Cardiorespiratory complications directly related to endoscopy: associated or not with sedation?
Authors: Pérez Roldán F, González Carro P Abstract With the advent of routine sedation in digestive endoscopy, specifically the use of propofol, multiple reports have focused on the complications that may potentially emerge because of sedation, and whether administration is safer by anesthetists or trained gastroenterologists. Complications associated with endoscopy itself, whether diagnostic or therapeutic, have also been described. However, the fact that both upper and lower endoscopy per se may be accompanied by complications, both during the procedure or thereafter, is usually overlooked. ...
Source: Revista Espanola de Enfermedades Digestivas - February 20, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

POOR AGREEMENT BETWEEN CLINICAL SCREENING AND UNIVERSAL PRE-PROCEDURE SARS-CoV-2 PCR TESTING PRIOR TO ENDOSCOPY.
CONCLUSION: Clinical screening prior to endoscopy presents poor agreement with the pre-procedure PCR test. PMID: 33588573 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 17, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Looking for a new name for Non-alcoholic fatty liver disease in Spanish: Esteatosis Hep ática Metabólica (EHmet).
Looking for a new name for Non-alcoholic fatty liver disease in Spanish: Esteatosis Hepática Metabólica (EHmet). Rev Esp Enferm Dig. 2021 Feb 12;: Authors: Romero Gómez M, Ampuero J Abstract . PMID: 33573385 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 14, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Massive upper gastrointestinal bleeding secondary to a esophago-arterial fistula (arteria lusoria).
Authors: Valdivielso Cortázar E, Guerro Noya A, Alonso Aguirre P Abstract A case of a massive gastrointestinal bleeding secondary to a between esophagus and aberrant right subclavian artery (arteria lusoria) is presented, treated first with haemostatic clips and later with a Sengstaken-Blakemore tube and endovascular stent. A brief literary review is done. PMID: 33569959 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Acute pancreatitis related to SARS-CoV2 infection. Disclaimer.
Authors: Chivato Martín Falquina I, García-Morán S, Jiménez Moreno MA Abstract We send this manuscript as a disclaimer to the mention to our article "Acute pancreatitis in SARS-CoV-2 infection. Beyond respiratory distress" by J.Cienfuegos in his article "Daño pancreático, pancreatitis aguda en pacientes Covid-19". PMID: 33569960 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Use of Buscapine (scopolamine butylbromide) to facilitate specimen fixation after endoscopic submucosal dissection.
In conclusion, the use of Buscapine may help in the processing of excised lesions by facilitating pinning out and reducing damage risk for specimens. PMID: 33569961 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Telemedicine, time to change paradigm of Hepatitis C management: improve access and reduce costs.
Authors: Cabezas J, Llerena S, Crespo J Abstract Letter to Editor in reference to: Chronic Viral Hepatitis C Micro-Elimination Program Using Telemedicine. The Mexican Experience by Perez Hernandez et al. PMID: 33569962 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

COVID-19 and the liver: The chicken or the egg dilemma.
Authors: Ampuero J Abstract . PMID: 33569963 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Pancreatic injury and acute pancreatitis in covid-19 patients.
PANCREATIC INJURY AND ACUTE PANCREATITIS IN COVID-19 PATIENTS. Rev Esp Enferm Dig. 2021 Feb 11;: Authors: A-Cienfuegos J, Almeida A, Aliseda Jover D Abstract Attached I am enclosing the English version of letter 7807/2021. Thanks so much for your help in this issue. PMID: 33569964 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

"Chronic Viral Hepatitis C Micro-Elimination Program Using Telemedicine. The Mexican Experience".
"Chronic Viral Hepatitis C Micro-Elimination Program Using Telemedicine. The Mexican Experience". Rev Esp Enferm Dig. 2021 Feb 11;: Authors: Perez Hernandez JL, Higuera de la Tijera MF, Arce Salinas CA Abstract In response to the kind letter from Joaquin Cabezas et al. We agree that medical care in the COVID era has radically changed; using new mechanisms in the care of different diseases is undoubtedly now a priority to avoid contagion of both the patient and the medical staff, although the vaccine could protect the population, there are still many questions to answer; The model we use for t...
