Revista de Gastroenterologia de Mexico最新文献

{"title":"Fe de errata de Resultados funcionales posterior a rectopexia ventral con malla en 50 pacientes con obstrucción defecatoria y/o incontinencia fecal","authors":"","doi":"10.1016/j.rgmx.2026.07.003","DOIUrl":"10.1016/j.rgmx.2026.07.003","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Page 467"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149010748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eficacia del EndoVAC artesanal frente al stent cubierto en fugas anastomóticas colorrectales: estudio multicéntrico con análisis de propensión","authors":"R. Castaño-Llano,&nbsp;J.D. Puerta,&nbsp;L.J. Palacios,&nbsp;M. Rodríguez,&nbsp;N. Cortés,&nbsp;J.M. Castro,&nbsp;D. Restrepo,&nbsp;C. Díaz,&nbsp;D. Palacio,&nbsp;O. Álvarez","doi":"10.1016/j.rgmx.2025.11.001","DOIUrl":"10.1016/j.rgmx.2025.11.001","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Colorectal anastomotic leak (AL) occurs in up to 25% of cases and is the leading cause of postoperative morbidity and mortality. Self-expanding metallic stents (SEMSs) and endoscopic vacuum therapy (EVT) have recently emerged as therapeutic options. Our aim was to compare EVT and SEMS success rates in the treatment of AL, in patients with and without protective diverting ostomy.</div></div><div><h3>Materials and methods</h3><div>A retrospective study was conducted at three oncology centers in Medellín, Colombia, within the time frame of January 2006 and December 2022. Fifty-four patients with AL, treated with either EVT or SEMS were included. Groups were matched 1:1 by age (±<!--> <!-->3 years), body mass index (BMI<!--> <!-->±<!--> <!-->3<!--> <!-->kg/m²), and leak size.</div></div><div><h3>Results</h3><div>There were no significant differences between the two groups in baseline characteristics, leak size and location, time from surgery to treatment (<em>P</em>=.11), tumor stage, or surgical approach. The EVT group required more procedures (4.6<!--> <!-->±<!--> <!-->3.1 vs 2.1<!--> <!-->±<!--> <!-->1.6; <em>P</em>=.047), but was associated with fewer additional interventions (<em>P</em>=.035), shorter hospital stay (41<!--> <!-->±<!--> <!-->16 vs 52<!--> <!-->±<!--> <!-->23 days; <em>P</em>=.017), higher leak resolution rate (89 vs. 67%; <em>P</em>=.049), higher ostomy reversal rate (83 vs. 55%; <em>P</em>=.053), and a trend toward improved survival (log-rank <em>P</em>=.050).</div></div><div><h3>Conclusion</h3><div>EVT was associated with better clinical outcomes, compared with SEMS. Larger studies are needed to confirm our findings.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Pages 322-333"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Análisis crítico del modelo predictivo de recurrencia en cáncer de colon derecho: hacia un reporte conforme a TRIPOD+AI y validación externa multicéntrica","authors":"J.S. Therán-León,&nbsp;D.A. Montagut-Bermón,&nbsp;C.A. Calderón-Salazar","doi":"10.1016/j.rgmx.2026.06.001","DOIUrl":"10.1016/j.rgmx.2026.06.001","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Pages 463-464"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalencia y características clínicas del adenocarcinoma colorrectal en los pacientes jóvenes en México: revisión sistemática y metaanálisis","authors":"D. Arriaga-Izabal,&nbsp;F. Morales-Lazcano,&nbsp;U.A. Angulo-Zamudio,&nbsp;A. Canizalez-Román,&nbsp;N. León-Sicairos","doi":"10.1016/j.rgmx.2025.12.003","DOIUrl":"10.1016/j.rgmx.2025.12.003","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>The prevalence of colorectal cancer in young adults is increasing worldwide but there is limited data from Latin American countries. In Mexico, the burden and clinical profile of colorectal adenocarcinoma in young patients are not well characterized. Our study aimed to estimate the prevalence of colorectal adenocarcinoma and describe its clinical characteristics, in young adult patients in Mexico.</div></div><div><h3>Materials and methods</h3><div>The PubMed and Web of Science databases were systematically searched from database inception to September 2024. The prevalence of colorectal adenocarcinoma in young adults in Mexico was evaluated, comparing the clinical characteristics of early-onset and late-onset cases. A pooled meta-analysis was carried out, using random effects models. Heterogeneity was assessed through the I² statistic, meta-regression, and subgroup analyses. The risk of bias was evaluated using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data.