Jesus M. Gonzalez-Santiago

• Gastroenterologist
• Hospital Universitario de Salamanca

Background: non-anesthesiologist administration of propofol (NAAP) using continuous infusion systems may achieve a more sustained sedative action. Aim: to compare intermittent boluses (IB) with pump continuous infusion (PCI) for NAAP, targeted to moderate sedation, for colonoscopy. Methods: 192 consecutive outpatients were randomized to receiv...

Background Split dosage of bowel preparations has been shown to substantially improve bowel cleansing.AimTo compare the split dose (SD) sodium picosulphate/magnesium oxide/anhydrous citric acid (Citrafleet®) regimen for morning colonoscopies with standard cleansing the day before.Methods Consecutive outpatients were randomized to receive Citrafleet...

We report the challenging case of an 81-year-old woman on dual antiplatelet therapy with recurrent strokes, who presented with severe obscure gastrointestinal bleeding. A thorough diagnostic work-up, including capsule endoscopy, double balloon enteroscopy, arteriography, exploratory laparotomy and mouth-to-anus intraoperative enteroscopy, failed to...

Percutaneous endoscopic colostomy (PEC), using the classic pull-through technique in the ascending or the descending colon, has been proven useful to treat chronic intestinal pseudo-obstruction. We report the case of a high-surgical risk 70-year-old male with refractory chronic intestinal pseudo-obstruction, in whom the ascending colon could not be...

Sr. Director: La deteccion de mucosa gastrica heterotopica (MGH) en esofago cervical (inlet patch) en una endoscopia suele ser un hallazgo casual y carente de significado patologico (MGH tipo I). Sin embargo, en algunos casos puede condicionar sintomas esofagicos (sensacion de globo, disfagia, odinofagia) o extraesofagicos (disfonia, tos, ronquera)...