Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru最新文献_第2页

[Assessment of corticosteroid use as a marker of quality-of-care in the management of inflammatory bowel disease]. [评估皮质类固醇使用作为炎症性肠病治疗质量的标志]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-10-01

Rodrigo Quera, Paulina Núñez F, Lilian Flores, Francisca Carvajal, Andrea Córdova, Camila Estay

{"title":"[Assessment of corticosteroid use as a marker of quality-of-care in the management of inflammatory bowel disease].","authors":"Rodrigo Quera, Paulina Núñez F, Lilian Flores, Francisca Carvajal, Andrea Córdova, Camila Estay","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Despite advancements in therapeutic strategies, corticosteroids continue to play a role in inducing remission in Inflammatory Bowel Disease (IBD). Unfortunately, these drugs are often misused.Objectives: To assess the dose and duration of corticosteroid therapy,and the subsequent change in treatment among patients with IBD.Materials and methods: We conducted a descriptive, retrospective observational study on patients with IBD under follow-up at the IBD Program of Clínica Universidad de los Andes from January 2021 to August2022.Results: Four hundred and thirty-two IBD were included, with 63% being women,with a median age of 42 years (14-94), 66% had ulcerative colitis (UC). Sixty-six percentageof patients had received corticosteroids during the course of their disease (range 1-9 times) for a median duration of 12 weeks (2-48 weeks), with prednisone being the most frequently used corticosteroids (53%). Seventy-seven percentage of patients had received treatment for over 3 months or in supratherapeutic doses (prednisone > 60 mg day). There was a change in the treatment after the use of corticosteroid in 28% of patients compared to 90% after entering the program (p<0.001, CI95%: 1.83-2.49). During the Program's follow-up, 10% received corticosteroids (71% prednisone, 29% budesonide) with no variations based on IBD type, gender, age, or treatment. No patient received corticosteroids for over 3 months or in supratherapeutic doses in our IBD Program.Conclusion: This study emphasizes the importanceof evaluating corticosteroids use as a quality-of -care marker in IBD. The management of these patients through a specialized program could mitigate the excessive use of these drugs.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"44 4","pages":"339-345"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013420","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

[Esophago-jejunal fistula closure using an over-the-scope clip: a case report]. 使用镜外夹闭合食管-空肠瘘1例。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-10-01

Lázaro Arango Molano, Andrés Sánchez Gil, Gian Núñez Rojas, Herney Solarte Pineda, Santiago Salazar Ochoa

{"title":"[Esophago-jejunal fistula closure using an over-the-scope clip: a case report].","authors":"Lázaro Arango Molano, Andrés Sánchez Gil, Gian Núñez Rojas, Herney Solarte Pineda, Santiago Salazar Ochoa","doi":"","DOIUrl":"","url":null,"abstract":"Esophago-jejunal anastomoses fistula could be mortal. Currently there is a wide therapeutic measure ranging from conservative management, endoscopic therapy and surgery. Endoscopic management has been positioned above other strategies due to minimal invasion which improves survival and reduces mortality. The endoscopic treatment of esophagojejunal fistulas can be varied with numerous techniques described to achieve their closure. These techniques include the placement of covered or partially covered self-expanding stents, the use of metal clips, alone or assisted by the loop technique, the use of endoscopic closed subatmospheric pressure therapy and, more recently, the use of endoscopic suture. In our service we use the techniques according to the characteristics of the fistula. In the case presented, it was decided, at the time of the endoscopy, to use clips with the help of a Cap to facilitate the technique and in the terminal closure angle, given the redundant tissue that was difficult to approach, we chose to place a clip Padlock®; With this, closure of the lesion was achieved in a few days with excellent clinical outcomes.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"44 4","pages":"406-410"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013464","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

Pancreatic adenocarcinoma during pregnancy. Case report. 妊娠期胰腺腺癌。病例报告。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-10-01

César Vivian Lopes, César Al Alan Elias, Cláudio Mesquita Campello, Luis Felipe Carissimi Schmidt, Lucas Torelly Filippi, Eduardo Cambruzzi

