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Revista Española de Enfermedades Digestivas

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https://www.readbyqxmd.com/read/27918192/issue-pending-minimizing-anxiety-before-colonoscopy
#1
Maite Herráiz Bayod
The extent of preoperative anxiety and its impact on physiological parameters during surgery and postoperative pain have been widely studied. Moreover, publications may be found that cover in detail various surgery types. The conclusions reached thus far have allowed to implement a number of procedures, not all of them based on drugs, with the goal of reducing anxiety and improving patient wellbeing.
December 5, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27871178/use-of-polyethylene-glycol-in-functional-constipation-and-fecal-impaction
#2
Miguel Mínguez, Antonio López Higueras, Javier Júdez
OBJECTIVE: The objective of this study was to evaluate in an analytical and descriptive manner the evidence published so far on the use of polyethylene glycol (PEG), with or without electrolytes, in the management of functional constipation and the treatment of fecal impaction. METHODOLOGY: Search on MEDLINE, EMBASE and Cochrane databases until May 2016 of all publications adjusted to the following terms: constipation AND/OR fecal impaction AND (PEG OR polyethylene glycol OR macrogol OR movicol OR idralax OR miralax OR transipeg OR forlax OR golytely OR isocolan OR mulytely) NOT colonoscopy...
November 22, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27855482/study-of-the-expression-of-cathepsins-in-histological-material-from-pancreatic-lesions
#3
Juan F Martínez Sempere, José Ramón Aparicio Tormo, Gloria Peiró Cabrera, Antonio Cabezas Jiménez, Manuela Roger Ibáñez, Francisco Ruíz Gómez, Luís Compañy Catalá, Juan Antonio Casellas Valdé
BACKGROUND AND AIMS: To assess the expression levels of cathepsins in malignant and premalignant lesions. METHODS: We retrospectively included patients who underwent pancreatic surgery on pancreatic solid or cystic masses. The expression of cathepsin H, L, B and S was determined in both types of samples. Lesions were divided into three categories: malignant (pancreatic adenocarcinoma and malignant mucinous neoplasms), premalignant (mucinous neoplasms) and benign (other lesions)...
November 18, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27822951/rectal-neuroendocrine-neoplasia-a-rare-tumour
#4
Marina de Benito Sanz, Javier Santos Fernández, Mª Henar Núñez Rodríguez
Colorectal neuroendocrine tumours are rare A 78 year old man with a history of hypertension, heart disease, pacemakers, prostate adenocarcinoma.On examination for rectal bleeding, a colonoscopy was performed and at 5 cm of the anal margin a 28 mm ulcerated neoformation was found.An echo-endoscopy revealed infiltration of the muscular layer with an area of loss in the cleavage plane loss and fraying of the perirectal fat infiltration suggestive of infiltration (T3). They no lymph nodes or metastasis were identified by CAT...
November 8, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27822950/the-role-of-surgical-gastrostomy-in-the-age-of-endoscopic-gastrostomy-a-13-years-and-543-patients-retrospective-study
#5
Gabriel Paiva de Oliveira, Carla Adriana Santos, Jorge Fonseca
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) became the gold standard for enteral feeding. Currently, surgical gastrostomy is seldom used. OBJECTIVE: Evaluating the role of surgical gastrostomy in a center with a large experience in PEG. METHODS: A retrospective study ranged 13 years, collecting from clinical records: age, gender, underlying disease, date of procedure, technique, primary surgery, complications, 30-day mortality. Patients were divided according to indication for gastrostomy: a) neurological; b) head and neck cancer; c) other diseases; and d) drainage...
November 8, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27809554/mercaptopurine-and-inflammatory-bowel-disease-the-other-thiopurine
#6
Fernando Bermejo San José, Alicia Algaba, Sergio López Durán, Iván Guerra, Marta Aicart, María Hernández-Tejero, Elena Garrido, María de Lucas, Daniel Bonillo, Antonio López Sanromán
BACKGROUND: Data about use and effectiveness of mercaptopurine in inflammatory bowel disease are relatively limited. AIMS: To assess the possible therapeutic indications, efficacy and safety of mercaptopurine as an alternative to azathioprine in inflammatory bowel disease. METHODS: Retrospective observational study in patients treated with mercaptopurine in a total cohort of 1,574 patients with inflammatory bowel disease. RESULTS: One hundred and fifty-two patients received mercaptopurine, 15...
