Revista Endoscopia最新文献

{"title":"Colangiopancreatografía endoscópica. Disminuyendo las complicaciones","authors":"Héctor Espino-Cortés","doi":"10.24875/end.m20000198","DOIUrl":"https://doi.org/10.24875/end.m20000198","url":null,"abstract":"Correspondencia: *Héctor Espino-Cortés E-mail: drhespinoc@hotmail.com Endoscopia. 2020;32(Supl 1):65-68 www.endoscopia-ameg.com DOI: 10.24875/END.M20000198 0188-9893/© 2020. Asociación Mexicana de Endoscopia Gastrointestinal, publicado por Permanyer México SA de CV, todos los derechos reservados. Durante el congreso mundial de endoscopia (WEO 2020) realizado en Brasil, en relación con complicaciones de la CPRE, hubo 13 resúmenes de trabajos (abstracts), que fueron publicados en Digestive Endoscopy 2020; 32 (Suppl. 1): 17–256. Para la DDW se enviaron 15 abstracts con el mismo tema, publicados en Gastrointestinal Endoscopy 2020; 91 (5S):AB 2 – 627 y el 3 de junio en el seminario en línea: Best abstracts from ESGE Days 2020: EUS and ERCP, se comentó un trabajo de prevención de pancreatitis. En este año se publicó la guía de eventos adversos en CPRE de la Asociación Europea de Endoscopía Gastrointestinal (ESGE). En este escrito se comentan las medidas recomendadas para disminuir las complicaciones de la CPRE, que se presentaron en los eventos mencionados. Los efectos adversos (término que debe substituir al de complicaciones) tienen una incidencia global entre 5 y 10% de las CPREs. Las más frecuentes y directamente relacionados con el procedimiento son: pancreatitis (con incidencia (I) de 3.5-9.7%, de la que 0.1-0.5% es grave, con mortalidad (M) de 0.1 0.7%); hemorragia (I: 0.3-9.6%, M: 0.04%); colangitis (I: 0.53%, M: 0.1%), y perforación (I: 0.08-0.6%, M:0.06%) estas cifras son mencionadas en la guía de efectos adversos en CPRE de la ESGE1. Estos datos concuerdan con los de un estudio prospectivo, de cohorte, sobre eventos adversos asociados a CPRE en 36 hospitales de Japón, con 15,732 CPRE. Las incidencias fueron: pancreatitis 6.9%, hemorragia 0.87%, infección 0.99% y perforación 0.45%2. Para disminuir los efectos adversos, resalta la importancia de seleccionar a los pacientes en quienes está realmente indicado el procedimiento, pues como lo estableció el Dr. Cotton: la CPRE es más peligrosa en quien menos la necesita3. Debe evitarse entonces el procedimiento solo con fines diagnósticos. Hay que evaluar los factores de riesgo relativos al paciente, los riesgos durante el procedimiento y aplicar las medidas preventivas, principalmente en los pacientes de alto riesgo1-3. PANCREATITIS POR CPRE (PpCPRE). Los factores de riesgo (FR) definitivos relacionados con el paciente en orden descendente de importancia son: antecedente de PpCPRE, sospecha de función anormal (disfunción) del esfínter de Oddi, antecedente de pancreatitis aguda de otra etiología y género femenino. Los FR definitivos relacionados con el procedimiento también en importancia descendente son: canulación difícil, más de un paso de la guía al conducto pancreático u opacificación de este. También se incluye la ampulectomía endoscópica. El corte inicial para acceso al colédoco (precorte) no parece ser un FR definitivo cuando Palabras clave: Pancreatitis por CPRE (PpCPRE). Factor de Riesgo (","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116994698","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":"En este número de Endoscopia","authors":"F. I. Téllez-Ávila","doi":"10.24875/end.m20000175","DOIUrl":"https://doi.org/10.24875/end.m20000175","url":null,"abstract":"","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131077963","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":"La obesidad incrementa la probabilidad de presentar pólipos adenomatosos colorrectales","authors":"Cristián Díaz-Solleiro, Estefanía E. de la Cruz-Castillo, Hugo López-Acevedo, C. Mata-Quintero","doi":"10.24875/end.20000030","DOIUrl":"https://doi.org/10.24875/end.20000030","url":null,"abstract":"Introduction: In recent studies a relationship between obesity and colorectal polyps has been found. In Mexico, a significant percentage of the population suffers from obesity, which isn’t considered an independent risk factor for colorectal cancer