Revista Espanola De Enfermedades Digestivas最新文献_第5页

Hepatic splenosis, description of an unusual behavior on contrast-enhanced ultrasonography (CEUS). 肝脾肿大，对比增强超声造影（CEUS）的异常表现描述。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2023.9530/2023

Sergio Escribano Cruz, Elena Garrido Gómez, Raquel García Latorre, Miguel García González

引用次数: 0

Complications and survival following percutaneous endoscopic gastrostomy tube placement. 经皮内镜胃造瘘管置入术后的并发症和存活率。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10335/2024

Diego Casas Deza, Rosario María Monzón Baez, Luis Javier Lamuela Calvo, Elena Betoré Glaria, Enrique Montil Miguel, Belén Julián Gomara, Raquel Vicente Lidón

{"title":"Complications and survival following percutaneous endoscopic gastrostomy tube placement.","authors":"Diego Casas Deza, Rosario María Monzón Baez, Luis Javier Lamuela Calvo, Elena Betoré Glaria, Enrique Montil Miguel, Belén Julián Gomara, Raquel Vicente Lidón","doi":"10.17235/reed.2024.10335/2024","DOIUrl":"10.17235/reed.2024.10335/2024","url":null,"abstract":"Introduction: percutaneous endoscopic gastrostomy (PEG) is considered as a safe and effective method for nutritional support in patients with malnutrition and swallowing impairment with an estimated survival of over two months. Some indications, such as advanced cognitive decline, contraindicate the technique.Materials and methods: all patients who underwent PEG placement between January 2001 and May 2019 were included. Clinical data, indication, complications, and mortality were retrospectively analyzed.Results: a total of 648 patients (46.5 % male, mean age 70 ± 18.5 years) were included. The most common indications for PEG were advanced cognitive decline (31.5 %) and cerebrovascular disease (18.8 %). The mean follow-up was 12.07 months (IQR 3.27-34.73); 39.5 % of patients experienced complications (systemic 17.9 %, local 28.5 %). The most frequent were bronchoaspiration (9.7 %) and rupture/dysfunction (13.9 %), respectively. The presence of early complications (HR 1.63 [1.20-2.21]) and age (HR 1.02 [1.01-1.02]) was associated with shorter survival time, while female sex was a protective factor (HR 0.78 [0.66-0.94]).Conclusions: PEG is not without complications, with 39.5 % of patients experiencing them. Patients with early complications, male sex and older age have lower survival following PEG placement.","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":"141065708","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

Colonic perforation after esophagogastroduodenoscopy: complications with self-expanding metallic stents. 食管胃十二指肠镜检查后结肠穿孔：自膨胀金属支架的并发症。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2023.9547/2023

Koichi Soga

{"title":"Colonic perforation after esophagogastroduodenoscopy: complications with self-expanding metallic stents.","authors":"Koichi Soga","doi":"10.17235/reed.2023.9547/2023","DOIUrl":"10.17235/reed.2023.9547/2023","url":null,"abstract":"An 83-year-old man was admitted to the emergency room with abdominal pain and bloating. Abdominal computed tomography (CT) revealed a sigmoid colon obstruction caused by colonic carcinoma involving a short segment with circumferential luminal narrowing. The patient underwent endoscopy with colonic self-expanding metallic stent (SEMS) placement as a bridge to surgery. Six days after SEMS placement, the patient was prepared for esophagogastroduodenoscopy for screening. Although screening revealed no complications, 8 h later, the patient complained of sudden abdominal pain. Emergency abdominal CT revealed that the SEMS was about to burst out of the colon. An emergency operation with sigmoidectomy and colostomy was performed, and operative findings revealed a colonic perforation by the SEMS at the proximal side of the tumor. The patient was discharged from the hospital without major problems. This case is a very rare complication of colonic SEMS insertion. It is possible that increased intraluminal bowel movement and/or CO2 pressure during the esophagogastroduodenoscopy caused colonic perforation. Endoscopic placement of a SEMS is an effective alternative to surgical decompression for treating colon obstruction. To avoid unexpected and unnecessary perforations, tests that could increase the intraluminal pressure within the intestine after SEMS insertion should be avoided.","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":"9082305","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 mucormycosis as a differential diagnosis of small bowel ischemia. 肠粘液瘤病作为小肠缺血的鉴别诊断。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10630/2024

