Year 2025 / Volume 117 / Number 6

Editorial
299-302
DOI: 10.17235/reed.2025.11081/2024
Julio Mayol, Marcos Gámez Alastuey, Rocío Anula Fernández,
Over the last decade, technological advances in deep learning (artificial neural networks, big data and computing power) have made it possible to build digital solutions that imitate human cognitive processes...
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Original
303-312
DOI: 10.17235/reed.2024.10882/2024
Jing Qin, Bixia Chen, Yan-Hui Sun, Xiao-Xiao Wang, Cong Wu, Caihua Zhang,
Background: previous studies have demonstrated that the Prognostic Nutritional Index (PNI) can predict the prognosis of gastric cancer (GC) patients. However, few studies have focused on the auxiliary...
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Original
313-318
DOI: 10.17235/reed.2024.10940/2024
Mónica Ayude Galego, Luisa de Castro Parga, Vicent Hernández Ramírez, José Ignacio Rodríguez Prada, Antonio Rodríguez D´Jesús,
Background: the absence of proper ergonomics in digestive endoscopy, combined with an increasing workload, has contributed to a growing incidence of musculoskeletal complaints among endoscopists. This...
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Original
319-326
DOI: 10.17235/reed.2025.10615/2024
Constanza Ciriza de los Ríos, Laura Gil Remezal, Francisco Javier Molano Nogueira, Laura García Pravia, Andrés Sánchez Pernaute, Enrique Rey,
Background and aim: laparoscopic Nissen fundoplication (LNF) is the gold standard of antireflux surgery. Up to 30 % of patients experience symptoms after surgery, with insufficient information available....
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Original
327-335
DOI: 10.17235/reed.2024.10527/2024
Yesheng Huang, Xiayang Lu, Yu Wang, Yichuan Zhang, Meini Cen,
Background: atrophic gastritis has a high risk of progressing to gastric cancer. Screening early gastric cancer and predicting the risk of atrophic gastritis developing into gastric cancer could improve...
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Digestive Diseases Image
336-337
DOI: 10.17235/reed.2023.9819/2023
Arthur Becker Simões, Leonardo Hekman D'Avila, Cristiano Köhler Silva, Dirceu Felipe Valentini Jr,
Pancreatic pseudocysts are mostly located in the peripancreatic region, but extra-abdominal intrathoracic extensions can occur and mimic respiratory and ischemic symptoms. Mediastinal location is an example...
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Digestive Diseases Image
338-339
DOI: 10.17235/reed.2023.9955/2023
Carmen Amor Costa, Joaquín Fisac Vázquez, María Dolores Martín-Arranz,
A 49-year-old man with a history of human immunodeficiency virus (HIV) infection, in a state of advanced immunosuppression and current antiretroviral therapy initiation. He was admitted to the hematology...
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Digestive Diseases Image
340-341
DOI: 10.17235/reed.2023.9984/2023
Álvaro Yagüe Parada, Silvana Nora Scaletti Cárdenas, Paula Vázquez de Parga Coca, Marina Castellanos González,
We present the case of a 75-year-old female patient who was referred to gastroenterology consultation due to vitamin B12 deficiency. Anti-parietal cell and anti-intrinsic factor antibodies were positive....
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Letter
342-343
DOI: 10.17235/reed.2024.10405/2024
Kazuhiro Furukawa, Masahiro Oda, Osamu Watanabe, Masanao Nakamura, Takeshi Yamamura, Keiko Maeda, Kensaku Mori, Hiroki Kawashima,
Since even subtle mucosal changes may be depicted using virtual endoscopy created by the three-dimensional reconstruction of MDCT images, we developed a novel diagnostic imaging system that integrates...
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Letter
343-344
DOI: 10.17235/reed.2024.10390/2024
Tânia Carvalho, Andreia Guimarães, Tiago Leal, Aníbal Ferreira, Bruno Moreira Gonçalves,
Intraductal radiofrequency ablation (RFA) has been used in the management of malignant biliary obstruction and ampullary neoplasms. Some small studies refer to its role in managing benign biliary strictures...
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Letter
344-345
DOI: 10.17235/reed.2023.10044/2023
Sergio Díaz Prados, Antonio Jesús Láinez Ramos-Bossini, Eduardo Ruiz Carazo,
We have carefully read the interesting article recently published in your journal about a giant sigmoid diverticulum. In our institution we have diagnosed two similar cases and we would like to contribute...
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Letter
345-346
DOI: 10.17235/reed.2024.10532/2024
Alberto Pérez Ramírez, Ignacio López Bueno, José Manuel Sousa Martín,
We report the case of a 58-year-old male patient presenting with clinical and laboratory findings indicative of acute hepatitis. Abdominal ultrasound excluded biliary tract abnormalities. Two weeks prior,...
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Letter
346-347
DOI: 10.17235/reed.2024.10507/2024
Marta Fernández Carrasco, Sara Sánchez Moreno, Eva Iglesias Asenjo,
Gastrointestinal metastases of urothelial tumors are rare, implying an advanced stage of the disease and a poor prognosis. We report the case of a patient with a history of urothelial carcinoma in remission...