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Duodenal lymphangiectasias - the first sign of pancreatic adenocarcinoma.
DUODENAL LYMPHANGIECTASIAS - THE FIRST SIGN OF PANCREATIC ADENOCARCINOMA. Rev Esp Enferm Dig. 2021 Feb 11;: Authors: Taveira F, Magalhães JP, Brito D Abstract A 41-year-old caucasian female, with past medical history of pituitary adenoma medicated with cabergoline, presented with worsening dyspepsia and unintentional weight loss of 5%. Physical exam and laboratory results were unremarkable for pathological findings. Esophagogastroduodenoscopy revealed an oedematous and exuberant lymphangiectasia appearance in the duodenum, with no ulceration or suspected infiltration component (figure 1 - A/B). ...
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Hepatic injury and COVID-19: Pathogenic mechanisms or Epiphenomena?
Authors: A-Cienfuegos J, Valentí V, Rotellar Sastre F Abstract Alterations in liver function test have been described in 17-50% of patients COVID-19. The pathogenic mechanism remains obscure. With the occasion of a recent manuscript on the journal, we discuss the possible mechanisms. PMID: 33569967 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Risk factors and management strategies associated with non-response to aminosalicylates for maintenance treatment in ulcerative colitis.
Authors: Martí-Aguado D, Ballester MP, Mínguez M Abstract Aminosalicylates (5-ASA) represent the first-line maintenance treatment in patients with mild-moderate ulcerative colitis (UC). Early identification of patients at high risk for 5-ASA non-response, along with appropriate therapeutic escalation, are essential to avoid disease progression; however, the absence of a standardized definition for treatment success makes this task challenging. The focus of the current review is to describe the risk factors and management strategies associated with 5-ASA non-response. Rates of 5-ASA failure can vary fr...
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Dead-end stomach: a giant and pedunculated gastric pyloric gland adenoma conditioning gastric outlet obstruction and anemia.
We present the case of a 69-year-old female undergoing esophagogastroduodenoscopy for iron-deficiency anemia investigation. She reported intermittent bloating, nausea and vomiting. A pedunculated polyp was identified arising from the greater curvature of the middle gastric body, with a long fibroelastic stalk (30mm) and a 60mm congestive head that prolapsed towards the pyloric ring, causing a complete gastric outlet obstruction (GOO). An en-block polypectomy was performed. An intraprocedural oozing bleeding from a large visible vessel at the residual stalk was managed using endoloop®. Histo-immunohistochemistry showed ...
Source: Revista Espanola de Enfermedades Digestivas - February 13, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Capsule Retention Caused by Cryptogenic Multifocal Ulcerous Stenosing Enteritis.
CONCLUSION: CE plays a positive role in diagnosing CMUSE. CE findings are as important as CR to alert for the diagnosis of CMUSE. The association between CMUSE and intestinal lymphangiectasia deserves further study. PMID: 33562987 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 11, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Irritable bowel syndrome and basal serum tryptase: the correlation between subtype, severity and comorbidities. a pilot study.
CONCLUSION: BST does not discriminate between IBS patients and controls. However, BST was higher in patients with IBS with extraintestinal comorbidities which have more severe bloating. This finding is worthy of investigation. PMID: 33562988 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 11, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

High expression of NDRG3 correlates with poor prognosis in gastric cancer patients.
Authors: Liu Y, Xia J, Zhou Y, Shao S Abstract N-myc downstream-regulated gene 3 (NDRG3) is an important member of the NDRG family, it linked with malignant tumors. However, the relationship between NDRG3 with gastric cancer (GC) patients is vague. Western blot, qRT-PCR and IHC detected the expression of NDRG3 in GC cell lines and GC tissues, public databases analyzed NDRG3 in GC patients and the association with EBV infection. NDRG3 was up-regulated in GC cell lines and tissues; IHC data suggested that NDRG3 was correlated with histologic grade (p=0.006), and it can affect patients' survival curve. Thus, NDRG3 may...
