05, P < 0.05, P < 0.01, P < 0.05, respectively), after IR in diabetic rats compared to normal rats. Exenatide treatment significantly normalized (P < 0.01), these biochemical parameters in treated rats compared to diabetic IR rats. Serum creatinine phosphokinase activity and liver function enzymes were also significantly normalized (P < 0.001, P < 0.001, respectively), after administration of exenatide. Conclusion: Exenatide exerted protective effect on exaggerated remote organ (liver) injury induced by renal IR in diabetes.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=174;epage=180;aulast=Vaghasiya Praveen Sharma Barjesh C Sharma Original Article Saudi Journal of Gastroenterology 2010 16(3):181-187doi:10.4103/1319-3767.65189 Saudi Journal of Gastroenterology 10.4103/1319-3767.65189 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=181;epage=187;aulast=Sharma http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=181;epage=187;aulast=Sharma163 181 187 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=181;epage=187;aulast=Sharma Praveen Sharma, Barjesh C Sharma

Saudi Journal of Gastroenterology 2010 16(3):181-187

Background/Aim: Minimal hepatic encephalopathy (MHE) impairs patient's daily functioning of life. Predictors of MHE in cirrhotic patients have not been evaluated. Patients and Methods: A total of 200 cirrhotic patients (Child A, 74 [37%]; Child B, 72 [36%]; Child C, 54 [27%]) were evaluated by psychometry, P300 auditory event-related potential (P300ERP) and critical flicker frequency (CFF). MHE was diagnosed by abnormal psychometry (>2 S.D.) and P300ERP (>2.5 S.D.). Univariate and multivariate logistic regression analyses were performed to determine the predictors of MHE. Results: Eighty-two (41%) patients were diagnosed to have MHE - 26/74 (35%) in Child A, 26/72 (36%) in Child B and 30/54 (56%) in Child C. Ninety-seven (48.5%) patients had abnormal psychometric tests, and 96 (48%) had prolonged P300ERP (>358 ms). Sixteen (16.5%) patients with abnormal psychometry had P300ERP < 358 ms, and 15 (14.5%) patients with normal psychometry results had P300ERP > 358 ms. One hundred and three patients had CFF value < 39 Hz with specificity of 86.6% and sensitivity of 72.9% for MHE. Model for end-stage liver disease (MELD) (17.9 ± 5.7 vs. 13.4 ± 4.2, P = 0.005), Child-Turcotte-Pugh (CTP) score (8.4 ± 2.5 vs. 7.7 ± 2.2, P = 0.02), ammonia (104.8 ± 37.9 vs. 72.5 ± 45.2 μmol/L, P = 0.001) and CFF (37.0 ± 2.8 vs. 41.0 ± 3.4 Hz, P = 0.001) were significantly higher in MHE as compared to non-MHE patients. Ninety-one (45.5%) patients had MELD > 15.5, 115 (57.5%) had CTP score > 7.5, while 93 (46.5%) had venous ammonia > 84.5 μmol/L. On univariate analysis, MELD (8.52 [95% CI, 4.46-16.26; P = 0.001]), CFF (17.34 [95% CI, 8.16-36.85; P = 0.001]) and venous ammonia (7.80 [95% CI, 4.11-14.81; P = 0.003]) were associated with MHE; while CTP score (1.51 [95% CI, 0.85-2.69; P = 0.30]) was not significant. On multivariate analysis, MELD, CFF and venous ammonia were predictive of MHE. Conclusion: Prevalence of MHE in this study was 41%; and MELD > 15.5, CFF < 39 Hz and venous ammonia > 84.5 μmol/L were predictive of MHE.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=181;epage=187;aulast=Sharma Saleh A Al-Enezi Saqer A Alsurayei Ali E Ismail Nasser Yehia A Aly Waleed A Ismail Amany A Abou-Bakr Original Article Saudi Journal of Gastroenterology 2010 16(3):188-193doi:10.4103/1319-3767.65194 Saudi Journal of Gastroenterology 10.4103/1319-3767.65194 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=188;epage=193;aulast=Al-Enezi http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=188;epage=193;aulast=Al-Enezi163 188 193 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=188;epage=193;aulast=Al-Enezi Saleh A Al-Enezi, Saqer A Alsurayei, Ali E Ismail, Nasser Yehia A Aly, Waleed A Ismail, Amany A Abou-Bakr

