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Revista Espanola De Enfermedades Digestivas最新文献

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Beyond the scope: unveiling the future of digestive endoscopy through experimental models.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11059/2024
Federico Soria Gálvez
{"title":"Beyond the scope: unveiling the future of digestive endoscopy through experimental models.","authors":"Federico Soria Gálvez","doi":"10.17235/reed.2025.11059/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.11059/2024","url":null,"abstract":"<p><p>It is well known that digestive endoscopy is an essential diagnostic and of course therapeutic tool for the management of diseases of the digestive tract. Tens of millions of patients undergo digestive endoscopic procedures every year in Europe. In the United States, more than 50 million endoscopic procedures are performed annually and in both cases these figures are increasing every year. In many cases this is due to new endoscopic techniques that have improved the therapeutic armamentarium in recent years.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080884","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
Redefining healthcare - The transformative power of generative AI in modern medicine.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11081/2024
Julio Mayol, Marcos Gámez Alastuey, Rocío Anula Fernández
{"title":"Redefining healthcare - The transformative power of generative AI in modern medicine.","authors":"Julio Mayol, Marcos Gámez Alastuey, Rocío Anula Fernández","doi":"10.17235/reed.2025.11081/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.11081/2024","url":null,"abstract":"<p><p>Over the last decade, technological advances in deep learning (artificial neural networks, big data and computing power) have made possible to build digital solutions that imitate human cognitive process (language, vision, hearing, etc) and are able to generate new content when prompted. This generative AI is going to disrupt healthcare. Healthcare professionals must get prepared because there are ethical and legal challenges that must be identified and tackled.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080895","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
Neostigmine - The underutilized drug worth remembering.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11038/2024
Carolina Broco Fernández, Ana Belén Domínguez Carbajo, Santiago Vivas Alegre, Verónica Patiño Delgadillo, Laura Alcoba Vega, Francisco Jorquera Plaza
{"title":"Neostigmine - The underutilized drug worth remembering.","authors":"Carolina Broco Fernández, Ana Belén Domínguez Carbajo, Santiago Vivas Alegre, Verónica Patiño Delgadillo, Laura Alcoba Vega, Francisco Jorquera Plaza","doi":"10.17235/reed.2025.11038/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.11038/2024","url":null,"abstract":"<p><p>Ogilvie syndrome, a rare intestinal motility disorder associated with parasympathetic plexus dysfunction, can lead to severe complications like ischemia and perforation in hospitalized patients with significant comorbidities. This retrospective observational study assessed the efficacy and safety of neostigmine in treating Ogilvie syndrome at our center from January 2021 to December 2023. Thirteen patients received neostigmine after failing initial measures such as electrolyte correction, decompression, and intravenous prokinetics. Patients had a mean age of 66 years, predominantly male (77%), with 54% on polypharmacy. Neostigmine was administered in critical care settings under continuous monitoring. Symptom resolution occurred in 70% of cases, with a single dose achieving an 86% success rate in 54% of patients. Two doses were required for the remaining 46%, with a 50% success rate. No severe adverse reactions were observed. Neostigmine demonstrated high efficacy and safety in managing Ogilvie syndrome, highlighting its potential as a first-line therapeutic alternative to more invasive interventions.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080891","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 cancer metastasizing to the male reproductive system.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11013/2024
Zhaokun Zhang, Sihan E, Yufeng Li, Wanpeng Xu
