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

Gastrointestinal manifestations in hereditary transthyretin amyloidosis: A case report 遗传性甲状腺转蛋白淀粉样变的胃肠道表现1例。

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2025.09.015

J.C. Peñafort-Zamora , A.C. Zamora-García , H. Hernández-Cortes , J.A. Pérez-Ríos , S. Villalon-Ávalos

引用次数: 0

Case report: Adenocarcinoma of the rectum with implantation metastasis in the perianal region 病例报告：直肠腺癌伴肛周移植物转移。

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2025.09.017

F. Barreda , R. Cruz , H. Benites-Goñi , C. Barreda , J. Alférez

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Commentary on the article “Good clinical practice recommendations for proton pump inhibitor prescription and deprescription. A review by experts from the AMG” 对《质子泵抑制剂处方和去处方的良好临床实践建议》一文的评论。AMG专家的评论”。

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2025.09.020

I.J. Salvador , B.I. Rivera

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Neuroendocrine tumor of the ileum: The outcome of an untimely diagnosis 回肠神经内分泌肿瘤：不及时诊断的结果。

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2025.09.018

S. Cruz-Contreras, D. Becerril-Mireles, I. Becerril-Gómez, M. Sánchez-García, A. Fuentes-Rivas

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Uncommon causes of portal hypertension: Spontaneous splenic arteriovenous fistula. A case report and review 门静脉高压的不常见原因：自发性脾动静脉瘘。个案报告及检讨。

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2025.09.024

A.S. Vargas-Castro , M. Guerrero-Hernández , J. Ramírez-Landero , M.J. Acosta-Falomir , J. Aguirre-Valadez

引用次数: 0

Esophageal duplication: A rare cause of recurrent respiratory 食道重复：一种罕见的引起反复呼吸道疾病的原因。

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2025.09.010

G. Renau , F.M. Cerezo , A. Sánchez

引用次数: 0

Melanosis of the esophagus: A rare entity 食道黑变症：一种罕见的疾病。

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2025.09.016

L.M. Relvas , S. Barros , I. Carvalho , A.J. Cadillá , F. Velasco

引用次数: 0

New tools for the grading and scoring of gastro-esophageal reflux disease 胃食管反流病分级和评分的新工具。

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2025.09.005

S. Siboni , M. Sozzi , P. Visaggi , R. De Maron , E. Asti

{"title":"New tools for the grading and scoring of gastro-esophageal reflux disease","authors":"S. Siboni , M. Sozzi , P. Visaggi , R. De Maron , E. Asti","doi":"10.1016/j.rgmxen.2025.09.005","DOIUrl":"10.1016/j.rgmxen.2025.09.005","url":null,"abstract":"<div><div>Gastroesophageal reflux disease (GERD) is a prevalent condition characterized by the retrograde flow of gastric contents into the esophagus, significantly impacting quality of life. Traditional diagnostic approaches often lack precision due to symptom overlap with other conditions. This review introduces the American Foregut Society (AFS) classification, Milan score, pHoenix score, COuGH RefluX score, and Lyon score, five novel tools designed to enhance the objectivity, reproducibility, and clinical relevance of GERD diagnosis.</div><div>The AFS classification refines the endoscopic assessment of esophagogastric junction (EGJ) integrity by incorporating measurable parameters (hiatal hernia length, hiatal aperture diameter, and flap valve), overcoming the subjectivity of the Hill classification. The Milan score, derived from high-resolution manometry, integrates four parameters (ineffective esophageal motility, EGJ-contractile integral, EGJ morphology, and straight leg raise response) to quantify anti-reflux barrier (ARB) disruption.</div><div>The pHoenix score, developed for prolonged wireless pH monitoring, weights supine AET more heavily, addressing limitations of the DeMeester score and Lyon 2.0 consensus. The COuGH RefluX score, a clinical prediction model for laryngopharyngeal symptoms, uses six parameters (cough, obesity, globus, hiatal hernia, regurgitation, male sex) to stratify GERD likelihood. Finally, the Lyon score integrates endoscopic and pH-impedance data, categorizing patients into phenotypes (from no GERD to severe GERD) and predicting treatment outcomes.</div><div>These tools collectively address diagnostic challenges by standardizing assessments and improving patient stratification. By reducing diagnostic ambiguity and guiding personalized therapy, these innovations hold promise for transforming GERD management, particularly in selecting candidates for escalated medical or surgical interventions.</div></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 3","pages":"Pages 412-427"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042605","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

Diet is a key factor in the pathogenesis of metabolic dysfunction-associated steatotic liver disease in the pediatric population 饮食是儿童代谢功能障碍相关脂肪变性肝病发病的关键因素。

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2025.06.001

R. Vázquez-Frias

引用次数: 0

Metabolic dysfunction-associated steatotic liver disease and dietary intake characteristics in children and adolescents: A cross-sectional study 儿童和青少年代谢功能障碍相关的脂肪变性肝病和饮食摄入特征：一项横断面研究

Revista de gastroenterologia de Mexico (English) Pub Date : 2025-07-01 DOI: 10.1016/j.rgmxen.2024.12.005

P.Q. Santos , H.P. Cotrim , R. Rocha , C.H. Daltro , S.C.S. Andrade , A.P.C. Costa , A.M.S. Santos

{"title":"Metabolic dysfunction-associated steatotic liver disease and dietary intake characteristics in children and adolescents: A cross-sectional study","authors":"P.Q. Santos , H.P. Cotrim , R. Rocha , C.H. Daltro , S.C.S. Andrade , A.P.C. Costa , A.M.S. Santos","doi":"10.1016/j.rgmxen.2024.12.005","DOIUrl":"10.1016/j.rgmxen.2024.12.005","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Metabolic dysfunction-associated steatotic disease (MASLD) is the most common cause of chronic liver disease in children and adolescents. The development of MASLD is associated with dietary habits, and dietary intake characteristics are a relevant risk factor. The aim of the present study was to analyze dietary intake characteristics in children and adolescents and study how diet varies in subjects with and without MASLD.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted that included children and adolescents from 8 to 18 years of age. The criteria for MASLD included steatosis on abdominal ultrasound study and meeting at least one metabolic syndrome criterion. Obesity was diagnosed based on the age-appropriate body mass index. Dietary habits were evaluated utilizing a 2-day food register collected on different representative days (Tuesday and Sunday), focusing on dietary energy intake, macronutrients, polyunsaturated fatty acids, trans fats, dietary fiber, and antioxidants.</div></div><div><h3>Results</h3><div>A total of 89 children and adolescents were evaluated; 50 (56%) were females and 21 (24%) presented with MASLD. The MASLD group had lower intake of protein (median [interquartile range] 76.6 g [57.7−87.7] vs. 85.8 [71.0−114.1], p = 0.035), vitamin E (mean [standard deviation] 6.0 [2.8] vs. 8.0 [6.2], p = 0.040), zinc (7.9 [2.7] vs. 10.3 [4.9], p = 0.031), and iron (9.9 [2.5] vs. 12.2 [5.4], p = 0.009), compared with the non-MASLD group. After confounding variable adjustment, only the waist-to-height ratio was associated with MASLD.</div></div><div><h3>Conclusion</h3><div>The quantity and quality of foods may be related to MASLD, and abdominal obesity should be prevented in childhood.</div></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 3","pages":"Pages 349-356"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034897","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