Saudi Journal of Gastroenterology 2010 16(3):188-193

Background/Aim: Adenomatous colorectal polyps (ACPs) are known to be the precursor lesions for colorectal cancer. The aim of the study was to determine the prevalence, endoscopic and pathological features of ACPs in patients referred for colonoscopy. Patients and Methods: The endoscopic and histological reports of adult patients who underwent complete colonoscopy in the gastroenterology unit of a regional Kuwaiti hospital between January 2008 and December 2008 were retrospectively studied. The specimens of polyps were reviewed by an experienced pathologist who was blinded to the clinical or endoscopic information. Non-neoplastic polyps were not included in the analysis. Results: Of 530 eligible patients (mean age, 45 years; male-female ratio, 2:1), 54 (10%) had 103 ACPs. Of the patients with ACPs (mean age, 57 years), 43 (80%) were males and 36 (67%) were Kuwaitis. Histopathological examination of the most significant polyp in each patient revealed that 40 (74%) polyps were tubular adenomas (TAs); 11 (20%), tubulovillous (TV) adenomas; and 3 (6%), villous adenomas. High-grade dysplasia was noticed in 4 (10%) adenomas. Fifteen (2.8%) of the 530 patients had advanced ACPs. Logistic regression analysis of some variables and their association with ACPs found that age (P<0.001; OR, 1.9; CI, 1.5-2.3), history of adenoma (P=0.001; OR, 6.4; CI, .2.1-19.4) and being Kuwaitis (P=0.029; OR, 2.1; CI, 1.1-4.1) to be independently associated with ACPs. Conclusion: The most common histological type of ACPs was tubular adenoma. Advancing age, being Kuwaiti nationals and prior removal of ACPs were significantly associated with the occurrence of ACPs.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=188;epage=193;aulast=Al-Enezi Manouchehr Khoshbaten Akbar Aliasgarzadeh Koorosh Masnadi Sara Farhang Mohammad K Tarzamani Hosain Babaei Javad Kiani Maryam Zaare Farzad Najafipoor Original Article Saudi Journal of Gastroenterology 2010 16(3):194-197doi:10.4103/1319-3767.65197 Saudi Journal of Gastroenterology 10.4103/1319-3767.65197 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=194;epage=197;aulast=Khoshbaten http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=194;epage=197;aulast=Khoshbaten163 194 197 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=194;epage=197;aulast=Khoshbaten Manouchehr Khoshbaten, Akbar Aliasgarzadeh, Koorosh Masnadi, Sara Farhang, Mohammad K Tarzamani, Hosain Babaei, Javad Kiani, Maryam Zaare, Farzad Najafipoor

Saudi Journal of Gastroenterology 2010 16(3):194-197

Background/Aim: Therapeutic interventions in nonalcoholic fatty liver disease are limited, while anti-oxidative materials have shown benefits in animal models. This study aimed to evaluate grape seed extract as an anti-oxidative material in this process. Therapeutic effects of grape seed extract were evaluated in comparison to vitamin C in a double-blind setting. Materials and Methods: Fifteen patients were enrolled in each group. Liver function tests were done; also, grade of steatosis and pattern of echogenicity of the liver were determined. Patients were followed up by the same evaluation repeated in first, second and third months. Results: Mean age &#177; standard deviation was 43.2 ± 10.3 years. Grape seed extract (GSE) significantly improved the grade of fatty liver change; and resulted in significant decrease in alanine aminotransferase in patients receiving the concentrate compared to those receiving vitamin C independently, from the initial grade of steatosis. Conclusions: This study describes the beneficial effect of using grape seed extract for three months in patients with nonalcoholic fatty liver disease. These results may improve with a longer period of follow-up.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=194;epage=197;aulast=Khoshbaten Leo F Tauro Celine George Bangalore S Rao John J Martis Leo T Menezes Hejmadi D Shenoy Original Article Saudi Journal of Gastroenterology 2010 16(3):198-202doi:10.4103/1319-3767.65199 Saudi Journal of Gastroenterology 10.4103/1319-3767.65199 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=198;epage=202;aulast=Tauro http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=198;epage=202;aulast=Tauro163 198 202 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=198;epage=202;aulast=Tauro Leo F Tauro, Celine George, Bangalore S Rao, John J Martis, Leo T Menezes, Hejmadi D Shenoy

