Revista Espanola De Enfermedades Digestivas最新文献

An uncommon case of hematochezia. 罕见的便血病例。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-05-06 DOI: 10.17235/reed.2026.11973/2026

Yimin Ma, Youhong Cao, Ping Ma

引用次数: 0

Intraductal papillary neoplasm of the bile duct: diagnostic challenges in a tertiary center. 胆管内乳头状肿瘤：三级中心的诊断挑战。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-05-06 DOI: 10.17235/reed.2026.11974/2026

Rut Fernández Bezanilla, Iñaki Casado Morentin, César Ibarra Ponce de León, Miguel Durá Gil, Nerea Gendive Martín, Emma Martínez Moneo

{"title":"Intraductal papillary neoplasm of the bile duct: diagnostic challenges in a tertiary center.","authors":"Rut Fernández Bezanilla, Iñaki Casado Morentin, César Ibarra Ponce de León, Miguel Durá Gil, Nerea Gendive Martín, Emma Martínez Moneo","doi":"10.17235/reed.2026.11974/2026","DOIUrl":"https://doi.org/10.17235/reed.2026.11974/2026","url":null,"abstract":"Intraductal papillary neoplasm of the bile duct (IPNB) is an uncommon biliary tumor with recognized malignant potential and a broad clinicopathological spectrum. Its diagnosis remains challenging, particularly in extrahepatic disease, due to limitations of cross-sectional imaging. We report a consecutive series of five patients diagnosed with IPNB in a tertiary hepatobiliary center, highlighting their clinical, radiologic, endoscopic, and pathological features. Most patients presented with obstructive jaundice or cholangitis, and lesions were predominantly located in the distal bile duct. Cross-sectional imaging showed bile duct dilatation but often yielded inconclusive findings or underestimated intraductal disease, frequently leading to suspicion of cholangiocarcinoma or indeterminate strictures. Cholangioscopy provided additional diagnostic value by enabling direct visualization of characteristic villous or papillary lesions and facilitating targeted biopsies, contributing variably to diagnostic clarification. Histopathology demonstrated high-grade dysplasia in most cases, with one patient harboring invasive carcinoma. All patients required biliary drainage, and most underwent or were considered for surgical resection. These findings highlight the diagnostic discordance between preoperative assessment and definitive pathological diagnosis in IPNB and underscore the limitations of conventional imaging. Cholangioscopy represents a valuable complementary tool in the evaluation of indeterminate biliary strictures, although its findings should be interpreted within a multimodal diagnostic approach.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147842275","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

Staged endoscopic management of esophageal anastomotic dehiscence using vacuum therapy: experience from two cases. 内镜下真空治疗食管吻合口裂分阶段治疗2例体会。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-05-06 DOI: 10.17235/reed.2026.11872/2026

Leire Parapar Álvarez, María Ojeda Remizova, Carlos Diz Calderón, Sol Pereiro Morillo, Pedro Luna Rojas, Daniel Pérez Corte, Carlos Andrés Vargas González

{"title":"Staged endoscopic management of esophageal anastomotic dehiscence using vacuum therapy: experience from two cases.","authors":"Leire Parapar Álvarez, María Ojeda Remizova, Carlos Diz Calderón, Sol Pereiro Morillo, Pedro Luna Rojas, Daniel Pérez Corte, Carlos Andrés Vargas González","doi":"10.17235/reed.2026.11872/2026","DOIUrl":"https://doi.org/10.17235/reed.2026.11872/2026","url":null,"abstract":"Esophageal anastomotic dehiscence is one of the most serious complications after esophageal surgery. In recent years, endoscopic vacuum therapy (EVT) has become established as an effective alternative to surgical management, as it promotes local infection control and progressive defect closure. However, in clinical practice, uncertainty remains regarding which device should be used at each stage and when the strategy should be modified. Our contribution is to describe a pragmatic two-step, staged approach: initial use of EsoSponge® when the main priority is active drainage of the cavity and local septic control, followed by VACStent® when a small or partially collapsed residual cavity persists and it is desirable to maintain the vacuum effect while also achieving luminal sealing and progression to oral intake. We believe that this sequence may be particularly useful in leaks not completely resolved with conventional EVT, once initial clinical control has been achieved and cavity reduction has been observed.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147842287","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

Transgastric retrograde endoscopic disimpaction in advanced achalasia. 晚期贲门失弛缓症的经胃逆行内镜下脱塞。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-05-06 DOI: 10.17235/reed.2026.11983/2026

