Acta gastro-enterologica Belgica最新文献_第8页

Fulminant ectopic Cushing's syndrome caused by metastatic small intestine neuroendocrine tumour - a case report and review of the literature. 转移性小肠神经内分泌肿瘤引起的充血性异位库欣综合征--病例报告和文献综述。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.11872

B Alliet, C Severi, T Veekmans, J Cuypers, H Topal, C M Deroose, T Roskams, M Bex, J Dekervel

{"title":"Fulminant ectopic Cushing's syndrome caused by metastatic small intestine neuroendocrine tumour - a case report and review of the literature.","authors":"B Alliet, C Severi, T Veekmans, J Cuypers, H Topal, C M Deroose, T Roskams, M Bex, J Dekervel","doi":"10.51821/87.1.11872","DOIUrl":"10.51821/87.1.11872","url":null,"abstract":"Cushing's syndrome (CS) secondary to adrenocorticotropic hormone (ACTH) producing tumours is a severe condition with a challenging diagnosis. Ectopic ACTH-secretion often involves neuroendocrine tumours (NET) in the respiratory tract. ACTH-secreting small intestine neuro-endocrine tumours (siNET) are extremely rare entities barely reported in literature. This review is illustrated by the case of a 75-year old woman with fulminant ectopic CS caused by a ACTH-secreting metastatic siNET. Severe hypokalemia, fluid retention and refractory hypertension were the presenting symptoms. Basal and dynamic laboratory studies were diagnostic for ACTH-dependent CS. Extensive imaging studies of the pituitary and thorax-abdomen areas were normal, while [68Ga]Ga-DOTATATE PET-CT revealed increased small intestine uptake in the left iliac fossa. The hypercortisolism was well controlled with somatostatin analogues, after which a debulking resection of the tumour was performed. Pathological investigation confirmed a well-differentiated NET with sporadic ACTH immunostaining and post-operative treatment with somatostatin analogues was continued with favourable disease control.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":"87 1","pages":"48-51"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020734","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

Microscopic colitis related to food supplement containing turmeric: a review of 3 cases. 与含姜黄的食品补充剂有关的显微结肠炎：3 例病例回顾。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.12371

L Ponselet, J-M Ghilain, M Schapira

引用次数: 0

Position statement on how can we can implement the Greendeal in our gastrointestinal and gastrointestinal endoscopy department in Belgium. 关于如何在比利时的胃肠道和胃内窥镜检查部门实施 "绿色通道 "的立场声明。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.12500

M Aerts, H Reynaert, P Roelandt, P Caenepeel, P Dewint, A Lemmers, I Colle

{"title":"Position statement on how can we can implement the Greendeal in our gastrointestinal and gastrointestinal endoscopy department in Belgium.","authors":"M Aerts, H Reynaert, P Roelandt, P Caenepeel, P Dewint, A Lemmers, I Colle","doi":"10.51821/87.1.12500","DOIUrl":"10.51821/87.1.12500","url":null,"abstract":"The importance to reach the target to be carbon net zero by 2050, as presented by the European Commission in the European Green Deal, cannot be overestimated. In a current endoscopy world, where single use has found its place and techniques are constantly evolving, it will be a challenge to reach these goals. How can we reconcile this evolution to a carbon neutral status by 2050 without compromising patients care, clinical standards and training needs? The European Society of Gastrointestinal Endoscopy (ESGE) together with the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) recently published a position statement (1) whereas in the UK there is the work from the green endoscopy group (2) in line with the strategy of the British Society of Gastroenterology (BSG) on sustainability (3). In Flanders, a project called \"greendeal in duurzame zorg\" had its kick off in March 2023 (4) so it is about time that we in Belgium, as gastroenterologists, start with tangible actions to a more sustainable daily practice. We wrote this position statement in cooperation with the Vlaamse Vereniging voor Gastro-Enterologie (VVGE), the Société royale belge de Gastro-entérologie (SRBGE) and the Belgian Society of Gastrointestinal Endoscopy (BSGIE). We will also work together in the coming years to continue to motivate our members to work on these initiatives and to co-opt new projects within the framework of the greendeal.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":"87 1","pages":"28-33"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020739","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

Stauffer syndrome : a rare paraneoplastic complication of renal cell carcinoma to be kept in mind. Case report and literature survey. Stauffer 综合征：肾细胞癌罕见的副肿瘤性并发症，值得关注。病例报告和文献调查。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.11402

M Deliège, B Bastens, G Matus, N Blétard, G Houbiers, A Courtois, C Focan

引用次数: 0

Nitinol guidewire fragmentation using the OTSC extractor device: an innovative approach for an ERCP complication. 使用 OTSC 拔出器械的镍钛诺导丝碎裂：治疗 ERCP 并发症的创新方法。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.12314

F Vara-Luiz, G Nunes, I Mendes, C Oliveira, J Veloso, J Fonseca

引用次数: 0

Out of place, not out of mind. 不在原地，不在脑海。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.12642

B Weicker, H Colin, P Baldin, T G Moreels

引用次数: 0

Peroral endoscopic myotomy: a two-center retrospective study of practice and adverse events. 口腔内窥镜肌切开术：一项关于实践和不良事件的双中心回顾性研究。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.12358

