Comparative outcome of single versus two double-pigtail stents for endoscopic drainage of pancreatic fluid collections with minimal necrosis: a retrospective analysis
CONCLUSION: A single pigtail stent of 8.5 Fr or 10 Fr size for EUSguided cystogastrostomy provides efficacy and safety similar to that of two stents.PMID:38431784 | DOI:10.51821/87.1.12118 (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: S Giri S Bhrugumalla S Gangadhar S Angadi Source Type: research

Peroral endoscopic myotomy: a two-center retrospective study of practice and adverse events
CONCLUSION: The post-operative Eckardt score and the adverse event rate were comparable between the university centers. This study confirmed that POEM is a safe and effective technique. It also showed that using an antibiotic prophylaxis does not influence the development of infectious adverse events.PMID:38431785 | DOI:10.51821/87.1.12358 (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: C Van Severen S Koch J Faure M Poncin J-P Loly Source Type: research

Efficacy of mast cell directed therapies in irritable bowel syndrome: a systematic review
CONCLUSIONS: Mast cell modulating therapies could be of significant value in therapy for IBS patients. Further high-quality research is needed to establish the therapeutic efficacy of mast cell targeted therapies in order to draw robust conclusions and improve the clinical management of irritable bowel syndrome.PMID:38431786 | DOI:10.51821/87.1.12487 (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: D Coppens M Kips T Sti évenard C Mertens H De Schepper Source Type: research

Position statement on how can we can implement the Greendeal in our gastrointestinal and gastrointestinal endoscopy department in Belgium
Acta Gastroenterol Belg. 2024 Jan-Mar;87(1):28-33. doi: 10.51821/87.1.12500.ABSTRACTThe importance to reach the target to be carbon net zero by 2050, as presented by the European Commission in the European Green Deal, cannot be overestimated. In a current endoscopy world, where single use has found its place and techniques are constantly evolving, it will be a challenge to reach these goals. How can we reconcile this evolution to a carbon neutral status by 2050 without compromising patients care, clinical standards and training needs? The European Society of Gastrointestinal Endoscopy (ESGE) together with the European Soci...
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: M Aerts H Reynaert P Roelandt P Caenepeel P Dewint A Lemmers I Colle Source Type: research

Microscopic colitis related to food supplement containing turmeric: a review of 3 cases
This article highlights 3 cases where the consumption of a specific turmeric-based supplement caused microscopic colitis. Each of them complained about profuse watery diarrhea shortly after initiating the food supplement containing turmeric. Ileo-colonoscopies with biopsies confirmed the diagnosis of microscopic colitis, with two cases classified as lymphocytic colitis and the third as collagenous colitis. Following the discontinuation of the supplement, all patients experienced a resolution of their symptoms within a few days. Subsequent control biopsies for the three patients confirmed the resolution of microscopic colit...
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: L Ponselet J-M Ghilain M Schapira Source Type: research

STEC colitis mimicking acute severe colitis with life-threatening consequences: a case report
We present a patient with a medical history of refractory ulcerative colitis, where making the diagnosis of STEC-HUS was challenging since the initial clinical presentation was difficult to differentiate from a flare of ulcerative colitis. This case illustrates that STEC induced colitis can mimic acute severe ulcerative colitis. This finding is of utmost clinical importance because of the potential life-threatening complications of STEC-HUS. Therefore it should be excluded promptly in patients with acute severe ulcerative colitis by using multiplex-PCR assay on a faecal sample.PMID:38431789 | DOI:10.51821/87.1.11652 (Sourc...
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: T Hendrickx M Peetermans A D'Hoore K Claes A Van Hootegem J Sabino Source Type: research

Stauffer syndrome : a rare paraneoplastic complication of renal cell carcinoma to be kept in mind. Case report and literature survey
Acta Gastroenterol Belg. 2024 Jan-Mar;87(1):40-43. doi: 10.51821/87.1.11402.ABSTRACTThe authors report the case of a 74-years-old woman treated by immunotherapy for a metastatic renal cell carcinoma and having developed an important cholestasis with thrombocytosis, increased CRP, leucocytosis and hypoalbuminemia. Liver remained free of metastases at medical imaging. The diagnosis of a Stauffer syndrome was confirmed by the hepatic biopsy. A complete response of liver disorders was obtained after nephrectomy. From literature survey, Stauffer syndrome should be kept in mind in cancer patients, especially those suffering from...
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: M Deli ège B Bastens G Matus N Bl étard G Houbiers A Courtois C Focan Source Type: research

