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Revista Española de Enfermedades Digestivas

Marta Cuadros Martínez, Consuelo Froilán Torres, Nerea Gonzalo Bada
Dabigatran is an oral anticoagulant prescribed as an alternative to warfarin which has been associated with exfoliative esophagitis and esophageal ulcer. We report a new case of dabigatran-induced exfoliative esophagitis where the mucosal injury improved after prescribing proton-pump inhibitors and ingesting medication with sufficient water.
September 21, 2018: Revista Española de Enfermedades Digestivas
Rosa Martí Fernández, Carlos León Espinoza, Rocío Tonazzi Zorrilla
Meckel's diverticulum is an infrequent malformation (2% of the population) and the most frequent complication is bleeding followed by diverticulitis. This usually occurs with clinical signs and symptoms of acute appendicitis in adults. The diagnosis requires a high index of suspicion and is based on complementary tests in most cases (mainly CT).
September 21, 2018: Revista Española de Enfermedades Digestivas
Gisela Silva, Helena Moreira Silva, Marta Tavares
We have carefully read the article "Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction" by José Barquín-Yagüez et al. and we would like to report one case with the same diagnosis but with another etiology.
September 21, 2018: Revista Española de Enfermedades Digestivas
Baifang Wang, Guoqing Xiang, Jia Zhu
Inflammatory fibrous polyps (IFPs) were considered to be benign and umcommon, which can seriously affect the quality of life. We reported a case with the IFP presented with atypical symptoms and the so-called "ball valve syndrome". The final diagnosis is ultimately made after surgery. At 18 months of follow-up, the case remained symptom-free. It is worth mentioning, the definitive diagnosis of IFPs is always difficult to reach, which should be clinical, radiologic, endoscopic, histological, and immunohistochemical, although abdominal imageology, gastrointestinal endoscopy and endoscopic ultrasonography(EUS) may provide some important clues of the disease...
September 21, 2018: Revista Española de Enfermedades Digestivas
Alba Martínez Sánchez, Francisco Luis Sánchez Ceballos, M ª Jesús Fernández Aceñero, Enrique Rey Díaz-Rubio
In the study of obscure gastrointestinal bleeding, which includes iron-deficiency anemia, the capsule endoscopy is a valuable diagnostic tool. In the different series the presence of tumors reaches 16% as the cause of it. We present the case of a rare tumor with metastatic extension in the small intestine in which the capsule endoscopy was key to the diagnosis and survival of the patient.
September 21, 2018: Revista Española de Enfermedades Digestivas
Andrés Barrientos Delgado, Ana Delgado Maroto, Samia Hallouch Toutouh
Hepatic artery pseudoaneurysm is a rare cause of upper gastrointestinal bleeding. Traumatic etiology is frequent (vascular anastomosis or iatrogenesisia), although it is also related to infectious or inflammatory diseases. We report the case of a 65-year-old patient, with hematemesis due to hepatic artery branch pseudoaneurysm rupture, in the context of infectious endocarditis. The diagnosis was made by angioTC, using arteriography for embolization.
September 21, 2018: Revista Española de Enfermedades Digestivas
Emilio J de la Morena Madrigal
My reading of the monographic issue of April 2018, devoted by REED to sedation in digestive endoscopy, evoked in methe reflections written in this Scientific Lettter.
September 21, 2018: Revista Española de Enfermedades Digestivas
Carlos Ortiz Moyano, Juan Martín Guerrero, María Rojas Feria
Endoscopic ultrasound-guided transluminal drainage (EUS-TD) has become the standard of care for the treatment of peripancreatic fluid collections (PFCs). New lumen-apposing metal stents (LAMS) have facilitated the drainage technique . However, this fact should not cloud our view when planning a EUS-TD, as occasionally things are not what they seem.
September 21, 2018: Revista Española de Enfermedades Digestivas
Claudio Trigo Salado, Eduardo Leo Carnerero, María Dolores de la Cruz Ramírez
The relationship between cystic fibrosis (CF) and the risk of developing inflammatory bowel disease (IBD) is not clear. CFTR mutations can influence dysbiosis and increased intestinal permeability, which are two key elements in the pathophysiology of IBD. These patients have increased intestinal inflammation, as demonstrated by increase pro-inflammatory gene expression in the bowel, specific fecal markers (fecal calprotectin), gross lesions (capsule endoscopy) and histological lesions on examination of surgical specimens...
September 21, 2018: Revista Española de Enfermedades Digestivas
Alberto Marqués Ruiz, Sergio Cámara Baeza, Yéssica Sánchez Santos
We have read the recent publications by Guerra et al. and Ávila et al. of two clinical cases of ileocecal infiltrative endometriosis. We present a new case and wonder if this disease is more frequent than previously thought.
September 21, 2018: Revista Española de Enfermedades Digestivas
Guido Villa-Gomez, Manuel Alejandro Mahler, Dante Manazzoni
Iatrogenic vascular injuries of the hepatic artery are infrequent and a serious complication of LC. There is no doubt about the many advantages of LC when compared to open cholecystectomy. Despite this, there is an increase in the reported incidence (0.3%-1.0%) of biliary and vascular injuries. Most arterial complications are due to direct injury or diathermy shortening on surgical clips and HAP is one of them. We present a case of a 39-year old male patient who presented with this complication and how it was resolved...
September 21, 2018: Revista Española de Enfermedades Digestivas
Alberto Herreros de Tejada, José Santiago García
We read with interest the letter to the editor "Acute appendicitis after a colonic endoscopic submucosal resection" by Serrano González J et al., which was published in the Revista Española de Enfermedades Digestivas (The Spanish Journal of Gastroenterology) issue 3, 2018. We would like to clarify the following aspects mentioned in this letter.
