Early work activities after sedation with propofol in digestive endoscopy.

The benefits of the sedation provided by propofol in digestive endoscopy, either by an endoscopist or an anesthetist, are now undeniable. One of these benefits is a shorter recovery time after endoscopy. Assessment scales are currently available that allow a more efficient discharge from endoscopy units.

Implementation of a hepatology and gastroenterology teleconsultation for our penitentiary center.

The use of telemedicine in penitentiary centers (PCs) is an effective measure to improve quality access to specialized care (secondary prevention) and reduces the inherent costs derived from physical consultations of inmates in hospitals. Regarding the project of our Community Health Service, we enthusiastically began a gastroenterology teleconsultation in our PC at the end of 2020. This modality completes the monthly/on-demand hepatology consultation carried out in this PC since 2015.

Importance of assessing for cannabis use prior to propofol sedation for endoscopy.

Recently, we´ve noticed an increasing in the whole propofol dose in endoscopy in relation to cannabis use. This issue is not described in the current data (technical datasheet). We´re really concern that, unfortunately, it´ll be more and more frequent.

Cellulase, Coca-Cola®, pancreatin and ursodeoxycholic acid in the dissolution of gastric bezoars: why not all together?

Two cases of a chemical dissolution of gastric phytobezoars are presented. The novel approach of that management is the pharmacological mixture than completely made disappear the bezoars in patients fated to surgery removal.

A complication following a biopsy sample in eosinophilic esophagitis.

We present a case of a young 16 year old patient that had an esophageal perforation in the context of eosinophilic esophagitis. The esophagus showed vertical lacerations and mucosal thickness on endoscopy, thus a biopsy was performed in the proximal section which resulted in profuse bleeding due to a deep mucosal tear. A subsequent computed tomography scan revealed a perforation.

Lactose tolerance test shortened to 30 minutes: An exploratory study of its feasibility and impact.

Introduction: Lactose malabsorption (LM) is a very common condition with a high prevalence in our setting. Lactose tolerance test (LTT) is a basic, affordable test for diagnosis that requires no complex technology. It has been recently shown that this test can be shortened to 3 measurements (baseline, 30 min, 60 min) with no impact on final results.

[Diagnostic capability of carcinoembryonic antigen elevation].

Introduction: There is little information on the oncologic diagnostic accuracy of carcinoembryonic antigen (CEA) levels more than 3-fold above normal.

Objetives: To determine the prevalence of underlying cancer in patients with mild CEA elevation and the mean cost per patient of CEA determination.

Methods: A retrospective study was carried out in all patients with CEA elevation (3-10 ng/ml) and suspicion of cancer referred to the gastroenterology or internal medicine outpatient units from 2001 to 2007.

[Adequate rate of response to hepatitis B virus vaccination in patients with inflammatory bowel disease].

Background And Objective: Patients with Inflammatory Bowel Disease (IBD) may have an increased risk of developing hepatitis B virus (HB) infection. Invasive procedures such as colonoscopies and surgery might be some of the reasons for this. Moreover, the use of immunosuppressors may reactivate a latent infection.

[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.

[Diagnostic value of fecal calprotectin in predicting an abnormal colonoscopy].

Background And Objective: Abdominal pain and diarrhoea are common symptoms in the general population. The colonoscopy is the gold standard method of detecting an organic pathology in the colon. However, it is invasive; it can not be repeated frecuently; it is expensive; and the system is overloaded.