Lucía Pérez Vior, Camila Espinosa Martínez, Sofía Delgado Roel, Carlos Miñones Ginarte, Lucía Pablo Martínez, Antonio Manuel Platas Cousillas, María Pérez Vior, Luis Ecenarro Del Río

引用次数: 0

Intestinal amoebiasis: a cause of colonic ulceration. 肠阿米巴病：引起结肠溃疡的一种疾病。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-05-06 DOI: 10.17235/reed.2026.11942/2026

Clara Navarro Peiró, Carlos Boix Clemente, Mercedes Jaén Revuelta, Gloria Alemany Pérez, Paloma Villar Espinal, Lara González González, Beatriz Moreno Torres, Carlos Alventosa Mateu

引用次数: 0

Surgical site infection in laparoscopic colon surgery: a cohort study. 腹腔镜结肠手术手术部位感染：一项队列研究。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-05-06 DOI: 10.17235/reed.2026.11880/2026

Ricardo Espinosa-Pascual, Ana María Pedraza-Flechas, Maunel Durán-Poveda, Diego Rodríguez-Villar, Yudan Zhu, Gil Rodríguez-Caravaca, Pilar Cárdenas-Soriano

{"title":"Surgical site infection in laparoscopic colon surgery: a cohort study.","authors":"Ricardo Espinosa-Pascual, Ana María Pedraza-Flechas, Maunel Durán-Poveda, Diego Rodríguez-Villar, Yudan Zhu, Gil Rodríguez-Caravaca, Pilar Cárdenas-Soriano","doi":"10.17235/reed.2026.11880/2026","DOIUrl":"https://doi.org/10.17235/reed.2026.11880/2026","url":null,"abstract":"Background: Colon surgery is among the procedures with the highest rates of surgical site infection (SSI). The aim of this study was to assess the incidence of SSI in laparoscopic colon surgery and to identify potential associated risk factors.Materials and methods: A prospective cohort study was conducted from July 2012 to July 2024. Patients undergoing laparoscopic colon surgery at Hospital Universitario Fundación Alcorcón were consecutively included. The incidence of SSI in laparoscopic surgery was evaluated, along with its potential association with preoperative preparation, adequacy of antibiotic prophylaxis, and other risk factors related to surgical wound infection. Explanatory binary logistic regression models with backward stepwise selection were fitted. Potential interactions between the risk factors identified in laparoscopic procedures and type of surgical approach (laparoscopic vs. non-laparoscopic) were also assessed.Results: The study included 491 patients who underwent laparoscopic surgery and 1,209 who underwent non-laparoscopic surgery. The incidence of SSI was 6.1% (95% CI: 4.3-8.6) in laparoscopic procedures and 14.6% (95% CI: 12.8-16.7) in non-laparoscopic procedures. Inadequate preoperative preparation was associated with the occurrence of SSI (OR: 4.3; 95% CI: 1.85-10.1; p-value: 0.001), independently of patient age and NHNS index. This association between preoperative preparation and SSI was not observed in non-laparoscopic surgeries.Conclusions: A high level of compliance with preoperative preparation may provide an additional benefit in laparoscopic colon surgery compared with open surgery.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147842264","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

Collagenous gastritis: a rare case in young adult with iron deficiency anemia. 胶原性胃炎：缺铁性贫血的罕见病例。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-05-06 DOI: 10.17235/reed.2026.11993/2026

Yuling Xiong, Chao Peng, Yue Tian, Yuxia Gao, Jie Sun, Qiao Li

引用次数: 0

Clinical outcomes and survival following percutaneous endoscopic gastrostomy: a longitudinal cohort study. 经皮内镜胃造口术的临床结果和生存率：一项纵向队列研究。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-05-06 DOI: 10.17235/reed.2026.11929/2026

Eduardo Segovia-Vergara, Álvaro Arredondo-Barría, Marisol Traimante-Ruiz, Rodrigo Mansilla-Vivar

