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Revista Espanola De Enfermedades Digestivas最新文献

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Plasmablastic lymphoma in an HIV positive patient: colonic disease as an unusual presentation. HIV 阳性患者的浆细胞性淋巴瘤：结肠疾病是一种不寻常的表现。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10784/2024
Ana López-Mourelle, Miriam Rubiera, Pablo Argüelles-Estrada, Sara Lamas-Álvarez, Fernando Fernández Cadenas
{"title":"Plasmablastic lymphoma in an HIV positive patient: colonic disease as an unusual presentation.","authors":"Ana López-Mourelle, Miriam Rubiera, Pablo Argüelles-Estrada, Sara Lamas-Álvarez, Fernando Fernández Cadenas","doi":"10.17235/reed.2024.10784/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10784/2024","url":null,"abstract":"<p><p>Plasmablastic lymphoma (PBL) is an aggressive and rare variant of diffuse large B-cell lymphoma associated with human immunodeficiency virus (HIV) infection. Here, we describe a case of PBL of the ascending colon in an HIV positive patient.</p>","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":"142372652","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 "rule of two" in Meckel's diverticulum - Does it truly apply to the pediatric population in our area? 梅克尔氏憩室的 "二原则"--是否真正适用于本地区的儿科人群？
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10798/2024
Julio César Moreno-Alfonso, Sara Hernández Martín, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal
{"title":"The \"rule of two\" in Meckel's diverticulum - Does it truly apply to the pediatric population in our area?","authors":"Julio César Moreno-Alfonso, Sara Hernández Martín, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal","doi":"10.17235/reed.2024.10798/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10798/2024","url":null,"abstract":"<p><p>Meckel's Diverticulum (MD) originates from the incomplete obliteration of the omphalomesenteric duct during the seventh week of gestation. The classic clinical description of MD follows the \"rule of two: 2% of the population, 2 inches in length, 2 feet from the ileocecal valve, a 2:1 ratio between males and females, and presentation at two years of age. This study evaluates to what extent the \"rule of two\" applies to a Spanish pediatric cohort.</p>","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":"142372751","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
Refractory gastroduodenal ulcers: investigating non-peptic etiologies. 难治性胃十二指肠溃疡：研究非消化道病因。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10782/2024
Pablo Fernández Rodríguez, Mario Calvo Soto, Luis Miguel García, Jorge Mendoza Jiménez-Ridruejo, Cecilio Santander Vaquero, Raquel Herranz Pérez
{"title":"Refractory gastroduodenal ulcers: investigating non-peptic etiologies.","authors":"Pablo Fernández Rodríguez, Mario Calvo Soto, Luis Miguel García, Jorge Mendoza Jiménez-Ridruejo, Cecilio Santander Vaquero, Raquel Herranz Pérez","doi":"10.17235/reed.2024.10782/2024","DOIUrl":"10.17235/reed.2024.10782/2024","url":null,"abstract":"<p><p>This article presents two clinical cases of gastroduodenal peptic ulcers refractory to medical treatment. In both cases, malignancy was excluded following persistent lesions observed in repeated endoscopies, leading to the use of surgery as both a diagnostic and therapeutic approach. These refractory cases require a multidisciplinary approach with a broad differential diagnosis, including etiologies such as toxic substance exposure, persistent Helicobacter pylori infection, or poor adherence to medical treatment, along with less common conditions such as malignancy, acid hypersecretion syndromes, vascular disorders, or immune-mediated diseases.</p>","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":"142372749","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
Peroral choledochoscope for anterograde bridging of biliary drainage via T-tube. 用于经 T 型管胆汁引流前行桥接的口周胆道镜。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10786/2024
Fang Wang, Zhifeng Li, Xinqing Lu, Hongfei He, Shaoqiong Cheng, Jialei Chang, Xinghua Peng
{"title":"Peroral choledochoscope for anterograde bridging of biliary drainage via T-tube.","authors":"Fang Wang, Zhifeng Li, Xinqing Lu, Hongfei He, Shaoqiong Cheng, Jialei Chang, Xinghua Peng","doi":"10.17235/reed.2024.10786/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10786/2024","url":null,"abstract":"<p><p>Postoperative biliary stricture after biliary surgery is a challenging condition. Biliary stent placement by endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) are the effective treatment for biliary stricture. We report a case of peroral choledochoscope was used for anterograde bridging of biliary drainage via T-tube.</p>","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":"142372651","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
