Revista Espanola De Enfermedades Digestivas最新文献_第2页

Transpancreatic sphincterotomy with double guidewire and pancreatic prothesis after involuntary passage of the guidewire to the pancreas in attempts at biliary cannulation.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10826/2024

David Barquero Declara, Alejandro Blasco Pelicano, Alfredo Mata Bilbao

引用次数: 0

Association between ulcerative colitis and acute appendicitis - A Mendelian randomization study. 溃疡性结肠炎与急性阑尾炎之间的关系--孟德尔随机研究。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10818/2024

Sangsang Chen, Zhebin Dong, Hanting Xiang, Chao Liang

引用次数: 0

Population screening for colorectal cancer in Spain - A public health success with remaining challenges. 西班牙大肠癌人群筛查--公共卫生领域的成功与挑战并存。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-15 DOI: 10.17235/reed.2024.10774/2024

Agustín Albillos Martínez, Julia López Cardona, Javier Crespo García, Fernando Carballo Álvarez

引用次数: 0

Needle knife assisted removal of the displaced metal stent. 针刀辅助移除移位的金属支架。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10781/2024

Sen Liu, Lun Zhang, Shunchao Wang, Zhen Li, Jingzeng Pan, Peng Zhang

引用次数: 0

Cat scratch colon and cecal barotrauma perforation during colonoscopy with CO2 insufflation. 使用二氧化碳充气进行结肠镜检查时发生猫抓结肠和盲肠气压创伤穿孔。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10777/2024

Sónia Barros, Luís Miguel Relvas, Isabel Malta Carvalho, Ana Margarida Vaz, Rita Ornelas, Bruno Peixe

{"title":"Cat scratch colon and cecal barotrauma perforation during colonoscopy with CO2 insufflation.","authors":"Sónia Barros, Luís Miguel Relvas, Isabel Malta Carvalho, Ana Margarida Vaz, Rita Ornelas, Bruno Peixe","doi":"10.17235/reed.2024.10777/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10777/2024","url":null,"abstract":"Background: Cecal perforation from barotrauma is a rare complication of colonoscopy, even with the use of CO₂ insufflation, which is generally preferred over room air due to its rapid absorption and reduced patient discomfort.Case report: A 64-year-old woman with hypertension and dyslipidemia underwent a routine colonoscopy with CO₂ insufflation. Multiple diverticula were noted, and upon reaching the cecum, several parallel linear lesions with spontaneous bleeding, consistent with \"cat scratch\" colon, were observed. Hemostasis was achieved with 10 endoscopic clips. A subsequent CT scan revealed pneumoperitoneum and the clips in the cecum. The patient was managed conservatively with bowel rest and intravenous antibiotics, showing a favorable clinical course and was discharged on the fifth day.Discussion: This case highlights the potential for cecal perforation due to barotrauma even with CO₂ insufflation during colonoscopy, emphasizing the need for awareness and prompt management of such complications.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372747","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

Gastroscopic treatment of acute gastric variceal rupture through the right lateral position. 通过右侧卧位在胃镜下治疗急性胃静脉曲张破裂。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10797/2024

Shubei Chen, Qiang Geng, Ying Lin, Yong Ye, Qing Yang

引用次数: 0

Spontaneous esophageal submucosal hematoma. 自发性食管粘膜下血肿。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10775/2024

Zhen Liu, Jia Feng, Haifeng Jin, Quanhui Chen

{"title":"Spontaneous esophageal submucosal hematoma.","authors":"Zhen Liu, Jia Feng, Haifeng Jin, Quanhui Chen","doi":"10.17235/reed.2024.10775/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10775/2024","url":null,"abstract":"A 57-year-old woman presented to our hospital with chest distension, sore throat and back discomfort beginning the previous day after taking 5 panax notoginseng capsules. She had a history of hypertension for more than 2 years. Physical examination was unremarkable. Blood tests revealed results: A red blood cell count of4.27T/L, a platelet count of 296G/L, a hemoglobin count of 130 g/L (130-175 g/L), and a D-dimer count of0.252 mg/L. Endoscopy showed a longitudinal dark red submucosal hematoma (SH) extending from 20 cm down to 36 cm, with no active bleeding. The next day an enhanced CT of the chest showed uneven thickening of esophageal wall suggestive of intramural esophageal hematoma. A second endoscopy was performed 6 days later, and it showed an esophageal ulcer where the hematoma had been seen at the previous part. The patient was treated with a proton pump inhibitor (PPI) and nutritional support while oral intake was completely prohibited. Her symptoms gradually improved and disappeared. She was discharged one week after the second Upper GI endoscopy when she was able to eat liquid diet. After discharge, she continued the PPI and Kang Fuxin for 2 months. During the 4-month follow up, the symptoms did not recur.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372750","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

