A bibliometric study of Revista Espa ñola de Enfermedades Digestivas(REED) based on SciELO indicators for the period 2004-2018.
A bibliometric study of Revista Española de Enfermedades Digestivas(REED) based on SciELO indicators for the period 2004-2018. Rev Esp Enferm Dig. 2020 Nov 24;: Authors: Bojo Canales C, Perdiguero-Gil E Abstract The goal of this work was to show, through a case study involving the Revista Española de Enfermedades Digestivas (REED), the potentialities offered by the SciELO network indicators for the management of scientific journals. SciELO offers indicators (production, collaboration, use) that complement the conventional analysis indices used for written science. In order to illustrate t...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Can we optimize the CEA as a response marker in rectal cancer?
CONCLUSIONS: lower pre-treatment CEA/ExT values ​​seem to be associated with tumor downstaging, and this parameter may be promising as a predictor of a more favorable response in patients with rectal ADC undergoing treatment with N-CRT. PMID: 33228364 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Trouble from the abdominal cavity: an unusual foreign body secondary to laparoscopic cholecystectomy.
Authors: Su X, Wang Z, Wang D Abstract A 41-year-old man presented to our hospital with a history of intermittent upper abdominal pain for several months. The patient had a significant surgical history of laparoscopic cholecystectomy (LC) at 1 year before. Gastroscopy revealed a foreign body penetrating the duodenal bulb wall, which resulted in chronic inflammatory changes in the surrounding tissues. Abdominal computed tomography (CT) examination revealed a 2-cm hyper-dense linear object embedded within the duodenal wall. It seemed to be a chronic perforation without significant free air or peritonitis. Given the l...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Paroxysmal nocturnal hemoglobinuria and liver transplantation, a new paradigm.
PAROXYSMAL NOCTURNAL HEMOGLOBINURIA AND LIVER TRANSPLANTATION, A NEW PARADIGM. Rev Esp Enferm Dig. 2020 Nov 24;: Authors: Morilla Fernandez JA, Sánchez Martínez A, Pons Miñano JA Abstract Paroxysmal nocturnal hemoglobinuria (PNH) is a type of hemolytic anemia acquired by the PIG-A gene mutation. This causes a deficiency of a complement regulatory protein, the CD59, which results in hemolysis, hemoglobinuria and thrombosis (due to the release of procoagulant factors). Budd-Chiari syndrome is characteristic in these patients and has classically been considered a contraindication for ...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

TITLE: "From Lauren's diffuse gastric cancer to WHO's poorly cohesive carcinoma." Clinicopathological and prognostic characteristics.
TITLE: "From Lauren's diffuse gastric cancer to WHO's poorly cohesive carcinoma." Clinicopathological and prognostic characteristics. Rev Esp Enferm Dig. 2020 Nov 24;: Authors: Sarriugarte Lasarte A, GarcÍa Alberdi E, Martinez Indart L, Gutierrez Grijalba O, Albarez Abad I, Guerra Lerma M, Calle Baraja M, Colina Alonso A Abstract Ever since Lauren classified gastric cancer into intestinal-type adenocarcinoma and diffuse gastric carcinoma back in 1965 countless categorizations have been published attempting to elucidate the clinicopathological and prognostic differences between histolog...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Dilation of the biliary tract secondary to intrahepathic biliary mucinous cystoadenoma with ovaric stroma.
DILATION OF THE BILIARY TRACT SECONDARY TO INTRAHEPATHIC BILIARY MUCINOUS CYSTOADENOMA WITH OVARIC STROMA. Rev Esp Enferm Dig. 2020 Nov 24;: Authors: Valdivielso Cortázar E, González Peñas L, Alonso Aguirre P Abstract A case of a woman with a dilated bile duct secondary to intrahepatic mucinous biliary cystadenoma is presented and a brief review of this pathology is done. PMID: 33228368 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Basic training in gastrointestinal endoscopy: recording images.
Authors: Panadès Aran A Abstract My reading of the special article published in the present Journal back in 2019, dealing with basic training in gastrointestinal endoscopy for resident physicians specializing in gastroenterology (1) has prompted me to offer the following comments: The sections encompassing the theoretical skills that residents must acquire include, both regarding upper and lower endoscopy, report writing and image recording. The structure and contents of a report for an endoscopic procedure faithfully reflect the endoscopist's technical expertise level. An endoscopy report represents the bes...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A rare postoperative complication after a step-up approach for walled-off pancreatic necrosis: locating a difficult digestive duct fistula.