Irene López-Rojo, Esther Martin Illana, Laura Castella Bataller, Santiago González-Moreno, Óscar Alonso-Casado, Sara Núñez O'Sullivan, Raquel Oña Navarrete, Gloria Ortega-Pérez

{"title":"Intestinal mucormycosis as a differential diagnosis of small bowel ischemia.","authors":"Irene López-Rojo, Esther Martin Illana, Laura Castella Bataller, Santiago González-Moreno, Óscar Alonso-Casado, Sara Núñez O'Sullivan, Raquel Oña Navarrete, Gloria Ortega-Pérez","doi":"10.17235/reed.2024.10630/2024","DOIUrl":"10.17235/reed.2024.10630/2024","url":null,"abstract":"Intestinal mucormycosis is a rare manifestation of the Mucor fungus, associated with high mortality and typically found in immunocompromised patients, though it has also been described in immunocompetent individuals. The mode of acquisition is digestive. It usually presents as abdominal pain, with ischemia and intestinal perforation, and the diagnosis is often histopathological after surgical resection. We present the case of a 54-year-old female patient with recurrent acute myeloid leukemia undergoing treatment with daunorubicin-cytarabine and experiencing febrile neutropenia. She developed patchy and progressive intestinal ischemia that evolved into intestinal necrosis, which was treated with antifungal medications and surgery. Examination of the surgical specimen revealed aseptate wide hyphae with branching at right angles, suggestive of Mucor fungus. This is a rare but highly mortal pathology in which clinical, radiological, and surgical suspicion is essential for early diagnosis and treatment, thus improving the patient's prognosis.","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":"141860796","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 pseudolipomatosis. Literature review and case report of a very unusual finding. 十二指肠假脂瘤病。文献综述和一个非常不寻常发现的病例报告。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10673/2024

Alfonso Agüera Sánchez, Francisco Martínez Diaz, Inmaculada Pagán Muñoz, Matías Martínez Pérez, Purificación de Los Reyes Cano Mármol, Irene Martínez Martínez, David Zaragoza Huesca, Francisco García Molina

{"title":"Duodenal pseudolipomatosis. Literature review and case report of a very unusual finding.","authors":"Alfonso Agüera Sánchez, Francisco Martínez Diaz, Inmaculada Pagán Muñoz, Matías Martínez Pérez, Purificación de Los Reyes Cano Mármol, Irene Martínez Martínez, David Zaragoza Huesca, Francisco García Molina","doi":"10.17235/reed.2024.10673/2024","DOIUrl":"10.17235/reed.2024.10673/2024","url":null,"abstract":"Pseudolipomatosis (PL) is a rare, benign, iatrogenic condition first described in colorectal mucosa. This condition is thought to arise from gas penetration into the mucosa due to mechanical or chemical injury during endoscopy. Despite these associations and its characteristic appearence, the definitive pathogenesis remains unclear and it continues to be underrecognized by some pathologists and endoscopists, which is crucial to avoid any further unnecessary treatments. Immunohistochemistry techniques play a role in differentiating PL from similar conditions such as cystic intestinal pneumatosis, intestinal lipomatosis, or lymphangiectasia. A 70-year-old man with a family history of colon adenocarcinoma was diagnosed with duodenal pseudolipomatosis after a routine endoscopic assessment. To the best of our knowledge, there have been only two reports of PL diagnosed in the duodenum. A review of over 500 duodenal biopsies at our centre revealed that no other instances were identified, emphasizing the unusual occurrence of this particular location.","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":"142133600","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

Delayed post-sphincterotomy bleeding: hemostatic powder is a safe and effective option. 括约肌切开术后延迟出血：止血粉是一种安全有效的选择。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10161/2023

Mara Sarmento Costa, Andrea Silva, Luís Santos, Nuno Almeida, Dário Gomes, Pedro Figueiredo

