was read the article
array:24 [ "pii" => "S021057052030323X" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2020.07.004" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1637" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:573-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S244438242100170X" "issn" => "24443824" "doi" => "10.1016/j.gastre.2020.07.024" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1637" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:573-4" "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">Image of the month</span>" "titulo" => "Clip-assisted ERCP for redundant duodenal folds" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "573" "paginaFinal" => "574" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "CPRE asistida por clip para pliegues duodenales redundantes" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1189 "Ancho" => 1583 "Tamanyo" => 147024 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Vincent Zimmer" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Vincent" "apellidos" => "Zimmer" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S021057052030323X" "doi" => "10.1016/j.gastrohep.2020.07.004" "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/S021057052030323X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S244438242100170X?idApp=UINPBA00004N" "url" => "/24443824/0000004400000008/v2_202201010832/S244438242100170X/v2_202201010832/en/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S0210570520303162" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2020.06.031" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1630" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:575-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">IMAGEN DEL MES</span>" "titulo" => "Adenoma pilórico en colon transverso" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "575" "paginaFinal" => "576" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pyloric adenoma in the transverse colon" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 657 "Ancho" => 900 "Tamanyo" => 192721 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Imagen anatomopatológica en la que se observa una estructura polipoide con glándulas tubulares de talla media, alguna de ellas dilatadas, que aparecen revestidas por epitelio cilíndrico de citoplasma eosinófilo y núcleos isomorfos.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jacqueline Edith Apaza Chavez, Diego Rincón Rodríguez, Javier Menarguez Palanca, María Jesús Fernández Aceñero" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Jacqueline Edith" "apellidos" => "Apaza Chavez" ] 1 => array:2 [ "nombre" => "Diego" "apellidos" => "Rincón Rodríguez" ] 2 => array:2 [ "nombre" => "Javier" "apellidos" => "Menarguez Palanca" ] 3 => array:2 [ "nombre" => "María Jesús" "apellidos" => "Fernández Aceñero" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2444382421001619" "doi" => "10.1016/j.gastre.2020.06.032" "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/S2444382421001619?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520303162?idApp=UINPBA00004N" "url" => "/02105705/0000004400000008/v1_202109300536/S0210570520303162/v1_202109300536/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0210570520303733" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2020.07.025" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1668" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:572" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">IMAGEN DEL MES</span>" "titulo" => "Pero ¿qué me estás contando?" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "572" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "But, what are you telling me?" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1248 "Ancho" => 1583 "Tamanyo" => 188742 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Diverticulosis colónica sin signos inflamatorios.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Vicente Lorenzo-Zúñiga, Marco Bustamante-Balén, Vicente Pons-Beltrán" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Vicente" "apellidos" => "Lorenzo-Zúñiga" ] 1 => array:2 [ "nombre" => "Marco" "apellidos" => "Bustamante-Balén" ] 2 => array:2 [ "nombre" => "Vicente" "apellidos" => "Pons-Beltrán" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2444382421001668" "doi" => "10.1016/j.gastre.2020.07.023" "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/S2444382421001668?