Acute grade IV toxic hepatitis due to the e-cigarette
Acta Gastroenterol Belg. 2024 Jan-Mar;87(1):44-47. doi: 10.51821/87.1.11378.ABSTRACTA 46-year-old woman presented at the emergency department because of acute hepatitis with jaundice. After hepatological work-up including liver biopsy, drug induced liver disease (DILI) was suspected. Patient recovered completely within a few months. One year later she presented again with jaundice due to acute hepatitis. Vaping was the only agent that could be identified as causative agent for DILI. After VAPING cessation, the hepatitis resolved completely. Calculated RUCAM score was 10, making the diagnosis of toxic hepatitis very likely....
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: G Van Roey W Goos C Claessens A Hoorens W Verlinden J Schouten Source Type: research

Fulminant ectopic Cushing's syndrome caused by metastatic small intestine neuroendocrine tumour - a case report and review of the literature
Acta Gastroenterol Belg. 2024 Jan-Mar;87(1):48-51. doi: 10.51821/87.1.11872.ABSTRACTCushing's syndrome (CS) secondary to adrenocorticotropic hormone (ACTH) producing tumours is a severe condition with a challenging diagnosis. Ectopic ACTH-secretion often involves neuroendocrine tumours (NET) in the respiratory tract. ACTH-secreting small intestine neuro-endocrine tumours (siNET) are extremely rare entities barely reported in literature. This review is illustrated by the case of a 75-year old woman with fulminant ectopic CS caused by a ACTH-secreting metastatic siNET. Severe hypokalemia, fluid retention and refractory hyper...
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: B Alliet C Severi T Veekmans J Cuypers H Topal C M Deroose T Roskams M Bex J Dekervel Source Type: research

Nitinol guidewire fragmentation using the OTSC extractor device: an innovative approach for an ERCP complication
Acta Gastroenterol Belg. 2024 Jan-Mar;87(1):52-53. doi: 10.51821/87.1.12314.NO ABSTRACTPMID:38431793 | DOI:10.51821/87.1.12314 (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: F Vara-Luiz G Nunes I Mendes C Oliveira J Veloso J Fonseca Source Type: research

A lower gastrointestinal bleeding in a haemodialysis patient as a potential precursor of small bowel ischaemia
Acta Gastroenterol Belg. 2024 Jan-Mar;87(1):54-55. doi: 10.51821/87.1.12315.NO ABSTRACTPMID:38431794 | DOI:10.51821/87.1.12315 (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: K Ferdinande D Tate D De Looze Source Type: research

Out of place, not out of mind
Acta Gastroenterol Belg. 2024 Jan-Mar;87(1):56-57. doi: 10.51821/87.1.12642.NO ABSTRACTPMID:38431795 | DOI:10.51821/87.1.12642 (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: B Weicker H Colin P Baldin T G Moreels Source Type: research

Comparative outcome of single versus two double-pigtail stents for endoscopic drainage of pancreatic fluid collections with minimal necrosis: a retrospective analysis
CONCLUSION: A single pigtail stent of 8.5 Fr or 10 Fr size for EUSguided cystogastrostomy provides efficacy and safety similar to that of two stents.PMID:38431784 | DOI:10.51821/87.1.12118 (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: S Giri S Bhrugumalla S Gangadhar S Angadi Source Type: research

Peroral endoscopic myotomy: a two-center retrospective study of practice and adverse events
CONCLUSION: The post-operative Eckardt score and the adverse event rate were comparable between the university centers. This study confirmed that POEM is a safe and effective technique. It also showed that using an antibiotic prophylaxis does not influence the development of infectious adverse events.PMID:38431785 | DOI:10.51821/87.1.12358 (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: C Van Severen S Koch J Faure M Poncin J-P Loly Source Type: research

Efficacy of mast cell directed therapies in irritable bowel syndrome: a systematic review
CONCLUSIONS: Mast cell modulating therapies could be of significant value in therapy for IBS patients. Further high-quality research is needed to establish the therapeutic efficacy of mast cell targeted therapies in order to draw robust conclusions and improve the clinical management of irritable bowel syndrome.PMID:38431786 | DOI:10.51821/87.1.12487 (Source: Acta Gastro-Enterologica Belgica)
Source: Acta Gastro-Enterologica Belgica - March 3, 2024 Category: Gastroenterology Authors: D Coppens M Kips T Sti évenard C Mertens H De Schepper Source Type: research