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

Isolated colonic amyloidosis: a rare condition mimicking malignancy.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-27 DOI: 10.17235/reed.2025.11100/2025

Macarena Torres-Larrubia, Sergio Casiano-Manzano, Zulianni Andreina Jiménez-Colmenárez, Joaquín Domínguez-Humanes, Alberto Masa-Caballero, María Herrador-Paredes, Pilar Mata-Romero, Pablo Solís-Muñoz

引用次数: 0

Follow-up in coeliac disease: evidence and future challenges.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-27 DOI: 10.17235/reed.2025.11168/2025

Andres Castañeda Agredo, Sergio Farrais Villalba, David S Sanders

引用次数: 0

Challenges in the management of chronic hepatitis E in immunocompromised patients: reactivation after treatment with ribavirin.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-27 DOI: 10.17235/reed.2025.11177/2025

Miriam Celada-Sendino, Margarita Fernández-de la Varga, Carlos Ordieres-Díaz, Pedro Amor-Martín, Marta Álvarez-Posadilla, Adrián Huergo-Fernández

引用次数: 0

Low risk, high cost: challenging the role of gastric cancer screening in low-prevalence countries.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-27 DOI: 10.17235/reed.2025.11087/2024

Hugo Uchima, Leticia Moreira-Ruiz, Glòria Fernández Esparrach

{"title":"Low risk, high cost: challenging the role of gastric cancer screening in low-prevalence countries.","authors":"Hugo Uchima, Leticia Moreira-Ruiz, Glòria Fernández Esparrach","doi":"10.17235/reed.2025.11087/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.11087/2024","url":null,"abstract":"Gastric cancer is the second commonest gastrointestinal (GI) neoplasm, with a high mortality rate and highly variable regional incidence data associated with factors such as diet, genetics, and infection with Helicobacter pylori. In high-risk countries as Japan and South Korea endoscopic screening has shown its potential to reduce this cancer's mortality. However, in low-risk countries such as Spain, where population screening is not cost-effective, a selective approach is advised focused on high-risk groups, including patients with a family history of gastric cancer, or in the form of opportunistic screening during gastroscopy for other clinical indications. High-quality gastroscopy is key for the identification of early lesions. This includes using high-definition endoscopes with chromoendoscopy, pursuing optimal mucosal visibility with washes or premedication, systematically inspecting all of the mucosa, investing adequate observation times, and using risk stratification tools such as EGGIM or OLGIM. Endoscopic surveillance is particularly advisable for high-risk precursor lesions, with intervals adjusted for patient profile. Further research is crucial for optimizing these interventions and reducing the condition's mortality rate.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":"117 ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721361","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

The EUS-guided rendezvous technique was performed for stent implantation.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-11 DOI: 10.17235/reed.2025.11060/2025

Yongzhan Zhao, Longwei Fang, Yuxi Zhang, Tingting Yu, Lichao Zhang, Senlin Hou

引用次数: 0

Resolution of pancreatic ductal disruption through endoscopic ultrasound (EUS)-guided Rendez-vous in a patient with pancreas divisum.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-11 DOI: 10.17235/reed.2025.11124/2025

Patricia de Miguel, Amaia Arrubla, Juan Carrascosa, Juan J Vila

{"title":"Resolution of pancreatic ductal disruption through endoscopic ultrasound (EUS)-guided Rendez-vous in a patient with pancreas divisum.","authors":"Patricia de Miguel, Amaia Arrubla, Juan Carrascosa, Juan J Vila","doi":"10.17235/reed.2025.11124/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11124/2025","url":null,"abstract":"A 73-year-old woman presented with a pancreas divisum was admitted for acute pancreatitis. Abdominal CT was performed due to a torpid evolution with fever and oral intolerance, demonstrating necrosis and ductal disruption in the pancreatic neck. An ERCP was attempted, however, the minor papilla (MP) could not be identified because of the presence of edematous duodenal folds. EUS revealed ductal disruption and the pancreatic duct was punctured using a 22G needle at the level of the body-tail junction (<2 mm). Then, rendez-vous was completed by cannulating the MP with a rail technique and a pancreatic stent was placed. Given the persistence of oral intolerance secondary to the duodenal parietal inflammatory component, EUS-guided gastrojejunostomy was performed with a 20 mm luminal apposition stent. The patient exhibited progressive clinical improvement and was discharged following a control ERCP, which confirmed resolution of the ductal disruption and significant improvement of the duodenal inflammatory changes. Consequently, the endoscopic gastrojejunostomy was reversed.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597668","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

Evaluation of pancreatic microvascularization in chronic pancreatitis by EUS-guided detective flow imaging (DFI): a prospective, single-centre, observational study.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-11 DOI: 10.17235/reed.2025.11054/2025

