One-step diagnosis. A key tool for the elimination of hepatitis C.
Authors: Herrero JI, Ampuero J, Fernández Rodríguez CM Abstract Hepatitis C is a major cause of liver cirrhosis and hepatocellular carcinoma, as well as the primary indication for liver transplant in Europe. The highly effective direct-acting antivirals currently available make it possible to achieve the hepatitis C elimination targets set by the World Health Organization. For this, population screening and one-step diagnosis are fundamental strategies. PMID: 32611193 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - July 4, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Gastric ulcer due to mucormycosis in a critical patient.
We present a similar clinical case, as an example of one identified by gastroscopy. The case was a 71-year-old female with multiple organ failure secondary to nosocomial pneumonia who required mechanical ventilation, vasoactive drugs, corticosteroids, antibiotherapy and continuous venovenous hemofiltration. Her room was adjacent to a building under construction. The patient had severe upper gastrointestinal bleeding and therefore, an urgent upper gastrointestinal endoscopy was performed. A small amount of blood was identified, as well as a large ulcer without a white base extending from the fundus to the antrum region of t...
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Association between autoimmune pancreatitis and ulcerative colitis: a report of 12 patients.
CONCLUSION: an association between UC and type-2 AIP was confirmed in our cases. No increase in IBD severity was observed in this group of patients. PMID: 32578999 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A legal issue with dental prostheses and their possible complications.
Authors: Caballero Mateos AM, Pullas Latta EB, Vidal-Vílchez B Abstract After observing two cases of dental prostheses impacted in esophagus, fortunately solved by means of endoscopy, we have revised the current legislation in Spain. Knowing the present design of the prostheses and in accordance with the legislation, we consider some modifications must be performed in order to lower the risk of such complications. We want to raise an issue about this topic, often underestimated, and with a significant impact for the patients. PMID: 32579000 [PubMed - as supplied by publisher] (Source: Revista Espanola de...
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Patients with hepatitis C lost to follow-up: ethical-legal aspects and search results.
CONCLUSION: a large number of patients with hepatitis C are lost to follow-up. Searching for and contacting these patients is legally and ethically viable. PMID: 32579001 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Author ´s reply: "Consensus document for Digestive services in the National Health System of the XXI century".
This report is focused on the most relevant quality standards or those with available standards developed by other national or international scientific-medical societies. The process of developing standards for UD units, processes and procedures must be progressive, based on the scientific evidence available at the time. The scope of these standards will also be extended to a greater number of monographic units, processes and procedures." PMID: 32579002 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

An acute episode of inflammatory bowel disease vs a rare manifestation of an Epstein-Barr virus-positive mucocutaneous ulcer. Case report.
Authors: García-Romera Á, González-Díaz S, Ramos L Abstract The Epstein-Barr virus-positive mucocutaneous ulcer is an entity that has been recently accepted in the literature, included under the lymphoproliferative disorders. Some publications provide information about a limited number of cases describing lesions that mainly involve the oropharynx and skin. However, its rapid onset in the colon, causing a perforation, has not been reported. PMID: 32579003 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Rescue of a migrated pancreatic stent using a hand-made loop-catheter.
We present a pancreatic plastic stent migration case and the difficulty of an endoscopic approach to remove it, this time resolved with a hand-made loop catheter using a straight cannula and a NovaGold guide. PMID: 32579004 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Vedolizumab response in inflammatory bowel disease. Two years of follow-up.
CONCLUSIONS: vedolizumab is effective for induction and maintenance of clinical remission, both in Crohn's disease and ulcerative colitis. PMID: 32579005 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Predictive factors of clinical response to treatment with anti-TNF agents in ulcerative colitis: what have we learned from our patients?
Authors: Ramos L, Hernández Camba A, de la Barreda Heusser R, Vela M, Alonso-Abreu I, Rodríguez G E, Carrillo M, Tardillo C, Rodríguez Y, Figueroa Marrero A, Ceballos D, Cruz N, Kolle-Casso L, Jiménez Sosa A Abstract INTRODUCTION: inhibitors of tumor necrosis factor alpha (anti-TNFs) are effective drugs for the treatment of moderate-to-severe ulcerative colitis (UC). However, many patients do not respond or lose therapeutic response during follow-up. OBJECTIVES: to analyze the determining factors of clinical response to anti-TNFs in UC. METHODS: a multicenter retrospective study ...
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Medullary colorectal carcinoma. Do we really know it?
