RESUMO
A 68-year-old male presented to the Emergency Department with a one-month history of intermittent epigastrium pain. Laboratory tests revealed leukocytosis and elevated lipase (4129 UI/l), with normal liver function, so he was admitted for its first episode of acute pancreatitis. Abdominal ultrasound showed liver steatosis, without cholelithiasis or bile duct dilatation. A thoraco-abdominal computed tomography was performed, revealing a pedunculated gastric polyp in lesser curvature measuring 64x38mm with no evidence of metastatic disease. Gastroscopy was performed, showing a 7-cm pedunculated gastric polyp prolapsed through the pylorus into the duodenum. The polyp was moved into the stomach, and a fragmented resection of the polyp was carried out with a hot snare. Histopathologic evaluation was compatible with hyperplastic polyp with low-grade dysplasia. The patient had a favourable evolution with no complications after the procedure.
RESUMO
Acute perforated cholecystitis is a rare but severe complication of acute cholecystitis. Currently, EUS-GBD using LAMS is the preferred choice for gallbladder drainage in high-risk surgical patients with acute cholecystitis unfit for cholecystectomy. However, it has been suggested to avoid this procedure when there is suspicion of gallbladder perforation or necrosis. The evidence of EUS-GBD in this setting is scarce. Our case demonstrates that EUS-GBD with LAMS can be effective in the management of type II perforation of the gallbladder.
Assuntos
Colecistite Aguda , Vesícula Biliar , Humanos , Vesícula Biliar/diagnóstico por imagem , Vesícula Biliar/cirurgia , Endossonografia/métodos , Resultado do Tratamento , Colecistite Aguda/diagnóstico por imagem , Colecistite Aguda/cirurgia , Drenagem/métodosRESUMO
Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is recommended as a rescue treatment of malignant distal biliary obstruction (MBDO) after failed ERCP and endoscopic ultrasound-guided biliary drainage (EUS-BD). A 64-year-old male was admitted for painless obstructive jaundice and anemia. For religious reasons, he refused any blood transfusions. Abdominal computed tomography scan showed a pancreatic tumor with dilation biliary tree and liver metastasis. ERCP failed and advanced biliary cannulation technique such as precut were avoided due to a high risk of bleeding. We avoided the two transmural EUS-BD approaches, which include EUS-guided choledochoduodenostomy and EUS-guided hepaticogastrostomy, due to smaller targets and considered riskier in this patient. Since the gallbladder was markedly distended and the cystic duct was patent, we performed a cholecystogastrostomy with a 15x10 mm electrocautery lumen-apposing metal stent (EC-LAMS) as a second option of biliary drainage. After a week, the serum bilirubin levels decreased to normal values and the patient was uneventfully discharged. At follow-up, he refused to receive chemotherapy and died six months later due to cancer progression.
RESUMO
BACKGROUND AND AIM: Atrial fibrillation is a major cause of death and disability due to stroke. Vitamin K antagonist drugs are effective for prevention, but they have a narrow therapeutic range and multiple pharmacological interactions. In recent years, new therapeutic alternatives have been searched to minimize complications. The main objective is to evaluate the risk of gastrointestinal bleeding in anticoagulated patients and compare the classic treatment with new anticoagulants. METHODS: We conducted a retrospective cohort study to determine the risk of gastrointestinal bleeding in patients treated with acenocoumarol/dabigatran/rivaroxaban, between 2012 and 2016. We compared the classic with the new anticoagulant group, and a multivariate logistic regression analysis was used to determinate the risk factors of gastrointestinal bleeding. RESULTS: A total of 1213 patients were selected, 52.7% male patients, a mean age of 72.6 years old (± 14.563). 73.6% had atrial fibrilation. 14.5% of patients used acetylsalicylic acid, and 4% clopidogrel. 67.2% had a high-risk CHADS-2 Score, and 36.9% a high-risk HAS-BLED Score. We determined a 5.6% (68) of gastrointestinal bleeding, without differences according to anticoagulant used. The multivariate model showed a greater risk for digestive hemorrhage in patients with a previous hemorrhagic event (odds ratio [OR] = 2.422 95% confidence interval [CI]: 1.101-5.327) and the concomitant therapy with clopidogrel (OR = 2.373 95% CI: 0.996-5.652). CONCLUSIONS: No differences were found in the risk of gastrointestinal bleeding between the different anticoagulants. A previous gastrointestinal bleeding were considered independent risk factor. The HAS-BLED score should be taken into account to make clinical decisions about to prescribe anticoagulant treatment.