{"title":"Pancreatic adenocarcinoma during pregnancy. Case report.","authors":"César Vivian Lopes, César Al Alan Elias, Cláudio Mesquita Campello, Luis Felipe Carissimi Schmidt, Lucas Torelly Filippi, Eduardo Cambruzzi","doi":"","DOIUrl":"","url":null,"abstract":"Pancreatic ductal adenocarcinoma during pregnancy is extremely rare. Overall, including our case, only 19 cases confirmed antepartum have been reported to date. We report the case of a 37 year-old woman at 24 weeks of pregnancy in whom a pancreatic adenocarcinoma was identified during investigation of a suspected acute pancreatitis. Surgery was postponed until fetal maturity. However, chemotherapy was not tolerated, clinical condition of the mother worsened after cesarean section, and surgical findings revealed an unresectable disease. Patient died due to septic shock and multiple organ failure, but her child is in very good health. Pancreatic ductal adenocarcinoma during pregnancy carries the same poor prognosis of the general population. A pregnant with severe epigastric pain radiating to the back, in the presence of jaundice and weight loss, should rule out a pancreatic neoplasm. In case a malignancy is identified, the histology diagnosis is required, and decisions should be taken as a consensus between the mother and a multidisciplinary team in a referal center.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"44 4","pages":"400-405"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012839","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

[Spontaneous splenic rupture following endoscopic studies: a case report]. 内窥镜检查后自发性脾破裂1例。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-10-01

Sara Patiño-Franco, Sergio Luis Jaramillo-Escobar, Miguel Andrés Neira-Rincón, María Clara Mendoza-Arango

引用次数: 0

[Unusual presentation of Diphyllobothrium pacificum: a case of ileitis mimicking lymphoma]. [太平洋双钩蚤的不寻常表现：一例模仿淋巴瘤的回肠炎病例]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-07-01

Siomara Aransuzú Chávez-Sánchez, David Rafael Guevara-Lazo, Álvaro Bellido-Caparó, José Luis Pinto-Valdivia

引用次数: 0

[Retention of capsule endoscopy: a complication or a way to make a diagnosis]. [胶囊内镜留置：并发症还是诊断方法]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-07-01

Hugo Guillermo Cedrón-Cheng

引用次数: 0

[Evaluation of the usability of patients attended in gastrointestinal telemedicine postpandemic at University clinic]. [大学诊所胃肠道远程医疗后流行病患者就诊可用性评估]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-07-01

Lorena Castro, Rodrigo Quera, Paulina Núñez, Christian von Mühlenbrock, Pamela San Martín, Felipe Donoso, Karin Herrera

{"title":"[Evaluation of the usability of patients attended in gastrointestinal telemedicine postpandemic at University clinic].","authors":"Lorena Castro, Rodrigo Quera, Paulina Núñez, Christian von Mühlenbrock, Pamela San Martín, Felipe Donoso, Karin Herrera","doi":"","DOIUrl":"","url":null,"abstract":"Telemedicine has grown during the COVID-19 pandemic. Gastroenterology at Clínica Universidad de los Andes has continued it post-pandemic. Usability is the measure by which users evaluate the effectiveness, efficiency, and satisfaction in telemedicine. The usability of this type of consultation in Chile is unknown.Objective: To evaluate the level of usability among patients attended through teleconsultations in Gastroenterology at Clínica Universidad de los Andes (March-August 2023).Materials and methods: A cross-sectional descriptive study on the level of usability using the adapted and modified Telehealth Usability Questionnaire. It consists of 12 items (score range 12-84) and comprises 2 factors: effectiveness and ease of use. Sociodemographic characteristics were also evaluated.Results: A total of 150 questionnaires were analyzed. A high level of usability was observed (median: 81; range 54-84), with high scores in effectiveness (median: 28; range 20-28) and ease of use (median: 53; range 30-56), without significant differences according to sex, age, educational level, geographic location, and health insurance. Of the respondents, 76.7% were aged 30 to 64 years. 36% resided in the metropolitan region, 61% were women, and 80% were from the private health system. 29% consulted for abdominal pain, 20% for inflammatory bowel disease, and 17% for abnormal liver function tests. For 53.3%, it was their first consultation, and 46.7% were in follow-up via this method.Conclusion: In this cohort, telemedicine is perceived as an effective and easy-to-use tool, with a high level of usability regardless of the patients' sociodemographic characteristics. Therefore, in gastroenterology, telemedicine appears to be a form of healthcare accepted by patients.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"44 3","pages":"265-272"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629548","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