Authors: Puerta Vicente A, Vilar Tabanera A, García Pérez JC Abstract Medullary carcinoma (MC) is a recently described subtype of mismatch repair deficient (MMRd) colorectal carcinoma (CRC) which, despite being poorly differentiated by traditional morphological criteria, has been reported to have a good prognosis. By the moment, there is a handful reports about its clinical and pathological features, without agreement between results obtained. PMID: 32579007 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Portal venous gas and pneumatosis intestinalis secondary to intestinal subocclusion: success of non-surgical management.
We present the case of a patient with portal and gastric pneumatosis, managed conservatively successfully. The clinical presentation and a multidisciplinary management will be critical in the decision-making process to obtain favorable results. PMID: 32579008 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Digestive services in the Spanish National Health System of the XXI century. Organizational and operational standards for a patient-centered service.
Authors: García M, Marín Serrano E, Junta Directiva de la Asociación Española de Ecografía Digestiva Abstract The Spanish Society of Gastroenterology (SEPD) has published a consensus document that discusses the key standards and recommendations for organizing digestive system units (DSUs) in the 21st century. This is aimed at quality, efficient and patient-centered health care. PMID: 32579009 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Intra-abdominal desmoid tumor and chronic inflammatory bowel disease. An uncommon scenario.
We present the case of a patient with an inflammatory bowel disease to whom a pelvic desmoid tumor is discovered during an infertility study. PMID: 32579010 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Gastric syphilis and its importance for a differential diagnosis in HIV patients.
Authors: Navarro-Martínez S, Payá-Llorente C, Planells Roig MV Abstract A 41-year-old male, with history of HIV presented to emergency department with two months of abdominal pain and a weight loss. Radiological and endoscopic examinations where suggestive of gastric cancer. However, biopsies ruled out malignancy. The reaginic and anti-treponemal tests were positive, so the histological study was repeated with anti-Treponema pallidum monoclonal antibodies. The presence of spirochetes was confirmed. After three weeks of penicillin-based treatment, the gastric lesions and symptoms were resolved. PMI...
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

COVID-19. Immunothrombosis and the gastrointestinal tract.
Authors: A Cienfuegos J, Almeida Vargas A, Sánchez Justicia C Abstract Mönkemüller et al. brilliantly describe the pathogenesis of SARS-CoV-2 (COVID-19) in the gastrointestinal tract. Their findings highlight the local and systemic inflammatory response generated by the coronavirus. After having the opportunity to observe three cases of severe colonic ischemia and elevation of D-dimer levels in patients with COVID-19 and severe acute respiratory distress syndrome (SARS) due to SARS-CoV-2, we would like to highlight the thromboembolic complications in COVID-19, which are related to those reported by...
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Linkage to care strategy for the micro-elimination of hepatitis C among parenteral drug users on methadone replacement therapy in Gipuzkoa.
CONCLUSIONS: the prevalence of viremic HCV infection among PDUs under treatment with methadone is 62 %. The linkage to care strategy was effective and> 80 % of the population with an active infection have been treated so far. PMID: 32579013 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Systemic inflammatory response and thrombosis due to alterations in the gut microbiota in COVID-19.
Authors: Mönkemüller K, Fry LC, Rickes S Abstract We thank Dr. Cienfuegos and colleagues for their comments on our recent publication "COVID-19, Coronavirus, SARS-CoV-2 and the small bowel". Cienfuegos et al. have treated several COVID-19 patients with thromboembolic complications, including bowel ischemia. The authors correctly highlight the importance of this complication in COVID-19 patients, which has also been documented in autopsy studies. PMID: 32579014 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Prevalence of hepatitis C in patients with non-affective psychotic disorders.
CONCLUSIONS: patients with non-affective psychotic disorder have a higher prevalence of active infection than that of the general population and should undergo systematic screening. PMID: 32579015 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Treatment of a tuberculous esophagomediastinal fistula with a covered metal stent.
We present the case of a tuberculous esophagomediastinal fistula treated with a covered metal stent. A 48-year-old female with a history of pulmonary tuberculosis presented with dysphagia and retrosternal pain of a one-month duration. The physical examination was unremarkable. Chest enhancement computed tomography revealed an esophagomediastinal fistula and pneumomediastinum. PMID: 32579016 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 25, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A complex case of low-phospholipid-associated cholelithiasis syndrome.
We report a case of a 40-year-old female patient with clinical criteria for LPAC syndrome and with ABCB4 gene mutation. She had a complex history of choledocholithiasis recurrence despite treatment with ursodeoxycholic acid and multiple therapeutic endoscopic retrograde cholangiopancreatography, and she developed portal vein thrombosis. PMID: 32543870 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 18, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Intestinal failure in adults and children.