</div></div><div><h3>Results</h3><div>The pooled prevalence of colorectal adenocarcinoma in young adults was 10% (95% CI: 6-15%) in patients ≤ 40 years of age and 19% (95% CI: 18-21%) in those under 50 years of age. Meta-regression indicated a growing trend in the under 40 age group over time and the predominating clinical factors were male sex (52%), rectal involvement (44%), stage IV disease at diagnosis (32%), and a greater number of poorly differentiated tumors.</div></div><div><h3>Conclusion</h3><div>Colorectal adenocarcinoma in young adults is an emerging public health concern in Mexico that requires specific strategies targeting prevention and early detection.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Pages 344-352"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstrucción de flujo de salida de la unión esofagogástrica: avances en diagnóstico y manejo clínico","authors":"J.S. Arenas-Martinez,&nbsp;M.F. Vela","doi":"10.1016/j.rgmx.2026.03.013","DOIUrl":"10.1016/j.rgmx.2026.03.013","url":null,"abstract":"<div><div>Esophagogastric junction outflow obstruction (EGJOO) is an esophageal motility disorder characterized by incomplete lower esophageal sphincter relaxation, with at least partially preserved peristalsis. Recognition of this entity has evolved with the Chicago Classification version<!--> <!-->4.0, which has refined diagnostic criteria by incorporating clinical correlation and confirmatory testing, thereby reducing the overdiagnosis observed with previous versions.</div><div>Diagnosis is based on high-resolution esophageal manometry, identifying elevated integrated relaxation pressure of the lower esophageal sphincter in both supine and upright positions, as well as intrabolus pressurization. However, those findings may lack clinical relevance, prompting the performance of complementary studies, such as timed barium esophagram, functional lumen imaging probe, and provocative maneuvers during manometry, to confirm clinically significant obstruction.</div><div>Therapeutic options include pharmacologic therapy, botulinum toxin type<!--> <!-->A injection, pneumatic dilation, peroral endoscopic myotomy, and surgical myotomy, with growing evidence supporting lower esophageal sphincter-targeted interventions in patients with confirmed obstruction. Additionally, opioid use is an important modifying factor, influencing both motor phenotype and therapeutic response.</div><div>The current understanding of EGJOO highlights the need for a multimodal diagnostic approach and personalized therapeutic strategies. Nevertheless, there are still important gaps regarding the prediction of clinical progression and the standardization of emerging diagnostic tools.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Pages 367-377"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metaanálisis de estudios de validación diagnóstica de métodos no invasivos para la detección de Helicobacter pylori en población pediátrica","authors":"M.A. Montoya-Arango,&nbsp;E.A. Figueredo-Carmona,&nbsp;S.Y. Zapata,&nbsp;T.L. Pérez-Cala","doi":"10.1016/j.rgmx.2025.10.006","DOIUrl":"10.1016/j.rgmx.2025.10.006","url":null,"abstract":"<div><h3>Introduction and aim</h3><div>Early detection and eradication of <em>Helicobacter pylori</em> in high-prevalence regions are effective for reducing the incidence of gastric cancer, but evidence supporting its detection in the pediatric population is less robust. Our aim was to evaluate the diagnostic validity of noninvasive methods for detecting <em>Helicobacter pylori</em> in pediatric patients based on studies published in the medical literature.</div></div><div><h3>Methods</h3><div>Following the PRISMA guideline, a systematic review using the Pubmed, ScienceDirect, SciELO, and Embase databases was carried out. Study quality was evaluated using the QUADAS tool. A random-effects meta-analysis was conducted to estimate sensitivity, specificity, positive and negative likelihood ratios, diagnostic odds ratio, and ROC curves, with 95% confidence intervals. Heterogeneity was evaluated with the DerSimonian-Laird Q(X²) statistic and the I² index.</div></div><div><h3>Results</h3><div>The sensitivity of serum enzyme-linked immunosorbent assay (ELISA) tests was higher for IgG (89%) than for IgA (49%), whereas specificity was similar, at 97% for IgG and 98% for IgA. Stool antigen ELISA tests had 88% sensitivity and 93% specificity.