September 21, 2018: Revista Española de Enfermedades Digestivas
Ana Villán González, José Martín Pérez Pariente, Eva Barreiro Alonso
The rupture of a hepatic hydatid cyst into the intrahepatic bile ducts is one the most common and serious complication of hepatic hydatidosis and occurs in 5-25% of cases. (1, 2, 3). Endoscopic retrograde cholangiopancreatography (ERCP) plays an indisputable role in the diagnosis and treatment of this condition.
September 21, 2018: Revista Española de Enfermedades Digestivas
José C Marín-Gabriel, David Lora Pablos, José Díaz-Tasende, Pilar Cancelas-Navia, Sarbelio Rodríguez Muñoz, Andrés J Del Pozo-García, Marina Alonso-Riaño, Yolanda Rodríguez-Gil, Carolina Ibarrola-Andrés, Gregorio Castellano Tortajada
BACKGROUND AND AIMS: endoscopic submucosal dissection (ESD) in the Western setting remains a challenge. Therefore, other simplified techniques such as knife-assisted snare resection (KAR) have been reported to overcome this issue. METHODS: patients who underwent an ESD for the treatment of gastrointestinal neoplasms were included in a retrospective cross-sectional observational study. Factors associated with the end of ESD as a salvage p-KAR were identified and a logistic regression model was developed...
September 17, 2018: Revista Española de Enfermedades Digestivas
Esther Merino Gallego, Francisco Gallardo Sánchez, Francisco Javier Gallego Rojo
Tuberculosis (TB) is the most prevalent infection worldwide and affects one third of the population, predominantly in developing countries. Intestinal TB (ITB) is the sixth most frequent extra-pulmonary TB infection. Crohn's disease (CD) is a chronic inflammatory bowel disease that arises from the interaction of immunological, environmental and genetic factors. Due to changes in the epidemiology of both diseases, distinguishing CD from ITB is a challenge, particularly in immunocompromised patients and those from areas where TB is endemic...
August 31, 2018: Revista Española de Enfermedades Digestivas
Marisol Luján Sanchís, José Francisco Juanmartiñena, Ignacio Fernández-Urien
We read with great interest the papers by Juanmartiñena et al. entitled "Colonic lesions in patients undergoing small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact" and "Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact".
August 28, 2018: Revista Española de Enfermedades Digestivas
Ricardo Lucas García-Mayor Fernández, María Fernández Gonzalez, Rafael Martínez-Almeida Fernández
Lymphogranuloma venereum (LV) is a sexually transmitted disease that may have atypical clinical manifestations mimicking tumors or inflammatory conditions, which renders its diagnosis difficult. LV requires both a clinical and endoscopic diagnosis before early treatment may be administered, and should be included as a differential diagnosis for individuals with risk factors.
August 28, 2018: Revista Española de Enfermedades Digestivas
Verónica Martín Domínguez, Jorge Mendoza, Ariel Díaz Menéndez, Magdalena Adrados, José Andrés Moreno Monteagudo, Cecilio Santander
INTRODUCTION: colon lymphoma (CL) is an uncommon variety of non-Hodgkin lymphoma (NHL) that represents less than 0.6% of all primary colonic neoplasms. Early diagnosis is challenging as clinical manifestations are non-specific. The goal of this review was to discuss our experience over the last few years regarding the clinical, endoscopic, histological, diagnostic, therapeutic and evolutionary characteristics of CL. PATIENTS AND METHODS: a retrospective, descriptive analysis of patients with CL diagnosed from 1994 to 2016 at the Hospital Universitario de La Princesa (Madrid, Spain) was performed...
August 28, 2018: Revista Española de Enfermedades Digestivas
Mohammed Tag-Adeen, Eisuke Ozawa, Kumi Ogihara, Shinichi Iwatsu, Yuko Akazawa, Ken Ohnita, Tomohiko Adachi, Yorihisa Sumida, Kazuhiko Nakao
BACKGROUND AND AIM: pancreatic juice cytology (PJC) is an important predictor of malignant intraductal papillary mucinous neoplasm (IPMN). This study aimed to determine the role of PJC for the prediction of malignant IPMN (intraductal papillary mucinous cancer [IPMC]). METHODS: medical records of IPMN patients who underwent surgery between 2012 and 2016 at the Nagasaki University Hospital were reviewed. Patients who underwent preoperative PJC were classified as high risk stigmata (HRS), worrisome features (WF) and no-criteria, based on imaging criteria...
August 28, 2018: Revista Española de Enfermedades Digestivas
Javier Antoñanzas, Javier A Cienfuegos, Luis Hurtado-Pardo, Pablo Panadero, Alberto Benito, Fernando Pardo, Fernando Rotellar, Pablo Martí-Cruchaga, Gabriel Zozaya, Víctor Valentí, José Luis Hernández Lizoain
OBJECTIVE: the objective of this study was to analyze the anatomical and clinical features and long-term oncologic outcomes of 25 patients that underwent surgery due to intraductal papillary mucinous neoplasm of the pancreas. MATERIAL AND METHODS: patients undergoing surgery for intraductal papillary mucinous neoplasm of the pancreas were identified from a prospective database of pancreatic resections. Demographic data, symptoms, type of surgery and type of lesion (branch type, main duct or mixed) were recorded...
August 28, 2018: Revista Española de Enfermedades Digestivas
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