Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru最新文献

[Endoscopic transgastric retrograde cholangiopancreatography assisted by laparoscopy in a patient with gastric bypass]. [腹腔镜辅助下经胃逆行胆管造影1例]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

Carmelo Blasco, Carolina Miranda, Sergio Morinigo, Maisa Vallejos

引用次数: 0

[Certification and skill: the foundations of competence in gastroenterology]. [认证和技能：胃肠病学能力的基础]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

Hugo Guillermo Cedrón Cheng

引用次数: 0

[Gastric cancer screening in Chile. Results of the National Health Survey 2016-2017]. [智利的胃癌筛查。2016-2017年全国健康调查结果[d]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

Oscar Corsi Sotelo, Eduardo Fuentes-López, Gonzalo Latorre Selvat, Manuel A Espinoza Sepúlveda, Paula Margozzini Maira, Hugo Monrroy Bravo, Alberto Espino Espino, Arnoldo Riquelme Pérez

{"title":"[Gastric cancer screening in Chile. Results of the National Health Survey 2016-2017].","authors":"Oscar Corsi Sotelo, Eduardo Fuentes-López, Gonzalo Latorre Selvat, Manuel A Espinoza Sepúlveda, Paula Margozzini Maira, Hugo Monrroy Bravo, Alberto Espino Espino, Arnoldo Riquelme Pérez","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Gastric cancer (GC) is the leading cause of oncologic death in Chile. Since 2006, the health authority has recommended upper gastrointestinal endoscopy (UGE) for symptomatic individuals ≥40 years old. In 2010, the UGE coverage in this group was estimated at 14%.Objective: To evaluate UGE coverage for GC screening in Chile using data from the National Health Survey (NHS) 2016-17.Materials and methods: The NHS 2016-17 surveyed 6,233 adults about the presence of persistent epigastric pain, possible upper gastrointestinal bleeding, and UGE. UGE prevalences among different groups were compared, and multivariate models adjusted for sex, age, income, education, area of residence, and belonging to an indigenous group were constructed.Results: Both persistent epigastric pain and possible upper gastrointestinal bleeding were reported by 4.7%, being higher in the ≥ 40-year-old group and lower educational level. The prevalence of UGE performed at least once in life reached 20.8%, being higher in women, ≥40 years old, privately insured individuals, and the non-indigenous Hispanic population. The coverage of UGE in the last year among symptomatic individuals ≥40 years old increased to 19.8%, with no significant differences in the multivariate analysis.Conclusion: The coverage of UGE in the last year in symptomatic individuals ≥40 years old for GC screening in Chile is 19.8%. Lowest socioeconomic status and indigenous peoples are disadvantaged groups.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081061","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

[Potassium-competitive acid blockers: state of the art]. [钾竞争性酸阻滞剂：最新进展]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

José Augusto Urrego, William Otero, Hugo Cedrón, Hernando Marulanda, Alejandro Piscoya, Juan Sebastián Frías-Ordoñez, Lina Otero

引用次数: 0

[Pre-procedure endoscopic features associated with difficult cannulation in endoscopic retrograde cholangiopancreatography in a referral hospital in Lima, Peru]. [秘鲁利马一家转诊医院内窥镜逆行胆管造影术前内镜特征与插管困难相关]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

Wilmer Gustavo Quiroga-Purizaca, Diego Ricardo Páucar-Aguilar, Emma Calderón-Yeren, Daniel Andrei Vargas-Blácido

