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Revista Espanola De Enfermedades Digestivas最新文献

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Beyond digestive pathology: endoscopic study in systemic disease. 超越消化病理学：全身性疾病的内窥镜研究。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10324/2024
Marina Jarava Delgado, Katherine Milagros Gómez Torres, Francisco Gallardo Sánchez
{"title":"Beyond digestive pathology: endoscopic study in systemic disease.","authors":"Marina Jarava Delgado, Katherine Milagros Gómez Torres, Francisco Gallardo Sánchez","doi":"10.17235/reed.2024.10324/2024","DOIUrl":"10.17235/reed.2024.10324/2024","url":null,"abstract":"<p><p>A 77-year-old male patient with heart disease, kidney disease under study, and quiescent multiple myeloma. He presented a 2 years history of weight loss and digestive symptoms. In the endoscopic study, multiple gastric ulcers were observed, whose histological study ruled out the initial suspicion. The patient died a month later from refractory shock.</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":"140102368","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 lymphangiomas: endoscopic ultrasound features. 十二指肠淋巴管瘤：内窥镜超声特征。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10338/2024
Jorge Barajas, Alejandro Repiso, Laura López, Rafael Gómez Rodríguez
{"title":"Duodenal lymphangiomas: endoscopic ultrasound features.","authors":"Jorge Barajas, Alejandro Repiso, Laura López, Rafael Gómez Rodríguez","doi":"10.17235/reed.2024.10338/2024","DOIUrl":"10.17235/reed.2024.10338/2024","url":null,"abstract":"<p><p>The increasing number of endoscopic explorations help recognize rare lesions of the gastrointestinal tract, such as lymphangiomas, rare benign vascular tumours in adults. Patients with lymphangioma are generally asymptomatic but if complications arise, the approach is endoscopic or surgical. Endoscopic ultrasound aids in distinguishing this tumour from other subepithelial lesions. We present the case of a patient who underwent upper endoscopy and endoscopic ultrasound with findings of two duodenal lymphangiomas.</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":"140102371","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
Massive esophageal perforation managed with a covered esophageal stent. 使用有盖食管支架治疗食管大面积穿孔。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10331/2024
Jonathan Acosta-Contento, Carlos Ortiz-Moyano, Alma Keco-Huerga
{"title":"Massive esophageal perforation managed with a covered esophageal stent.","authors":"Jonathan Acosta-Contento, Carlos Ortiz-Moyano, Alma Keco-Huerga","doi":"10.17235/reed.2024.10331/2024","DOIUrl":"10.17235/reed.2024.10331/2024","url":null,"abstract":"<p><p>Esophageal stents have become an emergent, effective treatment for esophageal perforation, whether spontaneous or iatrogenic. We report a case of iatrogenic perforation secondary to malposition of a Sengstaken-Blakemore balloon (SBB), which was inserted to control acute variceal bleeding. SBB currently has very limited indications in the management of variceal bleeding given the ongoing advances in endoscopic techniques, and its use is not exempt from complications such as the one reported herein.</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":"140102377","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
Upper abdominal pain in a young female treated by endoscopic submucosal dissection. 通过内窥镜粘膜下剥离术治疗一名年轻女性的上腹部疼痛。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10375/2024
Qianqian Li, Weiwei Chen, Lei Chen, Zhen Zhu
{"title":"Upper abdominal pain in a young female treated by endoscopic submucosal dissection.","authors":"Qianqian Li, Weiwei Chen, Lei Chen, Zhen Zhu","doi":"10.17235/reed.2024.10375/2024","DOIUrl":"10.17235/reed.2024.10375/2024","url":null,"abstract":"<p><p>A previously healthy 39-year-old woman was hospitalized with upper abdominal pain for 1-month duration. A semipedunculated protrusion with smooth surface was found at the gastric angle measuring 2.0 × 2.5-cm by gastroscopy. Endoscopic ultrasound (EUS) showed a hypoechoic mass originated from the mucosal layer. Abdominal computed tomography (CT) revealed a circular pedunculated and slightly low-density mass with mild enhancement in the stomach cavity. Endoscopic submucosal dissection (ESD) was performed. Postoperative histopathology examination revealed the tumor was composed of proliferated spindle cells with eosinophil infiltration which were around small blood vessels and mucosal glands arranged in an \"onion-skin\" appearance. Immunohistochemical analysis of the spindle cells showed CD34 was positive and CD117, S100, DOG-1, SMA, Desmin were negative. The patient was diagnosed as gastric inflammatory fibroid polyp (IFP) and no symptoms was observed in 12 months follow-up.</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":"140102383","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
Snare traction-assisted method during endoscopic resection for gastric submucosal tumors: a single center case series. 内镜下胃黏膜下肿瘤切除术中Snare牵引辅助方法：一个单中心病例系列。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2023.10034/2023
Min Fu, Tao Dong, Kexin He, Xiaohan Jiang, Yulin Gu, Li Liu
