Gastroenterologia y hepatologia最新文献

Severe Acute Hepatitis E with Unilateral Amyotrophic Neuralgia: A Diagnostic Challenge. 严重急性戊型肝炎伴单侧肌萎缩性神经痛：诊断挑战。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-10-07 DOI: 10.1016/j.gastrohep.2025.502585

A Pascual-Dapena, A Pocurull, X Forns

引用次数: 0

Diagnostic value and clinical implications of 75SeHCAT scan in bile acid diarrhea. 75SeHCAT扫描对胆汁酸性腹泻的诊断价值及临床意义。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-09-24 DOI: 10.1016/j.gastrohep.2025.502584

D Riado Mínguez, F M Fernández-Gordón, M Casado Portolés, C Gómez Labrador, C Cuadrado Tiemblo, C G Suárez Cabredo, L W Wong Becerra, C Castaño Milla

引用次数: 0

On the need for patient-centered approaches to Helicobacter pylori management in geriatric populations. 在老年人群中以患者为中心的幽门螺杆菌管理方法的必要性。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-09-24 DOI: 10.1016/j.gastrohep.2025.502583

Camila S Badell, Eloy F Ruiz

引用次数: 0

Pancreatic panniculitis as the only manifestation. 胰腺膜炎为唯一表现。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-09-24 DOI: 10.1016/j.gastrohep.2025.502582

Sara Rodríguez Vega, Yaiza Rey Fanjul, Jorge Rodríguez Prida

引用次数: 0

Endoscopic journey to the center of the pancreas: 'Ring Drainage' (gastro-pancreato-duodenal). 内镜下胰腺中心：环形引流（胃-胰-十二指肠）。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-09-16 DOI: 10.1016/j.gastrohep.2025.502577

Joan B Gornals, Julia Escuer-Turu, Maria Puigcerver-Mas

引用次数: 0

Translation and psychometric evaluation of the Spanish version of the Inflammatory Bowel Disease Knowledge (IBD-KNOW) questionnaire. 西班牙语版炎症性肠病知识（ibd-know）问卷的翻译和心理测量评估。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-09-09 DOI: 10.1016/j.gastrohep.2025.502576

Pilar Corsino Roche, Josep-Oriol Casanovas-Marsal, Santiago García López, Raquel Vicente Lidón, Eva Sierra Moros, Sonia Gallego Montañés, Diego Casas Deza, Laura Vicente Manso, Laura Lafarga-Molina

{"title":"Translation and psychometric evaluation of the Spanish version of the Inflammatory Bowel Disease Knowledge (IBD-KNOW) questionnaire.","authors":"Pilar Corsino Roche, Josep-Oriol Casanovas-Marsal, Santiago García López, Raquel Vicente Lidón, Eva Sierra Moros, Sonia Gallego Montañés, Diego Casas Deza, Laura Vicente Manso, Laura Lafarga-Molina","doi":"10.1016/j.gastrohep.2025.502576","DOIUrl":"10.1016/j.gastrohep.2025.502576","url":null,"abstract":"Objective: To translate, culturally adapt, and validate the Inflammatory Bowel Disease Knowledge questionnaire in adult Spanish-speaking patients with IBD.Patients and methods: A cross-sectional translation and linguistic validation study was conducted with 30 participants aged>18 years with Inflammatory Bowel Disease at the Miguel Servet University Hospital (Zaragoza, Spain). The IBD-KNOW questionnaire was translated and culturally adapted following ISPOR guidelines. Content validity was assessed by a panel of experts using Aiken's V coefficient. Internal consistency was evaluated using Cronbach's alpha, and test-retest reliability was assessed with the intraclass correlation coefficient (ICC). Descriptive analyses and bivariate tests were used to evaluate sociodemographic and clinical variables, as well as associations with IBD knowledge.Results: The study assessed 30 adults (50% female) with an average age of 44.21±15.05 years; mean age at diagnosis 29.24±11.42 years and mean disease duration 14.97±8.70 years. The Spanish version of the IBD-KNOW demonstrated good internal consistency (Cronbach's α=0.74) and strong test-retest reliability (ICC=0.80; 95% CI: 0.62-0.89). No statistically significant differences were found between the test and retest scores (p=0.39) or completion times (p=0.736). The mean questionnaire score was 5.87±1.53 out of 10.Conclusions: The Spanish version of the IBD-KNOW questionnaire is a valid, reliable, and culturally appropriate instrument for assessing disease-related knowledge in Spanish-speaking IBD patients. Its use in clinical settings can support the identification of educational needs and the design of targeted interventions aimed at improving patient engagement and health outcomes.","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502576"},"PeriodicalIF":1.9,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical, endoscopic and histological characteristics of Chlamydia trachomatis proctitis in males. 男性沙眼衣原体直肠炎的临床、内镜及组织学特征。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-09-08 DOI: 10.1016/j.gastrohep.2025.502558

