Abstract Background Skin testing‐guided elimination diet has proved unsuccessful for adult eosinophilic oesophagitis ( E o ), whereas empiric six‐food SFED ) achieves an efficacy of 70%. Objective To compare the food‐specific serum I g ‐targeted sIgE ‐ ED and . Methods Prospective study in patients with Food‐specific , skin prick test SPT atopy patch APT to foods included were performed. Those ≥1 positive IgE test, defined by ≥0.1 kU/l, followed a 6‐week non‐IgE‐sensitized underwent SFED....

Summary Background Conflicting results have been recently reported for the accuracy of Endoscopic Reference Score ( EREFS ), an standardised endoscopic classification, to predict histological activity eosinophilic oesophagitis (EoE). Aim To evaluate either or clinical EoE. Methods Prospective multicentre study conducted in eight Spanish centres evaluating adult EoE patients, naïve after treatment. Symptoms were evaluated before upper endoscopy through Dysphagia Symptom Score, whereas...

There is a growing concern about ensuring quality in patient care, particularly high-risk procedures such as Endoscopic Retrograde Cholangiopancreatography (ERCP). We present the results of evaluation our performance ERCP based on measures proposed by European Society Gastrointestinal Endoscopy (ESGE) 2018. This study aims to serve an internal audit and first its kind center.

underwater endoscopic mucosal resection (U-EMR) has been recently described as an alternative to (EMR) for flat colorectal polyps. However, the real applications remain unclear due lack of comparative studies.a multi-centric prospective study was performed from November 2016 December 2017. All lesions larger than 15 mm that were resected with both techniques included in study. The samples matched using size, morphology, site and access (SMSA) score a reference. efficacy, efficiency adverse...

Contents Unilateral enlargement of left testicle and scrotum was detected in an 8‐year‐old West Highland White Terrier. The histopathological diagnosis after surgery a seminoma (SEM) tumour, metastatic foci also vaginal tunic scrotum. Two months later, new SEM the skin were diagnosed. Twenty‐two initial orchiectomy multiple cutaneous nodules swelling periesophageal structures observed. Finally, necropsy revealed malignant focus. To author’s knowledge, this is first description canine with...

Eosinophilic oesophagitis (EoE) is characterized by the presence of eosinophils in oesophageal mucosa. Other inflammatory cells, mainly lymphocytes, dendritic and mast cells may also play an important role this disease. The aim study to compare pattern mucosa between EoE gastro-oesophageal reflux disease (GERD), using automatic image analysis digital slides, assess treatment response after elimination diet food challenge test.From 2010 2013, 35 biopsies from GERD patients were randomly...

Primary: to assess the necessity of a second endoscopy with pathology study confirm healing all gastric ulcers previously diagnosed through in population at intermediate risk for cancer. Secondary: correlation between endoscopic findings and diagnosis.a prospective analysis patients ulcer Hospital General de Ciudad Real (Spain) over three years. We collected demographic, clinical, endoscopic, pathological data first subsequent endoscopies. least six biopsies obtained from margins, assessed...

INTRODUCTION: The aim of this study was to compare the effectiveness glucagon vs placebo in resolving esophageal foreign body impaction (EFBI), as well length procedure and adverse events. METHODS: This a multicenter, randomized, double-blind trial involving consecutive patients diagnosed with alimentary EFBI. Participants were randomized receive either 1 mg intravenous or placebo. All underwent upper endoscopy, events assessed through protocolized telephonic interview 7 days later. RESULTS:...

to identify predictive factors of response pegylated interferon alpha-2b and ribavirin in patients with genotype 1 chronic hepatitis C. Viral kinetics were studied weeks 2 4.a prospective consecutive study C referred our Hepatology Clinic between January 2004 October 2006 for antiviral treatment. Baseline data recorded viremia levels determined hours before the weekly dose by qualitative quantitative PCR.57 included study, although 3 these excluded during follow up; 65% male (n = 35), a mean...