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Letter
347-348
DOI: 10.17235/reed.2024.10567/2024
Daniel Muíño Domínguez, Noelia Rodríguez Ferreiro, María Helena González Sánchez, Marta García Calonge, Jacobo Martín Sanz, José Eduardo Villela Ramírez, Miriam Rubiera, Lorena Carballo Folgoso,
Acute pancreatitis is a common condition in Gastroenterology. Among its possible etiologies are ampullary tumors, rare neoplasms whose growth can hinder pancreatic drainage. Although they are usually epithelial,...
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Letter
348-349
DOI: 10.17235/reed.2024.10581/2024
Daniel Alvarenga Fernandes, Carlos Eduardo Garcez Teixeira, Laise Silveira Rodrigues, Felipe Montevechi Luz, Mariângela Ribeiro Resende, Elaine Cristina de Ataíde, Ilka de Fátima Ferreira Santana Boin, Fabiano Reis,
Abdominal tuberculosis (TB), a potential differential diagnosis for acute and chronic abdomen, should be considered in specific situations, such as immunosuppressant or biological drug use, HIV, or in...
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Letter
349-350
DOI: 10.17235/reed.2024.10417/2024
Salvador Machlab Mashlab, Eva Martínez-Bauer, Pilar López, María del Mar Pujals, Fernando Fernández-Bañares, Anna Selva, Xavier Calvet, Rafel Campo,
Aim: To compare the impact of an unrestricted diet with a 3-day low-residue diet before colonoscopy on bowel preparation quality. Methods: A randomized, multicenter, researcher-blinded, parallel-group...
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Letter
350-351
DOI: 10.17235/reed.2024.10336/2024
Flor M. Fernández-Gordón Sánchez, Celia Gómez Labrador, Luis Wong Becerra, Bairon Alfoso Paz Fernández, Ana Patricia Martínez Aguilar, Carlos Castaño-Milla,
Microscopic colitis is a form of chronic and recurrent inflammatory bowel disease characterized by non-bloody, watery diarrhea, macroscopically normal colonic mucosa, and characteristic histopathological...
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Letter
351-352
DOI: 10.17235/reed.2024.10449/2024
Luís Relvas, Francisco Velasco, Sónia Barros, Isabel Carvalho, Margarida Portugal, Paulo Caldeira, Bruno Peixe,
Capsule endoscopy (CE) is considered the first-line for the investigation of OGIB after conventional non-diagnostic endoscopic examinations. A detection rate of lesions outside the small bowel segment...
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Letter
352-353
DOI: 10.17235/reed.2024.10424/2024
María de Armas Conde, Carmen Díaz-López, Vanessa Concepción-Martín, María del Pilar Borque-Barrera,
Background and study aims: Upper gastrointestinal tract (UGT) leaks are associated with severe morbidity and mortality. Endoluminal vacuum (EVAC) therapy is a promising approach for repairing effectively...
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Letter
353-355
DOI: 10.17235/reed.2024.10431/2024
Carolina González Abós, Emmanuel Martínez Escalante, Francisco Salgado Muñoz, Homero Charles Cantú, Deisy Navarrete Espinosa, Filippo Landi, Belén Martínez-Mifsud, Anna Baiges, Fabio Ausania,
The complication rate for Pancreaticoduodenectomy (PD) is 40-50% in most published series and mortality can raise up to 4-5% even in high-volume centers. Severe portal hypertension secondary to liver disease...
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Letter
355-356
DOI: 10.17235/reed.2025.11141/2025
Manuel Nevado Santos, Paula Nevado Álvarez,
This letter discusses the shift from large proprietary AI models to smaller, specialized language models in healthcare. With advancements in fine-tuning techniques, such models can be adapted using affordable...
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Letter
356-357
DOI: 10.17235/reed.2024.10310/2024
María del Carmen García Gavilán, Teresa Pereda Salguero, Susana López Ortega, Carlos Romero Gómez,
33-year-old woman, previously hospitalized for self-limited migratory bile duct strictures, presented with jaundice three months after giving birth. Blood analysis revealed elevated levels of aspartate...
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Letter
357-358
DOI: 10.17235/reed.2025.11224/2025
Julio Mayol, Marcos Gámez Alastuey, Rocío Anula Fernández,
There are potential advantages of domain-specific solutions, built by fine-tuning pretrained LLMs with healthcare data, but this approach has certain drawbacks: privacy, biases and accuracy.
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Letter
358-359
DOI: 10.17235/reed.2024.10793/2024
Brunna Teixeira Seffrin, Arthur Becker Simões, Leonardo Hekman D'Avila, Henrique Gus,
A 19-year-old previously healthy patient presented with severe abdominal pain. A contrast-enhanced CT scan identified ileal obstruction and lower left lung lobe changes suggestive of an inflammatory process....
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Letter
359-360
DOI: 10.17235/reed.2024.10822/2024
Marta Fernández Carrasco, Alejandro Rodríguez Mateu, Olga Sánchez García,
The differential diagnosis between Crohn’s disease (CD) and intestinal tuberculosis (ITB) continues to pose a diagnostic challenge, as clinical presentation can be indistinguishable, as well as findings...
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Letter
360-361
DOI: 10.17235/reed.2025.11309/2025
Pilar Esteban, Carolina Malagelada,
Clinical nutrition has become a fundamental, cross-disciplinary therapeutic tool in the management of numerous digestive diseases. However, despite its recognized importance, training in this area during...
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