Gastrointestinal bleeding due to duodenal mucormycosis in an immunocompetent host mimicking malignancy.
We report a case of a 67-year-old female presented with hematemesis eventually diagnosed with duodenal mucormycosis, while radiology characteristics suggested malignancy. PMID: 31617363 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 18, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Quality of life study in asymptomatic patients with hepatitis C.
CONCLUSION: these data support the hypothesis that the hepatitis C virus may worsen quality of life in asymptomatic patients. PMID: 31617364 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 18, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Association between gastroesophageal reflux disease and atrial fibrillation: a systematic review and meta-analysis.
CONCLUSIONS: this meta-analysis supported the association of AF with increased risk of GERD. PMID: 31617365 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 18, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Small intestinal bacterial overgrowth: could it be associated with chronic abdominal pain in children with allergic diseases?
CONCLUSIONS: we found an association between SIBO and allergic disease, especially allergic rhinitis, cow's milk protein allergy and asthma. Thus, SIBO should be ruled out in pediatric patients with CAP and allergic disease. PMID: 31617366 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 18, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The effect of a preoperative biliary prosthesis on the infectious complications of the pancreaticoduodenectomy.
The objective of the study was to analyze the association of PBP, bacteriology and the development of complications after PD. METHODS: this was a retrospective observational study with 90 consecutive patients that underwent DP between 2015 and 2018. PBP was indicated in patients with total bilirubin levels> 12 mg/dl who could not be operated on within a reasonable time. Antibiotic prophylaxis with cefoxitin was administered in patients without PBP and a five-day treatment with piperacillin-tazobactam for PBP. A bile culture was systematically performed. RESULTS: the average age of the patient cohort was 69 years...
Source: Revista Espanola de Enfermedades Digestivas - October 12, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Gastric phytobezoars: the therapeutic experience of 63 patients in Northern China.
CONCLUSION: in conclusion, most patients achieve a favorable outcome. Chemical therapy is useful in selected cases. Repeated endoscopic therapies may be needed in order to completely remove phytobezoars with a hard consistency. PMID: 31599640 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 12, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Emphysematous esophagitis with gastric perforation: a case report.
We report a case of emphysematous esophagitis and gastritis with complete affectation of the gastric and esophageal wall at diagnosis. Two surgical interventions were performed due to gastric perforation that was treated in both cases with primary closure. The post-operative recovery was satisfactory. Despite the large emphysematous esophago-gastritis affectation at diagnosis and the presence of gastric perforation, it is safe to perform the same management principles as with emphysematous gastritis. This should be as conservative as possible in case a surgical procedure is required. PMID: 31599641 [PubMed - as supplie...
Source: Revista Espanola de Enfermedades Digestivas - October 12, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Feasibility, results and endoscopic requirements of the Elipse ® swallowable intragastric balloon: initial experience.
Feasibility, results and endoscopic requirements of the Elipse® swallowable intragastric balloon: initial experience. Rev Esp Enferm Dig. 2019 Oct 10;111: Authors: Espinet Coll E, Carrasco Clavijos S, Díaz Galán P, Vila Lolo C, Gómez Valero JA, Bacchiddu S, Irigoyen D, Durán Pastor T, Mora Cubells L, Juan-Creix Comamala A Abstract BACKGROUND: the Elipse® intragastric balloon (EIGB) is a swallowable capsule that is filled under x-ray control. After 16 weeks, its self-releasing valve is degraded and the balloon is deflated and excreted naturally, without endoscopy. The...
Source: Revista Espanola de Enfermedades Digestivas - October 12, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Short and long term response to argon plasma therapy for hemorrhagic radiation proctitis.
CONCLUSION: argon plasma coagulation shows a good short- and long-term response with few therapy sessions and a low rate of complications in patients with chronic hemorrhagic radiation proctitis. PMID: 31595754 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The photographic atlas of Spanish food consistency: a new tool for the treatment of dysphagia.
CONCLUSION: the atlas is a new valid tool that can be used by health professionals. PMID: 31595755 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Prognostic value of serum high-density lipoprotein cholesterol in patients with gallbladder cancer.
