Revista de gastroenterologia de Mexico (English)最新文献

{"title":"Clinical practice recommendations on the use of neuromodulators in gastroenterology: AMG (Asociación Mexicana de Gastroenterología) - AMNM (Asociación Mexicana de Neurogastroenterología y Motilidad) expert joint review.","authors":"O Gómez-Escudero, J M Remes-Troche, E Coss-Adame, K R García-Zermeño, J Aquino-Matus, J Jiménez-Pavón, L R Valdovinos-García, M A Vargas-Martínez, M Amieva-Balmori, J S Arenas-Martínez, F A Félix-Téllez, P C Gómez-Castaños, M Mejía-Rivas, M A Valdovinos-Díaz, G Vázquez-Elizondo, A S Villar-Chávez, C P Gyawali","doi":"10.1016/j.rgmxen.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.rgmxen.2024.12.001","url":null,"abstract":"<p><p>Disorders of gut-brain interaction (DGBI) are characterized by alterations in both central and peripheral gut-brain axis (GBA)-related stimuli, and include esophageal, gastroduodenal, intestinal and anorectal disorders. Despite the fact that several pathophysiologic mechanisms are involved, the mainstay of treatment is neuromodulators, a heterogeneous group of drugs that act on pathways related to central and peripheral pain processing. This expert review by both the AMG (Asociación Mexicana de Gastroenterología) and AMNM (Asociación Mexicana de Neurogastroenterología y Motilidad) summarizes a series of updated clinical recommendations based on an exhaustive review of the literature, regarding the use of neuromodulators for DGBI, and is grouped into six sections: pharmacologic principles, definition, classification, mechanism of action, indications and use in each DGBI subtype, up/downscaling strategies, combination therapy, adverse events, joint use along with psychiatry in the case of comorbidities, and non-pharmacologic neuromodulation. Furthermore, drug selection process tips and dose personalization according to individual groups and sensitivities are provided, and special cases with DGBI-psychiatric comorbidity, as well as overlap with another DGBI, are considered.</p>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082695","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":"Good clinical practice recommendations for proton pump inhibitor prescription and deprescription. A review by experts from the AMG","authors":"L.R. Valdovinos-García ,&nbsp;A.S. Villar-Chávez ,&nbsp;F.M Huerta-Iga ,&nbsp;M. Amieva-Balmori ,&nbsp;J.S. Arenas-Martínez ,&nbsp;R. Bernal-Reyes ,&nbsp;E. Coss-Adame ,&nbsp;O. Gómez-Escudero ,&nbsp;P.C. Gómez-Castaños ,&nbsp;M. González-Martínez ,&nbsp;E.C Morel-Cerda ,&nbsp;J.M. Remes-Troche ,&nbsp;M.C. Rodríguez-Leal ,&nbsp;D. Ruiz-Romero ,&nbsp;M.A. Valdovinos-Diaz ,&nbsp;G. Vázquez-Elizondo ,&nbsp;J.A. Velarde-Ruiz Velasco ,&nbsp;M.R. Zavala-Solares","doi":"10.1016/j.rgmxen.2024.11.002","DOIUrl":"10.1016/j.rgmxen.2024.11.002","url":null,"abstract":"<div><h3>Introduction and aim</h3><div>Proton pump inhibitors (PPIs) are widely known drugs that are used quite frequently and indicated in both the short and long terms, in numerous acid-related diseases. Our aim was to produce an expert review that establishes recommendations for the adequate prescription and deprescription of PPIs.</div></div><div><h3>Methods</h3><div>A group of experts in PPI use that are members of the <em>Asociación Mexicana de Gastroenterología</em> (<em>AMG</em>), after extensively reviewing the published literature and discussing each recommendation at a face-to-face meeting, prepared the present document of good clinical practice recommendations. This document is not intended to be a clinical practice guideline or utilize the methodology said format requires.</div></div><div><h3>Results</h3><div>Eighteen experts on PPI use developed 22 good clinical practice recommendations for prescribing short-term, long-term, and on-demand PPIs, recognizing adverse events, and lastly, deprescribing PPIs, in acid-related diseases.</div></div><div><h3>Conclusions</h3><div>At present, there is scientific evidence on PPI use in numerous diseases, some in the short term (4-8 weeks), others on-demand (for short periods until symptoms improve), or in the long term (without suspending). Numerous adverse effects have been attributed to PPIs, but the majority have no well-established causal association. Nevertheless, PPIs should be suspended when there is no clear indication for their use. These recommendations aim to aid general physicians and specialists, with respect to PPI prescription and deprescription.