Revista Espanola de Enfermedades Digestivas This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Sarcoidosis with esophageal involvement: an uncommon clinical enigma
We present the case of a 46-year-old male, a former smoker, with a medical history significant for morbid obesity grade III, hypothyroidism, hyperuricemia, and dyslipidemia. Four months ago, he was diagnosed with sarcoidosis involving mediastinal lymph nodes and is currently undergoing treatment with corticosteroids. The patient presented to the emergency department with persistent epigastric and thoracic pain lasting one week, accompanied by dysphagia and odynophagia intermittently. Laboratory tests showed elevated acute-phase reactants, with no other notable abnormalities. Chest X-ray revealed pre-existing mediastinal ad...
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Macarena Torres-Larrubia Sergio Casiano-Manzano Alberto Masa-Caballero Zuliani Jim énez-Colmenarez Miguel Fern ández-Bermejo Pablo Sol ís-Muñoz Source Type: research

Etiological diagnosis of recurrent acute pancreatitis
Rev Esp Enferm Dig. 2024 Apr 30. doi: 10.17235/reed.2024.10404/2024. Online ahead of print.ABSTRACTAcute pancreatitis is the leading cause of inpatient care among gastrointestinal conditions. Despite early intervention, one-third of patients experience recurrent acute pancreatitis (RAP). A comprehensive diagnostic approach is warranted to identify and treat underlying factors in order to prevent recurrence. RAP is most frequent among men aged 30-40, smokers, and in those with excessive alcohol consumption. To identify the etiology is paramount to stratify patients according to their individual risk of RAP and for predictin...
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Alberto G ómez Pérez Ana Aparicio Serrano Francisco Javier Serrano Ruiz Source Type: research

Hepatopathy secondary to infiltration by malignant melanoma: diagnostic value of liver biopsy
We present the case of a 61-year-old male with no relevant history of interest who was admitted to hospital due to constitutional syndrome and discomfort in the right hypochondrium. On admission, abdominal ultrasound was performed with findings of chronic liver disease and innumerable well-defined hypoechogenic lesions of small size. Although the study was extended with other imaging tests, they did not provide more information than what was available at the time. Subsequently, an ultrasound-guided liver biopsy was performed with pathological anatomy compatible with infiltration by malignant melanoma. Subsequently, a searc...
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Alejandro Garc ía Martínez Álvaro Morales Prado Jorge Mart ínez-Echevarría Gil-Delgado Daniel Mateos Mill án Source Type: research

Protein-losing enteropathy: is it Crohn's disease?
Rev Esp Enferm Dig. 2024 Apr 30. doi: 10.17235/reed.2024.10461/2024. Online ahead of print.ABSTRACTCase of a 24-year-old woman presenting due to edema in lower extremities. The patient had had infectious mononucleosis three weeks prior and had medical history of suspicion of Crohn's disease (CD) (due to a non-specific ileocolitis in a colonoscopy/EnteroRM). No ongoing medication. Laboratory evaluation unveiled hypoproteinemia with severe hypoalbuminemia, no renal abnormalities. A PLE was assumed, with post-infectious or CD being the most likely culprits. Alternative causes were extensively excluded. A videocapsule revealed...
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Maria Jos é Temido Sandra Lopes Pedro Figueiredo Francisco Portela Source Type: research

Right-side diverticulitis
Rev Esp Enferm Dig. 2024 Apr 30. doi: 10.17235/reed.2024.10418/2024. Online ahead of print.ABSTRACTColonic diverticula develop at specific weak spots, where the vasa recta enter the colonic circular smooth muscle layer.1 They are usually seen in the left colon. Their most common complication is diverticulitis, with mild cases resolving even without antibiotic therapy.2 Right-side diverticulitis develops in only 1.5% of cases, primarily on the anterior aspect of the cecum, proximal to the ileocecal valve (80%).4 Given its low incidence, location, and the fact that it involves younger patients, a differential diagnosis is ne...
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: V íctor Blázquez Ávila Sandra Borrego Rivas Marcos Jim énez Palacios Juan Sebasti án Baldi Borelli C ésar Álvarez Fernández Source Type: research

