From the editor's desk...
Authors: Lanthier N, Vanuytsel T PMID: 32233264 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Comparative study of tissue adhesive therapy versus band ligation in control of actively bleeding esophageal varices.
Conclusion: Both EVL and CI are almost as effective in achieving endoscopic hemostasis. CI is more effective, feasible, and could be used as a salvage therapy and/or spared for risky active bleeding esophageal varices. PMID: 32233265 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

High mortality rate of oesophageal perforation is associated with delayed hospital admission : a prospective observational case series study.
Conclusions: Mortality following esophageal perforation is at approximately 40%, while there is a significant impact of time of presentation on prognosis. PMID: 32233266 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Effectiveness and persistence of Vedolizumab in patients with inflammatory bowel disease : results from the Belgian REal-LIfe study with VEdolizumab (Be-RELIVE).
Conclusions: VDZ offers an effective treatment option in real-life settings and treatment effectiveness appears higher in biologic-naïve versus biologic-failure CD patients. (Acta gastroenterol. belg., 2020, 83, 15-23). PMID: 32233267 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Quality of care in an inflammatory bowel disease clinical trial center : a prospective study evaluating patients' satisfaction.
Conclusions: In this large IBD trial bureau, inflammatory bowel disease patients were very satisfied with the quality of care. Domains for quality improvement, such as attention to the impact of IBD on family and work, were identified. PMID: 32233268 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Increased gallstone formation after sleeve gastrectomy and the preventive role of ursodeoxycholic acid.
Conclusions: Stone or sludge development in the gallbladder due to rapid weight loss after obesity surgery is quite common. However, we observed that the gallstone development decreased significantly with the prophylactic use of UDCA in patients who had undergone obesity surgery. PMID: 32233269 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Collagenous gastritis : about two paediatric cases and literature review.
Conclusions: Collagenous gastritis in children is mainly characterized by symptoms of anaemia, abdominal pain or diarrhea. Gastroscopy with fundic biopsies helps to confirm diagnosis and treatment with PPI's (associated with oral iron supplement in case of anaemia) seems to be the most efficient choice to achieve clinical and sometimes histological remission. Long-term outcome of these young patients is unknown. A better understanding of the pathogenesis could lead to new medications focusing on this histological remission. PMID: 32233270 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Posterior reversible encephalopathy syndrome secondary to oxaliplatin-based chemotherapy and regorafenib in metastastic colorectal cancer : case reports and literature review.
We present 3 cases of PRES of whom 2 are presumably caused by oxaliplatin and one by regorafenib. We discuss in this article the 3 cases individually and we summarize in the discussion the proposed theories in the literature of possible pathophysiological mechanisms. Our main goal of this article is to increase awareness among physicians when they are confronted with patients on chemotherapy who present with (sub)acute encephalopathy. PMID: 32233271 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Guidelines for an optimal management of a malignant colorectal polyp. What is essential in a pathology report ?
Authors: Dano H, Baldin P, Demetter P, Driessen A, Hoorens A, Sagaert X, Van Huysse J, Verset L, Jouret-Mourin A Abstract Colorectal cancer (CRC) has become the most common malignancy in our country. Routine screening colonoscopy is on the rise. With the recent advances in endoscopic treatment, many T1 colorectal carcinomas are now found and their percentage amenable to endoscopic resection has increased. Endoscopists and pathologists dealing with the steadily increasing number of excised colorectal polyps have to collaborate closely to optimize patient care. Therapeutic management of patients after endoscopic rese...
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Foreign rectal body - Systematic review and meta-analysis.
Conclusions: Diagnostics must be performed with caution in order to rule out perforation and establish a treatment algorithm. Manual transanal extraction under sedation or general anesthesia may be performed in conjunction with cautious abdominal compression. Because of the variety of objects, i.e. in form and material, each case must be treated individually. Sometimes creativity and surgeon imagination may be required, although different algorithms have been established. PMID: 32233273 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Treatment of recurrent severe hepatic encephalopathy in patients with large porto-collaterals shunts or transjugular portosystemic shunt.
Authors: Temmerman F, Laleman W, Maleux G, Nevens F Abstract Patients with hepatic encephalopathy (HE) do not systematically receive priority on the waiting list for liver transplantation. In some patients with cirrhosis, excessive amounts of gut derived ammonia can bypass the liver parenchyma due to large spontaneous portosystemic shunts (SPSS) induced by portal hypertension. A similar but iatrogenic condition can occur after transjugular portosystemic shunt (TIPS) insertion. In these situations HE may develop and can become refractory to standard management. In patients with preserved liver function, embolization...
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Capsule endoscopy : diagnosis of intestinal localisation of systemic follicular B-cell non-Hodgkin lymphoma.
We report the case of a 58 year old man with occult obscure gastro-intestinal bleeding (OGIB) without other significant symptoms, in which systemic localisation of follicular B-cell non-Hodgkin lymphoma was discovered trough capsule endoscopy. This case reflects the clinical significance of performing capsule endoscopy in patients with OGIB. PMID: 32233275 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Enteropathy-associated T-cell Lymphoma (EATL) with intracranial metastasis : a rare and dismal condition.
Conclusion: EATL with brain metastasis is a very rare occurrence with dismal prognosis. PMID: 32233276 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Inflammatory hepatocellular adenoma, focal nodular hyperplasia and hepatic granulomas in one single patient : possible physiopathologic explanations.
We report the case of a hepatocellular adenoma associated with focal nodular hyperplasia and hepatic granulomas in a 30-yearsold woman. This association has rarely been described before but might be explained by underlying common pathophysiologic mechanisms. In this manuscript possible links between the three entities are discussed. PMID: 32233277 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Azathioprine induced pancreatitis, polyarthritis and panniculitis (PPP) syndrome in a patient with Crohn's disease.
We report about a case of azathioprine related pancreatitis associated with polyarthralgia and panniculitis. Pancreatitis, polyarthritis and panniculitis (PPP) syndrome is an uncommon phenomenon which may accompany a number of pancreatic diseases including acute or chronic pancreatitis or pancreatic malignancy. To the best of our knowledge, this is the first report of Azathioprine related PPP syndrome. PMID: 32233278 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Z-POEM (Per Oral Endoscopic Myotomy) for the management of large Zenker's diverticulum.
Authors: Elkholy S, Essam K, El-Sherbiny M PMID: 32233279 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Hiccups : an uncommon presentation of pyogenic liver abscess.
Authors: Wu ZF, Hsu YC, Tseng WC PMID: 32233280 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Patients with chronic hepatitis C virus infection are at high risk of being lost to follow-up. Focused interventions can increase linkage to care.
Authors: Keymeulen H, Van de Velde H, Degroote H, Geerts A, Van Vlierberghe H, Verhelst X PMID: 32233281 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Cholestatic hepatitis due to propafenone in father and daughter.
Authors: Unler GK PMID: 32233282 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Duodenal mass in a patient with rheumatoid arthritis.
Authors: Köklü H, Üstün H, Köklü S PMID: 32233283 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

