Cristina Fernández, Juan Ramón Larrubia, Ana Avellón, Nora Mariela Martínez, Antonio Gómez, Alejandro González Praetorius
{"title":"[Severe acute hepatitis by delta virus superinfection: diagnostic significance of molecular biology.]","authors":"Cristina Fernández, Juan Ramón Larrubia, Ana Avellón, Nora Mariela Martínez, Antonio Gómez, Alejandro González Praetorius","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>HDV infection may occur within a primary HBV infection (co-infection) or by sub sequent acquisition ofthe virus in patients with chronic hepatitis B (superinfection). Acute HDV infection is rarely diagnosed. Since cero conversion usually takes place about six weeks after viral infection, early diagnosis requires the use of direct diagnostic techniques, such as antigen HD V (HDAg) detection, or genomic amplification by means of molecular biology methods (RT-PCR). Here were port the case of a patient with chronic HBV infection that develops a severe acute hepatitis due to VHD superinfec- tion only detected by molecular biology.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"46 1","pages":"35-37"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35856416","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}
Ana Alberca Páramo, David Padilla Valverde, Pedro Villarejo Campos, Esther Pilar Garcia Santos, Jose Luis Bertelli Puche, Paloma Núńez Guerrero, Margarita Delgado, Jesus Martin Fernindez
{"title":"[Syncrhonous carcinosarcoma of the extrahepatic bile duct and gallbladder.]","authors":"Ana Alberca Páramo, David Padilla Valverde, Pedro Villarejo Campos, Esther Pilar Garcia Santos, Jose Luis Bertelli Puche, Paloma Núńez Guerrero, Margarita Delgado, Jesus Martin Fernindez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Carcinosarcoma is a malignant neoplasm characterized for intermingled epithelial and mesenchymal components.</p><p><strong>Case report: </strong>A preoperative suspected diagnosis will allow a radical therapy avoiding a very bad prognosis. We report on a male patient who was operated in our Service with diagnosis of synchronous carcinosarcoma of gallbladder and extrahepatic bile duct and a review of the Medical Literature.</p><p><strong>Discussion: </strong>A gallblader carcinosarcoma showing extension into common bile duct is very rare, a carcinosarcoma of the bile duct is exceptional, and a synchronous carcinosarcoma ofthe bile duct and gallbladder has not been reported previously.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"46 1","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35856413","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}
Alejandro Rey, Virginia Margarita Cano Busnelli, Juan Pablo Santino, Fernando Van Domselaar, Guillermo Ojea Quintana, Alberto Cristian Seehaus, Juan Andrés De Paula
{"title":"Extensive mesenteric lipodystrophy of the left colon: case report and brief review of the literature.","authors":"Alejandro Rey, Virginia Margarita Cano Busnelli, Juan Pablo Santino, Fernando Van Domselaar, Guillermo Ojea Quintana, Alberto Cristian Seehaus, Juan Andrés De Paula","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mesenteric lipodystrophy is a rare inflammatory process that predominantly affects mesenteric adipose tissue of the small bowell. Several mechanisms have been suggested as responsible for this entity although the precise etiolog remains unknown. The diagnosis is based on CT or MRI imaging and generally confirmed by surgical biopsies. Treatment is individualized and empiric and depends on disease stage and symptoms. We report a case of a 35-year-old male who was admitted to our hospital with a history of abdominal pain, constipation and a palpable mass in the left lower quadrant. Abdominal CT scan showed diffuse thickening of the descending and rectosigmoid colon, associated with increased density of the mesenteric fat. After failure ofan initial treat- ment with glucocorticoids, he underwent a laparoscopic sigmoidectomy. Histopatholog analysis revealed extensive stea- tonecrosis ofpericolonicfat and lipid-ladenfoamy cells which was consistent with the diagnosis of mesenteric lipodystrophy. Clinical presentation and treatment as well as a brief review of the literature are discussed.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"46 1","pages":"43-47"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35856415","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":"[Inflammatory fibroid polyp as the cause of upper gastrointestinal bleeding.]","authors":"Anibal D Genna","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The inflammatory fibroid polyp or Vanek's tumor is a benign polypoid lesion that can be found in any section of the digestive tract. It is most frequently located in the stomach and when found in this organ, the symptoms include upper gastrointestinal bleeding (often silent), anemia and melena. The case described below, on the contrary, presents a gastric inflammatory fibroid polyp which developed acute upper gastrointestinal bleeding and required surgical treatment.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"46 1","pages":"48-51"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35856417","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}
Mirta Ciocca, Alejandro Costagdta, Miriam Cuarterolo, Laura Delgado, Lidia Garcete, Marcela Godoy, Carmen Esther López, Carola López, Margarita Ramonet
