Gastroenterologia y hepatologia最新文献

{"title":"Retrieval of a retained capsule endoscopy through a metallic colonic stent in a patient with a neoplastic obstruction","authors":"Guillem Soy , Alex Bofill , Miquel Urpí , Henry Cordova , Oriol Sendino , Begoña González-Suárez","doi":"10.1016/j.gastrohep.2023.02.006","DOIUrl":"10.1016/j.gastrohep.2023.02.006","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9233586","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":"Traumatic esophageal fistula secondary to self-expandable metal stent placement","authors":"Carlos Chavarría, Luis Wong-Becerra, Daniel Riado-Mínguez, Carlos Castaño-Milla","doi":"10.1016/j.gastrohep.2023.02.005","DOIUrl":"10.1016/j.gastrohep.2023.02.005","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9486227","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":"Hepatic hemodynamic study: More than just HVPG measurement","authors":"Olga Ortega-Lobete ,&nbsp;Ana Clemente-Sánchez ,&nbsp;Rafael Bañares ,&nbsp;Diego Rincón","doi":"10.1016/j.gastrohep.2023.03.007","DOIUrl":"10.1016/j.gastrohep.2023.03.007","url":null,"abstract":"<div><p>Evaluation and staging of liver disease is essential in the clinical decision-making process of liver tumors. The severity of portal hypertension (PH) is the main prognostic factor in advanced liver disease. Performing an accurate hepatic venous pressure gradient (HVPG) measurement is not always possible, especially when veno-venous communications are present. In those complex cases, a refinement in HVPG measurement with a thorough evaluation of each of the components of PH is mandatory. We aimed at describing how some technical modifications and complementary procedures may contribute to an accurate and complete clinical evaluation to improve therapeutic decisions.</p></div>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707477","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":"Comunicaciones orales. Sesión General 3","authors":"","doi":"10.1016/S0210-5705(24)00177-8","DOIUrl":"https://doi.org/10.1016/S0210-5705(24)00177-8","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089733","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":"La infección por Helicobacter pylori se asocia con disminución del riesgo de esofagitis eosinofílica en pacientes mexicanos","authors":"José Carlos Cessa-Zanatta,&nbsp;Diego García-Compeán,&nbsp;Héctor Jesús Maldonado-Garza,&nbsp;Omar David Borjas-Almaguer,&nbsp;Alan Rafael Jiménez-Rodríguez,&nbsp;Ángel Noé del Cueto-Aguilera,&nbsp;José Alberto González-González","doi":"10.1016/j.gastrohep.2023.03.002","DOIUrl":"10.1016/j.gastrohep.2023.03.002","url":null,"abstract":"<div><h3>Background</h3><p>The incidence of eosinophilic esophagitis (EoE) is increasing in some regions of the world. Retrospective studies have found an inverse association with <em>Helicobacter pylori</em> infection (<em>H. pylori</em>). A recent prospective study has questioned this relationship. We aimed to evaluate this relationship in Mexican patients.</p></div><div><h3>Patients and methods</h3><p>We evaluated adult patients without prior eradication of <em>H. pylori</em>. Cases were defined by the presence of esophageal symptoms and &gt;15 eosinophils/high power field (HPF) in the esophageal biopsy. Controls were defined by the presence of &lt;15 eosinophils/HPF in esophageal biopsy. <em>H. pylori</em> infection was defined by histology. Patients were matched by age and gender assigning four controls per case.</p></div><div><h3>Results</h3><p>We included 190 patients: 38 cases and 152 controls. Cases had higher frequency of atopy, dysphagia, food impaction, peripheral eosinophilia, and endoscopic EoE abnormalities. The overall prevalence of <em>H. pylori</em> was 63.6%. Cases had significantly lower prevalence of <em>H. pylori</em> than controls (36.8% vs. 70.4%, OR 0.21 95% CI 0.08–0.69, <em>p</em> = 0.001). Atopic patients had lower prevalence of <em>H. pylori</em> than non-atopic: 13.1% vs. 50.5% (OR 0.20, 95% CI 0.06–0.69, <em>p</em> &lt; 0.001), particularly allergic rhinitis and food allergy.</p></div><div><h3>Conclusions</h3><p>We observed an inverse relationship between <em>H. pylori</em> and EoE as well as atopy. Studies in experimental models of EoE that clarify the role of <em>H. pylori</em> in this interaction are required, as well as robust studies that include other factors (socioeconomic, cultural, microbiota, etc.) in order to clarify this relationship.