Revista de Gastroenterologia de Mexico最新文献

Propuesta de una nueva fórmula para la colocación de sondas de pH-impedancia en pacientes pediátricos 为儿科患者放置 pH 阻抗探针提出新方案。

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2023.08.006

{"title":"Propuesta de una nueva fórmula para la colocación de sondas de pH-impedancia en pacientes pediátricos","authors":"","doi":"10.1016/j.rgmx.2023.08.006","DOIUrl":"10.1016/j.rgmx.2023.08.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Esophageal pH-impedance monitoring is a tool for diagnosing gastroesophageal reflux in children. The position of the pH catheter is essential for a reliable reading and the current formulas for calculating catheter insertion length are not completely accurate. The aim of the present study was to develop a new formula for adequate insertion of the pH catheter.</p></div><div><h3>Material and methods</h3><p>A cross-sectional study was conducted on children that underwent pH-impedance monitoring and later radiographic control, to calculate the correct catheter insertion length. The documented variables were age, sex, weight, height, naris to tragus distance, tragus to sternal notch distance, sternal notch to xiphoid process distance, and initial insertion length determined by the Strobel and height interval formulas. A multivariate regression analysis was carried out to predict the final insertion length. Regression ANOVA and Pearson's adjusted R-squared tests were performed.</p></div><div><h3>Results</h3><p>Forty-five pH-impedance studies were carried out, 53% of which were in males. The age and weight variables were not normally distributed. In the initial regression model, the variables that did not significantly correlate with the final insertion length were: sex (<em>P</em> 0.124), length determined by the Strobel or height interval formulas (<em>P</em> 0.078), naris to tragus distance (<em>P</em> 0.905), and tragus to sternal notch distance (<em>P</em> 0.404). The final equation: 5.6+(height in cm * 0.12)+(sternal notch to xiphoid process distance * 0.57) produced an R<sup>2</sup> of 0.93 (<em>P</em> 0.000).</p></div><div><h3>Conclusions</h3><p>This formula can be considered a valid option for placement of the pH-impedance monitoring catheter in pediatrics.</p></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090623001088/pdfft?md5=c70e5c7f220440e4e32ca7eabf169e42&pid=1-s2.0-S0375090623001088-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140469053","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}

引用次数: 0

Implementación de un programa de tamizaje organizado para cáncer colorrectal: Adherencia bienal y patrones de participación 实施有组织的大肠癌筛查计划：两年一次的坚持和参与模式

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2023.08.009

{"title":"Implementación de un programa de tamizaje organizado para cáncer colorrectal: Adherencia bienal y patrones de participación","authors":"","doi":"10.1016/j.rgmx.2023.08.009","DOIUrl":"10.1016/j.rgmx.2023.08.009","url":null,"abstract":"<div><h3>Introduction and aim</h3><p>Adherence to colorectal cancer (CRC) screening is essential for the effectiveness of screening programs. Even though organized screening programs can improve the quality of the process and adherence, there are still challenges to overcome. The aim of the present study, in which we implemented a biennial organized screening program for CRC, was to describe adherence and participation patterns.</p></div><div><h3>Materials and methods</h3><p>A longitudinal, descriptive study was conducted, in which a team of trained patient navigators carried out interventions, with reminders via cellphone communication, to follow a cohort of 301 subjects eligible for CRC screening, utilizing a fecal immunochemical test (FIT). All the follow-up subjects received a FIT kit.</p></div><div><h3>Results</h3><p>A total of 747 cellphone calls were made and divided into three interventions. From the initial cohort, 126 subjects completed their biennial screening process through the FIT, indicating a consistent adherence rate of 41.8% to our program. The participation patterns were: 126 consistent participants (41.8%), 160 inconsistent participants (53.2%), and 15 participants that were never contacted (5%).</p></div><div><h3>Conclusions</h3><p>In conclusion, our study underlines the importance of organized screening programs in the early detection of CRC. The implementation of follow-up interventions, through reminders and the training of patient navigators, can improve adherence, but there is a need for examining new strategies, to overcome barriers to communication via cellphone.</p></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090624000065/pdfft?md5=11b5faf616c77e3e5932734881e9ed89&pid=1-s2.0-S0375090624000065-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140467504","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}

