[Successful endoscopic therapy in a case of Bouveret's syndrome]. / Terapeútica endoscópica eficaz en un caso de síndrome de Bouveret.

We present a case of duodenal gallstone ileus (Bouveret's syndrome) that evolved with its classical symptomatology and was successfully managed by endoscopic extraction of the stone, an extremely unusual circumstance. Although difficult and laborious, endoscopic therapy in the Bouveret's syndrome, by using the Dormia basket, may prove useful.

[Endoscopic percutaneous gastrostomy. Experience at a general hospital]. / Gastrostomía percutánea endoscópica. Experiencia en un hospital general.

Percutaneous endoscopic gastrostomy is a technique scantly used in Spanish hospitals. Its finality is the nutrition of patients with dysphagia, by avoiding the inconveniences and complications of transnasal feeding tubes. Our group has begun a protocol of endoscopically placed gastrostomies and in this work we present its first series; it includes 23 cases of patients with dysphagia secondary to neurological disorders. We have employed the original "pull technique" from Gauderer and Ponsky and we have used homemade gastrostomy tubes. Only two mild complications were observed (stoma infection). In our experience, this technique is easy and has few complications. Furthermore, if homemade tubes are used, the economic cost is very low. In this paper, beside of communicating our results, we summarize the percutaneous endoscopic gastrostomy technique and the way for constructing the tubes.

[Reynolds syndrome: primary biliary cirrhosis associated with CREST syndrome]. / Síndrome de Reynolds: cirrosis biliar primaria asociada a síndrome de CREST.

The association of primary biliary cirrhosis and a scleroderma of the CREST variation is called Reynold's syndrome. The case is presented of a 37 year old patient who appears with a digestive hemorrhage due to rupture of esophagel varices and who showed Raynaud phenomenon, sclerodactylia, positive anticentromere and antimitochondrial antibodies and a hepatic biopsy compatible with stage II of primary biliary cirrhosis.