Editorial
Does it matter how long the small bowel is?
246-248
Enrique Pérez-Cuadrado Martínez,
The small bowell (SB) is a very long organ hardly accessible to conventional endoscopy. The revolution entailed by its complete diagnostic exploration with capsule endoscopy (CE) has led to a change in...
Editorial
Introduction
245
Enrique Pérez-Cuadrado Martínez1 and Javier A. Cienfuegos2
1Editor in Chief y 2Executive Editor of The Spanish Journal of Gastroenterology
For some years now our journal has had a monographic issue. In 2020 it is on enteroscopy and includes a practical clinical
guide from the Spanish and Portuguese scientific societies which we are publishing...
Original
A comprehensive systematic review and meta-analysis of risk factors for rebleeding following device-assisted enteroscopy therapy of small-bowel vascular lesions
249-257
Enrique Pérez-Cuadrado Robles, Guillaume Perrod, Tom G Moreels, Luis Eduardo Zamora Nava, Gerardo Blanco Velasco, Pilar Esteban Delgado, Elia Samaha, Óscar Victor Hernández-Mondragón, Gabriel Rahmi, Christophe Cellier,
Introduction: the aim of this study was to determine the risk factors for rebleeding following device-assisted enteroscopy therapy of small bowel vascular lesions.
Methods: this is a systematic review...
Original
Efficacy and safety of water-exchange enteroscopy compared to carbon dioxide insufflation during enteroscopy
258-261
Gerardo Blanco Velasco, Raúl Antonio Zamarripa-Mottú, Roberto Soria-Rodríguez, Omar Michel Solórzano-Pineda, Juan Manuel Blancas Valencia, Enrique Murcio-Pérez, Óscar Víctor Hernandez Mondragón,
Introduction: carbon dioxide (CO2) insufflation during enteroscopy reduces procedure time and subsequent symptoms and increases the insertion depth compared with room air. In colonoscopy, the water-exchange...
Original
The rebleeding rate in patients evaluated for obscure gastrointestinal bleeding after negative small bowel findings by device assisted enteroscopy
262-268
Catarina Gomes, José María Rubio Mateos, Rolando Taveira Pinho, Ana Ponte, Adélia Rodrigues, Margarita Fosado Gayosso, Pilar Esteban Delgado, João Carlos Silva, Edgar Afecto, João Carvalho,
Background: data on the long-term outcome of patients with obscure gastrointestinal bleeding (OGIB) with positive small bowel findings in capsule endoscopy but negative small bowel findings in device-assisted...
Original
Recurrent small-bowel bleeding from a Dieulafoy’s lesion after combined endoscopic treatment
269-272
Alejandro Pérez Fernández, José María Rubio Mateos, María Josefa Sánchez Fernández, José Manuel Molina Muñoz, Silvia Chacón Martínez, José Luís Rodrigo Agudo, Pilar Esteban Delgado, Enrique Pérez-Cuadrado Martínez, Enrique Pérez-Cuadrado Robles,
Introduction: Dieulafoy’s lesion of the small bowel is an uncommon cause of gastrointestinal (GI) bleeding that often recurs after endoscopic treatment.
Material and methods: we report an observational,...
Original
Endoscopic retrograde cholangiopancreatography by double-balloon enteroscopy in patients with surgically altered gastrointestinal anatomy
278-283
Luis Eduardo Zamora Nava, Santiago Mier y Terán-Ellis, Sergio Zepeda Gómez, Enrique Pérez-Cuadrado Robles, América Liliana Miranda Lora, Francisco Valdovinos Andraca, Diana Paola López Méndez,
Background: Endoscopic retrograde cholangiopancreatography (ERCP) allows a diagnostic and therapeutic evaluation of pancreatobiliary diseases. However, the procedure in patients with surgically altered...
Original
Is endoscopic treatment of small bowel strictures effective and safe in patients with Crohn’s disease?
284-289
Yacqueline Valdés del Pino, Antonio Giordano, Miriam Escapa, Elena Ricart, Ingrid Ordás, Sonia Rodríguez, Jordi Rimola, Gloria Fernández-Esparrach, Àngels Ginès, Josep Llach, Julià Panés, Begoña González-Suárez,
Introduction: there is very little scientific evidence about the efficacy of endoscopic balloon dilation (EBD) performed with balloon-assisted enteroscopy (BAE) for the treatment of small bowel strictures...