We present a case of a gallbladder-abscess cavity fistula in a 46-year-old male with walled-off pancreatic necrosis (WOPN). After receiving the step-up approach for 2 months, which consisted of minimally invasive necrosectomy followed by postoperative percutaneous lavages with two drainage tubes, the range of abscess was significantly reduced, as shown by computerized tomography scanning (Fig. 1). However, a substantial amount of odorless, pale yellow, feculent fluid (almost 1000mL daily) was discharged from the drainage tubes in the following days without lavages, which could have been ascribed to a bile leak. After repea...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic Retrograde Cholangiopancreatography Results 3 Days After a Failed Pre-cut.
CONCLUSIONS: A new ERCP done within three days of a failed pre-cut is justifiable since it has a significant success rate. In 3 out of 4 patients, bile duct cannulation is achieved with an acceptable percentage of complications. PMID: 33228371 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Microbiological findings in bile cultures of patients with acute cholangitis undergoing endoscopic retrograde cholangiography.
Authors: Robles Rivera FJ, Vilar Compte D, Manzano Robleda MDC Abstract Acute cholangitis (AC) is potentially fatal. Microbiological identification and susceptibility to antibiotics in every Hospital is essential to direct treatment. (1) In our hospital, a third-level cancer hospital, a retrospective, analytical study of 30 patients undergoing endoscopic retrograde cholangiography with AC and positive biliary culture (BC) was performed over a period of 6 months. We found that 90% of BC were monomicrobial, with E. coli in more than half of these patients (55%). It is worth mentioning that 27% of the strains were ext...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Combined endoscopy and laparoscopic approach of a gastric perforation due to intragastric balloon insertion.
We present a case report of a combined endoscopy and laparoscopy approach of gastric perforation secondary to an intragastric balloon insertion. Endoscopy approach may be useful in order to achieve balloon's extraction and to perform perforation delimitation for primary closure, thus avoiding total or partial gastrectomy. PMID: 33228373 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Pyroptosis in liver disease.
Authors: Jiang Y Abstract Pyroptosis is an inflammatory cell death that is dependent on caspase. Similarly to "necrosis", pyroptosis is not only accidental, but is also a specific form of programmed cell death, with the morphological characteristics of formation of pores on the cell membrane, cell swelling and rupture of the plasma membrane. Recent studies have demonstrated that pyroptosis plays an important role in the occurrence and development of liver diseases. Here, we focus on the mechanisms of pyroptosis, as well as the relationship between pyroptosis and liver diseases. PMID: 33233902 [PubMed ...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

It seems cholangiocarcinoma but it is not: discovering the choledochal cyst.
IT SEEMS CHOLANGIOCARCINOMA BUT IT IS NOT: DISCOVERING THE CHOLEDOCHAL CYST. Rev Esp Enferm Dig. 2020 Nov 25;: Authors: Roa-Colomo A, Martín-Lagos Maldonado A, Martínez-Martínez C Abstract 52-year-old woman referred for suspected Klatskin tumor. In echoendoscopy at the level of the left hepatic lobe, there is dilation of the intrahepatic bile duct until the confluence without evidence of injury at this level susceptible of FNA. ERCP is performed and in the left hepatic duct, close to the hilum, a 1-cm stenosis and a large suprastenotic dilation are observed. Abdominal MRI is repeat...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Glasgow prognostic score is a predictive index for postoperative infectious complications after total proctocolectomy in ulcerative colitis patient.
CONCLUSION: Glasgow prognostic score is a simple and useful indicator of postoperative infectious complications. PMID: 33233904 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Diagnosis and immunocytochemical characterization of an EBV related diffuse B Large cell lymphoma of the retroperitoneum from cell block preparations obtained by means of EUS guided FNA.
Conclusion Our case illustrates the utility of EUS-FNA in the work-up of retroperitoneal lymphadenopathy and the importance of cell block processing in the diagnostic approach of EBV related DLBCL. PMID: 33233905 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Prevalence and factors associated with poor sleep quality in inflammatory bowel disease outpatients.
