Possible Causes for recurrent epigastric pain Chronic Alcoholism The concept of "structural plasticity" has emerged as a potential mechanism in neurodegenerative and psychiatric diseases such as drug abuse, depression, and dementia. Chronic alcoholism is a progressive neurodegenerative disease while the person continues to abuse alcohol, though clinical and imaging studies show[…] [ncbi.nlm.nih.gov] Cholelithiasis Pediatr Emerg Care. 2012 Jan;28(1):68-76; quiz 77-8. doi: 10.1097/PEC.0b013e31823f5b1e. Abstract In recent years, gallbladder disease, primarily in the form of cholelithiasis, has been on the rise among infants and children. Although pediatric gallbladder disease is still less prevalent than adult gallbladder disease,[…] [ncbi.nlm.nih.gov] Gastric Ulcer One of the early practitioners stated “we are told, with the most dogmatic assurance, that given a clinical history of recurrent pain, located in the epigastric region, occurring [wjgnet.com] Duodenal Ulcer Burning epigastric pain or epigastric cramps between meals, that wake the patient at night. [medicalguidelines.msf.org] Figure 1 A 48-year-old man who was receiving medical treatment for peptic ulcer disease experienced intense epigastric pain, sudden in onset and without emesis, four hours [nejm.org] One of the early practitioners stated “we are told, with the most dogmatic assurance, that given a clinical history of recurrent pain, located in the epigastric region, occurring [wjgnet.com] Choledocholithiasis The pain is colicky, located in the right upper quadrant of the abdomen, and moderate in severity. The pain is intermittent and recurrent. [ncbi.nlm.nih.gov] Often, patients will endorse a history of episodes of epigastric, right upper quadrant pain, or epigastric pain. [ncbi.nlm.nih.gov] Cannabinoid Hyperemesis Syndrome First published: 26 June 2019 Citations: 6 Funding information Funds for this work were provided by the Cyclic Vomiting Syndrome Association (CVSA). Abstract Cannabis is commonly used in cyclic vomiting syndrome (CVS ) due to its antiemetic and anxiolytic properties. Paradoxically, chronic cannabis use in the context[…] [onlinelibrary.wiley.com] Irritable Bowel Syndrome Irritable bowel syndrome is defined as abdominal discomfort or pain associated with altered bowel habits for at least three days per month in the previous three months, with the absence of organic disease. In North America, the prevalence of irritable bowel syndrome is 5 to 10 percent with peak prevalence from 20[…] [ncbi.nlm.nih.gov] Biliary Colic […] of epigastric pain associated with dilated CBD in the absence of gallstones in ketamine abusers has also been reported.7 A study by Ng et al8 investigated the clinical presentations [dovepress.com] CASE 1 › A 28-year-old woman (G0P0) came to our office with recurrent episodes of postprandial epigastric and right upper quadrant pain. [mdedge.com] It may be asymptomatic or present with ongoing RUQ or epigastric pain with associated nausea and vomiting. [teachmesurgery.com] Chronic Pancreatitis O: obstructive (e.g. choledocholithiasis, pancreatic head tumor ) Exacerbations (episodes of acute pancreatitis ) may present with epigastric pain. [radiopaedia.org] Hereditary chronic pancreatitis is a rare form which is characterized by an early onset of recurrent attacks of severe epigastric pain usually before ten years of age[ 38 [doi.org] The true prevalence is therefore unknown. [2] Clinical features The majority of cases present at 35–55 years old with recurrent episodes of acute abdominal pain or pancreatitis [diapedia.org] Peptic Esophagitis Noriaki Furukawa Ryuichi Iwakiri Takanori Koyama Kazuyo Okamoto Toshifumi Yoshida Yoichiro Kashiwagi Takashi Ohyama Takahiro Noda Hiroyuki Sakata Kazuma Fujimoto Abstract: Compared with findings in Western countries, the prevalence of reflux esophagitis in Oriental countries is estimated to be low. In this[…] [doi.org] Acute Pancreatitis Pancreas. 25(4):331-335, NOV 2002 PMID: 12409825 Issn Print: 0885-3177 Publication Date: 2002/11/01 Constantinos Chatzicostas;Maria Roussomoustakaki;Ioannis Vlachonikolis;Georgios Notas;Ioannis Mouzas;Dimitrios Samonakis;Elias Kouroumalis; Checking for direct PDF access through Ovid Abstract Acute pancreatitis runs[…] [doi.org] Alcoholic Gastritis BACKGROUND/AIMS: Alcohol abuse exerts deleterious effects on the internal organs of the body, and alcohol-related gastritis is a common disease for which prompt treatment is essential to prevent the condition from growing worse. However, the therapeutic methods have some adverse effects. Determining the[…] [ncbi.nlm.nih.gov] Acute Cholecystitis To compare clinical outcomes after laparoscopic cholecystectomy (LC) for acute cholecystitis performed at various time-points after hospital admission. Symptomatic gallstones represent an important public health problem with LC the treatment of choice. LC is increasingly offered for acute cholecystitis, however, the[…] [ncbi.nlm.nih.gov] Hepatocellular Carcinoma Exp Mol Pathol. 