Source: Revista Espanola de Enfermedades Digestivas - February 11, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Auditory and visual P300 event-related potentials to detect minimal hepatic encephalopathy.
Authors: Santana Vargas ÁD, Higuera-De la Tijera F, Perez Hernandez JL Abstract INTRODUCTION: Diagnosis of Minimal hepatic encephalopathy (MHE) requires psychometric tests, although new methods are needed since sensitivity, specificity, and accuracy are low. The P300 event-related potential (ERP) is obtained by auditory and visual stimuli, although only the auditory P300 has been used to detect MHE. We aimed to compare the diagnostic features of auditory and visual P300 to detect MHE. MATERIALS AND METHODS: Sixty patients with liver cirrhosis and thirty-five healthy controls completed the Psychometric He...
Source: Revista Espanola de Enfermedades Digestivas - February 11, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Scientific letter Efficacy of daily abdominal self-massage for the prevention of recurrent common bile duct stones after endoscopic biliary sphincterotomy.
Authors: Uchida N, Yoneyama H, Nakatsu T Abstract n/a. PMID: 33562991 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 11, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Screening guide for hepatitis C virus infection in Spain.
Authors: Grupo técnico de cribado de la infección por el VHC Abstract Since the Plan Estratégico para el Abordaje de la Hepatitis C (Strategic Plan for Tackling Hepatitis C - PEAHC) of the Spanish Health Service (SNS) was approved in 2015, the joint response to hepatitis C in Spain has made great progress. From 2015 to mid-2020, more than 135,000 people had access to direct-acting antiviral therapies. That same period saw advances in knowledge of the epidemiology of the active infection as well as heightened awareness and community participation in infection prevention. PMID: 33538174 [PubM...
Source: Revista Espanola de Enfermedades Digestivas - February 6, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The Screening Guidelines for Hepatitis C Virus Infection as a milestone in the path towards hepatitis C virus elimination.
Authors: Calleja Panero JL, Esteban R Abstract The publication of the Screening Guidelines for Hepatitis C Virus Infection represents a significant milestone in the path towards eliminating this infectious condition. As early as 2015, the National Health System Plan for Tackling Hepatits C (Plan estratégico para el abordaje de la hepatitis C - PEAHC) pointed out the need to define a screening policy. The Health Ministry has managed to bring together all the actors involved, and to create a technical document that represents a benchmark in the definition of the actions needed to identify and bring treatment c...
Source: Revista Espanola de Enfermedades Digestivas - January 31, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Hepatitis C in homeless people: reaching a hard-to-reach population.
Authors: Alfranca R, Salvans M, López C, Giralt C, Ramírez M, Calvo F Abstract The aim of this study is to analyse the process of detection and treatment of hepatitis C in individuals experiencing homelessness (IEH). An analytical cross-sectional study was conducted in a primary care centre. The centre screened and registered patients with a positive hepatitis C antibody test and referred them to the digestology service. 8.3% presented with a positive HCV antibody test, of which 6 were patients who had already received treatment. Of those who had not received treatment, one patient was successfully tr...
Source: Revista Espanola de Enfermedades Digestivas - January 28, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Acute pancreatitis in SARS-CoV-2 infection. Beyond respiratory distress.
We present, after reading the last two articles published in your magazine in November, a case of acute pancreatitis in a patient with a SARS-CoV-2 infection. PMID: 33494613 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 28, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Role of contrast-enhanced ultrasonography in the management of chronic inflammatory bowel disease.
