Editor-in-Chief & Deputy Editor 2019-2021





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Acta Gastroenterologica Belgica is supported by grants from its major sponsors


Acta Gastroenterologica Belgica is supported by grants

from its major sponsors

Dr Falk Pharma







Acta Gastro-Enterologica Belgica is published in

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Asymptomatic eosinophilic colitis in a patient with previous allogeneic bone marrow transplantation for chronic myeloid leukaemia : letter to editor.

Price: €10,00

We report the case of a 63-year-old woman with a previous history of allogeneic bone marrow transplantation (BMT) for chronic myeloid leukaemia (CML) at the age of 45. The diagnosis of CML was been made in 1988, one year before BMT. At that time, she received a course of chemotherapy prior to bone marrow transplantation from her HLA-compatible sister. Bone marrow grafting was performed with a traditional regimen of chemotherapy, total body irradiation and graft versus host disease (GVHD) prophylaxis. Three years later, CML relapsed and remission was again obtained after a short course of Hydroxyurea, interferon and transfusion of white blood cells from the bone marrow donor. [Product Details...]

Fecal transplantation for recurrent Clostridium difficile colitis, an underused treatment modality

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Recently we successfully treated a patient who suffered from recurrent Clostridium difficile colitis with a fecal transplant (fecal bacteriotherapy) from a first degree relative. To our knowledge this is the first case of a successful transplant of this kind in Belgium. Also of interest is the fact that in our patient a cure was obtained using the supernatant after centrifugation of the fecal material. [Product Details...]

Giardia lamblia infection as a possible cause of eosinophilic ascites and enterocolitis

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Eosinophilic ascites is rarely observed in clinical practice and uncommonly related to parasitic infections. It may also be associated with subserosal type of eosinophilic gastroenteritis, peritoneal dialysis, lymphomas, and hypereosinophilic syndrome. [Product Details...]

Inflammatory bowel disease and African Americans

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I read with interest Fiasse & Latinne ‘s published article on “Intestinal helminths : a clue explaining the low incidence of inflammatory bowel diseases in Subsaharan Africa ? Potential benefits and hazards of helminth therapy” (1). In their review, the authors demonstrated that the very low incidence and prevalence of Inflammatory Bowel Diseases (IBD) in sub-Saharan Africa cannot be explained by genetic factors since in Black populations of the U.S.A. and U.K., the incidence of these diseases is approaching that of the white populations. Unfortunately, their opinion is contradicted by others. [Product Details...]

Inflammatory bowel disease and African Americans (Reply)

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We thank Dr El-Tawil for his interest in our article. He quoted the extensive study of Mahid et al. (1), concluding that in the USA there is no racial difference between African American populations and Caucasian American populations in inflammatory bowel disease (IBD) presentations, as well as in incidence and prevalence of Crohn’s disease (CD) and ulcerative colitis (UC). The hypothesis of Dr El-Tawil is that genetic alleles to IBD from Europeans have been transmitted to African Americans since their arrival as slaves in America in the 17th century. He mentions interesting genetic studies (2- 5) about estimations of biracial hybridation or genetic admixture. [Product Details...]

Pons hepatis : Report of two cases

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The pons hepatis is defined as a prolongation of the hepatic substance bridged over the umbilical fissure between the quadrate and left lobes of the liver. The reported incidence of the pons hepatis is quite different (1-3). Although some anatomy textbooks neglect to define the pons hepatis, others (1, 4, 5) well document it. During routine dissection studies we encountered two unusual structures in the visceral surface of the liver (Fig. 1). Histological examination of these structures by hematoxylin-eosin staining and cytokeratin-19 immunohistochemistry revealed that there were numerous vessels and bile ducts as seen in normal liver tissue contents. According to its direction and content, they were considered as pons hepatis. [Product Details...]

The probiotic Saccharomyces boulardii upgrades intestinal digestive functions by several mechanisms

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Saccharomyces boulardii (S. boulardii) is a probiotic yeast largely prescribed in many countries over the world. This probiotic has shown to exhibit therapeutic properties in acute and chronic enterocolopathies, irritable bowel syndrome, antibiotic – associated – diarrhoea and enterotoxigenic Clostridium difficile infections (1) However, the mechanisms of its effects remain largely unknown. The aim of this letter is to propose three complementary mechanisms explaining its trophic effects. [Product Details...]

Vanishing bile duct syndrome in a patient with Hodgkin’s lymphoma and asymptomatic hepatitis B virus infection

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The clinical course of this syndrome remains a mystery because of its infrequency. There are reports of reversible and irreversible cases (1-3). The major factor to adjust the prognosis is to achieve a remission state if an active HL is certain. In patients with HL in remission, corticosteroids and ursodeoxycholic acid treatment have been suggested (4). Patients should be closely followed up for possible relapses in HL or liver disease. In conclusion, the possibility of VBDS should be considered in the differential diagnosis of unexplained intrahepatic cholestasis in patients with HD. Corticosteroids may be beneficial in such patients. [Product Details...]

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