Yessica Domínguez-Novoa, Enrique Domínguez-Muñoz, Xurxo Martínez-Seara, José Lariño-Noia, Julio Iglesias-García

{"title":"Evaluation of pancreatic microvascularization in chronic pancreatitis by EUS-guided detective flow imaging (DFI): a prospective, single-centre, observational study.","authors":"Yessica Domínguez-Novoa, Enrique Domínguez-Muñoz, Xurxo Martínez-Seara, José Lariño-Noia, Julio Iglesias-García","doi":"10.17235/reed.2025.11054/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11054/2025","url":null,"abstract":"Introduction: Early diagnosis of chronic pancreatitis (CP) is a clinical challenge. Endoscopic ultrasound-guided detective flow imaging (EUS-DFI) can evaluate pancreatic microvascularization, which may be altered in chronic inflammation. Our study aimed to evaluate EUS-DFI findings in patients with CP.Methods: Prospective, single-centre, observational study including patients undergoing EUS for known or clinically suspected CP. EUS criteria for CP were evaluated according to the Rosemont classification. EUS-DFI findings were analysed and classified into three grades: grade 0 - absence of microvasculature, grade 1 - Reticular pattern with mild microvascularization, and grade 2 - reticular pattern with marked microvascularization. The correlation between EUS-DFI and Rosemont classification was analysed.Results: 205 patients (mean age 53 years, range 21-85, 107 males) were included. 34 patients (16.6%) had a normal pancreas, 55 (26.7%) indeterminate findings of CP, 108 (52.7%) suggestive changes of CP and 8 (4.0%) consistent with CP. An EUS-DFI grade 0 was only seen in subjects with a normal pancreas, whereas an EUS-DFI grade 1 was usually associated with indeterminate and suggestive findings of CP (97.6% of cases). A grade 2 was observed in some patients with suggestive CP and in all patients with definite findings of CP (p<0.001). EUS-DFI was significantly different between groups according to Rosemont classification (p<0.001).Conclusion: EUS-DFI allows the assessment of pancreatic microvascularization in CP, which correlates with the severity of morphological changes of the disease.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597617","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

Gastric siderosis: an endoscopic diagnosis challenge.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-11 DOI: 10.17235/reed.2025.11148/2025

Anabella Cuestas, Miriam Cuatrecasas, María Glòria Fernández Esparrach, Leticia Moreira-Ruiz

引用次数: 0

Intestinal polyps and chronic schistosomiasis.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-11 DOI: 10.17235/reed.2025.11154/2025

Vitorino M Santos, Andressa Plaça Tedeschi

引用次数: 0

Irritable bowel syndrome and structural brain changes - A two-sample Mendelian randomization study of cortical thickness and surface area.

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-03-11 DOI: 10.17235/reed.2025.10983/2024

Haiya Ou, Zhiming Lai, Xiaopeng Ye, Xiaotong Wang, Haixiong Lin

{"title":"Irritable bowel syndrome and structural brain changes - A two-sample Mendelian randomization study of cortical thickness and surface area.","authors":"Haiya Ou, Zhiming Lai, Xiaopeng Ye, Xiaotong Wang, Haixiong Lin","doi":"10.17235/reed.2025.10983/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.10983/2024","url":null,"abstract":"Background and aims: The relationship between irritable bowel syndrome (IBS) and structural changes in various regional cortical areas remains unclear. Mendelian randomization (MR) was used to explore the potential association between IBS and Structural Brain Changes.Methods: Genetically independent loci associated with IBS in individuals of European ancestry were selected as instrumental variants (IVs) in the large-scale genome-wide association studies (GWAS). Outcome data were obtained from 34 subregions of the cerebral cortex in a population of 51,665 individuals. MR analysis was performed to explore the potential association between IBS and cerebral cortex structure (surface area (SA) and thickness (TH)). Cochran's Q test, MR-Egger intercept test was used to examined heterogeneity and horizontal pleiotropy of single nucleotide polymorphisms (SNPs). \"Leave-one-out\" sensitivity analysis was conducted to assess the influence of individual SNPs.Results: Five relationships were obtained from a total of 68 phenotypes in 34 subregional structures of the cerebral cortex. IVW analysis showed that IBS was associated with increased SA in the inferior temporal and rostral anterior cingulate regions (βSA=22.810 mm2, PSA=0.040; βSA=11.133 mm2, PSA=0.006). Additionally, IBS was associated with increased TH in the isthmus cingulate and pars opercularis regions (βTH=0.013 mm, PTH=0.043; βTH=0.010 mm, PTH=0.010), and decreased TH in the rostral anterior cingulate region (βTH=-0.009 mm², PTH=0.017).Conclusions: There is a potential association between IBS and the cerebral cortex structure. These findings provide important support for the association between diseases related to neurological damage and psychiatric abnormalities in IBS patients.","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597667","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