Gastroenterologia y hepatologia最新文献

{"title":"Assessment of training in pancreatology and biliary diseases during gastroenterology residency: A national survey by AEG-AESPANC.","authors":"Raúl Velamazan, Irene Blanco, Juan Lerma-Irureta, Karina Cardenas-Jaen, Daniel de la Iglesia-García, Emma Martinez Moneo, Enrique de-Madaria","doi":"10.1016/j.gastrohep.2026.502829","DOIUrl":"10.1016/j.gastrohep.2026.502829","url":null,"abstract":"<p><strong>Introduction: </strong>Biliopancreatic diseases are prevalent, complex, and associated with significant morbidity and mortality. Despite their clinical importance, training in these conditions remains poorly defined across Europe. We aimed to assess self-perceived knowledge in biliopancreatic diseases among gastroenterology trainees and early-career specialists, and to identify training-related factors associated with higher competence.</p><p><strong>Patients and methods: </strong>A nationwide cross-sectional online survey was conducted among final-year residents and specialists completing residency between 2018 and 2024 under the auspices of the Spanish Association of Gastroenterology (AEG) and the Spanish Association of Pancreatology (AESPANC). Participants reported demographics and training characteristics. General self-perceived knowledge was rated on a 0-10 scale, and knowledge of 45 pancreatic and biliary conditions was assessed using a 5-point Likert scale.</p><p><strong>Results: </strong>Of 216 respondents (60.5% women; mean age 32.3 years), 28.8% were residents and 71.2% specialists. Median general knowledge scores were 7/10 for both pancreatic and biliary diseases. Highest competence was reported in common conditions (acute pancreatitis, biliary colic, cholecystitis, cholangitis), lowest scores were observed for chronic pancreatitis, autoimmune pancreatitis, cystic fibrosis, pancreatic cystic lesions, and benign biliary disorders. Factors associated with higher self-perceived knowledge included presence of pancreatology specialists, larger case volumes, outpatient clinic exposure, participation in multidisciplinary committees, structured teaching, and formal competency assessment.</p><p><strong>Conclusions: </strong>Training in biliopancreatic diseases among gastroenterology trainees in Spain is heterogeneous, with significant gaps in clinically relevant domains. Structured clinical exposure, mentorship, formal evaluation, and targeted teaching are key factors. These findings highlight the need to standardise and strengthen pancreatology training pathways to improve patient care.</p>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502829"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148367928","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}

{"title":"Merkel cell carcinoma: An unexpected cause of fulminant hepatic failure on pre-existing chronic liver disease.","authors":"Inés Magide Yáñez, Francisco Javier Pérez Rastrollo, Sofía Díaz López, Mario Álvarez Díez, Julio Otero Figar, Carmen Álvarez Navascues, Jacobo Martín Sanz","doi":"10.1016/j.gastrohep.2026.502820","DOIUrl":"10.1016/j.gastrohep.2026.502820","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502820"},"PeriodicalIF":2.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148224477","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}

{"title":"A decade of progress towards the elimination of hepatitis C: From the National Strategic Plan to Artificial Intelligence.","authors":"Sara Romero Otero, Lucas Lima da Silva, Marta Casado Martín, Román Villegas Portero, Joaquín Dopazo, Francisco J Atienza Martín, Nuria Espinosa Aguilera, Ana Lucena Valera, Claudio Bueno Mariscal, Gema Romero Herrera, José Joaquín Antón Basanta, Carmen Lozano, Ramón Morillo Verdugo, Joan Carles March Cerdà, María Vázquez Bazo, Livia Melo Villar, Manuel Romero Gómez","doi":"10.1016/j.gastrohep.2026.502821","DOIUrl":"10.1016/j.gastrohep.2026.502821","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502821"},"PeriodicalIF":2.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148224572","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}

{"title":"A subepithelial tumor-like lesion in the colon: An unusual manifestation of esophageal squamous cell carcinoma.","authors":"Kazuhiro Furukawa, Tomohiko Suzuki, Takashi Hirose, Takeshi Yamamura, Hiroki Kawashima","doi":"10.1016/j.gastrohep.2026.502818","DOIUrl":"10.1016/j.gastrohep.2026.502818","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502818"},"PeriodicalIF":2.0,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217434","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}