A Drug-Induced Polypoid Lesion.
Authors: Bronswijk M, De Hertogh G, Roelandt P PMID: 32233284 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Top 3 Differentials in gastrointestinal imaging : a case review by Rocky Saenz.
Authors: Hommel C PMID: 32233285 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - April 3, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Comparison between tunneling and standard endoscopic submucosal dissection for treatment of large esophageal superficial neoplasm.
CONCLUSIONS: T-ESD is a safe and effective method for treating large esophageal superficial neoplasms with a faster dissection speed than s-ESD, but postoperative strictures may be encountered for lesions involving more than three-fourths of the circumference or longer than 3 cm. PMID: 31950800 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Cold snare endoscopic resection of nonpedunculated colorectal polyps larger than 10 mm. A retrospective series.
CONCLUSION: CSP for advanced, non-pedunculated lesions is feasible, effective and extremely safe. PMID: 31950801 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Hepatitis C virus (HCV) prevalence estimation in the adult general population in Belgium : a meta-analysis.
CONCLUSIONS: We believe that the quantitative measurement by the meta-analysis will be more reliable for their use in the design of a screening strategy or in the development of prevention campaigns as compared to the prevalence estimations performed at local level. PMID: 31950802 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Von-Willebrand factor as a predictor of three-month mortality in patients with liver cirrhosis compared to MELD score.
Authors: Curakova Ristovska E, Genadieva-Dimitrova M, Caloska-Ivanova V, Misevski J Abstract INTRODUCTION AND AIM: Endothelial dysfunction is involved in the pathogenesis of portal hypertension and in the progression of liver disease. As an indicator of endothelial dysfunction, von Willebrand factor (vWF-Ag) can be a useful mortality predictor in patients with liver cirrhosis. The aim of the study is to compare the predictive value of vWF-Ag with the predictive value of MELD score regarding the three-month mortality in patients with liver cirrhosis. MATERIALS AND METHODS: In 70 patients with cirrhosis and porta...
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Role of computed tomography in prediction of gastrointestinal fistula in patients with acute pancreatitis.
CONCLUSION: CT is helpful in predicting GIF in patients with AP. PMID: 31950804 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Can the matrix metalloproteinases 2 and 9 predict the course of acute pancreatitis in previously healthy patients?
CONCLUSION: The determination of a single laboratory marker, which is the level of metalloproteinase-2 or metalloproteinase-9, is characterized by sensitivity and specificity comparable to that of multifactor prognostic scoring systems. PMID: 31950805 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Efficacy and safety of magnetic guided capsule gastroscopy in gastric diseases.
Authors: Rauya E, Sha O, Darwazeh R, Zhang BQ Abstract The current mainstay of screening and diagnosis for gastric diseases is conventional standard gastroscopy. However, it is invasive and uncomfortable procedure for the patients especially in case of non-sedative procedures and other adverse effects related to conscious sedation anesthesia. Recently, a magnetic guided capsule gastroscopy (MGCG) was introduced to overcome these challenges. It is a safe and pleasant procedure with no involvement of sedation and no risks of cross-infection between patients. In addition, this method is anticipated to be an alternativ...
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Potential clinical scenarios of tumour budding in colorectal cancer.
Authors: Dawson H, Blank A, Zlobec I, Lugli A Abstract Tumour budding, defined as single tumour cells or clusters of 4 tumour cells or less detached from the main tumour body, is a wellestablished indicator of aggressive tumour biology in colorectal cancer. As a marker of tumour dissemination, evidence points towards tumour budding as a morphological correlate of epithelialmesenchymal type changes in the tumour microenvironment. Despite many studies in the literature going back decades, tumour budding has not been systematically integrated in colorectal cancer reporting protocols. The recently published proceedings...
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Fecal microbiota transplantation in ulcerative colitis.
CONCLUSION: FMT seems to be a promising and safe therapy in the management of UC. Further research, with larger cohorts, will be needed to confirm this and to determine the optimal FMT procedure. PMID: 31950808 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Endoscopic vacuum-assisted closure therapy for the treatment of oesophageal anastomotic leaks.
We report here endoscopic vacuum-assisted closure therapy as a novel endoscopic treatment for the management of oesophageal anastomotic leaks. Endoscopic vacuum-assisted closure therapy is a minimally invasive method to treat anastomotic leakage by positioning an open-pored polyurethane sponge and a suction tube connected to a wound drainage system into the opening of the wound cavity. This multidisciplinary endoscopic and surgical approach is a successful therapy for the management of suture dehiscence with oesophageal anastomotic leaks after thoracic surgery or oesophageal perforations. PMID: 31950809 [PubMed - in pr...
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