{"title":"[Pediatric acute liver failure. Working group of the Latinamerican Society of Pediatric Gastroenterology, Hepatology and Nutrition (LASPGHAN).]","authors":"Mirta Ciocca, Alejandro Costagdta, Miriam Cuarterolo, Laura Delgado, Lidia Garcete, Marcela Godoy, Carmen Esther López, Carola López, Margarita Ramonet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pediatric acute liver failure is a syndrome ofsevere and sudden dysfunction of the hepatocytes which produces a failure in synthetic and detoxifyingfunction. It is an infrequent and severe disease butpotentiallyfatal, occurring in children with no prior history of liver disease. Etiology is related to the age and geographic region of the patient, recognizing the origin: metabolic, infectious, drug exposure, autoinmune, vascular and oncologic. Indeterminate cause where all the etiological search is negative, can range between 18 and 47%, depending on the center and access to the realization of etiological studies. The process which determines the liver injury is still not well known and is considered multifactorial. Essentially, it depends on host susceptibility, the cause and severity of the damage and the ability of liver regeneration. The clinical presentation depends on the etiology, which usually begins with an episode ofacute hepatitis, that in the following days or weeks presents unfavorable outcome, deepening jaundice, affecting the general state and presenting severe coagulopathy that characterizes the syndrome. The treatment consists of general measures which take into account the metabolic disorders, nutritional aspect, and the prevention and treatment of all complications that occur in the evolutionary course (infectious, neurological, etc). Besides it is also vital to implement the specific treatment of those diseases which can benefit from it (alloimmune hepatitis, galactosemia, tyrosinemia, herpes simplex infection, Wilson's disease, etc.). However, despite therapeutic advances, acute liver failure results in death or liver transplantation in over 45% ofcases.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"46 1","pages":"52-70"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35855732","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}
Wilson Daza Carreño, Clara Plata García, Ana María Rojas Velásquez, Silvana Dadán
{"title":"[Pediatric gastrointestinal disorders at hight altitude. Report of two cases and review of literature.]","authors":"Wilson Daza Carreño, Clara Plata García, Ana María Rojas Velásquez, Silvana Dadán","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Upon ascending above 2500 meters sea level, the human body undergoes a series of physiological changes that have been studied during years. These changes undertake various systems including gastrointestinal tract, with diverse clinical manifestations, most mild and therefore little reported and are underdiagnosed. Two pediatric patients who atended to the Pediatric Unit of Gastroenterolog, Hepatolog and Nutrition (Gastronutriped) in Bogota, in whose we documented symptoms affecting gastrointestinal tract associated with high altitude.Regarding to these cases, a review of the available literature focusing on physiolog, clinical manifestations and feasible treatment was made. The final aim of this article is to sensitize to health care professionals working in cities located at high altitudes, to consider this entity as a differential diagnosis in children from places with lower altitude.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"46 1","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35856414","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}
Ignacio Fanjul, Juan Lasa, Rafael Moore, Melisa Senderovsky, Daniel Peralta, Guillermo Dima, Inacio Zubiaurre, Abel Novillo, Luis Soifer
{"title":"[Patient-Related Factors Affecting Bowel Preparation Prior to Colonoscopy.]","authors":"Ignacio Fanjul, Juan Lasa, Rafael Moore, Melisa Senderovsky, Daniel Peralta, Guillermo Dima, Inacio Zubiaurre, Abel Novillo, Luis Soifer","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Colorectal cancer is a major health problem worldwide because it is the third most common cancer and the third leading cause of cancer mortality in western countries. Screening for colorectal cancer in asymptomatic patients is crucialfor reducing the incidence and colonoscopy is one of the methods of choice. The ability of colonoscopy in detecting small lesions is clearly influenced by the quality of the colonic preparation.</p><p><strong>Objectives: </strong>To know which are the variablesrelating to the patient and the type ofpreparation that affect the quality of colonic cleansing.</p><p><strong>Materials and methods: </strong>It was designed a cross-sectional study. It was administered a questionnaire for the enrolled subjects to assess the presence offactors that could affect the quality of colonic cleansing. Then they underwent a colonoscopy. The different variables between subjects with adequate or inadequate colonic cleansing were compared.</p><p><strong>Results: </strong>We evaluated 277 subjects. In multivariate analysis the only variables that showed significant differences are split dose [OR 0.45 (0.21 to 0.99)] and age [OR 1.02 (1-1.05)]. Obesity showed no significant differences in multivariate analysis [OR 1.84 (0.9-3.78)].</p><p><strong>Conclusions: </strong>Age and split-dose were the only variables significantly associated with the quality of bowel preparation prior to colonoscopy. Not so constipation or the presence ofdiverticula, so these patients do not require special preparation regimes.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"46 1","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35856411","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}
María Soledad Rubio Mainardi, Álvaro Alcaraz, Saleg Patricia, María Eugenia Romero, Federico Moser, Lucio Ricardo Obeide
{"title":"Esophageal metalic stent migration. Case report of a\u0000dislodged stent retrieval.","authors":"María Soledad Rubio Mainardi, Álvaro Alcaraz, Saleg Patricia, María Eugenia Romero, Federico Moser, Lucio Ricardo Obeide","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Metallic stent placing is the first choice in the\u0000treatment of malign or benign strictures of the esophagus. Stent\u0000migration is a well-known complication of this procedure. We\u0000report a case of stent migration in which surgical laparoscopic\u0000intervention was used to retrieve it.</p><p><strong>Methods: </strong>An 85 years\u0000old man with unsuccessfully endoscopic retrieval of a migrated\u0000stent underwent laparoscopic gastrotomy for solution. The patient\u0000recovered without incident.</p><p><strong>Conclusion: </strong>This case illustrates\u0000that laparoscopic technique can be an optional way to\u0000retrieve migrated stents in selected patients.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"45 4","pages":"320-2"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35067497","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}