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array:24 [ "pii" => "S0210570520304337" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2020.10.011" "estado" => "S300" "fechaPublicacion" => "2022-06-01" "aid" => "1708" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2022;45:466-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S2444382422000980" "issn" => "24443824" "doi" => "10.1016/j.gastre.2022.06.002" "estado" => "S300" "fechaPublicacion" => "2022-06-01" "aid" => "1708" "copyright" => "Elsevier España, S.L.U." 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(C) Detailed endoscopic characterization including (D) linked colour imaging (LCI) and (E) blue laser imaging (BLI) indicated a dense network of irregular vessels, however, no pit pattern suggestive of neoplasia.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Vincent Zimmer, Elke Eltze" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Vincent" "apellidos" => "Zimmer" ] 1 => array:2 [ "nombre" => "Elke" "apellidos" => "Eltze" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0210570520304337" "doi" => "10.1016/j.gastrohep.2020.10.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520304337?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382422000980?idApp=UINPBA00004N" "url" => "/24443824/0000004500000006/v1_202206220657/S2444382422000980/v1_202206220657/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S021057052100025X" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2020.12.010" "estado" => "S300" "fechaPublicacion" => "2022-06-01" "aid" => "1750" "copyright" => "Elsevier España, S.L.U." 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(C, D) Cap-fitted endoscopy using a long-hooded cap with lesion stabilization after judicious suctioning with subsequent targeted “intra-cap biopsy” as a novel approach for difficult-to-access gastrointestinal lesions.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Vincent Zimmer, Christoph Heinrich" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Vincent" "apellidos" => "Zimmer" ] 1 => array:2 [ "nombre" => "Christoph" "apellidos" => "Heinrich" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2444382422000992" "doi" => "10.1016/j.gastre.2020.12.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382422000992?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021057052100025X?idApp=UINPBA00004N" "url" => "/02105705/0000004500000006/v1_202205180628/S021057052100025X/v1_202205180628/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0210570522000024" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2022.01.001" "estado" => "S300" "fechaPublicacion" => "2022-06-01" "aid" => "1907" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Gastroenterol Hepatol. 2022;45:464-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>" "titulo" => "The endoscopic-White Test: Detection of a Whipple anastomotic leakage using linoleic ac. as an endoscopic dye" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "464" "paginaFinal" => "465" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Test endoscópico blanco para fístulas: detección de una fístula anastomótica poscirugía Whipple con ácido linoleico como colorante endoscópico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 510 "Ancho" => 1255 "Tamanyo" => 55785 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Gastrojejunal anastomotic leakage treated by endoscopic-White-Test and over-the-scope clip. Detection of the orifice at the level of the gastro-enteric anastomosis due to a “jet” leak of the white dye, and sealed with an over-the-scope clip.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Claudia F. Consiglieri, Emilio Ramos, Joan B. Gornals" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Claudia F." "apellidos" => "Consiglieri" ] 1 => array:2 [ "nombre" => "Emilio" "apellidos" => "Ramos" ] 2 => array:2 [ "nombre" => "Joan B." "apellidos" => "Gornals" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2444382422001080" "doi" => "10.1016/j.gastre.2022.01.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382422001080?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570522000024?idApp=UINPBA00004N" "url" => "/02105705/0000004500000006/v1_202205180628/S0210570522000024/v1_202205180628/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Granulation polyps complicating subacute diverticulitis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "466" "paginaFinal" => "467" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Vincent Zimmer, Elke Eltze" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Vincent" "apellidos" => "Zimmer" "email" => array:1 [ 0 => "vincent.zimmer@gmx.de" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Elke" "apellidos" => "Eltze" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Department of Medicine, Marienhausklinik St. Josef Kohlhof, Neunkirchen, Germany" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Medicine II, Saarland University Medical Center, Saarland University, Homburg, Germany" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Insitute of Pathology Saarbrücken-Rastpfuhl, Saarbrücken, Germany" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pólipos de granulación que complican la diverticulitis subaguda" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 873 "Ancho" => 1750 "Tamanyo" => 242357 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) An unremarkable diverticulum in the sigmoid. (B) Short segmental edema with residual putrid discharge from an adjacent diverticulum as well as two polypoid lesions of an estimated 10<span class="elsevierStyleHsp" style=""></span>mm size. (C) Detailed endoscopic characterization including (D) linked colour imaging (LCI) and (E) blue laser imaging (BLI) indicated a dense network of irregular vessels, however, no pit pattern suggestive of neoplasia.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 70-year-old male patient was referred for outpatient ileocolonoscopy. Medical history was significant for vague left lower abdominal pain for about three days duration six weeks before, potentially suggesting a minor episode of diverticulitis. Indeed, the recent lower GI endoscopy indicated some unremarkable diverticula in the sigmoid (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). By contrast, there was a short segment at 30<span class="elsevierStyleHsp" style=""></span>cm from the dentate line with edematous changes and minor putrid discharge from adjacent diverticula, from which two polypoid lesions estimated at 10<span class="elsevierStyleHsp" style=""></span>mm arose (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Further characterization including image-enhanced endoscopy revealed a dense network of irregular vessels, however, no abnormal pit pattern to suggest a neoplastic lesion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C–E). Given an optical diagnosis of most likely granulation polyps, complicating subacute diverticulitis, we abstained from endoscopic resection and instead biopsied the lesions. Histopathology likewise confirmed the presence of granulation polyps with exuberant leukocytic infiltration and lack of intact surface epithelium. The patient was informed about the diagnosis and a wait-and-see approach was consented.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Albeit granulation polyp formation is a common reaction of the colorectal epithelium to variable forms of tissue injury, there are, to the best of our knowledge, only three other reports in a setting of diverticulitis.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">1</span></a> Correct optical diagnosis may be instrumental in avoidance of considerations of overly aggressive procedures, such as (with a view to adjacent diverticula) technically demanding endoscopic or even surgical resection.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">Nothing to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] 1 => array:1 [ "titulo" => "Reference" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 873 "Ancho" => 1750 "Tamanyo" => 242357 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) An unremarkable diverticulum in the sigmoid. (B) Short segmental edema with residual putrid discharge from an adjacent diverticulum as well as two polypoid lesions of an estimated 10<span class="elsevierStyleHsp" style=""></span>mm size. (C) Detailed endoscopic characterization including (D) linked colour imaging (LCI) and (E) blue laser imaging (BLI) indicated a dense network of irregular vessels, however, no pit pattern suggestive of neoplasia.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0010" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic management of a rare granulation polyp in a colonic diverticulum" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "H. Mori" 1 => "T. Tsushimi" 2 => "H. Kobara" 3 => "N. Nishiyama" 4 => "S. Fujihara" 5 => "T. Matsunaga" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3748/wjg.v19.i48.9481" "Revista" => array:6 [ "tituloSerie" => "World J Gastroenterol" "fecha" => "2013" "volumen" => "19" "paginaInicial" => "9481" "paginaFinal" => "9484" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24409079" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/02105705/0000004500000006/v1_202205180628/S0210570520304337/v1_202205180628/en/main.assets" "Apartado" => array:4 [ "identificador" => "93594" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imágenes del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/02105705/0000004500000006/v1_202205180628/S0210570520304337/v1_202205180628/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520304337?idApp=UINPBA00004N" ]
