Editorial
Endoscopic closure systems for perforations, fistulas, and leaks. In expert hands or in all endoscopy units?
335-337
Alberto Álvarez Delgado,
Improvement and innovation have been ongoing in gastrointestinal (GI) endoscopy for the last few years, including highly maneuverable endoscopes, high-definition visualization, digital chromoendoscopy,...
Original
Conventional clips vs over-the-scope-clips for the closure of the entry site in POEM and G-POEM procedures
338-342
Óscar Víctor Hernández Mondragón, Raúl Gutiérrez-Aguilar, Luis Fernando García Contreras, Raquel Palos-Cuéllar, Gerardo Blanco Velasco, Zuhy Arlette Monroy Teniza,
Background: new alternatives for entry site closure (ESC) in per-oral endoscopy myotomy (POEM) and gastric peroral endoscopy myotomy (G-POEM) have appeared.
Objective: to compare the over-the-scope-clip...
Original
National survey on the experiences of people with celiac disease in Spain. The CELIAC-SPAIN project
343-354
Francesc Casellas Jordá, Federico Argüelles Arias, Rosa Burgos, María van der Hofstadt Rovira,
Introduction: coeliac disease (CD) is well known, but not so its impact on the patient's life.
Objective: to determine the impact of CD in the life of celiac patients on different aspects such as diagnosis,...
Original
Endoscopic ultrasound-guided fine-needle aspiration for splenomegaly and focal splenic lesion: is it safe, effective and necessary?
355-359
Gabriel Mosquera-Klinger, Carlos de la Serna Higuera, Sergio Bazaga, Francisco Javier García-Alonso, Ramón Sánchez Ocaña, Beatriz Antolín Melero, Marina de Benito Sanz, Beatriz Madrigal, Ángeles Torres, Manuel Pérez-Miranda,
Introduction: splenomegaly and/or focal splenic lesions (FSL) have limited histopathologic studies due to the risk posed by splenic punctures. Percutaneous biopsies with a fine needle are difficult, especially...
Original
Usefulness of therapeutic drug monitoring of infliximab during the induction period in patients with inflammatory bowel disease
360-366
Mayte Gil Candel, Juan José Gascón Cánovas, Elena Urbieta Sanz, Rosa Gómez Espín, Isabel Nicolás de Prado, Carles Iniesta Navalón,
Introduction: previous studies have shown that higher infliximab trough levels are associated with favorable short-term and long-term therapeutic outcomes in inflammatory bowel disease. There is a need...
Original
Random biopsies in patients harboring a CDH1 mutation: time to change the approach?
367-372
Rui Castro, João Lobo, Inês Pita, Flávio Videira, Luís Pedro-Afonso, Mário Dinis-Ribeiro, Catarina Brandão,
Introduction and aim: hereditary diffuse gastric cancer (HDGC) can be caused by a CDH1 mutation. It often presents as multiple foci of signet ring cell carcinoma (SRCC) that is rarely detected by gastroscopy....
Original
Factors associated with the presence of abnormal levels of fecal calprotectin in patients with negative panenteric studies
373-379
Juan Egea Valenzuela, Elena Iglesias Jorquera, Francisco Javier Álvarez-Higueras, María Muñoz Tornero, Ana Pereñíguez López, Esther Estrella Díez, Fernando Alberca de las Parras,
Background: fecal calprotectin is a selection tool prior to endoscopic studies in patients with gastrointestinal symptoms. However, some symptomatic patients with altered fecal calprotectin will not have...
Original
Diagnostic and therapeutic approach to pancreatitis in children and adolescents in Latin America
380-382
Carmen A. Sánchez-Ramírez, Leticia Abundis-Castro, Alfredo Larrosa-Haro, Armando Madrazo de la Garza, Marta Wagener, Hilda Lande,
Objective: to present the results of a survey applied to Latin American pediatric gastroenterologists (PGs) to learn how they perform the diagnostic and therapeutic approach to pancreatitis.
Material...
Rapid reviews
COVID-19, coronavirus, SARS-CoV-2 and the small bowel
383-388
Klaus Mönkemüller, Lucia Fry, Steffen Rickes,
Although SARS-CoV-2 may primarily enter the cells of the lungs, the small bowel may also be an important entry or interaction site, as the enterocytes are rich in angiotensin converting enzyme (ACE)-2...
Review
COVID-19 and the digestive system: protection and management during the SARS-CoV-2 pandemic
389-396
Javier Crespo, Julio Iglesias-García, Joaquin E. Hinojosa del Val, Federico García García, Ángel Gil de Miguel, Carlos Fernández Carrillo, Javier Ampuero, Enrique Pérez-Cuadrado Martínez,
The purpose of this rapid review is to provide an update on the impact of SARS-CoV-2 infection on Gastroenterology and Hepatology departments, our patients, and our new way of working. The gastrointestinal...
