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  1. Article: Percutaneous endoscopic colostomy to treat recurrent sigmoid volvulus in an almost centenary patient.

    Sanz Segura, Patricia / Arguedas Lázaro, Yolanda / Sebastián Domingo, Juan J

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2020  Volume 113, Issue 1, Page(s) 71–72

    Abstract: We report the case of a 96-year-old institutionalized male, with severe dementia, who was admitted to our hospital with sigmoid volvulus. After successful decompression, the patient developed recurrent sigmoid volvulus twice within 76 hours, which ... ...

    Abstract We report the case of a 96-year-old institutionalized male, with severe dementia, who was admitted to our hospital with sigmoid volvulus. After successful decompression, the patient developed recurrent sigmoid volvulus twice within 76 hours, which required endoscopic repositioning. However, after a new recurrence and rejecting surgery, we chose percutaneous endoscopic colostomy, using the standard gastrostomy technique, in order to fix the mobile intestine to the abdominal wall to prevent torsion. Although observational studies with more cases and longer follow-up are needed, percutaneous endoscopic colostomy could be a safe and effective alternative in patients in whom conventional surgery is considered unsafe or inappropriate.
    MeSH term(s) Aged, 80 and over ; Colostomy ; Endoscopy ; Gastrostomy ; Humans ; Intestinal Volvulus/complications ; Intestinal Volvulus/diagnostic imaging ; Intestinal Volvulus/surgery ; Male ; Recurrence ; Sigmoid Diseases/diagnostic imaging ; Sigmoid Diseases/surgery
    Language English
    Publishing date 2020-11-19
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2020.6943/2020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Endoscopic suspect of subacute occlusive mesenteric ischemia.

    Sanz Segura, Patricia / Pérez Millán, María / Arguedas Lázaro, Yolanda / Nerín de la Puerta, Juan Manuel / Sebastián Domingo, Juan José

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2022  Volume 114, Issue 11, Page(s) 689

    Abstract: A 74-year-old patient presented to our emergency department with melena for 24 hours, associated with postprandial abdominal pain, predominantly in the epigastrium, for one month. Urgent gastroscopy showed a pale mucosa with loss of vascular pattern in ... ...

    Abstract A 74-year-old patient presented to our emergency department with melena for 24 hours, associated with postprandial abdominal pain, predominantly in the epigastrium, for one month. Urgent gastroscopy showed a pale mucosa with loss of vascular pattern in the gastric antrum, as well as several superficial ulcers, Forrest III, at that level and in the duodenal bulb highly suggestive of ischaemia. An abdominal computed tomography angiography (CTA) revealed a filiform celiac trunk, with calcified atherosclerotic plaques in the ostium, superior mesenteric artery and both renal arteries, with absence of enhancement in a large part of the intestinal wall, suggestive of ischaemia. An exploratory laparoscopy confirmed patchy ischaemia of the small intestine, as well as of the cecum, ascending colon, and portion of the transversus. Atherosclerosis is the most common cause of occlusive chronic mesenteric ischaemia. The 'classic triad' consisting of postprandial pain, weight loss and abdominal bruit, is found in only a minority of patients, with a significant percentage of paucisymptomatic patients due to abundant colateral circulation, making diagnosis difficult. The endoscopic finding of edema, erythema or signs of mucosal atrophy, as well as gastric or duodenal ulcers, not justified by other causes can guide us in the diagnosis. However, more distal sections of the digestive tract which are not accessible with the conventional endoscope can often be affected, and the absence of these findings, does not exclude the diagnosis. Abdominal CTA is the gold-standard imaging test. Early diagnosis of mesenteric ischaemia is a challenge in clinical practice. Recognizing its endoscopic signs can facilitate its early diagnosis and treatment.
    MeSH term(s) Humans ; Aged ; Mesenteric Ischemia/diagnostic imaging ; Mesenteric Ischemia/complications ; Celiac Artery/diagnostic imaging ; Mesenteric Artery, Superior ; Ischemia/etiology ; Ischemia/complications ; Angiography/adverse effects ; Acute Disease ; Abdominal Pain/etiology
    Language English
    Publishing date 2022-05-30
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2022.8857/2022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Acute gastric dilation associated with the use of semaglutide, a GLP-1 analogue.

