Year 2018 / Volume 110 / Number 4
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Publications - Previous Issues


Year 2018 / Volume 110 / Number 4

Editorial

Enhancing the current evidence on endoscopist-directed propofol-based sedation
215-216
Enrique Pérez-Cuadrado-Robles, Alexandre Ferreira, Jesús García-Cano,

During the last years, there is more and more scientific evidence about the safety and feasibility of non-anesthesiologist administration of propofol (NAAP) in gastrointestinal endoscopy, reducing sedation...

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Original

The safety of deep sedation with propofol controlled by the endoscopist in endoscopic retrograde cholangiopancreatography (ERCP): a prospective study in a tertiary hospital
217-222
Lara Luzón Solanas, Leticia Ollero Domenche, Eva María Sierra Moros, José Val Pérez, María Teresa Soria San Teodoro, Teresa Giménez Júlvez, Rafael Uribarrena Amezaga,

Introduction: propofol administered by an endoscopist with a trained nurse has evolved as an alternative to anesthesia monitoring and is increasingly common in the routine clinical practice, even in advanced...

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Prospective study of the factors associated with poor tolerance to ambulatory colonoscopy under conscious sedation
223-230
Israel Grilo-Bensusan, Pablo Herrera Martín, Remedios Jiménez-Mesa, Valle Aguado Álvarez,

Background: conscious sedation with benzodiazepines and opiates for colonoscopy is a widespread clinical practice. Objective: to determine the patient’s tolerance to colonoscopy and identify the factors...

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Quality of sedation with propofol administered by non-anesthetists in a digestive endoscopy unit: the results of a one year experience
231-236
Cristina López Muñoz, Andrés Sánchez Yagüe, Jose Carlos Canca Sánchez, José Antonio Reinaldo-Lapuerta, Ana Belén Moya Suárez,

Introduction: research has shown that an endoscopist-nurse clinical team can perform sedation with propofol effectively, safely and efficiently. To do so, it is essential to provide specific and appropriate...

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Severe cardiorespiratory complications derived from propofol sedation monitored by an endoscopist
237-239
Sergio Maestro Antolín, Bruno Antonio Moreira Da Silva, Fernando Santos Santamarta, Arantza Germade, Laura Pérez Citores, Ana Santamaría, Rocío Bonoso Criado, Rosa Eva Madrigal, Esther Saracibar, Javier Barcenilla Laguna, Francisco Igea Arisqueta, Antonio Germán Pérez-Millán,

Introduction: deep sedation with propofol monitored by an endoscopist in different endoscopy units is a controversial subject and the source of conflicts of interest between the various scientific societies...

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Viability of single balloon enteroscopy performed under endoscopist-directed sedation
240-245
Leopoldo López Rosés, Beatriz Álvarez, Abel González Ramírez, Alina López Baz, Alexia Fernández López, Sara Alonso, Andrés Dacal, Eva Martí, Gino Albines, Julieta Fernández Molina, Ángel Lancho,

Introduction: there is a lot of controversy with regard to who should be responsible for sedation during digestive endoscopy, particularly in advanced procedures that require deep sedation such as enteroscopy....

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Sedation with propofol in digestive endoscopy administered by gastroenterologists. Experience in a Venezuelan hospital
246-249
Ramón E. Ruiz-Curiel, Ydaly Bonilla H., Alberto Baptista, Manuel Bronstein,

Objectives: propofol is a rapid acting hypnotic that is becoming the drug of choice for sedation in digestive endoscopy worldwide. There is some controversy with regard to the use of propofol by physicians...

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Special Article

Endoscopy and sedation: an inseparable binomial for the gastroenterologist
250-252
Javier Crespo, Álvaro Terán,

The development of endoscopy and its increasing demand among the population have led to a growing need for propofol-based sedation techniques. Benefit is indisputable for both patients and endoscopists,...

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Digestive Diseases Image

Cholangitis secondary to afferent loop syndrome from a gastric stump adenocarcinoma
253
Eduardo Valdivielso Cortázar, Javier Redondo Martínez, Gabriela Romay Cousido, Pedro Alonso-Aguirre,

A clinical case of an 85-year-old patient with cholangitis secondary to afferent loop syndrome from gastric stump adenocarinoma. A brief review of the literature on it is made.

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Case Report

Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature
254-256
Pietro Mascagni, Fabio Melandro, Zoe Larghi Laureiro, Gianluca Mennini, Massimo Rossi,

This article is the first description of a spontaneous hepatic rupture in a young bodybuilder with a history of clenbuterol and ephedrine alkaloid use. The patient presented with a sudden mid-epigastric...

