Revista de Gastroenterologia de Mexico最新文献

{"title":"Resección laparoscópica de quiste de duplicación pancreático","authors":"","doi":"10.1016/j.rgmx.2024.03.004","DOIUrl":"10.1016/j.rgmx.2024.03.004","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"89 3","pages":"Pages 442-443"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090624000387/pdfft?md5=5992fa10b978d2dddd6aa521f4d0ce41&pid=1-s2.0-S0375090624000387-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141131822","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":"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":"89 3","pages":"Pages 332-339"},"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}

{"title":"Ascitis eosinofílica: presentación inusual de gastroenteritis eosinofílica postgestacional","authors":"","doi":"10.1016/j.rgmx.2024.04.003","DOIUrl":"10.1016/j.rgmx.2024.04.003","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"89 3","pages":"Pages 453-455"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090624000533/pdfft?md5=225bcc53de9d32fe34a480ac48eb64c8&pid=1-s2.0-S0375090624000533-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400062","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":"Síndrome de vómitos cíclicos: de la fisiopatología al tratamiento","authors":"R.A. Jiménez-Castillo ,&nbsp;R. Frazier ,&nbsp;T. Venkatesan ,&nbsp;J.M. Remes-Troche","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":"89 3","pages":"Pages 389-403"},"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}

{"title":"Histoplasmosis intestinal en un paciente inmunocompetente: reporte de un caso","authors":"","doi":"10.1016/j.rgmx.2024.04.004","DOIUrl":"10.1016/j.rgmx.2024.04.004","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"89 3","pages":"Pages 455-457"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090624000545/pdfft?md5=744e491e00abb23c0194491c39e77484&pid=1-s2.0-S0375090624000545-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133474","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 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":"89 3","pages":"Pages 323-331"},"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}

{"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":"89 3","pages":"Pages 379-388"},"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}