</div></div><div><h3>Conclusion</h3><div>Our meta-analysis found variable accuracy in the noninvasive tests for detecting <em>Helicobacter pylori</em> in children. The 13C urea breath test and stool antigen ELISA showed the best diagnostic performance, with the latter standing out as the most practical and reliable option for pediatric use. Despite the promising results, methodological limitations and study variability highlight the need for more robust research to support said diagnostic tools in high-prevalence settings.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Pages 310-321"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Carga creciente de la cirrosis por colangitis biliar primaria en México: evidencia de una cohorte multicéntrica contemporánea","authors":"N. Méndez-Sánchez,&nbsp;M.M. Ramírez-Mejía,&nbsp;C. Cortez-Hernández,&nbsp;E.M. Tovar-Bojorquez,&nbsp;R. Contreras-Omaña,&nbsp;J.D. Monsiváis-Morales,&nbsp;J. Cordova-Gallardo,&nbsp;M. Castillo-Barradas,&nbsp;N. Guzmán-Rodríguez,&nbsp;M.S. González-Huezo,&nbsp;A. Sandez-Araiza,&nbsp;E. Cerda-Reyes,&nbsp;S. Cornejo-Hernandez,&nbsp;B. Barranco-Fragoso,&nbsp;A.D. Cano-Contreras,&nbsp;J.M. Remes-Troche,&nbsp;F. Higuera-de-la-Tijera,&nbsp;J.L. Pérez-Hernández,&nbsp;N. Chávez-Tapia,&nbsp;F.J. Valentin-Cortez,&nbsp;H. Rodríguez-Hernández","doi":"10.1016/j.rgmx.2026.02.003","DOIUrl":"10.1016/j.rgmx.2026.02.003","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Primary biliary cholangitis (PBC) is a chronic autoimmune cholestatic liver disease characterized by the progressive destruction of the intrahepatic bile ducts that leads to cholestasis, fibrosis, and cirrhosis. In recent decades, its prevalence and incidence have increased worldwide, but there are limited data on its behavior in Latin America. The present study aimed to provide up-to-date information on the prevalence of CBP-related cirrhosis in a contemporary cohort and compare current trends with those of previous cohorts.</div></div><div><h3>Materials and methods</h3><div>A retrospective multicenter study was conducted that included 2,182 patients diagnosed with cirrhosis from 13 Mexican referral hospitals, within the time frame of 2018 and 2024. Demographic, etiologic, and clinical data were collected. The prevalence of cirrhosis secondary to PBC was compared with national cohorts from 2004 and 2018. Differences were evaluated using the two-tailed z-test for proportions, with statistical significance set at a <em>P</em>&lt;.05.</div></div><div><h3>Results</h3><div>The PBC was established as a growing cause of cirrhosis, primarily affecting women above 60 years of age. Cases increased significantly from 5.7% in 2004 to 8.5% in 2024 (<em>P</em>&lt;.001), with a higher concentration in central Mexico.</div></div><div><h3>Conclusions</h3><div>Our findings confirmed a sustained increase in PBC-related cirrhosis in Mexico over the past two decades. This increase underscores the need to improve early diagnosis, strengthen epidemiologic surveillance, and adapt regional therapeutic strategies for optimizing clinical results.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Pages 301-309"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Íleo biliar diagnosticado por entero-resonancia magnética como causa poco frecuente de obstrucción intestinal","authors":"M. Álvarez Díez,&nbsp;I. Magide Yáñez,&nbsp;J. Otero Figar,&nbsp;A. Fernández Rodríguez,&nbsp;D. Muiño Domínguez","doi":"10.1016/j.rgmx.2025.12.002","DOIUrl":"10.1016/j.rgmx.2025.12.002","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Pages 441-442"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstrucción enteral por Ascaris lumbricoides en paciente con neoplasia de la unión esofagogástrica","authors":"J. Vázquez-Arizmendi,&nbsp;A. Ocampo-Bárcenas,&nbsp;V.G. Saldaña-Herrera","doi":"10.1016/j.rgmx.2026.02.002","DOIUrl":"10.1016/j.rgmx.2026.02.002","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Page 433"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infiltración gastrointestinal por leucemia linfoblástica aguda de células B: reporte de caso","authors":"J.L. Villalva-Luna,&nbsp;A. Bravo-Mondoñedo,&nbsp;A. Bellido-Caparo","doi":"10.1016/j.rgmx.2025.10.009","DOIUrl":"10.1016/j.rgmx.2025.10.009","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 3","pages":"Pages 434-436"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}