C Van Severen, S Koch, J Faure, M Poncin, J-P Loly

{"title":"Peroral endoscopic myotomy: a two-center retrospective study of practice and adverse events.","authors":"C Van Severen, S Koch, J Faure, M Poncin, J-P Loly","doi":"10.51821/87.1.12358","DOIUrl":"10.51821/87.1.12358","url":null,"abstract":"Background and study aims: Peroral endoscopic myotomy (POEM) is the preferred technique for the treatment of esophageal motility disorders and is less invasive than surgery. This study was performed to compare two university centers in the practice of POEM, in terms of efficacy and adverse events, for the treatment of esophageal motility disorder.Patients and methods: Retrospective comparative study of patients undergoing a POEM between September 2020 and December 2022 from the University Hospital of Liège (Belgium) and Besançon (France). The clinical success was defined by an Eckardt score ≤ 3 after the procedure.Results: Fifty-five patients were included. In both centers, 87,3% of the patients had achalasia (mostly type II), and 12,7% had another esophageal motility disorder. The use of antibiotic prophylaxis was systematic in Liège center but not in Besançon center (100% and 9.1% respectively). The mean value of the post-operative Eckardt score was 1.55± 2.48 in both center with 93.2% of patients with a score ≤ 3 (92% in Besançon and 94.74% in Liège). The rate of adverse event was generally low. There were two minor adverse events more frequent in Liège, clinical capnomediastinum and pain at day one, but they were managed with conservative treatment. Only 7.3% of the total patients had an infectious phenomenon that did not correlate with the use of antibiotic prophylaxis.Conclusion: The post-operative Eckardt score and the adverse event rate were comparable between the university centers. This study confirmed that POEM is a safe and effective technique. It also showed that using an antibiotic prophylaxis does not influence the development of infectious adverse events.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":"87 1","pages":"7-13"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020738","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

STEC colitis mimicking acute severe colitis with life-threatening consequences: a case report. 模仿急性重症结肠炎并危及生命的 STEC 结肠炎：一份病例报告。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.11652

T Hendrickx, M Peetermans, A D'Hoore, K Claes, A Van Hootegem, J Sabino

引用次数: 0

Efficacy of mast cell directed therapies in irritable bowel syndrome: a systematic review. 肥大细胞定向疗法在肠易激综合征中的疗效：系统综述。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.12487

D Coppens, M Kips, T Stiévenard, C Mertens, H De Schepper

{"title":"Efficacy of mast cell directed therapies in irritable bowel syndrome: a systematic review.","authors":"D Coppens, M Kips, T Stiévenard, C Mertens, H De Schepper","doi":"10.51821/87.1.12487","DOIUrl":"10.51821/87.1.12487","url":null,"abstract":"Background and study aim: Lately, mast cells (MCs) are increasingly implicated in the pathophysiology of irritable bowel syndrome (IBS). The aim of this systematic review was to assess the efficacy of mast cell directed therapies in reducing the main symptoms of IBS: abdominal pain and changes in stool frequency or consistency.Patients and methods: Pubmed, Web of Science and Scopus were searched until December 19, 2022. Trials evaluating the efficacy of mast cell directed therapies, compared to placebo or any form of control group, were included. Trial selection was performed in two stages: screening titles and abstracts and reviewing full papers identified as relevant, taking into account the inclusion criteria.Results: The search strategy identified a total of 1.384 citations. Eleven trials on 943 IBS patients and 197 controls were included: ten randomized controlled trials, two of which cross-over trials, and one cohort study. Of the 11 studies included in the systematic review, only three studies were found to be at low risk of bias. This limited evidence suggests a significant overall improvement in the key symptoms after treatment with disodium cromoglycate, ebastine, ketotifen or palmitoylethanolamide-polydatin compared to control groups.Conclusions: Mast cell modulating therapies could be of significant value in therapy for IBS patients. Further high-quality research is needed to establish the therapeutic efficacy of mast cell targeted therapies in order to draw robust conclusions and improve the clinical management of irritable bowel syndrome.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":"87 1","pages":"15-27"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020733","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

Comparative outcome of single versus two double-pigtail stents for endoscopic drainage of pancreatic fluid collections with minimal necrosis: a retrospective analysis. 在内镜下引流坏死程度极轻的胰腺积液时，单个双鱼尾支架与两个双鱼尾支架的效果比较：回顾性分析。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2024-01-01 DOI: 10.51821/87.1.12118

S Giri, S Bhrugumalla, S Gangadhar, S Angadi

{"title":"Comparative outcome of single versus two double-pigtail stents for endoscopic drainage of pancreatic fluid collections with minimal necrosis: a retrospective analysis.","authors":"S Giri, S Bhrugumalla, S Gangadhar, S Angadi","doi":"10.51821/87.1.12118","DOIUrl":"10.51821/87.1.12118","url":null,"abstract":"Background: Endoscopic ultrasound (EUS)-guided cystogastrostomy is the treatment of choice for managing symptomatic pancreatic fluid collections (PFC). However, studies on the number of stents for optimal drainage of PFCs are limited. Hence, the present study was conducted to compare the outcome of single versus two double-pigtail stents for endoscopic drainage of PFCs.Methods: This is a single-center, retrospective analysis of patients undergoing endoscopic drainage of PFCs with minimal necrosis (pseudocyst or walled-off necrosis with <30% solid content) at a tertiary center in South India from October 2020 to October 2022. Post-procedure, patients were followed up for clinical improvement, and stents were removed after documentation of cyst size reduction on imaging.Results: Sixty-three patients (82.5% males, median age: 34 years) fulfilling the selection criteria were included. For single stent placement (n = 47), stents of size 8.5 Fr or 10 Fr were used, while for placement of two stents (n = 16), 7 Fr stents were used. The technical success rate was 100%. Intraprocedural and early postprocedural adverse events (all mild to moderate) were comparable between the groups (17.0% with single stent vs. 25.0% with two stents, p = NS). Clinical success was achieved in 93.6% of patients, with no difference between both groups. Three patients in the single stent group required additional procedures. All patients underwent successful stent removal after a median follow-up of 14 weeks.Conclusion: A single pigtail stent of 8.5 Fr or 10 Fr size for EUSguided cystogastrostomy provides efficacy and safety similar to that of two stents.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":"87 1","pages":"1-5"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020732","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