Editorial
Treating Helicobacter pylori infection in the face of growing antibiotic resistance
653-654
Luis Fernández Salazar, Julio Valle Muñoz,
Helicobacter pylori eradication cures most peptic ulcers and non-atrophic chronic gastritis, and may potentially prevent over 70% of gastric cancers.
In the late 1980s, shortly after the discovery of H....
Original
Tailored Helicobacter pylori eradication based on prior intake of macrolide antibiotics allows the use of triple therapy with optimal results in an area with high clarithromycin resistance
655-661
Julio Valle Muñoz, Pablo Muñoz Gómez, Cristian Sierra Bernal, Eva de Andrés, César Gómez Hernando, Rafael Gómez Rodríguez,
Background: the previous intake of macrolide antibiotics is associated with a failure to eradicate Helicobacter pylori (H. pylori) with clarithromycin-containing regimens. However, the standard triple...
Original
Evolution of gastroesophageal reflux after laparoscopic vertical gastrectomy. A radiographic, manometric and pH-metric study
662-666
David Ruiz de Angulo, Pilar Jimeno Griño, María Ángeles Ortiz Escandell, Vicente Munitiz Ruiz, Pedro José Gil Vázquez, Domingo Pérez Flores, Luisa Fernanda Martínez de Haro, Antonio Miguel Hernández, Pascual Parrilla Paricio,
Introduction: the relationship between laparoscopic vertical gastrectomy (LVG) and gastroesophageal reflux (GER) is still controversial. Therefore, its study is of great interest in order to obtain definitive...
Original
Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital
667-671
Victoria Busto Bea, Agustín Caro Patón, Rocío Aller dela Fuente, Manuel González Sagrado, Francisco Javier García-Alonso, Manuel Pérez-Miranda Castillo,
Aim: to describe the management of acute calculous cholecystitis in a tertiary teaching hospital and the outcomes obtained.
Material and methods: a retrospective single tertiary center cohort study.
Results:...
Original
Treatment of a chronic anal fissure with a botulin toxin A injection and fissurectomy
672-676
Alejandro Andicoechea Agorría, José Manuel del Casar Lizcano, Esther Barbón Remis, Jimy Harol Jara Quezada, José Carlos Fernández Fernández, María del Rosario Sánchez Sánchez, Isabel Quintela Baizán, Francisco Vivoso Piñero,
Introduction: pharmacological treatment of a chronic anal fissure (CAF) achieves healing in half of cases and lateral internal sphincterotomy (LIS) is the definite treatment. The objective of this study...
Original
The Urgent Surgery Elderly Mortality risk score: a simple mortality score
677-682
Inés Eguaras Córdoba, Javier Herrera Cabezón, Pablo Sánchez Acedo, Arkaitz Galbete Jiménez, Francisco Guillén Grima,
Introduction: an increasing number of elderly patients undergo urgent abdominal surgery and this population has a higher risk of mortality. The main objective of the study was to identify mortality-associated...
Original
Endoscopic biliary drainage in unresectable biliary obstruction: the role of endoscopic ultrasound-guidance in a cohort study
683-689
Manuel Puga, Natàlia Pallarès, Julio Velásquez-Rodríguez, Albert García-Sumalla, Claudia F. Consiglieri, Juli Busquets, Berta Laquente, Mariona Calvo, Joan Fabregat, José Castellote, Joan B. Gornals,
Background and study aims: the use of endoscopic ultrasound-guided biliary drainage (EUS-BD) has increased in cases of failed endoscopic retrograde cholangiopancreatography (ERCP) and there are some concerns....
Original
The role of endoscopic retrograde cholangiopancreatography in the management of iatrogenic bile duct injury after cholecystectomy
690-695
Marina Garcés-Albir, Rosa Martí-Fernández, Guillermo Martínez-Fernández, Andrés Peña-Aldea, Elena Muñoz-Forner, Vicente Sanchiz-Soler, Dimitri Dorcaratto, Consuelo Gálvez-Castillo, José Martín-Arévalo, Luis Sabater, Joaquín Ortega,
Introduction: iatrogenic bile duct injury (IBDI) is a complication with a high morbidity after cholecystectomy. In recent years, endoscopy has acquired a fundamental role in the management of this pathology.
Methods:...
Original
Small bowel transit time of capsule endoscopy as a factor for the detection of lesions in potential small bowel bleeding
696-698
Gerardo Blanco Velasco, Marcela Pérez Rodríguez, Nelson Eduardo Álvarez Licona,
Background: the relationship between small bowel transit time (SBTT) of the capsule endoscopy (CE) and the diagnosis of small bowel bleeding (SBB) is controversial.
