Role of the gastroenterologist in the management of the obese patient.

Obesity is a highly prevalent disease worldwide, and one in which gastroenterologists can play an important role. Some digestive diseases are more common in obese patients, and preoperative evaluation may be required in some cases. Additionally, bariatric surgery can lead to digestive complications in the short and long term that require intervention, and endoscopic treatment can be an important factor in weight loss. The aim of this review is to highlight the role of the gastroenterologist in the management of obese patients who are either scheduled for or have undergone surgical or endoscopic treatment for obesity.

Diagnosis, treatment and long-term outcomes of autoimmune pancreatitis in Spain based on the International Consensus Diagnostic Criteria: A multi-centre study.

Abstract Objectives Autoimmune pancreatitis (AIP) is a form of chronic pancreatitis that has been reported worldwide for the last two decades. The aim of this study is to analyse the clinical profile of patients from Spain with AIP, as well as treatments, relapses and long-term outcomes. Methods Data from 59 patients with suspected AIP that had been diagnosed in 15 institutions are retrospectively analysed. Subjects are classified according to the International Consensus Diagnostic Criteria (ICDC). Patients with type 1 AIP (AIP1) and type 2 AIP (AIP2) are compared. Kaplan–Meier methodology is used to estimate the overall survival without relapses. Results Fifty-two patients met ICDC, 45 pat…

Mo2023 Virtual Chromoendoscopy With I-Scan As Alternative to Dye-Spray Chromoendoscopy for Dysplasia Detection in Long-Standing Colonic Inflammatory Bowel Disease

Virtual chromoendoscopy with iSCAN as an alternative method to dye-spray chromoendoscopy for dysplasia detection in long-standing colonic inflammatory bowel disease: a case–control study

Patients with long-standing colonic inflammatory bowel disease (cIBD) are at increased risk of developing colorectal cancer (CRC). Dye-spray chromoendoscopy (DCE) with targeted biopsies is the preferred technique for surveillance of dysplasia. Virtual chromoendoscopy (VCE) are arising to improve detection rates and adherence to surveillance guidelines, although its role is not yet well defined. The purpose of this study is to assess the effectiveness of VCE with iSCAN as an alternative method for dysplasia detection in cIBD.Retrospective case-control study with 191 patients included, 98 in the DCE (Indigo carmine) group and 93 in the VCE (iSCAN, twin-mode 1-3) group. The dysplasia detection…

EXPERIENCE WITH CYTOLYT SOLUTION IN ENDOSCOPIC ULTRASOUND-GUIDED TISSUE SAMPLING FOR SPECIMEN PRESERVATION AND EVALUATION

Papel del digestólogo en el manejo del paciente obeso

Resumen La obesidad es una enfermedad con una elevada prevalencia a nivel mundial en la que el digestologo puede tener una labor importante. Por una parte, algunas enfermedades digestivas son mas frecuentes en este grupo de pacientes y es posible que sea necesario evaluarlos antes de la cirugia. Por otra, la cirugia bariatrica puede presentar complicaciones digestivas a corto y largo plazo en las que sea imprescindible nuestra actuacion. Ademas, no podemos olvidar el papel que el tratamiento endoscopico puede tener en la perdida de peso. El objetivo de la presente revision es destacar el papel del digestologo en el manejo del paciente obeso candidato y/o sometido a tratamiento quirurgico o …

Endoscopic treatment of recurrent sigmoid volvulus with colopexy assisted by T-fasteners and colostomy.

Diagnosis and treatment of autoimmune pancreatitis in Spain

Aims: The analysis of laparoscopic operations in treatment of chronic pancreatitis. Patients & methods: In our clinic there were performed 32 laparoscopic interventions for chronic pancreatitis and its complications. Results: Laparoscopic interventions were performed in 32 cases: cystogastrostomy10, cystoduodenostomy2, cystojejunostomy3, cystectomy1, longitudinal laparoscopic pancreaticojejunostomy 2, the Beger procedure without proximal pancreatoenterostomy 2 and the Berne modification 10. In all the cases of laparoscopic procedures the communication of a cystwith the main pancreatic duct were confirmed by preoperative biochemical and cytologic analysis of cystic fluid taken under the ultr…