    Sanz Segura, Patricia / Arguedas Lázaro, Yolanda / Mostacero Tapia, Sonia / Nerín de la Puerta, Juan Manuel / Sebastián Domingo, Juan José

    Gastroenterologia y hepatologia

    2021  Volume 45 Suppl 1, Page(s) 125–126

    Title translation Dilatación gástrica aguda asociada al empleo de semaglutida, un análogo de GLP-1.
    MeSH term(s) Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/drug therapy ; Gastric Dilatation/chemically induced ; Gastric Dilatation/complications ; Glucagon-Like Peptide 1/adverse effects ; Glucagon-Like Peptides ; Humans ; Hypoglycemic Agents/adverse effects
    Chemical Substances Hypoglycemic Agents ; semaglutide (53AXN4NNHX) ; Glucagon-Like Peptides (62340-29-8) ; Glucagon-Like Peptide 1 (89750-14-1)
    Language Spanish
    Publishing date 2021-02-02
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2020.11.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Involvement of the digestive system in covid-19. A review.

    Sanz Segura, Patricia / Arguedas Lázaro, Yolanda / Mostacero Tapia, Sonia / Cabrera Chaves, Tomás / Sebastián Domingo, Juan José

    Gastroenterologia y hepatologia

    2020  Volume 43, Issue 8, Page(s) 464–471

    Abstract: The SARS-CoV-2 pandemic is leading to high mortality and a global health crisis. The primary involvement is respiratory; however, the virus can also affect other organs, such as the gastrointestinal tract and liver. The most common symptoms are anorexia ... ...

    Title translation Afectación del aparato digestivo en la covid-19. Una revisión sobre el tema.
    Abstract The SARS-CoV-2 pandemic is leading to high mortality and a global health crisis. The primary involvement is respiratory; however, the virus can also affect other organs, such as the gastrointestinal tract and liver. The most common symptoms are anorexia and diarrhea. In about half of the cases, viral RNA could be detected in the stool, which is another line of transmission and diagnosis. covid19 has a worse prognosis in patients with comorbidities, although there is not enough evidence in case of previous digestive diseases. Digestive endoscopies may give rise to aerosols, which make them techniques with a high risk of infection. Experts and scientific organizations worldwide have developed guidelines for preventive measures. The available evidence on gastrointestinal and hepatic involvement, the impact on patients with previous digestive diseases and operating guidelines for Endoscopy Units during the pandemic are reviewed.
    MeSH term(s) Aerosols ; Angiotensin-Converting Enzyme 2 ; Anorexia/etiology ; Antiviral Agents/adverse effects ; Betacoronavirus/isolation & purification ; Betacoronavirus/pathogenicity ; Betacoronavirus/physiology ; COVID-19 ; Cohort Studies ; Coronavirus Infections/complications ; Coronavirus Infections/drug therapy ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Diarrhea/etiology ; Digestive System/virology ; Digestive System Diseases/etiology ; Digestive System Diseases/virology ; Endoscopy, Digestive System/adverse effects ; Feces/virology ; Humans ; Immunosuppressive Agents/adverse effects ; Intestines/chemistry ; Intestines/virology ; Liver Diseases/etiology ; Multicenter Studies as Topic ; Pandemics/prevention & control ; Peptidyl-Dipeptidase A/analysis ; Peptidyl-Dipeptidase A/physiology ; Personal Protective Equipment ; Pneumonia, Viral/complications ; Pneumonia, Viral/drug therapy ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; Receptors, Virus/analysis ; Receptors, Virus/physiology ; Risk ; SARS-CoV-2 ; Universal Precautions ; COVID-19 Drug Treatment
    Chemical Substances Aerosols ; Antiviral Agents ; Immunosuppressive Agents ; Receptors, Virus ; Peptidyl-Dipeptidase A (EC 3.4.15.1) ; ACE2 protein, human (EC 3.4.17.23) ; Angiotensin-Converting Enzyme 2 (EC 3.4.17.23)
    Keywords covid19
    Language Spanish
    Publishing date 2020-06-19
    Publishing country Spain
    Document type Journal Article ; Systematic Review
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2020.06.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Cytomegalovirus associated with gastric ulcer: case report and literature review.

