Journal of Yeungnam Medical Science

Review article

Gastroenterology and Hepatology
Recent updates on classification and unsolved issues of diverticular disease: a narrative review: Kyeong Ok Kim; J Yeungnam Med Sci. 2024;41(4):252-260. Published online August 30, 2024; DOI: https://doi.org/10.12701/jyms.2024.00542

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Abstract PDF: Recently, a paradigm shift has occurred in the classification of diverticular disease and the understanding of its pathogenesis. Diverticular disease is now defined as a variety of clinically significant conditions such as diverticulitis, diverticular bleeding, symptomatic uncomplicated diverticular disease, and segmental colitis associated with diverticulosis. Low-grade inflammation, visceral hypersensitivity, abnormal intestinal motility, and genetic factors have emerged as the key contributors to the pathogenesis of diverticular disease. Routine antibiotic use is no longer recommended for all cases of diverticulitis, and simple recurrence is not an indication for surgical treatment. Early colonoscopy with proper preparation is recommended for the treatment of diverticular bleeding, although recent studies have not shown significant efficacy in preventing recurrence. The roles of dietary fiber, nonabsorbable antibiotics, 5-aminosalicylates, and probiotics in the prevention of diverticular disease are controversial and require further investigation.

Review Article

Radiology, Radiotherapy & Diagnostic Imaging
Comprehensive understanding of vascular anatomy for endovascular treatment of intractable oronasal bleeding: Sungjun Moon; Yeungnam Univ J Med. 2018;35(1):7-16. Published online June 30, 2018; DOI: https://doi.org/10.12701/yujm.2018.35.1.7

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Oronasal bleeding that continues despite oronasal packs or recurs after removal of the oronasal packs is referred to as intractable oronasal bleeding, which is refractory to conventional treatments. Severe craniofacial injury or tumor in the nasal or paranasal cavity may cause intractable oronasal bleeding. These intractable cases are subsequently treated with surgical ligation or endovascular embolization of the bleeding arteries. While endovascular embolization has several merits compared to surgical ligation, the procedure needs attention because severe complications such as visual disturbance or cerebral infarction can occur. Therefore, comprehensive understanding of the head and neck vascular anatomy is essential for a more effective and safer endovascular treatment of intractable oronasal bleeding.

Citations

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Endovascular intervention for the treatment of epistaxis: cone beam CT review of anatomy, collateral, and treatment implications/efficacy
Madeline Hoover, Robert Berwanger, John A Scott, Andrew DeNardo, Krishna Amuluru, Troy Payner, Charles Kulwin, Eytan Raz, Daniel Gibson, Daniel H Sahlein
Journal of NeuroInterventional Surgery.2024; 16(2): 192. CrossRef
The Nasopharyngo‐Septal Butterfly Flap: A Novel Adjunct for Reconstructing Large Skull Base Defects
Moataz D. Abouammo, Maithrea S. Narayanan, Mohammad B. Alsavaf, Mohammed Alwabili, Jaskaran S. Gosal, Govind S. Bhuskute, Claudio Callejas, Kyle K. VanKoevering, Kyle C. Wu, Daniel M. Prevedello, Ricardo L. Carrau
OTO Open.2024;[Epub] CrossRef
Effectiveness of Calcium Alginate Dressing in Combination with Nasal Endoscopic Bipolar Electrocoagulation and Low-Temperature Plasma Knife Treatment on Bleeding Volume, Nasal Ventilation, Stress Response, and Recurrence Rate in Patients with Refractory E
Yi Su, Xinye Guo, Yan Nie
Journal of Biomedical Nanotechnology.2023; 19(12): 2196. CrossRef
Woodruff’s plexus—arterial or venous?
Cezar Octavian Morosanu, Craig Humphreys, Stephanie Egerton, Claire M. Tierney
Surgical and Radiologic Anatomy.2022; 44(1): 169. CrossRef

Case Reports

Gastroenterology and Hepatology
A Case of Jejunal Diverticula Which Caused Massive Small Bowel Bleeding.: Ho Chan Lee, Byung Ik Jang, Jae Hyun Park, Sung Joon Kim, Jun Seok Park, Sang Hoon Jung; Yeungnam Univ J Med. 2009;26(2):120-124. Published online December 31, 2009; DOI: https://doi.org/10.12701/yujm.2009.26.2.120

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Abstract PDF: Gastrointestinal bleeding is a common cause of hospitalization. Jejunal diverticula is a rare disease and it is an unusual cause of obscure gastrointestinal bleeding. After exclusion of the more common bleeding sources, small bowel diverticula should be considered as a possible rare cause of gastrointestinal bleeding. Jejunal diverticular bleeding is difficult to diagnose and treat because the bleeding site cannot be identified by routine endoscopy and radiologic studies. An exploratory operation is sometimes needed to diagnose and treat obscure gastrointestinal bleeding. If the bleeding site is certain, then surgical resection of the bleeding part of the bowel is the procedure of choice. We report here on a case of jejunal diverticular bleeding that was diagnosed by and treated with surgical resection.

Gastroenterology and Hepatology
A Case of Esophageal Bullous Pemphigoid Manifestated by Upper Gastrointestinal Bleeding: Kyeong Ok Kim, Byung Ik Jang, Jong Ryul Eun, Tae Nyun Kim; Yeungnam Univ J Med. 2007;24(2 Suppl):S671-675. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2S.S671

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Abstract PDF

Bullous pemphiogid (BP) is a chronic vesicular disorder and an autoimmune disease which has an autoantibodies to hemidesmosime in the keratinocyte. The authors report a case of gastrointestinal bleeding caused by BP involved with esophagus. A seventy year old man visited our clinic due to melena for a week. He had a quadriplegia due to fracture of cervical spine and was on therapy with corticosteroid and immunomodulatory drug for the diagnosis of BP. On endoscopic examination, multiple bullae filled with blood at lower esophagus was revealed and there was no other bleeding focus in stomach and duodenum. Medical treatment for BP with supportive care was done. The patient died due to sepsis caused by pneumonia. BP is common in elderly or poor conditioned patients. We need to consider the invasion of esophagus in case of gastrointestinal bleeding in patients with BP.

Citations

Citations to this article as recorded by

Esophageal Involvement of Bullous Pemphigoid
Junseak Lee, Sanggon Moon, Chul-Hyun Lim
The Korean Journal of Gastroenterology.2021; 78(4): 249. CrossRef

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