ROLE OF CONTRAST-ENHANCED ULTRASONOGRAPHY IN THE MANAGEMENT OF CHRONIC INFLAMMATORY BOWEL DISEASE. Rev Esp Enferm Dig. 2021 Jan 26;: Authors: Abstract N/A. PMID: 33494614 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 28, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Usefulness of peripheral blood monocyte count to predict relapse in patients with inflammatory bowel disease: a prospective longitudinal cohort study.
USEFULNESS OF PERIPHERAL BLOOD MONOCYTE COUNT TO PREDICT RELAPSE IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE: A PROSPECTIVE LONGITUDINAL COHORT STUDY. Rev Esp Enferm Dig. 2021 Jan 25;: Authors: Ferreiro Iglesias R, Barreiro-de Acosta M, López J, Bastón Rey I, Domínguez-Muñoz JE Abstract Monocytes play an important role in the pathogenesis of inflammatory bowel disease but data are scarce as a biomarker of activity, above all, in patients under biologic therapies. The aim was to evaluate the value of monocyte measurements in predicting flares in inflammatory bowel disease pat...
Source: Revista Espanola de Enfermedades Digestivas - January 27, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Emergency department frequentation and unscheduled readmissions within the first year after liver transplantation, and their impact on survival.
Authors: Molina Avila P, Citores MJ, Arias Milla A, Benitez L, Montero E, Cuervas-Mons V Abstract The goal of this research was to assess emergency room frequentation and visit causes, and unscheduled readmissions within the first year after liver transplantation discharge from hospital, as well as their impact on graft and patient survival. This was a retrospective study of the medical records of 98 patients (mean age, 55.6 ± 8.59 years, 77.6 % males) who were consecutively discharged from hospital after receiving a first liver transplant in our institution during the period 2012-2015. All visits to the eme...
Source: Revista Espanola de Enfermedades Digestivas - January 27, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Biosimilar infliximab CPT-13 in inflammatory bowel disease in real clinical setting: pharmacokinetics outcomes, immunogenicity and drug survival.
Conclusion In conclusion, the pharmacokinetic characteristics and incidence of immunogenicity of CPT-13, in real clinical setting, are comparable to those of the infliximab originator. The two products also have similar long-term drug survival and the same safety profile. PMID: 33486961 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 27, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Small Bowel Transit Time in Capsule Endoscopy: a determinant factor for the diagnosis of small bowel bleeding.
Authors: Arieira C, Dias de Castro F, Boal Carvalho P, Rosa B, Moreira MJ, Cotter J Abstract BACKGROUND: Small bowel capsule endoscopy (SBCE) is the gold standard in the study of small bowel bleeding (SBB). Recent studies suggested that longer small bowel transit times (SBTT) may be associated with higher diagnostic yield of SBCE. AIM: The aim of the study is to investigate if longer SBTT is a predictive factor of positive findings on SBCE in a population that performed SBCE due to suspected SBB. METHODS: Retrospective single-center study, including consecutive SBCE between May 2012 and May 2019 due to susp...
Source: Revista Espanola de Enfermedades Digestivas - January 27, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Primary Ewing's sarcoma of the small intestine.
Authors: Paricio JJ, Ruiz Martín J, Sánchez Díaz E Abstract 17 year old female teenager with abdominal pain secondary to pelvic mass of 12 x 10 cm, which seems to depend on ovary. Surgery is scheduled for removal of the tumor, during which it is observed that the lesion originates in the ileum. The histopathological study shows a neoplasm of small round cells with nucleoli and scant cytoplasm. The tumor cells are immunoreactive to CD99 and ERG, being negative for cytokeratins, FLI1, WT1, DOG1 and lymphoid markers. By means of FISH, a rearrangement of the EWSR1 gene was demonstrated. By integrat...
Source: Revista Espanola de Enfermedades Digestivas - January 27, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic forceps removal for complicated magnetic beads impaction.
Authors: Dong T, Mo X, Fan Z, Liu L Abstract Magnets ingestion in children is not rare and pose a high risk of severe complications. Herein, we presented a case of pediatric magnets ingestion in which magnets were separately lodged in the lower esophagus and cardia. An innovative endoscopic removal technique using forceps was successful in treating this complicated case. PMID: 33486964 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 27, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Bochadek hernia: the utility of capsule endoscopy.
