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

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[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
{"title":"[Potassium-competitive acid blockers: state of the art].","authors":"José Augusto Urrego, William Otero, Hugo Cedrón, Hernando Marulanda, Alejandro Piscoya, Juan Sebastián Frías-Ordoñez, Lina Otero","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Potassium-competitive acid blockers (PCABs) constitute an emerging class of drugs for the treatment of acid-related disorders. They represent an alternative to proton pump inhibitors (PPIs), which have been the standard therapy but present certain limitations. Currently, PCABs are available in Latin America and offer a promising therapeutic option. This review compares both drug classes across various key aspects. Potassium-competitive acid blockers (PCABs) offer significant advantages over proton pump inhibitors (PPIs) in terms of speed of action, potency, and duration of acid suppression, as well as efficacy in the treatment of erosive esophagitis and Helicobacter pylori eradication, among other aspects. Additionally, they exhibit lower interindividual variability. Currently, PCABs are available in Latin America and represent a promising therapeutic option. This review compares both drug classes across various key aspects.</p>","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"38-55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081064","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
[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":"<p><strong>Introduction: </strong>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.</p><p><strong>Objectives: </strong>To determine whether endoscopic variables of the duodenal papilla, as well as the sign of bile aspiration, are associated with difficult cannulation during ERCP.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
[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":"<p><strong>Objective: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Clinical: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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":"<p><strong>Introduction: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Material and methods: </strong>Randomized controlled study.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
{"title":"[Unusual etiology of lower digestive bleeding in a patient with constipation].","authors":"Luis Enrique Flores-Egocheaga, Eloy Puente De La Vega-Cáceres, Álvaro Bellido-Caparó","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The stercoral colitis is an inflammatory caused by fecal impactation. The etiology is poorly managed chronic constipation in specific risk groups. Patients usually present with abdominal pain, abdominal distension, and fever; in severe cases, peritoneal signs, shock or multiorgan failure may occur. It is important to have a high index of suspicion and request an abdominal CT scan with contrast. Treatment is conservative in the absence of peritoneal signs or hemodynamic instability; otherwise, management is surgical. We present the case of an 86-year-old male with a history of ischemic stroke, dysmobility and chronic constipation that presented with hematochezia. The imaging study showed thickening of the wall of the distal sigmoid colon and rectum, as well as feces inside. The endoscopic study revealed ulcers in the rectum and the recto-sigmoid junction. Conservative treatment with enemas and laxatives was indicated, with favorable clinical evolution.</p>","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"71-74"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081045","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
[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
{"title":"[Ecoendoscopy guided hepaticogastrostomy for management of hepatolithiasis and anastomotic stricture after Roux en Y hepaticojejunostomy].","authors":"Juan Antonio Chirinos-Vega, Oscar Eduardo Ponce de León Molina","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Endoscopic ultrasound-guided anterograde cholangiopancreatography (EUS-guided APC) allow us to address pathologies of the bile duct that are not treatable by endoscopic retrograde cholangiography (ERCP), such as: post-surgical benign strictures in altered anatomy, hepatolithiasis, gastric outlet obstruction, among others. Previously, when ERCP was not effective, surgical interventions such as Hepaticojejunostomy (HJ) or percutaneous transperietohepatic drainage (PTHD) were resorted to. However, EUS-guided APC has been shown to have greater clinical success, be less invasive and have a lower incidence of complications. We present the case of a 61-years-old patient with a history of HJ bypass surgery who presented abdominal pain due to hepatholitiasis and post-anastomosis benign biliary stricture, in whom the antegrade technique was performed by endoscopic ultrasound through the proximal stomach, called hepaticogastrostomy (HG) with good results.</p>","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"79-83"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081111","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 retrograde cholangiopancreatography in total situs inversus, case report with focus on endoscopic technique]. [内窥镜逆行胆管造影在全倒位，病例报告，重点是内窥镜技术]。
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01
Hernando Marulanda Fernandez, Juan Sebastian Frías-Ordoñez, Jean Sebastian Barrero Gómez, William Otero Regino
{"title":"[Endoscopic retrograde cholangiopancreatography in total situs inversus, case report with focus on endoscopic technique].","authors":"Hernando Marulanda Fernandez, Juan Sebastian Frías-Ordoñez, Jean Sebastian Barrero Gómez, William Otero Regino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case report describes an ERCP performed on a patient with situs inversus totalis and choledocholithiasis, highlighting the technical adaptations implemented and those described in the literature to overcome anatomical challenges and achieve a successful intervention. The experience presented in this case underscores the importance of technical and the expertise of the endoscopist in managing complex procedures in patients with unusual anatomical variations.</p>","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"60-65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081114","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
