Organ Predilection of Certain Gastrointestinal Diseases—Pathophysiology, Diagnosis and Management

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Physiology and Pathology".

Deadline for manuscript submissions: closed (15 March 2026) | Viewed by 4670

Special Issue Editor


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Guest Editor
Thomas Jefferson University Hospital, Philadelphia, PA, USA
Interests: gastrointestinal bleeding; peptic ulcer; colon cancer; colon polyp; eosinophillic esophagitis; gastrointestinal neuroendocrine tumor

Special Issue Information

Dear Colleagues,

After many years of experience managing different gastrointestinal diseases, I find that different parts of the gastrointestinal tract have different disease predilections or are vulnerable to certain diseases. For example, ischemic bowel disease mainly occurs in the left colon, Crohn’s disease mainly occurs in the ileocecal region, ulcerative colitis starts from the rectum, there is a higher incidence of right-sided colon cancer in females compared to left-sided colon cancer in males, right-sided diverticular disease bleeds more than left-sided diverticular disease, and the ileocecal region is affected by Crohn’s disease, lymphoma, intestinal TB, CMV, yersinia infection, radiation enteritis, Behcet’s disease, ischemic small bowel stricture, and NSAID enteropathy. In total, 90% of small bowel neuroendocrine tumors occur in the distal ileum within 60 cm from the ileocecal valve. Small intestinal angioectasia is mainly seen in the proximal small bowel. Jejunal diseases may include infectious enteritis, diverticulosis, Crohn’s enteritis, ulcerative jejunoileitis secondary to Celiac disease, angioectasia, Behcet’s disease, neuroendocrine tumors, and obstruction due to stricture, adhesion, and malignancy. Duodenum can be affected by duodenitis, ulcers, neuroendocrine tumors, benign and malignant strictures, diverticulum, and Bouveret syndrome. Gastric antrum is more commonly affected by gastritis, peptic ulcer disease, gastric antral vascular ectasia and malignancy, fundus by portal hypertensive gastropathy, varices, autoimmune gastritis, and Dieulafoy lesion. Reflux esophagitis, Barrett’s esophagus, epidermoid metaplasia, adenocarcinoma, and esophageal varices are mostly seen in the distal esophagus. Eosinophilic esophagitis is a patchy disease and can affect the proximal, middle, and distal esophagus.

Primarily, we welcome submissions of high-quality original research articles showcasing new developments and innovative findings regarding these topics. Otherwise, we will consider high-interest review articles and case series of exceptional merit.

Dr. Monjur Ahmed
Guest Editor

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Keywords

  • disease predilection in gastrointestinal tract
  • esophagus with certain diseases
  • stomach with certain diseases
  • duodenum with certain diseases
  • jejunum with certain diseases
  • ileum with certain diseases
  • colorectum with certain diseases

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Published Papers (2 papers)

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Review

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30 pages, 1303 KB  
Review
The Predilection of Specific Diseases to Affect Different Sections of the Esophagus
by Monjur Ahmed
Life 2025, 15(9), 1444; https://doi.org/10.3390/life15091444 - 15 Sep 2025
Cited by 2 | Viewed by 3979
Abstract
Certain esophageal diseases have a predilection for affecting different parts of the esophagus. This predilection is noted in our clinical practice as we investigate various esophageal diseases using multiple imaging and motility studies, as well as endoscopic procedures with biopsies. Clinical presentations vary [...] Read more.
Certain esophageal diseases have a predilection for affecting different parts of the esophagus. This predilection is noted in our clinical practice as we investigate various esophageal diseases using multiple imaging and motility studies, as well as endoscopic procedures with biopsies. Clinical presentations vary with the stage and location of the disease. Clinicians can suspect certain diseases when a particular part of the esophagus is involved and then can perform appropriate investigations. Esophageal diseases with section involvement, with their symptomatology, diagnostic tests, and management, have been discussed in this narrative review. This review aims to revisit those diseases with a current update. Full article
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9 pages, 971 KB  
Case Report
EndoVAC Therapy for Post-TEVAR Secondary Esophageal Fistula: A Rare Case of Delayed Secondary Esophageal Fistula After TEVAR Managed with Endoluminal Vacuum Therapy
by Bogdan-Mihnea Ciuntu, Andreea Ludușanu, Adelina Tanevscki, Rareș Ștefan Costârnache, Mihaela Corlade-Andrei, Petru Radu Soroceanu, Dan Vintilă, Irina Mihaela Abdulan, Mihai-Lucian Zabara and Gheorghe Balan
Life 2026, 16(3), 460; https://doi.org/10.3390/life16030460 - 11 Mar 2026
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Abstract
Background: Aorto-esophageal fistula is a rare but life-threatening condition most often linked to thoracic aortic aneurysms and significant upper gastrointestinal bleeding. Thoracic endovascular aortic repair (TEVAR) is a crucial, life-saving procedure, but delayed complications, such as secondary esophageal fistulas caused by endograft erosion, [...] Read more.
Background: Aorto-esophageal fistula is a rare but life-threatening condition most often linked to thoracic aortic aneurysms and significant upper gastrointestinal bleeding. Thoracic endovascular aortic repair (TEVAR) is a crucial, life-saving procedure, but delayed complications, such as secondary esophageal fistulas caused by endograft erosion, can develop. Prompt recognition and multidisciplinary management are vital for survival. Case Presentation: We describe a 57-year-old patient with cardiovascular comorbidities and a saccular thoracic aortic aneurysm, who initially presented with massive hematemesis, melena, and hemodynamic instability. Imaging showed an aorto-esophageal fistula. Emergency treatment included placing a fully covered esophageal stent followed by TEVAR. Three weeks later, he experienced fever, chest pain, and worsening dysphagia. Laboratory tests indicated elevated inflammatory markers and hypoalbuminemia. Computed tomography revealed a new retrocardial esophageal fistula at T9, caused by mechanical erosion from the thoracic endograft. Endoluminal vacuum-assisted closure (EndoVAC) therapy was performed, leading to clinical improvement and the return of esophageal function. Conclusions: This case highlights a rare instance of a delayed secondary esophageal fistula after TEVAR beneath a preexisting stent, likely due to chronic contact between the endograft and esophagus. Despite advancements in endoscopic therapy, secondary fistulas after TEVAR are associated with high morbidity. Early diagnosis, aggressive infection management, structured nutritional support, and a multidisciplinary approach are essential. Extraluminal or intraluminal vacuum-assisted closure offers a promising minimally invasive option for managing complex esophageal defects. Full article
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