2017 Oct;103(2):200-203. doi: 10.1016/j.yexmp.2017.09.004. Epub 2017 Sep 20. Author information 1 Harbor UCLA Medical Center, Department of Pathology, 1000 West Carson Street, Torrance, CA 90502, United States. Electronic address: jlu3@dhs.lacounty.gov. 2 Department of Radiology, 1000 West Carson[…] [ncbi.nlm.nih.gov] Pancreatic Pseudocyst The patient was mean while just complaining of recurrent epigastric pain that was well managed by analgesics. [pubs.sciepub.com] Early-Stage Gastric Cancer Endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) is a widely accepted and well established procedure because of its curative potential and low invasiveness compared with surgery. Perforation is a potential major complication during ESD, and non-surgical treatments such as endoscopic closure[…] [ncbi.nlm.nih.gov] Gastritis Medicamentosa Enfermedades inducidas por drogas: anemia aplásica adquirida, hepatitis medicamentosa y gastritis hemorrágica en el hospital nacional Guillermo Almenara Irigoyen de agosto 1998 - diciembre 2001. Quispe Inga, Juan Carlos; Valencia Santos, Miguel Ángel. RESULTADOS (continuación) Gráfico 11.2 SIGNOS Y SINTOMAS MAS[…] [sisbib.unmsm.edu.pe] Pernicious Anemia A case of autoimmune polyglandular syndrome (APS) is presented. A 45-year-old man was admitted due to fatigue, malaise and inappetence. He had a history of primary hypothyroidism and was on levothyroxine substitution therapy. One year before, he was diagnosed with normocytic anemia and vitamin B12 deficiency,[…] [ncbi.nlm.nih.gov] Ascending Cholangitis Abstract An intussusception-type antireflux valve was created in the Roux-en-Y loop in 23 infants with biliary atresia (17 new cases, and six others after episodes of ascending cholangitis) and 10 patients with congenital bile duct dilatation, in order to prevent ascending cholangitis after hepatic portojejunostomy.[…] [ncbi.nlm.nih.gov] Hereditary Pancreatitis Acute pancreatitis (AP) is characterized by two of the following criteria as per the revised Atlanta 2 international consensus: a sudden onset of epigastric pain, elevated [journals.co.za] It classically presents with epigastric abdominal pain radiating to the back, steatorrhea secondary to malabsorption and pancreatic diabetes due to islet cell damage [ 11 [panafrican-med-journal.com] The pain may be postprandial and located in the epigastric region, with radiation to the back. [dovepress.com] Gastric Lymphoma OBJECTIVE: The stomach is the most common site of origin for extranodal lymphomas. While resection has played a major part in the management of such patients in the past, in recent years there has been a change towards organ-conserving therapies. However, the risk of perforation and bleeding in patients[…] [ncbi.nlm.nih.gov] Pancreatic Adenocarcinoma In this case report we detail the treatment of a patient with pancreatic ductal adenocarcinoma and a solitary liver metastasis who received nine cycles of FOLFIRINOX therapy with favourable response. The patient subsequently underwent synchronous distal pancreatectomy and hepatectomy with an R0 resection[…] [ncbi.nlm.nih.gov] Malignant Neoplasm of the Stomach Chemotherapy is of crucial importance in advanced gastric cancer patients, in order to obtain palliation of symptoms and improve survival. The most extensively studied drugs as single agents are 5-fluorouracil, cisplatin, doxorubicin, epirubicin, mitomycin C and etoposide. Newer chemotherapeutic agents include the[…] [ncbi.nlm.nih.gov] Malignant Neoplasm of the Pancreas Pancreatic cancer is a type of cancer that starts in the pancreas. (Cancer starts when cells in the body begin to grow out of control. To learn more about how cancers start and spread, see What Is Cancer? ) Pancreatic adenocarcinoma is the most common type of pancreatic cancer. Pancreatic neuroendocrine[…] [cancer.org] Prepyloric Ulcer Abstract The gastric acid secretion during stimulation with histamine given via a continuous intravenous infusion (i.e. during steady state conditions) was studied in 13 patients with prepyloric ulcers and in 21 patients with combined gastric and duodenal ulcers. The rate of volume secretion, the acidity and the acid[…] [ncbi.nlm.nih.gov] Gastric Adenocarcinoma Adenocarcinoma and lymphoma represent the two most common malignant tumours of the stomach, with both neoplasms being associated with infection by Helicobacter pylori. However, the presence of lymphoma and adenocarcinoma in the same patient is a rare entity with synchronous neoplasms being more common than[…] [ncbi.nlm.nih.gov] Gallbladder Carcinoma Biochimie. 2018 Mar;146:56-67. doi: 10.1016/j.biochi.2017.10.027. Epub 2017 Nov 17. Author information 1 Department of General Surgery, Affiliated Hospital, Logistics University of People's Armed Police Force, Tianjin 300162, China. 2 Department of Hepatopancreatobiliary and Splenic Medicine, Affiliated Hospital, Logistics[…] [ncbi.nlm.nih.gov] Penetrating Duodenal or Gastric Ulcer Jon L. Jenkins, G. Richard Braen Lippincott Williams & Wilkins, 2005 - 680 من الصفحات Thoroughly updated for its Fifth Edition, this best-selling Spiral Manual is the most user-friendly quick reference available in emergency medicine. In an easy-to-scan outline format with key terms boldfaced, the book offers practical[…] [books.google.com] Myeloproliferative Disease The myeloproliferative disorders comprise a group of related diseases, including polycythemia vera, essential thrombocythemia, chronic myelogenous leukemia, myelofibrosis, and myeloid metaplasia. An increase in circulating platelets is associated with thrombotic phenomena affecting the arterial and venous circulation. In[…] [ncbi.nlm.nih.gov] Chronic Duodenitis To the authors' knowledge, multiple carcinoid tumors of the duodenum have not been reported previously. However, multiple carcinoids in the stomach, ileum, and rectum, which were accompanied by the proliferation of endocrine cells, have been reported in the published literature. A patient with multiple carcinoids[…] [ncbi.nlm.nih.gov]
