Acta Gastroenterologica Latinoamericana最新文献

{"title":"[Videocapsule Endoscopy as a Diagnostic Tool for Meckel's Diverticulum in Pediatrics: a Case Report].","authors":"Ana María Acevedo Forero, Adriana Prada-Rey, Viviana Parra-Izquierdo, Juan Sebastián Frías-Ordoñez, Manuel Alonso Ardila Báez, Cristian Florez-Sarmiento, Jesús David Castillo","doi":"10.52787/agl.v53i3.296","DOIUrl":"10.52787/agl.v53i3.296","url":null,"abstract":"<p><p>Meckel's diverticulum is a common congenital anomaly of the small intestine caused by incomplete obliteration of the omphalomesenteric duct. Most patients are asymptomatic, and the diagnosis is usually made incidentally on imaging studies. The most common symptom is painless rectal bleeding; however, the presentation can be varied. There are different diagnostic tools for symptomatic, among which the most sensitive is Meckel's scan. However, direct visualization is the way to make an accurate diagnosis, which can be done through video capsule endoscopy, a useful tool to clarify the etiology of bleeding in the small intestine.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"53 3","pages":"314-319"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12668457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670206","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":"Big Data y medicina de precisión: una visión general hacia el futuro.","authors":"Walter Masson","doi":"10.52787/agl.v53i3.345","DOIUrl":"10.52787/agl.v53i3.345","url":null,"abstract":"","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"53 3","pages":"203-206"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669262","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":"[Hemostatic Role of TC-325 in Tumor-Related Upper Gastrointestinal Bleeding: Experience in a Tertiary Care Centre].","authors":"Alejandro Marcelo Suárez, Matías Dan Federici, Andrés Esteban Rocca","doi":"10.52787/agl.v53i3.327","DOIUrl":"10.52787/agl.v53i3.327","url":null,"abstract":"<p><strong>Introduction: </strong>Conventional endoscopic methods have shown poor hemostatic efficacy in the treatment of bleeding esophagogastroduodenal tumors. Recent studies have suggested, on the contrary, a high therapeutic success with the use of TC-325 (Hemospray ^® , Cook Medical, Winston-Salem, NC) in this subgroup of patients. Its easy application and its ability to cover a large surface area appear to position it as a promising treatment for this indication, given the diffuse nature of bleeding in this type of lesions.</p><p><strong>Objectives: </strong>Our primary aim was to evaluate the immediate and 72-hour hemostatic role of TC-325 in patients with upper gastrointestinal bleeding of tumor origin admitted to our institution. Our secondary objective was to analyze their rebleeding rate at one month and complications.</p><p><strong>Materials and methods: </strong>Retrospective, observational and longitudinal analysis, conducted between March 2018 and May 2022, based on the electronic records of the Digestive Endoscopy Unit of the Hospital de Gastroenterología Dr. Carlos Bonorino Udaondo, inpatient medical records and outpatient follow-up records of the Oncology service. We included all patients with upper gastrointestinal tumors with active bleeding verified during upper digestive video endoscopy (UDVE), with data available at least to analyze our primary objective. Clinical, demographic and endoscopic variables were collected, as well as laboratory data, tumor location and bleeding severity.</p><p><strong>Results: </strong>A total of 21 patients, 81% men, with a mean age of 65 years were included. The most frequent presenting symptom was melena (81%), with gastric location being the most frequent (71.4%), and intestinal adenocarcinoma being the most common histological type. Immediate hemostasis was achieved in 19/21 patients (91%) treated with TC-325. Of the 18 patients who survived to 72 hours, 100% remained free of rebleeding at the end of this period. Furthermore, of the 16 patients alive at 30 days, only 4 (25%) rebleed, which allowed the application of definitive hemostatic treatments in better clinical conditions in 10 of them (3 patients underwent surgery and 7 others received radio and/or chemotherapy). Hemospray treatment was very safe, with no immediate or delayed complications. However, as these patients had locally advanced tumors or disseminated neoplasms, their prognosis was unfavorable, with mortality at 1 and 6 months of 24% and 66% respectively.</p><p><strong>Conclusion: </strong>Treatment of tumoral upper gastrointestinal bleeding with TC-325 is very effective and safe. Its high rate of immediate and early hemostasis suggests a promising role as a bridging therapy, allowing the subsequent application of more definitive hemostatic treatments. Medium-term mortality remains equally high, given the generally advanced tumor stage.