Acta Gastroenterologica Latinoamericana最新文献

{"title":"Cierre de perforación de intestino delgado posterior a polipectomía de pólipo hamartomatoso","authors":"V. Soria, J. Pizzala, M. Mahler, Dante Manazzoni, S. Durán, Santiago Rinaudo, M. L. González, M. Marcolongo","doi":"10.52787/DPRA8893","DOIUrl":"https://doi.org/10.52787/DPRA8893","url":null,"abstract":"Single balloon enteroscopy allows a non-surgical therapeutic approach in patients with small bowel polyps. In patients with Peutz Jeghers Syndrome (SPJ) resection of hamartomatous polyps with this method is safe and effective. Although complications are rare, if they occur, they can be managed conservatively. We present a 16-year-old patient with a history of PJS who underwent an enteroscopy for small bowel polyps. Endoscopic resection of a 3 cm jejunum polyp was performed, and a full thickness intestinal perforation was immediately noticed after the resection. We were able to close the gap with hemo clips. The patient had an excellent clinical outcome.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46113055","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":"Esplenosis abdominal: un diagnóstico infrecuente","authors":"Irene Andaluz García, J. P. Cordón, Rubén Fernández Martos","doi":"10.52787/OEYW6995","DOIUrl":"https://doi.org/10.52787/OEYW6995","url":null,"abstract":"Splenosis is an uncommon entity resulting from the spread of splenic tissue to different body compartments. Although it is usually asymptomatic, it can cause a variety of symptoms and must be suspected in patients with a traumatic history of the spleen, including splenectomy. Nevertheless the diagnostic tool of choice to confirm it is the scintigraphy with denatured red blood cells marked with Tc-99.We report the case of an 18-year-old male with a personal history of splenectomy admitted for asthenia, jaundice and abdominal discomfort. An ultrasound identifies multiple abdominal masses predominantly on the left flank, being finally diagnosed of splenosis after CT and scintigraphy with red blood cells marked with Tc-99.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45317728","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":"[Liver leiomyosarcoma].","authors":"J. R. Usandivaras","doi":"10.32388/gpfan1","DOIUrl":"https://doi.org/10.32388/gpfan1","url":null,"abstract":"Hepatic tumors are infrequent. Sarcomas represent less than 2% of them, and Leiomyosarcoma (LMS) is a certain rarity. The frequency grows from primitive tumors to metastatic tumors and in the last years, in relation with different immunodeficiencies. A case of a patient diagnosed in the postoperative and assisted in two relapses until her death, is reported. The possible aetiologies are analyzed in the hepatic gland that does not have muscle of its own, as well as in diagnostic and therapeutic modalities, insisting in the lack of rules, because of the low number of publications. Morphologic variations between the primitive tumor and its relapses are also shown.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42527172","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":"[Prevention of cancer colorectal. From stone age to the cornerstone].","authors":"Roque Sáenz, Edison Salazar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35164927","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":"[An infrequent cause of iron-deficiency\u0000anemia: Ménétrier disease].","authors":"Ana García García de Paredes,&nbsp;Javier Martínez González,&nbsp;Laura Crespo Pérez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ménétrier disease is a rare condition of an unknown origin,\u0000with a wide spectrum of clinical signs and symptoms at\u0000presentation. Diagnosis is made through the combination of\u0000clinical, analytical, endoscopic and histological data. Surgery\u0000is the classical treatment. However, new medical approaches\u0000have emerged.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35164299","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":"[Functional dyspepsia in students of eigth peruvians medical schools. Influence of the habits].","authors":"Mariela Vargas,&nbsp;Lincolth Talledo-Ulfe,&nbsp;Reimer O Samaniego,&nbsp;Paula Heredia,&nbsp;Christian A S Rodríguez,&nbsp;César A Mogollón,&nbsp;Walter F Enriquez,&nbsp;Christian R Mejia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Functional dyspepsia impacts on quality of life. Due to its\u0000multifactorial etiology its characterization proves difficult,\u0000especially in populations at risk such as medical students.</p><p><strong>Objetives: </strong>To determine if behavioral and harmful habits\u0000of medical students from eight universities of Peru were\u0000associated to functional dyspepsia.</p><p><strong>Methods: </strong>Multicentric,\u0000cross-sectional study. A self-administered questionnaire was taken among students enrolled in eight medical faculties\u0000in Peru. Functional dyspepsia was measured using a validated\u0000test; diet characteristics, alcohol, tobacco, coffee or energy\u0000drinks consumption were considered behavioral habits.\u0000Furthermore, others from the social and educational sphere\u0000were measured. Bivariate and multivariate statistical analyses\u0000were made.</p><p><strong>Results: </strong>From a total of 1.923 students, the\u0000median of the ages was 20, 55% were women and 24% suffered\u0000from functional dyspepsia. Factors which diminished\u0000the frequency of functional dyspepsia were masculine gender\u0000(aPR:0,75; 95%CI:0.64-0.87; p < 0,001), hours spent\u0000studying (aPR:0,97; 95%CI:0,96-0,99; p < 0,001) and\u0000eating following a fixed schedule (aPR:0,80; 95%CI:0,67-\u00000,95; p = 0,013); however, having failed a course increases\u0000the frequency of functional dyspepsia (aPR:1.24;\u000095%CI:1.13-1.37; p < 0,001)adjusted for age, as well as\u0000difficulties to fall asleep and depression.</p><p><strong>Conclusion: </strong>Many\u0000medical students suffered from functional dyspepsia, this being\u0000related to several behavioral variables; therefore further\u0000studies as well as educational institutions’ intervention is required,\u0000due to the short and long term problems that may\u0000arise from this situation.