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Towards a new paradigm of microscopic colitis: Incomplete and variant forms

World Journal of Gastroenterology 2016年第38期22卷 8459-8471页

作者： Danila Guagnozzi stefania landolfi Maria Vicario Department of Gastroenterology Hospital Universitario Vall d’Hebron08035 BarcelonaSpain Department of Pathology Hospital Universitario Vall d’Hebron08035 BarcelonaSpain Translational Mucosal Immunology Lab Digestive Diseases Research UnitVall d’Hebron Institut de RecercaDepartment of Gastroenterology.Hospital Universitario Vall d’HebronUniversitat Autónoma de Barcelona08035 BarcelonaSpain Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas(CIBERehd) 08035 BarcelonaSpain

Microscopic colitis(MC) is a chronic inflammatory bowel disease that has emerged in the last three decades as a leading cause of chronic watery diarrhoea. MC classically includes two main subtypes: lymphocytic colitis(LC) and collagenous colitis(CC). Other types of histopathological changes in the colonic mucosa have been described in patients with chronic diarrhoea, without fulfilling the conventional histopathological criteria for MC diagnosis. Whereas those unclassified alterations remained orphan for a long time, the use of the term incomplete MC(MCi) is nowadays universally accepted. However, it is still unresolved whether CC, LC and MCi should be considered as one clinical entity or if they represent three related conditions. In contrast to classical MC, the real epidemiological impact of MCi remains unknown, because only few epidemiological studies and case reports have been described. MCi presents clinical characteristics indistinguishable from complete MC with a good response to budesonide and cholestiramine. Although a number of medical treatments have been assayed in MC patients, currently, there is no causal treatment approach for MC and MCi, and only empirical strategies have been performed. Further studies are needed in order to identify their etiopathogenic mechanisms, and to better classify and treat MC.

关键词： Microscopic colitis Incomplete microscopic colitis Collagenous colitis Lymphocytic colitis

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Acquired hepatocerebral degeneration in a metastatic neuroendocrine tumor long-term survivor——an update on neuroendocrine neoplasm’s treatment:A case report

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World Journal of Hepatology 2021年第5期13卷 611-619页

作者： Oriol Mirallas Nadia Saoudi Diego Gómez-Puerto Mar Riveiro-Barciela Xavier Merino Cristina Auger stefania landolfi Laia Blanco Amparo Garcia-Burillo Xavier Molero Maria Teresa Salcedo-Allende Jaume Capdevila Medical Oncology Department Vall d'Hebron University HospitalVall Hebron Institute of OncologyBarcelona 08035CatalunyaSpain Liver Unit Department of Internal MedicineCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y DigestivasHospital Universitari Vall d'HebronUniversitat Autònoma de BarcelonaBarcelona 08035CatalunyaSpain Radiodiagnostic Department Vall d’Hebron University HospitalBarcelona 08035CatalunyaSpain Pathology Department Vall d'Hebron University HospitalBarcelona 08035CatalunyaSpain Hepatobiliopancreatic Surgery and Transplantation Department Vall d'Hebron University HospitalBarcelona 08034CatalunyaSpain Nuclear Medicine Department Vall d'Hebron University HospitalBarcelona 08035CatalunyaSpain

BACKGROUND Metastatic small bowel low-grade neuroendocrine tumors(NETs)have a good *** is the only curative treatment;however,this may induce advanced liver disease,particularly in long-term survivor *** hepatocerebral degeneration or Parkinsonism in cirrhosis is characterized by rapidly progressive extrapyramidal symptoms in patients with advanced liver *** SUMMARY A 70-year-old man presented to the emergency department with diminished consciousness and disorientation,and was diagnosed with hepatic *** patient was diagnosed in 1993 with a metastatic small bowel NET,for which he twice underwent hepatic surgery,with metastatic resection in 1993 and a right hepatectomy in 2002 to remove two hepatic *** 2003,the patient started first-line chemotherapy and in 2004 started the first of three consecutive biological treatments,followed by radio-molecular therapy,achieving stable disease for 14 *** progression was identified and he underwent an endoscopic retrograde ***,in 2019 advanced liver disease was *** diagnosed the development of acquired hepatocerebral degeneration,an unusual long-term side effect after multiple hepatic *** The importance of regular and ongoing surveillance in long-term NET survivors who undergo hepatic procedures should be integrated into the therapeutic management plan,as some of these negative outcomes could be prevented.

关键词： Neuroendocrine tumors Hepatocerebral degeneration Parkinsonism Somatostatin analogues Everolimus Hepatic metastases Peptide radionuclide receptor therapy Encephalopathy Paramagnetic deposits Case report

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