screening. Objectives: Determine whether obese patients have colorectal adenomatous polyps more frequently in comparison with non-obese patients, as these lesions represent the precursor of colon cancer. Materials and methods: A cross-sectional, retrospective study was carried out, with patients undergoing colonoscopy","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126177417","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":"Características endoscópicas del linfoma gástrico primario","authors":"Ricard Balanzà, Nicole Somerville, Fernando Rojas-Mendoza, Nancy E. Aguilar-Olivos","doi":"10.24875/end.20000013","DOIUrl":"https://doi.org/10.24875/end.20000013","url":null,"abstract":"lesiones elevadas y 2 (15.38%) pseudopólipos. La localización fue 13 (100.00%) en cuerpo, 7 (53.85%) en fondo y cardias, 3 (23.08%) en antro, 11 (84.62%) lesiones extensas y 2 (15.38%) lesiones focales. Conclusiones: El diagnóstico de linfoma gástrico primario se realiza principalmente por medio de esofagogastroduodenoscopia, por lo que es de suma importancia conocer sus características endoscópicas. En nuestra serie de casos las características endoscópicas más frecuentemente asociadas a linfoma gástrico primario fueron engrosamiento de pliegues gástricos y localización en cuerpo. Abstract Introduction and objective: Primary gastric lymphoma accounts for 5% of all gastric neoplasia. Esophagogastroduodenos-copy is frequently the diagnostic method of choice, although no pathognomonic lesions have been described since it may manifest as superficial alterations of the mucosa, protrusion, diffuse infiltration, ulceration, thickened gastric folds, and even as apparently normal mucosa. The objective of this study is to evaluate a series of cases of primary gastric lymphoma in order to describe and report the most frequent endoscopic characteristics, morphology and localization, of this pathology. Material and methods: We searched for all the primary gastric lymphoma cases in the Anatomic Pathology database at our hospital from January 2015 to January 2020. The endoscopic characteristics of the patients diagnosed by esophagogastro-Correspondencia: duodenoscopy analyzed. Results: We analyzed 13 cases of primary gastric lymphoma. Thickened gastric folds were observed in all patients and none had apparently normal mucosa. Eight patients (61.54%) presented ulcers, 6 (46.15%) superficial mucosal alterations, 3 (23.08%) elevated lesions, and 2 (15.38%) pseudopolyps. Thirteen cases (100%) were lo-cated in the body of the stomach, 7 (53.85%) in the cardias and fundus, 3 (23.08%) in the antrum, 11 (84.62%) were extend-ed lesions, and 2 (15.38%) were focal lesions. Conclusions: The diagnosis of primary gastric lymphoma is usually performed by esophagogastroduodenoscopy, resulting crucial to recognize and describe its endoscopic characteristics. In our case series the most frequently associated endoscopic characteristics to primary gastric lymphoma were the presence of thickened gastric folds and the involvement of the gastric body.","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132051729","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":"Endoscopia en pancreatitis crónica","authors":"J. A. López-Cossío, Everardo Muñoz-Anaya, F. T. Ávila, F. Téllez-Ávila","doi":"10.24875/end.m19000172","DOIUrl":"https://doi.org/10.24875/end.m19000172","url":null,"abstract":"Until recently, the role of endoscopy in patients with chronic pancreatitis was limited only for diagnosis and generally, it was reach in advanced stages of the disease when the changes were evident in other non-invasive methods. Regarding treatment, the role of endoscopy was very limited too with questionable results, it was related mainly to inadequate selection of the","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124366130","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":"Apego al cumplimiento de los indicadores de calidad en endoscopia del tracto gastrointestinal superior en el Hospital General Dr. Manuel Gea González","authors":"J. R. Ramírez-Nava, R. Délano-Alonso, María del C. Ávila-Langarica, Enrique Rentería-Palomo, Ricardo