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Revista Española de Enfermedades Digestivas

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https://www.readbyqxmd.com/read/28071063/acute-psychotic-episode-secondary-to-helicobacter-pylori-eradication-treatment
#1
Rubén Fernández Martos, Aurora Burgos García, Consuelo Froilán Torres
The side effects of Helicobacter pylori (H. pylori) eradication treatment are few, usually in the form of gastrointestinal or allergic complaints. However, occasionally, some antibiotics including clarithromycin, included in the classic eradication regimen, may result in reversible psychosis, a condition called "antibiomania" or "Hoigne syndrome".
January 10, 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28071062/accurate-cut-offs-for-predicting-endoscopic-activity-and-mucosal-healing-in-crohn-s-disease-with-fecal-calprotectin
#2
Juan María Vázquez Morón, Héctor Pallarés Manrique, Francisco H Machancoses, Manuel Ramos Lora, Carlos Ruiz Frutos
BACKGROUND: Fecal biomarkers, especially fecal calprotectin, are useful for predicting endoscopic activity in Crohn's disease; however, the cut-off point remains unclear. The aim of this paper was to analyze whether faecal calprotectin and M2 pyruvate kinase are good tools for generating highly accurate scores for the prediction of the state of endoscopic activity and mucosal healing. METHODS: The simple endoscopic score for Crohn's disease and the Crohn's disease activity index was calculated for 71 patients diagnosed with Crohn's...
January 10, 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28071061/validation-of-spice-a-method-of-differentiating-small-bowel-submucosal-lesions-from-innocent-bulges-on-capsule-endoscopy
#3
Jaime P Rodrigues, Rolando Pinho, Adélia Rodrigues, Joana Silva, Ana Ponte, Mafalda Sousa, João Carvalho
BACKGROUND AND AIMS: Small bowel submucosal lesions (SBSL) and innocent bulges may have an identical appearance and be difficult to distinguish on small bowel capsule endoscopy (SBCE). Recently, Pirelli et al. proposed a score, smooth, protruding lesion index on capsule endoscopy (SPICE), in order to differentiate between the two. We aimed to evaluate and validate SPICE as a differentiation method between innocent bulges and SBSLs. METHODS: We evaluated all SBCEs performed in our department between January 2005 and September 2015, and selected the ones with a smooth, round, protruding lesion in the small bowel...
January 10, 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28071060/intramural-gastric-hematoma-in-the-context-of-an-acute-pancreatitis
#4
Marta Cimavilla Román, Raúl Torres Yuste, Maria Antonia Vallecillo Sande
Bleeding complications are well known in the context of acute pancreatitis however, intramural hematomas of the superior gastrointestinal tract are rare. The treatment of choice, in absence of active bleeding or other complications, must be conservative, resulting in spontaneous resolution of the hematoma in most of the cases.
January 10, 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28071059/accuracy-of-asge-criteria-for-the-prediction-of-choledocholithiasis
#5
Jacobo Dib
I read with interest the article "Accuracy of ASGE criteria for the prediction of choledocholithiasis" by Nárvaez et al. Patients with suspicion of choledocholithiasis (CL) were categorized according to the American Society for Gastrointestinal Endoscopy (ASGE) recommendations. Those patients classified into high or intermediate-probability for CL underwent an endoscopic retrograde cholangiopancreatography (ERCP) without any further non-endoscopic biliary imaging modalities. In the ASGE recommendations for intermediate risk CL patients, they mention options for the evaluation of these patients including endoscopic ultrasound (EUS) and magnetic resonance cholangiography (MRC)...
January 10, 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28026200/what-is-the-real-life-maintenance-mesalazine-dose-in-ulcerative-colitis
#6
Alicia Algaba, Iván Guerra, Ana García García de Paredes, María Hernández Tejero, Carlos Ferre, Daniel Bonillo, Lara Aguilera, Antonio López-Sanromán, Fernando Bermejo
OBJECTIVE: To describe how mesalazine (MSZ) is used in our practice in ulcerative colitis (UC), at what dose, and the success rate (regarding adherence to therapy). METHODS: Observational, transversal study, including all patients with UC and with MSZ maintenance therapy seen from September 2014 to February 2015 at two IBD units in Spain. Treatment adherence was measured by the Morisky-Green scale. RESULTS: We included 203 patients (mean MSZ dose: 2...
December 27, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28026199/clinical-status-quality-of-life-and-work-productivity-in-crohn-s-disease-patients-after-one-year-of-treatment-with-adalimumab
#7
Cristina Saro, Daniel Ceballos, Fernando Muñoz, Cristóbal de la Coba, María Dolores Aguilar, Pablo Lázaro, Valle García-Sánchez, Mariola Hernandez, Jesús Barrio, Ruth de Francisco, Luis I Fernández, Manuel Barreiro-de Acosta
OBJECTIVE: Clinical trials have shown the efficacy of adalimumab in Crohn's disease, but the outcome in regular practice remains unknown. The aim of the study was to examine clinical status, quality of life, and work productivity of Crohn's disease patients receiving adalimumab for one year in the context of usual clinical practice. MATERIAL AND METHODS: This was a prospective, observational study with a one-year follow-up. After baseline, Crohn's disease patients were evaluated at 1, 3, 6, 9, and 12 months after starting treatment with adalimumab...