[Clinical practice guideline for the management of patients with heaptocellular carcinoma in the Peruvian Social Security (EsSalud)]. 【秘鲁社会保障局（EsSalud）肝细胞癌患者管理临床实践指南】。
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01
Javier Díaz-Ferrer, Carolina J Delgado-Flores, Edgar Fermin Yan-Quiroz, Carol Gonzales-Gonzales, Carlos Arroyo-Basto, Tayana Bedregal-Mendoza, Cecilia Yerén-Paredes, Sheyla Alfaro-Ita, José A Velasquez-Barbachan, Daniel Fernandez-Guzman, Alvaro Taype-Rondan, Joan Caballero-Luna, Fabiola Huaroto-Ramírez
{"title":"[Clinical practice guideline for the management of patients with heaptocellular carcinoma in the Peruvian Social Security (EsSalud)].","authors":"Javier Díaz-Ferrer, Carolina J Delgado-Flores, Edgar Fermin Yan-Quiroz, Carol Gonzales-Gonzales, Carlos Arroyo-Basto, Tayana Bedregal-Mendoza, Cecilia Yerén-Paredes, Sheyla Alfaro-Ita, José A Velasquez-Barbachan, Daniel Fernandez-Guzman, Alvaro Taype-Rondan, Joan Caballero-Luna, Fabiola Huaroto-Ramírez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>This article summarizes the clinical practice guide (CPG) for management of patients with hepatocellular carcinoma (HCC) in the Social Security of Peru (EsSalud).</p><p><strong>Objective: </strong>To provide evidence-based clinical recommendations for management of patients with HCC in EsSalud.</p><p><strong>Materials and methods: </strong>A guideline development group (GDG) was formed, which included specialist physicians and methodologists, who formulated clinical questions. Systematic searches of systematic reviews were conducted and - when deemed relevant - primary studies in PubMed during 2024. Evidence was selected to answer each of the proposed clinical questions. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In periodic working meetings, the GDG used the GRADE methodology to review the evidence and formulate recommendations, points of good clinical practice, and flowcharts. Finally, the CPG was approved with Resolution No. 53-IETSI-ESSALUD-2024.</p><p><strong>Results: </strong>The CPG addressed 8 clinical questions regarding management of patients with HCC. Based on these questions, 9 recommendations were formulated (8 conditional, 1 based on a Preliminary Health Technology Assessment Opinion), 12 points of good clinical practice, and 1 flow chart.</p><p><strong>Conclusion: </strong>Evidence-based recommendations were statement for the management of patients with HCC.</p>","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"84-92"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081105","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
[Colangioscopia como alternativa terapéutica para el retiro de stents biliares con migración proximal: reporte de caso]. [血管镜作为近端移动性胆管支架移除的替代治疗：病例报告]。
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2025-01-01
Lázaro Arango Molano, Andrés Sánchez Gil, Santiago Salazar Ochoa, Gian Núñez Rojas, Herney Solarte Pineda
{"title":"[Colangioscopia como alternativa terapéutica para el retiro de stents biliares con migración proximal: reporte de caso].","authors":"Lázaro Arango Molano, Andrés Sánchez Gil, Santiago Salazar Ochoa, Gian Núñez Rojas, Herney Solarte Pineda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Endoscopic biliary plastic stent placement is standard therapy for biliary obstruction secondary to benign and malignant diseases. Complications associated with its placement are low, but potentially dangerous for the patient, especially those associated with proximal migration of the stent in the bile duct, which requires additional manipulations of the bile duct for its extraction using standard methods through endoscopic retrograde cholangiopancreatography in most patients. We present the clinical case of a patient with proximal migration and impaction of a plastic biliary stent, which required the use of advanced endoscopic techniques through cholangioscopy for its extraction.</p>","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"45 1","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081108","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
[An update of the Helicobacter pylori treatment: a Latin American Gastric Cancer, Helicobacter and Microbiota Study Group review]. [幽门螺杆菌治疗的最新进展：拉丁美洲胃癌、幽门螺杆菌和微生物群研究组综述]。
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru Pub Date : 2024-10-01
William Otero R, Arnoldo Riquelme, José María Remes-Troche, Oscar Laudanno, Alejandro Piscoya, Hernando Marulanda, Lina Otero, Diego Reyes-Placencia
{"title":"[An update of the Helicobacter pylori treatment: a Latin American Gastric Cancer, Helicobacter and Microbiota Study Group review].","authors":"William Otero R, Arnoldo Riquelme, José María Remes-Troche, Oscar Laudanno, Alejandro Piscoya, Hernando Marulanda, Lina Otero, Diego Reyes-Placencia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Helicobacter pylori (H. pylori) is the primary etiological agent of gastric adenocarcinoma, which affects over 60% of the global population, with a significant prevalence in Latin America. Given its impact on the affected population, it is crucial to understand the diagnostic tools available for detecting this infection. While clarithromycin-based therapies are still widely used, the high rates of resistance to this antibiotic in the region needs the establishment of alternative, more effective treatments as the standard of care, such as bismuth-based quadruple therapy or high-dose dual therapy with amoxicillin. In cases of refractory infection, local data registries are valuable for informed decision-making.</p>","PeriodicalId":35807,"journal":{"name":"Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru","volume":"44 4","pages":"359-373"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013398","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
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