CONCLUSIONS: Poor sleep quality is present in more than half of IBD patients. Aspects not directly related to IBD are associated to poor sleep quality. PMID: 33233906 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Phlebosclerotic Colitis: An Unusual Cause of Abdominal Pain and Hematochezia.
Authors: Chi J, Ji Y, Qiao Z, Qian J Abstract Phlebosclerotic colitis (PC) is a rare situation of ischemic colitis which may be associated with several factors, such as section, environment, genes, excessive drinking, long-term Chinese traditional medicine use. Abdominal pain and diarrhea are the main clinical features of PC. However, hematochezia and intestinal perforation are infrequence. CT is the first choice to diagnose the disease, the distinctive features of which are multiple linear calcified vascular shadows in the involved colon wall and superior mesenteric vein along with thickened colon wall. Colonoscop...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Balanced by iron. Hereditary hemochromatosis and celiac disease.
We present the case of a 14-year-old adolescent diagnosed with hereditary hemochromatosis due to an alteration of the iron profile in routine laboratory tests. One year later, she began with diarrhea and abdominal discomfort, also confirming the diagnosis of celiac disease. Nowadays, she remains asymptomatic and without phlebotomies, but this could be necessary in the future when the celiac disease is corrected and therefore the associated iron absorption deficit too. PMID: 33233908 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Is Gastroparesis, often detected in patients with alcoholic chronic liver disease, a manifestation of an Autonomic Dysfunction Syndrome? A preliminary study.
Authors: Caballero-Mateos AM, García-Márquez J, Ortiz-Díaz A, Roa Colomo A, Rodríguez-Acosta C Abstract BACKGROUND: The autonomic dysfunction defines the neuropathy of the autonomic nervous system. The prevalence of the gastric dysmotility and its relation with the autonomic dysfunction in patients with alcohol chronic liver disease is not well known. Methodes. 36 patients with alcohol chronic liver disease and 25 healthy controls were evaluated in order to detect an autonomic dysfunction through different cardiovascular reflexes and gastric emptying tests. RESULTS: 94% of the patien...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Modified quadruple therapy or bismuth-containing quadruple therapy in the first-line treatment of Helicobacter Pylori in Turkey.
CONCLUSION: Both bismuth-containing treatment regimens, quadruple therapy and modified quadruple therapy were highly effective and safe in H. pylori eradication in Turkey. Adverse events were lower in the modified quadruple therapy group. Modified quadruple therapy should be kept in mind in H. Pylori first-line therapy in regions with high resistance of metronidazole and clarithromycin treatment. PMID: 33233910 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A rare complication of severe acute pancreatitis: the portal vein compression resulting in uncontrollable gastric ulcer bleeding - a case report.
Authors: Xie J, Wan Y, Liu H Abstract A 43-year-old male with the diagnosis of severe acute pancreatitis (SAP) was admitted to our treatment center. After receiving the step-up approach for 3 weeks, the patient had sudden hematemesis (nearly 400mL). Gastroscopy and computed tomography (CT) were instituted on the same day, revealing gastric ulcer with hemorrhage and the portal vein was extremely compressed by peripancreatic fluid collections in the retroperitoneal space (Fig. 1). Then the patient received medical treatment, endoscopic hemostasis and percutaneous drainage of necrotizing effusion in abdominal cavity. ...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Inflammatory bowel disease and solid organ transplantation.
INFLAMMATORY BOWEL DISEASE AND SOLID ORGAN TRANSPLANTATION. Rev Esp Enferm Dig. 2020 Nov 25;112: Authors: Martinez Montiel MDP, Casis Herce B Abstract The population of patients with inflammatory bowel disease (IBD) and solid organ transplant (SOT) is increasing. Two clinical scenarios exist, recurrence of pre-existing IBD, which is more common and de novo development of IBD, with a much higher incidence than in the general population. Their clinical course differs and may have a negative impact on the graft in both cases. The pathophysiological mechanisms remain unknown and no specific treatment recom...
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Avatrombopag for the management of thrombocytopenia in patients with chronic liver disease.
Authors: Lozano ML Abstract Severe thrombocytopenia (platelet count
Source: Revista Espanola de Enfermedades Digestivas - November 26, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Overall clinical and economic impact of non-alcoholic fatty liver disease.