Hybrid endoscopic submucosal dissection (ESD) has been described as an alternative to traditional ESD. This technique is less time consuming, but the en bloc resection rate lower than in Similar mucosal resection, underwater could improve preliminary disadvantages of hybrid ESD.We attempted a mixture ESD with (EMR). Using this approach, was successfully performed without adverse events on 71 year old woman 20 mm adenoma. The histologic analysis identified tubulovillious adenoma high grade...

The adequate visualization of the dissection line, inside submucosal layer, supposes main challenging issue in ESD. For this reason, several counter traction methods have been developed focused on overcoming handicap. One which, Magnetic anchor guided - ESD (MG-ESD) is an attractive alternative. However, usefulness approach has scarcely assessed and compared with other strategies. Therefore, aim study to compare three different alternatives experimental faction.This was a prospective...

It is well documented that antiphospholipid antibodies are increased in patients with HIV-1 infection and these most commonly seen those Pneumocystis jirovecii pneumonia. Therefore it has been proposed this could be the cause of its presence. Recently, P. subclinical described non-immunodeficient patients. We report here our experience concerning possible relationship between non-immunocompromized adults production antibodies. Circulating lupus anticoagulant IgM anticardiolipin were negative...

Background Oesophagoscopy with biopsy is considered the gold standard for diagnosing and monitoring eosinophilic oesophagitis (EoE). Therefore important to discover less‐invasive diagnostic methods. Methods Cytology specimens were obtained in patients active EoE (AEoE) (≥15 eos/hpf) remission (EoER) (<15 eos/hpf). The samples assessed by two independent pathologists compared samples. cytology from GERD. Results Specimens of 36 (69.4% male, mean age 30.88 years) included. AEoE (17, 47.2%),...

La impactación esofágica por bolo alimenticio es un síntoma de debut en pacientes diagnosticados esofagitis eosinofílica, lo cual supone cambio la epidemiología y el manejo esta urgencia. Detectar factores predictores eosinofílica con alimenticio. Se analizaron forma retrospectiva atendidos cuerpo extraño. estudiaron las características epidemiológicas, los hallazgos endoscópicos antecedentes impactación. El análisis estadístico se realizó mediante test t Student χ2. elaboró modelo regresión...

The rectum is considered a feasible and safe area in which to perform endoscopic submucosal dissection (ESD) [1] [2]. Therefore, ESD suitable approach for the treatment of high risk rectal adenomas. However, scarred fibrotic polyps have recently been described as only preoperative predictor failed [2] [3]. Transanal microsurgery (TEM) has shown be an effective lower carcinomas staged T1 or T2 [4], owing depth resection.

The adequate visualization of the dissection line, inside submucosal layer, supposes main challenging issue in endoscopic (ESD). For this reason, several counter traction methods have been developed focused on overcoming handicap. One which, Magnetic anchor guided – ESD (MG-ESD) is an attractive alternative. However, usefulness approach has scarcely assessed and compared with other strategies. Therefore, aim study to compare three different alternatives experimental faction.

La pancreatitis aguda es una de las complicaciones más frecuentes derivada la manipulación vía biliar y pancreática durante CPRE. En los últimos años guías practica clínica han propuesto diversos métodos para su prevención en el entorno esta técnica. utilización indometacina rectal prótesis pancreáticas plásticas son habitualmente utilizados complicación. Proponemos un análisis resultados obtenidos con ambos nuestro medio.

Introducción: La descripción y graduación de la severidad signos endoscópicos esofagitis eosinofílica (EE) se ha estandarizado mediante el índice EREFS (EoE Endoscopic Reference Score), demostradando reducir variabilidad interobservador en estudios unicéntricos, aunque no sido evaluada forma multicéntrica ni comparando diferentes técnicas imagen.

Introducción: Recientemente se han descrito tres fenotipos de EoE en base a los hallazgos endoscópicos: fenotipo inflamatorio (FI) (surcos longitudinales, edema, exudados blanquecinos), fibroestenosante (FE) (pseudoanillos, estenosis) y mixto (FM) (FI+FE). Sin embargo son pocos estudios que analizan qué factores (influyen) están implicados la génesis estos signos endoscópicos como condicionan clínica pacientes. Objetivo: Comparar las características clínicas, epidemiológicas e histológicas...