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african journal of gastroenterology and hepatology

July 19, 2025

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تقييم المجلة الافريقية للكبد والجهاز الهضمى

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what is the cause of bleeding? And how to proceed?

A 67-year-old woman on regular follow-up endoscopy for esophageal varices was admitted to the hospital with upper GI bleeding. the scope revealed multiple #gastric polyps. the patient was referred for band ligation of the polyps as a cause of the bleeding. NOTES: 1- there is bleeding from the fundus of the stomach and not from the polyps 2- you can observe many tags at the fundus( site of previously injected fundal varices) you can see there is a groove from previously injected fundal varix how to proceed and why?

peripheral #neuropathy #neuropathytreatment #impotence

It's inflammation or degeneration of the peripheral nerves and/or the cranial nerves resulting in impairment of their conductivity leading to motor, sensory, and autonomic manifestations. Autonomic manifestation: Impotence and lost testicular sensation. Sensory, motor, or autonomic bladder. Postural hypotension resting tachycardia. Silent myocardial infarction. Gastroparesis: indigestion and delayed gastric emptying. Hyperhydrosis or anhydrosis. Trophic skin changes: ulcers, loss of hair, brittle nails, and Charcot's neuropathic joint. Treatment of diabetic neuropathy: Optimal glucose control is the most effective method of preventing the development of diabetic neuropathy. Vasodilators: e.g., #pentoxyfylline 400mg/12h increases RBCs' flexibility. Vitamins B1, B6, B 12 daily & ATP. For the neuropathic pain: Anticonvulsants: #Pregabalin :75-300 mg /day. #gabapentin :400-2400mg/day. #Carbamazepine and Oxcarbazepine #Antidepressants : - #Duloxetine - #Venlaf...

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