Authors: Alcolea Sánchez A, Nava Hurtado de Saracho FB, Sánchez-Galán AM, González Sacristán R Abstract Intestinal failure (IF) is rare, but it represents one of the most complex medical-surgical management pathologies, both in adults and children. The first-line treatment is parenteral nutrition (PN). However, new alternatives in the field of intestinal rehabilitation have opened up in recent decades, with the rise of multidisciplinary teams and the development of new hormone therapies as the first non-symptomatic approach to IF. PMID: 32543871 [PubMed - as supplied by publis...
Source: Revista Espanola de Enfermedades Digestivas - June 18, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The association of dietary β-carotene and vitamin A intake on the risk of esophageal cancer: a meta-analysis.
CONCLUSIONS: our study suggested that dietary β-carotene and vitamin A intake may reduce the risk of esophageal cancer. More relevant studies are needed to further explore this association, as there were some limitations in our analysis. PMID: 32543872 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 18, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Strategy for the Elimination of Hepatitis C in Cantabria.
Authors: Crespo J, Tejerina Puente A, Cuadrado A, Llerena S, Cabezas J, Grupo de Trabajo para la Eliminación de la Hepatitis C en Cantabria Abstract The hepatitis C virus (HCV) is one of the leading causes of liver-related morbidity and mortality worldwide, affecting more than 70 million people. Approximately, between 55 % and 85 % of infected people will develop chronic HCV infection and between 15 % and 30 % of this group will develop liver cirrhosis and associated complications in the following 20-30 years. In our country, the seroprevalence of anti-HCV ranges from 0.8 to 1.2 % of adult population, while ...
Source: Revista Espanola de Enfermedades Digestivas - June 18, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic therapy in disconnected duct syndrome: re-connecting the duct.
We report the case of a 61-year-old male patient with a history of acute necrotizing biliary pancreatitis and a disconnected duct syndrome. He underwent transgastric drainage using a luminal apposing metal stent and transgastric necrosectomy with complete resolution of the necrosis. A pancreatic fistula was identified during pancreatography and a pancreatic plastic stent was placed in order to manage the disconnected duct syndrome. The tip of the pancreatic stent could be seen inside the pancreatic collection, which is an unusual finding. There was a resolution of the collection and the pancreatic stent was removed. PM...
Source: Revista Espanola de Enfermedades Digestivas - June 18, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic treatment of biliary complications after liver transplantation.
CONCLUSION: in our study, ERCP is useful in most biliary anastomotic strictures, early biliary leaks and choledocholithiasis after liver transplantation. The rate of ERCP complications in these patients was low and none were lethal. PMID: 32543875 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 18, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Recapture of patients with an incomplete diagnosis of hepatitis C virus infection.
CONCLUSIONS: the strategy to recapture individuals with an incomplete HCV infection diagnosis was effective to detect active infections and subsequent initiation of antiviral therapy. PMID: 32515981 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 11, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The efficacy of glucagon-like peptide 1 receptor agonists in patients with non-alcoholic fatty liver disease: a systematic review and meta-analysis of randomized controlled trials.
CONCLUSION: our study suggested that GLP-1RAs may improve LFF, BMI and adiponectin in patients with NAFLD. Furthermore, the potential efficacy to treat NAFLD was also shown. More high-quality RCTs are needed to validate our findings. PMID: 32496108 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic stenting for gastroduodenal outlet obstruction of a malignant origin, real life experience in a single center.
CONCLUSION: palliative stenting for gastroduodenal obstruction is a safe, feasible and effective therapy to treat patients with malignant gastric outlet obstruction. PMID: 32496109 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Acute pancreatitis associated with levofloxacin.
Authors: Jiménez Moreno MA, Hontoria Bautista G, Pereda García R Abstract According to some series, 0.3-1.5% of all cases of acute pancreatitis are drug induced. Acute pancreatitis due to levofloxacin is included in its safety data sheet as an adverse effect. PMID: 32496110 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Apropos of a case of pancreatic lymphoepithelial cyst: importance of the preoperative diagnosis by ecoendoscopy.
Authors: Roa Colomo A, Martín-Lagos Maldonado A, Esquivias López-Cuervo J Abstract The case was a 75-year-old female with dyspeptic symptoms of a 2 month duration. There was a polycystic lesion at the level of the uncinate pancreatic process of 44 x 42 x 34 mm on abdominal ultrasound and MRI, which caused a slight dilation of the main pancreatic duct. EUS was performed that identified a multicystic formation of 25x36 mm in the pancreatic body and FNA was performed of the lesion. The cytological analysis identified squamous epithelial cells with lymphoid tissue, which was compatible with a lymphoepithe...