Saudi Journal of Gastroenterology 2010 16(3):198-202

Background/Aim: The objective of this study was to estimate the incidence of the Meckel's diverticulum (MD) and to study its clinical profile and surgical outcome, as well as to check whether diverticulectomy is indicated for asymptomatic MD in adults. Materials and Methods: This is a prospective study of 1332 patients who were operated upon for acute abdomen during the period August 1999 to July 2009 in a single surgical unit. Preoperative abdominal ultrasonography and plain x-ray abdomen (erect) were done depending on the necessity. These patients were subjected to laparotomy/ appendicectomy depending on the case. A search for MD was done, and if found, surgical resection and analysis by histopathological confirmation of the resected MD were performed. Results: During the operation, this study detected 15 (1.13%) patients with MD. In none of these cases, preoperative diagnosis of Meckel's diverticulitis was made. The age of the patients ranged from 18 to 68 years (mean age, 32.9 years). Out of 15 patients, 9 (60%) were males; 6 (40%) were females. Seven (46.7%) cases were symptomatic due to MD and 8 (53.3%) were asymptomatic. One patient presented with hematochezia; 2, with intestinal obstruction due to gangrene of the MD; and 4, with Meckel's diverticulitis. One patient had duplication of (double) Meckel's diverticulum without any inflammation in both the diverticulae. Histopathological examination of these specimens confirmed 4 cases with inflammation; 2, with gangrene; and 1, with ulcerated gastric mucosa in the MD. Among these, in 2 (13.3%) cases there was heterotopic epithelium (ulcerated gastric mucosa- 1, colonic mucosa- 1). Conclusion: We recommend that a search for MD in every case of appendicectomy/ laparotomy done for acute abdomen should be conducted, and if found, Meckel's diverticulectomy or resection should be performed to avoid secondary complications arising from it.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=198;epage=202;aulast=Tauro Shahinul Alam Golam Mustafa Salimur Rahman Shamsul A Kabir Harun O Rashid Mobin Khan Original Article Saudi Journal of Gastroenterology 2010 16(3):203-206doi:10.4103/1319-3767.65200 Saudi Journal of Gastroenterology 10.4103/1319-3767.65200 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=203;epage=206;aulast=Alam http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=203;epage=206;aulast=Alam163 203 206 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=203;epage=206;aulast=Alam Shahinul Alam, Golam Mustafa, Salimur Rahman, Shamsul A Kabir, Harun O Rashid, Mobin Khan

Saudi Journal of Gastroenterology 2010 16(3):203-206

Background/Aim: Ascariasis is a common parasitic infestation in Asia and Latin America. The most serious presentation is biliary and pancreatic ascariasis (BPA). The aim of the present study was to compare the clinical presentation of BPA with dead worms with that with living worms. Materials and Methods: We included 138 consecutive cases of BPA that occured during the period January 2005 to July 2009. All the patients had endoscopically proven BPA consisting of living or dead worms. Comparison was done by chi-square and independent t tests. Results: The age (mean &#897; SD) of the patients was 36.8 &#897; 16.1 years. Prevalence ratio between male and female patients was 1:5. Ninety eight patients contained living worms and 40 had dead worms. Males were more prone to develop dead worm BPA. The commonest presentation was biliary colic (131; 94.9%); others were acute cholangitis (30; 21.7%), obstructive jaundice (19; 13.8%), choledocholithiasis (20; 14.5%), acute pancreatitis (10; 7.2%), acute cholecystitis (6; 4.3%), liver abscess (2; 1.4%), hepatolithiasis (3; 2.2%), stricture of common bile duct (2; 1.4%), pancreatic abscess (1; 0.7%) and cirrhosis of liver (1; 0.7%). Choledocholithiasis, hepatolithiasis, liver abscess and cirrhosis were associated only with dead worms. We could successfully remove all the worms with endoscopic interventions, but 5 patients required surgical intervention as there were strictures and stones within the biliary tree or Ascaris were in gallbladder. Recurrences of stone and cholangitis occurred only in those with dead worms. Conclusion: Biliary ascariasis with dead worms is more dangerous than that with living worms. Endoscopic or surgical intervention may be required repeatedly in those with dead worms.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=203;epage=206;aulast=Alam Eyad M Salem Talay Yar Abdullah O Bamosa Abdulaziz Al-Quorain Mohamed I Yasawy Raed M Alsulaiman Muhammad A Randhawa Original Article Saudi Journal of Gastroenterology 2010 16(3):207-214doi:10.4103/1319-3767.65201 Saudi Journal of Gastroenterology 10.4103/1319-3767.65201 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=207;epage=214;aulast=Salem http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=207;epage=214;aulast=Salem163 207 214 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=207;epage=214;aulast=Salem Eyad M Salem, Talay Yar, Abdullah O Bamosa, Abdulaziz Al-Quorain, Mohamed I Yasawy, Raed M Alsulaiman, Muhammad A Randhawa