December 27, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28026198/the-importance-of-a-second-opinion-in-the-diagnosis-of-barrett-s-esophagus-a-real-life-study
#8
Vincenzo Villanacci, Marianna Salemme, Italo Stroppa, Valerio Balassone, Gabrio Bassotti
BACKGROUND: Barrett's esophagus is a precancerous lesion, and its identification with the early detection of dysplasia is of paramount importance to prevent adenocarcinoma onset. However, there is still debate on the correct pathological identification of Barrett's esophagus (and of associated dysplasia), and most studies have been conducted in an experimental setting. AIMS: To assess previous uncertain diagnoses of Barrett's (with and without dysplasia) via a second opinion of an expert pathologist in a real life setting...
December 27, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28006922/sister-mary-joseph-s-nodule-as-initial-pancreatic-cancer-manifestation
#9
Cristina Vallejo Bernad, María Carmen Casamayor Franco, Sofía Hakim Alonso
We report the case of an 85-year-old female patient who presented with umbilical pain associated with an indurated growth, the whole being apparently consistent with incarcerated umbilical hernia, which prompted an urgent surgical procedure for its removal. The pathology study revealed dermal infiltration by a malignancy. Gland tumor cells expressed an immunohistochemical profile initially consistent with a pancreatic origin. In view of these findings a CT scan was performed, which revealed a pancreatic tail tumor as well as multiple hepatic metastasis...
December 23, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28006920/clip-and-endoloop-lifting-technique-to-assist-cannulation-of-a-hardly-reachable-papilla-because-of-anatomical-changes-due-to-surgery
#10
Maite Alonso Sierra, Santiago González Vázquez, Miguel Muñoz-Navas
Bile duct cannulation by ERCP can be difficult because of different reasons. We present a patient with a hardly reachable papilla because of anatomical changes due to surgery. A clip, an endoloop and a guide wire were used to lift the papilla and pull it, achieving a successful cannulation.
December 23, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28006921/could-viral-load-combined-with-indirect-serum-markers-be-an-option-for-predicting-the-degree-of-liver-fibrosis-in-treatment-na%C3%A3-ve-chronic-hepatitis-b-patients
#11
Murat Afyon
In a recent issue of the Revista Española de Enfermedades Digestivas, we read with interest the article by Coskun et al. "The diagnostic value of a globulin/platelet model for evaluating liver fibrosis in chronic hepatitis B patients". However, we wanted to emphasize some points about the article.
December 22, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28004965/restoration-of-density-of-interstitial-cells-of-cajal-in-the-jejunum-of-diabetic-rats-after-quercetin-supplementation
#12
Flávia Cristina Vieira Frez, Juliana Vanessa Martins Colombo Perles, David Robert Linden, Simon John Gibbons, Heber Amilcar Martins, Débora Almeida Brito Romualdo, Sara Raquel de Souza, Gleison Daion Piovezana Bossolani, Jacqueline Nelisis Zanoni
BACKGROUND: Interstitial cells of Cajal (ICC) are required for normal motility in the gastrointestinal tract. Depletion of ICC has been associated with diabetic gastroenteropathy. PURPOSE: To determine the effect of quercertin supplementation on anoctamin-1 (Ano1) immunoreactive ICC in the myenteric region (ICC-MY) and deep muscular plexus (ICC-DMP) in the jejunum of diabetic rats. METHODS: Thirty-two 90-day-old male Wistar rats were distributed into the following groups: normoglycemic (C), normoglycemic supplemented with quercetin (CQ; 40 mg daily), diabetic (D), and diabetic supplemented with quercetin (DQ; 40 mg daily)...
December 22, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28004964/patient-safety-under-deep-sedation-for-digestive-endoscopic-procedures
#13
Julián Álvarez, Rafael Cabadas, Manuel de la Matta
Deep sedation with Propofol has become popular in recent years. The safety of this technique when administered by non-anaesthesiologists has created much controversy which at times is masked in a contentious debate on the economic sustainability of the health system. In 2011, the Spanish Society of Anaesthesiology, Resuscitation and Pain Therapy, along with 20 other organisations from European countries, revoked the recommendations of the European Society of Gastrointestinal Endoscopy on the administration of Propofol by non-anaesthesiologists, citing that it is "extremely dangerous for the safety and quality of endoscopic procedures"...
