Revista de Gastroenterologia de Mexico最新文献_第2页

Caracterización del perfil epidemiológico, patológico, radiológico y de manejo de los pacientes con tumores estromales del tubo digestivo. Experiencia chilena de cinco años

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.04.009

G. Schiappacasse , R. Cocio , J. Cristi , J. Torres , F. Aliaga , M. Vial , J. Hepp , A. Castiblanco

{"title":"Caracterización del perfil epidemiológico, patológico, radiológico y de manejo de los pacientes con tumores estromales del tubo digestivo. Experiencia chilena de cinco años","authors":"G. Schiappacasse , R. Cocio , J. Cristi , J. Torres , F. Aliaga , M. Vial , J. Hepp , A. Castiblanco","doi":"10.1016/j.rgmx.2024.04.009","DOIUrl":"10.1016/j.rgmx.2024.04.009","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Gastrointestinal stromal tumors (GISTs) are the most frequent mesenchymal neoplastic tumors of the gastrointestinal tract and their expression and management is dependent on their aggressivity. Our aim was to characterize the GISTs diagnosed at our center, analyzing the epidemiologic, anatomopathologic, imaging study, and management variables.</div></div><div><h3>Material and methods</h3><div>A retrospective, observational cohort study was conducted on adult patients diagnosed with GIST through imaging studies and biopsy, within the time frame of 2017 and 2022 at our center, characterizing the epidemiologic, imaging study, anatomopathologic, and therapeutic data.</div></div><div><h3>Results</h3><div>Thirty-three patients with a mean age of 59 years were included. The majority of cases were incidental findings (54.5%), and of the symptomatic cases, the most frequent presentation was gastrointestinal bleeding (24%). The most common location was the stomach (19/33 cases), and the most frequent presentation was exophytic (48.5%). In the imaging studies, impregnation was mainly heterogeneous and progressive and 54% had an intrinsic characteristic, with necrosis/cystic areas the most frequent feature. There were no cases of local invasion or distant metastasis. Histologically, the spindle cell type was the most frequent (78.8%) and the majority had fewer than 5 mitoses per high power field. Thirty cases were treated at our center and surgery was the most frequent form of resolution (29/30). No deaths caused by GIST were registered in our case series.</div></div><div><h3>Conclusions</h3><div>The epidemiologic and imaging study characteristics in our case series were similar to those reported in the literature, but our results were different, with respect to early diagnosis and the low aggressivity of the cases.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 1","pages":"Pages 15-21"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697038","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}

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Respuesta a Gómez-Calero et al. respecto a sus comentarios sobre el artículo «Prevalencia y características de enfermedad por reflujo gastroesofágico en mujeres embarazadas»

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.09.008

M.N. Luu , D.T. Quach

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La esofagitis eosinofílica. Conceptos actuales de la fisiopatología, del diagnóstico y del tratamiento

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.09.011

D. García-Compeán, A.R. Jiménez-Rodríguez, C.E. González-Martínez

{"title":"La esofagitis eosinofílica. Conceptos actuales de la fisiopatología, del diagnóstico y del tratamiento","authors":"D. García-Compeán, A.R. Jiménez-Rodríguez, C.E. González-Martínez","doi":"10.1016/j.rgmx.2024.09.011","DOIUrl":"10.1016/j.rgmx.2024.09.011","url":null,"abstract":"<div><div>Eosinophilic esophagitis (EoE) is a chronic, immune-mediated disease characterized by the infiltration of eosinophils into the esophageal mucosa. It is the most frequent cause of dysphagia and food impaction in adults. Due to its similar pathophysiology to allergic rhinitis, asthma, and atopic dermatitis, it has been considered the esophageal manifestation of allergy. It is more frequently seen in the United States, Europe, and Australia. Incidence and prevalence have increased significantly in those countries over the past three decades, to such a degree that some consider it an epidemic. The disease is infrequently diagnosed in Mexico and Latin America, and so little information on this disease is produced in our region of the world. The precise factors explaining this low incidence are unknown.</div><div>On the other hand, there has been intense research on EoE in other parts of the world in recent years. Its pathophysiology has been better understood and endoscopic and clinical procedures have been refined for making the diagnosis. In addition, new drugs and special formulations of existing ones have been introduced for treating the disease. Simpler and more effective dietary treatment strategies have also been evaluated.</div><div>The aim of the present work was to review the current status of EoE globally and in Mexico, emphasizing the probable factors (environmental and technical) that intervene in the low incidence recorded in our country. In addition, we conducted a review of the advances in research on the different aspects of EoE carried out in recent years.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 1","pages":"Pages 63-76"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697030","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}

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Sangrado de tubo digestivo secundario a aneurisma de la arteria hepática

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.07.005

K.P. Rodriguez-Arellano, F.A. Solís-Galindo, M. Sesatty-Flores

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Desgarro esplénico por CPRE: reporte de caso y revisión de la literatura

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.09.002

G. López-Arce , D. Zamora-Valdés , E. Murcio-Pérez , M.A. Reyes-Caldelas , F.I. Téllez-Ávila

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Respuesta a Porres-Aguilar et al. «Estrategias de manejo perioperatorio y periprocedimiento de la anticoagulación en la cirrosis hepática»

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.11.001

J.A. Velarde-Ruiz Velasco , F. Higuera-de-la-Tijera

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Hemorragia digestiva en un paciente adulto con síndrome de Turner secundario a malformaciones vasculares

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.08.001

F.P. Carvajal-González , P.Y. Gil-Galleguillos , L.C. Gil-La Rotta , P.A. Muñoz-Dimitrov , P.F. Toledo-Arancibia

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Calprotectina fecal elevada: ¿la cápsula endoscópica tiene un impacto en el algoritmo de diagnóstico?