{"title":"Snare traction-assisted method during endoscopic resection for gastric submucosal tumors: a single center case series.","authors":"Min Fu, Tao Dong, Kexin He, Xiaohan Jiang, Yulin Gu, Li Liu","doi":"10.17235/reed.2023.10034/2023","DOIUrl":"10.17235/reed.2023.10034/2023","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic resection (ER) of gastric submucosal tumors (G-SMTs) is challenging due to the difficulty of exposure. Traction-assisted ER has been shown to provide better outcomes than traditional endoscopic operation by exposing the dissection plane. In this study, we investigated the efficacy and safety of the snare traction-assisted method in ER of G-SMTs.</p><p><strong>Method: </strong>From May 2021 to March 2023, we used snare traction-assisted method to treat 24 patients with 24 G-SMTs in our department. Clinical characteristics and the outcomes of ER were recorded.</p><p><strong>Result: </strong>The mean tumor diameter was 1.8±0.9 cm. Six G-SMTs underwent endoscopic submucosal dissection (ESD), and 18 underwent endoscopic full-thickness resection (EFTR). En bloc resection and R0 resection was achieved in all the 24 lesions. The average procedure time was 45.4 ± 23.4 minutes. The patients were discharged in 5.0 days after procedures, without delayed bleeding or other adverse events.</p><p><strong>Conclusion: </strong>Snare traction-assisted method provides an effective traction for endoscopic resection of G-SMTs even if the tumor is difficult to remove. While further studies comparing the snare traction-assisted method with the conventional procedure are necessary.</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":"71485574","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
Pancreatic duct occupation method assisted wire guide through pancreatic duct stenosis in the treatment of chronic pancreatitis. 胰管占位法辅助导丝通过胰管狭窄治疗慢性胰腺炎。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10586/2024
Sen Liu, Fei Wang, Yipeng Yuan, Shunchao Wang, Jingzeng Pan
{"title":"Pancreatic duct occupation method assisted wire guide through pancreatic duct stenosis in the treatment of chronic pancreatitis.","authors":"Sen Liu, Fei Wang, Yipeng Yuan, Shunchao Wang, Jingzeng Pan","doi":"10.17235/reed.2024.10586/2024","DOIUrl":"10.17235/reed.2024.10586/2024","url":null,"abstract":"<p><p>Chronic pancreatitis is usually accompanied by pancreatic duct stenosis and pancreatic duct stones. Pancreatic duct stent implantation can effectively drain pancreatic fluid and relieve symptoms. However, in many cases this is not easy, because of the presence of stones or the pancreatic duct is too narrow, the guide wire may not be able to enter the distal pancreatic duct. We present a case of chronic pancreatitis with pancreatic duct stenosis in which we assisted the passage of guidewires through the pancreatic duct stenosis by means of pancreatic duct occupation.</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":"141535100","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
Intestinal ultrasound and its role in the acute setting: stenosing Crohn's disease and acute bowel obstruction due to foreign body ingestion (dental post and crown). 肠道超声及其在急性期的作用：狭窄性克罗恩病和异物（牙柱和牙冠）摄入导致的急性肠梗阻。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10677/2024
Óscar Moralejo Lozano, Lucía Ruano Díaz, María Abanades Tercero, Concepción Muñoz Rosas, Rosario Salmoral Luque, Concepción González de Frutos, Rafael Ángel Gómez Rodríguez
{"title":"Intestinal ultrasound and its role in the acute setting: stenosing Crohn's disease and acute bowel obstruction due to foreign body ingestion (dental post and crown).","authors":"Óscar Moralejo Lozano, Lucía Ruano Díaz, María Abanades Tercero, Concepción Muñoz Rosas, Rosario Salmoral Luque, Concepción González de Frutos, Rafael Ángel Gómez Rodríguez","doi":"10.17235/reed.2024.10677/2024","DOIUrl":"10.17235/reed.2024.10677/2024","url":null,"abstract":"<p><p>A 39-year-old woman with a history of Crohn's disease presents at the Emergency Room for a 2-hour long colicky abdominal pain with bloating, vomiting and no gas passing. She refers an accidental ingestion of a foreign body three weeks ago, a dental post and crown (she is currently using an invisible orthodontic technique). Her Crohn's disease affects the terminal ileum, and was diagnosed 8 years before, she has been suffering mild to no symptoms for the last years, but due to evidence of biochemical, endoscopic and ultrasonographic activity she is on Ustekinumab 90mg subcutaneously every 4 weeks, after Infliximab and Adalimumab loss of response. An abdominal x-ray reveals bowel dilation and hydro-aerial levels, as well as a radiopaque element in the pelvis consistent with the dental post and crown. CT-scan confirms the bowel obstruction, ileal stenosis is found. Intestinal ultrasound is performed at our centre finding a long ileal stenosis, 33 cm, thickened wall 5.6mm, destructuring of the layer pattern, hyperemia (modified Limberg score 3), ileoileal fistula with no collection associated, and a prestenotic dilation of 40 mm. The dental foreign body is found, non-impacted, in the prestenotic dilated loop. Even though an initial course of intraneous steroids is ordered, due to previous medical history of a persistent active Crohn's disease with loss of response to three advanced therapies, as well as the very low probability of progression of the foreign body along with the risk of permanent impaction or perforation, surgery is indicated. Ileocecal resection with extraction of the foreign body is performed uneventfully.</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":"142133601","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