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520303733?idApp=UINPBA00004N" "url" => "/02105705/0000004400000008/v1_202109300536/S0210570520303733/v1_202109300536/es/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Clip-assisted ERCP for redundant duodenal folds" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "573" "paginaFinal" => "574" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Vincent Zimmer" "autores" => array:1 [ 0 => array:4 [ "nombre" => "Vincent" "apellidos" => "Zimmer" "email" => array:1 [ 0 => "vincent.zimmer@gmx.de" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 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" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "CPRE asistida por clip para pliegues duodenales redundantes" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1189 "Ancho" => 1583 "Tamanyo" => 147024 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 71-year-old female patient was referred for endoscopic retrograde cholangiopancreatography (ERCP) for pre-papillary bile duct stone disease detected by outpatient magnetic resonance cholangiopancreatography (MRCP). After insertion of a therapeutic duodenoscope, redundant duodenal folds became visible in the descending duodenum (D2), initially giving rise to a “<span class="elsevierStyleItalic">hidden</span><span class="elsevierStyleItalic">papilla</span>” situation. In fact, the papilla only became appreciable after ERCP catheter manipulation in between the stack of folds, confirming a regular localization at the medial aspect of D2, however, obscured by an overriding fold. The papilla itself was classified as a type 2 configuration (small <3<span class="elsevierStyleHsp" style=""></span>mm diameter and flat) as suggested by the Scandinavian Association for Digestive Endoscopy (SADE) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, <span class="elsevierStyleItalic">asterisk</span>).<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Administration of butylscopolamine for duodenal antimotility and repeated lifting of the fold by a guidwire-loaded papillotome as our first-line standard cannulation technique failed to provide sustained visualization of the papilla. Therefore, we switched to a clip-assisted ERCP approach. To this end, the overriding fold was lifted by one branch of an 11-mm rotable clip and attached to the more cranially and laterally neighboring mucosa, providing optimal ERCP settings for successful papillotome cannulation and safe papillotomy with stone extraction (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">While mostly reported in papilla-related pathology, such as peripapillary lipoma and/or diverticulum, this is the first report of clip-assisted ERCP in the not uncommon setting of redundant duodenal folds initially precluding instrumentation.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Therefore, while clip-assisted cannulation is well established maneuver to externalize and fix intradiverticular papillae, the presented alternative application for redundant duodenal folds, obscuring visualization and manipulation of the papilla, may represent an indispensible rescue approach of special value to remind less experienced endoscopists of this basically old technique.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1189 "Ancho" => 1583 "Tamanyo" => 137574 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1189 "Ancho" => 1583 "Tamanyo" => 147024 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic classification of the papilla of Vater. Results of an inter- and intraobserver agreement study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Haraldsson" 1 => "L. Lundell" 2 => "F. Swahn" 3 => "L. Enochsson" 4 => "J.M. Lohr" 5 => "U. Arnelo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "United Eur Gastroenterol J" "fecha" => "2017" "volumen" => "5" "paginaInicial" => "504" "paginaFinal" => "510" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic clip-assisted biliary cannulation: externalization and fixation of the major papilla from within a duodenal diverticulum using the endoscopic clip fixing device" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "I. Scotiniotis" 1 => "G.G. Ginsberg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1053/ge.1999.v50.97369" "Revista" => array:6 [ "tituloSerie" => "Gastrointest Endosc" "fecha" => "1999" "volumen" => "50" "paginaInicial" => "431" "paginaFinal" => "436" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10462673" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/02105705/0000004400000008/v1_202109300536/S021057052030323X/v1_202109300536/en/main.assets" "Apartado" => array:4 [ "identificador" => "75365" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02105705/0000004400000008/v1_202109300536/S021057052030323X/v1_202109300536/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021057052030323X?idApp=UINPBA00004N" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 October | 7 | 2 | 9 |
2024 September | 17 | 1 | 18 |
2024 August | 21 | 2 | 23 |
2024 July | 24 | 4 | 28 |
2024 June | 14 | 1 | 15 |
2024 May | 13 | 4 | 17 |
2024 April | 27 | 5 | 32 |
2024 March | 27 | 3 | 30 |
2024 February | 24 | 3 | 27 |
2024 January | 31 | 1 | 32 |
2023 December | 29 | 3 | 32 |
2023 November | 18 | 3 | 21 |
2023 October | 15 | 6 | 21 |
2023 June | 1 | 1 | 2 |
2022 November | 3 | 3 | 6 |
2022 October | 5 | 5 | 10 |
2022 September | 5 | 4 | 9 |
2022 August | 5 | 7 | 12 |
2022 July | 1 | 1 | 2 |
2022 June | 1 | 2 | 3 |
2022 April | 3 | 0 | 3 |
2022 March | 4 | 0 | 4 |
2022 January | 1 | 0 | 1 |
2021 December | 2 | 0 | 2 |
2021 October | 4 | 4 | 8 |
2021 September | 0 | 2 | 2 |