Marta Teller, Antonio Giordano, Carlos González-Muñoza, Jordi Gordillo, Federico Bertoletti, Fernando Sánchez-Reus, Esther Garcia-Planella

{"title":"Clinical, endoscopic and histological characteristics of Chlamydia trachomatis proctitis in males.","authors":"Marta Teller, Antonio Giordano, Carlos González-Muñoza, Jordi Gordillo, Federico Bertoletti, Fernando Sánchez-Reus, Esther Garcia-Planella","doi":"10.1016/j.gastrohep.2025.502558","DOIUrl":"10.1016/j.gastrohep.2025.502558","url":null,"abstract":"Objective: Chlamydia trachomatis is a prevalent cause of infectious proctitis, often misdiagnosed as cancer or inflammatory bowel disease (IBD). This study aims to describe the main clinical symptoms, together with endoscopic and histopathological characteristics of C. trachomatis proctitis in the general population.Patients and methods: A retrospective observational study was conducted at a single institution, identifying all cases of proctitis due to C. trachomatis infection, detected by real-time PCR in rectal biopsy or anal smear, with endoscopic assessment.Results: A total of 28 male patients were included (median age 37, IQR 31-48). Among them, 20 patients reported having sex with males. Concomitant infections included HIV (n=10), Neisseria gonorrhoea (n=4), and Treponema pallidum (n=2). A history of sexually transmitted diseases was reported by 18 patients (64%). The main clinical symptoms were rectal bleeding (79%) and diarrhoea (43%). The main endoscopic findings were rectal erythema (71%) and ulcers (57%), with rectal (89%) and sigmoid inflammation (11%). In 5 cases (18%), a single isolated deep rectal ulcer was the only finding. In 16 cases (57.1%), neoplasia, IBD or fissure was suspected according to endoscopy. Histological findings included mixed inflammatory infiltrate of lamina propria (95%), cryptitis (54%), and crypt abscesses (32%).Conclusions: Endoscopically detected C. trachomatis proctitis in men presents with worrisome symptoms and nonspecific rectal ulcers, with chronic inflammation histology. This generates doubts about differential diagnosis with IBD and rectal cancer.","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502558"},"PeriodicalIF":1.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Territorial equity assessment within a colorectal cancer screening program: Usefulness of colonoscopy quality indicators. 结直肠癌筛查项目的地域公平性评估：结肠镜检查质量指标的有效性。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-09-07 DOI: 10.1016/j.gastrohep.2025.502559

Rebeca Font, Anna Serradesanferm, Ramon Clèries, Judit Solà, Maria Pellisé, Francesc Balaguer, Josep M Castellví, Oscar Navarro-Campàs, Natàlia Pascual-Argente, Ester Sánchez-Tilló, Josep A Espinàs, Antoni Castells