Saudi Journal of Gastroenterology 2010 16(3):207-214

Background/Aim: A large number of diseases are ascribed to Helicobacter pylori (H. pylori), particularly chronic active gastritis, peptic ulcer disease and gastric cancer. Successful treatment of H. pylori infection with antimicrobial agents can lead to regression of H. pylori-associated disorders. Antibiotic resistance against H. pylori is increasing, and it is necessary to find new effective agents. Nigella sativa seed (NS), a commonly used herb, possesses in vitro anti-helicobacter activity. The present study was undertaken to evaluate the efficacy of NS in eradication of H. pylori infection in non-ulcer dyspeptic patients. Materials and Methods: The study was conducted on 88 adult patients attending King Fahd Hospital of the University, Al-Khobar, Saudi Arabia, from 2007 to 2008, with dyspeptic symptoms and found positive for H. pylori infection by histopathology and urease test. Patients were randomly assigned to four groups, receiving i) triple therapy (TT) comprising of clarithromycin, amoxicillin, omeprazole [n= 23], ii) 1 g NS + 40 mg omeprazole (OM) [n= 21], iii) 2 g NS + OM [n= 21] or iv) 3 g NS + OM [n= 23]. Negative H. pylori stool antigen test four weeks after end of treatment was considered as eradication. Results: H. pylori eradication was 82.6, 47.6, 66.7 and 47.8% with TT, 1 g NS, 2 g NS and 3 g NS, respectively. Eradication rates with 2 g NS and TT were statistically not different from each other, whereas H. pylori eradication with other doses was significantly less than that with TT (P &lt; 0.05). Dyspepsia symptoms improved in all groups to a similar extent. Conclusions: N. sativa seeds possess clinically useful anti-H. pylori activity, comparable to triple therapy. Further clinical studies combining N. sativa with antibiotics are suggested.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=207;epage=214;aulast=Salem Mehdi Soufi Said Benamr Mehdi Belhassan Rahal Massrouri Houria Ouazzani Bouziane Chad Case Report Saudi Journal of Gastroenterology 2010 16(3):215-217doi:10.4103/1319-3767.65198 Saudi Journal of Gastroenterology 10.4103/1319-3767.65198 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=215;epage=217;aulast=Soufi http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=215;epage=217;aulast=Soufi163 215 217 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=215;epage=217;aulast=Soufi Mehdi Soufi, Said Benamr, Mehdi Belhassan, Rahal Massrouri, Houria Ouazzani, Bouziane Chad

Saudi Journal of Gastroenterology 2010 16(3):215-217

Bezoars are concretions of undigested material in the gastrointestinal tract, most commonly in the stomach. Duodenojejunal localization of bezoars is exceptional. We report a case of a 27-year-old woman who experienced nausea, vomiting and severe abdominal pain for one week. By palpation a mobile and sensitive mass, 15 &#935; 15 cm, was detected, which filled the upper quadrant. Results of gastric endoscopy were normal. X-ray and ultrasonography suggested a bezoar. A laparotomy revealed that the jejunum was fissured by the trichobezoar ball. This trichobezoar mass was totally excised by intestinal resection. Conclusion: To our knowledge, this is the first reported case of duodenojejunal fissuration caused by trichobezoar in an adult. Among patients with high subocclusif syndrome, duodenojejunal bezoar should remain a possibility in differential diagnosis.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=215;epage=217;aulast=Soufi Mohana S Narasimhamurthy Gopinathan P Vallachira Praveen S Mahadev Case Report Saudi Journal of Gastroenterology 2010 16(3):218-220doi:10.4103/1319-3767.65196 Saudi Journal of Gastroenterology 10.4103/1319-3767.65196 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=218;epage=220;aulast=Narasimhamurthy http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=218;epage=220;aulast=Narasimhamurthy163 218 220 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=218;epage=220;aulast=Narasimhamurthy Mohana S Narasimhamurthy, Gopinathan P Vallachira, Praveen S Mahadev

