Revista de Gastroenterologia de Mexico最新文献

{"title":"Manejo quirúrgico de neoplasias quísticas de páncreas: 22 años de experiencia en un hospital de tercer nivel en México","authors":"J. Canto-Losa,&nbsp;C. Moreno-Licea,&nbsp;J.J. Rosales-de la Rosa,&nbsp;E. Ramírez-García,&nbsp;C. Chan,&nbsp;I. Domínguez-Rosado","doi":"10.1016/j.rgmx.2025.09.001","DOIUrl":"10.1016/j.rgmx.2025.09.001","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Cystic neoplasms of the pancreas (CNPs) are diverse lesions that are a diagnostic and therapeutic challenge. Even though they are rare, the frequency of their diagnosis has increased with the advances made in imaging techniques. The identification and adequate characterization of these lesions is essential for determining the need for surgical intervention and individual patient follow-up. The primary aim of the present study was to describe the clinical and histopathologic characteristics of the CNPs resected over a 22-year period at a Mexican referral center, along with their postoperative results.</div></div><div><h3>Material and methods</h3><div>A retrospective, observational study was conducted on 139 patients who underwent surgical resection within the time frame of January 2000 and December 2022. The clinical and histopathologic characteristics and 30-day postoperative outcomes were described, comparing them, based on histologic subtypes and the surgical techniques employed.</div></div><div><h3>Results</h3><div>Most of the CNPs were solid pseudopapillary neoplasms (SPNs) (35.3%), followed by mucinous cystadenoma (32.4%), and serous cystadenoma (16.5%). The postoperative complication rate was 39.6%, and was higher in patients who underwent pancreatoduodenectomy, compared with the rest of the techniques (53.5 vs 33.3%, p<!--> <!-->=<!--> <!-->0.038). There were no differences between histologic subtypes.</div></div><div><h3>Conclusions</h3><div>Precise classification of CNPs is crucial for adequate management. The higher frequency of diagnosis appears to be due to improved imaging techniques, enabling the timely identification of pancreatic cystic lesions with malignant potential, such as CNPs, and the possibility of providing early surgical treatment with curative potential.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Pages 190-199"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572040","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":"Pancreatitis aguda recurrente asociada a conducto accesorio de Luschka: propuesta de ruta diagnóstica","authors":"Y. Rivera-Suazo,&nbsp;M.S. Gallardo-Luna,&nbsp;J.E. Alfaro-Bolaños,&nbsp;A.I. Quesada-Tortoriello","doi":"10.1016/j.rgmx.2025.10.005","DOIUrl":"10.1016/j.rgmx.2025.10.005","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Pages 272-275"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572041","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":"Carta al editor del artículo «Enfermedad hepática esteatósica asociada a disfunción metabólica y características de la ingesta alimentaria en niños, niñas y adolescentes: un estudio transversal»","authors":"B. Hernández","doi":"10.1016/j.rgmx.2025.12.009","DOIUrl":"10.1016/j.rgmx.2025.12.009","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Page 294"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572043","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":"Guía Clínica de la Asociación Mexicana de Gastroenterología para el Diagnóstico y Tratamiento de los Trastornos Relacionados con la Ingesta de Lactosa","authors":"J.M. Remes-Troche,&nbsp;M. Amieva-Balmori,&nbsp;L.F. Uscanga-Domínguez,&nbsp;E. Coss-Adame,&nbsp;R. Bernal-Reyes,&nbsp;R. Carmona-Sánchez,&nbsp;M.R. Francisco,&nbsp;K.R. García-Zermeño,&nbsp;P.C. Gómez-Castaños,&nbsp;O. Gómez-Escudero,&nbsp;M.F. Huerta de la Torre,&nbsp;M.E. Icaza-Chávez,&nbsp;S.E. Martínez-Vázquez,&nbsp;M.P. Milke-García,&nbsp;E. Montijo-Barrios,&nbsp;C.A. Sánchez-Ramírez,&nbsp;E. Toro-Monjaraz,&nbsp;M.A. Valdovinos-Díaz","doi":"10.1016/j.rgmx.2026.02.004","DOIUrl":"10.1016/j.rgmx.2026.02.004","url":null,"abstract":"<div><div>The aim of the present Clinical Guideline of the <em>Asociación Mexicana de Gastroenterología</em> was to establish clear, updated, evidence-based recommendations for the diagnosis and treatment of lactose ingestion-related disorders (LIRDs), to improve diagnostic accuracy and promote effective, patient-centered clinical management. The methodology employed consisted of a Delphi process coordinated by three experts, with the participation of 15 Mexican specialists (gastroenterologists, pediatricians, and nutritionists). Three working groups (epidemiology/definitions, diagnosis, and treatment) were formed that thoroughly reviewed the medical literature published between 2010 and 2025. A total of 26 statements were formulated. The main results included the precise definition of the different LIRD phenotypes (lactase nonpersistence, hypolactasia, clinical lactose intolerance, self-perceived lactose intolerance, and lactose sensitivity); diagnostic test standardization, highlighting the lactose breath test as a highly sensitive noninvasive tool, complemented by genetic studies and biochemical tests; and the recommendation of personalized treatments ranging from the selective reduction of dietary lactose to the use of exogenous enzymes (lactase) and fermented dairy products. Likewise, the importance of avoiding unnecessary dietary restrictions that could compromise calcium and vitamin D intake was emphasized. Altogether, the present consensus provides a comprehensive framework to optimize the clinical care of patients with LIRDs in Mexico.