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Hepatic encephalopathy due to a congenital portosystemic shunt: a disease with a changeable presentation.
Authors: Alventosa Mateu C, Urquijo Ponce JJ, Diago Madrid M Abstract The presence of congenital portosystemic shunts in adult patients is an uncommon entity that can manifests itself with hepatic encephalopathy symptoms. However, its clinical presentation can be very diverse and varied, hence it is essential to bear it in mind to be able to diagnose it. In this manuscript we exemplify this variability by presenting a patient with complex long-standing neurological syndrome of uncertain origin, that was finally diagnosed of portosystemic shunt. To perform a percutaneous shunt closure is recommended to achieve resol...
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Extensive colonic pneumatosis. Conservative or Surgical approach?
We report the case of an 82-year-old male diagnosed with a metastatic castration resistant prostate carcinoma, under chemotherapy with disease progression in treatment with high doses of intravenous morphics. The patient reported abdominal distension with constipation and no vomiting in the emergency department and a distended and tympanic abdomen, without generalized peritonitis was identified during physical examination. A blood analysis showed lactate levels of 0.9 mmol/L and a PCR of 4.2 mg/L without leukocytosis. An extensive colonic pneumatosis with minimum pneumoperitoneum without free fluid was confirmed by a compu...
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Vedolizumab-associated psoriasis: until where does gut selectivity go?
We report a 34-year-old woman with ileal Crohn's disease diagnosed 14 years ago, with the development of extensive, exudative scalp lesions after adalimumab therapy. Biopsies from skin lesions were compatible with vulgar psoriasis. The patient reports no personal or family history of psoriasis. Due to persistence and further worsening of skin lesions, paradoxical etiology to adalimumab was presumed and the drug was stopped with complete resolution of skin lesions and intestinal disease in remission under methotrexate. Due to pregnancy-planification methotrexate was stopped and, 8 months-after, systemic steroid-therapy was ...
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Radical surgery in hepatic hydatidosis: analysis of results in an endemic area.
CONCLUSION: decision-making should consider age, comorbidity, cyst characteristics and available resources. Radical surgery should be applied whenever feasible as it achieves better results with an adequate selection of patients. PMID: 32496115 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Laparoscopic transcystic common bile duct exploration (LTCBDE): a safer method to treat common bile duct stones than laparoscopic choledochotomy.
Authors: Pang L, Wu S, Kong J Abstract We read the article published in the Spanish Journal of Gastroenterology and its accompanying editorial about the laparoscopic treatment of both cholecystolithiasis and choledocholithiasis in a single stage procedure. We would like to make some comments. Common bile duct (CBD) stones can lead to serious complications such as cholangitis and pancreatitis. So far, there is no standard surgical treatment for choledocholithiasis. Although, there are some ways to deal with CBD stones. Each method has its own advantages and disadvantages. In the era of advancements in minimally inva...
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Differences between residual and primary choledocholithiasis in cholecystectomy patients.
CONCLUSIONS: patients with primary choledocholithiasis were older and had a greater BMI and a larger diameter of the bile duct compared to patients with residual or secondary choledocholithiasis. ERCP is a good therapeutic option for the resolution of both types of choledocholithiasis. PMID: 32496117 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Surgical management of Boerhaave's syndrome with early and delayed diagnosis in adults: a retrospective study of 88 patients.
CONCLUSIONS: it is very important to establish an early diagnosis for patients with Boerhaave's syndrome. Early ( 24 h) primary repair, even for those reinforced with vascular muscle flaps. Furthermore, repair reinforcement with different muscle flaps appears to render similar results for patients with delayed diagnosis. PMID: 32496118 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Prognostic significance of lymph node count in high-risk node-negative colon carcinoma.
Authors: Martínez Ortega P, Cienfuegos JA, Baixauli J, Sánchez Justicia C, Abengózar M, Pastor Idoate C, Hernández Lizoáin JL Abstract BACKGROUND: the prognostic value of the number of lymph nodes isolated (
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Impact of interval timing to surgery on tumor response after neoadjuvant treatment for gastric cancer.
CONCLUSIONS: the NACT interval time prior gastrectomy for locally advanced GC is not associated with ypCR or DS and has no impact on overall survival. PMID: 32496120 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Digestive involvement in a patient with Lambert-Eaton syndrome.