{"title":"Gastric cancer metastasizing to the male reproductive system.","authors":"Zhaokun Zhang, Sihan E, Yufeng Li, Wanpeng Xu","doi":"10.17235/reed.2025.11013/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.11013/2024","url":null,"abstract":"<p><p>A 71-year-old male patient underwent a radical gastrectomy for gastric cancer two years prior and subsequently received regular postoperative chemotherapy with capecitabine and oxaliplatin. Six months before admission, he experienced the onset of swelling in the right inguinal region, accompanied by pain in the right lower abdomen during ambulation. He was admitted to the hospital due to the progressive enlargement of the swelling and the onset of severe abdominal pain. Physical examination revealed a protruding mass in the right groin, which was apparent upon standing and did not recede upon compression of the internal ring orifice. During the unilateral inguinal hernia repair procedure, multiple nodular masses were identified at the internal ring's opening, with the largest measuring approximately 2 cm in diameter and exhibiting a hard texture. Subsequent tissue excision for pathological analysis revealed heterogeneous cellular structures and swelling that extended along the spermatic cord, reaching the vas deferens and spermatic vessels, and invading the peritoneum. The hernial sac was smooth and devoid of hernial contents, leading to the resection of the affected peritoneum. During the surgical procedure, the spermatic cord was transected and ligated proximal to the testis, followed by its removal. Subsequently, the posterior wall of the inguinal canal was reinforced with sutures, the surgical field was irrigated with no evidence of active bleeding, and the incision was closed. Histopathological analysis revealed metastatic involvement of the spermatic cord and testis by gastric cancer, thereby confirming ectopic metastasis of the malignancy.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080888","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
Triangle-Tip Jet Knife used as "probe mode" during C-POEM for the treatment of cricopharyngeal achalasia.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11073/2025
Miguel Fraile López, Álvaro Cobas Bravo, Pedro Luis Fernández Gil, María Moris Felgueroso, Juan Carlos Rodríguez Duque, María Jesús López Arias, Antonio Cuadrado Lavín, Álvaro Terán Lantarón
{"title":"Triangle-Tip Jet Knife used as \"probe mode\" during C-POEM for the treatment of cricopharyngeal achalasia.","authors":"Miguel Fraile López, Álvaro Cobas Bravo, Pedro Luis Fernández Gil, María Moris Felgueroso, Juan Carlos Rodríguez Duque, María Jesús López Arias, Antonio Cuadrado Lavín, Álvaro Terán Lantarón","doi":"10.17235/reed.2025.11073/2025","DOIUrl":"https://doi.org/10.17235/reed.2025.11073/2025","url":null,"abstract":"<p><p>Cricopharyngeal achalasia is a rare esophageal motility disorder characterized by the inability to relax of the cricopharyngeal muscle during swallowing. Peroral endoscopic myotomy (POEM) is a minimally invasive endoscopic technique for treating achalasia that has gained increasing popularity in recent years. In this context, cricopharyngeal peroral endoscopic myotomy (C-POEM) has emerged as a novel technique for the management of cricopharyngeal achalasia.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080899","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
Clinical manifestations of Meckel's diverticulum and analytical distinction with appendicitis: a 20-year diagnostic study.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11032/2024
Julio César Moreno-Alfonso, Carlos Delgado-Miguel, Sara Hernández Martín, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal
{"title":"Clinical manifestations of Meckel's diverticulum and analytical distinction with appendicitis: a 20-year diagnostic study.","authors":"Julio César Moreno-Alfonso, Carlos Delgado-Miguel, Sara Hernández Martín, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal","doi":"10.17235/reed.2025.11032/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.11032/2024","url":null,"abstract":"<p><p>While approximately 90% of Meckel's diverticula are asymptomatic, they can manifest with a wide spectrum of complications with a mortality rate of 0.001%. The differential diagnosis is broad, with appendicitis being the main consideration when diverticulitis is the presenting symptom. This study aims to characterize a population with symptomatic Meckel's diverticulum and to investigate the utility of cellular indices in its differential diagnosis with appendicitis. A diagnostic study was conducted encompassing patients aged 0-15 years who underwent surgery for symptomatic Meckel's diverticulum between 2002 and 2023 at a pediatric hospital.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080886","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
Rectal linitis plastica as the sole manifestation of breast cancer recurrence.
