Endoscopic findings unrelated to portal hypertension in patients with liver cirrhosis undergoing a varicose vein screening programme.

Aim: To determine the prevalence of endoscopic lesions unrelated with portal hypertension in patients with cirrhosis.

Patients And Methods: Cross-sectional study including a consecutive cohort of patients with liver cirrhosis enrolled in a screening program of oesophageal varices who underwent an upper gastrointestinal endoscopy from November, 2013, to November, 2018. Clinical predictors of endoscopic lesions unrelated to portal hypertension were analyzed by univariate and multivariate logistic regression.

[Jugular vein perforation by a peripherally inserted central catheter].

Peripherally inserted central catheters (PICC) are increasingly used in patients who require intravenous access for a long time. We present a 53-year-old male patient with an advanced distal esophageal cancer who suffered a potentially serious mechanical complication after insertion of a PICC.

[Prevalence and characteristics of anemia and iron deficiency in patients hospitalized for gastrointestinal diseases in Spain].

Objective: To determine the prevalence and characteristics of anemia and iron deficiency in patients hospitalized for gastrointestinal diseases.

Methods: An epidemiological, multicenter, mixed design study (retrospective review of randomized clinical records and prospective visits) conducted between February 2010 and March 2011 in 22 Spanish gastroenterology departments. Severe anemia was defined as Hb < 10g/dL, mild/moderate as Hb ≥ 10g/dL, and iron deficiency as ferritin < 30ng/ml or transferrin saturation < 16%.

[Early evaluation of anaemia in patients with acute gastrointestinal bleeding: venous blood gas analysis compared to conventional laboratory].

Background And Objective: Evaluation of patients with acute gastrointestinal bleeding (AGB) requires early clinical evaluation and analysis. The aim of this study is to evaluate early concordance of hemoglobin (Hb) and hematocrit (HTC) levels determined by conventional venous blood gas analysis (VBG) and by conventional Laboratory in Emergencies (LAB).

Patients And Methods: Observational and prospective study of patients admitted in the Gastrointestinal Haemorrhage Unit with both high and low AGB.

[Current management of nonvariceal upper gastrointestinal bleeding in Spain].

Background: Mortality related to nonvariceal upper gastrointestinal bleeding (NVUGIB) has not changed. More information is needed to improve the management of this entity. The aims of this study were: a) to determine the characteristics of bleeding episodes, b) to describe the clinical approaches routinely used in NVUGIB, and c) to identify adverse outcomes related to endoscopic or medical treatments in Spain.

[Esophageal perforation following a biopsy in a patient with eosinophilic esophagitis].

Eosinophilic esophagitis is an underdiagnosed disease that should be suspected in all patients with dysphagia and food impaction. Although these are the leading symptoms, the clinical and endoscopic spectrum is highly varied. Clinicians should be aware of the risk of endoscopy-related complications in this disorder.

Does fecal calprotectin predict relapse in patients with Crohn's disease and ulcerative colitis?

Background And Aims: An evaluation is made of the utility of fecal calprotectin in predicting relapse in patients with inflammatory bowel disease (IBD). The possible differences in its predictive capacity in Crohn's disease (CD) versus ulcerative colitis (UC), and the different phenotypes, are also examined.

Methods: This is a prospective study with 135 patients diagnosed with IBD in clinical remission for at least 3 months.

[Fulminant ischemic gastropathy: the final stage of a difficult-to-diagnose disease].

Ischemic gastropathy is highly infrequent in daily medical practice. In the last few years, the number of reported cases has increased. Although the guiding symptom is usually abdominal pain, the clinical spectrum of the disease is highly variable.

[Bleeding from gastric varices as the initial manifestation of primary pancreatic lymphoma].

In patients with pancreatic cancer, the most frequent symptoms are abdominal pain, weight loss and jaundice. Upper gastrointestinal bleeding produced by gastric varices is a rare entity in these patients and requires the presence of splenic vein thrombosis (SVT) to be excluded. We describe the case of a young man who presented to the emergency department with hematemesis.

[Usefulness of ultrathin transnasal endoscopy for the placement of nasoenteric feeding tubes].

Background: Placement of nasoenteral feeding tubes can require endoscopic support.

Aim: To analyze the usefulness of transnasal ultrathin endoscopy in the placement of nasoenteral feeding tubes.

Patients And Methods: We performed an ambispective study of all patients who underwent nasoenteral feeding (4.

[Endoscopic retrograde cholangiopancreatography in patients aged less than 18 years old: our experience].

Background: There is scant information on the use of endoscopic retrograde cholangiopancreatography (ERCP) in patients under 18.

Objective: To analyze our experience in all patients under 18 who underwent ERCP.

Patients And Methods: We performed a retrospective study of all ERCP conducted in patients under 18 between 1993 and 2006.

[An atypical case of massive gastrointestinal hemorrhage].

Gastrointestinal stromal tumors (GIST) are an infrequent cause (<1%) of severe gastrointestinal hemorrhage. Treatment is mainly surgical through complete tumoral resection. We report the case of a 29-year-old woman who presented to the emergency room with severe gastrointestinal bleeding manifested by melena.

Isolated oesophageal involvement of Crohn's disease.

A 31-year-old male was admitted with complaints of dysphagia and odynophagia. An upper gastrointestinal tract series revealed inflammatory changes in the mid and distal oesophagus with intramural extravasation of the barium. An upper endoscopy showed multiple ulcerations and inflammation.