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Base de datos :	IBECS
Búsqueda :	"1130-0108" [ISSN]
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Id:	232482
Autor:	Venegas-Gómez, Venny A; Ruiz-Manríquez, Jesús; Falcón-Antonio, Orlando Emmanuel; Zamora-Nava, Luis Eduardo.
Título:	Protein-losing enteropathy secondary to graft-versus-host disease
Fuente:	Rev. esp. enferm. dig;116(4):238-239, 2024. ilus.
Idioma:	en.
doi:	10.17235/reed.2023.9902/2023.
Resumen:	Protein-losing enteropathy is a gastrointestinal complication of Graft versus host disease. The clinical presentation can be similar to that of multiple pathologies and represents a diagnostic challenge for clinicians. We report a 23-year-old man with a history of acute lymphoid leukemia that required allogeneic hematopoietic stem cell transplantation that came to evaluation due to anasarca. We report a 23-year-old man with a history of acute lymphoid leukemia who required allogeneic hematopoietic stem cell transplantation and came to evaluation due to anasarca. (AU)
Descriptores:	enteropatías perdedoras de proteínas enfermedad injerto contra huésped
Límites:	seres humanos masculino adulto joven
Tipo de Publicación:	carta informes de casos
Responsable:	ES15.1 - BNCS

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Id:	232481
Autor:	Díaz Molina, Raúl José; Bosque López, Mariía José; Khorrami Minaei, Sam; Perelló Juan, Antonia; Garrido Durán, Carmen.
Título:	Pseudoachalasia as a paraneoplastic event in a patient with Hodgkin's disease
Fuente:	Rev. esp. enferm. dig;116(4):237-238, 2024. ilus.
Idioma:	en.
doi:	10.17235/reed.2023.9921/2023.
Resumen:	Pseudoachalasia or secondary achalasia (5% of achalasias that are deemed primary achalasias) is an esophageal motor disorder with manometric criteria for achalasia, but it appears in the context of an underlying pathology that can be attributed to its origin. Usually appears in >60 years with rapid evolution of symptoms (<1 year). The main cause of pseudoachalasia is neoformative etiology, but there are others. Our patient started with rapid progression dysphagia and was diagnosed with type II achalasia within a Hodgkin's lymphoma. In the radiological-metabolic studies, disease involvement was ruled out as an extrinsic compression of the esophagogastric junction as well as signs of its activity at this level. Chemotherapy has not been shown to play a role in the development of this pathology. On the other hand, radiotherapy has been associated with an esophageal motor disorder, but, in our case, it was after its onset. Therefore, we propose that the mechanism of pseudoachalasia in our case is a paraneoplastic event. This hypothesis is related to other similar cases reported, and it reflects the importance of continuing to investigate this clinical condition that is indistinguishable by manometry from primary achalasia. In addition, it usually presents differential clinical characteristics whose early recognition has implications for the diagnostic, therapeutic, and prognostic management of the patient. (AU)
Descriptores:	trastornos de la deglución enfermedad de Hodgkin síndromes paraneoplásicos
	-acalasia del esófago dilatación
Límites:	seres humanos masculino persona de mediana edad
Tipo de Publicación:	carta informes de casos
Responsable:	ES15.1 - BNCS

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Id:	232480
Autor:	Gutiérrez Pérez, César; Blanco Abad, Carmen; Hontoria Bautista, Gadea; Saiz López, Patricia; Rodríguez Ledesma, Inmaculada; Espinosa Cabria, Noelia; Ramos Reguera, Irene; López Muñoz, Ana María.
Título:	KRAS mutations in pancreatic cancer: could we talk about a risk factor for the development of thromboembolic phenomena?
Fuente:	Rev. esp. enferm. dig;116(4):236-237, 2024. tab.
Idioma:	en.
doi:	10.17235/reed.2023.9926/2023.
Resumen:	The oncogenic KRAS mutation is associated with increased tissue factor expression and thus hypercoagulability. In this regard, numerous studies published in the last decade have shown that KRAS mutations are an important risk factor for the development of thromboembolic phenomena in neoplasms of the digestive tract, such as colorectal cancer. On the other hand, some recently published studies suggest that KRAS mutations are also associated with an increased risk of developing thromboembolic phenomena in pancreatic cancer. Based on these premises, we have conducted a single-centre retrospective study on a cohort of patients with pancreatic cancer. Our aim is to demonstrate whether there is an association between the presence of KRAS mutations in our cohort of pancreatic cancer patients and an increased risk of developing thromboembolic phenomena. (AU)
Descriptores:	neoplasias pancreáticas/clasificación neoplasias pancreáticas/complicaciones embolia trombosis
	-genómica
Límites:	seres humanos masculino femenino persona de mediana edad anciano
Tipo de Publicación:	carta informes de casos
Responsable:	ES15.1 - BNCS