Active biloma and the use of hepatobiliary specific MR contrast agent. 活动性胆脂瘤和肝胆特异性磁共振造影剂的使用。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10792/2024

João Vieira, Inês Allen Martinho, Ana Catarina Vieira, Alberto Vieira

引用次数: 0

Ulcerative colitis complicating pneumomediastinum, subcutaneous emphysema and pneumothorax. 溃疡性结肠炎并发气胸、皮下气肿和气胸。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10795/2024

Maki Setake, Ryosaku Tomiyama, Tomoya Kuda, Kanetaka Maeshiro, Akira Hokama

{"title":"Ulcerative colitis complicating pneumomediastinum, subcutaneous emphysema and pneumothorax.","authors":"Maki Setake, Ryosaku Tomiyama, Tomoya Kuda, Kanetaka Maeshiro, Akira Hokama","doi":"10.17235/reed.2024.10795/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10795/2024","url":null,"abstract":"A 17-year-old man with ulcerative colitis (UC) presented to our hospital with neck pain and fever after vomiting. On examination, a snowflake sensation was noted in the neck. A chest radiograph showed extensive subcutaneous emphysema in the chest. CT scans showed extensive subcutaneous emphysema in the neck, shoulders and axilla, as well as pneumomediastinum and pneumothorax. A diagnosis of pneumomediastinum with exacerbation of UC was made, and he was fasted and treated with antibiotics. Intensive granulocyte and monocyte adsorption apheresis (GMA) was started for exacerbation of UC. His symptoms and the radiological findings of pneumomediastinum improved. He remained in remission on azathioprine. UC is a chronic inflammatory bowel disease (IBD) associated with extraintestinal manifestations (EIM). Very few cases have been complicated by pneumomediastinum. The increase in alveolar pressure due to vomiting and systemic inflammation-related pleural or esophageal damage may cause pneumomediastinum in this case. Prevention of progression to mediastinitis and treatment of exacerbated UC are contradictory. GMA was successful because it was not an immunosuppressive therapy. Our case highlights that rare EIM may complicate exacerbation of UC.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372752","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

Jejunal Dieulafoy's lesion - An exceptionally rare and challenging culprit of gastrointestinal bleeding. 空肠 Dieulafoy 病变--一种异常罕见且具有挑战性的消化道出血元凶。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10785/2024

João Carlos Gonçalves, Joana Magalhães, Maria João Moreira, José Cotter

{"title":"Jejunal Dieulafoy's lesion - An exceptionally rare and challenging culprit of gastrointestinal bleeding.","authors":"João Carlos Gonçalves, Joana Magalhães, Maria João Moreira, José Cotter","doi":"10.17235/reed.2024.10785/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10785/2024","url":null,"abstract":"A 78-year-old male presented to the emergency department with melena. He was hemodynamically stable but displayed a hemoglobin level of 5.8g/dL necessitating blood transfusion. Initial esophagogastroduodenoscopy and colonoscopy failed to identify a bleeding source, prompting a capsule endoscopy that revealed an active bleeding site in the jejunum. A single-balloon enteroscopy identified an aberrant vessel in the mid-jejunum protruding through a 3mm mucosal defect, devoid of surrounding inflammation, consistent with a Dieulafoy's lesion, in which two through-the-scope clips were applied. Despite this, ongoing melena and decreasing hemoglobin levels in the subsequent days led to a second single-balloon enteroscopy, which confirmed continued bleeding. Definitive hemostasis was achieved through diluted adrenaline injection, four additional through-the-scope clips, and polidocanol sclerotherapy. Jejunal Dieulafoy's lesion is extremely rare and presents notable diagnostic and therapeutic challenges. Ávila et al. recently reported a case where, despite capsule endoscopy identifying the bleeding site, single-balloon enteroscopy failed to confirm the diagnosis, leading to the use of motorized enteroscopy with argon and metallic clip treatment. Similarly, our experience highlights the diagnostic value of capsule endoscopy and the crucial role of device-assisted enteroscopy in a multimodal therapeutic approach, which was essential for achieving successful hemostasis.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372649","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