Endoscopia最新文献

{"title":"Manejo de antitrombóticos en pacientes que requieren procedimientos endoscópicos","authors":"Nancy Edith Aguilar-Olivos ,&nbsp;Ariadna Irais Ramírez-Polo ,&nbsp;Félix Ignacio Téllez-Ávila","doi":"10.1016/j.endomx.2015.11.005","DOIUrl":"https://doi.org/10.1016/j.endomx.2015.11.005","url":null,"abstract":"<div><p>A significant proportion of patients treated with anticoagulants or platelet aggregation inhibitors may require elective or urgent endoscopic procedures. It is desirable that endoscopists have knowledge of the basic pharmacology of antithrombotic agents and their indications, as well as the risk of thrombosis after discontinuation of therapy and the risk of bleeding due to endoscopic procedures. The importance of this information lies in optimising the outcomes of thromboembolism and bleeding. The aim of this review is to present the evidence on the recommendations to conduct a safe endoscopic procedure in patients on antithrombotic treatment.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"27 4","pages":"Pages 180-187"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2015.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72067468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indicaciones para esofagogastroduodenoscopia. Utilidad de las guías de la Sociedad Americana de Endoscopia Gastrointestinal (ASGE) en un hospital del bajío mexicano","authors":"María Guadalupe de Lourdes González Avalos ,&nbsp;Benigno Linares Segovia ,&nbsp;Éctor Jaime Ramírez Barba ,&nbsp;José Perfecto Salcedo Gómez ,&nbsp;Héctor Eduardo Flores Calleja","doi":"10.1016/j.endomx.2015.11.003","DOIUrl":"https://doi.org/10.1016/j.endomx.2015.11.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Gastrointestinal endoscopy has advanced the diagnosis and treatment of most digestive diseases. The aim of the study was to review the indications for oesophago-gastro-duodenoscopy, adherence to the ASGE guidelines in Mexico Hospital Center, and their usefulness.</p></div><div><h3>Material and methods</h3><p>A retrospective cohort study was conducted on all cases of patients who underwent an oesophago-gastro-duodenoscopy for diagnostic purposes in the Gastrointestinal Endoscopy service of a hospital of the center of Mexico during January 2006 to December 2010. Demographic data, speciality of the referral physician and the, description of the procedure were recorded, along with the endoscopic diagnosis. Sensitivity, specificity, predictive values and likelihood ratios were calculated, using a standard endoscopic diagnosis as a reference.</p></div><div><h3>Results</h3><p>A total of 3,467 oesophago-gastro-duodenoscopies were reviewed. According to the ASGE guidelines, only 36.6% of them were considered adequate, with 6.4% of the all endoscopies being requested by gastroenterologists. The main reasons for referral were oesophageal reflux disease, gastrointestinal bleeding, and dyspepsia. More than half (54.8%) of the referrals with inadequate indication showed some relevant endoscopic finding. The sensitivity and specificity were 37% and 64%, respectively, as a diagnostic test for the referral diagnosis. In multiple regression analysis, the factors most associated with a relevant diagnosis, were age (greater than 40 years), be referred for specialist medical and referral diagnosis.</p></div><div><h3>Conclusions</h3><p>The adherence to ASGE guidelines was low, probably due to the open access system. A high percentage of relevant endoscopic findings were found in inadequate endoscopies.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"27 4","pages":"Pages 156-161"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2015.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72067473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manejo de antitrombóticos en pacientes que requieren procedimientos endoscópicos","authors":"N. E. Aguilar-Olivos, Ariadna Irais Ramírez-Polo, F. I. Téllez-Ávila","doi":"10.1016/J.ENDOMX.2015.11.005","DOIUrl":"https://doi.org/10.1016/J.ENDOMX.2015.11.005","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"37 1","pages":"180-187"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73683741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indicaciones para esofagogastroduodenoscopia. Utilidad de las guías de la Sociedad Americana de Endoscopia Gastrointestinal (ASGE) en un hospital del bajío mexicano","authors":"Maria Guadalupe Valencia Avalos, B. L. Segovia, É. J. R. Barba, Ignacio Aguaded, Héctor Eduardo Flores Calleja","doi":"10.1016/J.ENDOMX.2015.11.003","DOIUrl":"https://doi.org/10.1016/J.ENDOMX.2015.11.003","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"15 1","pages":"156-161"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74247763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enfermedad de Ménétrier. Caso clínico","authors":"L. M. Leyva, C. Oliveira, Gerusa Tanoeiro, Maria Helena de Sousa, Neusa Leite, Georgina de Fátima Almeida","doi":"10.1016/J.ENDOMX.2015.11.004","DOIUrl":"https://doi.org/10.1016/J.ENDOMX.2015.11.004","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"56 1","pages":"175-179"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76759512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hallazgos endoscópicos en pacientes con obesidad. ¿Existe correlación