Association of endoscopic findings and histological alterations in pediatric Crohn's disease. 小儿克罗恩病的内窥镜检查结果与组织学改变之间的关联。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10778/2024
Julio César Moreno-Alfonso, Sharom Barbosa-Velásquez, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal
{"title":"Association of endoscopic findings and histological alterations in pediatric Crohn's disease.","authors":"Julio César Moreno-Alfonso, Sharom Barbosa-Velásquez, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal","doi":"10.17235/reed.2024.10778/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10778/2024","url":null,"abstract":"<p><p>Crohn's disease (CD) is a type of inflammatory bowel disease (IBD) characterized by chronic, transmural, and relapsing inflammation that can affect any segment of the gastrointestinal tract, from the oral cavity to the anus (1). The clinicopathological association of various endoscopic abnormalities in CD is under study. An analytical study was conducted on patients under the age of 15 who underwent esophagoscopy and/or colonoscopy for suspected IBD at a pediatric hospital between 2015 and 2022 (Reg. No. 3318-0000206). Subjects with normal histopathological findings and those with a histological diagnosis of CD were included. The prevalence of different endoscopic alterations and their association with histopathological abnormalities were compared between patients with Crohn's disease (CD) and those with normal histology (NCD). Of the 502 endoscopies performed during this period, 22 subjects with CD and 14 children with NCD were included. Endoscopic normality, defined as the absence of mucosal abnormalities, was higher among NCD patients (43%), while the most prevalent macroscopic abnormality in CD patients was the presence of ulcers.</p>","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":"142372746","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
New treatments in inflammatory bowel disease - A thrilling time ahead. 炎症性肠病的新疗法--激动人心的时刻即将到来。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10764/2024
Fernando Gomollón
{"title":"New treatments in inflammatory bowel disease - A thrilling time ahead.","authors":"Fernando Gomollón","doi":"10.17235/reed.2024.10764/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10764/2024","url":null,"abstract":"<p><p>Except for some surgical techniques, up to 1940 the clinical course of inflammatory bowel disease was determined by its own natural history: most medical interventions even worsened prognosis. The empyrical introduction of salazopyrine early in the 1940s, pioneered by Nanna Svartz in Sweden, was followed relatively soon by the incorporation of corticosteroids during the 1950s. However, it took both a long time to reach patients, and quality scientific evidence to better establish their indications built up very slowly.</p>","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":"142372754","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 intestinal obstruction due to tuberculosis. 肺结核导致肠梗阻的罕见病例。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10793/2024
Brunna Teixeira Seffrin, Arthur Becker Simões, Leonardo Hekman D'Avila, Henrique Gus
{"title":"A rare case of intestinal obstruction due to tuberculosis.","authors":"Brunna Teixeira Seffrin, Arthur Becker Simões, Leonardo Hekman D'Avila, Henrique Gus","doi":"10.17235/reed.2024.10793/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10793/2024","url":null,"abstract":"<p><p>A 19-year-old previously healthy patient presented with severe abdominal pain. A contrast-enhanced CT scan identified ileal obstruction and lower left lung lobe changes suggestive of an inflammatory process. Diagnostic laparoscopy revealed ileal distension, hyperemia, and whitish nodules on the serosa. Acid-fast bacilli staining was positive, confirming Mycobacterium tuberculosis infection. The patient improved with a tuberculosis regimen. Intestinal TB often affects the ileocecal area and presents with symptoms like abdominal pain and obstruction. Diagnosis is confirmed by AFB staining, and treatment mirrors pulmonary TB, though surgery may be needed for complications.</p>","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":"142372744","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 gastrointestinal bleeding - Small intestinal venous ectasias. 异常消化道出血 - 小肠静脉异位。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-04 DOI: 10.17235/reed.2024.10771/2024