</p></div>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9342321","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":"Evaluation of the effectiveness and safety of single-operator cholangiopancreatoscopy with the SpyGlass™ system","authors":"Coral Tejido ,&nbsp;Manuel Puga ,&nbsp;Cristina Regueiro ,&nbsp;María Francisco ,&nbsp;Laura Rivas ,&nbsp;Eloy Sánchez","doi":"10.1016/j.gastrohep.2023.06.001","DOIUrl":"10.1016/j.gastrohep.2023.06.001","url":null,"abstract":"<div><h3>Background and study aims</h3><p>The single-operator cholangiopancreatoscopy (SOCP) with the SpyGlass™ system is a endoscopy technique whose use has grown exponentially in recent years. The aims of this study were to evaluate the efficacy and safety of SOCP with SpyGlass™ and determine the factors related to the onset of adverse events (AEs).</p></div><div><h3>Patients and methods</h3><p>Retrospective study at a single tertiary institution with inclusion of all consecutive patients undergoing SOCP with SpyGlass™ from February-2009 to December-2021. No exclusion criteria were considered. A descriptive statistical analysis was performed. The factors associated with the existence of AE were analyzed using Chi-square and Student's <em>t</em>-test.</p></div><div><h3>Results</h3><p><span><span><span>A total of 95 cases were included. The most common indications were biliary strictures (BS) evaluation (66.3%) or </span>treatment of difficult </span>common bile duct stones<span> (27.4%). Technical and clinical success was attained in 98.9%. Single-session stone clearance was obtained in 84%. The AE rate was 7.4%. To detect malignancy<span> in BS, optical diagnosis presents a sensitivity and specificity of 100% and 91.2%, respectively; while histology results were 36.4% and 100% respectively. A previous endoscopic sphincterotomy was associated with a lower rate of AEs (2.4% vs 41.7%; </span></span></span><em>p</em> <!-->&lt;<!--> <!-->0.001).</p></div><div><h3>Conclusions</h3><p>SOCP with SpyGlass™ is a safe and effective technique to diagnose and treat pancreatobiliary pathology. The presence of sphincterotomy performed prior to the procedure could improve the technique's safety.</p></div>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9780644","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 brief summary of endoscopic classifications in the upper gastrointestinal tract and their clinical relevance","authors":"Javier Jiménez Sánchez ,&nbsp;Pedro Delgado-Guillena ,&nbsp;Leticia Moreira ,&nbsp;Juan José Martínez Crespo","doi":"10.1016/j.gastrohep.2024.01.001","DOIUrl":"10.1016/j.gastrohep.2024.01.001","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394795","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":"Índice de autores","authors":"","doi":"10.1016/S0210-5705(24)00184-5","DOIUrl":"https://doi.org/10.1016/S0210-5705(24)00184-5","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0210570524001845/pdfft?md5=08fbf3fabf2fa26c082eaebc0e85922b&pid=1-s2.0-S0210570524001845-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementación de la disección endoscópica submucosa esofágica en España: resultados del registro nacional","authors":"Enrique Rodríguez de Santiago ,&nbsp;Alberto Herreros-de-Tejada ,&nbsp;Eduardo Albéniz ,&nbsp;Felipe Ramos Zabala ,&nbsp;Gloria Fernández-Esparrach ,&nbsp;Oscar Nogales ,&nbsp;Pedro Rosón ,&nbsp;Beatriz Peñas García ,&nbsp;Hugo Uchima ,&nbsp;Álvaro Terán ,&nbsp;Joaquín Rodríguez Sánchez ,&nbsp;Diego de Frutos ,&nbsp;Sofía Parejo Carbonell ,&nbsp;José Santiago ,&nbsp;José Díaz Tasende ,&nbsp;Charly Guarner Argente ,&nbsp;Pedro de María Pallarés ,&nbsp;Ana Amorós ,&nbsp;Daniel Barranco ,&nbsp;Daniel Álvarez de Castro ,&nbsp;José Carlos Marín-Gabriel","doi":"10.1016/j.gastrohep.2023.02.008","DOIUrl":"10.1016/j.gastrohep.2023.02.008","url":null,"abstract":"<div><h3>Introduction and aims</h3><p>The outcomes of endoscopic submucosal dissection (ESD) in the esophagus have not been assessed in our country. Our primary aim was to analyze the effectiveness and safety of the technique.