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Introduction: Despite the rise of video consultation, most consultations in patients with digestive diseases tend to be face-to-face. Objective and Methods: In 2016, gastroenterology video consultation was implemented in the hospital. A prospective and descriptive study of a series of patients attended consecutively by video consultation by a gastroenterology specialist for 50 months. We have analyzed which syndromes and digestive diseases are susceptible to being performed by video consultation. Results: Two hundred fifty patients were selected (100 during the first three months of the COVID-19 pandemic), 50.4% men and 49.6% women, with a mean age of 48 (SD 18-9) years. The main reason for the consultation of the 142 patients (56.8%) with definitive diagnoses was: dyspepsia, hepatobiliary disease, diarrhea, gastroesophageal reflux, and irritable bowel syndrome. The final diagnosis was dyspepsia (21%), hepatobiliary disease (16%), diarrhea (9%), irritable bowel syndrome (8.4%), intolerances (including gluten intolerance and sensitivity) (8.4%), gastroesophageal reflux disease (7,7%), and inflammatory bowel disease (6.3%). The concordance between the diagnostic impression and the definitive diagnosis was 60%. Conclusions: Video consultation in gastroenterology is an effective alternative to the face-to-face visit, used equally in patients of both sexes, where dyspepsia is the main reason for consultation and diagnosis. During the first 3 months of the COVID-19 pandemic, the number of video consultations increased 10 times. The main pathologies diagnosed were dyspepsia and hepatobiliary diseases.

Carcinoid syndrome (CS) is a paraneoplastic syndrome associated with serotonin secretion, which undergoes renal excretion as 5-hydroxyindoleacetic acid in the urine (u5-HIAA). The goal of this retrospective, observational study was to review a personal series of CS cases by performing a search of the clinical and ultrasound records of patients with metastatic liver disease.Fourteen patients with CS were identified over a period of 28 years (Table 1). The mean age was 58 years (range, 40-80 years), 64 % were female and 36 % were male, all of them Caucasians. Given the search method used, all patients had liver metastases and the primary neuroendocrine tumor was located in the bowel (50 %), in the gastroduodenal area, in an unknown site (14 %) and in the mesentery, pancreas and lung in 7 % of cases. The tumors were G1-G3 and their clinical manifestation was CS, with flushing and chronic diarrhea. Flushing developed in 86 % of cases, diarrhea in 78 % and heart disease in 21 % of cases. One case included steatorrhea and one case included bronchoconstriction (7 %).

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