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Acta Gastro-Enterologica Belgica最新文献

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A pilot randomized trial to study the success rate of early precut fistulotomy and its effect on radiation dose in patients with difficult biliary cannulation 研究胆道插管困难患者早期预切瘘成功率及其对放射剂量的影响

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2021-11-01 DOI: 10.51821/84.4.005

H. Mandavdhare, J. Shah, R. Kakadiya, P. Kumar M, P. Gupta, H. Singh, V. Sharma, U. Dutta

{"title":"A pilot randomized trial to study the success rate of early precut fistulotomy and its effect on radiation dose in patients with difficult biliary cannulation","authors":"H. Mandavdhare, J. Shah, R. Kakadiya, P. Kumar M, P. Gupta, H. Singh, V. Sharma, U. Dutta","doi":"10.51821/84.4.005","DOIUrl":"https://doi.org/10.51821/84.4.005","url":null,"abstract":"Background: Role of precut fistulotomy in reducing fluoroscopy time and the radiation dose in difficult selective biliary cannulation is unknown.\u0000\u0000Methods: We performed a randomized trial where patients with difficult biliary cannulation were randomized into 2 groups: early precut fistulotomy (precut five minutes after failed standard biliary cannulation) or late precut fistulotomy (precut fifteen minutes after failed standard biliary cannulation). We compared the success rates of selective biliary cannulation, fluoroscopy time, radiation dose, complication rates, need for repeat endoscopic retrograde cholangiography (ERC) and need for other interventions\u0000\u0000Results: Of the 130 eligible patients screened, 40 patients were randomized. The technical success was comparable between early and late group. The fluoroscopy time and radiation dose were significantly less in the early group [4 minutes (3, 6) vs 15 minutes (8, 28), p=0.001] and [1.35 mGy (0.90, 1.63) vs 2.40 mGy (1.58, 3.25), p=0.010] respectively. In the late group, 60% required need for rescue precut fistulotomy. One patient from late group developed post ERC pancreatitis while 1 from early group developed perforation. Three needed other interventions due to failed second attempt.\u0000\u0000Conclusion: Early precut fistulotomy has comparable technical success and reduces the radiation dose as compared to late precut fistulotomy for difficult biliary cannulation.","PeriodicalId":50942,"journal":{"name":"Acta Gastro-Enterologica Belgica","volume":"43 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82270311","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

Acute pancreatitis and obesity: where is the problem? 急性胰腺炎和肥胖:问题在哪里?

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2019-01-01

E Mahfouz, N Lanthier

引用次数: 0

Diagnostic hepatitis C testing of people in treatment for substance use disorders in Belgium between 2011 and 2014 : a cross-sectional study. 2011年至2014年比利时药物使用障碍治疗中丙型肝炎诊断检测:一项横断面研究。

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2019-01-01

L Van Baelen, J Antoine, K De Ridder, G Muyldermans, L Gremeaux

{"title":"Diagnostic hepatitis C testing of people in treatment for substance use disorders in Belgium between 2011 and 2014 : a cross-sectional study.","authors":"L Van Baelen, J Antoine, K De Ridder, G Muyldermans, L Gremeaux","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Hepatitis C prevalence figures for people who use drugs in Belgium are scarce, and particularly for people who inject drugs. The current study refines the existing HCV estimates by focussing on diagnostic HCV testing practices for this population at risk.</p><p><strong>Methods: </strong>The analysis is the result of a descriptive crosssectional study, based on data extracted from the linkage between a database of people in treatment for substance use disorders in Belgium and a database of the Belgian health insurance companies. By using national nomenclature codes for HCV tests, the number of people in treatment for substance use disorders who were tested on HCV, were estimated.</p><p><strong>Results: </strong>18,880 out of 30,905 patients (61.1%) in treatment for substance use disorders between 2011 and 2014 have been screened at least once for HCV between 2008 and 2015. 58.0% of those who had never injected and 59.1% of those with an unknown injecting status were tested for HCV, compared to 86.5% of the patients who had recently injected and 84.5% of those who had ever injected. 36.8% of the people who had recently injected were tested for HCV RNA.</p><p><strong>Conclusions: </strong>This study supports the need of a continued effort of health care providers to identify people infected with HCV. For a population at risk such as people who use drugs, regular screening is needed to reach the goal set by WHO of near viral elimination of HCV by 2030.</p>","PeriodicalId":50942,"journal":{"name":"Acta Gastro-Enterologica Belgica","volume":"82 1","pages":"35-42"},"PeriodicalIF":1.5,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37069926","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 future of Acta Gastro-Enterologica Belgica. 《比利时胃肠病学学报》的未来。

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2019-01-01

N Lanthier, T G Moreels

引用次数: 0

The history of Acta Gastro-Enterologica Belgica. 《比利时胃肠病学学报》的历史。

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2019-01-01

T G Moreels, R Fiasse, N Lanthier

引用次数: 0

A multicentre, observational study on demographic and disease characteristics of patients seeking care for chronic hepatitis C in Belgium in 2016. 2016年比利时慢性丙型肝炎患者人口统计学和疾病特征多中心观察性研究