</p></div><div><h3>Material and methods</h3><p>Analysis of the prospectively maintained national registry of ESD. We included all superficial esophageal lesions removed by ESD in 17 hospitals (20 endoscopists) between January 2016 and December 2021. Subepithelial lesions were excluded. The primary outcome was curative resection. We conducted a survival analysis and used logistic regression analysis to assess predictors of non-curative resection.</p></div><div><h3>Results</h3><p>A total of 102 ESD were performed on 96 patients. The technical success rate was 100% and the percentage of en-bloc resection was 98%. The percentage of R0 and curative resection was 77.5% (<em>n</em> <!-->=<!--> <!-->79; 95%<!--> <!-->CI: 68%-84%) and 63.7% (<em>n</em> <!-->=<!--> <!-->65; 95%<!--> <!-->CI: 54%-72%), respectively. The most frequent histology was Barrett-related neoplasia (<em>n</em> <!-->=<!--> <!-->55 [53.9%]). The main reason for non-curative resection was deep submucosal invasion (<em>n</em> <!-->=<!--> <!-->25). The centers with a lower volume of ESD obtained worse results in terms of curative resection. The rate of perforation, delayed bleeding and post-procedural stenosis were 5%, 5% and 15.7%, respectively. No patient died or required surgery due to an adverse effect. After a median follow-up of 14<!--> <!-->months, 20<!--> <!-->patients (20.8%) underwent surgery and/or chemoradiotherapy, and 9 patients died (mortality 9.4%).</p></div><div><h3>Conclusions</h3><p>In Spain, esophageal ESD is curative in approximately two out of three patients, with an acceptable risk of adverse events.</p></div>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222160","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":"Assessment of the quality, diagnosis, and therapeutic recommendations of clinical practice guidelines on patients with Helicobacter pylori infection: A systematic review","authors":"Muyang Li ,&nbsp;Xueni Ma ,&nbsp;Huimei Xu ,&nbsp;Mengyu Han ,&nbsp;Lingzhu Gou ,&nbsp;Hongwei Du ,&nbsp;Lina Wei ,&nbsp;Dekui Zhang","doi":"10.1016/j.gastrohep.2024.01.006","DOIUrl":"10.1016/j.gastrohep.2024.01.006","url":null,"abstract":"<div><p>We conducted this study to systematically review and assess the current clinical practice guidelines (CPGs) related to the diagnosis and treatment of <em>Helicobacter pylori</em> (<em>H. pylori</em>) infection. The aim was to evaluate the quality of these included CPGs and provide clinicians with a convenient and comprehensive reference for updating their own CPGs. We searched four databases to identify eligible CPGs focusing on <em>H. pylori</em> diagnosis and treatment recommendations. The results were presented using evidence mappings. Quality and clinical applicability were assessed comprehensively using AGREE-II and AGREE-REX. Statistical tests, specifically Bonferroni tests, were employed to compare the quality between evidence-based guidelines and consensus. A total of 30 eligible CPGs were included, comprising 17 consensuses and 13 guidelines. The quality showed no statistical significance between consensuses and guidelines, mainly within the moderate to low range. Notably, recommendations across CPGs exhibited inconsistency. Nevertheless, concerning diagnosis, the urea breath test emerged as the most frequently recommended method for testing <em>H. pylori</em>. Regarding treatment, bismuth quadruple therapy stood out as the predominantly recommended eradication strategy, with high-dose dual therapy being a newly recommended option. Our findings suggest the need for specific organizations to update their CPGs on <em>H. pylori</em> or refer to recently published CPGs. Specifically, CPGs for pediatric cases require improvement and updating, while a notable absence of CPGs for the elderly was observed. Furthermore, there is a pressing need to improve the overall quality of CPGs related to <em>H. pylori</em>. Regarding recommendations, additional evidence is essential to elucidate the relationship between <em>H. pylori</em> infection and other diseases and refine test indications. Clinicians are encouraged to consider bismuth quadruple or high-dose dual therapy, incorporating locally sensitive antibiotics, as empirical radical therapy.</p><p>.</p></div>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671636","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}