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Revista Espanola De Enfermedades Digestivas最新文献

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Symptomatic polycystic liver disease: a rare indication of hepatectomy. 无症状多囊肝病：肝切除术的罕见适应症。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10291/2024
José Gabriel Cervantes, Lourdes Mollard, Rodrigo Gasque, Marcelo Lenz, Natalia Ruiz, Magali Chahdi Beltrame, Francisco Juan Mattera, Emilio Gastón Quiñonez
{"title":"Symptomatic polycystic liver disease: a rare indication of hepatectomy.","authors":"José Gabriel Cervantes, Lourdes Mollard, Rodrigo Gasque, Marcelo Lenz, Natalia Ruiz, Magali Chahdi Beltrame, Francisco Juan Mattera, Emilio Gastón Quiñonez","doi":"10.17235/reed.2024.10291/2024","DOIUrl":"10.17235/reed.2024.10291/2024","url":null,"abstract":"<p><p>We present the case of forty-four-year-old woman with autosomal dominant Polycystic liver disease (PLD) without kidney disease diagnosed for 18 years ago. She experienced progressive abdominal distension and malnutrition over the previous twelve months. The patient had no other comorbidities. Physical examination revealed an 8 cm hepatomegaly in the right hypochondrium region. Liver function analysis was normal. CT scan showed multiple liver cysts with smooth and regular walls, predominantly in the right lobe which was considered as type III according to Gigot´s classification. Due to the significant hepatomegaly, conventional surgery was performed. Exploration showed multiple cysts of varying sizes on the liver surface, with diffuse involvement of the right hemiliver. Standard right lobe mobilization was technically not possible. Fenestration was performed in dominant superficial cysts, to allow access to the deeper cysts and liver parenchyma. A right hepatectomy was carried up using ultrasound devices and ultrasonic aspirator. And the biggest cysts located in the surface of left hepatic lobe were surgically unroofed. No surgical complications occurred, and the patient was discharged 5 days after the intervention.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"114-115"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139723824","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
Endoscopic treatment for a huge self-inserted foreign body impacted in the colon. 结肠内巨大自插异物的内窥镜治疗。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10217/2023
Minhui Hu, Yi Lu, Junkui Wu, Jiachen Sun
{"title":"Endoscopic treatment for a huge self-inserted foreign body impacted in the colon.","authors":"Minhui Hu, Yi Lu, Junkui Wu, Jiachen Sun","doi":"10.17235/reed.2024.10217/2023","DOIUrl":"10.17235/reed.2024.10217/2023","url":null,"abstract":"<p><p>A 37-year-old male suffered from abdominal pain and distention for 8 hours after a huge long foreign body was inserted through anorectum by self-masturbation. The colonoscope with the polypectomy snare griped the foreign body was pulled out slowly along with the dragged foreign body. However, when we reached at 20 cm from the anal margin, it got stuck because of the turn point in the sigmoid colon. Different methods were tried to remove the foreign body. At last, We asked the patient to turn to supine position, take deep breath and defecation. More air was insufflated to make the colon cavity larger to facilitate removal, and slowly the colonoscope dragged the foreign body (35 cm in length) out from the anus successfully. No bleeding or perforation occurred during the procedure. Although the foreign body was huge, effort was made to help the patient avoid taking operation.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"120-121"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139417919","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
Endoscopic ultrasound-guided bridging technique for treatment of biliary-enteric anastomotic stenosis after pancreaticoduodenectomy. 用 EUS 引导的桥接技术治疗胰十二指肠切除术后胆肠吻合口狭窄。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10199/2023
Wei Zhang, Jiao Tian, Sen-Lin Hou, Yan-Kun Hou, Li-Chao Zhang