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"53 3","pages":"291-300"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12668463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670160","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":"[The Era of Intelligent Endoscopy: How Artificial Intelligence Empowers Digestive Endoscopy].","authors":"Jorge Baquerizo-Burgos, María Egas-Izquierdo, Doménica Cunto, Carlos Robles-Medranda","doi":"10.52787/agl.v53i3.339","DOIUrl":"10.52787/agl.v53i3.339","url":null,"abstract":"<p><p>Artificial intelligence is a field of science and engineering that focuses on the computational understanding of intelligent behaviors and the creation of artifacts that exhibit such behaviors, enabling computers to function and think similarly to humans. This technology assists in overcoming the various challenges that healthcare professionals face, contributing to the diagnosis, management, and prognosis of patients. Currently, several artificial intelligence models have been developed in the field of digestive endoscopy, including some that enable the detection of anatomical structures that can aid in the training of medical professionals, serve as guides during endoscopic procedures, or assist in stratifying pre-malignant and malignant lesions. This reduces false negatives, providing timely treatments. Computerized lesion detection and diagnostic system exist for different segments of the digestive tract, each with specific functions that provide assistance during procedures. All of this has been done with the aim of reducing risks stemming from human and environmental factors, among others, which can affect early diagnosis and management of diseases. Artificial intelligence models for digestive endoscopy can not only enhance the visual impression for endoscopists but also reduce the learning curve through the application of precise technologies, thus bridging the gap between experienced and less experienced endoscopists. This article discusses the technological advancements of artificial intelligence in digestive endoscopy and related future aspects.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"53 3","pages":"211-225"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670167","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":"[Difficult-to-Extract Foreign Bodies in Pediatric Patients].","authors":"Carlos Mario Mendez-Nieto, Lucía Casas-Guzik, Roberto Cervantes-Bustamante, Flora Elva Zárate-Mondragón","doi":"10.52787/agl.v53i3.336","DOIUrl":"10.52787/agl.v53i3.336","url":null,"abstract":"<p><p>The ingestion of foreign bodies is an emergency and one of the accidents with the highest morbidity and mortality in pediatrics. Due to their characteristics and location, some represent a challenge for endoscopic extraction, so it is important to have various accessories and technical skills to achieve extraction. The objective of this article is to present a series of cases of ingestion of difficult-to-extract foreign bodies that required unconventional techniques and that could serve as a guide for the treatment of similar cases.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"53 3","pages":"301-308"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670146","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":"[Cost, Availability and Nutritional Value of Gluten-Free Foods in Argentina. Their Relationship with Adherence to Gluten-Free Diet. A Multicenter Study].","authors":"Andrea González, María de La Paz Temprano, Florencia Costa, María Belén Gordillo, María Rosa Fontana, Mercedes Pico, María Laura Moreno, Emilia Sugai, Edgardo Smecuol, Sonia Niveloni, Roberto Mazure, Horacio Vázquez, Eduardo Mauriño, Julio César Bai","doi":"10.52787/agl.v53i3.335","DOIUrl":"10.52787/agl.v53i3.335","url":null,"abstract":"<p><strong>Introduction: </strong>\u0000 <i>Several studies suggest that the cost and availability of gluten-free foods may be factors associated with adherence to treatment. To date, no national studies have evaluated the cost, availability and nutritional value of gluten-free foods, how they differ from their gluten-containing counterparts, and their potential relationship with adherence to the gluten-free diet. Obtaining this information is extremely useful for decision-making at both the individual and population levels in the redefinition of socio-economic policies.</i>\u0000 </p><p><strong>Objective: </strong>\u0000 <i>To know the cost, availability and nutritional value of different gluten-free food groups in different geographical regions of Argentina and their possible relationship with adherence to the gluten-free diet.</i>\u0000 </p><p><strong>Material and methods: </strong>\u0000 <i>A descriptive, cross-sectional, comparative, multicenter, multicenter study. Ten varieties of gluten-free premixes and substitute flours, fifteen gluten-free substitute foods and ten industrialized foods were analyzed, as well as their counterparts with gluten. Individuals diagnosed with celiac disease and treated with a gluten-free diet for at least one year were included in the study, calculating an approximate number of 40 individuals per geographic area, for a total of 7 geographic areas.