November 4, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27809553/endoscopic-resection-of-colorectal-polyps-in-patients-on-antiplatelet-therapy-an-evidence-based-guidance-for-clinicians
#7
Gema Plumé Gimeno, Marco Bustamante-Balén, Carla Satorres Paniagua, Francia Carolina Díaz Jaime, Maria José Cejalvo Andújar
Due to the rising prevalence of coronary heart disease, endoscopists are more frequently performing a polypectomy in patients on antiplatelet therapy (APT) and dual antiplatelet therapy (DATP). Despite the availability of several guidelines with regard to the management of antiplatelet drugs during the periprocedure period, there is still variability in the current clinical practice. This may be influenced by the low quality of the evidence supporting recommendations, because most of the studies dealing with APT and polypectomy are observational and retrospective, and include mainly small (< 10 mm) polyps...
November 4, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27809552/utility-of-surgical-myotomy-in-the-dysphagia-due-to-oculopharyngeal-dystrophy
#8
Mª Asunción Acosta Mérida, Joaquín Marchena Gómez, Josefa Mª Afonso Déniz
Oculopharyngeal muscular dystrophy (OPMD), is a rare hereditary myopathy that affects mainly the levator palpebrae and the constrictor pharyngeal muscles, being able to cause severe dysphagia. It can be treated effectively by surgical cricopharyngeal myotomy, as in the case presented below.
November 4, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27804306/regression-of-gastric-intestinal-metaplasia-after-the-eradication-of-helicobacter-pylori-infection-in-a-hospital-in-mexico
#9
Jaime Alberto Sánchez Cuén, Ana Bertha Irineo Cabrales, Gregorio Bernal Magaña, Felipe Peraza Garay
BACKGROUND: Intestinal metaplasia is a precursor lesion of gastric cancer. Infection by Helicobacter pylori is the principal cause of metaplasia. While evidence of the regression of metaplasia after treatment to eradicate this infection has been demonstrated, controversy remains with regard to this subject. OBJECTIVE: The objective of this study was to determine the frequency of the regression of gastric intestinal metaplasia one year after the eradication of Helicobacter pylori...
November 2, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27804305/spasmolytic-effect-of-jasonia-glutinosa-on-rodent-intestine
#10
Marta Castro, Mariano Ramón Giménez, Francisco Les Pereda, Lorena Trejo, Miguel Ángel Plaza, Víctor López, María Divina Murillo, Marta Sofia Valero Gracia
INTRODUCTION: Jasonia glutinosa is an endemic plant species of the Iberian Peninsula and Southern France traditionally used in infusions as a spasmolytic; this plant is also known as "té de roca" (rock tea) but there is no scientific evidence about the effects of this plant. AIM: To evaluate the spasmolytic effect of rock tea. METHODS: We have studied the in vitro effect of a rock tea extract on rat duodenum spontaneous contractions and the in vivo effect on mice gastrointestinal transit...
November 2, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27785915/prospective-study-of-anxiety-in-patients-undergoing-an-outpatient-colonoscopy
#11
Israel Grilo Bensusan, Pablo Herrera Martín, María Valle Aguado Álvarez
BACKGROUND: Undergoing a colonoscopy can cause anxiety in patients and this is something which has not been closely studied. OBJECTIVE: To determine the frequency and intensity of anxiety prior to a colonoscopy and the factors which are related to the procedure. METHODS: This is a prospective study of patients undergoing outpatient colonoscopy in our hospital. Anxiety was assessed using a visual analogue scale of 0 to 100. The severity of anxiety was rated as mild (1-29), moderate (30-79) or severe (80-100)...
October 27, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27756145/prevalence-and-outcome-of-portal-thrombosis-in-a-cohort-of-cirrhotic-patients-undergoing-liver-transplantation
#12
Marta Hernández Conde, Elba Llop Herrera, Juan de la Revilla Negro, Fernando Pons Renedo, Natalia Fernández Puga, José Luis Martínez Porras, María Trapero Marugan, Valentín Cuervas-Mons, Víctor Sánchez Turrión, José Luis Calleja Panero
INTRODUCTION: The prevalence of portal vein thrombosis (PVT) in patients that have undergone liver transplantation (LT) is 9.7% (SD 4.5). The aim of our study was to determine the prevalence, assess the factors that are associated with PVT and clarify their association with prognosis in patients with liver cirrhosis (LC) and LT. AIMS AND METHODS: From 2005 to 2014, laboratory, radiological and surgical data were collected from patients with LC in our center who had undergone LT for the first time...
October 19, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27756144/bowel-obstruction-secondary-to-yeyunal-intussusception-due-to-gangliocytic-paraganglioma
#13
Eugenia Caballero Rodríguez, Beatriz Arencibia Pérez, Guillermo Hernández Hernández
Gangliocytic paraganglioma is an uncommon entity. The jejunum location is extremely rare: there are only five cases reported in medical literature. We present a case of gangliocytic paraganglioma.