{"title":"Endoscopic ultrasound-guided bridging technique for treatment of biliary-enteric anastomotic stenosis after pancreaticoduodenectomy.","authors":"Wei Zhang, Jiao Tian, Sen-Lin Hou, Yan-Kun Hou, Li-Chao Zhang","doi":"10.17235/reed.2024.10199/2023","DOIUrl":"10.17235/reed.2024.10199/2023","url":null,"abstract":"<p><p>Biliary-enteric anastomotic stenosis is one of the main long-term complications after pancreaticoduodenectomy, with an incidence of 2%-8%. Although the relevant reports and studies are relatively few, the consequences such as biliary obstruction and refractory cholangitis seriously affect the quality of life of patients. In this case, the patient is not willing to receive conventional surgery again. This paper provides a bridge technique of EUS-guided Biliary Drainage (EUS-BD) to treat biliary-enteric anastomotic stenosis and solve the problem of obstructive jaundice in the patient.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"117-118"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486352","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
Idiopathic mesenteric phlebosclerosis combined with melanosis coli in a 51-year-old female. 一名 51 岁女性的特发性肠系膜静脉硬化症合并大肠黑变病。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10179/2023
Tao Cai, Bo Li, Zhengxiong Li, Furong Chen
{"title":"Idiopathic mesenteric phlebosclerosis combined with melanosis coli in a 51-year-old female.","authors":"Tao Cai, Bo Li, Zhengxiong Li, Furong Chen","doi":"10.17235/reed.2024.10179/2023","DOIUrl":"10.17235/reed.2024.10179/2023","url":null,"abstract":"<p><p>Idiopathic mesenteric phlebosclerosis (IMP) is a rare ischemic colitis characterized by calcification of mesenteric veins and submucosal veins of the colon. Melanosis coli (MC) is a pigmented mucosal lesion comprising macrophages in the lamina propria of the colorectal mucosa that contain lipofuscin. This study reports a case of IMP combined with MC.Clinicians should consider medication history, bowel preparation, and thorough observation to prevent missed IMP diagnosis when coexisting with MC.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"115-116"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486356","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
Prevalence of dyssynergic defecation in children with constipation evaluated by high-resolution anorectal manometry. 通过高分辨率肛门直肠测压法评估便秘儿童排便困难的发生率。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10173/2023
Rubén Peña-Vélez, Erick Toro-Monjaraz, Sharon Imbett-Yepez, Jaime Alfonso Ramírez Mayans
{"title":"Prevalence of dyssynergic defecation in children with constipation evaluated by high-resolution anorectal manometry.","authors":"Rubén Peña-Vélez, Erick Toro-Monjaraz, Sharon Imbett-Yepez, Jaime Alfonso Ramírez Mayans","doi":"10.17235/reed.2024.10173/2023","DOIUrl":"10.17235/reed.2024.10173/2023","url":null,"abstract":"<p><p>Dyssynergic defecation, defined as the incoordination of rectoanal and abdominal muscles and the pelvic floor which are necessary for the appropriate relaxation, is characterized by paradoxical anal contraction, inadequate anal relaxation, or abnormal rectal propulsion; it is considered a cause of refractory primary constipation. The prevalence of dyssynergic defecation in the pediatric age is still little known. The studies that have evaluated the defecation dynamics through anorectal manometry suggest that 36.8% to 80.9% of children with functional constipation (FC) present dyssynergic defecation. High-resolution Anorectal Manometry (HRAM) is a tool for the evaluation of the sensitivity and defecation dynamics; it allows to establish the diagnosis of dyssynergia and its classification. The objective of this study was to determine the prevalence of dyssynergic defecation in children with FC and characterize the most common type of dyssynergia evaluated through a HRAM. In this study, 63 files of pediatric patients with FC diagnoses were included. Of these, 41.3% (n=26) were female and 58.7% (n=37) were male. The median age in the group of dyssynergia was 8 years, while for the FC group it was 9 years; the distribution by sex was similar. Of the included patients, 41.3% (n=26) showed dyssynergic defecation, and 58.7% (n=37) showed normal anorectal manometry. Regarding the type, 84.6% (n=22) were of type I, 7.7% (n=2) was the percentage for both types III and IV, and no patients were reported for type II.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"111-112"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486366","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
