Revista de gastroenterologia de Mexico (English)最新文献_第10页

Hepatitis C virus-positive donors in HCV-negative recipients in liver transplantation: Is it possible in Mexico? 丙型肝炎病毒阳性供体与丙型肝炎病毒阴性受体的肝移植：在墨西哥可行吗？

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2023-12-13 DOI: 10.1016/j.rgmxen.2023.08.002

J A Torres-Díaz, E A Jasso-Baltazar, L Toapanta-Yanchapaxi, J Aguirre-Valadez, L Martínez-Matínez, A Sánchez-Cedillo, D Aguirre-Villarreal, I García-Juárez

引用次数: 0

The Mexican consensus on fecal incontinence. 墨西哥关于大便失禁的共识。

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2023-12-13 DOI: 10.1016/j.rgmxen.2023.08.003

J M Remes-Troche, E Coss-Adame, K R García-Zermeño, O Gómez-Escudero, M Amieva-Balmori, P C Gómez-Castaños, L Charúa-Guindic, M E Icaza-Chávez, A López-Colombo, E C Morel-Cerda, N Pérez Y López, M C Rodríguez-Leal, N Salgado-Nesme, M T Sánchez-Avila, L R Valdovinos-García, O Vergara-Fernández, A S Villar-Chávez

{"title":"The Mexican consensus on fecal incontinence.","authors":"J M Remes-Troche, E Coss-Adame, K R García-Zermeño, O Gómez-Escudero, M Amieva-Balmori, P C Gómez-Castaños, L Charúa-Guindic, M E Icaza-Chávez, A López-Colombo, E C Morel-Cerda, N Pérez Y López, M C Rodríguez-Leal, N Salgado-Nesme, M T Sánchez-Avila, L R Valdovinos-García, O Vergara-Fernández, A S Villar-Chávez","doi":"10.1016/j.rgmxen.2023.08.003","DOIUrl":"10.1016/j.rgmxen.2023.08.003","url":null,"abstract":"Fecal incontinence is the involuntary passage or the incapacity to control the release of fecal matter through the anus. It is a condition that significantly impairs quality of life in those that suffer from it, given that it affects body image, self-esteem, and interferes with everyday activities, in turn, favoring social isolation. There are no guidelines or consensus in Mexico on the topic, and so the Asociación Mexicana de Gastroenterología brought together a multidisciplinary group (gastroenterologists, neurogastroenterologists, and surgeons) to carry out the «Mexican consensus on fecal incontinence» and establish useful recommendations for the medical community. The present document presents the formulated recommendations in 35 statements. Fecal incontinence is known to be a frequent entity whose incidence increases as individuals age, but one that is under-recognized. The pathophysiology of incontinence is complex and multifactorial, and in most cases, there is more than one associated risk factor. Even though there is no diagnostic gold standard, the combination of tests that evaluate structure (endoanal ultrasound) and function (anorectal manometry) should be recommended in all cases. Treatment should also be multidisciplinary and general measures and drugs (lidamidine, loperamide) are recommended, as well as non-pharmacologic interventions, such as biofeedback therapy, in selected cases. Likewise, surgical treatment should be offered to selected patients and performed by experts.","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":" ","pages":"404-428"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814763","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}

引用次数: 0

Chronic bowel obstruction secondary to MALT lymphoma. 继发于 MALT 淋巴瘤的慢性肠梗阻。

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2023-12-20 DOI: 10.1016/j.rgmxen.2023.08.007

P I Díaz-Hernández, J G Llanes-Villarreal, U R Valencia Rocha, R M Morales-López, C A Castro-Fuentes

引用次数: 0

Hepatic infiltration from lobular breast cancer. A rare cause of ascites due to portal hypertension. 小叶乳腺癌的肝浸润。门静脉高压导致腹水的罕见病因。

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2023-09-06 DOI: 10.1016/j.rgmxen.2023.07.002

D Muíño-Domínguez, J Martín-Sanz, M Celada-Sendino, G Meijide-Santos, C Álvarez-Navascués