We present the case of a 50-year-old male diagnosed with myasthenia gravis, secondary to thymoma or Lambert-Eaton syndrome during the study of repeated vomiting. Gastrointestinal symptoms persisted despite the treatment of the thymoma. He suffered from sigma volvulus that required sigmoidectomy 9 years after diagnosis. Neuromuscular junction disorders are not characterized by gastrointestinal involvement, as in our case. They have previously sporadically been related to intestinal motility dysfunction. PMID: 32496121 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The effect of Adacolumn ® on ulcerative colitis with COVID-19.
The effect of Adacolumn® on ulcerative colitis with COVID-19. Rev Esp Enferm Dig. 2020 Jun 04;112:511 Authors: Pérez Roldán F, Bernardos Martín ME, González Carro P Abstract Crespo et al. comment on the influence of immunomodulators and biological drugs on ulcerative colitis and SARS-CoV-2 infection. Granulo-monocytoapheresis is a treatment used in ulcerative colitis outbreaks, whose mechanism of action is to selectively retain activated granulocytes and monocytes, in order to reduce the inflammatory process. PMID: 32496122 [PubMed - as supplied by publisher] (Source...
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Author ´s answer to: "Effect of adacolumn® in ulcerative colitis with COVID-19".
Author´s answer to: "Effect of adacolumn® in ulcerative colitis with COVID-19". Rev Esp Enferm Dig. 2020 Jun 04;112:511-512 Authors: Hinojosa Del Val J, Crespo J, Pérez-Cuadrado Martínez E Abstract We have read with interest the article published by Pérez et al., we really appreciate their interesting comments and would like to qualify some points. With the except of the clinical practice, currently there is no recommendation based on scientific evidence about the use of apheresis in the treatment of ulcerative colitis (UC), and even less in Crohn's disease (CD)...
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Defining authorship and contributorship criteria: transparency and visibility.
Authors: Cienfuegos JA, Pérez-Cuadrado E Abstract The complexity and research publications have expanded exponentially.The role of authors and collaborators need to be clarified according with the standards of the International Committee of medical Journal Editors (ICMJE). New projects as Contributor Role Taxonomy (CRediT), has been launched in order to provide credit and transparency to the authors, readers and evaluation agencies. PMID: 32496124 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Effective treatment of autoimmune hepatitis-primary biliary cholangitis overlap syndrome with obeticholic acid.
We present a case of a 43-yr-old woman with AIH-PBC overlap syndrome treated with obeticholic acid (OCA). The patient showed a reduction in liver enzymes and no fibrosis progression during 15 months of follow up. PMID: 32496125 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Changes in the characteristics of hospital admissions due to decompensated cirrhosis in the era of direct-acting antivirals against hepatitis C virus.
CONCLUSION: the proportion of admissions due to decompensated HCV-related cirrhosis has decreased by almost 30 % since the introduction of the DAA. In addition, the characteristics of patients admitted have changed since the application of interferon-free regimens. PMID: 32496126 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Guessing the future of endoscopic drainage of walled-off necrosis.
Authors: Pérez-Cuadrado Robles E, Perrod G, Rahmi G Abstract The endoscopic treatment of walled-off necrosis is rapidly evolving concurrently with an increasing number of endoscopic techniques, devices, and combined procedures. Thus, there is a growing armamentarium of alternatives for those patients in whom the conventional direct endoscopic necrosectomy is not enough. However, when the patient reaches this point he enters in an unexplored field and choosing the correct option can be challenging. Furthermore, there is no consensus on the number of endoscopic procedures to perform before considering that dir...
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Personal protective equipment during activity resumption in endoscopy units: waterproof gowns in the daily practice.
Authors: Sánchez Yagüe A Abstract Adapting endoscopy units to the resumption of services remains challenging. Published recommendations for the resumption of endoscopy services are logical but, in some cases, may prove difficult to put into practice in the daily workflow of most centers. In relation to the SEED-AEG position statement document, we agree on the use of personal protective equipment during the procedures including footwear, body, hand, face, and hair protection. Since gloves are changed for all interventions, body protection would be the most problematic of all protection equipment as both ...
Source: Revista Espanola de Enfermedades Digestivas - June 5, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A rare case of acute cholangitis after endoscopic ampullectomy.
We present a rare case of acute cholangitis after endoscopic ampullectomy secondary to a biliary prosthesis obstruction, due to a pancreatic prosthesis intrusion. PMID: 32450700 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - May 27, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The relationship between integrin av ß6 and HBV infection in patients with liver cirrhosis and hepatocellular carcinoma: a preliminary report.
CONCLUSION: integrin αvβ6 could be a predictive marker for the progression of liver cirrhosis associated with HBV infection. Further studies are needed to determine the association between the expression of integrin αvβ6 in hepatitis B and HBV-associated HCC liver tissues. PMID: 32450701 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - May 27, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research