引用次数: 0

Resección laparoscópica de quiste de duplicación pancreático 腹腔镜胰腺重复囊肿切除术

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2024.03.004

引用次数: 0

Ascitis eosinofílica: presentación inusual de gastroenteritis eosinofílica postgestacional 嗜酸性粒细胞腹水：妊娠后嗜酸性粒细胞肠胃炎的不寻常表现

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2024.04.003

引用次数: 0

Secado, almacenamiento y condiciones de canales de endoscopios después del reprocesamiento: ¿qué tan seguros son en la práctica clínica? 内窥镜通道再处理后的干燥、储存和条件：在临床实践中的安全性如何？

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2023.06.006

{"title":"Secado, almacenamiento y condiciones de canales de endoscopios después del reprocesamiento: ¿qué tan seguros son en la práctica clínica?","authors":"","doi":"10.1016/j.rgmx.2023.06.006","DOIUrl":"10.1016/j.rgmx.2023.06.006","url":null,"abstract":"<div><h3>Introduction and aims</h3><p>Adequate drying and proper storage of flexible endoscopes are essential for maintaining quality in their reprocessing. The aim of the present study was to evaluate the drying stages, storage, and channel conditions of endoscopes through borescope inspection.</p></div><div><h3>Material and methods</h3><p>The personnel responsible for endoscope reprocessing were interviewed. Storage conditions at 10 endoscopy facilities were inspected and an internal examination of the channels and ports of the stored equipment was carried out, utilizing a borescope. A total of 74 stored endoscope channels were evaluated.</p></div><div><h3>Results</h3><p>Only 10% of the facilities inspected utilized transport cases for storage and only 10% had rooms exclusively used for storage. Sixty percent of the facilities did not perform any shelf-life control. All the channels evaluated were scratched and fluids were present on 69% of them.</p></div><div><h3>Conclusions</h3><p>Endoscope reprocessing can be improved through the implementation of drying and storage control and validation tools, as well as the use of borescopes and periodic clinical audits.</p></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090624000053/pdfft?md5=994a9abec2d32a511905b579ff44eee4&pid=1-s2.0-S0375090624000053-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139814940","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}

引用次数: 0

Síndrome de vómitos cíclicos: de la fisiopatología al tratamiento 周期性呕吐综合征：从病理生理学到治疗方法

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2024.06.001

{"title":"Síndrome de vómitos cíclicos: de la fisiopatología al tratamiento","authors":"","doi":"10.1016/j.rgmx.2024.06.001","DOIUrl":"10.1016/j.rgmx.2024.06.001","url":null,"abstract":"<div><p>Cyclic vomiting syndrome (CVS) is a disorder characterized by recurrent and unpredictable episodes of intense vomiting, interspersed with periods of apparent wellbeing. This disorder, which primarily affects children and adolescents but can persist into adulthood, has recently been the subject of extensive study and analysis in the medical literature. The aim of the present review is to examine the most important aspects of the epidemiology, pathophysiology, subtypes, diagnostic criteria, and current management of CVS. Even though the exact etiology remains unknown, genetic factors (polymorphisms), nervous system alterations and autonomic dysregulation, and environmental factors (use and abuse of cannabinoids) are postulated as possible triggers. CVS has significant diagnostic challenges, given that there is no specific test for confirming its presence. Thorough evaluation of symptoms and the ruling out of other possible causes of recurrent vomiting are required. Management of CVS typically involves a multidisciplinary approach. Pharmacologic options are explored, such as antiemetics and preventive medications, as well as behavioral and psychologic support therapies. Treatment personalization is essential, adapting it to the individual needs of each patient. Despite advances in the understanding of CVS, it remains a significant clinical challenge. This disorder impacts the quality of life of those affected and their families, underscoring the ongoing need for research and the development of more effective treatment strategies.</p></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090624000661/pdfft?md5=4c6e9762ef3d2304bb4c5bf47c17cb13&pid=1-s2.0-S0375090624000661-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691039","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}

引用次数: 0

Histoplasmosis intestinal en un paciente inmunocompetente: reporte de un caso 免疫功能正常患者的肠道组织胞浆菌病：病例报告

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2024.04.004

引用次数: 0

Análisis de supervivencia del tratamiento quirúrgico del carcinoma hepatocelular en un centro de tercer nivel 一家三级医疗中心肝细胞癌手术治疗的存活率分析