December 22, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27990836/practical-aspects-of-high-resolution-esophageal-manometry
#14
Antonio Ruiz de León San Juan, Constanza Ciriza de Los Ríos, Julio Pérez de la Serna Bueno, Fernando Canga Rodríguez-Valcárcel, Fermín Estremera Arévalo, Raquel García Sánchez, José Walter Huamán Ríos, María Teresa Pérez Fernández, Cecilio Santander Vaquero, Jordi Serra Pueyo, Concepción Sevilla Mantilla, Elisabeth Barba Orozco, María José Bosque López, Sergio Casabona Francés, Silvia Carrión Bolorino, Pilar Castillo Grau, Silvia Delgado Aros, Ana Belén Domínguez Carbajo, Pilar Fernández Orcajo, Javier García-Lledó, Froilán Gigantó Tomé, Rosa Iglesias Picazo, Gloria Lacima Vidal, Pilar López López, Magdalena Llabrés Rosselló, Pilar Mas Mercader, Marianela Mego Silva, María Usua Mendarte Barrenetxea, Carlos Miliani Molina, Milagros Oreja Arrayago, Francisco Sánchez Ceballos, Sandra Sánchez Prudencio
High resolution esophageal manometry (HRM) is currently under development as can be seen in the various Chicago classifications. In order to standardize criteria in certain practical aspects with limited scientific evidence, the First National Meeting for Consensus in High Resolution Manometry of the Spanish Digestive Motility Group took place, bringing together a wide group of experts. The proposals were based on a prior survey composed of 47 questions, an exhaustive review of the available literature and the experience of the participants...
December 19, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28100060/boerhaave-s-syndrome-diagnostic-gastroscopy
#15
Rocío Ferreiro-Iglesias, Manuel Narciso Blanco Freire, Manuel Paz Novo, J Enrique Domínguez Muñoz
A 47-year-old man was attended at the emergency room for severe chest pain after eating sausage with subsequent vomiting and mild upper gastrointestinal bleeding. In the chest radiography we could not see abnormalities. He referred previous episodes of choking without consulting. The urgent gastroscopy detected tertiary contractile activity (nutcracker esophagus) and a foreign body in the lower third of the esophagus. After removing the food bolus, we observed a 4 cm longitudinal tear compatible with esophageal rupture or Boerhaave's syndrome in the right posterior wall of the lower esophagus, proximal to the gastroesophageal junction...
January 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28100059/all-that-glitters-is-not-gold-a-different-cause-for-an-ulcerative-colitis
#16
Armando Peixoto, Marco Silva, Filipe Vilas-Boas, Guilherme Macedo
The authors present the case of a 32-year-old Caucasian male, engineer, who was submitted to a colonoscopy after a presumptive diagnosis of ulcerative colitis. The patient referred an acute bloody and mucous diarrhea, lasting for three weeks, with no fever or rectal tenesmus. Stool studies were negative. During the procedure, colonic segments with continuous hyperemic and exudative mucosa, with small papules with apical ulcers and erosions, were observed.
January 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28100058/endoscopic-retrieval-of-toothbrushes-in-a-schizophrenic-patient
#17
José Luis Beristain-Hernández, Mario Eduardo Torres-Olalde, Martín Rojano-Rodríguez
Foreign bodies are a common problem in the daily endoscopic practice. Nevertheless, long objects as toothbrushes, sometimes pose a special problem when trying to remove them from the stomach, due to the difficulty of passing through the hiatus. Endoscopic retrieval of toothbrushes has seldom be reported.
January 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28100057/wilkie%C3%A2-s-syndrome
#18
Carlos Oliva-Fonte, Cristina Fernández Rey, Javier Pereda Rodríguez, Ana María González-Fernández
We report the case of a 14 year-old woman, who presents epigastric abdominal pain, abundant vomits and an important abdominal distension. Previously, she presented similar episodes. She has not any significant prior medical history. CT is performed and the imaging findings are consistent with Wilkie´s syndrome. Wilkie´s syndrome is a rare condition, that results from a intestinal obstruction caused by third portion duodenal compression between the abdominal aorta and the superior mesenteric artery. When the angle between both structures diminishes and the distance between the SMA and the aorta decreases (the most diagnostic value), duodenal obstruction occurs...
January 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28100056/pneumatosis-cystoides-intestinalis
#19
Adriana Fabiola Romano-Munive, Rafael Barreto-Zuñiga
A 54-year-old woman underwent colonoscopy for colon cancer screening. Colonoscopy showed multiple cysts in the sigmoid colon, with the largest being 4 cm in diameter. One of the cysts was biopsied. Cyst walls were observed; during biopsy, the gas was released and the cyst collapsed. Computed tomography of the abdomen confirmed a diagnosis of pneumatosis cystoides intestinalis. Pneumatosis cystoides intestinalis is a rare disease characterized by the presence in the intestinal submucosa or subserosa of multiple cysts filled with gas (nitrogen, oxygen, carbon dioxide and hydrogen)...
January 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28100055/superior-mesenteric-artery-syndrome-an-uncommon-cause-of-intestinal-obstruction
#20
José Barquín Yagüez, Pedro Abadía Barnó, Juan Carlos García Pérez
Superior mesenteric artery syndrome, also Wilkie's syndrome, is an uncommon cause of upper intestinal obstruction. It includes compression of the third duodenal portion by the aorta and the overlying superior mesenteric artery when the angle formed by these two structures becomes smaller. It may result from significant weight loss or abdominal trauma, or may have a congenital origin. Treatment for most cases is conservative.
January 2017: Revista Española de Enfermedades Digestivas
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