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.06.008

S. Vibhishanan , P. Oka , S. Zammit , R. Sidhu

{"title":"Calprotectina fecal elevada: ¿la cápsula endoscópica tiene un impacto en el algoritmo de diagnóstico?","authors":"S. Vibhishanan , P. Oka , S. Zammit , R. Sidhu","doi":"10.1016/j.rgmx.2024.06.008","DOIUrl":"10.1016/j.rgmx.2024.06.008","url":null,"abstract":"<div><h3>Introduction</h3><div>The purpose of this study was to examine the utility of small bowel capsule endoscopy (SBCE) in the diagnostic pathway of patients that had elevated fecal calprotectin (FC) and normal colonoscopy.</div></div><div><h3>Methods</h3><div>Patients with elevated FC and normal colonoscopy that underwent SBCE in the last 4 years were included. Patients were divided into 3 groups: group 1: patients with isolated small bowel Crohn's disease (SBCD) on SBCE; group 2: patients with elevated FC but normal SBCE; and group 3: patients with isolated terminal ileitis.</div></div><div><h3>Results</h3><div>The study included 320 patients (group 1: 254 patients, group 2: 50 patients, and group 3: 16 patients). The median age was 42.5 years (IQR 26) across the three groups and 52.4% of the patients had a new diagnosis of SBCD. In group 1, active disease was identified distally in 247 patients (77.2%), proximal involvement in 90 patients (28.1%), and extensive SBCD in 68 patients (21.3%). Magnetic resonance enterography (MRE) was carried out in 229 (90.1%) patients in group 1 and was negative in 42 patients with SBCD. The diagnostic yield of SBCE was higher than that of MRE (p <0.0001). In group 2, the final diagnoses included <em>Helicobacter pylori</em> infection (n=2), NSAID use (n=3), celiac disease (n=2), and microscopic colitis (n=1). The final diagnoses in group 3 were idiopathic terminal ileitis (n=11), inflammatory bowel disease (n=3), and infective terminal ileitis (n=2).</div></div><div><h3>Conclusion</h3><div>SBCE influences the patient pathway even when negative/normal. It is better at identifying early SBCD, when compared with MRE.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 1","pages":"Pages 29-35"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143695932","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}

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Terapia de vacío endoluminal para el manejo de mediastinitis aguda posterior a esofagogastrectomía: reporte de caso en paciente con adenocarcinoma esofágico

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.08.005

G.K. Casadiego, C. Rojas, S. Prado, E. de la Fuente

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Prevalencia de manifestaciones extraintestinales y otras condiciones asociadas en una cohorte de pacientes con enfermedad inflamatoria intestinal de un centro avanzado en Bogotá, Colombia

IF 1.5

Revista de Gastroenterologia de Mexico Pub Date : 2025-01-01 DOI: 10.1016/j.rgmx.2024.07.006

J. Andrade-Restrepo , D. Rubio-Cruz , J.G. Maigual-Quintas , S.G. Sicard-Gómez , E.J. Cuello-Navarro , L.C. Álvarez-Larrota , R. García-Duperly , E.E. Londoño-Schimmer , A.M. Rey-Rubiano , B. Mendoza de Molano , R.P. López-Panqueva

{"title":"Prevalencia de manifestaciones extraintestinales y otras condiciones asociadas en una cohorte de pacientes con enfermedad inflamatoria intestinal de un centro avanzado en Bogotá, Colombia","authors":"J. Andrade-Restrepo , D. Rubio-Cruz , J.G. Maigual-Quintas , S.G. Sicard-Gómez , E.J. Cuello-Navarro , L.C. Álvarez-Larrota , R. García-Duperly , E.E. Londoño-Schimmer , A.M. Rey-Rubiano , B. Mendoza de Molano , R.P. López-Panqueva","doi":"10.1016/j.rgmx.2024.07.006","DOIUrl":"10.1016/j.rgmx.2024.07.006","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>The prevalence and incidence of inflammatory bowel disease (IBD) has increased significantly in Latin America. Extraintestinal manifestations (EIMs) have elevated morbidity and are poorly characterized in the region. Our aim was to describe the characteristics of EIMs in patients with IBD at the <em>Hospital Universitario Fundación Santa Fe de Bogotá</em>, utilizing the EIM classification proposed by the European Crohn's and Colitis Organisation (ECCO).</div></div><div><h3>Materials and methods</h3><div>A cross-sectional study was conducted based on an institutional database of patients with IBD and the EIM definition used by the ECCO. Prevalence and prevalence ratios (PRs) of the EIMs were calculated.</div></div><div><h3>Results</h3><div>The study included 168 patients, 66 of whom were diagnosed with Crohn's disease (CD) and 102 with ulcerative colitis (UC). A total of 30.4% patients had at least one EIM, and the most frequent were oral ulcers (13.7%), arthritis (10.1%), and uveitis/episcleritis (6.5%). There was a greater prevalence of EIMs in CD (31.8% vs 29.40% in UC) and women (32.47% vs 28.57% in men). There was a significant PR between uveitis/episcleritis and arthritis, erythema nodosum and arthritis, and erythema nodosum and other eye diseases.</div></div><div><h3>Conclusions</h3><div>Our study shows a high prevalence of EIMs, surpassing that of previous Colombian studies, with a predominance of CD. Oral manifestations stand out as the most common. Prevalence studies on EIMs in Colombia are needed to establish multidisciplinary specialized centers, improving the quality of life of patients with IBD.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 1","pages":"Pages 44-53"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143695936","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}

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