{"title":"Inmunoexpresión de SOX9 en tumores primarios de carcinoma colorrectal con metástasis a ganglios linfáticos","authors":"","doi":"10.1016/j.rgmx.2024.01.004","DOIUrl":"10.1016/j.rgmx.2024.01.004","url":null,"abstract":"<div><h3>Introduction and aims</h3><p>Colorectal cancer is the most frequent malignant tumor of the digestive system. Its pathogeny is complex and involves the APC/β-catenin sequence. Lymph node metastases are a significant indicator for determining treatment and are a prognostic factor. SOX9 overexpression is related to oncogenic qualities and the capacity for metastasis. Our aim was to analyze SOX9 immunoexpression in primary colorectal cancer and lymph node metastasis status.</p></div><div><h3>Material and methods</h3><p>Seventy-nine available cases were divided into the group with lymph node metastasis (n<!--> <!-->=<!--> <!-->38) and the group without lymph node metastasis (n<!--> <!-->=<!--> <!-->41), evaluating their SOX9 expression. The IBM SPSS version 27 program in Spanish was utilized to carry out the statistical analysis, obtaining measures of central tendency, the kappa index, standard deviation, Wilcoxon Mann-Whitney nonparametric measurements, Spearman's correlation coefficient, and chi-square test and Student's t test values. SOX9 immunoexpression was evaluated through the mean-based H-score, with high immunoexpression as a score<!--> <!-->≥<!--> <!-->145 and low immunoexpression as a score<!--> <!-->≤<!--> <!-->144.</p></div><div><h3>Results</h3><p>A p<!--> <!-->=<!--> <!-->0.73 was obtained that was not statistically significant, regarding the relation of SOX9 expression in primary colorectal cancer to lymph node metastasis.</p></div><div><h3>Conclusions</h3><p>The absence or presence of lymph node metastasis was independent from SOX9 immunoexpression in primary colorectal cancer. However, due to the limited size of the population analyzed, further research is needed.</p></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"89 3","pages":"Pages 369-378"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090624000120/pdfft?md5=69b3a4b303b2499f4f30cdf2fc4fa026&pid=1-s2.0-S0375090624000120-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140405994","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":"Posicionamiento sobre manejo perioperatorio y riesgo quirúrgico en el paciente con cirrosis","authors":"","doi":"10.1016/j.rgmx.2024.05.001","DOIUrl":"10.1016/j.rgmx.2024.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Management of the patient with cirrhosis of the liver that requires surgical treatment has been relatively unexplored. In Mexico, there is currently no formal stance or expert recommendations to guide clinical decision-making in this context.</p></div><div><h3>Aims</h3><p>The present position paper reviews the existing evidence on risks, prognoses, precautions, special care, and specific management or procedures for patients with cirrhosis that require surgical interventions or invasive procedures. Our aim is to provide recommendations by an expert panel, based on the best published evidence, and consequently ensure timely, quality, efficient, and low-risk care for this specific group of patients.</p></div><div><h3>Results</h3><p>Twenty-seven recommendations were developed that address preoperative considerations, intraoperative settings, and postoperative follow-up and care.</p></div><div><h3>Conclusions</h3><p>The assessment and care of patients with cirrhosis that require major surgical or invasive procedures should be overseen by a multidisciplinary team that includes the anesthesiologist, hepatologist, gastroenterologist, and clinical nutritionist. With respect to decompensated patients, a nephrology specialist may be required, given that kidney function is also a parameter involved in the prognosis of these patients.</p></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"89 3","pages":"Pages 418-441"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090624000594/pdfft?md5=a63e622295e5965b1aff94e2d4432495&pid=1-s2.0-S0375090624000594-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410934","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":"Identificación de factores pronósticos para supervivencia en pacientes con adenocarcinoma gástrico metastásico en la población mexicana","authors":"","doi":"10.1016/j.rgmx.2023.07.008","DOIUrl":"10.1016/j.rgmx.2023.07.008","url":null,"abstract":"<div><h3>Introduction and aims</h3><p>Gastric adenocarcinoma is among the high-ranking tumors, with respect to frequency and mortality, worldwide. The inflammatory process and immune system activity are associated with oncologic control. Our aim was to identify whether the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR), and other variables are prognostic factors for survival in patients with metastatic gastric cancer in a Mexican population.</p></div><div><h3>Material and methods</h3><p>Patients diagnosed with metastatic gastric adenocarcinoma, hospitalized within the time frame of December 2011 to 2021, were analyzed. The NLR, PLR, and albumin and hemoglobin levels obtained from blood samples were calculated. Functional status (ECOG and Karnofsky), sex, histology, and the presence of signet ring cells were also considered possible prognostic factors. Each factor's prognostic value for overall survival was determined through univariate and multivariate analyses.</p></div><div><h3>Results</h3><p>The study included 956 patients diagnosed with metastatic gastric cancer, of whom 494 (51.7%) were men and 462 (48.3%) were women. The main histologic finding was diffuse adenocarcinoma (n<!--> <!-->=<!--> <!-->619, 64.7%), followed by intestinal adenocarcinoma (n<!--> <!-->=<!--> <!-->293, 30.6%), and the presence of signet ring cells was found in 659 (68.9%) patients. Diagnostic laparoscopy was performed on 238 patients (24.9%) to confirm peritoneal carcinomatosis. The multivariate analysis showed that an NLR above 3.2 (HR 1.51, 95% CI 1.27-1.8; p<!--> <!-->&lt;<!--> <!-->0.001), albumin below 3.5<!--> <!-->g/dl (HR 1.25, 95% CI 1.06-1.47; p<!--> <!-->=<!--> <!-->0.006), and an ECOG performance status of 2 or higher (HR 1.39, 95% CI 1.10-1.76; p<!--> <!-->=<!--> <!-->0.005) were independent factors that predicted a lower survival rate, whereas a Karnofsky score above 70% (HR 0.69, 95% CI 0.53-0.91; p<!--> <!-->=<!--> <!-->0.008) was associated with a better survival rate. Lastly, the PLR was not statistically significant in the multivariate analysis.</p></div><div><h3>Conclusions</h3><p>The NLR, nutritional status assessed through albumin measurement, and functional status can act as independent prognostic survival factors in hospitalized Mexican patients diagnosed with metastatic gastric adenocarcinoma, and be taken into account during therapeutic decision-making.</p></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"89 3","pages":"Pages 340-346"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0375090623001167/pdfft?md5=294b23b5f9f1da2b8c6715cb71c8706c&pid=1-s2.0-S0375090623001167-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194546","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}