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Submit Manuscript | http://medcraveonline.com complicated road she has to pass in her rehabilitation, after 57 esophageal dilations with general anesthesia and endoscopy every week to two or three esophageal dilations per week, an esophageal metallic expandable covered stent, with anti-reflux mechanism, was put in the two distal thirds of the esophagus, it lasted a little bit more than two months, when it migrated to stomach, it was retired and esophageal dilations were reinitiated. CaseA six year old girl accidentally ingested a liquid caustic, it was on a soda recipient, she drink on june-26-2017, immediately she begin with droolong and severe mouth pain. Endoscopy revealed white fibrinous plaques, erythematic and hemorrhage in all espohagus mucosa. She was put on fast about one week, a surgical gastrostomy was done, it was closed in about two weeks; she was in other city. On august 16-2017, 51days after caustic ingestion, she arrived to our hospital; at that time, she has three days with dysphagia to solids and liquids, she has acrocianosis and choked with her saliva. The first nine days she is on the hospital, and are done the first three esophageal stenosis dilations; after discharged, she is maintained with esophageal dilations three, two or one per week.In the first endoscopy, a punctate stenosis is documented, al 19cm from superior incisors, an alambric guide wire is passed and followed by 5mm Savary-Guilliard dilator, at this time, she developed gastric dilation, as air passed through the esophageal stenosis, but could not get out; abdominal circumference severely increased; pediatric surgeon evaluated the patient, he determined she only has deglutated air into stomach. After several esophageal dilations, the diameter increased from 1-2mm to 18mm, the frecuency diminished from three to two per week, but the esophageal diameter diminished from 18 to 8mm, so, the frecuency of esophageal dilations increased once again; two more times we try to have two dilations per week, the problema is the esophageal diameter diminished to 8mm from 18mm. After 57 esophageal dilations, on march-24-18 an expandible metalic esophageal stent, completely covered, with anti-reflux mechanism, with diameter of 20mm by 10 length cm is put on two distal thirds of esophagus and proximal stomach.She does not need esophageal dilation while stent was located on esphagus; it remained there just a little bit more than two months, after one and a half month, she begin with dysphagia to solids which; in three weeks, progress to dysphagia to liquids, until she could not pass nothing by mouth three days before she was carried to the hospital, on june-8-2018. Thoracic and abdominal X-rays demonstrated migration of the stent to stomach. Endoscopy revealed stricture of 8-9mm, with irregular surface, which bleed as endoscope, of 9.8mm, passed through stomach. The proximal part of stent is located to the antrum, and distal part is on proximal part of stomach body, with its body convexaly curved to front view of the endoscope. In retroflexion, the...

Submit Manuscript | http://medcraveonline.com and related prolamines present in wheat, barley and rye, that occur in genetically susceptible individuals, who have the human leukocyte antigen HLA-DQ2 and/or HLA-DW8 haplotypes. It is caracterized by inflammatory enteropathy, with variable degrees of severity, a wide range of gastrointestinal and/or systemic complaints, and the presence of celiac-specific auto-anti-bodies; is the more frequent inflammatory gastrointestinal disease in west countries [1][2][3][4].We describe two adolescents with digestive and systemic symptoms and signs related to gluten ingestion, with abnormal histopathologic findings and abscence of gluten and transaminase auto-antibodies, IgG and IgA, and negative for wheat IgE allergy, they had clinical remission on gluten free diet, and exaceration when they eat gluten, both associated to non-specific IBD, wich improved with prednisone. a. What is known i. CD can start at any age.ii. The signs and symptoms vary widely.iii. The difference between children and adults is that; children, could have failure to thrive and short stature.iv. Both can have both gastro-intestinal and extraintestinal manifestations.v. Extra-intestinal manifestations of CD can improved o disappeared with gluten free diet, as in the boy, in which chronic constipation, since pre-school age to up tu date, finished in few days, when he started free gluten diet.b. What is less known i. Chronic constipation could be the only symptom of CD.ii. IBD can be associated to CD. c. What is newi. IBD can be associated, not only to CD, but to NCGS, and, perhaps, WA. Case Report Case 1A 12 years old boy begin with anorexia and weight loss (49 to 40.8 Kg) since january to april12-17. He has normal activity.Since baby, his bowel movements were 1-2 per week, Bristol 1 to 3, feces frequently stuck in toilet.Exploration: Weight 40.8 Kg, height 1.58 meters. BMI 16.3 (C 25). Thin, active, flat abdomen, without active neither passive pain, nor abnormal bowel sounds.Laboratory: Negative anti-gliadin IgG and IgA, antitransglutaminase IgA, anti-total and wheat IgE.High Endoscopy: Diffuse capillary congestion in stomach. Duodenum is, macroscopically, normal.Coloncoscopy: Normal ileum. Deformed cecal valve by edema. Ceccum with visible taenias. Capillaries are lost in surrounding appendiceal mucosa. Mucosa, since ceccum to two proximal thirds of transverse colon, with paralel folds, formed by diffuse edema, and diffuse punctate hemorrhage.Distal transversal and descending colon with normal mucosa. Capillaris are lost in sigmoid by edema, diffuse hemorrhage and whitsh, round, and tiny superficial injuries. AimDescribe clinic, endoscopic and histopathology findings, and response to treatment in a 12 years old boy and a 17 year old girl, With NCGS, associated to IBD.