Authors: Correia J, Ponte A, Carvalho J Abstract The authors report an unusual case of gastrointestinal bleeding with a challenging diagnosis, associated with a Bochdalek hernia. This clinical case highlights the role of capsule endoscopy both as a first-line exam in obscure gastrointestinal bleeding and as an alternative exam in cases of incomplete colonoscopy.  . PMID: 33486965 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 27, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Hemoperitoneum due to splenic injury after colonoscopy, a complication perhaps not so uncommon.
We present the case of a 72-year-old male smoker. His medical history showed a right lobectomy and adjuvant chemotherapy for lung adenocarcinoma. He was not under any kind of antiplatelet or anticoagulant medication. He had no history of abdominal surgery. An elective colonoscopy was performed with conscious sedation (midazolam and pethidine). The bowel preparation was appropriate. Diverticula and several pedunculated polyps were observed. After injection of diluted adrenaline (1/50000), a tubular adenoma with low-grade dysplasia measuring 20 millimeters in size was successfully removed using a diathermic loop at the splen...
Source: Revista Espanola de Enfermedades Digestivas - January 27, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Opioid-induce esophageal dysfunction, prevalence and manometric findings.
CONCLUSIONS Patients on chronic opioids with OIED complained mostly dysphagia. We found an association of male sex and a higher dose of opioids in CAOU patients with esophageal motility disorders. PMID: 33486967 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 27, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Gastric ulcers with upper gastrointestinal bleeding in patients with severe SARS-CoV-2.
We describe two cases of upper gastrointestinal bleeding in patients with COVID-19. In both cases, the presence of gastric ulcers was identified in an unusual location, the gastric fundus. After ruling out malignancy, our suspicion was an ischemic etiology that is consistent with terminal gastric vascularization at the gastric fundus level and increased thrombotic phenomena in patients with COVID-19. PMID: 33478228 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 24, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The COVID-19 pandemic shows us in which way the care of patients with inflammatory bowel disease should move.
Authors: Hernández Ramírez V, López Serrano P Abstract The COVID-19 pandemic has forced major changes in the care of patients with inflammatory bowel disease (IBD). The articles by El Hajra et al. and Fernández Álvarez el al. show the modifications in patient management that were performed during the state of alarm in Spain. PMID: 33467860 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 22, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Influence of the onset of the SARS-CoV-2 pandemic on the diagnosis and treatment of ulcerative colitis.
Authors: Izquierdo Santervás S, Casas Machado P, Fernández Salazar L Abstract We analyzed how the healthcare restrictions that occurred in hospitals in Spain due to the COVID-19 pandemic, mainly in March, April and May 2020, influenced the diagnosis, management and treatment of ulcerative colitis (UC) in our center. PMID: 33467861 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 22, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

COVID-19 and the digestive system: implications for transforming care delivery.
Authors: Cienfuegos JA, Pérez-Cuadrado E Abstract The pandemic caused by SARS-CoV-2 has posed an unprecedented challenge to health systems, leading in many countries to the collapse of health care and a lack of preventive measures both for the most vulnerable sections of the population and among healthcare professionals. PMID: 33461301 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 21, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Title: Endoscopic retrograde cholangiopancreatography and carbohydrate antigen 19-9 in the differential diagnosis of biliary strictures.
Authors: Barroso Marquez L, Chao González L, Samada Suárez M, Rodríguez Rodríguez H, Tusen Toledo Y, Valenzuela Aguilera K, Pérez González T Abstract INTRODUCTION: Bile duct strictures include a wide spectrum of benign or malignant diseases. OBJECTIVE: To determine the usefulness of endoscopic retrograde cholangiopancreatography (ERCP) and circulating carbohydrate antigen19-9 (CA 19-9) in the differential diagnosis of biliary strictures. METHOD: We used an observational, prospective and cross-sectional study in 75 patients with biliary stricture diagnosed by ERCP be...