引用次数: 0

Impact on the incidence of gastrointestinal perforation during the COVID-19 pandemic in the Costa del Sol healthcare system area. COVID-19 大流行期间对太阳海岸医疗系统地区胃肠道穿孔发病率的影响。

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2022-06-14 DOI: 10.1016/j.rgmxen.2022.06.008

A M Mudarra Vela, F Rivas Ruiz, J Atienza Carrasco, F J Medina Cano

{"title":"Impact on the incidence of gastrointestinal perforation during the COVID-19 pandemic in the Costa del Sol healthcare system area.","authors":"A M Mudarra Vela, F Rivas Ruiz, J Atienza Carrasco, F J Medina Cano","doi":"10.1016/j.rgmxen.2022.06.008","DOIUrl":"10.1016/j.rgmxen.2022.06.008","url":null,"abstract":"Introduction and aims: Gastrointestinal perforation is a surgical emergency that is associated with a high mortality rate and requires special care. During the pandemic, there has been competition with COVID-19 patients for health resources, especially ICU bed availability. The primary aim of our study was to compare the incidence of gastrointestinal perforation during the COVID-19 pandemic, with cases registered before the pandemic.Materials and methods: A retrospective, observational, single center, cohort study was conducted that included patients that underwent emergency surgery for gastrointestinal perforation in the periods during the pandemic (6 months) and before the pandemic (12 months). Sociodemographic characteristics, comorbidities, duration of hospital and ICU stay, status at discharge, and perforation site were compared.Results: The study included 67 subjects (33 in the pre-pandemic period and 34 in the pandemic period). There were no significant differences regarding sex, age, or comorbidity. The perforation rate per emergency intervention was 4-times higher during the pandemic. There was an increase in the number of patients that were foreigners (4 [11%]) and nonresidents (6 [17%]). ICU admissions decreased (6 [19%]) but ICU stay increased to 137 h. Hospital stay increased by 5 days and delay in care increased 4.5 h. The number of deaths was higher (from 5 [15.2%] to 10 [29.4%]). Four patients with perforations were positive for COVID-19, were admitted to the ICU, and died.Conclusions: During the COVID-19 pandemic there was an increase in the incidence of gastrointestinal perforations at our healthcare system area; symptoms were more advanced, and mortality was higher.","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":" ","pages":"354-360"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9192794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40602183","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

Fecal calprotectin level as a marker of esophageal varices in Egyptian HCV cirrhotic patients. 粪便钙蛋白水平作为埃及丙型肝炎病毒肝硬化患者食管静脉曲张的标志物。

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2022-07-06 DOI: 10.1016/j.rgmxen.2022.06.013

D A Header, W I Ellakany, A I Ellakany

{"title":"Fecal calprotectin level as a marker of esophageal varices in Egyptian HCV cirrhotic patients.","authors":"D A Header, W I Ellakany, A I Ellakany","doi":"10.1016/j.rgmxen.2022.06.013","DOIUrl":"10.1016/j.rgmxen.2022.06.013","url":null,"abstract":"Introduction and aim: Esophageal varices are one of the complications of portal hypertension in cirrhotic patients that lead to high morbidity and mortality. Our aim was to assess the fecal calprotectin (FC) level in Egyptian cirrhotic patients as a non-invasive marker for the presence of esophageal varices.Materials and methods: The current study included 250 participants in the period from June 2019 to November 2020, divided into three groups: group 1: 100 HCV cirrhotic patients with esophageal varices that would then be subdivided, according to the Paquet classification; group 2: 100 HCV cirrhotic patients without esophageal varices; group 3: 50 normal age and sex-matched healthy subjects as the control group. Patients with other causes of abnormal calprotectin results were excluded.Results: The comparison of FC in the three study groups revealed a statistically significant difference, with FC levels higher in groups 1 and 2 (mean 66.4±10.41 and 48.4±10.92, respectively). There was a significant difference in FC levels between the subgroups, subdivided according to the Paquet classification (P=.001). FC levels were higher in the grade III and IV subgroups. FC in the diagnosis of HCV cirrhotic patients with esophageal varices showed the best performance when the cut-off value was >55; AUC was 0.918, with 92% sensitivity, 95% specificity, and 93% accuracy.Conclusion: FC levels serve as a screening tool for esophageal varices. FC was higher in cirrhotic patients with esophageal varices, especially in the grade III and IV subgroups, according to the Paquet classification.","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":" ","pages":"333-340"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40576777","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}

