Irritable Bowel Syndrome: Diagnosis
Fig. 3.1 Bristol stool chart 3.2 Step II All the patients presenting with possible IBS symptoms should be asked if they have any of the following “red flag” indicators and should…
Fig. 3.1 Bristol stool chart 3.2 Step II All the patients presenting with possible IBS symptoms should be asked if they have any of the following “red flag” indicators and should…
Signs and symptoms Crohn’s disease Ulcerative colitis Abdominal pain Often, severe Less increased Hemorrhage Seldom Very common Palpable tumor in abdomen Common Absence Fistulae Common Seldom Stenosic lesions Common Seldom…
Fig. 1 Cross section through gastrointestinal stromal tumor involving the muscularis propria and subserosa of the duodenum and involvement of mesenteric fat, with an adjacent satellite tumor nodule 1.3 Histopathology…
Fig. 1 Imaging, operative, gross, and histopathology of a liver GIST metastasis. (a) Preoperative MRI imaging of isolated peripheral liver metastasis, as noted by the arrow. (b) PET scan showing…
Site % Gastric 60–70 Small intestine 25–33 Jejunum/ileum 27 Duodenum 5 Rectum 3–10 Large intestine 3–5 Esophagus <1 Other intra-abdominal 8 Extra-abdominal <5 GIST tends to be quite friable and…
Fig. 1 Duodenal gastrointestinal stromal tumor with overlying normal mucosa Fig. 2 Gastrointestinal stromal tumor with overlying ulcers in the proximal gastric body 5.2 Endoscopic Ultrasonography Standard endoscopy provides imaging…
Fig. 1 Port placement and patient positioning for laparoscopic wedge resection [10] 2.2 Laparoendoscopic Technique This technique, as previously described [19], is for patients with predominantly intraluminal masses. Positioning is…
Fig. 1 CT characteristics of GISTs. (a) Polypoid gastric GIST (arrow), (b) Exophytic gastric GIST (c) Exophytic small bowel GIST fistulizing to the bowel lumen note the contrast within the…
Fig. 1 Surgical palliation refers to the use of a procedure with the intention of relieving symptoms, minimizing patient distress, increasing the durability of treatment, improving quality of life, decreasing…
Fig. 1 CT scans in a patient with gastroesophageal junction GIST (red circle) before (a) and after (b) 3 months of neoadjuvant imatinib, showing partial response Fig. 2 PET scans…