Yibing Hu, Jin Ding, Qunying Wang, Hongjun Hua
{"title":"Unusual gastrointestinal bleeding - Small intestinal venous ectasias.","authors":"Yibing Hu, Jin Ding, Qunying Wang, Hongjun Hua","doi":"10.17235/reed.2024.10771/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10771/2024","url":null,"abstract":"<p><p>A 34-year-old man presented to our emergency department with a 6-day history of bloody stools. He had no complaints of alteration in bowel habits in the stool. He did not consume alcohol and was a non-smoker. The patient had no any previous notable medical history or family history of similar complaints. Physical examination was unremarkable. In the local hospital, laboratory studies showed a hemoglobin level of 6.0g per deciliter (normal range, 11.5 to 15.5). After blood transfusion, an upper gastrointestinal endoscopy and complete colonoscopy did not reveal any bleeding lesion. In our hospital, the patient underwent abdominal contrast-enhanced CT, small intestinal venous ectasias were detected. The selective angiography was performed, but no aneurysm or arteriovenous fistula was found. The gastrointestinal tract bleeding still occurred for an unknown reason. Subsequently, single-balloon enteroscopy was carried out. By oral approach enteroscopy, obvious jejunum venous ectasias were detected.</p>","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":"142372753","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
Review document of the Spanish Association of Neurogastroenterology and Motility on the management of opioid-induced constipation. 西班牙神经胃肠病学与运动学协会关于阿片类药物引起的便秘管理的审查文件。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10242/2024
Jordi Serra, Javier Alcedo, Claudia Barber, Constanza Ciriza de Los Ríos
{"title":"Review document of the Spanish Association of Neurogastroenterology and Motility on the management of opioid-induced constipation.","authors":"Jordi Serra, Javier Alcedo, Claudia Barber, Constanza Ciriza de Los Ríos","doi":"10.17235/reed.2024.10242/2024","DOIUrl":"10.17235/reed.2024.10242/2024","url":null,"abstract":"<p><p>Opioid-induced constipation (OIC) is a rising problem due to the progressive increase in opioid prescription. In contrast to functional constipation, opioid-induced constipation is not a functional gut disorder but a side effect of opioid use. Opioids produce constipation due to a decrease in gastrointestinal motility and a reduction in gastrointestinal secretions. The treatment of OIC focuses on three basic pillars: optimizing opioid drug indication, preventing constipation onset, and treating constipation should it develop. As with any other cause of constipation, lifestyle adjustments and laxatives should be the first-line option in the pharmacological management of OIC. Osmotic laxatives such as polyethylene glycol (PEG) are the agents of choice. PEG is inert and is neither fermented nor absorbed in the gastrointestinal tract. Furthermore, it has broad clinical applicability due to its favourable safety profile. If first-line treatments fail, peripheral μ-opioid receptor antagonists (PAMORA) are the drugs of choice. They reduce the peripheral effects of OIC with a minimal potential to diminish analgesia or induce a centrally mediated withdrawal syndrome. Different PAMORA are available in the market both for oral and subcutaneous administration, with demonstrated efficacy for the management of OIC in different clinical trials.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139672555","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
Anorectal melanoma: a rare entity. 肛门直肠黑色素瘤：一种罕见的实体肿瘤。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10243/2024
Luís Miguel Relvas, Tânia Gago, Francisco Velasco, Sónia Barros, Isabel Carvalho, Paulo Caldeira
{"title":"Anorectal melanoma: a rare entity.","authors":"Luís Miguel Relvas, Tânia Gago, Francisco Velasco, Sónia Barros, Isabel Carvalho, Paulo Caldeira","doi":"10.17235/reed.2024.10243/2024","DOIUrl":"10.17235/reed.2024.10243/2024","url":null,"abstract":"<p><p>Anorectal melanoma is a rare malignant tumor with the potential of simulating a benign anorectal disease, making its diagnosis difficult. We describe a case of anorectal melanoma, in which the interpretation of symptoms as hemorrhoidal disease delayed diagnosis and appropriate intervention.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139723815","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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