引用次数: 0

Use of audiovisual devices in transnasal endoscopy without sedation to improve tolerance. A prospective clinical trial. 在不使用镇静剂的经鼻内窥镜检查中使用视听设备以提高耐受性。前瞻性临床试验。

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2023-01-25 DOI: 10.1016/j.rgmxen.2023.01.004

J A González-González, D E Benavides-Salgado, D Garcia-Compean, B González-Gómez, J M Muñoz-Ayala, R A Jiménez-Castillo, H R Ibarra-Sifuentes, A Atilano-Díaz, J Sordia-Ramírez, M D Ramos-Cuevas, H J Maldonado-Garza

{"title":"Use of audiovisual devices in transnasal endoscopy without sedation to improve tolerance. A prospective clinical trial.","authors":"J A González-González, D E Benavides-Salgado, D Garcia-Compean, B González-Gómez, J M Muñoz-Ayala, R A Jiménez-Castillo, H R Ibarra-Sifuentes, A Atilano-Díaz, J Sordia-Ramírez, M D Ramos-Cuevas, H J Maldonado-Garza","doi":"10.1016/j.rgmxen.2023.01.004","DOIUrl":"10.1016/j.rgmxen.2023.01.004","url":null,"abstract":"Introduction and aim: Transnasal endoscopy (TNE) has proven its diagnostic utility, but it has not been widely accepted given that it is performed without sedation. There are no previous studies on the use of methods to improve its tolerability. Our aim was to evaluate the tolerability of TNE, when simultaneously performed with an audiovisual device as a distractor.Methods: We evaluated 50 patients, 10 of whom did not agree to participate. The performance of the procedure was explained, using an audiovisual device. Before randomization, we applied anxiety and depression scores. Patients were divided into 2 groups: Group I (using an audiovisual device during the procedure) and Group II (without a device). Anxiety and numeric pain rating scales were used, and vital signs were monitored and recorded before, during, and after the endoscopy. An overall procedure satisfaction score was applied at the end of the study and 24 h later.Results: Mean age was 41.6 years and 35 of the patients were women (87.5%). The most frequent indication for TNE was refractory gastroesophageal reflux disease. There were no severe comorbidities, and none of the patients had a significant anxiety or depression score. One patient in Group II did not tolerate TNE due to nasal pain. There was no statistically significant difference between groups, regarding anxiety, pain, vital signs, and satisfaction scale.Conclusion: Our study showed that TNE was well tolerated and had a high acceptance rate in our patients. The use of distracting audiovisual devices did not increase tolerance to the endoscopic procedure.","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":" ","pages":"347-353"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10625604","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}

引用次数: 0

Utility of bevacizumab in chronic gastrointestinal bleeding in hereditary hemorrhagic telangiectasia. 贝伐单抗在遗传性出血性毛细血管扩张症慢性胃肠道出血中的应用。

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2023-10-11 DOI: 10.1016/j.rgmxen.2023.04.015

A Gutiérrez-Macías, I Barroso-Benayos, A Burzako-Sánchez

引用次数: 0

Utility of serum ammonia in critically ill hospitalized patients with hepatic encephalopathy. 血清氨在肝性脑病危重住院患者中的应用。

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2023-10-11 DOI: 10.1016/j.rgmxen.2023.09.002

M E Phinder-Puente, O R Pérez-Nieto, N N Hernández-Velázquez, T O Mondragón-Labelle, E Deloya-Tomas

引用次数: 0

Human intestinal spirochetosis as a cause of chronic diarrhea in an HIV-positive patient: A case report. 人类肠道螺旋体病是HIV阳性患者慢性腹泻的原因：一例病例报告。

Revista de gastroenterologia de Mexico (English) Pub Date : 2023-10-01 Epub Date: 2023-10-11 DOI: 10.1016/j.rgmxen.2023.09.001

A J Chaar, J S Arbelaez, M J Vargas, R A Cañadas

引用次数: 0