Acta Gastroenterologica Latinoamericana最新文献_第3页

Randomización versus estudios “en el mundo real” 随机化与“现实世界”研究

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/TGER9808

Rodolfo Pizarro

引用次数: 0

Solución del caso. Una causa poco frecuente de dolor abdominal y hemorragia digestiva 案例解决方案。腹痛和消化出血的罕见原因

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/RUOG4186

A. M. Bolívar, N. Larrañaga, Candelaria Tregea, Mariangela Paba Molina, Esteban Jeanmaire, R. Cobeñas

引用次数: 0

Experiencia con el uso de teduglutide en pacientes pediátricos con fallo intestinal en un centro de Argentina 在阿根廷某中心使用teduglutide治疗小儿肠道衰竭患者的经验

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/REQT4765

María Inés Fraire Martínez, Carolina Rumbo, Dolores García Hervás, J. Trentadue, Gabriel Gondolesi, Adriana Fernández

{"title":"Experiencia con el uso de teduglutide en pacientes pediátricos con fallo intestinal en un centro de Argentina","authors":"María Inés Fraire Martínez, Carolina Rumbo, Dolores García Hervás, J. Trentadue, Gabriel Gondolesi, Adriana Fernández","doi":"10.52787/REQT4765","DOIUrl":"https://doi.org/10.52787/REQT4765","url":null,"abstract":"Introduction. Teduglutide is a synthetic analogue of the glucagon-like peptide type 2, recently approved in Europe and in the United States for paediatric use, to promote intestinal adaptation in short bowel syndrome cases. The experience in children is limited. Objective. The aim of this work is to present the evolution of the first paediatric series treated with teduglutide in Argentina. Material and methods. A prospective study was realized on patient records under 18 years treated in a rehabilitation and intestine transplant unit since 2017. Of 62 children with short bowel syndrome, 5 received teduglutide 0.05 mg/kg/subcutaneous day. Diagnostics, type of anatomy and evolution of parenteral nutrition requirements were realized . Results. Etiology of short bowel syndrome: 3 congenital malformations: 2 atresias, 1 gastroschisis, two causes in older children: 1 volvulus and 1 abdominal trauma. Anatomy. Three patients type 2A, one type 2B and one type 3A, the length of the remaining intestine (mean and DS) 25.7 ± 19 cm, 1 with ileocecal valve and colon, 4 left hemicolon. The age at the beginning of parenteral nutrition was 6.2 ± 0.4 years, time on previous parenteral nutrition was 7.1 ± 4 years. The treatment time with teduglutide was 52.2 ± 39 weeks. The parenteral nutrition requirements were reduced by 56 ± 48%, in all patients, and could be suspended in 2 (at the 29th and 24th weeks of treatment). There was no deterioration of the z score of BMI/age (initial 0.16 ± 0.3 vs. 0.14 ± 1.02), nor of the height/age (-2.01 ± 1.5 vs. -1.76 ± 1.42). Conclusion. It was concluded that the use of teduglutide as a therapeutic alternative in the short bowel syndrome in paediatrics was effective and safe in this group of patients, allowing the restoration of intestinal sufficiency or reducing the requirements of parenteral nutrition.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47071256","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}

引用次数: 2

Neoplasia sólida pseudopapilar del páncreas. Reporte de un caso 胰腺实性假乳头状肿瘤。病例报告

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/SEVF1305

Ignacio Maldonado Schoijet, Javiera Poblete, Sergio Álvarez Diaz, Javier González Moscoso

引用次数: 0

Drenaje biliar guiado por ultrasonografía endoscópica en la obstrucción biliar maligna, experiencia inicial en un centro de Argentina. Serie de casos 内镜超声引导下胆管引流治疗恶性胆道梗阻，阿根廷中部的初步经验。病例系列

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/DMWG6500

A. Villaverde, J. Pizzala, Ines Oria, Dante Manazzoni, V. H. Abecia, M. Mahler, Dalila Urgiles, M. Marcolongo

{"title":"Drenaje biliar guiado por ultrasonografía endoscópica en la obstrucción biliar maligna, experiencia inicial en un centro de Argentina. Serie de casos","authors":"A. Villaverde, J. Pizzala, Ines Oria, Dante Manazzoni, V. H. Abecia, M. Mahler, Dalila Urgiles, M. Marcolongo","doi":"10.52787/DMWG6500","DOIUrl":"https://doi.org/10.52787/DMWG6500","url":null,"abstract":"When endoscopic retrograde cholangiopancreatography (ERCP) fails or is not feasible for drainage of the bile duct, endoscopic ultrasound-guided biliary drainage (EUS-BD) is a viable option. This technique of drainage has a lower complication rate and a better quality of life concerning percutaneous or surgical drainage. The aim of this work is to show our initial experience in this technique, in patients with malignant bile duct stenosis, in a referral centre. We performed a descriptive study of case series. Five patients with obstructive jaundice of neoplastic origin, in whom ERCP drainage was not feasible, were included EUS-BD was performed. Technical success of 100% was achieved in all cases and clinical success in four cases (80%). Post-procedural bleeding occurred in one patient, and two late complications: infection and prosthetic migration, all of which were resolved with conservative treatment. No serious adverse events were recorded. EUS-BD is a feasible and effective treatment option in selected cases particularly in cases of malignant biliary obstruction, with high technical and clinical success rates. Complications are usually mild and resolve conservatively.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47383092","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}