Authors: Yuan B, Fu J, Yu WL, Fu XH, Qiu YH, Yin L, Zhu B, Zhang YJ Abstract OBJECTIVES: the aim of this study was to evaluate the prognostic significance of preoperative serum lipid in patients with gallbladder cancer (GBC). METHODS: ninety-nine patients with GBC between October 2009 and December 2013 were reviewed in this retrospective study. Total serum cholesterol (TC), total triglyceride (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), apolipoprotein A (Apo-A), apolipoprotein B (Apo-B) and free fatty acids (FFA) were measured before surgery. The correlation o...
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A tricky pancreatic stone face to an expanding endoscopic armamentarium: we can lose a battle but not the war.
Authors: Pérez-Cuadrado Robles E, Kisoka P, Alexandre B, Deprez PH Abstract A 43-year-old female with hereditary chronic pancreatitis presented with increasing pancreatic pain and multiple pancreatic stones, despite extracorporeal shockwave lithotripsy and pancreatic stenting 12 months previously. Direct lithotripsy was performed via endoscopic retrograde cholangio-pancreatography and the stones were further evaluated. PMID: 31595757 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Using octreotide for refractory ascites after liver transplantation.
We report the case of a female patient with refractory ascites after liver transplantation who was treated with splenic embolization. Ascites persisted despite embolization due to splenic revascularization by short gastric vessels and repeat embolization was technically unfeasible. Based on pathophysiology data, she was treated with octreotide, a somatostatin octapeptide analog, which resulted in splanchnic vasoconstriction and a reduction of the portal flow and venous pressure. After four months of treatment with octreotide, the patient had a good clinical status without ascites. PMID: 31595758 [PubMed - as supplied b...
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic balloon dilation in duodenal stenosis secondary to intestinal lymphoma in a heart transplant patient.
We present the case of a 12-year-old male with a heart transplant, who was diagnosed with intestinal lymphoma. After chemotherapy treatment, he developed 1-2 daily vomiting episodes as a result of intestinal stenosis due to fibrosis without tumor infiltration. Endoscopic balloon dilation was used and the symptoms were resolved without the need for surgical treatment. PMID: 31595759 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Cat scratch esophagus.
Authors: Antolín Melero B, Alcaide Suárez N, Burgueño Gómez B, Fernández Salazar L Abstract The cat scratch esophagus is an uncommon entity. The first case described in the literature of this type of lesions was published in 2007 and was located in the colon. There are two cases described in the esophagus, this has been the first detected by endoscopic capsule. It is defined by the presence of linear, erythematous, shiny and superficial breaks of the mucosa without significant hemorrhage associated. The diagnosis is morphological. Even though the etiology is unknown, it has been p...
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Bezoar in incarcerated and complicated hiatal hernia.
DISCUSSION: despite of poor results, surgical treatment in these cases must be urgent. PMID: 31595761 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Laparoscopic management of a small bowel obstruction caused by an endometriotic focus.
Authors: Laiz Díez B, García Muñoz-Najar A, Durán Poveda M Abstract Endometriosis is the presence of extra-uterine endometrial tissue and affects 6-10% of fertile women. In 3-37% of the cases it affects the gastrointestinal tract being the ileal location extremely infrequent. Symptoms are nonspecific, debuting as intestinal obstruction in 7-23% of cases. The definitive diagnosis is anatomopathological and the treatment in these cases of acute abdomen is surgery. We attach the present case due to its rarity, it is a young asymptomatic woman who debuts with a picture of intestinal obstruct...
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Intraductal papillary neoplasm of the bile duct: a recurring disease.
Authors: Marín-Serrano E, Barbado Cano A Abstract Intraductal papillary neoplasm of the bile duct (IPNB) is a premalignant disease characterized by a low incidence, a high risk of malignant transformation, and an uncertain prognosis. We hereby present the case of an 8-mm IPNB in the left liver lobe detected by endosonography in a 76-year-old woman followed for a dissociated asymptomatic cholestasis who was treated with a left hepatectomy. The resected IPNB had low-grade dysplasia and no nodal involvement in the surgical piece; however, signs of recurrence of the disease were observed in the right liver lobe ...
