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Revista Espanola De Enfermedades Digestivas最新文献

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Appendiceal orifice submucosal tumor: neuromuscular and vascular hamartoma.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11055/2025
Huahui Zhang, Chuchu Yang, Shouying Li, Zhimei Zhang
{"title":"Appendiceal orifice submucosal tumor: neuromuscular and vascular hamartoma.","authors":"Huahui Zhang, Chuchu Yang, Shouying Li, Zhimei Zhang","doi":"10.17235/reed.2025.11055/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11055/2025","url":null,"abstract":"<p><p>A 61-year-old man was admitted to the gastroenterology department with a history of abdominal discomfort. He denied any past illness and family history of malignant tumors. Laboratory, electrocardiogram, and physical examination showed no obvious abnormality. Later, the patient underwent the colonoscopy, and a 1.0*1.0 cm submucosal tumor (SMT) was presented at the appendiceal orifice. Endoscopic ultrasound showed that the SMT was a well-distributed hyperechoic lesion. Endoscopic submucosal dissection (ESD) was performed, and the SMT was resected in a whole piece. Post-ESD histopathological examination showed a well-differentiated mass, which comprised bundles of nerve fibers, fascicles of smooth muscle, and vascular channels. Further immunohistochemistry revealed mass cells that stained positive for S-100, CD34, and SMA. Histopathological examination and immunohistochemistry demonstrated a neuromuscular and vascular hamartoma (NMVH).</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080882","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
Chronic diarrhea unveiled by colonoscopy.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11074/2025
Juan Sebastián Peinado-Acevedo, Carlos Martínez-Montalvo, Óscar Fernando-Ruiz, Martín Alonso Gómez-Zuleta
{"title":"Chronic diarrhea unveiled by colonoscopy.","authors":"Juan Sebastián Peinado-Acevedo, Carlos Martínez-Montalvo, Óscar Fernando-Ruiz, Martín Alonso Gómez-Zuleta","doi":"10.17235/reed.2025.11074/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11074/2025","url":null,"abstract":"<p><p>A 62-year-old woman from Bogotá, Colombia, had chronic diarrhea for 4 years. The diarrhea was lienteric, occurring day and night, with mucus but no blood. She had no significant weight loss, abdominal pain, or other systemic symptoms, and no notable medical history. Initial stool tests showed leukocytes and blood but no parasites. Routine lab tests were normal. Due to the chronic symptoms and nocturnal diarrhea, a colonoscopy was performed. It revealed numerous mobile, white worms in the right colon, identified as Trichuris trichiura, causing friable mucosa. She was diagnosed with trichuriasis, or human whipworm infection.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080885","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
Giant liver abscess as a manifestation of sexually transmitted disease.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11066/2025
Tania Carvalho, Rita Costa, Manuela Certo, Dália Fernandes
{"title":"Giant liver abscess as a manifestation of sexually transmitted disease.","authors":"Tania Carvalho, Rita Costa, Manuela Certo, Dália Fernandes","doi":"10.17235/reed.2025.11066/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11066/2025","url":null,"abstract":"<p><p>European male in his mid-30s with risky homosexual sexual behavior, without a history of recent travels, presented to the emergency department with a two-week history of right upper abdominal and fever. He had severe anemia (hemoglobin 7.9g/dl), and elevated C-reactive protein (150 mg/L). Abdominal imaging showed two cystic lesions measuring 11 and 4 cm in the right hepatic lobe with a regular outline, with septa.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080890","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
A blind hole under endoscopy.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11053/2025
Tingting Cao, Honggang Wang
{"title":"A blind hole under endoscopy.","authors":"Tingting Cao, Honggang Wang","doi":"10.17235/reed.2025.11053/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11053/2025","url":null,"abstract":"<p><p>A 58-year-old female patient presented to the hospital for a digestive endoscopy due to mild dysphagia. Gastroscopic examination revealed a significant circular defect in the midline of the palate.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080879","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
Analysis of quality criteria in endoscopic retrograde cholangiopancreatography in a tertiary care center.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11056/2025
Maite Serrano Dueñas, Francisco Domper Bardají, Eva de la Santa Belda, Ana María Sobrino López, Fernando Ramírez Esteso, María Rodríguez González
{"title":"Analysis of quality criteria in endoscopic retrograde cholangiopancreatography in a tertiary care center.","authors":"Maite Serrano Dueñas, Francisco Domper Bardají, Eva de la Santa Belda, Ana María Sobrino López, Fernando Ramírez Esteso, María Rodríguez González","doi":"10.17235/reed.2025.11056/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11056/2025","url":null,"abstract":"<p><p>There is a growing concern about ensuring quality in patient care, particularly in high-risk procedures such as Endoscopic Retrograde Cholangiopancreatography (ERCP). We present the results of the evaluation of our performance in ERCP based on the quality measures proposed by the European Society of Gastrointestinal Endoscopy (ESGE) in 2018. This study aims to serve as an internal audit and the first of its kind in our center.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080881","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
Duodenal obstruction after non-endoscopic intragastric balloon placement: a rare but severe complication.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11069/2025
Tania Carvalho, João Pedro Pinho, Fernando Manso, Bruno Gonçalves