con los síntomas?","authors":"Hugo Lopez Acevedo, J. A. Romero, Carlos Javier Mata Quintero, Marisela Díaz Oyola, Federico Pérez González, Mircea Gonzalez Villarello, María de los Ángeles Valdés Ramírez, Omar Jesus Pineda Oliva, Andrés López, Jorge Farell Rivas, Jorge Alberto Bello Guerrero, G. Ruiz, J. Pérez, Víctor José Cuevas Osorio","doi":"10.1016/J.ENDOMX.2015.10.002","DOIUrl":"https://doi.org/10.1016/J.ENDOMX.2015.10.002","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"75 1","pages":"150-155"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80793139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Derivaciones biliodigestivas en obstrucción maligna. Drenaje guiado por ultrasonido endoscópico vs. percutáneo. Un estudio comparativo","authors":"M. Torres-Ruiz, J. G. D. L. Mora-Levy, J. Alonso-Lárraga, J. S. Monte, A. Hernández-Guerrero","doi":"10.1016/J.ENDOMX.2015.12.001","DOIUrl":"https://doi.org/10.1016/J.ENDOMX.2015.12.001","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"7 1","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90505303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mensaje de la presidenta de la Asociación Mexicana de Endoscopia Gastrointestinal, A.C.","authors":"Clara Luz Martínez García","doi":"10.1016/j.endomx.2015.12.003","DOIUrl":"https://doi.org/10.1016/j.endomx.2015.12.003","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"27 4","pages":"Page 149"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2015.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72067474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enfermedad de Ménétrier. Caso clínico","authors":"Ludmila Martínez Leyva,&nbsp;Carla Oliveira,&nbsp;Gerusa Tanoeiro,&nbsp;Maria de Sousa,&nbsp;Neusa Leite,&nbsp;Georgina de Fátima Almeida","doi":"10.1016/j.endomx.2015.11.004","DOIUrl":"https://doi.org/10.1016/j.endomx.2015.11.004","url":null,"abstract":"<div><p>Ménétrier's disease is an infrequent clinical condition consisting of thickening of the gastric folds secondary to hyperplasia of the foveolar mucosa cells, and is frequently associated with loss of enteric proteins and hypoalbuminaemia. Its aetiology is unknown. At present it is considered to be pre-malignant. The case is presented of a 27-year-old patient who was admitted for abdominal pain, loss of weight, and vomiting. This disease is diagnosed using endoscopy and biopsy of stomach tissue. An update is presented on the therapeutic approach, which has not yet been clearly defined.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"27 4","pages":"Pages 175-179"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2015.11.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72067470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiencia del programa de aplicación de cianoacrilato en pacientes con varices gástricas del Hospital General de México","authors":"Iván Ramos,&nbsp;Víctor García Guerrero,&nbsp;Ángel Mario Zárate-Guzmán,&nbsp;Fernando Bernal Sahagún,&nbsp;Adalberto Corral Medina,&nbsp;Rosario Valdés Lías","doi":"10.1016/j.endomx.2015.08.003","DOIUrl":"https://doi.org/10.1016/j.endomx.2015.08.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Variceal bleeding causes 10%-30% of upper gastrointestinal bleeding cases and gastric varices develop in 10%-30% of patients with portal hypertension. Although gastric varices bleed less frequently than oesophageal varices, when this occurs, it is associated with a 45% mortality rate. Obstructive methods using with tissue adhesives are the treatment of choice for gastric varices.</p></div><div><h3>Objectives</h3><p>To determine the efficacy and safety of cyanoacrylate injection in gastric varices and its impact on survival.</p></div><div><h3>Material and Methods</h3><p>This was a retrospective analysis of patients with gastric varices treated with cyanoacrylate injection between January 2005 and May 2013 at the Endoscopy Unit of Hospital General de Mexico.</p></div><div><h3>Results</h3><p>A total of 333 patients were included, with male predominance (55%) and a mean age of 53.44<!--> <!-->±<!--> <!-->14.9 years. Alcohol was the most common cause of cirrhosis (46.5%), followed by chronic viral hepatitis (24.6%) and cryptogenic (28.8%). The Child-Pugh grade was A in 66 patients (19.81%), B in 126 (37.83%) and C in 141 (42.34%). The mean cyanoacrylate sessions until eradication were 1.83<!--> <!-->±<!--> <!-->0.574, with a mean 2.07<!--> <!-->±<!--> <!-->0.703 cyanoacrylate doses per session. Complications observed included splenic vein thrombosis (0.3%) and pleuritis (0.3%). Both were managed conservatively. Variceal eradication was achieved in 309 patients (92.8%). The survival rate was high, with 281 patients remaining alive (84.4%). Causes of death were associated to liver failure (6.3%) and infections (2.1%). No cases of mortality associated to bleeding were recorded.</p></div><div><h3>Conclusions</h3><p>Injection of cyanoacrylate in gastric varices is a safe and effective procedure with a high eradication rate and a low complication/mortality rate.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"27 3","pages":"Pages 104-108"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2015.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72105974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}