October 19, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27756143/antiplatelet-agents-and-or-anticoagulants-are-not-associated-with-worse-outcome-following-nonvariceal-upper-gastrointestinal-bleeding
#14
Elvira Teles Sampaio, Luís Maia, Paulo Salgueiro, Ricardo Marcos-Pinto, Mário Dinis-Ribeiro, Isabel Pedroto
BACKGROUND: Nonvariceal upper gastrointestinal bleeding emerges as a major complication of using antiplatelet agents and/or anticoagulants and represents a clinical challenge in patients undergoing these therapies. AIM: To characterize patients with nonvariceal upper gastrointestinal bleeding related to antithrombotics and their management, and to determine clinical predictors of adverse outcomes. METHODS: Retrospective cohort of adults who underwent upper gastrointestinal endoscopy after nonvariceal upper gastrointestinal bleeding from 2010 to 2012...
October 19, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27756142/in-response-to-the-editorial-sedation-in-endoscopy-in-2016-is-it-safe-sedation-with-propofol-led-by-the-endoscopist-in-complex-situations
#15
Ferran González-Huix Lladó
Replies to the letter of De la Matta: In response to the editorial "Sedation in endoscopy in 2016: Is it safe sedation with propofol led by the endoscopist in complex situations?
October 19, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27756141/pancreas-neuroendocrine-tumors-not-so-rare-or-benign
#16
Fernando Pereira Pérez
Neuroendocrine tumors (NETs) are a heterogeneous group of neoplasms characterized by a common embryonic origin and highly variable clinical outcome.
October 19, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27756140/in-response-to-the-editorial-sedation-in-endoscopy-in-2016-is-it-safe-sedation-with-propofol-led-by-the-endoscopist-in-complex-situations
#17
Manuel de la Matta
It is universally accepted that deep sedation involves more risks than light-to-moderate sedation. Deep sedation for endoscopic explorations is normally provided by anesthesiologists in Spain and in most countries of the European Unión. The present debate about deep sedation-anesthesia states goes beyond the topic of cardiovascular and respiratory adverse events, and targets the cognitive consequences and global increased mortality of uncontrolled sedation states, especially in specific fragile populations...
October 19, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27701883/validation-of-the-computed-assessment-of-cleansing-score-with-the-mirocam%C3%A2-system
#18
Ana Ponte, Rolando Pinho, Adélia Rodrigues, Joana Silva, Jaime Rodrigues, João Carvalho
BACKGROUND AND AIMS: A computed assessment of cleansing (CAC) score was developed to objectively evaluate small-bowel cleansing in the PillCam® capsule endoscopy (CE) system and to overcome the subjectivity and complexity of previous scoring systems. Our study aimed to adapt the CAC score to the Mirocam® system, evaluate its reliability with the Mirocam® CE system and compare it with three validated subjective grading scales. PATIENTS AND METHODS: Thirty CE were prospectively and independently reviewed by two authors who classified the degree of small-bowel cleanliness according to a quantitative index, a qualitative evaluation and an overall adequacy assessment...
October 5, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27701882/a-single-institution-s-21-year-experience-with-surgically-resected-pancreatic-neuroendocrine-tumors-an-analysis-of-survival-and-prognostic-factors
#19
Javier A Cienfuegos, Fernando Rotellar, Joseba Salguero, Miguel Ruiz-Canela, Jorge M Núñez Córdoba, Iosu Sola, Alberto Benito, Gabriel Zozaya, F Pardo, José Luis Hernández Lizoáin
BACKGROUND: Pancreatic neuroendocrine tumors (pNETs) comprise a heterogeneous group of tumors with a varied biological behavior. In the present study, we analyzed the experience of 79 pNETs resected between 1999 and 2014. The pathologic prognostic factors (European Neuroendocrine Tumor Society, ENETS; and AJCC) classification, vascular invasion (VI), proliferation index (ki-67) and the presence of necrosis were retrospectively reviewed. METHODS: The clinical data of 79 patients with pNETs who underwent surgery were retrospectively analyzed...
October 5, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27701881/the-use-of-a-segmental-endoscopic-score-may-improve-the-prediction-of-clinical-outcome-in-acute-severe-ulcerative-colitis
#20
Samuel Raimundo Fernandes, Patrícia Santos, Carlos Miguel Moura, Pedro Marques da Costa, Joana Rita Carvalho, Ana Isabel Valente, Cilénia Baldaia, Ana Rita Gonçalves, Paula Moura Santos, Luís Araújo-Correia, José Velosa
BACKGROUND: Acute severe colitis (ASC) remains a challenging complication of ulcerative colitis. The early identification of patients who will not respond to optimal therapy is warranted. Increasing evidence suggests that endoscopy may play a role in predicting important outcomes in acute severe colitis. METHODS: The endoscopic activity of consecutive patients with acute severe colitis was evaluated using the Mayo endoscopic sub-score (Mayo) and the ulcerative colitis endoscopic index of severity (UCEIS)...
October 5, 2016: Revista Española de Enfermedades Digestivas
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