    Martínez Huguet, Claudia / Arguedas Lázaro, Yolanda / Del Valle Sánchez, Elena / Omiste Sanvicente, Teresa / Bernal Monterde, Vanesa / Montoro Huguet, Miguel

    Gastroenterologia y hepatologia

    2018  Volume 42, Issue 4, Page(s) 256–258

    Title translation Citomegalovirus asociado a úlcera gástrica: caso clínico y revisión de la literatura.
    MeSH term(s) Aged ; Cytomegalovirus Infections/complications ; Cytomegalovirus Infections/diagnosis ; Cytomegalovirus Infections/drug therapy ; Female ; Humans ; Stomach Ulcer/diagnosis ; Stomach Ulcer/drug therapy ; Stomach Ulcer/virology
    Language Spanish
    Publishing date 2018-07-13
    Publishing country Spain
    Document type Case Reports ; Letter ; Review
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2018.05.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Afectación del aparato digestivo en la covid-19. Una revisión sobre el tema./ Afectación del aparato digestivo en la covid-19. Una revisión sobre el tema./ Involvement of the digestive system in covid-19. A review

    Sanz Segura, Patricia / Arguedas Lázaro, Yolanda / Mostacero Tapia, Sonia / Cabrera Chaves, Tomás / Sebastián Domingo, Juan José

    Gastroenterol Hepatol

    Abstract: The SARS-CoV-2 pandemic is leading to high mortality and a global health crisis. The primary involvement is respiratory; however, the virus can also affect other organs, such as the gastrointestinal tract and liver. The most common symptoms are anorexia ... ...

    Abstract The SARS-CoV-2 pandemic is leading to high mortality and a global health crisis. The primary involvement is respiratory; however, the virus can also affect other organs, such as the gastrointestinal tract and liver. The most common symptoms are anorexia and diarrhea. In about half of the cases, viral RNA could be detected in the stool, which is another line of transmission and diagnosis. covid19 has a worse prognosis in patients with comorbidities, although there is not enough evidence in case of previous digestive diseases. Digestive endoscopies may give rise to aerosols, which make them techniques with a high risk of infection. Experts and scientific organizations worldwide have developed guidelines for preventive measures. The available evidence on gastrointestinal and hepatic involvement, the impact on patients with previous digestive diseases and operating guidelines for Endoscopy Units during the pandemic are reviewed.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #733849
    Database COVID19

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  7. Article ; Online: Involvement of the digestive system in COVID-19. A review

    Sanz Segura, Patricia / Arguedas Lázaro, Yolanda / Mostacero Tapia, Sonia / Cabrera Chaves, Tomás / Sebastián Domingo, Juan José

    Gastroenterología y Hepatología (English Edition)

    2020  Volume 43, Issue 8, Page(s) 464–471

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2444-3824
    DOI 10.1016/j.gastre.2020.06.004
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Afectación del aparato digestivo en la covid-19. Una revisión sobre el tema

    Sanz Segura, Patricia / Arguedas Lázaro, Yolanda / Mostacero Tapia, Sonia / Cabrera Chaves, Tomás / Sebastián Domingo, Juan José

    Gastroenterología y Hepatología

    2020  Volume 43, Issue 8, Page(s) 464–471

    Keywords Hepatology ; Gastroenterology ; covid19
    Language Spanish
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2020.06.004
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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