</i>\u0000 </p><p><strong>Results: </strong>\u0000 <i>The basic food basket for celiac patients was 68.8% more expensive than the general basic food basket (p < 0.0001). Gluten-free substitute foods were 253.2% more expensive than their gluten-containing counterparts (p < 0.0001). Their availability was limited in different geographical areas, with an average of 50.4% of the 35 proposed gluten-free foods available. 75.9% of individuals reported that the higher cost of substitute foods did not affect their adherence to the gluten-free diet. In terms of nutritional value, the gluten-free substitute foods were found to have 39% less protein and 68% less fiber than their gluten-containing counterparts. The substitute foods had zero iron and B-complex vitamins.</i>\u0000 </p><p><strong>Conclusions: </strong>\u0000 <i>This study is the first to evaluate the cost and availability of gluten-free foods in different geographical areas of Argentina. This research presents two perspectives; a direct one, with information collected in the field, and a subjective one coming from the opinion of the person with celiac disease.</i>\u0000 </p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"53 3","pages":"257-264"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670124","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":"Causa infrecuente de lesión hepática en paciente joven.","authors":"Jesica Andruetto, Mariano Volpacchio, Cecilia Cabral, Germán Francisco Rojas, Gabriel Adrián Mariño Camacho, Esteban González Ballerga","doi":"10.52787/agl.v53i3.340","DOIUrl":"10.52787/agl.v53i3.340","url":null,"abstract":"","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"53 3","pages":"255-256"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669265","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":"Prevalencia de regurgitación infantil: experiencia del grupo de trabajo en trastornos del eje cerebro-intestino de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica (SLAGHNP)","authors":"Carlos Alberto Velasco-Benitez, Steven Koremblun Murillo, Claudia Jimena Ortíz-Rivera, Edgar Játiva Mariño, Fátima Azereth Reynoso Zarzosa, Mariana Xail Espriu Ramírez, Jorge Alberto Macías-Flores, Roberto Arturo Zablah Córdova, Ricardo A. Chanis Águila, Trini Fragoso Arbelo, Milton Danilo Mejía Castro, Yunuen Rivera Suazo","doi":"10.52787/agl.v53i1.280","DOIUrl":"https://doi.org/10.52787/agl.v53i1.280","url":null,"abstract":"Introducción. La prevalencia de regurgitación infantil en niños latinoamericanos está entre el 8% y el 9,4% según los criterios de Roma III. Objetivo. Determinar la prevalencia de regurgitación infantil en niños latinoamericanos según los criterios de Roma IV y sus posibles asociaciones. Materiales y métodos. Estudio observacional, descriptivo, de prevalencia, realizado en siete países latinoamericanos. Se utilizó la base de datos de la Functional International Digestive Epidemiological Research Survey para seleccionar la muestra. Se incluyeron en el estudio niños menores de 12 meses que fueron diagnosticados con regurgitación infantil mediante el Cuestionario de Síntomas Gastrointestinales Pediátricos Roma IV. Resultados. Se analizaron 1802 lactantes (80,7% de América del Sur; 6,7±3,8 meses de edad). Se diagnosticó regurgitación infantil en 6,8% (52,5% mujeres; 39,8% mestizos; 46,7% colombianos). La edad pico fue 6 meses de vida. Hubo mayor probabilidad de presentar regurgitación infantil en los lactantes entre 1 y 6 meses de edad, de raza indígena, de Centroamérica, nacidos por cesárea, prematuros, atendidos en instituciones públicas, por gastroenterólogos pediatras y durante la pandemia del Covid-19. Hubo menor probabilidad de presentar regurgitación infantil en los lactantes con alimentación complementaria. Conclusión. La regurgitación infantil es frecuente en lactantes latinoamericanos. La prevalencia es menor comparativamente a lo descripto en otros países, con factores de riesgo como raza, origen, cesárea, prematuridad, sitio y nivel de atención, y pandemia de COVID-19. El factor protector es la alimentación complementaria.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135419737","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":"Buenas prácticas endoscópicas surgidas de la actividad conjunta SAGE-ENDIBA 2019 y los indicadores de calidad en endoscopía de ASGE","authors":"Laudanno Om","doi":"10.52787/QCAJ6371","DOIUrl":"https://doi.org/10.52787/QCAJ6371","url":null,"abstract":"","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48192556","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":"Vólvulo de ciego con lesión de colon ascendente reporte de un caso y alternativas de tratamiento","authors":"G. Sosa, A. Barrios","doi":"10.52787/SUYI2286","DOIUrl":"https://doi.org/10.52787/SUYI2286","url":null,"abstract":"right hemicolectomy with transverse ileus anastomosis, but if the volvulus caused intestinal necrosis and the patient is hemodynamically unstable, it is safer to perform intestinal resection and ileostomy. Ascending ileus anastomosis performed at a higher level of the ascending colon is a safe alterna-tive for the restitution of intestinal transit in patients with cecal volvulus.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43793390","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}