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Pages 231-253"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572048","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":"Marcapasos cardiaco migrado al colon","authors":"A. Cembellin-Prieto,&nbsp;D. Fernández-Martínez,&nbsp;L.J. García-Flórez","doi":"10.1016/j.rgmx.2025.11.006","DOIUrl":"10.1016/j.rgmx.2025.11.006","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Pages 258-259"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572049","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":"Proctitis por Chlamydia trachomatis: un desafío diagnóstico para el endoscopista","authors":"E. Granda Villanueva,&nbsp;B. Mesonero de la Cruz,&nbsp;C. González Rodríguez,&nbsp;H. González Sánchez,&nbsp;M. Izquierdo Romero","doi":"10.1016/j.rgmx.2025.07.003","DOIUrl":"10.1016/j.rgmx.2025.07.003","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Pages 262-263"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572050","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":"Uso de upadacitinib en un paciente pediátrico con enfermedad de Crohn y falla primaria a adalimumab: reporte de un caso","authors":"F. Chelech,&nbsp;R. Quera,&nbsp;J. Saba,&nbsp;P. Núñez,&nbsp;G. Pizarro","doi":"10.1016/j.rgmx.2025.07.012","DOIUrl":"10.1016/j.rgmx.2025.07.012","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Pages 263-265"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572051","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":"Sangrado gastrointestinal y anticoagulación en el Suroccidente colombiano","authors":"C.A. Rojas-Rodríguez,&nbsp;A.F. Mejía-Hurtado,&nbsp;L.J. Hurtado-Bermúdez,&nbsp;J.C. Ramírez-Márquez,&nbsp;E.D. Salazar-Cardona,&nbsp;M. González-Hurtado,&nbsp;E.E. Rojas-Díaz,&nbsp;Y.C. Cárdenas-Trujillo,&nbsp;J.P. Castro-Piedrahita,&nbsp;C.A. Mejía-Gómez,&nbsp;N.E. Rojas-Rojas,&nbsp;D.A. Pantoja-Castro,&nbsp;J.E. Gómez-Mesa","doi":"10.1016/j.rgmx.2025.08.007","DOIUrl":"10.1016/j.rgmx.2025.08.007","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Anticoagulants, essential in the treatment of different cardiovascular conditions, increase the risk of gastrointestinal bleeding. This risk varies, according to the type and administration route of the anticoagulant. National studies report bleeding rates between 0.5% and 4.7%, whereas worldwide rates vary between 4% and 17%. The present study characterizes the anticoagulated population with gastrointestinal bleeding, followed at a referral anticoagulation clinic, contributing to the regional epidemiology and clinical decision-making.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional study was conducted on non-pregnant patients anticoagulated with warfarin, direct-acting oral anticoagulants, or parenteral anticoagulants, and who presented with gastrointestinal bleeding, within the time frame of January 2018 and June 2022.</div></div><div><h3>Results</h3><div>The study included 121 patients. The main indication for anticoagulation was atrial fibrillation (35%) and at least 30% had a previous bleeding episode. The upper gastrointestinal tract was the primary origin of bleeding (51%). There were no statistically significant differences in the therapeutic interventions between the different anticoagulant agents evaluated. A total of 9.1% of patients presented with rebleeding during hospitalization and in-hospital mortality was 2.5%.</div></div><div><h3>Conclusions</h3><div>Our findings showed that patients with gastrointestinal bleeding associated with anticoagulant use had no relevant differences regarding clinical characteristics, treatment regimen, and outcomes, according to the type of anticoagulant employed. The behavior of gastrointestinal bleeding in anticoagulated patients may be similar to that of non-anticoagulated patients. Further studies comparing these two patient groups are warranted.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Pages 179-189"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572115","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 intestinal y metástasis hepáticas secundarias a carcinoma con componente sarcomatoide de colon. Reporte de caso","authors":"A.A. Ramírez-Torres ,&nbsp;L.A. Acosta-Calderón ,&nbsp;C.E. García-Mendoza ,&nbsp;R. Muñoz-Cabello ,&nbsp;R.A. Almeda-Mendoza","doi":"10.1016/j.rgmx.2025.08.005","DOIUrl":"10.1016/j.rgmx.2025.08.005","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Pages 265-267"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388968","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}

{"title":"CUCrohn, un término apresurado e inespecífico para una entidad cuestionable","authors":"J.A. Teco Cortes","doi":"10.1016/j.rgmx.2025.10.007","DOIUrl":"10.1016/j.rgmx.2025.10.007","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"91 2","pages":"Pages 289-290"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572072","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}