Fatal outcome of a corticosteroid resistant IgG4-related autoimmune hepatitis and IgG4-primary sclerosing cholangitis
Rev Esp Enferm Dig. 2024 Apr 30. doi: 10.17235/reed.2024.10310/2024. Online ahead of print.ABSTRACT33-year-old woman, previously hospitalized for self-limited migratory bile duct strictures, presented with jaundice three months after giving birth. Blood analysis revealed elevated levels of aspartate aminotransaminase 1064U/L, alanine aminotransaminase 1097U/L, gamma-glutamyl transferase 194U/L, alkaline phosphatase 284U/L, bilirubin 27mg/dL and prothrombin time of 19.3s. Magnetic resonance-cholangiopancreatography revealed intrahepatic bile duct dilation with a stenosis in the common hepatic duct, not detected on endoscopi...
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Mar ía Del Carmen García Gavilán Teresa Pereda Salguero Susana L ópez Ortega Carlos Romero G ómez Source Type: research

Endoscopic treatment of an esophageal perforation in eosinophilic esophagitis by insertion of a self-expanding metal stent
We present the case of a 29-year-old patient with multiple allergies, mild asthma and rhinoconjunctivitis who reported a history of esophageal impactions after ingestion of solid foods. These episodes resolved spontaneously at home and by self-induced vomiting and never required endoscopic removal. The patient presented to the emergency department due to a sensation of food impaction lasting more than 12 hours after eating meat the night before, which did not subside with the intake of liquids or self-induced vomiting. Endoscopic evaluation was requested for foreign body extraction. A meat bolus impacted in the distal esop...
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Mar ía Belén López Moreno V íctor Jiménez Beltrán Mar ía Antonia Godoy López Jes ús García-Cano Source Type: research

Advanced esophageal neuroendocrine carcinoma
Rev Esp Enferm Dig. 2024 Apr 30. doi: 10.17235/reed.2024.10437/2024. Online ahead of print.ABSTRACTCase report of an advanced esophageal neuroendocrine carcinoma with hepatic metastasis.PMID:38685900 | DOI:10.17235/reed.2024.10437/2024 (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Fernando Mu ñoz Agel Modesto-J Varas Lorenzo Source Type: research

Prognostic value of liver stiffness in metabolic dysfunction-associated steatotic liver disease: a systematic review and meta-analysis
CONCLUSIONS: Metabolic dysfunction-associated steatotic liver disease patients with high liver stiffness measurement values were at an increased risk of liver-related events. Liver stiffness measurement can be used as a prognostic tool to achieve risk stratification in fatty liver patients.PMID:38685902 | DOI:10.17235/reed.2024.10353/2024 (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Yijun Mu Cheng Peng Huijun Chang Shaotong Wang Xiuli Zuo Source Type: research

Small bowel obstruction - A rare complication after endoscopic transcecal appendectomy
Rev Esp Enferm Dig. 2024 Apr 30. doi: 10.17235/reed.2024.10474/2024. Online ahead of print.ABSTRACTEndoscopic transcecal appendectomy has become an alternative treatment for laparoscopic appendectomy due to its less invasive nature. Here we report a rare complication of small intestinal obstruction after endoscopic transcecal appendectomy.PMID:38685903 | DOI:10.17235/reed.2024.10474/2024 (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Xiaozhan Zhang Yang Xuan Source Type: research

Pancreaticoduodenectomy in a patient with severe portal hypertension: the role of preoperative TIPS
We present the case of a 67 year-old patient case with a resectable ampullary cancer and portal hypertension managed with Preoperative Transjugular Intrahepatic Portosystemic Shunt (TIPS) to allow a PD. We present a literature review on the use of preoperative TIPS in patients who are candidates to PD. Neoadjuvant TIPS can be safely used in selected patients with severe portal hypertension who need a PD.PMID:38685904 | DOI:10.17235/reed.2024.10431/2024 (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Carolina Gonz ález Abós Emmanuel Mart ínez Escalante Francisco Salgado Mu ñoz Homero Charles Cant ú Deisy Navarrete Espinosa Filippo Landi Bel én Martínez-Mifsud Anna Baiges Fabio Ausania Source Type: research

T3-T4 index as a prognostic marker of response to biological treatments in elderly patients with inflammatory bowel disease
Rev Esp Enferm Dig. 2024 Apr 30. doi: 10.17235/reed.2024.10445/2024. Online ahead of print.ABSTRACTFollowing the growing trend of trying to individualise treatment in inflammatory bowel disease and in view of the challenge posed by elderly patients requiring biologic treatments, we have conducted a study in our centre to assess the T3/T4 index as a predictor of response to biologic treatments in elderly patients.PMID:38685905 | DOI:10.17235/reed.2024.10445/2024 (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Mar ía Martínez Burgos Ra úl Vicente Olmedo Martín V íctor Amo Trillo Patricia Romero Cara Jos é Mostazo Torres Miguel Jim énez Pérez Source Type: research