Original
Predictors for finding lesions in the small bowel by enteroscopy after a positive capsule endoscopy
290-293
Juan Manuel Blancas-Valencia, Gerardo Blanco Velasco, Luis Fernando García Contreras, Omar Michel Solórzano-Pineda, Óscar Víctor Hernández-Mondragón,
Introduction: studies have examined the agreement between capsule endoscopy and double-balloon enteroscopy, with varying results. The aim of this study was to identify factors that predict the visualization...
Review
Advanced therapy by device-assisted enteroscopy
273-277
Enrique Pérez-Cuadrado Martínez, Enrique Pérez-Cuadrado Robles,
Standard therapy using device-assisted enteroscopy includes different hemostatic therapies, polypectomy, dilation and other possibilities. The most frequent indication is small bowel bleeding. However,...
Review
Device-assisted enteroscopy training. A rapid review
294-298
Federico Soria Gálvez, Octavio López-Albors, Pilar Esteban Delgado, Enrique Pérez-Cuadrado Robles, Rafael Latorre Reviriego,
Device-assisted enteroscopy is currently lacking a validated training model, in contrast to the other major technique used for the study of the small bowel, namely capsule endoscopy. Training should be...
Special Article
Quality indicators in enteroscopy. Enteroscopy procedure
299-308
Pilar Esteban Delgado, Fernando Alberca de las Parras, Julio J. López-Picazo Ferrer, Joaquín León Molina,
Within the project “Quality Indicators in Gastrointestinal Endoscopy,” under the leadership of the Sociedad Española de Patología Digestiva (SEPD), our goal is to propose the procedures and the structure,...
Special Article
Small bowel enteroscopy – A joint clinical guideline by the Spanish and Portuguese small-bowel study groups
309-318
Enrique Pérez-Cuadrado Robles, Rolando Pinho, Begoña González-Suárez, Susana Mão-de-Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García-Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, José Francisco Juanmartiñena-Fernández, Mileidis San-Juan-Acosta, Sandra Lopes, César Prieto-Frías, Juan Egea Valenzuela, Noemí Caballero, Eduardo Valdivieso-Cortázar, Helder Cardoso, Consuelo Gálvez, Nuno Almeida, Pilar Borque Barrera, Blas José Gómez Rodríguez, Francisco Luis Sánchez Ceballos, Carlos Bernardes, Pedro A. Alonso-Aguirre, Federico Argüelles Arias, Miguel Mascarenhas Saraiva, Enrique Pérez-Cuadrado Martínez, Enrique Pérez-Cuadrado-Robles on behalf of Capsule Endoscopy and Enteroscopy Group of the Spanish Society of Gastrointestinal Endoscopy *, Rolando Pinho on behalf of Portuguese Small Bowel Study Group (GEPID)**,
* Capsule Endoscopy and Enteroscopy Group of the Spanish Society of Gastrointestinal Endoscopy : Enrique Pérez-Cuadrado-Robles
** Portuguese Small Bowel Study Group (GEPID): Rolando Pinho
The present evidence-based guidelines are focused on the use of device-assisted enteroscopy in the management of small-bowel diseases. A panel of experts selected by the Spanish and Portuguese small-bowel...
Special Article
Recommendations by the SEPD and AEG, both in general and on the operation of gastrointestinal endoscopy and gastroenterology units, concerning the current SARS-CoV-2 pandemic (March, 18)
319-322
Sociedad Española de Patología Digestiva on behalf of Sociedad Española de Patología Digestiva*, Asociación Española de Gastroenterología on behalf of Asociación Española de Gastroenterología**,
* Sociedad Española de Patología Digestiva: Sociedad Española de Patología Digestiva, Asociación Española de Gastroenterología Asociación Española
** Asociación Española de Gastroenterología: Asociación Española de Gastroenterología
Infection with SARS-CoV-2 coronavirus, and the disease this agent may induce, are a cause of notable concern for the general population and, of course, among our professionals and patients. Gastrointestinal...
