Wednesday, October 20, 2021

Revista Gastroenterología

Sesión 29 de abril

Bowel

Liver

Band ligation of esophageal varices:

Post-banding ulcer bleeding is an uncommon but severe complication of esophageal banding. Patients with hepatocellular carcinoma, poor liver function and a low beta-blocker dose have higher risk of post-banding ulcer bleeding. Active bleeding at endoscopy is associated with high mortality, thus aggressive treatment should be considered.

Hepatitis C virus (HCV):

A current phase 3b trial demonstrates that in treatment-naive patients with compensated cirrhosis, glecaprevir/pibrentasvir for 8 weeks leads to high sustained virological response rates, independent of HCV genotype.

Autoimmune hepatitis:

Almost 20% of patients with autoimmune hepatitis older than 50 years have osteoporosis. Older age, duration of corticosteroid use, low body mass index, and liver fibrosis are independent risk factors for bone loss.

Oesophagus Stomach Duodenum

Helicobacter pylori infection and gastric cancer risk:

A retrospective study of 371.813 American veterans indicates that the risk to develop gastric cancer within 20 years following the diagnosis of H. pylori infection is well below 1%. Racial and ethnic minorities as well as smokers have an increased tumor risk which can be reduced by successful eradication therapy.

Pancreas

Current Falk literature

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