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2019-01-01

S Bourgeois, J P Mulkay, L Lasser, G Robaeys, B Bastens, J Delwaide, S Pollet, M Van den Enden

{"title":"A multicentre, observational study on demographic and disease characteristics of patients seeking care for chronic hepatitis C in Belgium in 2016.","authors":"S Bourgeois, J P Mulkay, L Lasser, G Robaeys, B Bastens, J Delwaide, S Pollet, M Van den Enden","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and study aims: </strong>Direct-acting antivirals provide interferon-free treatments for chronic hepatitis C (CHC) virus infection. In Belgium, in 2016, access to these agents was limited to patients with advanced liver fibrosis stages F3 and F4. This study is the first to describe Belgium's patient population ineligible for interferon-free treatment.</p><p><strong>Patients and methods: </strong>This was an observational, cross-sectional, multicentre study that enrolled adult patients with CHC ineligible for interferon-free treatment. Patient data recorded at a single visit included demographic data, disease characteristics, comorbidities, co-medications, treatment status, and laboratory data.</p><p><strong>Results: </strong>Three hundred and three patients from 16 centres in Belgium were included in the statistical analysis. On average, patients were aged 53.5 years and 50.2% were women ; 94.1% had health insurance and 99.0% resided in Belgium. The current hepatitis C virus (HCV) infection was the first infection for 96.0% of patients and the mean time since infection was 20.0 years. Liver fibrosis stage was F0 for 23.7%, F0/F1 or F1 for 38.3%, F1/F2 or F2 for 25.8%, F3 for 7.1%, and F4 for 5.1% of patients ; 28.4% of patients were CHC treatment-experienced. The main reason for ineligibility for interferon-free treatment was lack of reimbursement (84.8%). Other reasons included no treatment urgency or medical decision to wait (27.1%), waiting for future treatment option (8.3%), and no social insurance coverage (3.6%).</p><p><strong>Conclusions: </strong>This study provides recent data on the CHC patient population and disease characteristics in Belgium that could help medical communities and government agencies manage CHC disease burden.</p>","PeriodicalId":50942,"journal":{"name":"Acta Gastro-Enterologica Belgica","volume":"82 1","pages":"43-52"},"PeriodicalIF":1.5,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37069931","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

Whipple's disease in a man of North African descent : case report and brief review of the literature. 一名北非裔男子的惠普尔病:病例报告及文献综述。

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2019-01-01

M Lenfant, J Callemeyn, H Alaerts, W Meersseman, W Van Moerkercke

{"title":"Whipple's disease in a man of North African descent : case report and brief review of the literature.","authors":"M Lenfant, J Callemeyn, H Alaerts, W Meersseman, W Van Moerkercke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 62-year-old man of North African descent presented with weight loss in the past year and diarrhea for three weeks. His medical history included erosive rheumatoid arthritis, treated with methotrexate and adalimumab. Histological examination of a duodenal biopsy showed foamy macrophages in the lamina propria, with PAS-positive cytoplasmatic inclusions. These findings are compatible with Whipple's disease, a rare chronic infectious disease caused by Tropheryma whipplei, an opportunistic bacterium. It is typically seen in middle-aged Caucasian men and the immunocompromised host. The classical presentation of Whipple's disease consists of intermittent migratory arthralgia, followed by intestinal symptoms which typically occur six to seven years later. The clinical image can be very variable, and this complicates the diagnostic process. PAS-staining and PCR are the diagnostic cornerstones. In our case, treatment consisted of a prolonged cure of antibiotics: intravenous ceftriaxone for two weeks, followed by an oral maintenance therapy of doxycycline and hydroxychloroquine for at least one year. A therapeutic dilemma arose as continued anti-TNF blockade was necessary to maintain remission of the rheumatoid arthritis. Lifelong follow-up is necessary because relapse is possible.</p>","PeriodicalId":50942,"journal":{"name":"Acta Gastro-Enterologica Belgica","volume":"82 1","pages":"83-86"},"PeriodicalIF":1.5,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37071266","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 Toothpick a day, keeps the doctor away? 一天一根牙签，医生远离我?

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2019-01-01

L Depoorter, T Billiet, M Verhamme, W Van Moerkercke

引用次数: 0

Terminal ileitis after kidney transplantation : Crohn's disease or other? Case reports and literature review. 肾移植后终末期回肠炎:克罗恩病还是其他?病例报告及文献回顾。

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2019-01-01

E Motté, L Pipeleers, K Wilgenhof, H Reynaert, D Urbain, F Mana

引用次数: 0

Rectal cancer surgery : what's in a name? 直肠癌手术:名字有什么关系?

IF 1.5 4区医学

Acta Gastro-Enterologica Belgica Pub Date : 2019-01-01

N Komen, P Dewint, S Van den Broeck, S Pauli, H de Schepper

引用次数: 0

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