{"title":"Manifestaciones gastrointestinales de pacientes infectados con el nuevo Coronavirus SARS-CoV-2","authors":"L. Díaz P., A. Espino E","doi":"10.46613/gastrolat202001-05","DOIUrl":"https://doi.org/10.46613/gastrolat202001-05","url":null,"abstract":"La pandemia por el nuevo coronavirus SARS-CoV-2 ha causado más de 2,5 millones de casos confirmados en el mundo, con una mortalidad cercana al 7%. La mayoría de los casos parecen ser leves y los síntomas más comunes son fiebre, tos seca, mialgia, fatiga y disnea, pero pueden provocar una enfermedad más grave. También se han descrito síntomas gastrointestinales: anorexia 27%, diarrea 12%, náuseas/vómitos 10%, y dolor abdominal 9%. En Chile, se ha descrito diarrea en 7,3%, y dolor abdominal 3,7%. El principal mecanismo fisiopatológico propuesto es el ingreso al enterocito utilizando la Enzima Convertidora de Angiotensina 2 (ECA2) como receptor, el cual es ampliamente distribuido a lo largo del tracto gastrointestinal. También se ha descrito alteración de pruebas hepáticas hasta en 40% de los casos. Esta alteración también podría ser causada por el ingreso a los hepatocitos y colangiocitos mediante la ECA2. Los síntomas gastrointestinales, y las alteraciones de pruebas hepáticas son más frecuentes en los pacientes graves. Se ha detectado la presencia de ARN viral en deposiciones de pacientes, lo que podría sugerir una posible vía de transmisión fecal-oral. Es importante prestar atención a las manifestaciones gastrointestinales, ya que son comunes y más frecuentes en pacientes graves. La presencia viral en las heces nos obliga a tomar medidas de precaución y prevención de un posible mecanismo de transmisión fecal-oral, especialmente en los servicios de gastroenterología y endoscopia.","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131451534","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}
J. Rodríguez G., M. Viñuela M., Camila Tirado A., L. Díaz P., A. Riquelme P., E. Briceño V.
{"title":"Revisión de artículo randomizados: Efecto de la cirugía precoz versus el enfoque de tratamiento endoscópico inicial sobre el dolor en pacientes con pancreatitis crónica: Ensayo clínico aleatorizado ESCAPE.","authors":"J. Rodríguez G., M. Viñuela M., Camila Tirado A., L. Díaz P., A. Riquelme P., E. Briceño V.","doi":"10.46613/gastrolat2022001-04","DOIUrl":"https://doi.org/10.46613/gastrolat2022001-04","url":null,"abstract":"","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115397070","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}
Gonzalo Latorre S, Jaime Gómez L., Jorge Arnold A., Felipe Silva P., F. Bellolio R., Jorge Escarate L., M. Álvarez-Lobos, A. Espino E, José Ignacio Vargas D
{"title":"Diagnóstico de divertículo de Meckel mediante cápsula endoscópica","authors":"Gonzalo Latorre S, Jaime Gómez L., Jorge Arnold A., Felipe Silva P., F. Bellolio R., Jorge Escarate L., M. Álvarez-Lobos, A. Espino E, José Ignacio Vargas D","doi":"10.46613/gastrolat2021001-04","DOIUrl":"https://doi.org/10.46613/gastrolat2021001-04","url":null,"abstract":"Meckel’s diverticulum can be present in up to 1.2% of the population. It is usually diagnosed as an imaging finding, but it can present with complications such as digestive bleeding, intestinal obstruction, diverticulitis, ulcers, and perforation, more frequently in childhood or infancy. The diagnosis workup for this condition will depend on their clinical manifestation, the most frequent being gastrointestinal bleeding of obscure origin or small intestinal bleeding. In this context, although capsule endoscopy is the preferred technique, its diagnostic yield for the detection of Meckel’s diverticulum is not entirely clear and it has not been compared in a controlled studies with other diagnostic methods. Here we report the diagnosis of a Meckel diverticulum and its intestinal complications by means of capsule endoscopy in a patient with iron deficiency anemia and gastrointestinal bleeding.","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116461262","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}
Raimundo Izquierdo C, Luis Pastén C, R. Stock L., A. Navarro R., R. Sáenz F.
