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Start Over Author "van Gool S" Journal acta gastro enterologica belgica
6 results on '"van Gool S"'

2. A single-centre analysis of post-colonoscopy colorectal cancer.

Author

Aerts R, Severi C, Van Roey G, Harlet R, T'Syen M, Claessens C, Van Gool S, Croonen C, and Janssens J

Subjects
Colonoscopy, Humans, Prospective Studies, Risk Factors, Time Factors, Colorectal Neoplasms diagnosis, Colorectal Neoplasms epidemiology
Abstract

Patients and Methods: A prospective registration of patients with colorectal cancer and a colonoscopy within the last 10 years. We tried to classify these post-colonoscopy colorectal cancers (PCCRCs) by most reasonable explanation and into subcategories suggested by the World Endoscopy Organization (WEO) and calculated the unadjusted PCCRC rate., Results: 47 PCCRCs were identified. The average age at diagnosis of PCCRC was 73 years. PCCRCs were more located in the right colon with a higher percentage of MSI-positive and B-RAF mutated tumours. The average period between index colonoscopy and diagnosis of PCCRC was 4.2 years. Sixty-eight % of all PCCRCs could be explained by procedural factors. The mean PCCRC-3y of our department was 2.46%., Conclusions: The data of our centre are in line with the data of the literature from which can be concluded that most postcolonoscopy colorectal cancers are preventable. The PCCRC-3y is an important quality measure for screening colonoscopy. Ideally all centres involved in the population screening should measure the PCCRC-3 y annually, with cooperation of the cancer registry and reimbursement data provided by the Intermutualistic Agency (IMA)., Competing Interests: The authors declare that they have no conflict of interest, (© Acta Gastro-Enterologica Belgica.)

Published
2021
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3. A case of amoebic colitis with amoeboma and simultaneous liver abscesses. A diagnosis by colonoscopy.

Author

Bronswijk M and Van Gool S

Subjects
Abdominal Pain parasitology, Biopsy, Dysentery, Amebic parasitology, Dysentery, Amebic surgery, Humans, Liver Abscess, Amebic parasitology, Liver Abscess, Amebic surgery, Liver Neoplasms diagnosis, Middle Aged, Amebiasis, Colonoscopy methods, Dysentery, Amebic diagnosis, Entamoeba histolytica isolation & purification, Liver Abscess, Amebic diagnosis
Abstract

A 50-year-old patient was admitted to our department after developing severe abdominal cramps, watery diarrhea and fever, during four days whilst travelling abroad. Imaging identified a mass in the ascending colon with simultaneous liver lesions. Initially a diagnosis of metastatic colorectal cancer was suggested, however colonoscopy showed a large lesion with a central ulcer and surrounding inflammation in the ascending colon. Biopsies confirmed our clinical suspicion of amoebic colitis, complicated by development of an amoeboma and simultaneous liver abscesses. Amoeboma formation is a rare complication of amoebiasis, however a simultaneous presentation with liver abscesses, amoebic colitis and an amoeboma might even be less frequent. Despite its rarity physicians should maintain a high index of suspicion of patients presenting with synchronous liver and colon lesions, especially as travel to endemic areas has increased., (© Acta Gastro-Enterologica Belgica.)

Published
2019

4. Dysphagia lusoria caused by a right-sided aorta.

Author

De Caluwe E, Verhaegen S, Van Roey G, Janssens J, and Van Gool S

Subjects
Aged, 80 and over, Aortography, Deglutition Disorders diagnostic imaging, Female, Humans, Aorta abnormalities, Deglutition Disorders etiology
Abstract

We report a case of an 80-year-old female with dysphagia lusoria caused by oesophageal compression by a right-sided atheromatous aorta. The relationship between aortic root vascular anomalies and dysphagia has been clearly established in literature and can be diagnosed by a barium swallowing study, followed by CT or MRI. Aortic anomalies and variations in aortic branches are caused by embryonic malformations and are mostly described in association with congenital heart lesions. In this pauci-symptomatic patient, the preferred treatment is a conservative management.

Published
2012

6. Cytomegalovirus colitis in an apparently immunecompetent host after biliopancreatic diversion for obesity.

Author

Van Gool S, Van Casteren L, Buchel O, Frans E, Dedeurwaerdere F, Van Olmen A, D'Haens G, Moons V, and Christiaens P

Subjects
Adult, Colitis diagnosis, Colitis therapy, Cytomegalovirus Infections diagnosis, Cytomegalovirus Infections therapy, Female, Humans, Immunocompetence, Biliopancreatic Diversion adverse effects, Colitis microbiology, Cytomegalovirus Infections etiology, Obesity surgery
Abstract

CMV colitis in an immunocompetent host is a rare occurrence. We report a case of CMV colitis after biliopancreatic diversion surgery. The diagnosis of primary CMV infection with CMV colitis was based on histological examination of tissues biopsies obtained at colonoscopy, serology positive for CMV-IgM and CMV-IgG antibodies and a good response to systemic gancyclovir treatment. Malnutrition and colonic mucosal damage, both consequences of biliopancreatic diversion surgery, were thought to be predisposing factors. To our knowledge this is the first report in the English language literature of an association between CMV colitis and status following biliopancreatic diversion surgery.

Published
2008

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