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A positive clinical experience of a long-term treatment pattern with leukocyte apheresis and Adacolumn in ulcerative proctitis.
Authors: Borrego García E, Peña Ortega M, Martín-Lagos Maldonado A Abstract Ulcerative proctitis (UP) is often involved in the diagnosis of inflammatory bowel disease (IBD). The increase of leukocytes and pro-inflammatory factors in peripheral blood and in the active forms, as well as the infiltration of neutrophils and monocytes/macrophages in the intestinal mucosa is known to occur in this entity. This infiltration of cells damages the mucosa due to the liberation of proteases, oxidation radicals and cytokines, among others. Apheresis techniques such as leukocyte apheresis may be used among t...
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The quality of colonoscopy preparation in a private clinical practice setting.
We report a retrospective study of the efficacy and tolerability of bowel preparation in the standard clinical practice in a private center. PMID: 31595765 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The effect of Salvia miltiorrhiza in a mouse model of hepatic sinusoidal obstruction syndrome induced by Gynura segetum.
CONCLUSIONS: Salvia miltiorrhiza has a therapeutic effect on Gynura segetum-induced HSOS. PMID: 31566407 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 2, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Shadows in the current management of hepatocellular carcinoma in Spain - An embarrassing truth.
Authors: Crespo García J, Andrade RJ Abstract Hepatocellular carcinoma (HCC) is the fourth most common cause of cancer-related deaths worldwide. Up to 80% of patients with HCC have concomitant cirrhosis as a result of hepatitis B or C virus, alcohol abuse, or non-alcoholic steatohepatitis. PMID: 31566408 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 2, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Status of transition care in inflammatory bowel disease in Spain. Different medical perspectives.
CONCLUSIONS: in Spain, nearly half of the centers have developed a structured transition program. Lack of training, time and insufficient resources are the main barriers for a successful transition. PMID: 31566409 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 2, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Differences in the need for adalimumab dose optimization between Crohn's disease and ulcerative colitis.
Authors: Olivares D, Alba C, Pérez I, Roales V, Rey E, Taxonera C Abstract AIM: to compare the need for and time to adalimumab dose escalation and de-escalation between patients with Crohn's disease (CD) and ulcerative colitis (UC). METHODS: this observational cohort study included patients with luminal CD or patients with UC treated with adalimumab. Adalimumab dose optimization was decided based on the Harvey-Bradshaw index (CD) or the partial Mayo score (UC). The co-primary endpoints were the differences in the rate of dose escalation and the cumulative probability of escalation-free survival between c...
Source: Revista Espanola de Enfermedades Digestivas - October 2, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Barrett's esophagus: "All diseases are divine and all are human".
In conclusion, BE may have two different presentations: environmental ("human", reflux) or sporadic BE, which is the most common form, and genetic ("divine", inherited) or familiar BE, less common but with a greater risk for malignancy. As they might be two different diseases, surveillance programs and treatments should also be different. PMID: 31566411 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 2, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoscopic management of duodenal levodopa-carbidopa therapy of advanced Parkinson's disease.
CONCLUSIONS: percutaneous endoscopic gastrostomy for the continuous delivery of duodenal levodopa is a highly effective technique. Adverse events are common, although most are resolved by endoscopy. PMID: 31566412 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - October 2, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Infectious proctitis due to syphilis and chlamydia: an exuberant presentation.
Authors: Sousa M, Pinho R, Rodrigues A Abstract Infectious proctitis by sexually transmitted diseases are increasing in incidence and should be considered in men who have sex with men with rectal symptoms. In this case, we show an exuberant form of syphilitic and chlamydial proctitis that could be diagnosed as another anorectal disease such as inflammatory proctitis or even as a neoplasm if the clinical history is not taken into account. PMID: 31545062 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - September 25, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A giant liver abscess due to Fasciola hepatica infection.
Authors: Dzib Calan EÁ, Larracilla Salazar I, Morales Pérez JI Abstract A 60-year-old female patient with a 3-month history of upper right quadrant pain, nausea, fluid evacuation, yellowing, weight loss, intolerance to the oral route, liver disease and hepatomegaly without impaired liver function tests Performs diagnosis by CT scan of giant hepatic abscess, which is managed by means of percutaneous drainage and antibiotic, is determined as etiology, infection by hepatic fasciola. PMID: 31545063 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - September 25, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Hemophagocytic syndrome, a diagnostic challenge in Gastroenterology.
