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  1. Article: A huge benign gastric schwannomas presented with upper and lower gastrointestinal bleeding: a case report and literature review.

    AlAli, Mohammed N / AlDayel, Aya K / Alshammari, Afraj T / Essa, Mohamed S / AlAmodi, Maha / Alrashed, Muath / Amer, Sadiq M / Meaigel, Mohammed A / AlTahan, Talal M / Ahmad, Khalid S

    Journal of surgical case reports

    2024  Volume 2024, Issue 4, Page(s) rjae267

    Abstract: Gastric schwannomas (GS) are rare mesenchymal tumors from Schwann cells in the gastrointestinal (GI) tract, representing 2-6% of such tumors. We report a 52-year-old woman who experienced abdominal pain, hematemesis, and melena, initially suspected of ... ...

    Abstract Gastric schwannomas (GS) are rare mesenchymal tumors from Schwann cells in the gastrointestinal (GI) tract, representing 2-6% of such tumors. We report a 52-year-old woman who experienced abdominal pain, hematemesis, and melena, initially suspected of having a GI stromal tumor through ultrasound and computed tomography abdomen. Despite no active bleeding found during an upper endoscopy, she underwent a successful open subtotal gastrectomy, with histopathology confirming GS. The diagnosis of GS, which may mimic other GI conditions, relies heavily on imaging and histopathological analysis due to its nonspecific symptomatology, including the potential for both upper and lower GI bleeding. This case underscores the diagnostic challenges of GS and highlights surgical resection as the preferred treatment, generally leading to a favorable prognosis.
    Language English
    Publishing date 2024-04-26
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjae267
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Surveillance Compliance and Quality of Life Assessment Among Surgical Patients with Familial Adenomatous Polyposis Syndrome.

    Alhassan, Noura / Helmi, Hadeel / Alzamil, Abdullah / Alshammari, Afraj / Altamimi, Atheer / Alshammari, Sulaiman / Bin Traiki, Thamer / Albanyan, Saleh / AlKhayal, Khayal / Zubaidi, Ahmad / Al-Obeed, Omar

    Journal of epidemiology and global health

    2024  Volume 14, Issue 1, Page(s) 86–93

    Abstract: Background: Familial adenomatous polyposis (FAP) syndrome has a near-100% lifetime risk of colorectal cancer. Early surveillance and prophylactic surgery have been advocated to reduce this risk. However, the surveillance practices among FAP individuals ... ...

    Abstract Background: Familial adenomatous polyposis (FAP) syndrome has a near-100% lifetime risk of colorectal cancer. Early surveillance and prophylactic surgery have been advocated to reduce this risk. However, the surveillance practices among FAP individuals in Saudi Arabia are unknown. We aimed to explore surveillance compliance in our population, as well as the disease impact on their quality of life (QoL).
    Methods: All patients with FAP who underwent surgical resection at King Saud University Medical City between 2016 and 2022 were included. Demographic data, clinical features, family history, and compliance with surveillance were collected and analyzed. QoL questionnaires: Short-form health survey (SF-36) and European Organization for Research and Treatment (EORTC) were conducted by phone interview.
    Results: A total of 14 patients were included with an average age of 25 years. Three patients (21.4%) were the first of their family members to develop FAP. Nine patients (64%) were untested for genetic mutation due to lack of referral to geneticists. The compliance rate toward both pre-operative colonoscopy and upper endoscopy were 78%. However, 38% and 27% compliance rates were observed toward initial and post-operative colonoscopy, respectively. The compliance rate was 14% toward thyroid ultrasound. QoL scores varied among patients, with a mean score above 60 across all SF-36 domains.
    Conclusion: An overall poor compliance was observed among our participants, particularly toward thyroid ultrasound. Increased health awareness and patient education are essential. In addition, the importance of surveillance and genetic counseling should be emphasized among physicians treating these patients.
    MeSH term(s) Humans ; Adenomatous Polyposis Coli/surgery ; Adenomatous Polyposis Coli/psychology ; Adenomatous Polyposis Coli/diagnosis ; Quality of Life ; Male ; Female ; Adult ; Saudi Arabia/epidemiology ; Patient Compliance/statistics & numerical data ; Patient Compliance/psychology ; Young Adult ; Middle Aged ; Surveys and Questionnaires ; Colonoscopy/statistics & numerical data ; Colonoscopy/psychology ; Adolescent ; Population Surveillance/methods
    Language English
    Publishing date 2024-01-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2645324-1
    ISSN 2210-6014 ; 2210-6014
    ISSN (online) 2210-6014
    ISSN 2210-6014
    DOI 10.1007/s44197-023-00171-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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