{"title":"[Pre-procedure endoscopic features associated with difficult cannulation in endoscopic retrograde cholangiopancreatography in a referral hospital in Lima, Peru].","authors":"Wilmer Gustavo Quiroga-Purizaca, Diego Ricardo Páucar-Aguilar, Emma Calderón-Yeren, Daniel Andrei Vargas-Blácido","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Several variables have been studied to predict difficult cannulation during endoscopic retrograde cholangiopancreatography (ERCP), but none have been identified that can effectively predict this difficulty and help make decisions to prevent complications.Objectives: To determine whether endoscopic variables of the duodenal papilla, as well as the sign of bile aspiration, are associated with difficult cannulation during ERCP.Materials and methods: A prospective and analytical study that included 203 patients who underwent ERCP, establishing an association between the type of duodenal papilla, location, presence of periampullary diverticulum and the sign of bile aspiration, and difficult cannulation.Results: 140 (69.97%) women and 63 (31.03%) men were included, with an average age of 54.35 years. Difficult cannulation criteria were present in 32.51% of patients. Type 1 duodenal papilla had a lower rate of difficult cannulation, while types 3 and 4 had a higher cannulation difficulty (OR=1.89, 95% CI: 1.01-3.54 and OR=4.37, 95% CI: 1.54-12.4 respectively). The distal location of the duodenal papilla had an OR=1.32 for difficult cannulation, while the presence of a periampullary diverticulum had an OR=0.54 and the endoscopic sign of bile aspiration OR=0.9, without being statistically significant.Conclusion: Types 3 and 4 duodenal papilla are significantly associated with difficult cannulation. The location of the papilla, as well as the presence of a periampullary diverticulum and bile aspiration, are not significantly associated with difficult cannulation.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081067","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

Endoscopic features of drug-induced esophageal ulcer: "the kissing ulcer". 药物性食管溃疡的内镜特征：“接吻溃疡”。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

Felipe Silva, Gonzalo Latorre, Alberto Espino

{"title":"Endoscopic features of drug-induced esophageal ulcer: \"the kissing ulcer\".","authors":"Felipe Silva, Gonzalo Latorre, Alberto Espino","doi":"","DOIUrl":"","url":null,"abstract":"Drug-induced esophageal ulcers constitute an acquired chemical injury to the esophageal mucosa, most frequently associated with tetracyclines, particularly doxycycline. We report a case of \"kissing ulcers\" diagnosed through esophagogastroduodenoscopy in a young woman undergoing doxycycline treatment for rosacea. The pathogenesis is linked to drug-specific factors, such as caustic effects, hyperosmolar properties, and prolonged mucosal contact with the medication, in addition to patient-specific risks, including esophageal motility disorders, reduced saliva production, and mid-esophageal anatomical compression. Clinically, patients commonly present with abrupt-onset chest pain, dysphagia, and odynophagia, while endoscopic findings often reveal mucosal erythema, erosions, and specular distribution esophageal ulcers (referred to as \"kissing ulcers\"). Management involves discontinuation of the causative drug, initiation of proton pump inhibitors or sucralfate, and implementation of preventive measures, such as ensuring adequate hydration during medication intake. This condition is generally self-limiting, with symptoms resolving within two weeks, underscoring the importance of prompt diagnosis and treatment to avoid potential complications.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"56-59"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081069","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

[Risk Factors for metabolic fatty liver disease with high suspicion of advanced fibrosis in lean patients attended at the Hospital Nacional Dos de Mayo, 2012-2022]. [2012-2022年，在国立多斯梅奥医院就诊的瘦患者中，代谢性脂肪性肝病伴晚期纤维化的高危因素]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