We report the case of a patient successfully treated for a haemophagocytic syndrome triggered by a metastatic neoplasm of the rectum. A 57 years old man is initially presented with fever without focus. Despite of wide spectrum antibiotics he developed a multi-organ dysfunction. A bone marrow aspirate showed histiocytes that had phagocytosed hematic cells. Hemophagocytic syndrome was suspected and specific treatment was administered. The patient's condition improved remarkably and he was discharged. Nevertheles, finally, the patient died due to a bad response to chemotherapy. Malignancies are a well known triggering of hemo...
Source: Revista Espanola de Enfermedades Digestivas - September 25, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Ruptured hepatic sarcoma as a cause of acute abdomen.
Authors: Luna-Abanto J, García Ruiz L Abstract A 24-year-old male patient, in study for a hepatic tumor, was admitted to emergency due to hypovolemic shock and anemia. The abdominal CT scan showed an extensive expansive lesion of 11.8x11.7cm in liver segments II and III with rupture signs and lamellar hyperdense component of haematic and necrotic aspect, associated with free fluid in the abdominal cavity (Fig 1.A). The tumor markers (DHL, AFP, CEA) and viral serology were negative. The patient was submitted to surgery, an exploratory laparotomy + Pringle maneuver + II and III hepatic segmentectomy was perfor...
Source: Revista Espanola de Enfermedades Digestivas - September 25, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Pancreatic panniculitis.
Authors: Torres-Navarro I, Rojas-Ferrer N, Botella-Estrada R Abstract Pancreatic panniculitis (PP) is an infrequent manifestation of pancreatic pathology (2%). This condition has mainly been described in association with acute and chronic pancreatitis, in males aged 40-60 years with chronic alcoholism, as was the case of this patient. However, it might also be the outset manifestation of a pancreatic neoplasm. PMID: 31545069 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - September 25, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Clinical characteristics and genetic profiles of young and adult patients with cholestatic liver disease.
CONCLUSIONS: forty-eight variants were identified in five genes including ABCB4, ABCB11, ATP8B1, SLC4A2 and GPBAR1, twenty-five of which were novel. This study expands the phenotypic and mutational spectrum in genes involved in bile acid homeostasis and highlights the genetic and phenotypic heterogeneity in patients with inherited liver disorders. PMID: 31538484 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - September 22, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Ectopic hepatocellular carcinoma arising from the peritoneum.
Authors: Martínez-Acitores D, Hernández Ainsa M, Cortés García L, Bengochea Martínez ML, Palacios Fanlo MJ Abstract Ectopic hepatocellular carcinoma is a rare entity. Most cases are asymptomatic and are occasionally found during autopsy or laparoscopy. They may sometimes cause relevant clinical problems such as abdominal pain or intra-abdominal bleeding. In this clinical case report, we review the literature in order to decipher the case of a 68-year-old female with an ectopic hepatocellular carcinoma that arose from the peritoneum. The patient was diagnosed after being studied du...
Source: Revista Espanola de Enfermedades Digestivas - September 22, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Familial low phospholipid-associated cholelithiasis resulting from an autosomal dominant ABCB4 mutation.
We report the first family with autosomal dominant LPAC syndrome due to heterozygosity of the loss of function mutation c.2932T>C in ABCB4, identified by targeted next generation sequencing. PMID: 31538486 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - September 22, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Unusual radiological image: the floating gallbladder.
Authors: Rovira Argelagués M, Calvet Medina EJ, Pierres Mir M, Navarro Sanahuja J Abstract Radiological images of a patient consulting the emergency room for pain in the right hypochondrium and hypercalcified images in the right-medial area of ​​the upper hemiabdomen, which correspond to the floating gallbladder. PMID: 31526007 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - September 19, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Training in Ultrasound for Resident Physicians in Gastroenterology: a survey and training project by the Spanish Association of Digestive Ultrasound (Asociaci ón Española de Ecografía Digestiva - AEED).