Two-step approach for recurrent pancreatic pseudocysts: endoscopic ring drainage of the stent transpapillary combined with the posterior gastric wall. 两步入路治疗复发性胰腺假性囊肿:内镜下经乳头支架环引流联合胃后壁。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2023.9978/2023
Wei Zhang, Sen-Lin Hou, Li-Chao Zhang
{"title":"Two-step approach for recurrent pancreatic pseudocysts: endoscopic ring drainage of the stent transpapillary combined with the posterior gastric wall.","authors":"Wei Zhang, Sen-Lin Hou, Li-Chao Zhang","doi":"10.17235/reed.2023.9978/2023","DOIUrl":"10.17235/reed.2023.9978/2023","url":null,"abstract":"<p><p>Pancreatic pseudocyst is a complication of pancreatitis, with an incidence of about 5-16% and a incidence of about 20-40% in chronic pancreatitis. There are various ways to treat pancreatic pseudocysts, but the recurrence rate of cysts is as high as 23.9%. There are not many clinical options for the treatment of recurrent pseudocysts, and there is still a high recurrence of pseudocysts after EUS guided drainage alone. We present here a promising endoscopic treatment for patients with recurrent pancreatic pseudocyst.</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":"138047799","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
Intestinal perforation caused by Epstein-Barr virus-positive primary diffuse large B-cell lymphoma in a patient with human immunodeficiency virus. 一名艾滋病患者因 Epstein-Barr 病毒阳性的原发性弥漫大 B 细胞淋巴瘤而导致肠穿孔。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2023.10124/2023
Qiuli Liu, Qun Bao, Bin Zhao, Kaidong Chen, Xiaojian Weng
{"title":"Intestinal perforation caused by Epstein-Barr virus-positive primary diffuse large B-cell lymphoma in a patient with human immunodeficiency virus.","authors":"Qiuli Liu, Qun Bao, Bin Zhao, Kaidong Chen, Xiaojian Weng","doi":"10.17235/reed.2023.10124/2023","DOIUrl":"10.17235/reed.2023.10124/2023","url":null,"abstract":"<p><p>We report the case of a 48-year-old male who presented with right lower abdominal pain and a mass for 2 weeks and got constipation for 5 days. An abdominal CT scan conducted before admission at other hospitals revealed an obstruction in the blind ascending colon, which was suspected to be a malignant tumor. Proctoscopy revealed peritoneal implantation metastasis and multiple pelvic lymph nodes. Physical examination was unremarkable except for multiple lymph node enlargements in the inguinal area, without pain. A whole-body contrast-enhanced FDG-PET/CT revealed lymphoma involvement in the ascending colon, peritoneum, bone marrow, and lymph nodes in multiple regions of the body, with DLBCL as a suspected diagnosis. Pathological findings from the colonoscopy revealed atypical lymphocyte infiltration and Immunostaining indicated the presence of atypical lymphocytes with Ki-67 (90%) and tested positive for CD20, CD19, CD10, and BCL-6. Based on the above findings, stage IV DLBCL was diagnosed. Furthermore, EBV-DNA amplification was positive. The patient received R-CHOP treatment for 2 days before experiencing symptoms of fevers, chills, and abdominal pain. He underwent emergency surgery due to intestinal perforation, and preoperative blood tests revealed HIV-positive. The prognosis for the patient is poor due to sepsis.</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":"138809065","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
Strongyloides stercoralis hyperinfection presenting pneumatosis intestinalis and acute respiratory distress syndrome after treatment for COVID-19. COVID-19治疗后出现肠道气肿和急性呼吸窘迫综合征的盘尾丝虫高感染。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10292/2024
Maki Setake, Kazuhiko Matsuno, Kyoko Arakaki, Akira Hokama
{"title":"Strongyloides stercoralis hyperinfection presenting pneumatosis intestinalis and acute respiratory distress syndrome after treatment for COVID-19.","authors":"Maki Setake, Kazuhiko Matsuno, Kyoko Arakaki, Akira Hokama","doi":"10.17235/reed.2024.10292/2024","DOIUrl":"10.17235/reed.2024.10292/2024","url":null,"abstract":"<p><p>A 91-year-old man was admitted with vomiting and abdominal pain. He had had COVID-19 pneumonia a month before and the treatment had consisted of remdesivir, dexamethasone and baricitinib. CT scans showed pneumatosis intestinalis. His respiratory condition rapidly deteriorated and chest CT scans showed ground-glass opacity and Strongyloides stercoralis was identified in the sputum, making a diagnosis of hyperinfection syndrome associated acute respiratory distress syndrome. Treatment of ivermectin was not achieved in time and he died of multiple organ failure. S. stercoralis is a soil-transmitted helminth endemic to tropical and subtropical areas. Immunosuppressive conditions can cause hyperinfection syndrome and life-threatening conditions. Our case highlights the importance of assessing for untreated chronic strongyloidiasis in COVID-19 patients requiring steroid treatment in endemic areas.</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":"139723823","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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