{"title":"Desde la clasificación de Kudo a la inteligencia artificial en endoscopía. Una historia de 30 años","authors":"Raimundo Izquierdo C, Luis Pastén C, R. Stock L., A. Navarro R., R. Sáenz F.","doi":"10.46613/gastrolat2021001-06","DOIUrl":"https://doi.org/10.46613/gastrolat2021001-06","url":null,"abstract":"Estos conceptos aplican perfectamente al Profesor Kudo, quien es merecedor de un reconocimiento como pionero y líder visionario en Endoscopía Gastrointestinal, en el mundo entero. Hace 30 años, se hizo realidad el sueño de hacer posible que una descripción endoscópica del Patrón de Criptas (PP-Pit Pattern), gracias a la magnificación y los avances electrónicos y computacionales como la cromo endoscopía (tinciones directas o electrónicas), más una concepción tridimensional de la mucosa, nos han llevado a obtener una visión “patológica” de las lesiones permitiendo diferentes acciones en consecuencia. a. Lesiones no riesgosas. b. Lesiones pre-malignas o malignas precoces que deben ser resecadas mayormente vía endoscópica y, c. Lesiones malignas y avanzadas, para enfrentamiento quirúrgico.","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122618285","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":"Semblanza: Profesor Dr. Juan Carlos Glasinovic Radic","authors":"R. Zapata L.","doi":"10.46613/gastrolat2022001-08","DOIUrl":"https://doi.org/10.46613/gastrolat2022001-08","url":null,"abstract":"","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125103232","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":"Fístula portobiliar como complicación mayor de biopsia hepática transpercutánea bajo marcación ecográfica","authors":"Francisca Rivera O, Diego San Martín R","doi":"10.46613/gastrolat2020003-04","DOIUrl":"https://doi.org/10.46613/gastrolat2020003-04","url":null,"abstract":"Woman of 71 years, in study of chronic liver disease, Child-Pugh A, computed tomography (CT) suggestive of cirrhosis, autoimmune hepatitis score probable. It was decided to perform a liver percutaneous biopsy for diagnosis and treatment. After the procedure, the patient presented a self-limited episode of hematemesis. Upper digestive endoscopy without blood or other injury, abdominal ultrasound without free liquid. The patient was hospitalized, evolving hemodynamically stable without new bleeding episodes. Medical discharge was decided after 24 hours of observation. The patient consults the next day at emergency room because of intense abdominal pain and anemia. CT Impressed a dilated bile duct with hyperdense content inside, so she was rehospitalized. The patient evolved with melaena and hypotension. Biliary hematoma due to arteriobiliary fistula was suspected. CT angiogram evidenced portobiliary fistula. It was managed with endovascular therapy but the patient remained hypotense with a requirement for vasoactive drugs and multi-organ dysfunction, and she finally died.","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116184682","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}
Dieta e intestino, Govind Makharia, Tarkan Karakan Turquía, Yeong Yeh Lee, J. Bai, Sheila Crowe, Tarkan Karakan, Nevin Oruc, E. Quigley, D. Sanders, Cihan Yurdaydin
{"title":"Directriz mundial de la Organización Mundial de Gastroenterología. Dieta e intestine Abril de 2018","authors":"Dieta e intestino, Govind Makharia, Tarkan Karakan Turquía, Yeong Yeh Lee, J. Bai, Sheila Crowe, Tarkan Karakan, Nevin Oruc, E. Quigley, D. Sanders, Cihan Yurdaydin","doi":"10.46613/gastrolat2022001-2","DOIUrl":"https://doi.org/10.46613/gastrolat2022001-2","url":null,"abstract":"","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"197 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116148036","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":"Prevención de la pancreatitis aguda severa con inhibidores de la ciclooxigenasa-2: un ensayo clínico controlado aleatorizado","authors":"R. Arias Z., Nicolás Canelo R., L. Díaz P.","doi":"10.46613/gastrolat2022002-03","DOIUrl":"https://doi.org/10.46613/gastrolat2022002-03","url":null,"abstract":"","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134584983","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":"Protocolo de manejo simplificado para pacientes con hepatitis C crónica. Chile, 2019","authors":"","doi":"10.46613/gastrolat202001-07","DOIUrl":"https://doi.org/10.46613/gastrolat202001-07","url":null,"abstract":"","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"16 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120809167","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":"Dr. Francisco Vilardell Viñas (QEPD) (f Enero 2021)","authors":"Roque F Sáenz","doi":"10.46613/gastrolat2021001-05","DOIUrl":"https://doi.org/10.46613/gastrolat2021001-05","url":null,"abstract":"","PeriodicalId":103219,"journal":{"name":"Revista Gastroenterología Latinoamericana","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116444134","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}