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Id:	232479
Autor:	Fraile López, Miguel; Terán, Álvaro; Fernández Gil, Pedro Luis; Morís, María; Rodríguez Duque, Juan Carlos; López Arias, Maria Jesús; Crespo, Javier.
Título:	Triangle Tip-Jet Knife used as ôprobe modeö can reduce the risk of mucosal damage during incision and tunneling phase of peroral endoscopic myotomy (POEM) procedures
Fuente:	Rev. esp. enferm. dig;116(4):235-236, 2024. ilus.
Idioma:	en.
doi:	10.17235/reed.2023.9928/2023.
Resumen:	Peroral endoscopic myotomy (POEM) is a minimally invasive endoscopic technique for the treatment of achalasia and its use has been widely spread in recent years. The Triangle Tip-Jet (TTJ) (Olympus Triangle TipKnife-J, KD645L) has become very popular in this field and currently one of the most used knives for POEM procedures. It has the capability of knife dissection along with submucosal injection and its triangle tip shape is especially useful for pulling tissue during the myotomy phase. However, its length may be too long in situations such as tight esophagogastric junction (EGJ), narrow submucosa due to fibrosis, trimming after mucosal incision and/or less experienced endoscopists3 in which preserving the integrity of the mucosa is vitally important. Distal attachment conical caps like ST Hood (DH28GR,29CR; Fujifilm, Tokyo, Japan) are commonly used for POEM, resting the distal end of the TTJ on the cap, with only the triangular tip protruding. By using straight caps, you can get a wider view and greater maneuverability, however is more difficult to calculate the distance between the triangle tip and the distal attachment end due to its straight shape. The T-shape of the distal TTJ tip was designed for its use in an open position. In this way, while using straight caps and/or less experiences endoscopists during challenging procedures (tight EGJ, submucosal fibrosis) can make them feel unsafe during incision and/or tunneling phase. Herein, we suggest the use of the TTJ knife in ôprobe modeö4 to reduce the distal knife length from 4.5 mm to 0.3 mm, thus allowing a greater control of the knife tip. In addition, the TTJ probe mode can be safely used with both contact and non-contact currents, which are becoming increasingly popular in recent years. (AU)
Descriptores:	piloromiotomía/instrumentación membrana mucosa
Límites:	seres humanos
Tipo de Publicación:	carta
Responsable:	ES15.1 - BNCS

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Id:	232478
Autor:	Gutiérrez Pérez, César; Rodríguez Ledesma, Inmaculada; Blanco Abad, Carmen; López Muñoz, Ana María; Chivato Martín-Falquina, Irene; Durán Domínguez, Mercedes; Lastra Aras, Enrique.
Título:	Stage IV perihilar cholangiocarcinoma with loss of expression of MSH2 and MSH6: hereditary cancer syndrome?
Fuente:	Rev. esp. enferm. dig;116(4):234-235, 2024. graf.
Idioma:	en.
doi:	10.17235/reed.2023.9724/2023.
Resumen:	We present the case of a 69-year-old male diagnosed with stage IV perihilar cholangiocarcinoma with loss of expression of MSH2 and MSH6 proteins, but somatic wild type MSH2 and MSH6 genes with Oncomine Comprehensive Assay (OCA) genomic sequencing panel. In his cancer family history, there was a maternal aunt with sigmoid colon adenocarcinoma also missing MSH2 and MSH6 protein expression. Subsequently, we will discuss whether or not we are facing a hereditary cancer syndrome. (AU)
Descriptores:	colangiocarcinoma neoplasias colorrectales hereditarias sin poliposis genómica
Límites:	seres humanos masculino anciano
Tipo de Publicación:	carta informes de casos
Responsable:	ES15.1 - BNCS

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Id:	232477
Autor:	Jin, Youyan; Wei, Wei; Hou, Cong; Liang, Zehong; Wang, Jiali; Zhong, Huang.
Título:	Transient second-degree type 2 atrioventricular block after infliximab infusion in a patient with Crohn's disease and heterozygous familial hypercholesterolemia
Fuente:	Rev. esp. enferm. dig;116(4):233-234, 2024. ilus.
Idioma:	en.
doi:	10.17235/reed.2023.9950/2023.
Resumen:	Current treatments for patients in the active phase of Crohn's disease (CD) include conventional treatments and biological treatments. Infliximab (IFX), a TNF-α antagonist, is recommended to induce remission in patients with moderate-to-severe CD who have not responded to conventional therapy. IFX terminates the inflammatory cascade by inhibiting the nuclear factor-κB (NF-κB), mitogen-activated protein kinase (MAPK), and caspase signaling pathways and increases the apoptosis of activated T cells in inflamed tissues. (AU)
Descriptores:	enfermedad de Crohn/complicaciones hipercolesterolemia familiar/complicaciones bloqueo atrioventricular
	-infliximab arritmias cardíacas
Límites:	seres humanos masculino adolescente
Tipo de Publicación:	carta informes de casos
Responsable:	ES15.1 - BNCS