Divergent trends in gastric cancer incidence by sex and age in Spain (1990-2019). 西班牙按性别和年龄分列的胃癌发病率的不同趋势（1990-2019 年）。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10443/2024
Lucía Cayuela, Clara Peiró Villalba, Gema Flox-Benítez, Aurelio Cayuela
{"title":"Divergent trends in gastric cancer incidence by sex and age in Spain (1990-2019).","authors":"Lucía Cayuela, Clara Peiró Villalba, Gema Flox-Benítez, Aurelio Cayuela","doi":"10.17235/reed.2024.10443/2024","DOIUrl":"10.17235/reed.2024.10443/2024","url":null,"abstract":"<p><strong>Objective: </strong>to investigate trends in gastric cancer (GC) incidence in Spain from 1990 to 2019, analyzing variations by sex and age.</p><p><strong>Method: </strong>GC incidence data from the Global Burden of Disease database and population data from the Spanish National Institute of Statistics were used to calculate age-specific and age-standardized incidence rates (ASIR) with the European population as the reference. Temporal trends by sex and age groups were analyzed using joinpoint regression.</p><p><strong>Results: </strong>while the total number of cases increased slightly, ASIR showed a consistent annual decrease of 1.8 % for both men and women. Both sexes experienced this increase in total cases (women: 4,023 to 4,359; men: 6,243 to 6,591). Men consistently had a higher GC burden compared to women (approximately 2.2:1 ratio). Younger adults (< 35 years) of both sexes showed significant decreases in ASIR. However, the joinpoint analysis revealed a recent increase in young men (25-34 years) during the period 2014-2019. Adults aged 35-64 showed a decrease in ASIR for both sexes, with a slightly steeper decline in men. Adults over 65 had a similar decrease in ASIR for both sexes, but the joinpoint analysis suggests different patterns within this age group.</p><p><strong>Conclusion: </strong>our study revealed a decline in overall age-adjusted GC incidence in Spain. However, the recent rise observed in young men warrants further investigation to understand potential risk factors in this specific population group.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"68-75"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353007","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
Secondary orofacial granulomatosis due to Crohn's disease. 克罗恩病引起的继发性口面部肉芽肿病。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10214/2023
Rodrigo Meza, Teresa Peralta, Diego Ruedi, Alex Arenas Aravena
{"title":"Secondary orofacial granulomatosis due to Crohn's disease.","authors":"Rodrigo Meza, Teresa Peralta, Diego Ruedi, Alex Arenas Aravena","doi":"10.17235/reed.2024.10214/2023","DOIUrl":"10.17235/reed.2024.10214/2023","url":null,"abstract":"<p><p>We report the case of a 34-year-old female with Crohn's disease (CD), was treated with infliximab and ileocecal resection after failure to anti-TNF. She started adalimumab for postoperative recurrence for two years, with sustained clinical and endoscopic remission. She presents with a 1.5-year history of a persistent, asymptomatic, rubbery swelling on the left half of the lower lip.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"119-120"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486369","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 rare case of hepatoid gastric adenocarcinoma. 一例罕见的肝样胃腺癌。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10285/2024
Elena Pablo-Martín, Laura Corvo-Félix, Jonnathan Roldán Ruiz, Juan Carlos Redondo González, Lourdes Cuesta Martínez, Pablo Reguera Puertas, Luis Figuero-Pérez, Emilio Fonseca-Sánchez
{"title":"A rare case of hepatoid gastric adenocarcinoma.","authors":"Elena Pablo-Martín, Laura Corvo-Félix, Jonnathan Roldán Ruiz, Juan Carlos Redondo González, Lourdes Cuesta Martínez, Pablo Reguera Puertas, Luis Figuero-Pérez, Emilio Fonseca-Sánchez","doi":"10.17235/reed.2024.10285/2024","DOIUrl":"10.17235/reed.2024.10285/2024","url":null,"abstract":"<p><p>Hepatoid gastric adenocarcinoma (HGA) is a rare subtype of gastric cancer. It usually presents with non-specific digestive tract symptoms and is usually diagnosed in advanced stages. It has radiological and histological similarities to hepatocarcinoma (HCC), and serum elevation of alpha-fetoprotein (AFP) is characteristic, as is positive staining for this marker on immunohistochemistry. Given the low incidence and poor prognosis of this type of tumour, it is essential to make a correct differential diagnosis and to initiate early surgical treatment in localised stages and systemic treatment in those where the disease is disseminated. In this context, we present the case of a GHA diagnosed this year in our centre.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"112-113"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139672494","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