Assuntos
Fibrilação Atrial , Dabigatrana , Acenocumarol/efeitos adversos , Administração Oral , Idoso , Anticoagulantes/efeitos adversos , Fibrilação Atrial/complicações , Fibrilação Atrial/tratamento farmacológico , Clopidogrel , Dabigatrana/efeitos adversos , Feminino , Hemorragia Gastrointestinal/induzido quimicamente , Hemorragia Gastrointestinal/tratamento farmacológico , Hemorragia Gastrointestinal/epidemiologia , Humanos , Masculino , Estudos Retrospectivos , Rivaroxabana/efeitos adversos , Varfarina/uso terapêuticoRESUMO
OBJECTIVE: Endoscopic recurrence in Crohns disease occurs in up to 80% of patients during the first year after surgery. Due to this, these patients need close monitoring. Faecal calprotectin has been proposed to be used as a non-invasive marker to monitor inflammatory activity. Up to now the use of faecal markers in endoscopic recurrence has been scarcely studied and with contradictory results. MATERIAL AND METHODS: This was a cross-sectional observational study of diagnostic validity. It included all patients with Crohns disease (CD) and ileocolic resection retrospectively who had had an ileocolonoscopy and a determination of faecal calprotectin before this colonoscopy, from 2007 to 2015. RESULTS: Ninety-seven patients were included. We observed that the mean value of faecal calprotectin increased as the Rutgeerts score increased. The variable of that most statistical significance obtained in bivariate analysis was faecal calprotectin (p < 0.0001). Area under curve (AUC) of faecal calprotectin in endoscopic recurrence was 0.74 (95% CI: 0.644-0.842), and an optimal cut-off of 60 mcrgr/gr, obtained a score of 0.45 using Youden test. This indicated that calprotectin would have 88% Sensitivity and 58% Specificity in detecting any recurrence, the NPV was approximately 83,9%. None of the other variables studied had a significant correlation. CONCLUSION: Faecal calprotectin predicts endoscopic recurrence in CD patients who have gone through surgery, however the cut-off point is still a problem so we cannot recommend calprotectin as a substitute of colonoscopy for CD monitoring and treatment adjustment.
Assuntos
Colectomia , Doença de Crohn/diagnóstico , Fezes/química , Íleo/cirurgia , Complexo Antígeno L1 Leucocitário/metabolismo , Adulto , Biomarcadores/metabolismo , Colonoscopia , Doença de Crohn/metabolismo , Doença de Crohn/cirurgia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva , Estudos Retrospectivos , Sensibilidade e EspecificidadeRESUMO
The clip Ovesco (Ovesco, Tübingen, Germany) is a novel endoscopic method for mechanical compression of tissue in the gastrointestinal tract. The indications for treatment are closure of perforations and fistulas and control of bleeding in which the conventional endoscopic treatment has failed. We report two cases about the use of an Ovesco (over-the-scope clip, OTSC) system to control persistent bleeding postpolypectomy after failure of usual treatment.