A man with abdominal pain and eosinophilia : tissue is the issue.
Authors: Crapé L, Strubbe B, Cesmeli E, de Clerck F Abstract A 24-year-old male presented with abdominal pain, postprandial vomiting and weight loss. Lab results showed an elevated serum eosinophil count and CT-scan demonstrated a thickened antral, duodenal and jejunal wall. Repetitive endoscopic mucosal biopsies were normal. Work-up of eosinophilia-associated gastro-intestinal disorders excluded secondary causes. Bone marrow showed an elevated eosinophil count without arguments for a primary hypereosinophilic syndrome. Endoscopic ultrasound-guided fine needle biopsy detected a strongly elevated number of eo...
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Impact of liver inflammation on whole body insulin resistance : a case report on primary biliary cholangitis.
In this report, we present the case of a patient who was diagnosed with primary biliary cholangitis and metabolic syndrome. Initial evaluation also revealed diabetes with elevated fasting plasma glucose and glycated hemoglobin. After eight weeks of treatment with ursodeoxycholic acid, a complete normalization of the hepatic biological tests was observed. A few months later, while body weight and abdominal perimeter remained stable, fasting blood glucose and glycated hemoglobin decreased significantly, compatible with diabetes disappearance. This finding supports the concept that the inflamed liver plays a major role in the...
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