CONCLUSIONS: there is a significant deficit of gastroenterology departments capable of providing training in digestive ultrasound to residents, causing a significant training inequality. Until this situation can be reversed, the AEED has designed a training project in digestive ultrasound aimed at providing adequate training to all residents in gastroenterology as required. PMID: 31526008 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - September 19, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Liver transplantation as a rescue surgery after failure of embolization of a giant hepatic artery pseudoaneurysm.
We present the case of a male diagnosed with a giant hepatic artery aneurysm, which first presented with pain and hemorrhage due to a partial rupture of the aneurysm. After discarding treatment with a stent or surgery due to the wide extension, we chose to embolize the hepatic artery with coils. However, the progress was unfavorable after the procedure, with the appearance of liver failure that was resolved by an urgent liver transplantation. Giant hepatic artery pseudoaneurysms are an infrequent entity and their management is a great challenge. The diagnosis is usually delayed due to non-specific clinical signs and the li...
Source: Revista Espanola de Enfermedades Digestivas - September 19, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Definition of the profiles of hepatitis C virus patients based on the identification of risky practices in Spain.
The objective of the study was to estimate the current direct-action antiviral candidates, according to risky practices. The exposed population was determined according to each risky practice and age, based on the data obtained in two epidemiological studies and other bibliographic sources. The overall prevalence of positive serology for the Hepatitis C virus according to the analyzed data was 1.1% (41% with an active infection). The most at-risk group are intravenous drug users (60,368-82,454). It is estimated that between 37,387 to 51,065 patients would be infected via sexual transmission, between 55,505 and 75,812 patie...
Source: Revista Espanola de Enfermedades Digestivas - September 19, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Intraductal papillary mucinous neoplasm of the biliary tract: a lesion of the bile duct lumen.
Authors: Sánchez Rodríguez E, Caminoa Lizarralde A, Foruny Olcina JR, Vázquez Sequeiros E Abstract Intraductal papillary neoplasm of the bile duct (IPNB) is a rare entity characterized by papillary growth within the bile duct lumen1, currently regarded as a biliary counterpart of intraductal papillary mucinous neoplasm of the pancreas. The most common clinical findings are abdominal pain, jaundice or cholangitis, although some patients are asyntomatic. The diagnosis requires careful assessment of imaging findings and cito-histological evaluation, with endoscopic ultrasound guided fine needle as...
Source: Revista Espanola de Enfermedades Digestivas - September 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Characteristics and survival of hepatocellular carcinoma in non-cirrhotic liver.
CONCLUSION: 7.5% of HCC presented without cirrhosis and almost half of patients had mild fibrosis. HBV was the main cause of HCC, followed by NASH. The most frequent BCLC stage at diagnosis was early stage and surgery was the most common treatment. Overall cumulative survival at 5 years was almost 50%. PMID: 31497990 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - September 11, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Treating Helicobacter pylori infection in the face of growing antibiotic resistance.
Authors: Fernández Salazar L, Valle Muñoz J Abstract Helicobacter pylori eradication cures most peptic ulcers and non-atrophic chronic gastritis, and may potentially prevent over 70% of gastric cancers. In the late 1980s, shortly after the discovery of H. pylori, eradication therapy was established based on the use of two antibiotics (amoxicillin and clarithromycin) and one proton-pump inhibitor for 7 or 10 days (OCA7, OCA10). This therapy, recommended during the first Maastricht Consensus Conference, obtained eradication rates above 90%, and was equally effective everywhere around the world. However,...
Source: Revista Espanola de Enfermedades Digestivas - September 5, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The use of serum calprotectin as a biomarker for inflammatory activity in inflammatory bowel disease.
CONCLUSIONS: SC is a good indirect marker of inflammatory activity and there was a correlation with endoscopic findings in UC. However, there were no statistically significant differences in the case of CD. PMID: 31476872 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - September 5, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Submucosal tunneling endoscopic resection for an unusually sized esophageal submucosal tumor protruding into the mediastinum.