Assuntos
Pólipos do Colo/cirurgia , Endoscopia Gastrointestinal/métodos , Hemorragia Pós-Operatória/terapia , Idoso , Pólipos do Colo/complicações , Feminino , Hemostasia , Humanos , Instrumentos CirúrgicosAssuntos
Dispepsia/etiologia , Fibrossarcoma/complicações , Mesentério/diagnóstico por imagem , Neoplasias Peritoneais/complicações , Biomarcadores Tumorais/análise , Constipação Intestinal/etiologia , Diagnóstico Diferencial , Fibrossarcoma/química , Fibrossarcoma/diagnóstico por imagem , Fibrossarcoma/cirurgia , Humanos , Masculino , Mesentério/patologia , Mesentério/cirurgia , Pessoa de Meia-Idade , Invasividade Neoplásica , Neoplasias Peritoneais/química , Neoplasias Peritoneais/diagnóstico por imagem , Neoplasias Peritoneais/cirurgia , Tomografia Computadorizada por Raios XAssuntos
Duodenite/etiologia , Duodeno/irrigação sanguínea , Isquemia/complicações , Dor Abdominal/etiologia , Idoso , Comorbidade , Complicações do Diabetes , Úlcera Duodenal/etiologia , Úlcera Duodenal/patologia , Duodenite/patologia , Duodeno/patologia , Evolução Fatal , Feminino , Humanos , Hipertensão/complicações , Isquemia/diagnóstico , Falência Renal Crônica/complicações , Melena/etiologia , Isquemia Miocárdica/complicações , Doença Pulmonar Obstrutiva Crônica/complicaçõesAssuntos
Colecistite Aguda/cirurgia , Drenagem/métodos , Endoscopia do Sistema Digestório/métodos , Endossonografia , Stents , Ultrassonografia de Intervenção , Idoso , Idoso de 80 Anos ou mais , Colecistite Aguda/diagnóstico por imagem , Drenagem/instrumentação , Duodeno/cirurgia , Endoscopia do Sistema Digestório/instrumentação , Feminino , Seguimentos , Vesícula Biliar/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Estudos Retrospectivos , Resultado do TratamentoAssuntos
Drenagem/métodos , Abscesso Hepático/cirurgia , Infecções Estafilocócicas/cirurgia , Stents , Ultrassonografia de Intervenção , Idoso de 80 Anos ou mais , Colangiopancreatografia Retrógrada Endoscópica , Colangite/complicações , Endossonografia , Humanos , Abscesso Hepático/microbiologia , MasculinoAssuntos
Adenocarcinoma/secundário , Carcinoma de Células Grandes/secundário , Neoplasias Duodenais/secundário , Hemorragia Gastrointestinal/etiologia , Neoplasias Pulmonares/diagnóstico , Neoplasias Gástricas/secundário , Adenocarcinoma/complicações , Adenocarcinoma/diagnóstico , Idoso , Carcinoma de Células Grandes/complicações , Carcinoma de Células Grandes/diagnóstico , Neoplasias Duodenais/complicações , Neoplasias Duodenais/diagnóstico , Evolução Fatal , Humanos , Masculino , Melena/etiologia , Doença Pulmonar Obstrutiva Crônica/complicações , Fumar/efeitos adversos , Neoplasias Gástricas/complicações , Neoplasias Gástricas/diagnósticoRESUMO
Diffuse intestinal ganglioneuromatosis is a hamartomatous polyposis characterized by a disseminated, intramural or transmural proliferation of neural elements involving the enteric plexuses. It has been associated with MEN II, neurofibromatosis type 1 and hamartomatous polyposis associated with phosphatase and tensin homolog mutation. We report the case of a female patient with a history of a breast and endometrial tumor who presented in a colonoscopy performed for rectal bleeding diffuse ganglioneuromatosis, which oriented the search for other characteristic findings of Cowden syndrome given the personal history of the patient. The presence of an esophagogastric polyposis was also noted. Cowden syndrome is characterized by skin lesions, but it is rarely diagnosed by these lesions, because they are usually overlooked. Intestinal polyposis is not a major diagnostic criterion but it is very useful for early diagnosis. The combination of colonic polyposis and glucogenic acanthosis should orient the diagnosis to Cowden syndrome.