Pineda-Leguízamo, C. Valenzuela-Salazar, J. Herrera-Esquivel","doi":"10.24875/end.m19000174","DOIUrl":"https://doi.org/10.24875/end.m19000174","url":null,"abstract":"","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125356221","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":"Experiencia del uso de polvo hemostático en el manejo endoscópico de sangrado variceal y no variceal en un hospital de tercer nivel en México. El primer reporte en pacientes pediátricos en Latinoamérica","authors":"J. Cadena-Leon, Jaime Alfaro-Bolaños, L. Tovar-Correa, Mayra Medranda-Cedeño, M. Cazares-Méndez, E. Montijo-Barrios, F. Zarate-Mondragon, E. Toro-Monjaraz, K. Ignorosa-Arellano, R. Cervantes, J. Ramírez-Mayans","doi":"10.24875/end.m19000039","DOIUrl":"https://doi.org/10.24875/end.m19000039","url":null,"abstract":"Gastrointestinal bleeding is a life-threatening condition in the pediatric age and is one of the main indications for diagnostic and therapeutic endoscopy, although there are multiple techniques for managing both mortality and recurrence of bleeding being very high in childhood. Currently, the use of hemostatic powder has been proposed as a practical and effective alternative for the management of digestive tract bleeding. Objective: To describe the experience of the use of hemostatic powder as an alternative endoscopic treatment for variceal and non-variceal gastrointestinal bleeding in pediatric patients. Material and methods: Retrospective, observational and descriptive study of pediatric patients aged 1-18 years with upper and lower gastrointestinal bleeding, in whom hemostatic powder was applied as an alternative treatment of bleeding at the National Institute of Pediatrics between January 2017 and November 2018. Results: We included 10 pediatric patients with upper and lower gastrointestinal bleeding from different causes, in whom the bleeding was anemic. Hemospray ® was applied, achieving control of bleeding in 90% of patients with one application. Conclusion: The use of Hemospray ® is an easy and fast alternative with good results for the control of both variceal and non-variceal gastrointestinal bleeding.","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114268978","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":"Cierre endoscópico de fístula gastrocutánea posterior al retiro de sonda de gastrostomía: reporte de caso","authors":"R. Zamarripa-Mottú, E. Murcio-Pérez, G. Blanco-Velasco, O. Solórzano-Pineda, Ó. V. Hernández-Mondragón","doi":"10.24875/end.m19000038","DOIUrl":"https://doi.org/10.24875/end.m19000038","url":null,"abstract":"Occasionally, the indication of the gastrostomy tube is resolved, and it is removed. Among the complications due to withdrawal is the gastro-cutaneous fistula (GCF). We present the case of a 45-year-old woman with GCF after gastrostomy catheter removal, in whom a successful closure with an Ovesco® endoscopic device was performed. The most effective endoscopic therapies are those that combine de-epithelization of the fistulous tract with mechanical method or monotherapy with Ovesco®. Endoscopic closure devices have high efficacy and safety as an FGC treatment and should be considered as the first treatment option.","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129297889","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":"Ascariasis hepatobiliar: caso clínico y revisión de la literatura","authors":"Argentina Paredes-Soto, Julio Fernando Toledo-Cuque","doi":"10.24875/end.19000016","DOIUrl":"https://doi.org/10.24875/end.19000016","url":null,"abstract":"","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126090283","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":"Impacto del uso de los inhibidores de la bomba de protones en el fenotipo endoscópico de pacientes con reflujo gastroesofágico","authors":"A. Pérez-Mendoza, Rafael R. Jiménez-Córdoba, Reyna M. López-Alcaraz, Francisco J. Sepúlveda-Cañamar","doi":"10.24875/end.19000021","DOIUrl":"https://doi.org/10.24875/end.19000021","url":null,"abstract":"","PeriodicalId":143133,"journal":{"name":"Revista Endoscopia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121688071","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}