{"title":"Distal esophageal columnar replacement in a patient with refractory reflux symptoms.","authors":"Jhon Carvajal Gutiérrez, Daniel Herrera Martínez, María Mesa Zuluaga, Paula Ramírez Arboleda","doi":"10.1016/j.gastrohep.2026.502817","DOIUrl":"10.1016/j.gastrohep.2026.502817","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502817"},"PeriodicalIF":2.0,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217483","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}

{"title":"Intramural duodenal hematoma following endoscopic argon plasma coagulation in an anticoagulated patient.","authors":"Maria Inês Rocha, Joana Magalhães, Inês Pereira da Cruz, Ana Isabel Ferreira","doi":"10.1016/j.gastrohep.2026.502819","DOIUrl":"10.1016/j.gastrohep.2026.502819","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502819"},"PeriodicalIF":2.0,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217439","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}

{"title":"Position statement of the Spanish Working Group on Crohn's Disease and Ulcerative Colitis (GETECCU) on the diagnosis and management of acute severe ulcerative colitis.","authors":"Ingrid Ordás, Berta Caballol, Antonio Giordano, Maria Esteve, Francisco Rodríguez-Moranta, Raquel Bravo, Joan Trabal, Xavier Segú, Luís Menchén, Ana Gutiérrez-Casbas, Yamile Zabana","doi":"10.1016/j.gastrohep.2026.502815","DOIUrl":"10.1016/j.gastrohep.2026.502815","url":null,"abstract":"<p><p>Acute severe ulcerative colitis (ASUC) is a potentially life-threatening medical emergency that requires hospitalization, close multidisciplinary monitoring, and prompt, protocolized decision-making. Despite therapeutic advances, ASUC remains associated with high morbidity and mortality, substantial healthcare resource utilization, and a significant risk of colectomy. This position statement from the Spanish Working Group on Crohn's Disease and Ulcerative Colitis (GETECCU) provides updated, evidence-based recommendations for the diagnosis and management of ASUC in clinical practice. Its development involved a comprehensive review of the literature, including clinical trials, observational studies, and the most recent international guidelines. Diagnosis must be rapid and standardized, with particular emphasis on the systematic exclusion of infections, especially Clostridioides difficile and cytomegalovirus. Intravenous corticosteroids remain the first-line treatment, and response should be assessed at 72hours using validated criteria. In steroid-refractory patients, infliximab and cyclosporine are equally effective rescue therapies, and the choice between them should be individualized according to patient characteristics and comorbidities. JAK inhibitors are emerging as a promising option in selected cases, although current evidence is still limited. Supportive measures, including optimization of nutritional status, thromboprophylaxis, and continuous close monitoring, constitute essential components of care. Early surgical assessment is also crucial in patients who fail to respond to medical therapy or who develop complications. The management of ASUC requires a structured, interdisciplinary approach delivered in specialized centers, integrating early diagnosis, optimization of medical therapy, and timely surgical decision-making. This consensus aims to harmonize clinical practice and contribute to improving outcomes in patients with ASUC.</p>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502815"},"PeriodicalIF":2.0,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148175307","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}

{"title":"Mesenteric paraganglioma. An unusual abdominal finding with a diagnostic and therapeutic challenge.","authors":"Marina Gil Santana, Sara Torrico Hatami, Teresa Montoya Álvarez, Laura Murillo Alonso, Esteban Fuentes-Valenzuela, Alicia Bejerano Domínguez","doi":"10.1016/j.gastrohep.2026.502814","DOIUrl":"10.1016/j.gastrohep.2026.502814","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502814"},"PeriodicalIF":2.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163126","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}

{"title":"Enfermedad de Weil tras la exposición a inundaciones en la región de Valencia, España","authors":"Patricia Jarque Macián ,&nbsp;Carlos Alventosa-Mateu ,&nbsp;Sheila González Padilla ,&nbsp;Alejandro Fernández Soro ,&nbsp;Jorge Benlliure Simón","doi":"10.1016/j.gastrohep.2026.502653","DOIUrl":"10.1016/j.gastrohep.2026.502653","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 6","pages":"Article 502653"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145951181","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}

{"title":"¿Puede influir la microbiota intestinal en la anemia por pérdidas digestivas?","authors":"Marta Latre Santos ,&nbsp;Sandra García Mateo ,&nbsp;Pablo Revilla Martí ,&nbsp;Carlos Sostres Homedes","doi":"10.1016/j.gastrohep.2026.502706","DOIUrl":"10.1016/j.gastrohep.2026.502706","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 6","pages":"Article 502706"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147304938","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}