Revista de gastroenterologia de Mexico (English)最新文献_第2页

Simplified outpatient management of acute uncomplicated diverticulitis: A cohort study. 简化急性无并发症憩室炎的门诊管理：一项队列研究。

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-10-10 DOI: 10.1016/j.rgmxen.2026.04.003

G Renau, D Abelló, C M Tugues, N Lobo, F Moreno

{"title":"Simplified outpatient management of acute uncomplicated diverticulitis: A cohort study.","authors":"G Renau, D Abelló, C M Tugues, N Lobo, F Moreno","doi":"10.1016/j.rgmxen.2026.04.003","DOIUrl":"https://doi.org/10.1016/j.rgmxen.2026.04.003","url":null,"abstract":"Introduction: Traditional management of uncomplicated acute diverticulitis (UAD) includes antibiotic therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and dietary restriction, albeit recent evidence questions their benefit. The aim of the present study was to evaluate the safety and efficacy of an outpatient protocol without antibiotic therapy, NSAIDs, or dietary restriction.Methods: A single-center prospective study was conducted within the time frame of 2022 and 2024. Patients with UAD were divided into a historic cohort (HC), treated with the traditional protocol, and a study group (SG), treated with the new, simplified protocol. The results were comparatively analyzed.Results: A total of 143 patients (77 HC, 66 SG) with comparable baseline characteristics were included. There were no significant differences in readmission, recurrence, clinical progression, persistent pain, colonic neoplasm, or emergency surgery. Elective surgery was more frequent in the HC (10% vs 1%; p=0.038).Conclusion: Outpatient management without antibiotic therapy, NSAIDs, or dietary restriction may be a safe and efficacious strategy in selected patients.","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168610","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

Response to Teco Cortés JA regarding «Extramedullary plasmacytoma or plasmablastic lymphoma? On the role of Ki-67 in the assessment of light chain restriction». Teco cortsams JA关于“髓外浆细胞瘤还是浆母细胞淋巴瘤？”Ki-67在轻链限制评价中的作用

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-10-10 DOI: 10.1016/j.rgmxen.2026.09.009

S A Hernández, A Chaar, F Ávila, S Sambracos

引用次数: 0

Mechanical obstruction of the gastrojejunal anastomosis secondary to persistent intraluminal suture after transoral outlet reduction. 经口出口复位后持续腔内缝合继发的胃空肠吻合机械阻塞。

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-10-10 DOI: 10.1016/j.rgmxen.2026.09.010

M A Muñoz-Leija, F J Ramos-Mejía, A M Joya-Munguía

引用次数: 0

Macroamylasemia: Differential diagnosis in persistent hyperamylasemia. 大淀粉酶血症：持续性高淀粉酶血症的鉴别诊断。

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-10-09 DOI: 10.1016/j.rgmxen.2026.09.003

S A Chávez-Sánchez, A Bellido-Caparó, J L Pinto-Valdivia

引用次数: 0

Efficacy of improvised EndoVAC versus covered stent in colorectal anastomotic leaks: A multicenter study with a propensity analysis. 简易EndoVAC与覆膜支架治疗结直肠吻合口瘘的疗效：一项多中心的倾向分析研究。

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-10-09 DOI: 10.1016/j.rgmxen.2026.09.001

R Castaño-Llano, J D Puerta, L J Palacios, M Rodríguez, N Cortés, J M Castro, D Restrepo, C Díaz, D Palacio, O Álvarez

{"title":"Efficacy of improvised EndoVAC versus covered stent in colorectal anastomotic leaks: A multicenter study with a propensity analysis.","authors":"R Castaño-Llano, J D Puerta, L J Palacios, M Rodríguez, N Cortés, J M Castro, D Restrepo, C Díaz, D Palacio, O Álvarez","doi":"10.1016/j.rgmxen.2026.09.001","DOIUrl":"https://doi.org/10.1016/j.rgmxen.2026.09.001","url":null,"abstract":"Introduction and aims: Colorectal anastomotic leak (AL) occurs in up to 25% of cases and is the leading cause of postoperative morbidity and mortality. Self-expanding metallic stents (SEMSs) and endoscopic vacuum therapy (EVT) have recently emerged as therapeutic options. Our aim was to compare EVT and SEMS success rates in the treatment of AL, in patients with and without protective diverting ostomy.Materials and methods: A retrospective study was conducted at three oncology centers in Medellín, Colombia, within the time frame of January 2006 and December 2022. Fifty-four patients with AL, treated with either EVT or SEMS were included. Groups were matched 1:1 by age (±3 years), body mass index (BMI ± 3 kg/m²), and leak size.Results: There were no significant differences between the two groups in baseline characteristics, leak size and location, time from surgery to treatment (P = .11), tumor stage, or surgical approach. The EVT group required more procedures (4.6 ± 3.1 vs 2.1 ± 1.6; P = .047), but was associated with fewer additional interventions (P = .035), shorter hospital stay (41 ± 16 vs 52 ± 23 days; P = .017), higher leak resolution rate (89% vs 67%; P = .049), higher ostomy reversal rate (83% vs 55%; P = .053), and a trend toward improved survival (log-rank P = .050).Conclusion: EVT was associated with better clinical outcomes, compared with SEMS. Larger studies are needed to confirm our findings.","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148984","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