DISCUSSION Esophageal leiomyoma is a benign submucosal tumor derived from the muscularis propria layer of the esophagus [1]. STER has been demonstrated to be safe and effective for treating small (≤3.5 cm) and solitary esophageal leiomyoma with low complication rates [2-3]. Most esophageal leiomyoma grow into the lumen and their positions in the tunnel are relatively superficial and the entire surgery is comparatively safe. In this case, the tumor was very large and was close to the mediastinum, which greatly increases the difficulty of surgery. However, STER is recommended according to our experience, even in rare case...
Source: Revista Espanola de Enfermedades Digestivas - August 3, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The role of endoscopic retrograde cholangiopancreatography in the management of iatrogenic bile duct injury after cholecystectomy.
CONCLUSION: ERCP is useful in the management of IBDI that is not diagnosed intraoperatively. This procedure facilitates the localization of the injured area of the bile duct, therapeutic maneuvers and successful outcomes in postoperative complications. PMID: 31368333 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - August 3, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

A rare heterotopic gastric mucosa appearing between the muscularis mucosae and submucosa.
Authors: Wang H, Tan Y, Liu D Abstract To the best of our knowledge, this is the first report of ectopic gastric mucosa appearing between muscularis mucosae and submucosa, at esophagogastric junction. Currently there are two theories explaining the mechanism. The most widely accepted one is that Ectopic gastric mucosa is an embryological remnant, and an alternative theory is abnormal proliferation under inflammation1.Although we don't have many evidences to clarify this case into specific mechanism mentioned above, Nomura et reported two cases of Adenocarcinoma of the cervical esophagus arising from ectopic gastric...
Source: Revista Espanola de Enfermedades Digestivas - August 3, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The status of proton pump inhibitor use: a prescription survey of 45 hospitals in China.
CONCLUSION: this survey demonstrated that PPI use was accompanied by unapproved indications and excessive dosages. Comprehensive measures are urgently needed to improve PPI use and reduce unnecessary drug costs. PMID: 31373505 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - August 3, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Diagnostic yield of endoscopic ultrasonography for a dilation of the common bile duct of an indeterminate cause.
CONCLUSIONS: the majority of patients with a dilation of the CDB have a normal EUS. Increased cholestasis enzymes, increased TB and the presence of signs and symptoms are predictors of a positive EUS. PMID: 31373506 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - August 3, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Regression of a giant pseudopolyp in a patient with colonic Crohn's disease after therapy with infliximab.
We report the case of a 43-year-old female patient with Crohn's disease (CD) in clinical remission, with no specific treatment at the time. A giant pseudopolyp of 40-mm was found during a screening colonoscopy. Therapy was initiated with infliximab and azathioprine in an attempt to reduce the size of the polyp and allow an endoscopic resection. Additional colonoscopies were performed following induction doses at weeks 0, 2, and 6, which revealed a reduced lesion size. Mucosal resection was attempted but failed due to severe fibrosis, which prevented base injections from lifting up the polyp. However, a follow-up colonoscop...
Source: Revista Espanola de Enfermedades Digestivas - July 30, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Endoluminal radiofrequency ablation with SpyGlass ™ in the management of cholangiocarcinoma: a case report.
Endoluminal radiofrequency ablation with SpyGlass™ in the management of cholangiocarcinoma: a case report. Rev Esp Enferm Dig. 2019 Jul 29;111: Authors: Mansilla-Vivar R, Argüello-Viúdez L, Sánchez-Montes C, Alonso-Lázaro N, Pons-Beltrán V Abstract Most extrahepatic cholangiocarcinomas are unresectable at the time of diagnosis and even in case of a resectable cancer, surgery is not an option for the elderly or patients with comorbidities (1). Current treatment alternatives in these scenarios are very limited. Biliary stenting with self-expanding metal stents (SEMS...
Source: Revista Espanola de Enfermedades Digestivas - July 30, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

First hospital contact via the Emergency Department is an independent predictor of overall survival and disease-free survival in patients with colorectal cancer.
CONCLUSIONS: hospital admission via the Emergency Department is an indicator of aggressiveness and poorer prognosis compared to patients who enter via programmed routes. PMID: 31345043 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - July 29, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research