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Case Report

Complete splenic embolization for the treatment of refractory ascites after liver transplantation
257-259
Oana Anisa Nutu, Iago Justo Alonso, Alberto Alejandro Marcacuzco Quinto, Jorge Calvo Pulido, Luis Carlos Jiménez Romero,

Refractory ascites is an uncommon complication that may develop postoperatively after liver transplantation. The diagnosis and treatment of this condition is a real challenge. We report two cases of patients...

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Letter to the Editor

Safety of propofol sedation directed by endoscopists: how long should we continue to generate evidence?
260
José Carlos Marín-Gabriel, Pilar Martínez-Montiel,

The administration of propofol by endoscopists is a source of permanent friction with the Societies of Anesthesiology, which is based more on a clear conflict of economic interest on the part of the anesthesiologists...

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Letter to the Editor

Is the education available to anesthetists adequate to provide sedation in endoscopy units?
260-261
Francisco Pérez Roldán,

It is a letter that aims to emphasize the type of sedation that is sometimes used by anesthetists to perform a standard endoscopy and the excessive use of the operating room, which increases the cost of...

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Letter to the Editor

Sedation assisted by an endoscopist (SAE) for complex endoscopic procedures. Is it time to change the current guidelines?
261-262
Pablo Hernán Ocaña,

Currently, sedation in endoscopic procedures is considered a necessary condition and a criterion of quality in digestive endoscopy. The role of SAE in conventional endoscopic procedures is clearly established...

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Letter to the Editor

Patients’ perspective on sedation during upper gastrointestinal endoscopy. Systematic use of sedation or systematic prior information?
262-263
Juan Ángel Ferrer Rosique, Héctor Julián Canaval Zuleta, Guillermo Cacho Acosta,

Although sedation in endoscopy is increasingly used and contributes to the quality of procedures, its role in upper gastrointestinal endoscopy (UGE) is not as well defined as in other procedures. For this...

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Letter to the Editor

Me, the intruder: revisited and rethought
263
Sarbelio Rodríguez Muñoz, Maria Ataz Orihuela, Beatriz Arberas Díez,

I have read Dr. Luzón's article (1) and have shared his opinions for a long time. As I indicated in my letter 13 years ago (2), all of our patients need to receive adequate sedation in endoscopic explorations,...

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Letter to the Editor

Severe obscure gastrointestinal bleeding successfully treated with idarucizumab
264-265
Enrique Rodríguez de Santiago, María Sierra Morales, Javier Martínez González,

Idarucizumab is a monoclonal antibody that rapidly reverses the anticoagulant effect of dabigatran. The experience with this drug in the setting of gastrointestinal bleeding is scarce. We present the case...

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Letter to the Editor

Author´s reply: Cystic pancreatic neuroendocrine tumors. A diagnostic challenge
265
Javier A. Cienfuegos, Luis Hurtado-Pardo, Javier Antoñanzas,

We are grateful for the helpful comments of Varas et al. with regard to the phenotype of cystic pancreatic neuroendocrine tumors (CPNT) reported in a recent meta-analysis of 436 patients. Varas et al....

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Letter to the Editor

Late migration of a metal stent after EUS-drainage of a pancreatic pseudocyst abscess
265-266
Belén Maldonado Pérez, María Fernanda Guerra Veloz, Rafael Romero Castro,

Endoscopic ultrasound (EUS)-guided drainage of pancreatic collections has replaced surgery as the first line of treatment due its accuracy and safety profile. A higher success rate and fewer adverse events...

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Letter to the Editor

A Dieulafoy’s lesion in a duodenal diverticulum. An infrequent cause of UGIB
266-267
Marina de Benito Sanz, Marta Cimavilla Román, Raúl Torres Yuste,

We present the case of an 82-year-old man with a history of heart failure, mitral regurgitation, type 2 DM, hypertension, dilated cardiomyopathy and a paroxysmal atrial flutter. The patient was under treatment...

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Letter to the Editor

Intrathoracic leak after an Ivor Lewis procedure for an esophageal neoplasm treated with a stent
267-268
Natalia Afonso Luis, María Asunción Acosta Mérida, Joaquín Marchena Gómez,

A 75-year-old male who underwent an Ivor Lewis esophagectomy due to a distal adenocarcinoma had a leak at the gastroplasty on the 5th day after surgery, which required two surgeries and a primary suture....

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Letter to the Editor

Portosystemic venous shunt: portocaval fistula in a patient with biliary cirrhosis secondary to a right hepatectomy for hydatidosis
268-269
Marta Isabel Díaz de la Torre, Cristina Suárez Ferrer, Antonio Olveira Martín,

Major intrahepatic venous shunts are rare conditions where a communication between hepatic veins and intrahepatic portal vessels is established. Potential spontaneous development has been proposed in patients...

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The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
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