Authors: Sicras-Mainar A, Aller R, Crespo Garcia J, Calleja JL, Turnes J, Romero-Gómez M, Augustín S Abstract Objectives To establish the clinical and economic consequences (resource utilization and healthcare costs) of non-alcoholic fatty liver in the setting of usual clinical practice in Spain. Patients and methods An observational, retrospective study based on a review of the medical records of adult patients ≥ 18 years of age who sought medical care in the period 2017-2018. According to fibrosis stage (estimation method: FIB-4) patients were categorized into 2 groups: a) F0-F2 and b) F3-F4 (adv...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic management of a duodenal perforation secondary to a migrated biliary plastic stent.
Authors: Roa Esparza I, Arteagoitia Casero I, Barturen Barroso Á Abstract A 57-year-old female was admitted to hospital for abdominal pain, weight loss and jaundice. Computed tomography revealed a Bismuth type IV hilar cholangiocarcinoma with distant metastases. An endoscopic retrograde cholangiopancreatography was performed and a plastic stent was placed to drain the left hepatic lobe. Five days after the procedure, the patient presented worsening of pain and fever. Abdominal CT scan showed a perforation of the third duodenal portion due to stent migration. Given the high morbidity and poor prognosis of the...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Gastroparesis secondary to pulmonary vein cryoablation: a factor to consider.
We present a patient underwent cryoballoon ablation for symptomatic atrial fibrillation with gastroparesis five days later. It was solved with conservative measures such as prokinetics. A 72-year-old woman with history of symptomatic paroxysmal atrial fibrillation treated with edoxaban. Pulmonary vein isolation, using a cryoballoon catheter, was performed. 5 days later she started with upper abdominal pain, bloating and vomiting. Computed tomography (CT) revealed marked gastric dilatation without any gastric or intestinal obstruction. Treatment with intravenous erythromycin was prescribed for 3 days and subsequently with o...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The role of endoscopy in caustic ingestion in pediatric population: experience in a tertiary center.
THE ROLE OF ENDOSCOPY IN CAUSTIC INGESTION IN PEDIATRIC POPULATION: EXPERIENCE IN A TERTIARY CENTER. Rev Esp Enferm Dig. 2020 Nov 23;: Authors: Morilla Fernandez JA, Egea Valenzuela J, Fernandez Llamas T, Melero Nicolás B, Navalón Rubio M, Gil Ortega D, Alberca de Las Parras F Abstract INTRODUCTION: Caustic ingestion in children is rare but has potentially serious consequences. AIM: To analyze the clinical and endoscopic features, and the type of caustic ingested in our population. METHODS: We analyzed the upper endoscopies performed in this setting, as well as the characteristics...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Preliminary experience in maintenance treatment with intravenous ustekinumab as a rescue for loss of response to subcutaneous doses.
We report 6 cases from our center rescued by changing maintenance treatment to weight-adjusted intravenous UST, obtaining a subsequent clinical improvement. PMID: 33222477 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Hepatic epithelioid hemangioendothelioma: a rare vascular tumor with unpredictable diagnosis.
We present a case of a 58-years-old woman with a solitary hepatic epithelioid hemangioendothelioma treated with laparoscopic liver resection. Due to its low incidence, standardized clinical protocols are not yet established. Treatment options include chemotherapy, radiofrecuency or microwave ablation, liver resection or transplantation. PMID: 33222478 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Splenic rupture as an endoscopic complication: as rare as it appears?
Authors: Díaz Alcázar MDM, García Robles A, Martín-Lagos Maldonado A Abstract 86-year-old male with multiple cardiovascular comorbidites, who undergoes a colonoscopy due to acute lower gastrointestinal bleeding and anemia. Colonoscopy only shows some small angiodysplasias in the cecum. Few hours later, the patient presents with abdominal pain and hemodynamic instability. An abdominal computed tomography is performed, which displays a splenic laceration and hemoperitoneum. Expectant attitude is decided, with good evolution from the abdominal point of view. However, the patient develops de...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Efficacy and safety of submucosal tunneling endoscopic resection for gastric submucosal tumors: a systematic review and meta-analysis.