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-03 DOI: 10.17235/reed.2025.11043/2024
Pedro Barrera Sánchez, Óscar Moralejo Lozano, Diego Muñoz López, Pablo Muñoz Gómez, Mayra Dalila Lindo Ricce, José Javier Blanco González, Alejandro Repiso Ortega, Rafael Ángel Gómez Rodríguez
{"title":"Rectal linitis plastica as the sole manifestation of breast cancer recurrence.","authors":"Pedro Barrera Sánchez, Óscar Moralejo Lozano, Diego Muñoz López, Pablo Muñoz Gómez, Mayra Dalila Lindo Ricce, José Javier Blanco González, Alejandro Repiso Ortega, Rafael Ángel Gómez Rodríguez","doi":"10.17235/reed.2025.11043/2024","DOIUrl":"https://doi.org/10.17235/reed.2025.11043/2024","url":null,"abstract":"<p><p>We present the case of a 51-year-old woman with a history of invasive lobular breast adenocarcinoma in remission for six years following surgery, chemoradiotherapy, and hormone therapy. During follow-up, an asymptomatic elevation of CA 15-3 was detected. A CT scan revealed rectal wall thickening suggestive of neoplasia, with no other lesions observed. Colonoscopy demonstrated a congested, thickened, and infiltrative mucosa in the rectal ampulla extending from the internal anal margin, accompanied by an impassable stricture 8 cm from the anal margin. Initial endoscopic biopsies were negative for malignancy. Endoscopic ultrasound (EUS) revealed rectal wall thickening, loss of normal wall stratification, and a regular outer border, findings consistent with rectal linitis plastica. The stricture prevented further advancement of the echoendoscope, but fine-needle biopsies were performed. Histological analysis confirmed adenocarcinoma infiltration of breast origin.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080894","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
Salmonella-associated acute pancreatitis in a patient with ulcerative colitis. 溃疡性结肠炎患者患沙门氏菌相关性急性胰腺炎的罕见病例。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10198/2023
Guillermo Castillo-López, Maite Alonso-Sierra, Santiago González Vázquez, Elvira Molano Alvarado, Beatriz Merchán Gómez, Rubén Jaramillo Salamanca, César Prieto de Frías, José María Riesco López
{"title":"Salmonella-associated acute pancreatitis in a patient with ulcerative colitis.","authors":"Guillermo Castillo-López, Maite Alonso-Sierra, Santiago González Vázquez, Elvira Molano Alvarado, Beatriz Merchán Gómez, Rubén Jaramillo Salamanca, César Prieto de Frías, José María Riesco López","doi":"10.17235/reed.2024.10198/2023","DOIUrl":"10.17235/reed.2024.10198/2023","url":null,"abstract":"<p><p>Inflammatory bowel disease is a known risk factor for enteric infections such as Salmonella. This infection can affect almost all major organs. Acute Salmonella pancreatitis is a rare complication. This is the case of a 61-year-old man with ulcerative colitis who developed acute pancreatitis complicating Salmonella infection.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"116-117"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486344","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 lucky polyp: an unusual manifestation of chronic schistosomiasis. 幸运息肉：慢性血吸虫病的一种不寻常表现。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10155/2023
Inês Costa Santos, Sara Ramos Lopes, Madalena Teixeira, Cláudio Martins, Matilde Gonçalves, Ana Luísa Alves
{"title":"The lucky polyp: an unusual manifestation of chronic schistosomiasis.","authors":"Inês Costa Santos, Sara Ramos Lopes, Madalena Teixeira, Cláudio Martins, Matilde Gonçalves, Ana Luísa Alves","doi":"10.17235/reed.2024.10155/2023","DOIUrl":"10.17235/reed.2024.10155/2023","url":null,"abstract":"<p><p>A 23-year-old male from Brazil presented with bright red hematochezia. Proctological examination revealed grade II internal hemorrhoids, but flexible sigmoidoscopy uncovered a 6 mm-pedunculated polyp in the sigmoid colon, which was found to result from inflammatory reaction to Schistosoma mansoni egg deposition. The patient had no signs of portal hypertension and was successfully treated with praziquantel. This case underscores a rare presentation of chronic intestinal schistosomiasis and emphasizes the role of early diagnosis in preventing severe hepatic sequelae of chronic Schistosoma infection.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"110-111"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139417977","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
Endoscopic spraying of smectite to prevent esophageal stricture after endoscopic submucosal dissection. 内镜粘膜下剥离术后喷洒烟雾剂预防食道狭窄。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI: 10.17235/reed.2024.10203/2023
Zaman Swapnil, Jiankun Wang, Kexin He, Li Liu, Zhining Fan
{"title":"Endoscopic spraying of smectite to prevent esophageal stricture after endoscopic submucosal dissection.","authors":"Zaman Swapnil, Jiankun Wang, Kexin He, Li Liu, Zhining Fan","doi":"10.17235/reed.2024.10203/2023","DOIUrl":"10.17235/reed.2024.10203/2023","url":null,"abstract":"<p><p>Esophageal stenosis after ESD has been recorded high for large-scale esophageal lesion. Risk factors for increasing the occurrence of stenosis includes long type lesions, lesions infiltrating into the muscularis mucosa and muscular layer injury. In this case, postoperative stricture of the patient was highly likely occurred. Smectite is a mucosal protective agent that can resist external stimuli, promote wound healing, and reduce inflammatory factors. Therefore, it can effectively prevent the formation of scars on wounds. This study was carried out in humans for the first time and was successful. In conclusion, endoscopic spraying of smectite may be effective and safe in preventing esophageal stenosis after ESD with large non-circumferential lesions.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":" ","pages":"118-119"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486350","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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