引用次数: 1

Síndrome de Boerhaave. Reporte de un caso y revisión de la literatura 布尔哈夫综合征。案例报告和文献综述

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/RMGG1255

P. Chiaradia, N. Larrañaga, Nicolás Roccatagliata, Mariángela Paba, Esteban Jeanmaire, D. Peralta, Gastón Clemente Ochoteco, J. Vallejos

引用次数: 0

Fístula colecistocolónica: abordaje dual endoscópico. Reporte de un caso 胆囊结肠瘘：内镜双重入路。病例报告

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/BGHP2336

C. Curvale, M. Guidi, Raul Matanó, J. María, Dante Manazzoni, Ignacio Málaga

{"title":"Fístula colecistocolónica: abordaje dual endoscópico. Reporte de un caso","authors":"C. Curvale, M. Guidi, Raul Matanó, J. María, Dante Manazzoni, Ignacio Málaga","doi":"10.52787/BGHP2336","DOIUrl":"https://doi.org/10.52787/BGHP2336","url":null,"abstract":"Cholecystocolonic fistula is an unusual and late complication of cholelithiasis. The symptoms usually are nonspecific and most cases are diagnosed intraoperatively. Our patient was a female, 75 years old, smoker, with a severe aortic stenosis history. She had a 6-month evolution diarrhea associated with weight loss, coagulopathy and aerobilia in abdominal ultrasound. On behalf of the clinic manifestations, cholecystocolonic fistula was suspected so an abdominal computer tomography scan and a cholangioresonance confirmed this suspicion. Given the patient comorbidities, we decided not to perform a surgical approach. An endoscopic retrograde cholangiography with extraction of choledocolithiasis and placement of a fully covered self-expanding metallic stent was associated with a video colonoscopy and closure of the colonic fistula with a clip device. The patient had a favourable evolution and was discharged on the second day post-procedure. After 3 months of follow-up, she did not present diarrhea and has recovered her weight loss and nutritional status. Given the unusual nature of the case and the significance of the preoperative diagnosis, which allowed us to carry out a minimally invasive treatment, we believe that its report is useful. We place special emphasis on the aerobic triad, alteration of the prothrombin concentration and chronic diarrhea that allowed us to suspect the diagnosis.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42948692","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}

引用次数: 0

Solución del caso. Vecinos que no se encuentran frecuentemente 案例解决方案。不经常见面的邻居

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/GCTB3010

Valeria Porto, Aldana Martin, M. Arias

引用次数: 0

Vecinos que no se encuentran frecuentemente 不经常见面的邻居

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/IVLI5361

Valeria Porto, Aldana Martin, M. Arias

引用次数: 0

Frecuencia y comportamiento epidemiológico e histológico en las neoplasias gastrointestinales asociadas a los pacientes portadores de VIH en el Hospital Juárez de México 墨西哥华雷斯医院hiv患者胃肠道肿瘤的频率、流行病学和组织学行为

Acta Gastroenterologica Latinoamericana Pub Date : 2020-09-28 DOI: 10.52787/JZEU3893

Andy Gabriel Rivera Flores, J. Rocha, F. Zamarripa-Dorsey, Scherezada Mejía Loza

{"title":"Frecuencia y comportamiento epidemiológico e histológico en las neoplasias gastrointestinales asociadas a los pacientes portadores de VIH en el Hospital Juárez de México","authors":"Andy Gabriel Rivera Flores, J. Rocha, F. Zamarripa-Dorsey, Scherezada Mejía Loza","doi":"10.52787/JZEU3893","DOIUrl":"https://doi.org/10.52787/JZEU3893","url":null,"abstract":"Background. The gastrointestinal tract is one of the most common sites for the development of primary neoplasms in the patients with a pre-existing infection with the human immunodeficiency virus (HIV). Approximately it is considered that the 40% of HIV patients will develop some type of cancer and there is a common observation that neoplasms are more aggressive in these patients. Only Kaposi’s sarcoma and non- Hodgkin’s lymphoma are located in the gastrointestinal tract in a primary way and are considered as defining acquired immunodeficiency syndrome (AIDS). There is another group of non-defining AIDS Neoplasm, but these are more frequent in these patients, such as anal and the colon neoplasia. Objectives. are to determine the frequency, epidemiology and histology of neoplasia’s of gastrointestinal malignancies associated with patients with HIV. Material and methods. It was a descriptive, cross-sectional and retrospective study conducted in the pathology service of Hospital Juárez de México from 2006 to 2015. The results were analyzed with relative and central frequency measurements to obtain percentages, mean, average and deviation standard. Results. We included 75 HIV patients associated with a Gastrointestinal cancer. The average age was 35.4 ± 8.2 with predominance of the male gender in 83%. The most frequent site of localization was the colon and the rectum with 43% of the cases. The service that most referred was oncology with 57%. The predominant histological type was adenocarcinoma (35%). Conclusions. Gastrointestinal neoplasia in patients with HIV is most frequently seen in the colon and the rectum, with adenocarcinoma being the most common histological type.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45493857","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}

引用次数: 0