Pezhman Alavinejad

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BACKGROUND Low-grade mucosal inflammation and immune activation are involved in the pathogenesis of irritable bowel syndrome (IBS). Furthermore, IBS symptoms are associated with a significantly higher prevalence of psychological distress, which in itself results into an impaired quality of life (QoL). Vitamin D could ameliorate the symptoms of patients(More)
BACKGROUND Nonalcoholic fatty liver disease (NAFLD) is a chronic liver disorder related to inflammation. Coenzyme Q10 (CoQ10) is a natural compound that has recently been considered as an anti-inflammatory factor. In the current study we aimed to evaluate the effects of CoQ10 supplementation on liver enzymes, inflammation status, and adipokines in patients(More)
Gastro Question: An 83-yearold man presented with fever, biliary pain, and eosinophilia for 2 weeks. During admission in our hospital, the vital signs included: temperature 38.5 C, pulse 90 beats/ min, respiratory rate 20 breaths/min, and blood pressure 140/85 mm Hg. On physical examination, the patient had tenderness in right upperquadrant andmild(More)
BACKGROUND The appropriate dose of proton pump inhibitors for treatment of patients with upper (GI) bleeding remains controversial. This study compares high-dose versus low-dose intravenous proton pump inhibitor (PPI) infusion for prevention of GI bleeding complications. METHODS A total of 166 patients with bleeding peptic ulcers underwent therapeutic(More)
A 22-year-old man with history of intermittent rectal bleeding since infancy referred for colonoscopy. His vital signs and lab results included blood pressure: 120/80, pulse rate: 102, hemoglobin 9 g/dL, hema-tocrit 27%, and serum ferritin 7µg/L. On physical examination, he was pale with a slightly raised deep violet colored lesion (" port-wine ") on the(More)
BACKGROUND Celiac disease presents with a wide spectrum of symptoms. This study clarifies different aspects of celiac disease along with the most common patterns of celiac presentation in Khuzestan Province, Iran. METHODS Patients' information was obtained by evaluation of their files from the archives of the Khuzestan Celiac Society and records at(More)
This is a 43 year old man with complain of massive hematemesis. The upper endoscopy identified esophageal penetration by fish bone at mid esophagus and the CT scan also showed a hematoma at mid esophagus. The endoscopy procedure terminated immediately and surgical consultation requested. While the patient was waiting for transfer to operating room, a(More)
A 56 year-old man with recurrent gastrointestinal bleeding is reported. The patient had constant crampy pain in his epigastrium, right upper quadrant and periumbilical area. Upper-gastrointestinal endoscopy was normal. Colonoscopy showed a soft-tissue mucosal lesion in the rectum which was determined to be a worm that extended into the lumen of the rectum(More)
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