{"title":"Delayed post-sphincterotomy bleeding: hemostatic powder is a safe and effective option.","authors":"Mara Sarmento Costa, Andrea Silva, Luís Santos, Nuno Almeida, Dário Gomes, Pedro Figueiredo","doi":"10.17235/reed.2024.10161/2023","DOIUrl":"10.17235/reed.2024.10161/2023","url":null,"abstract":"We present the case of a 72-year-old woman admitted for epigastric pain, elevated inflammatory parameters and liver enzymes, with a total bilirubin of 6mg/dL. Abdominal ultrasound identified cholelithiasis and posteriorly endoscopic ultrasound showed a 5.8mm stone distally in the biliary tract. Due to acute cholangitis, she underwent endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy, successfully removing the stone. Mild self-limited bleeding after sphincterotomy was reported, for which an adrenaline flush of the biliary tract was performed. The following day, she presented melena and hemoglobin dropped 3g/dL, remaining hemodynamically stable. With side-viewing duodenoscopy we identified an adherent clot and an oozing bleed near the pancreatic duct opening. The clot was removed with a snare after adrenalin injection and 3 endoclips of 8mm were positioned in the superior portion of the sphincterotomy. Even then, bleeding persisted. We opted to apply hemostatic powder (Hemospray®) with successful bleeding cessation. Four days later the patient was released without bleeding recurrence or suspected biliary blockage.","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":"139417918","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

Portal hypertension: recommendations for diagnosis and treatment. Consensus document sponsored by the Spanish Association for the Study of the Liver (AEEH) and the Biomedical Research Network Center for Liver and Digestive Diseases (CIBERehd). 门静脉高压症：诊断和治疗建议。由西班牙肝脏研究协会（AEEH）和肝脏与消化系统疾病生物医学研究网络中心（CIBERehd）发起的共识文件。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10805/2024

Agustín Albillos, Rafael Bañares, Virginia Hernández-Gea

{"title":"Portal hypertension: recommendations for diagnosis and treatment. Consensus document sponsored by the Spanish Association for the Study of the Liver (AEEH) and the Biomedical Research Network Center for Liver and Digestive Diseases (CIBERehd).","authors":"Agustín Albillos, Rafael Bañares, Virginia Hernández-Gea","doi":"10.17235/reed.2024.10805/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10805/2024","url":null,"abstract":"Portal hypertension is a hemodynamic abnormality that complicates the course of cirrhosis, as well as other diseases that affect the portal venous circulation. The development of portal hypertension compromises prognosis, especially when it rises above a certain threshold known as clinically significant portal hypertension (CSPH). In the consensus conference on Portal Hypertension promoted by the Spanish Association for the Study of the Liver and the Hepatic and Digestive diseases area of the Biomedical Research Networking Center (CIBERehd), different aspects of the diagnosis and treatment of portal hypertension caused by cirrhosis or other diseases were discussed. The outcome of this discussion was a set of recommendations that achieved varying degrees of consensus among panelists and are reflected in this consensus document. The six areas under discussion were: the relevance of clinically significant portal hypertension and the non-invasive methods used for its diagnosis and that of cirrhosis, the prevention of the first episode of decompensation and its recurrence, the treatment of acute variceal bleeding and other complications of portal hypertension, the indications for the use of TIPS, and finally, the diagnosis and treatment of liver vascular diseases.","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":"142353011","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

Comments on: "Coffee bean sign, steel pan sign and whirl sign in sigmoid volvulus". 评论"乙状结肠瘤中的咖啡豆征、铁锅征和漩涡征"。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10562/2024

Sabri Selcuk Atamanalp, Refik Selim Atamanalp, Cansu Tatar Atamanalp

引用次数: 0

Lights and shadows in the new definition of steatotic liver disease. 脂肪肝新定义中的光与影。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10696/2024

Paula Iruzubieta, María Teresa Arias-Loste, Javier Crespo

引用次数: 0

A ghost epigastric pain. 鬼上腹痛。

IF 2.7 4区医学

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-01 DOI: 10.17235/reed.2024.10500/2024

De-Feng Li, Yan-Hui Tian, Rui-Yue Shi, Chen Kong, Jing Zhou, Li-Sheng Wang, Yao Jun

引用次数: 0