A case of amoebic colitis with amoeboma and simultaneous liver abscesses. A diagnosis by colonoscopy.
Authors: Bronswijk M, Van Gool S 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 f...
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Calcium polystyrene sulfonate-induced gastrointestinal tract necrosis and perforation.
Authors: Buraphat P, Niyomnaitham S, Pongpaibul A, Maneerattanaporn M PMID: 31950813 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Cystotome assisted stent recanalization : an alternative way of regaining access to occluded metal biliary stents.
Authors: Bronswijk M, Carton S, Christiaens P PMID: 31950814 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Coexistence of ampulla Vater tumor and Castleman's disease: a rare case report.
Authors: Balkaya T, Babayev A, Aydın I, Gür EÖ, Dilek ON PMID: 31950815 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

How will the welfare state cope with welfare diseases such as NASH?
Authors: Vandekerckhove P, Van Damme B, Annemans L PMID: 31950816 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Autoimmune hepatitis in a patient with thymectomy: the benefit of histology and MUM-1 immunostaining.
Authors: Ulpiano Trillig A, Ramoisiaux L, Komuta M, Lanthier N PMID: 31950817 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

A not-so-innocent kiss.
Authors: Busschaert J, Van de Bruaene C, Van Caillie MA, Van Hootegem P PMID: 31950818 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

What happened to my liver lesion (Hepatic Sclerosed Hemangioma)? Let's not forget (radiological) history.
Authors: Renzulli M, Capozzi N, Clemente A, Tovoli F, Cappabianca S, Golfieri R PMID: 31950819 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - January 19, 2020 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Endoscopic submucosal multi-tunnel dissection for large early esophageal cancer lesions.
CONCLUSION: ESMTD is a safe and efficient technique for treating large early esophageal cancer lesions. Grasping the key techniques of this procedure can reduce operating difficulty and shorten the operating time. PMID: 31566321 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - October 2, 2019 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

EUS-guided tissue samples for the diagnosis of patients with a thickened gastric wall and prior negative endoscopic biopsies.
CONCLUSION: EUS-FNA/FNB is necessary in patients with a thickened gastric wall and prior negative biopsy on endoscopy. The procedure is safe and has a good diagnostic. PMID: 31566322 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - October 2, 2019 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Ulcerative colitis treatment : an insight into daily clinical practice.
Authors: Bossuyt P, Baert F, Coenegrachts JL, De Vos M, Dewit O, Ferrante M, Fontaine F, Mana F, Vandervoort J, Moreels T Abstract BACKGROUND: The natural history of ulcerative colitis (UC) is unpredictable. Factors associated with the need for different types of step-up therapy in UC patients failing on 5-aminosalicylic acid (5-ASA) or corticosteroids are understudied. AIMS: Describe step-up therapy in patients with UC the first year after failing on 5-ASA or corticosteroids. METHODS: A Belgian, multi-center, prospective, non-interventional observational study comprising adult UC patients failing on 5-ASA ...
Source: Acta Gastro-Enterologica Belgica - October 2, 2019 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Feasibility of endoscopic submucosal dissection for recurrent colorectal tumors after endoscopic mucosal resection.
CONCLUSIONS: Colorectal ESD is feasible for recurrent colorectal lesions after EMR. The procedure is safe and achieves good treatment outcomes with no local recurrence. PMID: 31566324 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - October 2, 2019 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Who to screen for hepatitis C? A cost-effectiveness study in Belgium of comprehensive hepatitis C screening in four target groups.
CONCLUSION: A broad screening strategy combined with treatment is likely to be a cost-effective strategy to detect and treat HCV infected patients and diminish the HCV burden in Belgium. PMID: 31566325 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - October 2, 2019 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

Preoperative biliary drainage in patients performing pancreaticoduodenectomy : guidelines and real-life practice.
CONCLUSIONS: PBD is often performed in patients undergoing PD without a formal indication, mainly due to high bilirubin levels. No increased morbidity/mortality was observed but length of hospital stay was prolonged in patients performing PBD. PMID: 31566326 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - October 2, 2019 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

A comparison of the BISAP score and Amylase and BMI (CAB) score versus for predicting severe acute pancreatitis.
CONCLUSION: BISAP is more accurate for predicting the severity of acute pancreatitis than the CAB score. PMID: 31566327 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - October 2, 2019 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research

On demand pancreatic stenting in chronic pancreatitis might provide good palliation of pain.
CONCLUSIONS: On demand replacement of pancreatic stent is feasible in patients with CP and it might provide a good palliation of CP-related pain. PMID: 31566328 [PubMed - in process] (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - October 2, 2019 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research