Usefulness of abdominal ultrasonography in the analysis of endoscopic activity in patients with Crohn's disease: changes following treatment with immunomodulators and/or anti-TNF antibodies.

The objective of this study was to analyze the accuracy of abdominal ultrasonography (AUS) in the assessment of mucosal healing in patients with Crohn's disease (CD) receiving immunomodulators and/or biological treatment, with ileocolonoscopy as the reference standard.Thirty patients were included in a prospective longitudinal study. All patients underwent ileocolonoscopy and AUS before and after a minimum of one year of treatment. The Crohn's Disease Endoscopic Inflammatory Index of Severity (CDEIS) was used for endoscopic assessment whereas AUS was analyzed by means of bowel wall thickness, color Doppler grade and percentage of increase of parietal enhancement after contrast injection.In …

Valor de la proteína C reactiva en la detección de la necrosis en la pancreatitis aguda

Objetivos Valorar la utilidad de la proteina C reactiva (PCR) en la deteccion de la necrosis en la pancreatitis aguda y precisar el mejor nivel de corte de la PCR para esta finalidad. Material y metodos Se incluyeron, de forma retrospectiva, 157 pacientes con pancreatitis aguda a los que se habia efectuado una tomografia computarizada (TC) con contraste intravenoso, entre las 72 h y el octavo dia del inicio de la sintomatologia, y determinado el valor de la PCR en el suero por nefelometria a partir de las 24 h del comienzo del dolor. Resultados En total, fueron incluidos 94 varones y 63 mujeres, con una media de edad de 61 anos (limites, 15-96 anos). La etiologia de la pancreatitis fue: lit…

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