CONCLUSION: STER is an effective and safe technique for removing gastric SMTs with low complications, and the complications can be treated conservatively. PMID: 33222480 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of a case of huge abdominal mass.
Authors: Ma Y, Zhang W, Qiao Z, Yang T Abstract testicular mixed germ cell tumor is characterized by high degree of malignancy and prone to metastasis, the common of which is retroperitoneal lymph node metastasis. At present, EUS has a very important diagnostic value for mediastinal, enterocoelia and retroperitoneal lymph node metastasis of malignant tumors. It also has a positive value for the space occupying of parenchyma or cavity organ and can be used for the puncture operation of multiple lesions under real-time ultrasound monitoring with high safety and small complications. PMID: 33222481 [PubMed - as sup...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Establishment and Verification of a Nomogram for Predicting the Risk of Lymph Node Metastasis in Early Gastric Cancer.
CONCLUSION: The nomogram risk prediction model of lymph node metastasis has been established for early gastric cancer patients to assist in formulating personalized treatment plans. PMID: 33222482 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Role of endoscopic ultrasound-guided fine-needle aspiration in the diagnosis and classification of lymphomas.
CONCLUSIONS: EUS-FNA may be a valuable technique in the evaluation of suspected lymphomas with an adequate diagnostic yield and a very low adverse events rate. PMID: 33222483 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Ribavirin monotherapy for the treatment of chronic hepatitis E in a immunosuppressed patient.
We present the case of a patient diagnosed with HIV who developed cirrhosis due to chronic hepatitis E. The good response of this chronic infection is evident in our immunosuppressed patient with a 12-week treatment with Ribavirin. PMID: 33222484 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Implementation of a peroral endoscopic myotomy program.
CONCLUSIONS: Training in animal models and supervision by experienced endoscopist during first cases could provide the necessary skills to perform POEM safely and effectively. PMID: 33222485 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Dysphagia secondary to anti-hmgcr autoimmune necrotizing myopathy.
DYSPHAGIA SECONDARY TO ANTI-HMGCR AUTOIMMUNE NECROTIZING MYOPATHY. Rev Esp Enferm Dig. 2020 Nov 23;: Authors: Valdivielso Cortázar E, Delgado Blanco M, Alonso Aguirre P Abstract A case of dysphagia secondary to anti-HMGCR myopathy is presented and a brief review of this pathology is made. PMID: 33222486 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Portal vein aneurysm, an update on the subject. A case report.
Authors: Hernando Sanz A, Navarro-Aguilar V, López-Andújar R Abstract The portal venous aneurysm(PVA) is a very rare entity, which can be congenital or acquired (if portal hypertension, cirrhosis, pancreatitis, surgical history). Although the discussion is still ongoing, treatment would be indicated in symptomatic PVA, over 30mm or progressive growth. In order to provide an update on the subject due to the low incidence of this finding, we present the case of a 51-year-old woman who comes to the ER for painful obstructive jaundice; the ultrasound shows the presence of cholelitiasis and choledicolitias...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Intestinal intussusception in an adult diagnosed by colonoscopy, an uncommon way to discover this entity.
We present a rare case of colo-colonic intestinal intussusception in an adult diagnosed by outpatient colonoscopy, which is an uncommon way to discover this entity. PMID: 33226248 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A common hepatic artery aneurysm with splenic artery involvement: an unusual cause of abdominal pain.
Authors: Lucas Guerrero V, Lobato Gil R, García Borobia F Abstract Forty-eight year old man with epigastric pain. CT scan shows a common hepatic artery aneurysm (HAA) of 4,6 cm in size with permeable portal vein. Angiography demonstrates that it affects from the beginning of the celiac trunk until hepatic arteries bifurcation, producing a proximal splenic artery stenosis. Proximal and distal embolization is done achieving a complete aneurysm occlusion. A stent is placed in celiac trunk in order to maintain splenic flow. Permeability of distal hepatic artery through choledochal arteries is observed in a month...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Candesartan-induced cholestatic hepatitis: a case report.