{"title":"Duodenal obstruction after non-endoscopic intragastric balloon placement: a rare but severe complication.","authors":"Tania Carvalho, João Pedro Pinho, Fernando Manso, Bruno Gonçalves","doi":"10.17235/reed.2025.11069/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11069/2025","url":null,"abstract":"<p><p>We report the case of a mid-30s woman with no prior medical history who presented to the emergency department with intense upper abdominal pain lasting 12 hours. She had undergone the placement of a non-endoscopic, swallowed intragastric balloon the day before. Physical examination revealed significant tenderness in the upper abdomen without signs of peritoneal irritation. Abdominal computed tomography showed a 12-cm balloon lodged in the duodenum with peritoneal effusion but no evidence of free perforation.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080887","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
Unusual ascites following ingestion of spicy food in a young woman.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11033/2024
Chen Yuan, Yuehua Tang, Kangwei Zhang, Yimin Ma, Youhong Cao
{"title":"Unusual ascites following ingestion of spicy food in a young woman.","authors":"Chen Yuan, Yuehua Tang, Kangwei Zhang, Yimin Ma, Youhong Cao","doi":"10.17235/reed.2025.11033/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.11033/2024","url":null,"abstract":"<p><p>Eosinophilic enteritis, one type of eosinophilic disorders, is a rare disease characterised by infiltration of the small bowel with numerous mucosal eosinophils or/and eosinophilic ascites pathologically. The prevalence of eosinophilic enteritis is fewer than ten in100,000 people, frequently occurred in female1. The pathogenesis of the disease is poorly known, but allergic diseases, autoimmune connective reaction and intestinal dysbiosis have been implicated.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080901","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
A black cecum: diagnostic challenges and conservative management.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11067/2025
Tania Carvalho, Sofia Silva Mendes
{"title":"A black cecum: diagnostic challenges and conservative management.","authors":"Tania Carvalho, Sofia Silva Mendes","doi":"10.17235/reed.2025.11067/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11067/2025","url":null,"abstract":"<p><p>A 51-year-old man with type 1 diabetes mellitus and end-stage chronic kidney disease on hemodialysis presented with 12 hours of lower right quadrant abdominal pain and bloodless diarrhea. Examination showed tenderness without guarding. Blood tests showed leukocytosis (12200/microl) and elevated C-reactive protein (190 mg/L). Abdominal CT showed ascending colon thickening (~10 cm), mesenteric fat densification, and small locoregional ganglia, without signs of arterial/venous obstruction. Given the diagnostic doubt, colonoscopy was performed and revealed the cecum mucosa and ileocecal valve with a black color, with superficial ulceration of the proximal limit and sharp transition to normal mucosa. Biopsies of the cecum confirmed severe ischemic colitis with necrosis. Due to the absence of complications and high surgical risk, the patient was treated conservatively with fluids and antibiotics, resulting in a favorable outcome and hospital discharge.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080877","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
Single-channel transcolonic endoscopic appendectomy for a sessile serrated lesion with dysplasia of the appendiceal stump.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11072/2025
Bo Zhang, Quanlin Li, Guoliang Ye, Kefeng Hu
{"title":"Single-channel transcolonic endoscopic appendectomy for a sessile serrated lesion with dysplasia of the appendiceal stump.","authors":"Bo Zhang, Quanlin Li, Guoliang Ye, Kefeng Hu","doi":"10.17235/reed.2025.11072/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11072/2025","url":null,"abstract":"<p><p>A 53-year-old woman with a history of laparoscopic appendectomy for acute appendicitis 20 years ago presented to our endoscopy center for colonoscopy surveillance and found a circumferential Paris 0-IIb laterally spreading lesion in the appendix orifice. After indigo carmine mixed saline staining, the lesion showed a type II-open pit pattern, which grew into the appendiceal residual lumen. The single-channel transcolonic endoscopic appendectomy (TEA) was performed. The histopathologic analysis confirmed a sessile serrated lesion (SSL), and serrated morphology was observed in multiple crypts, with mild nuclear atypia. The patient experienced no complications during hospitalization, and a follow-up colonoscopy four months post-procedure revealed satisfactory healing of the defect.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080897","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
Water or saline? Exploring mucus production and polyp detection in watter-assisted colonoscopy.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11039/2024
Javier Pérez-Valenzuela, Javier Uribe, Alberto Espino, Andrés Donoso, Gonzalo Latorre
{"title":"Water or saline? Exploring mucus production and polyp detection in watter-assisted colonoscopy.","authors":"Javier Pérez-Valenzuela, Javier Uribe, Alberto Espino, Andrés Donoso, Gonzalo Latorre","doi":"10.17235/reed.2025.11039/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.11039/2024","url":null,"abstract":"<p><p>In recent years there has been a growing body of evidence on water-assisted colonoscopy (WAC). Water exchange (WE) colonoscopy, one of the WAC techniques, has demonstrated higher intubation rate, higher adenoma detection rate (ADR), and reduced patient discomfort compared to gas insufflation colonoscopy. In our clinical practice, we have observed increased mucus production in the rectosigmoid segments during withdrawal when WAC techniques are used with water infusion compared to saline infusion. This white, opaque mucus often requires further mucosal lavage and removal, which can be time-consuming and could decrease polyp detection rates. Since low ADR is correlated with the risk of interval colorectal cancer (CRC), further attempts to improve ADR are needed. Two recent studies have explored this phenomenon. In 2020 Rahyel et al. reported higher mucus production with room-temperature water compared to saline infusion during colonoscopy insertion. In 2023 Cheng et al. randomized patients to colonoscopy with CO2 insufflation or WE colonoscopy with warm water, 25% saline or 50% saline. Mucus production was highest in the water group, followed by the 25% saline, 50% saline, and CO2 groups.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080903","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
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