INWENDIGE ZIEKTEN

CENTRUM INWENDIGE ZIEKTEN/ GASTROENTEROLOGIE

ARTIKELS

ABSTRACT 4

Belangrijk gewichtsverlies bij een patiënt met een hardnekkige huideruptie

ABSTRACT 1

Aanhoudende koorts zonder focus met lymfadenopathiëen:infectie, inflammatie of maligniteit?

Desmedt S, Desmedt V, Billiet T, D'heygere F Tijdschrift voor geneeskunde en gezondheidszorg, 2021, 16-24

ABSTRACT Er is geen abstract beschikbaar.

ABSTRACT 2

Mimicry of an acute pseudocyst by a gastrointestinal duplication cyst in a 14-year old boy

Vanbelleghem E, Werbrouck J, Libbrecht L, D'heygere F Tijdschrift voor Geneeskunde en gezondheidszorg, 2021, 8-15

ABSTRACT Persistent skin eruption in a 52-year-old man losing weight. This case report describes a 52-year-old male patient with important weight loss, fatigue, diarrhea and a skin eruption since 1 year. An olmesartan-induced enteropathy and skin vasculitis were diagnosed. There was a total resolution of the symptoms after the interruption of olmesartan. Although sprue-like enteropathy and cutaneous vasculitis are very rare, clinicians should be aware of those potential adverse events, even years after the initiation of an angiotensin II receptor blocker.

Biliet T, Elewaut A, D'heygere F, et al. Endoscopy, 2021, 1508-1510

ABSTRACT Er is geen abstract beschikbaar. ABSTRACT 5

Evaluating the accuracy of three international guidelines in identifying the risk of malignancy in pancreatic cysts: a retrospective analysis of a surgical treated population

ABSTRACT 3

Hypercalcemia induced pancreatitis as a rare presentation of primary hyperparathyroidism

D'Heygere E, Vereecke G, Van Moerkercke W, et al. Acta Gastroenterologie België, 84(2), 2021, 367-370

ABSTRACT Acute pancreatitis (AP) is an inflammatory process of the pancreas. It is a relatively common cause of acute upper abdominal pain and is potentially associated with high morbidity and mortality. Underlying hypercalcemia as a cause of AP is very rare. We present a case of a hypercalcemia-induced acute pancreatitis with an underlying parathyroid adenoma in an 81-year-old woman with no previous symptoms of hypercalcemia. The parathyroid adenoma was semi-urgently surgically resected with normalization of calcium-levels. This case report summarizes the causes of acute pancreatitis and hypercalcemia and its management. Vanden Bulcke A, Jaekers J, Topal H Acta Gastro-enterology Belgica, 2021, 84(3), 443-450

ABSTRACT The international consensus Fukuoka guideline (Fukuoka ICG), The European evidence-based guideline on pancreatic cystic neoplasms (European EBG) and the American Gastroenterological Association institute guideline on the diagnosis and management of asymptomatic neoplastic pancreatic cysts (AGA IG) are 3 frequently cited guidelines for the risk stratification of neoplastic pancreatic cysts. The aim of this study was to assess the accuracy of detecting malignant cysts by strictly applying these guidelines retrospectively to a cohort of surgically resected pancreatic cysts.

72 resected cysts were included in the analysis. Invasive carcinoma, high grade dysplasia and neuro-endocrine tumour were considered as "malignant cysts" for the purpose of the study.

32% of the resected cysts were malignant. The analysis showed that the Fukuoka ICG, European EBG and AGA IG had a sensitivity of 66,8%, 95,5%, 80%; a specificity of

26,8%, 11,3%, 43,8%; a positive predictive value of 31,8%, 35%, 47,1% and a negative predicted value of 61,1%, 83,3%, 77,8% respectively. The missed malignancy rate was respectively 11,3%, 1,5%, 7,7% and surgical overtreatment was respectively 48,4%, 59,1%, 34,6%.

In this retrospective analysis, the European EBG had the lowest rate of missed malignancy at the expense of a high number of "unnecessary" resections. The Fukuoka ICG had the highest number of missed malignancy. The AGA IG showed the lowest rate of unnecessary surgery at the cost of a high number of missed malignancy. There is need to develop better biomarkers to predict the risk of malignancy.

PRESENTATIES /CONGRESSEN

ABSTRACT 1

Investigating fatigue in vedolizumab-treated patients with ulcerative colitis or Crohn's Disease from a Belgian Registry

Louis E, Muls V, Bossuyt P, D'heygere F, et al. july 2021, virtual

ABSTRACT Er is geen abstract beschikbaar.

ABSTRACT 6

Boerhaave's syndrome: succesful conservative treatment in 2 patients.

Van Geluwe B, Van Moerkercke W, Vergauwe P, et al. Acta Gastro-Enterology Belgica, 2021, 83(4), 654-656

ABSTRACT Abstract is na te lezen op p. 13