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Id:	232476
Autor:	Suárez-Saro Fernández, Ana; Muñoz Codoceo, Carolina; Muñoz Gómez, Raquel; Fernández Vázquez, Inmaculada.
Título:	Fulminant hepatitis due to spontaneous reactivation of virus B in an immunocompetent patient
Fuente:	Rev. esp. enferm. dig;116(4):232-233, 2024. tab.
Idioma:	en.
doi:	10.17235/reed.2023.9707/2023.
Resumen:	We present the case of a 52-year-old woman with a history of HBeAg-negative chronic hepatitis B virus (HBV) infection, viral load (VL) Z+<20,000U.l/ml with no evidence of liver fibrosis and, therefore, untreated. She presented to the emergency department with jaundice, epigastric pain, nausea, and vomiting. On admission, blood analysis revealed ALT 3982U/l, AST 3221U/l, Gamma-GT 80U/l, alkaline phosphatase 252U/l, LDH 960U/l, bilirrubin12.5mg/dl; no elevation of acute phase reactants, 141,000 platelets and coagulopathy with a prothrombin activity of 29%. Abdominal ultrasound showed no relevant findings. The serological profile revealed AgHBs+, anti-HBe+ y anti-HBc IgM+ and VL VHB>100 mills. Ul/ml, the remaining serology was negative and other causes of liver disease were ruled out. With the diagnosis of severe acute hepatitis (SAH) due to HBV reactivation (HBVR) treatment with entecavir was initiated. Given the analytical evolution (Table 1) and the appearance of encephalopathy grade I-II/IV, an urgent liver transplant was performed. The histological result of the explant was conclusive with intense interphase and lobular hepatitis with extensive areas of massive necrosis in both lobes, without hepatic fibrosis compatible with fulminant hepatitis (FH). (AU)
Descriptores:	virus de la hepatitis B/crecimiento & desarrollo hepatitis B/complicaciones trasplante de hígado huésped inmunodeprimido
	-/complicaciones INFECCION LATENTE/complicaciones
Límites:	seres humanos femenino persona de mediana edad
Tipo de Publicación:	carta informes de casos
Responsable:	ES15.1 - BNCS

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Id:	232475
Autor:	Guerrero Palma, Estefanía; Hidalgo Blanco, Alba; Benavides de la Fuente, Cristian.
Título:	Diffuse intestinal ganglioneuromatosis. A post mortem diagnosed challenging case
Fuente:	Rev. esp. enferm. dig;116(4):230-231, 2024. ilus.
Idioma:	en.
doi:	10.17235/reed.2023.9660/2023.
Resumen:	Intestinal ganglioneuromatosis (GN) is a benign disease of the autonomic nervous system characterized by hyperplasia of intramural plexuses of the gastrointestinal tract and enteric nerve fibers. Next, we expose an intestinal ganglioneuromatosis case that was difficult to diagnose despite an exhaustive evaluation, for further understanding of the disease. (AU)
Descriptores:	neurofibroma plexiforme/diagnóstico enfermedades intestinales neoplasias/diagnóstico
Límites:	seres humanos masculino anciano
Tipo de Publicación:	carta informes de casos
Responsable:	ES15.1 - BNCS

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Id:	232474
Autor:	Ruiz Rebollo, María Lourdes; Muñoz Moreno, Maria Fe; Piñerúa-Gonsálvez, Jean Félix; Rizzo-Rodríguez, María Antonella.
Título:	Anemia can predict organ failure in acute pancreatitis
Fuente:	Rev. esp. enferm. dig;116(4):229-230, 2024. tab.
Idioma:	en.
doi:	10.17235/reed.2023.9700/2023.
Resumen:	Acute pancreatitis (AP) is the leading hospital admission in Gastroenterology and has a variable clinical course. Identifying severity of AP patients in its early stages is of foremost importance to improve prognosis. The revised Atlanta Classification grades AP severity by the presence of organ failure and local complications. (AU)
Descriptores:	pancreatitis/sangre pancreatitis/diagnóstico anemia
Límites:	seres humanos masculino femenino persona de mediana edad anciano ancianos de 80 o más años
Tipo de Publicación:	carta informes de casos
Responsable:	ES15.1 - BNCS

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Id:	232473
Autor:	López Martínez, Diego; Hermida Pérez, Benito; Santos Seoane, María Sagrario; García González, Paula.
Título:	Bacterial peritonitis secondary to Capnocytophaga canimorsus
Fuente:	Rev. esp. enferm. dig;116(4):228-229, 2024.
Idioma:	en.
doi:	10.17235/reed.2023.9571/2023.
Resumen:	We present the case of a patient with liver cirrhosis and several previous episodes of ascitic decompensation, who was admitted for bacterial peritonitis secondary to Capnocytophaga canimorsus infection. The initial clinical presentation, diagnosis, treatment and resolution are described. This is the first case described of peritonitis caused by this agent in a patient with similar characteristics. (AU)
Descriptores:	infecciones bacterianas peritonitis Capnocytophaga
Límites:	seres humanos masculino anciano
Tipo de Publicación:	carta informes de casos
Responsable:	ES15.1 - BNCS

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