Documents published in Scipedia

• Endoscopy around the world

  F. Ávila

  Endoscopia (2016).

  
  

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• Endoscopic cyanoacrylate injection for primary and secondary prophylaxis of gastric varices in children

  P. Espinosa-Rosas, G. Gómez-Navarro, R. Castañeda-Ortíz, R. Rodríguez-Izaguirre, E. Almanza-Miranda

  Endoscopia (2016).

  
  

  Abstract

  Digestive tract bleeding is the most frequent cause for emergency upper endoscopy in paediatrics. In patients with portal hypertension bleeding is caused by oesophageal or gastric varices. Bleeding secondary to gastric varices has a low incidence, but it is associated with high morbidity and mortality. The treatment of choice for these varices is with N-butyl-2-cyanoacrylate injection, a tissue adhesive frequently used in adults for primary and secondary prophylaxis. To evaluate the safety and efficacy of cyanoacrylate use in primary and secondary prophylaxis of gastric varices in children in a third-level hospital, and its effect on oesophageal varices. A case series that included 12 paediatric patients with portal hypertension and gastric varices that were treated with cyanoacrylate from January 2011 to February 2016. The study included 4 girls and 8 boys, with a mean age of 7 years old. Cyanoacrylate was used in 3 patients as primary prophylaxis for gastric varices, and as secondary prophylaxis for the rest. Gastric varices eradication was reported in 66.7% of patients, with 75% of those after only one injection. There were no episodes of bleeding or re-bleeding, or major complications. Cyanoacrylate use in primary and secondary prophylaxis of gastric varices in children was shown to be both safe and effective.

  Abstract
  Digestive tract bleeding is the most frequent cause for emergency upper endoscopy in paediatrics. In patients with portal hypertension bleeding is caused by oesophageal or [...]

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• In this issue

  E. Pérez

  Endoscopia (2016).

  
  

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• Usefulness of endoscopic ultrasound in the evaluation of patients with pancreato-biliary dilation of undetermined cause

  G. Duarte-Medrano, F. Téllez-Ávila

  Endoscopia (2016).

  
  

  Abstract

  Evaluation methods for asymptomatic patients with evidence of dilatation of the main bile duct, pancreatic duct, or both ducts simultaneously are currently not well established. There are no guidelines, at present, to direct us on what is the best choice for the correct assessment of this group of patients. Endoscopic ultrasound has demonstrated outstanding performance in addressing the pancreatobiliary, mainly malignant, disease. This review article presents current evidence on the diagnostic performance of endoscopic ultrasound in asymptomatic patients with signs of dilation of the main bile duct, the main pancreatic duct, or both, in different imaging studies.

  Abstract
  Evaluation methods for asymptomatic patients with evidence of dilatation of the main bile duct, pancreatic duct, or both ducts simultaneously are currently not well established. [...]

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• Preconceptional exposure to oral contraceptive pills and the risk of wheeze, asthma and rhinitis in children

  K. Yamamoto-Hanada, M. Futamura, L. Yang, T. Shoda, M. Narita, F. Kobayashi, H. Saito, Y. Ohya

  Allergology International (2016).

  
  

  Abstract

  The prevalence of maternal oral contraceptive pills (OCP) use and that of childhood asthma are high in western countries. The aim of this study is to examine the association of OCP use with childhood wheeze and allergic diseases in Japan. Relevant data were extracted from a hospital based birth cohort study named as Tokyo-Childrens Health, Illness and Development Study (T-CHILD) of which questionnaire conducted during pregnancy included maternal history and duration of OCP use. To identify wheeze and allergic diseases in the children, the questionnaire of the International Study of Asthma and Allergies in Childhood (ISAAC) was used. Logistic regression models were applied to estimate those association and adjustments were made for maternal history of allergy, maternal education level, maternal age at pregnancy, maternal BMI, maternal smoking during pregnancy, mode of delivery, gestational age at delivery, daycare attendance, number of previous live births, and gender of child. OCP use was associated with ever wheeze (adjusted odds ratio [aOR], 1.62; 95% confidence interval [CI], 1.10–2.40), current wheeze (aOR, 1.59; 95% CI, 1.01–2.50), ever asthma (aOR, 1.65; 95% CI, 1.02–2.65), and ever rhinitis (aOR, 1.90; 95% CI, 1.30–2.80). Compared with no prior OCP use, using OCP for more than three months statistically increased the odds of ever wheeze (P = 0.012), current wheeze (P = 0.035), and ever rhinitis (P = 0.002). Our findings suggest that maternal OCP use has a role in the development of wheeze, asthma and rhinitis in children. Extended use of OCP is likely to increase the risk of wheeze and rhinitis.