Saudi Journal of Gastroenterology 2010 16(3):218-220

In recent years, the synchronous occurrence of tumors of different histotypes arising in the same organ has been reported more frequently in the literature. In the stomach, adenocarcinoma has been described with coexisting primary rhabdomyosarcoma, carcinoid, and low-grade B-cell lymphoma of mucosa-associated lymphoid tissue. The simultaneous development of adenocarcinoma and gastric mesenchymal tumor has been documented rarely. We report one such case. A 65-year-old male was diagnosed with a proximal gastric adenocarcinoma and underwent subtotal gastrectomy. Subsequent histopathological examination revealed the presence of another tumor at the gastric antrum. This was a gastrointestinal stromal tumor of low risk category (GIST). The literature has only a few previous reports of this very rare association. It is not known whether this synchronicity is incidental or there is a causative factor inducing the development of tumors of different histotypes in the same organ. Pathologists, oncologists and surgeons should be aware of this interesting condition.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=218;epage=220;aulast=Narasimhamurthy Kundan K Patil Shaifali K Patil Kedar P Gorad Anuradha H Panchal Sahil S Arora Raj P Gautam Case Report Saudi Journal of Gastroenterology 2010 16(3):221-222doi:10.4103/1319-3767.65195 Saudi Journal of Gastroenterology 10.4103/1319-3767.65195 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=221;epage=222;aulast=Patil http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=221;epage=222;aulast=Patil163 221 222 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=221;epage=222;aulast=Patil Kundan K Patil, Shaifali K Patil, Kedar P Gorad, Anuradha H Panchal, Sahil S Arora, Raj P Gautam

Saudi Journal of Gastroenterology 2010 16(3):221-222

Surgical mop retained in the abdominal cavity following surgery is a serious but avoidable complication. The condition may manifest either as an exudative inflammatory reaction with formation of abscess, or aseptically with a fibrotic reaction developing into a mass. Intraluminal migration is relatively rare. We report the case of a 23 year old woman who presented after a previous caesarean section with intestinal obstruction. Plain abdominal radiograph and computed tomography confirmed the presence of gossypiboma. The patient underwent laparatomy and sponge removal. This report discusses the approach to, and manifestations of, migratory surgical gossypiboma.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=221;epage=222;aulast=Patil Zia ur Rehman Sadaf Khan Case Report Saudi Journal of Gastroenterology 2010 16(3):223-225doi:10.4103/1319-3767.65193 Saudi Journal of Gastroenterology 10.4103/1319-3767.65193 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=223;epage=225;aulast=ur http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=223;epage=225;aulast=ur163 223 225 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=223;epage=225;aulast=ur Zia ur Rehman, Sadaf Khan

Saudi Journal of Gastroenterology 2010 16(3):223-225

Congenital internal hernia is a rare cause of bowel obstruction in adults and often presents with complications. A high index of suspicion, occasionally aided by appropriate radiological imaging, should lead to early surgical intervention and thus reduce morbidity and mortality. We describe a case of a 27-year-old woman who presented with upper abdominal pain and nonspecific abdominal signs. Computed tomography showed features of bowel ischemia which prompted surgical intervention. On exploration, she was found to have a large mesenteric defect with herniating ileum and ascending colon. A segment of gangrenous small bowel was resected. The mesenteric defect was repaired and the bowel tacked down to prevent volvulus. The patient made an uneventful recovery.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=223;epage=225;aulast=ur G Krishna Kumar Sarath S Chandra R Krishnan Case Report Saudi Journal of Gastroenterology 2010 16(3):226-227doi:10.4103/1319-3767.65192 Saudi Journal of Gastroenterology 10.4103/1319-3767.65192 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=226;epage=227;aulast=Kumar http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=226;epage=227;aulast=Kumar163 226 227 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=226;epage=227;aulast=Kumar G Krishna Kumar, Sarath S Chandra, R Krishnan

Saudi Journal of Gastroenterology 2010 16(3):226-227

Leiomyosarcoma of the anal canal is an uncommon neoplasm of the gastrointestinal tract. We report a 45-year-old lady with anal canal leiomyosarcoma. In view of its rarity, we report its presentation and management. In the setting of a recurrent tumor with high-grade histological appearance, local excision would be deemed unsafe.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=226;epage=227;aulast=Kumar Vipul D Yagnik Keyuri B Patel Paresh A Patel Faruq I Mulla Letter to the Editor Saudi Journal of Gastroenterology 2010 16(3):228-228doi:10.4103/1319-3767.65179 Saudi Journal of Gastroenterology 10.4103/1319-3767.65179 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=228;epage=228;aulast=Yagnik http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=228;epage=228;aulast=Yagnik163 228 228 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=228;epage=228;aulast=Yagnik Vipul D Yagnik, Keyuri B Patel, Paresh A Patel, Faruq I Mulla