Special Article
Resumption of activity in gastroenterology departments. Recommendations by SEPD, AEEH, GETECCU and AEG
397-411
Javier Crespo, Raúl Andrade, Fernando Alberca de las Parras, Francesc Balaguer, Manuel Barreiro-de Acosta, Luís Bujanda, Ana Gutiérrez, Francisco Jorquera, Julio Iglesias-García, Andrés Sánchez-Yagüe, José Luis Calleja,
The set of measures proposed by SEPD, AEEH, GETECCU and AEG are aimed to help departments in their resumption of usual activity. We have prepared a number of practical recommendations regarding patient...
Digestive Diseases Image
Concurrent hepatic and renal angiomyolipomas in tuberous sclerosis complex
412-413
Beatriz Burgueño Gómez, Mayra Lindo Ricce, Natalia Mora Cuadrado, Concepción González de Frutos,
Tuberous sclerosis complex (TSC) is a rare disease which is characterized by widespread of a variety of benign tumors in multiple organs. Renal angiomyolipomas (AMLs) are the primary cause of morbidity...
Digestive Diseases Image
An unusual endoscopic presentation of diffuse duodenal gastric heterotopia
414-415
Sandra María Gómez Espejo, Francisco Fernández Pérez, Pilar Gutiérrez Hernández, Teresa Pereda Salgado,
We present the case of a 30-year-old female patient with Gilbert's syndrome and gastrointestinal intolerance to proton pump inhibitors (PPI) with longstanding epigastric pain. Laboratory tests were unremarkable,...
Digestive Diseases Image
Gastrointestinal bleeding due to a primary aortoenteric fistula
416-417
Yolanda Núñez Delgado, Laura Díaz Rubio, Ana Milena Muñoz,
We present the case of a 80 years-old male patient who underwent a CT angiogram due to hematemesis and hypovolemic shock. An upper gastrointestinal endoscopy revealed a large clot that closed the antrum...
Research letter
Ultrasound findings in an abdominal crisis of a patient with hereditary angioedema
418
Joaquín Poza Cordón, Pedro de María Pallarés, Teresa Caballero Molina,
ereditary Angioedema (HAE) is a rare autosomal-dominant disease caused by serum C1 inhibitor deficiency. This deficiency leads to an up-regulation of complement, activating the bradykinin pathway and causing...
Research letter
Transverse myelitis associated with Crohn's disease: an exceptional case, idiopathic or secondary?
418-419
Guillermo Castillo López, Mercedes Lumbreras Cabrera,
Transverse myelitis (TM) is a serious inflammatory disorder of the spinal cord. The annual incidence is 1 to 5 cases per million people. It produces sensory, motor and autonomic symptoms. Once metabolic...
Research letter
An uncommon cause of chronic abdominal pain and diarrhea
419-420
Esteban A. Fuentes Valenzuela, Elda Oyarzún Bahamonde, Henar Núñez Rodríguez,
The intestinal spirochaetosis is defined as the presence of spirochetes on the colonic surface. We present the case of a 57-years-old male, with a history of 4-5 months of diffuse abdominal pain, watery...
Research letter
Esophageal perforation after dilation due to a peptic stricture that concealed esophageal cancer
420-421
Natalia Afonso Luis, M.ª Asunción Acosta Mérida, José Silvestre Rodríguez,
The management and prognosis of benign esophageal strictures differ from those of malignant strictures. Distinguishing between the two entities may occasionally be challenging, despite endoscopy and biopsies....
Research letter
Todani type VI bile duct cyst: cystic duct malformation as an uncommon cause of abdominal pain
421-422
Eduardo Junquera Alonso, Lucía Seoane Blanco, Edisa María Armesto González,
We report the case of a 62-year-old woman who was admitted for epigastralgia and oral intolerance for 15 days, associating cholestasis in blood tests. A magnetic resonance cholangiography (MRC) revealed...
Research letter
Wernicke's encephalopathy in a patient with late-onset enterocolic fistula after bariatric surgery
422
Lucía Seoane Blanco, Carlos Andrés Vargas González, Eduardo Junquera Alonso,
Wernicke´s encephalopathy (WE) is an acute neurologic disorder secondary to thiamine deficiency. We report the case of a patient with history of bariatric surgery who develops a late-onset enterocolic...
Research letter
Management of gastrocutaneous fistulas following gastrostomy: surgery as a therapeutic option
423
Rocío Pérez Quintero, Adriana Ruano Campos, Pablo Talavera Eguizábal,
Gastrocutaneous fistulas (GCF) following removal of gastrostomy tubes are an uncommon complication with many therapeutic options. It is a drawback that concerns both patient and surgeon, hindering the...
Research letter
Megacolon with infectious etiology that is infrequent in our country: Chagas disease
423-424
María del Mar Díaz Alcázar, Beatriz Zúñiga de Mora Figueroa, Adelina García Robles,
We present the case of a 37-year-old male with constipation refractory to medical treatment, in the context of megacolon due to Chagas disease. The entire gastrointestinal tract may be affected but the...