{"title":"Clinical outcomes and survival following percutaneous endoscopic gastrostomy: a longitudinal cohort study.","authors":"Eduardo Segovia-Vergara, Álvaro Arredondo-Barría, Marisol Traimante-Ruiz, Rodrigo Mansilla-Vivar","doi":"10.17235/reed.2026.11929/2026","DOIUrl":"https://doi.org/10.17235/reed.2026.11929/2026","url":null,"abstract":"Introduction: Percutaneous endoscopic gastrostomy (PEG) is a procedure indicated for prolonged enteral nutritional support. Compared with the surgical approach, it is associated with lower morbidity and mortality and improved nutritional recovery. However, local evidence on its clinical outcomes and prognosis remains limited.Objective: To describe the clinical characteristics, complications, and survival of patients undergoing PEG between 2008 and 2020 at the Hospital of Puerto Montt.Materials and methods: Longitudinal observational cohort study including 748 adult patients who underwent PEG between 2008 and 2020 at the Hospital of Puerto Montt. The etiology of the indication, complications, and survival were analyzed using Kaplan-Meier and Cox proportional hazards models.Results: The most frequent indication was neurological (77.4%), followed by neoplastic causes (17.9%). The overall complication rate was 8.3%. Median overall survival was 491 days, lower in patients with neoplastic indications (249 days) compared to those with neurological indications (545 days). Advanced age and a neoplastic indication were the only factors associated with increased mortality.Conclusion: Survival after PEG placement depends on multiple factors, particularly the clinical indication, which should be supported by appropriate evaluation and staging of the underlying disease. In this cohort, PEG placement was associated with no procedure-related mortality and a low rate of complications, which may be underestimated due to the hospital-based nature of the data registry. Survival outcomes were comparable to those reported in the literature.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147842266","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

Staged endoscopic submucosal dissection of synchronous multiple early esophageal cancers for stricture prevention. 同步多发早期食管癌的内镜下分期夹层预防狭窄。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-05-06 DOI: 10.17235/reed.2026.11999/2026

Shiji Zhang, Tao Dong, Jun Xiao

引用次数: 0

Eosinophilic esophagitis - Risk factors, pathophysiological mechanisms, and practical aspects for diagnosis and treatment in children and adults. 嗜酸性粒细胞性食管炎-儿童和成人诊断和治疗的危险因素、病理生理机制和实际方面。

IF 4 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2026-04-30 DOI: 10.17235/reed.2026.11574/2025

Raúl Honrubia Lopez, Sergio Casabona-Francés, Cristina Fernández de Castro, Carolina Gutiérrez-Junquera, Elena Grueso-Navarro, Emilio José Laserna-Mendieta, Isabel Pérez-Martínez, Alfredo J Lucendo

{"title":"Eosinophilic esophagitis - Risk factors, pathophysiological mechanisms, and practical aspects for diagnosis and treatment in children and adults.","authors":"Raúl Honrubia Lopez, Sergio Casabona-Francés, Cristina Fernández de Castro, Carolina Gutiérrez-Junquera, Elena Grueso-Navarro, Emilio José Laserna-Mendieta, Isabel Pérez-Martínez, Alfredo J Lucendo","doi":"10.17235/reed.2026.11574/2025","DOIUrl":"https://doi.org/10.17235/reed.2026.11574/2025","url":null,"abstract":"Eosinophilic esophagitis (EoE) is a chronic immune-mediated disease characterized by eosinophilic infiltration and symptoms of esophageal dysfunction with rapidly increasing epidemiology. EoE represents the main cause of dysphagia and food impaction in children and young adults, with symptoms varying according to patient age. Diagnosis requires endoscopy with the taking of esophageal biopsy samples in sufficient numbers and from multiple locations, since endoscopic findings, graded according to the EREFS (edema, rings, exudates, furrows, stenosis) score, are nonspecific. Different studies have identified potential non-invasive biomarkers and methods of obtaining esophageal samples that allow dispensing with endoscopy and biopsies in both initial diagnosis and the monitoring of response to treatment. Their implementation might reduce the diagnostic delay and healthcare costs associated with EoE. First-line anti-inflammatory treatments include empirical elimination diets, proton pump inhibitors, and topical corticosteroids. Dupilumab has recently been incorporated for refractory patients. Esophageal dilation is a safe and effective option to relieve symptoms in case of stenosis. Adherence to long-term treatment and the transition from pediatric to adult services remain challenging. The efficacy of current therapies allows achieving and maintaining remission in a large proportion of patients with EoE. However, there are gaps in non-invasive diagnostic methods and long-term control. Thus, the aim of this review is to synthesize the pathophysiological bases and summarize the main advances in the diagnosis and treatment of EoE, as well as to highlight some current limitations in the care process.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":"118 ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779897","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