</div></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 1","pages":"Pages 111-130"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911604","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":"Eosinophilic esophagitis: Current state and perspectives in Latin America","authors":"D. García-Compeán","doi":"10.1016/j.rgmxen.2024.09.003","DOIUrl":"10.1016/j.rgmxen.2024.09.003","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 1","pages":"Pages 4-7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911819","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":"Endoluminal vacuum therapy for the management of acute mediastinitis following esophagogastrectomy: Case report of a patient with esophageal adenocarcinoma","authors":"G.K. Casadiego,&nbsp;C. Rojas,&nbsp;S. Prado,&nbsp;E. de la Fuente","doi":"10.1016/j.rgmxen.2024.08.004","DOIUrl":"10.1016/j.rgmxen.2024.08.004","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 1","pages":"Pages 143-146"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912311","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":"Factor XI/XIa inhibitors for splanchnic vein thrombosis associated with liver cirrhosis: Is there any potential role?","authors":"M. Porres-Aguilar ,&nbsp;W. Ageno ,&nbsp;M. Uribe","doi":"10.1016/j.rgmxen.2024.08.007","DOIUrl":"10.1016/j.rgmxen.2024.08.007","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 1","pages":"Pages 165-166"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911564","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":"An App model that utilizes a logistic regression algorithm for predicting choledocholithiasis: A prospective clinical trial","authors":"F. García-Villarreal ,&nbsp;L.M. Torres-Treviño ,&nbsp;C. Herrera-Figueroa ,&nbsp;J.O. Jáquez-Quintana ,&nbsp;A.A. Garza-Galindo ,&nbsp;C.A. Cortez-Hernández ,&nbsp;D. García-Compeán ,&nbsp;R.A. Jiménez-Castillo ,&nbsp;H.J. Maldonado-Garza ,&nbsp;J.A. González-González","doi":"10.1016/j.rgmxen.2024.05.007","DOIUrl":"10.1016/j.rgmxen.2024.05.007","url":null,"abstract":"<div><h3>Introduction and aim</h3><div>The diagnostic yield of the current criteria for assigning the risk of choledocholithiasis (CL) is inaccurate. The aim of our work was to develop a logistic regression model for predicting CL diagnosis in patients catalogued as either intermediate or high risk for CL, according to the criteria of the American Society for Gastrointestinal Endoscopy (ASGE).</div></div><div><h3>Material and methods</h3><div>We conducted an analytic, observational, cross-sectional study for evaluating the diagnostic yield of a logistic regression model in adults with intermediate or high risk for CL. A receiver operating characteristic (ROC) curve analysis was done to determine the best cutoff point for predicting the diagnosis of CL. Endoscopic retrograde cholangiopancreatography (ERCP) was utilized as the gold standard for diagnosing CL.</div></div><div><h3>Results</h3><div>A total of 148 patients suspected of presenting with CL were studied. In our cohort, 71 had immediate risk and 77 had high risk. CL diagnosis was confirmed in 102 patients (69%). Our model showed an area under the curve (AUC) of 0.68. In patients with an intermediate risk for CL, the AUC value was 0.72 and the positive predictive value (PPV) was 70%. In patients with a high risk for CL, the AUC value was 0.78 and the PPV was 89%.</div></div><div><h3>Conclusion</h3><div>Our model appears to better predict the diagnosis of CL than the ASGE criteria for patients with an intermediate or high risk for the disease. Our model can guide clinical decisions in patients with suspected CL.</div></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 1","pages":"Pages 22-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911611","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":"Gastrointestinal bleeding secondary to a hepatic artery aneurysm","authors":"K.P. Rodriguez-Arellano,&nbsp;F.A. Solís-Galindo,&nbsp;M. Sesatty-Flores","doi":"10.1016/j.rgmxen.2024.07.001","DOIUrl":"10.1016/j.rgmxen.2024.07.001","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 1","pages":"Pages 142-143"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912310","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":"Splenic tear due to ERCP: A case report and literature review","authors":"G. López-Arce ,&nbsp;D. Zamora-Valdés ,&nbsp;E. Murcio-Pérez ,&nbsp;M.A. Reyes-Caldelas ,&nbsp;F.I. Téllez-Ávila","doi":"10.1016/j.rgmxen.2024.09.004","DOIUrl":"10.1016/j.rgmxen.2024.09.004","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 1","pages":"Pages 146-147"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912312","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":"Periprocedural and perioperative anticoagulation management strategies in liver cirrhosis","authors":"M. Porres-Aguilar ,&nbsp;R. Izaguirre-Ávila ,&nbsp;M. Uribe","doi":"10.1016/j.rgmxen.2024.08.006","DOIUrl":"10.1016/j.rgmxen.2024.08.006","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 1","pages":"Pages 161-162"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911562","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":"Response to Porres-Aguilar et al., on “Periprocedural and perioperative anticoagulation management strategies in liver cirrhosis”","authors":"J.A. Velarde-Ruiz Velasco ,&nbsp;F. Higuera-de-la-Tijera","doi":"10.1016/j.rgmxen.2024.11.003","DOIUrl":"10.1016/j.rgmxen.2024.11.003","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 1","pages":"Pages 162-164"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911563","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}