Updated document on the management of functional dyspepsia by the Asociación Española de Neurogastroenterologia y Motilidad (ASENEM) and Sociedad Española de Medicina Familiar y Comunitaria (semFYC). Asociacion Espanola de Neurogastroenterologia y Motilidad （ASENEM）和Sociedad Espanola de Medicina Familiar y Communitaria （semFYC）关于功能性消化不良管理的最新文件。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2025.10572/2024
Jordi Serra, Luis Gerardo Alcalá-González, Juan Manuel Mendive, Cecilio Santander Vaquero, Blanca Serrano Falcón
{"title":"Updated document on the management of functional dyspepsia by the Asociación Española de Neurogastroenterologia y Motilidad (ASENEM) and Sociedad Española de Medicina Familiar y Comunitaria (semFYC).","authors":"Jordi Serra, Luis Gerardo Alcalá-González, Juan Manuel Mendive, Cecilio Santander Vaquero, Blanca Serrano Falcón","doi":"10.17235/reed.2025.10572/2024","DOIUrl":"10.17235/reed.2025.10572/2024","url":null,"abstract":"<p><p>Functional dyspepsia (FD) is a gut-brain axis disorder characterized by postprandial fullness, early satiety, bloating and/or epigastric pain, which are presumed to originate in the gastroduodenal tract. While the international recommendations in the Rome IV consensus require endoscopy to rule out an organic condition before establishing a diagnosis of FD, international guidelines recommend that, in the absence of risk factors, patient management be initiated at the primary care level by establishing Helicobacter pylori infection status, with eradication when positive, followed by empiric therapy with proton pump inhibitors and/or prokinetics, and that endoscopy be reserved for patients refractory to said measures. Second-line therapy includes neuromodulating agents, among which tricyclic antidepressants and atypical antipsychotics such as levosulpiride stand out. The latter has a predominant prokinetic effect, hence it is also used as first-line therapy for patients where early satiety and postprandial fullness predominate. Other therapy alternatives include phytotherapy using STW5 or peppermint/caraway oil, which have shown their superiority over placebo in controlled studies. Concurrently, dietary and lifestyle counseling, as well as psychological interventions such as cognitive-behavioral therapy, when available, may represent a therapeutic alternative worth considering for some patients.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":"117 ","pages":"84-91"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984655","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
Diagnosis of rare signet-ring cell carcinoma of bile duct by endoscopic ultrasonography combined with a peroral direct cholangioscopy biopsy.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-01-28 DOI: 10.17235/reed.2025.11077/2025
Wei Zhang, Jiao Tian, Sen-Lin Hou, Yan-Kun Hou, Li-Chao Zhang
{"title":"Diagnosis of rare signet-ring cell carcinoma of bile duct by endoscopic ultrasonography combined with a peroral direct cholangioscopy biopsy.","authors":"Wei Zhang, Jiao Tian, Sen-Lin Hou, Yan-Kun Hou, Li-Chao Zhang","doi":"10.17235/reed.2025.11077/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11077/2025","url":null,"abstract":"<p><p>Biliary signet-ring cell carcinoma is a rare malignant tumor of the biliary tract. signet-ring cell carcinoma often occurs in the gastrointestinal tract. In this case, we can intuitively see the location, shape and scope of the tumor through endoscopic ultrasonography (EUS) combined with a peroral direct choledochoscope. Through the direct view biopsy technology, the tumor tissue in the biliary tract can be accurately sampled, providing a precise plan for the follow-up treatment of patients.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053283","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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