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2022.12.002

{"title":"Análisis de supervivencia del tratamiento quirúrgico del carcinoma hepatocelular en un centro de tercer nivel","authors":"","doi":"10.1016/j.rgmx.2022.12.002","DOIUrl":"10.1016/j.rgmx.2022.12.002","url":null,"abstract":"<div><h3>Introduction and aims</h3><p>Hepatocellular carcinoma (HCC) is a primary malignant tumor of liver epithelial cells and is the most frequent primary liver cancer. The broadening of transplantation and resectability criteria has made therapeutic decisions more complex. Our aim was to describe the clinical and survival characteristics of patients with HCC treated through resection or liver transplantation at our hospital and identify the presence of factors that enable outcome prediction and facilitate therapeutic decision-making.</p></div><div><h3>Materials and methods</h3><p>Patients with HCC that underwent surgery with curative intent at the <em>Hospital Universitario Marqués de Valdecilla</em>, within the time frame of 2007 and 2017, were retrospectively identified. Survival, mortality, disease-free interval, and different outcome-related variables were analyzed.</p></div><div><h3>Results</h3><p>Ninety-six patients with a mean follow-up after surgery of 44 months were included. Overall mortality and recurrence were higher in the resection group. Mean survival was 51.4 months in the liver transplantation group and 37.5 months in the resection group, and the disease-free interval was 49.4±37.2 and 27.4±28.7 months, respectively (p=0.002). The tumor burden score was statistically significant regarding risk for recurrence and specific mortality.</p></div><div><h3>Conclusions</h3><p>There appears to be no patient subgroup in whom the results of surgical resection were superior or comparable to those of transplantation. Tumor burden determination could be a useful tool for patient subclassification and help guide therapeutic decision-making.</p></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090623001076/pdfft?md5=62b5e1e2ccf9e55fc9bdd36fe90ec080&pid=1-s2.0-S0375090623001076-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816586","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}

引用次数: 0

Detección de anticuerpos contra el VHC y los factores de riesgo en la población con acceso a la seguridad social en México 墨西哥享受社会保障人群中的丙型肝炎病毒抗体检测和风险因素。

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2024.01.005

{"title":"Detección de anticuerpos contra el VHC y los factores de riesgo en la población con acceso a la seguridad social en México","authors":"","doi":"10.1016/j.rgmx.2024.01.005","DOIUrl":"10.1016/j.rgmx.2024.01.005","url":null,"abstract":"<div><h3>Introduction and aim</h3><p>Timely detection and diagnosis of hepatitis C virus (HCV) involves identifying the population that is predisposed to treatment and prevention, thus limiting complications and preventing infection. The aim of this study was to analyze and describe risk factors associated with anti-HCV antibody detection in a population with access to public healthcare that participated in a national screening program.</p></div><div><h3>Material and methods</h3><p>An analytic cross-sectional study was conducted that utilized data related to rapid tests carried out between September 2021 and October 2022 in 26 of the 32 states of Mexico. Anti-HCV reactive tests were selected, according to age and sex, for analyzing and comparing possible risk factors through descriptive and inferential statistics. The geographic distribution and density of the screening program at the state and municipal levels was analyzed.</p></div><div><h3>Results</h3><p>There were 75,185 anti-HCV antibody detections, 2,052 reactive tests, and mean participant age was 44.3 years (±15.1). Occupation: 32.3% were employees, 19% were housewives, and 18.2% were healthcare workers. Five out of every 10 cases had no indication of risk factors, but there was a 1.4 and 5-times greater likelihood of anti-HCV detection in men with a history of sharps injury or intravenous psychoactive substance use, compared with women. Regarding place of residence, 80% of the reactive tests were concentrated in the State of Mexico, Mexico City, and Guanajuato.</p></div><div><h3>Conclusions</h3><p>The evidence herein helps determine the population and risk factors that should be focused on in carrying out the HCV microelimination strategy of continuous screening, diagnosis, medical treatment access, and epidemiologic surveillance.</p></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090624000132/pdfft?md5=abb90a025b1c1aa09cc020d1214634d0&pid=1-s2.0-S0375090624000132-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268737","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}

引用次数: 0

Una visión general del trasplante hepático en México 墨西哥肝移植概况

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Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI: 10.1016/j.rgmx.2024.05.002

引用次数: 0