{"title":"Territorial equity assessment within a colorectal cancer screening program: Usefulness of colonoscopy quality indicators.","authors":"Rebeca Font, Anna Serradesanferm, Ramon Clèries, Judit Solà, Maria Pellisé, Francesc Balaguer, Josep M Castellví, Oscar Navarro-Campàs, Natàlia Pascual-Argente, Ester Sánchez-Tilló, Josep A Espinàs, Antoni Castells","doi":"10.1016/j.gastrohep.2025.502559","DOIUrl":"10.1016/j.gastrohep.2025.502559","url":null,"abstract":"Objective: The primary goal of a public health system is to ensure universal access to high-quality medical care. However, disparities in health outcomes have been observed across socio-demographic groups, some of them potentially related to their geographical location. To assess territorial equity, the Catalan Colorectal Cancer Screening Program was used, focusing on the adenoma detection rate (ADR) endoscopists.Patients and methods: This population-based screening program is based on fecal immunochemical testing. Positive individuals undergo colonoscopy in the endoscopy unit corresponding to their area of residence. Both ADR and serrated polyp detection rate (SPDR) of all endoscopists were assessed and reported in terms of variability among endoscopy units and proportion of endoscopists who did not reach pre-established quality standards (40% and 20%, respectively).Results: A total of 35,825 colonoscopies performed by 206 endoscopists of 39 endoscopy units were evaluated. Analysis of ADR variability revealed that 11 units (28.2%) performed significantly above the average of Catalonia, while 3 units (7.7%) performed below it. In terms of SPDR variability, 22 units (56.4%) significantly exceeded the average, whereas 8 units (20.5%) fell below this benchmark. Moreover, all endoscopists in 28 units (71.8%) achieved the ADR threshold of 40%, while this was the case in only 12 (30.8%) when using the SPDR threshold of 20%.Conclusion: Quality of colonoscopy, measured by the ADR, was high with minimal variability among units; however, using the SPDR revealed greater variability. This analysis underscores the value of indicators derived from screening programs as essential tools for evaluating potential territorial inequities.","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502559"},"PeriodicalIF":1.9,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metastatic breast cancer as a cause of gastroduodenal obstruction. A matter for endoscopists. 转移性乳腺癌是引起胃十二指肠梗阻的原因。这是内窥镜医师的事。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-09-07 DOI: 10.1016/j.gastrohep.2025.502561

Sara Campos Cancela, Iago Gavín Piña, Natalia García Morales, Antonio José Rodríguez D'Jesús

引用次数: 0

Fatigue in patients with inflammatory bowel disease: A descriptive cross-sectional study. 炎症性肠病患者的疲劳：一项描述性横断面研究。

IF 1.9 4区医学

Gastroenterologia y hepatologia Pub Date : 2025-09-07 DOI: 10.1016/j.gastrohep.2025.502557

Ana M López-Calleja, Beatriz López-Cauce, Marisa Iborra Colomino, Beatriz Villarrubia-Martín, Luis Menchén, Carmen Lobo-Rodríguez

{"title":"Fatigue in patients with inflammatory bowel disease: A descriptive cross-sectional study.","authors":"Ana M López-Calleja, Beatriz López-Cauce, Marisa Iborra Colomino, Beatriz Villarrubia-Martín, Luis Menchén, Carmen Lobo-Rodríguez","doi":"10.1016/j.gastrohep.2025.502557","DOIUrl":"10.1016/j.gastrohep.2025.502557","url":null,"abstract":"Aim: To identify factors associated with the presence of fatigue in patients with inflammatory bowel disease.Patients and method: Prospective cross-sectional descriptive study conducted in a multidisciplinary centre for the treatment of immune-mediated inflammatory disease (IMID). Participants were patients diagnosed with inflammatory bowel diseases (IBD) under follow-up in an advanced practice nurse (APN) consultation. Sociodemographic and clinical variables, biochemical parameters, disease activity, quality of life, severity of fatigue, anxiety and depression were collected. A multivariate analysis was performed with logistic regression adjusted for sex and years of disease progression.Results: A total of 243 patients were included, 174 (71.6%) with Crohn's disease and 69 (28.4%) with ulcerative colitis; 73 (30.2%) reported fatigue. Patients with fatigue had a significantly lower quality of life EuroQol-5D-5L: 60.08 vs. 76.34, (P<.001, 95%CI: 12.15-20.36) and IBDQ-9 57.53 vs. 76.54 (P<.001, 95%CI: 15.35-22.67). The regression model adjusted for sex and years of disease included moderate disease activity (OR: 4.88, P<.001, 95%CI: 2.13-11. 14), probable case of anxiety (OR: 2.16, P=.031, 95%CI: 0.78-4.34), probable case of depression (OR: 2.86, P=.004, 95%CI: 1.41-5.81).Conclusions: Fatigue was significantly associated with poorer health-related quality of life in patients with moderate disease activity and those experiencing anxiety or depression. These findings highlight the necessity of a comprehensive approach that includes early detection of fatigue and associated psychosocial factors.","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502557"},"PeriodicalIF":1.9,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0