Source: Revista Espanola de Enfermedades Digestivas - January 15, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Radical surgery for liver hydatidosis.
Authors: Bedon Lopez NM, Quispe Sanchez EA Abstract We have read with great interest the article published by Ramia et al. on "Radical surgery in hepatic hydatidosis: analysis of results in an endemic area", where they prioritize the ultrasound evaluation according to the WHO classification, as a method for the surgical planning of the hepatic hydatid cyst (HHC). However, pharmacological treatment and the application of computed tomography with contrast (CCCT) during preoperative evaluations have not been properly described, despite the evidence found in the literature that considers them as success facto...
Source: Revista Espanola de Enfermedades Digestivas - January 8, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Aortomesenteric clamp: association with Wilkie syndorme and nutcracker syndrome.
Authors: Berdugo Hurtado F, Díaz Alcázar MDM, Torrecillas Cabrera MDM, Miras Ventura JA Abstract Wilkie syndrome and nutckraker syndrome are two rare and independent pathologies produced by the entrapment effect of the clamp formed by the aorta artery and the superior mesenteric artery. In this case, we present a 67-year-old-woman was referred due to epigastric pain, vomiting and weight loss of 6 kg with imaging findings suggestive of Wilkie syndrome and nutcracker syndrome. PMID: 33406845 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 8, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Safety in Digestive Endoscopy during the ongoing Covid-19 pandemic.
Authors: García-Cano J, Pérez Roldán F Abstract We read with interest the study by Hernández-Camba et al. (1) about the little value found in antibody testing for Covid-19 before endoscopic procedures and we would like to make some comments Nine months after the first state of alarm was declared in Spain due to the SARS-COV-2 pandemic, we know that infections in endoscopy staff are scarce if adequate protection is worn and non-urgent procedures are postponed in patients with active infection. Therefore, the conclusions of the study appear to be, currently, self-evident. However, things w...
Source: Revista Espanola de Enfermedades Digestivas - January 8, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Spontaneous intramural small-bowel hematoma: a cause of acute abdomen in anticoagulated patients.
SPONTANEOUS INTRAMURAL SMALL-BOWEL HEMATOMA: A CAUSE OF ACUTE ABDOMEN IN ANTICOAGULATED PATIENTS. Rev Esp Enferm Dig. 2021 Jan 05;: Authors: Gil Rojas S, Estela Villa LM, Jiménez Vicente EM Abstract Spontaneous intramural small-bowel hematoma is an uncommon cause of acute abdominal pain in anticoagulated patients. Recognition of this pathology is essential, as it is becoming more frequent due to the increase in patients receiving anticoagulant therapy. A suitable diagnosis based on a good anamnesis, the recognition of an abnormal blood test and characteristic findings in the imaging tests would ...
Source: Revista Espanola de Enfermedades Digestivas - January 7, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Diagnostic and therapeutic challenges in the management of obstructive defecation.
We present the case of a 53-year-old woman with life-long constipation complicated by a solitary rectal ulcer. In these cases it is always necessary to evaluate the presence of evacuation disorder, both functional (dyssynergic defecation) and anatomical. An exhaustive clinical history and physical examination that includes a dynamic rectal examination are essential. Currently, anorectal manometry is the study of choice for functional anorectal evaluation accompanied by the balloon expulsion test. When the results of both techniques are disagreed, a third diagnostic test is required, such as defecography that will confirm t...
Source: Revista Espanola de Enfermedades Digestivas - January 7, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Boerhaave's syndrome with Rupture of the Right Wall after Oral Administration of Sulfate Solution.