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35163921","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":"[Overweight and obesity: review and update].","authors":"Fernando Sarmiento Quintero,&nbsp;Adolfo J Ariza,&nbsp;Fabiola Barboza García,&nbsp;Nelly Canal de Molano,&nbsp;Mayra Castro Benavides,&nbsp;Sylvia Cruchet Muñoz,&nbsp;Laura Delgado Carbajal,&nbsp;María Rita Dewaele Olivera,&nbsp;Adriana Fernández,&nbsp;Solange Heller,&nbsp;Liliana Ladino Meléndez,&nbsp;Sonia Miriam Martínez,&nbsp;Rosa Mayor Oxilia,&nbsp;Milton Mejía Castro,&nbsp;Carlos Montero Brens,&nbsp;Marta Cristina Sanabria,&nbsp;María Consuelo Tarazona Cote,&nbsp;José Fernando Vera Chamorro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obesity is an epidemic with important health repercussions\u0000in addition to high treatment-related costs. Between 2006\u0000and 2007 the WHO developed new assessment tools, which\u0000aren't being globally used. In fact, there is no unified problem\u0000management across the hemisphere.</p><p><strong>Objectives: </strong>To update\u0000obesity epidemiology, to promote application of WHO’s\u0000standards, to review new findings on physiopathology (i.e.,\u0000fatty tissue as endocrine organ, intestinal microbiota), to\u0000update epidemiological information, and to provide management\u0000guidelines that can be integrated in clinical care.</p><p><strong>Methods: </strong>LAPSGHAN called up its members to collaborate\u0000in preparing this review article under the direction of\u0000an editor/coordinator, who selected the contents and literature\u0000with the best evidencetogether with the members. Each\u0000member prepared a separate document for each content. The\u0000chosen contents were later collated, unified, and edited. Results.\u0000This documents highlights the following: 1) Although\u0000extreme obesity is increasing in the US, overweight and obesity\u0000prevalence has stabilized, while in other countries it is\u0000alarmingly increasing; 2) New information regarding role of\u0000fatty tissue as endocrine organ and self-regulator of obesity;\u00003) The promising role of microbiota; and 4) Guidelines for\u0000children handling during consultation and follow-up.</p><p><strong>Conclusions: </strong>There is no widespread implementation of standards\u0000and guidelines from the World Health Organization\u0000(WHO). There is no agreement as to whether z-scores or percentiles\u0000should be used, especially regarding children under 2\u0000due to their changing body complexion. The most accepted\u0000tool to assess overweight, obesity and severe obesity is the Body\u0000Mass Index (BMI). This document provides recommendations\u0000on how to approach clinical care with affected children.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35164928","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":"[Gastroesophageal Reflux Disease Review\u0000(GERD)].","authors":"Jorge A Olmos,&nbsp;María Marta Piskorz,&nbsp;Marcelo F Vela","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>GERD is a highly prevalent disease in our country. It has a\u0000deep impact in patient´s quality of life, representing extremely\u0000high costs regarding health. The correct understanding of\u0000its pathophysiology is crucial for the rational use of diagnoses\u0000methods and the implementation of appropriate treatment\u0000adjusted to each individual case. In this review we evaluate\u0000this disorder based on the best available evidence, focusing\u0000in pathophysiological mechanisms, its epidemiology, modern\u0000diagnosis methods and current management standards.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35164929","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":"[Situación epidemiológica de la pancreatitis aguda en\u0000Latinoamérica y alcances sobre el diagnostic].","authors":"Marco Antonio Valdivieso-Herrera,&nbsp;Luis Oswaldo Vargas-Ruiz,&nbsp;Alejandra Rosa Arana-Chiang,&nbsp;Alejandro Piscoya","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35163922","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":"[Sacral neuromodulation. Long-term results].","authors":"Carlos Miguel Lumi,&nbsp;Juan Pablo Muñoz,&nbsp;Omar Rubén Miravalle,&nbsp;Dolores Caffarena,&nbsp;Pablo Antonio Farina,&nbsp;Ubaldo Gualdrini,&nbsp;Luciana La Rosa,&nbsp;Guillermo Masciangioli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sacral neuromodulation involves electrical stimulation of af­ferent nerve roots to restore the balance between inhibitory and excitatory reflexes who improve the functional activity of the pelvic floor. With benefits in patients with fecal inconti­nence, constipation and chronic anorectal pain. Objective. The aim of this study is present the results obtained with sacral neuromodulation for the treatment of patients with fecal incontinence, severe and intractable chronic constipa­tion and chronic anorectal pain. Patients and methods. 33 patients had indication for transitory electrical sacral stimu­lation, 25 patients performed transitory electrical stimula­tion for fecal incontinence, 5 with refractary constipation and 3 with chronic anorectal pain. In cases of fecal inconti­nence, the patients performed previous anorectal manometry and ultrasonography examination of anal sphincters. When the constipation is the indication, we performed stimulation in patients with severe and refractary constipation like step before total colectomy. In cases of chronic anorectal pain, the electrical transitory test was performed according to our treatment algorithm for management of functional anorectal pain. In all cases, if the patients had satisfactory results after 2 weeks period the definitive implant was placed. Results. Mean follow-up was 69 months (range 6-130). Definitve implant was placed for treatment of fecal incontinence in 23 patients with a decrease in fecal incontinence scores in 98%, with an average success rate of 66% (range: 45-92). In cases of constipation, 3 definitive implants were placed, the mean follow-up was 77 months (range: 51-96) with a success rate between 50%-80% as measured by bowel frequency. We performed definitive electrical stimulation in 3 patients wit chronic and intractable anorectal pain. Response rates as measured by visual analog scale were between 40%-70%. Conclusions. Sacral neuromodulation is an area in constant growth, with more indications. The success depends on the correct indication and the patients need to be treated with other therapeutic options before sacral neuromodulation.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35163920","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}