Hepatic fascioliasis incidentally diagnosed through a surgical finding: A case report. 肝筋膜吸虫病通过外科发现偶然诊断：1例报告。

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-10-09 DOI: 10.1016/j.rgmxen.2025.12.019

O R Cruz Y López, O J Tamariz-Cruz, M E Cárdenas-Perea, R Rojas-Domínguez, P A Vázquez-Hernández

引用次数: 0

Response to Therán-León, JS, regarding "Critical appraisal of a machine-learning model for predicting right-sided colon cancer recurrence: Toward TRIPOD+AI-compliant reporting and multicenter external validation". 对Therán-León， JS关于“预测右侧结肠癌复发的机器学习模型的关键评估：面向TRIPOD+ ai兼容报告和多中心外部验证”的回应。

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-09-30 DOI: 10.1016/j.rgmxen.2026.09.006

R Zayas-Bórquez, J Canto-Losa, E Posadas-Trujillo, N Salgado-Nesme, O Santes

引用次数: 0

Critical appraisal of a machine-learning model for predicting right-sided colon cancer recurrence: toward TRIPOD+AI-compliant reporting and multicenter external validation. 预测右侧结肠癌复发的机器学习模型的关键评估：面向TRIPOD+ ai兼容报告和多中心外部验证。

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-09-30 DOI: 10.1016/j.rgmxen.2026.09.005

J S Therán-León, D A Montagut-Bermón, C A Calderón-Salazar

引用次数: 0

Commentary on "Case series of a novel inflammatory bowel disease phenotype (UC2CD) in Mexican patients". 对“墨西哥患者新型炎症性肠病表型（UC2CD）的病例系列”的评论。

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-09-30 DOI: 10.1016/j.rgmxen.2026.09.007

T Li, W Lyu

引用次数: 0

Argentine consensus on the clinical utility of breath tests and small intestinal bacterial overgrowth management in patients with disorders of gut-brain interaction. 阿根廷对呼吸试验和小肠细菌过度生长管理在肠-脑相互作用疾病患者中的临床应用的共识。

Revista de gastroenterologia de Mexico (English) Pub Date : 2026-09-30 DOI: 10.1016/j.rgmxen.2026.09.004

L O Soifer, M V Contreras, F Man, A González-Flórez

{"title":"Argentine consensus on the clinical utility of breath tests and small intestinal bacterial overgrowth management in patients with disorders of gut-brain interaction.","authors":"L O Soifer, M V Contreras, F Man, A González-Flórez","doi":"10.1016/j.rgmxen.2026.09.004","DOIUrl":"https://doi.org/10.1016/j.rgmxen.2026.09.004","url":null,"abstract":"Introduction and aim: We present herein the results of a formal consensus meeting held in Argentina, whose aim was to analyze and discuss conceptual, technical, and clinical aspects related to the use of the breath test (BT) in the diagnosis and treatment of intestinal microbial overgrowth in patients with disorders of gut-brain interaction (DGBI).Material and methods: Twelve healthcare professionals with experience in conducting BTs and treating patients with DGBI participated in an in-person meeting to discuss and vote on previously selected items.Results: Of the 32 items discussed, 13 reached strong agreement and 10 reached relative agreement.Conclusions: - The BT was considered a safe, useful tool in the approach to patients with DGBI. - Application of the BT was also valuable in cases of irritable bowel syndrome with constipation. - The simultaneous measurement of hydrogen (H2) and methane (CH4) is recommended. - A flat-line pattern should be considered suggestive of intestinal sulfide overproduction. - Elevated baseline H2 levels may reflect inadequate adherence to pre-test dietary preparation. - A cutoff value of CH4 ≥ 10 ppm for diagnosing intestinal methanogen overgrowth should be considered. - In patients with intestinal microbial overgrowth, the use of a nonabsorbable antibiotic, such as rifaximin, is recommended. - The importance of registering patient symptoms during the test is strongly encouraged.","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119762","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