Interobserver variability in the histopathological classification and grading of dysplasia in elevated colon lesions in the city of Lima. 利马市结肠隆起病变组织病理学分类和发育不良分级的观察者间差异。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-07-01

Guido Gallegos-Serruto, Aldo Gutiérrez, Cesar Chian García, Isthvan Torres Perez

{"title":"Interobserver variability in the histopathological classification and grading of dysplasia in elevated colon lesions in the city of Lima.","authors":"Guido Gallegos-Serruto, Aldo Gutiérrez, Cesar Chian García, Isthvan Torres Perez","doi":"","DOIUrl":"","url":null,"abstract":"Colonic polyp refers to lesions that exhibit a protrusion of the mucosa, regardless of histology. The most recent WHO classification is based on a better understanding of these lesions; however, its application in daily practice could be subject to interobserver variability biases that could have clinical implications.Objectives: To determine the interobserver variability in the histopathological reporting and grading of dysplasia of samples obtained from elevated colon lesions in a private laboratory in the city of Lima.Materials and methods: Observational, descriptive, and prospective study: Case series type. All biopsies of elevated colon lesions received over a period of 3 months were evaluated by two observers without clinical information of the cases, to diagnose the lesions according to the WHO classification. In cases of diagnostic differences, the cases were evaluated together to reach a consensus.Results: A Kappa coefficient value of 0.458 was obtained in the diagnostic classification of elevated colon lesions, while a Kappa value of 0.416 in the evaluation of dysplasia; indicating moderate agreement.Conclusions: Despite achieving moderate agreement between evaluators, this work demonstrates the importance of not only relying on morphological criteria for diagnostic classification, but also including criteria of location and size of these lesions to increase diagnostic accuracy.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"44 3","pages":"239-244"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629589","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

[Small cell neuroendocrine carcinoma of the oesophagus: case report and literature review]. [食道小细胞神经内分泌癌：病例报告和文献综述]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-07-01

Johana Lipiejko, Ignacio Moratorio, Adrián Canavesi

引用次数: 0

[Rescue technique for endoscopic extraction of biliary stent with proximal migration: "zipline - forceps"]. [内镜下取出近端移位胆道支架的抢救技术："拉链-镊子"]。

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-07-01

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

{"title":"[Rescue technique for endoscopic extraction of biliary stent with proximal migration: \"zipline - forceps\"].","authors":"Wilmer Gustavo Quiroga-Purizaca, Diego Ricardo Páucar-Aguilar, Emma Calderón-Yeren, Daniel Andrei Vargas-Blácido","doi":"","DOIUrl":"","url":null,"abstract":"The endoscopic placement of a biliary stent presents adverse events, including proximal migration in the bile duct, a situation that can be so challenging to resolve that surgery must sometimes be resorted to. We present the case of a 83-year-old patient who underwent endoscopic retrograde cholangio pancreatography (ERCP) for acute cholangitis and a plastic biliary stent was placed for stenosis in the distal common bile duct. Four months later, proximal migration of the stent was evident; conventional extraction techniques were performed without success. Due to not having a cholangioscope, a novel method was designed in which a forceps is slid along a hydrophilic guide and guided to the distal portion of the stent in order to successfully trap and extract it. It is concluded that the \"zipline\" technique is an effective method that could be used safely in patients with proximal migration of a biliary stent in which its adherence to the biliary wall does not allow it to be linked with common methods, especially in situations where direct cholangioscopy is not available.","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"44 3","pages":"292-295"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629567","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