Digestive Diseases Image
Obscure gastrointestinal bleeding in the setting of blue rubber bleb nevus syndrome with extensive small bowel involvement
323-324
João Carlos Silva, Edgar Afecto, Adelia Rodrigues, Rolando Pinho,
Blue rubber bleb nevus syndrome (BRBNS) is a rare disorder characterized by multiple vascular malformations of the gastrointestinal (GI) tract, skin and less frequently in solid organs. An 85-year-old...
Digestive Diseases Image
Enteroscopic diagnosis of intestinal malabsorption of a rare etiology: diaphragm disease
325-326
María del Mar Díaz Alcázar, Alicia Martín-Lagos Maldonado, Amparo Roa Colomo, Francisco Javier Casado Caballero,
We present the case of a 59-year-old patient with malabsorption syndrome which started with polyneuropathy. Capsule endoscopy and enteroscopy show villous denudation. Histological study confirms diaphragm...
Research letter
Rhabdoid cavitated adenocarcinoma in the jejunum, an exceptional case by enteroscopy
327
Alejandro Pérez Fernández, José Francisco Sánchez Melgarejo, José María Rubio Mateos,
We have read the article published by Abdulkader I et al., which described two cases of a rhabdoid tumor of the small bowel diagnosed by surgery. We present a similar case in the jejunum diagnosed by double...
Research letter
Metastatic choriocarcinoma in the proximal jejunum, an exceptional cause of massive upper gastrointestinal bleeding
327-328
Beatriz Arencibia Pérez, Elsa María Gómez Rebordinos, Joaquín Marchena Gómez,
We present the clinical case of a 34-year-old woman with a history of stage IV choriocarcinoma, after her diagnostic debut two years ago, a hysterectomy and resection of the right single pulmonary nodule...
Research letter
Atrophic enteropathy refractory to a gluten-free diet: what should we consider?
328-329
Alicia Martín-Lagos Maldonado, Fátima García-Consuegra Ruiz-Aragón, Myriam del Carmen Herrera Mercader,
Olmesartan is an angiotensin II receptor antagonist used for the treatment of blood hypertension. Long-term use has been associated with diarrhea and sometimes intestinal involvement may mimic enteropathies...
Research letter
Retrograde enteroclysis by double balloon enteroscopy in a patient with blunt abdominal trauma: small bowel stricture, intraluminal vascular lesion and Crohn’s disease
329-330
Alejandro Pérez Fernández, Gloria Palomares Ortiz, Enrique Pérez-Cuadrado Martínez,
A 40-year-old male presented to the Emergency Department after a driving accident with blunt abdominal trauma. An abdominal computed tomography (CT) scan revealed a mesenteric injury in the right lower...
Research letter
Management of distal intestinal obstruction syndrome by enteroscopy in a post-lung transplant patient
330-331
Adriana Margarita Rey Rubiano, Gustavo Reyes, Andrés Delgado,
This is a case of a male patient who had a post-lung transplant complication given to distal intestinal obstruction by meconium. He was managed with laxative irrigation though enteroscope directly in the...
Research letter
Are we experiencing a technological revolution? The novel motorized PowerSpiral enteroscope (PSE): a case of total oral enteroscopy
331
Begoña González-Suárez, Antonio Giordano, Josep Llach,
The novel motorized spiral rnteroscope (PowerSpiral®, Olympus) (PSE) has been recently commercialized with promising results in relation to insertion depth and time of exploration. We herewith report our...
Research letter
Invasive aspergillosis of gastrointestinal debut without apparent respiratory involvement in an immunocompetent host
332
María del Mar Díaz Alcázar, Elena Ruiz Escolano, Francisco Javier Casado Caballero, Eloísa Cervilla Sáez de Tejada,
A 72-year-old female presented with abdominal pain and constipation and intestinal dilation was found. Abdominal computed tomography showed two areas of thickening and stenosis in the proximal jejunum...
Research letter
Small-bowel hemangioma as a cause of chronic anemia
332-333
María Belvis Jiménez, Victoria Alejandra Jiménez García, Blas José Gómez Rodríguez,
Small intestine hemangiomas are benign vascular tumors that usually present with occult gastrointestinal bleeding. Endoscopic capsule and enteroscopy are two tools that help in your preoperative diagnosis....