  Abstract
  The prevalence of maternal oral contraceptive pills (OCP) use and that of childhood asthma are high in western countries. The aim of this study is to examine the association [...]

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• Photodistributed telangiectasia following use of escitalopram

  M. Vaccaro, G. Calapai, F. Guarneri, C. Mannucci, M. Lentini, S. Cannavò

  Allergology International (2016).

  
  

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• Drug eruption due to entecavir: A case report and mini-review

  M. Taura, J. Asai, Z. Cho, M. Wada, N. Katoh

  Allergology International (2016).

  
  

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• Increase in autoimmune pulmonary alveolar proteinosis after the 2011 Fukushima disaster

  Y. Tanino, K. Misa, N. Fukuhara, T. Nikaido, S. Sato, A. Fukuhara, M. Uematsu, K. Hirai, H. Minemura, H. Yokouchi, K. Kanazawa, M. Munakata

  Allergology International (2016).

  
  

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• A case of black garlic-induced pneumonia as an adverse reaction

  Y. Suzuki, J. Saito, K. Misa, N. Fukuhara, A. Fukuhara, M. Munakata

  Allergology International (2016).

  
  

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• Right middle lobe atelectasis in children with asthma and prognostic factors

  O. Soyer, C. Ozen, O. Cavkaytar, C. Senyücel, Y. Dallar

  Allergology International (2016).

  
  

  Abstract

  Although right middle lobe (RML)-atelectasis of the lungs is a common complication of asthma, the relevant data is limited. The aim of this study is to define the characteristics of RML atelectasis in asthma during childhood. Children with asthma who had recently developed RML atelectasis were included; anti-inflammatory medications, clarithromycin, and inhaled salbutamol were prescribed, chest-physiotherapy (starting on the sixth day) was applied. Patients were reevaluated on the sixth, fourteenth, thirtieth, and ninetieth days, chest X-rays were taken if the atelectasis had not resolved at the time of the previous visit. Twenty-seven patients (6.8 (4.8–8.3) years, 48.1% male) with RML atelectasis were included. Symptoms started 15 (7–30) days before admission. The thickness of the atelectasis was 11.8 ± 5.8 mm; FEV1% was 75.9 ± 14.2 and Childhood Asthma Control Test scores were 11.8 ± 5.6 at the time of admission. The atelectasis had been resolved by the sixth (n = 3), fourteenth (n = 9), thirtieth (n = 10), and ninetieth days (n = 3). The treatment response of the patients whose atelectasis resolved in fourteen days was better on the sixth-day (atelectasis thickness: 4.7 ± 1.7 vs. 11.9 ± 7.3 mm, p = 0.021) compared to those whose atelectasis resolved later. Nearly half (54.5%) of the patients whose atelectasis had resolved by fourteen days were using controller medications at the time of admission. However, only two patients (13.3%) were on controller treatment in the latter group (p = 0.032). Regression analysis didn't reveal any prognostic factors for the early resolution of atelectasis. Early diagnosis and treatment of RML atelectasis prevents complications. Patients who had early resolution of atelectasis had already been on anti-inflammatory medications, and responded better to aggressive treatment within the first week.

  Abstract
  Although right middle lobe (RML)-atelectasis of the lungs is a common complication of asthma, the relevant data is limited. The aim of this study is to define the characteristics [...]

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