Gonzalo Miranda Manrique, Herman Vildózola Gonzales

{"title":"[Risk Factors for metabolic fatty liver disease with high suspicion of advanced fibrosis in lean patients attended at the Hospital Nacional Dos de Mayo, 2012-2022].","authors":"Gonzalo Miranda Manrique, Herman Vildózola Gonzales","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine the sociodemographic, anthropometric, biochemical-metabolic risk factors, and presence of comorbidities associated with metabolic hepatic steatosis with high suspicion of advanced fibrosis in thin patients compared to overweight or obese patients, treated at the Hospital Nacional Dos de Mayo 2012-2022.Materials and methods: The sample included 160 patients, 80 cases and 80 controls from the medical records of patients treated in the Endocrinology Office. The research was quantitative, observational and analytical of cases and controls. It evaluated socio-demographic, clinical, biochemical variables and comorbidities. Descriptive analysis was used. Chi-square tests, calculation of OR, and confidence interval were applied, and logistic regression analysis was performed to evaluate confounding variables.Results: Sociodemographic: 77.5% female and 36.3% over 60 years of age p<.05. Anthropometric: 52.5% had abnormal abdominal circumference. Biochemical: 83.8% HDL low p<0.05 OR 10.6; 68.8% hypercholesterolemia <0.05; 72.5% hypertriglyceridemia p<0.05 OR 1.78; 61.3% elevated HbA1c p=0.48; 86.3% elevated LDL p>0.05 and 93.8% Increased ferritin p<0.05 OR 11.8.Clinical: Metabolic syndrome p<0.05 1.22 (0.9-1.44) and within the comorbidities 62.5% had diabetes mellitus p=0.26. After logistic regression analysis: Ferritin, decreased HDL and hypertriglyceridemia with a value of p<0.05.Conclusions: Increased ferritin, decreased HDL, and hypertriglyceridemia influence the risk of developing metabolic dysfunction associated with steatohepatitis with advanced fibrosis in lean patients treated at the Hospital Nacional Dos de Mayo 2012-2022.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081042","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

[Comparison of two maneuvers to identify Carnett's sign in patients with chronic abdominal pain. Randomized controlled clinical trial]. 两种方法鉴别慢性腹痛患者Carnett征象的比较。随机对照临床试验]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

William Otero Regino, Gilberto Jaramillo Trujillo, Lina Otero Parra, Hernando Marulanda Fernández, Juan Sebastián Frías, Julián Cardona González, Elder Otero Ramos

{"title":"[Comparison of two maneuvers to identify Carnett's sign in patients with chronic abdominal pain. Randomized controlled clinical trial].","authors":"William Otero Regino, Gilberto Jaramillo Trujillo, Lina Otero Parra, Hernando Marulanda Fernández, Juan Sebastián Frías, Julián Cardona González, Elder Otero Ramos","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Chronic abdominal pain (CAP) is a challenge in daily consultation. The most frequent cause is anterior cutaneous nerve entrapment syndrome (ACNES), which is diagnosed when the Carnett sign is positive. There are two ways to identify the Carnett sign: elevating the head and trunk or elevating the lower extremities. To date, these two ways of looking for the Carnett sign have not been compared.Objective: To compare the effectiveness of the two maneuvers to identify the Carnett sign, evaluate the effectiveness of infiltration of the tender points with 2% lidocaine, and estimate the cost of examinations before diagnosis.Material and methods: Randomized controlled study.Results: 1320 patients were included and 660 patients were randomly assigned to group A: elevation of the head and trunk and 660 to group B: elevation of the lower extremities. Both maneuvers were similarly effective in identifying the Carnett sign. Infiltration of the points produced immediate relief in most patients. The costs of different studies before definitive diagnosis were approximately US$ 861 000 (dollars) versus US$ 66.00, which would be equivalent to 7.6% of the expenses incurred for tests performed before diagnosis.Conclusion: The two ways of exploring the Carnett sign have similar efficacy. Infiltration with 2% lidocaine produced rapid and significant improvement of pain with minimal side effects. Not knowing the Carnett sign increases health costs.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"8-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081110","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

[Unusual etiology of lower digestive bleeding in a patient with constipation]. 【便秘患者下消化道出血的不寻常病因】。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

Luis Enrique Flores-Egocheaga, Eloy Puente De La Vega-Cáceres, Álvaro Bellido-Caparó

引用次数: 0

[Ecoendoscopy guided hepaticogastrostomy for management of hepatolithiasis and anastomotic stricture after Roux en Y hepaticojejunostomy]. [生态内镜引导下肝胃造口术治疗Roux en Y肝空肠造口术后肝结石及吻合口狭窄]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01

Juan Antonio Chirinos-Vega, Oscar Eduardo Ponce de León Molina

引用次数: 0