Objective: to evaluate the relationship...
Special Article
Quality indicators in gastroscopy. Gastroscopy procedure
699-709
Shirley Pérez Romero, Fernando Alberca de las Parras, Antonio Sánchez del Río, Julio López-Picazo, Javier Júdez Gutiérrez, Joaquín León Molina,
Within the project “Quality indicators in digestive endoscopy”, pioneered by the Spanish Society for Digestive Diseases (SEPD), the objective of this research is to suggest the structure, process, and...
Digestive Diseases Image
Submucosal tunneling endoscopic resection for an unusually sized esophageal submucosal tumor protruding into the mediastinum
710-711
Shi-Lan Zhang, Xiao Du, Xiao-Yu Tang, Deliang Liu,
A 50-year-old female came to our hospital with a 6-month history of upper abdominal discomfort. An upper endoscopy detected a protruding lesion that measured 3.0×2.0 cm at around 35-38 cm from the incisors...
Digestive Diseases Image
A rare heterotopic gastric mucosa appearing between the muscularis mucosae and submucosa
712-713
Haihua Wang, Yuyong Tan, Deliang Liu,
To the best of our knowledge, this is the first report of ectopic gastric mucosa appearing between muscularis mucosae and submucosa, at esophagogastric junction. Currently there are two theories explaining...
Case Report
Appreciation of the treatment in adult patients with congenital portosystemic connections in relation with their symptoms
714-716
Ramón Gómez Contreras, Amalia Talens Ferrando, Juan Carlos Bernal Sprekelsen, Francisco Javier Landete Molina, Cristóbal Zaragoza Fernández,
Background: portosystemic intrahepatic venous connections (Abernethy syndrome) are rare anatomical variants, which are classified according to the type of union between the portal venous circulation and...
Case Report
Incisional endoscopic therapy as a therapeutic alternative in esophageal anastomotic strictures refractory to conventional treatment
717-719
Esther Merino Gallego, Eva Martínez Amate, Francisco Javier Gallego Rojo,
Esophageal anastomotic strictures are a non-negligible cause of benign strictures and secondary dysphagia. It should be noted that these are often complex strictures, with a large ischemic-fibrotic component....
Research letter
The onset of ulcerative colitis during treatment with secukinumab: can anti-IL-17A be a trigger for inflammatory bowel disease?
720-721
Rafael Rodríguez Moncada, Juan María Vázquez Morón, Héctor Pallarés Manrique,
In recent months, cases of IBD have been reported in the context of treatment with secukinumab, a monoclonal antibody that blocks IL-17A and which is used in the treatment of certain rheumatic disorders....
Research letter
Intravenous ustekinumab reinduction as a Crohn’s disease rescue strategy following a secondary non-response
721
Juan María Vázquez Morón, Rafael Rodríguez Moncada, Héctor Pallarés Manrique,
Secondary non-response to biological treatments tends to occur in a high number of patients who undergo treatment with antiTNF, and it has also been observed in patients treated with vedolizumab or ustekinumab....
Research letter
Post-ERCP hepatic subcapsular hematoma, from conservative therapy to emergency surgery: an unusual though extremely serious complication
721-723
Javier Ismael Roldán Villavicenci, Mikel Prieto Calvo, Mikel Gastaca Mateo,
Based on two clinical cases that developed subcapsular hematoma after ERCP procedure and resolved each one differently (conservative management and surgery, respectively) we have made a brief review of...
Research letter
Bleeding from gallbladder varices in a patient with an unknown liver cirrhosis. An exceptional entity
723-724
Cristina San Juan López, Marta Lázaro Sáez, Álvaro Hernández Martínez, José López González, José Luis Vega Sáenz,
Liver cirrhosis is a disease related to numerous severe complications such as portal hypertension or collateral circulation. Varices that are located outside the gastroesophageal region (ectopic varices)...
Research letter
A non-degraded biodegradable stent in the closure of a defunctionalized rectovaginal fistula
724
Felipe Martínez-Alcalá Garcia, Álvaro Martínez-Alcalá García, Felipe Martínez Alcalá,
The case was a 52-year-old female with a rectovaginal fistula secondary to a rectosigmoid resection with low colorectal anastomosis due to adenocarcinoma. The fistula persisted after surgical reintervention...
Research letter
Acute esophageal necrosis in association with acute cholecystitis
724-725
Emanuel Dias, Neuza Soares, Guilherme Macedo,
We report a unique case of acute esophageal necrosis in association with perforated acute cholecystitis and secondary Klebsiella pneumoniae bacteremia. An 83-year-old male with history of diabetes mellitus,...