Saudi Journal of Gastroenterology 2010 16(3):228-228

]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=228;epage=228;aulast=Yagnik Yavuz Beyazit Murat Kekilli Mevlut Kurt Letter to the Editor Saudi Journal of Gastroenterology 2010 16(3):228-229doi:10.4103/1319-3767.65180 Saudi Journal of Gastroenterology 10.4103/1319-3767.65180 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=228;epage=229;aulast=Beyazit http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=228;epage=229;aulast=Beyazit163 228 229 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=228;epage=229;aulast=Beyazit Yavuz Beyazit, Murat Kekilli, Mevlut Kurt

Saudi Journal of Gastroenterology 2010 16(3):228-229

]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=228;epage=229;aulast=Beyazit Fazal A Danish Salman S Koul Fazal R Subhani Ahmed E Rabbani Saeeda Yasmin New Horizon Saudi Journal of Gastroenterology 2010 16(3):230-235doi:10.4103/1319-3767.65182 Saudi Journal of Gastroenterology 10.4103/1319-3767.65182 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=230;epage=235;aulast=Danish http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=230;epage=235;aulast=Danish163 230 235 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=230;epage=235;aulast=Danish Fazal A Danish, Salman S Koul, Fazal R Subhani, Ahmed E Rabbani, Saeeda Yasmin

Saudi Journal of Gastroenterology 2010 16(3):230-235

Hepatitis C virus (HCV) infection in children is different from the adult infection in many ways, like natural course of the disease; duration, therapeutic response and side effects profile of the drug therapy; and prognosis. Special considerations include consideration on what could be the appropriate time to investigate a suspected child, when to institute drug therapy and how to prevent vertical transmission. Although over the past one decade many landmark studies have greatly increased our insight on this subject, yet we are far from developing a consensus statement. In this article, a concise yet comprehensive review of HCV infection in children - diagnosis and treatment - is given, followed by suggested recommendations at the end. It is hoped that these recommendations will help develop local guidelines on this subject.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=230;epage=235;aulast=Danish Vikram Tangri Nilesh Chande In Focus Saudi Journal of Gastroenterology 2010 16(3):236-238doi:10.4103/1319-3767.65188 Saudi Journal of Gastroenterology 10.4103/1319-3767.65188 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=236;epage=238;aulast=Tangri http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=236;epage=238;aulast=Tangri163 236 238 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=236;epage=238;aulast=Tangri Vikram Tangri, Nilesh Chande

Saudi Journal of Gastroenterology 2010 16(3):236-238

Collagenous colitis and lymphocytic colitis, the two types of microscopic colitis, cause watery diarrhea. Budesonide, a glucocorticoid medication with limited systemic availability, is commonly used to treat these illnesses. Budesonide has proven efficacy in the induction of clinical remission in both collagenous colitis and lymphocytic colitis. Budesonide is effective as a maintenance drug for patients with collagenous colitis, but has not been studied for this indication in patients with lymphocytic colitis. This drug improves quality of life in patients while causing few mild adverse events. Budesonide is an effective treatment of microscopic colitis that is safe and well tolerated.]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=236;epage=238;aulast=Tangri Bilal Mirza Lubna Ijaz Arsalan Qureshi Afzal Sheikh Image Quiz Saudi Journal of Gastroenterology 2010 16(3):239-240doi:10.4103/1319-3767.65190 Saudi Journal of Gastroenterology 10.4103/1319-3767.65190 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=239;epage=240;aulast=Mirza http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=239;epage=240;aulast=Mirza163 239 240 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=239;epage=240;aulast=Mirza Bilal Mirza, Lubna Ijaz, Arsalan Qureshi, Afzal Sheikh

Saudi Journal of Gastroenterology 2010 16(3):239-240

]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=239;epage=240;aulast=Mirza Vipul D Yagnik Image Quiz Saudi Journal of Gastroenterology 2010 16(3):241-242doi:10.4103/1319-3767.65191 Saudi Journal of Gastroenterology 10.4103/1319-3767.65191 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=241;epage=242;aulast=Yagnik http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=241;epage=242;aulast=Yagnik163 241 242 http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=241;epage=242;aulast=Yagnik Vipul D Yagnik

Saudi Journal of Gastroenterology 2010 16(3):241-242

]]> http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=3;spage=241;epage=242;aulast=Yagnik