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(B) A panorama view of the backside of the nasal cavity (posterior rhinoscopy: pw, posterior nasopharyngeal wall; r, nasopharyngeal roof; ps, posterior septum; Et, <span class="elsevierStyleItalic">Eustachian</span> tube opening; pr, pharyngeal recess/fossa of <span class="elsevierStyleItalic">Rosenmüller</span>). (C) Close-up view of the right and (D) left nasal passage: it, inferior; mt, middle turbinate – <span class="elsevierStyleItalic">note</span> marked turbinate/conchae hypertrophy.</p>" ] ] ] "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" => "S2444382421001851" "doi" => "10.1016/j.gastre.2020.06.035" "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/S2444382421001851?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520303253?idApp=UINPBA00004N" "url" => "/02105705/0000004400000009/v1_202110240545/S0210570520303253/v1_202110240545/en/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2444382421001863" "issn" => "24443824" "doi" => "10.1016/j.gastre.2020.07.027" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "1642" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:666-7" "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" => "Primary lesser sac pleomorphic liposarcoma mimicking gastric GIST" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "666" "paginaFinal" => "667" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Primaria saco menor liposarcoma pleomófico que simula GIST gástrico" ] ] "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" => 781 "Ancho" => 900 "Tamanyo" => 87046 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial-view contrast-enhanced CT reveals a large ulcerated (red arrow), well-defined, heterogeneously enhancing mass (arrowheads) on the lesser curvature of the stomach (S), occupying the lesser sac.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Claudia-Gabriela Moldovanu, Toader Zaharie, Maria-Ofelia Anton" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Claudia-Gabriela" "apellidos" => "Moldovanu" ] 1 => array:2 [ "nombre" => "Toader" "apellidos" => "Zaharie" ] 2 => array:2 [ "nombre" => "Maria-Ofelia" "apellidos" => "Anton" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0210570520303289" "doi" => "10.1016/j.gastrohep.2020.07.008" "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/S0210570520303289?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382421001863?idApp=UINPBA00004N" "url" => "/24443824/0000004400000009/v1_202111050718/S2444382421001863/v1_202111050718/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Gastrointestinal endoscopic posterior rhinoscopy" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "668" "paginaFinal" => "669" ] ] "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" => "Rinoscopia posterior endoscópica gastrointestinal" ] ] "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" => 1127 "Ancho" => 1500 "Tamanyo" => 284942 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Post-biopsy scar formation in the hard palate close to the uvula. (B) A panorama view of the backside of the nasal cavity (posterior rhinoscopy: pw, posterior nasopharyngeal wall; r, nasopharyngeal roof; ps, posterior septum; Et, <span class="elsevierStyleItalic">Eustachian</span> tube opening; pr, pharyngeal recess/fossa of <span class="elsevierStyleItalic">Rosenmüller</span>). (C) Close-up view of the right and (D) left nasal passage: it, inferior; mt, middle turbinate – <span class="elsevierStyleItalic">note</span> marked turbinate/conchae hypertrophy.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Clinical and endoscopic interest in diagnostics and therapeutics along the “<span class="elsevierStyleItalic">ENT transit</span><span class="elsevierStyleItalic">route</span>” during upper endoscopy by dedicated colleagues is constantly rising.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">1</span></a> Along such reasoning, incidental and/or dedicatedly targeted findings in the oral cavity and/or hypopharyngeal structures are increasingly reported in the GI literature. While formerly an exclusive realm of the ENT specialist and <span class="elsevierStyleItalic">terra incognita</span> for gastrointestinal endoscopists, the backside of the nasal cavity, albeit its anterior view may be familiar to those practising nasal-access ultra-slim endoscopy, in the form of high-definition posterior rhinoscopy, achievable during standard scope intubation during esophago-gastro-duodenoscopy and of potential clinical value in work-up of presumed, endoscopy negative upper GI bleeding, may be visualized adequately by GI endoscopy. This is illustrated in an elderly patient post head and neck cancer with marked xerostomia and post-biopsy scar formation in the hard palate close to the uvula. (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) After passing the soft palate and downward movements with the large handle, a panorama posterior rhinoscopy was achieved (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B: pw, posterior nasopharyngeal wall; r, nasopharyngeal roof; ps, posterior septum; Et, <span class="elsevierStyleItalic">Eustachian</span> tube opening; pr, pharyngeal recess/fossa of <span class="elsevierStyleItalic">Rosenmüller</span>) as well as close-up visualization of the right (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C: it, inferior; mt, middle turbinate -<span class="elsevierStyleItalic">note</span> marked turbinate/conchae hypertrophy potentially related to allergic rhinitis) and left (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D) nasal passage.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0010" 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" => 1127 "Ancho" => 1500 "Tamanyo" => 284942 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Post-biopsy scar formation in the hard palate close to the uvula. (B) A panorama view of the backside of the nasal cavity (posterior rhinoscopy: pw, posterior nasopharyngeal wall; r, nasopharyngeal roof; ps, posterior septum; Et, <span class="elsevierStyleItalic">Eustachian</span> tube opening; pr, pharyngeal recess/fossa of <span class="elsevierStyleItalic">Rosenmüller</span>). (C) Close-up view of the right and (D) left nasal passage: it, inferior; mt, middle turbinate – <span class="elsevierStyleItalic">note</span> marked turbinate/conchae hypertrophy.</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" => "Oropharyngeal findings at upper endoscopy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. Fatima" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.cgh.2019.05.038" "Revista" => array:6 [ "tituloSerie" => "Clin Gastroenterol Hepatol" "fecha" => "2019" "volumen" => "17" "paginaInicial" => "2423" "paginaFinal" => "2428" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31154026" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004400000009/v1_202111050718/S2444382421001851/v1_202111050718/en/main.assets" "Apartado" => array:4 [ "identificador" => "75461" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004400000009/v1_202111050718/S2444382421001851/v1_202111050718/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382421001851?idApp=UINPBA00004N" ]
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