Authors: Xu H, Huang D, He C Abstract A 63-year-old male took magnesium sulfate for bowel cleansing; subsequently, he developed severe nausea and vomiting, and then suffered from acute epigastric pain and compression pain in the right chest, with dyspnea, chest tightness and palpitation. Physical examination revealed subcutaneous emphysema in the neck, with crepitus, and diminished breathing sounds on the right side of the chest. A thoracic computed tomography (CT) scan showed mediastinal emphysema, right-sided pleural effusion and pneumothorax (Figure 1A)...
Source: Revista Espanola de Enfermedades Digestivas - January 5, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Double strangeness: Young male with intestinal obstruction secondary to gastrointestinal follicular lymphoma.
Authors: Valdés Delgado T, Maldonado Pérez MB, Caunedo Álvarez Á Abstract Follicular lymphoma (FL), a common nodal lymphoma, is rare in the gastrointestinal (GI) tract with few reports. Highlight that this rare entity appeared in a young male, which made diagnosis difficult. PMID: 33393327 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 5, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Chronic hepatitis c patients lost in the system: predictive factors of non-referral or loss of follow up to hepatology units.
CHRONIC HEPATITIS C PATIENTS LOST IN THE SYSTEM: PREDICTIVE FACTORS OF NON-REFERRAL OR LOSS OF FOLLOW UP TO HEPATOLOGY UNITS. Rev Esp Enferm Dig. 2021 Jan 04;: Authors: Del Pino Bellido P, Guerra Veloz MF, Cordero Ruíz P, Bellido Muñoz F, Vega Rodriguez F, Caunedo Álvarez Á, Carmona Soria I Abstract INTRODUCTION: Several barriers remain in the hepatitis C care cascade, which need to be removed in order to eliminate Chronic Hepatitis C. These barriers include deficiencies in screening and confirmatory diagnosis as well as difficulties in accessing treatment. AIMS: To iden...
Source: Revista Espanola de Enfermedades Digestivas - January 5, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Liver manifestations in covid-19 and the influence of pre-existing liver disease in the course of the infection.
LIVER MANIFESTATIONS IN COVID-19 AND THE INFLUENCE OF PRE-EXISTING LIVER DISEASE IN THE COURSE OF THE INFECTION. Rev Esp Enferm Dig. 2021 Jan 04;113: Authors: Guerra Veloz MF, Cordero Ruiz P, Rios Villegas MJ, Del Pino Bellido P, Bravo-Ferrer J, Galves Cordero R, Cadena Herrera ML, Vias Parrado C, Bellido Muñoz F, Vega Rodriguez F, Caunedo Álvarez Á, Rodriguez-Baño J, Carmona Soria I Abstract Patients with advanced chronic liver disease (CLD) may be at an increased risk of a severe course due to cirrhosis-associated immune dysfunction. The aim of this study was to determine ...
Source: Revista Espanola de Enfermedades Digestivas - January 5, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Gastro-esophageal reflux disease: limits of medical treatment and surgical indications.
This article updates the contributions, indications, and limitations of pharmacological, endoscopic, and surgical treatments. PMID: 33393330 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 5, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Gynecological history up to diagnosis and pregnancy outcomes in diagnosed Wilson's disease under therapy - a bicentric matched control cohort study.
Authors: Roseira J, Lopes R, Silva MJ, Vieira AM, Sampaio M, Calinas F Abstract Introduction Most studies narrowly focus on pregnancy outcomes comparisons between Wilson Disease (WD) patients on and off treatment. We aimed to identify menses irregularities in untreated WD and evaluate pregnancy outcomes in treated WD compared with matched controls (with and without liver disease). Methods Women with WD, women with Hepatitis C (liver disease controls), and women with other gastrointestinal conditions (controls without liver disease), were identified from two tertiary hospital gastroenterology departments. Gynecologi...
Source: Revista Espanola de Enfermedades Digestivas - January 5, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Ustekinumab in Crohn's disease: real-world outcomes and predictors of response.
Conclusion: Ustekinumab therapy is safe and useful inducing a clinical response in more than 50% of patients including patients who have failed other biological therapies. PMID: 33393332 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - January 5, 2021 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research