We present the case of a 55-year-old male that was admitted to our hospital for cholestatic hepatitis. Other causes of hepatitis were excluded with imaging, laboratory and serologic tests. A liver biopsy was performed, which was compatible with toxicity-induced hepatitis. Re-assessing the patient, he mentioned the start of treatment with candesartan cilexetil 3 weeks prior to the onset of the symptoms. Candesartan was withdrawn, with a progressive improvement in cholestasis and complete normalization of liver biochemistry at 6 months. The patient was diagnosed with candesartan-induced cholestatic hepatitis, probable accord...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Gastrointestinal and renal involvement in systemic vasculitis.
Authors: Silva JC, Reis M, Furtado A, Fernandes C Abstract Vasculitis can also present with GI or solid organ involvement. IgA and ANCA associated vasculitis are more likely to have GI involvement. A 56-year-old female was admitted to the ER due to nausea, vomiting, epigastric pain and fever. The patient had a medical history of acromegaly and chronic kidney disease of an undetermined etiology, elevated C-reactive protein and renal dysfunction. Abdominal-CT revealed duodenal parietal thickening and pancreatic head edema. On esophagogastroduodenoscopy (EGD), duodenal mucosa had a diffusely nodular aspect with ulcera...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Treatment of abdominal fistulas in Crohn's disease and monitoring with abdominal ultrasonography.
CONCLUSION: medical treatment achieves internal fistula closure in more than half of cases and almost a third require surgical treatment. Abdominal ultrasound can detect abdominal fistulas at an earlier stage and allow prompt treatment changes. PMID: 33226252 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Single-balloon enteroscopy-assisted ERCP in patients with Roux-en-Y anatomy and choledocholithiasis: do technical improvements mean better outcomes?
CONCLUSIONS: SBE-ERCP is feasible, efficacious and safe in patients with postsurgical Roux-en-Y anatomy and choledocholithiasis. Technical improvements may mean better outcomes. PMID: 33226253 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Percutaneous endoscopic colostomy to treat recurrent sigmoid volvulus in an almost centenary patient.
We report the case of a 96-year-old institutionalized male, with severe dementia, who was admitted to our hospital with sigmoid volvulus. After successful decompression, the patient developed recurrent sigmoid volvulus twice within 76 hours, which required endoscopic repositioning. However, after a new recurrence and rejecting surgery, we chose percutaneous endoscopic colostomy, using the standard gastrostomy technique, in order to fix the mobile intestine to the abdominal wall to prevent torsion. Although observational studies with more cases and longer follow-up are needed, percutaneous endoscopic colostomy could be a s...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Transjugular intrahepatic portosystemic shunt (TIPS) in Spain. Clinical-epidemiological considerations in relation to a multicenter registry.
CONCLUSION: notably in our study, the complications of TIPS did not show a clear relationship with the number of procedures performed. With regard to other countries like the United States and France, the number of TIPS in Spain per million inhabitants is currently substantially lower. There were no significant changes compared to the number completed in 2013. PMID: 33226255 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Reactive perforating collagenosis: a rare side effect associated with sorafenib.
We present the case of a patient with a debut of reactive perforating collagenosis associated with the use of Sorafenib for stage IV hepatocarcinoma, very successfully controlled with local corticotherapy and systemic antihistamines. This is an extremely rare side effect associated with this treatment, as only another eleven cases of acquired perforating dermatoses associated with Sorafenib or other multi-kinase inhibitors have been found in the medical literature. Given the unusual nature of this presentation, high clinical suspicion and a correct histopathological study are indispensable for its correct filiation and tre...
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Chronic intestinal pseudo-obstruction in MELAS.
Authors: Fernández Forcelledo JL, López Fernández E, Misiego Peral MM Abstract MELAS syndrome with chronic intestinal pseudo-obstruction and neurological symptoms in a patient with a fatal evolution despite medical and surgical treatment. PMID: 33226257 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic ultrasound-guided ethanol ablation for the management of a symptomatic pancreatic insulinoma.
CONCLUSION: the treatment of symptomatic insulinoma by endoscopic ultrasound-guided ethanol ablation could be a safe and effective alternative to surgical management in non-surgical patients or those who refuse surgery. PMID: 33226258 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Waugh's syndrome: a rare cause of bowel obstruction in adults.
We present images of a middle-aged adult with a large ileocolic intussusception in association with intestinal malrotation, the latter was concluded to be the underlying cause. PMID: 33226259 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - November 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research