Revista de gastroenterologia de Mexico (English)最新文献

{"title":"Factors associated with management and negative outcomes of esophageal perforation","authors":"J.A. Castrillón-Lozano , J.S. Arturo-Abadía , J.J. Acosta-Velásquez","doi":"10.1016/j.rgmxen.2023.05.012","DOIUrl":"10.1016/j.rgmxen.2023.05.012","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Page 172"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2255534X24000033/pdfft?md5=e1859533abbc4f060a0bfbc3675fb647&pid=1-s2.0-S2255534X24000033-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112400","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":"Endoscopic closure of an esophagobronchial fistula after per oral endoscopic myotomy through the combination of endoscopic submucosal dissection and hemoclips","authors":"O.V. Hernández Mondragón, J.G. Ferral Mejía","doi":"10.1016/j.rgmxen.2023.10.002","DOIUrl":"10.1016/j.rgmxen.2023.10.002","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Pages 167-169"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2255534X24000070/pdfft?md5=81f128142f03acc2c7d8e86161e509cb&pid=1-s2.0-S2255534X24000070-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133468","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":"Comments on the article: «Indocyanine green fluorescence angiography in colorectal surgery: A retrospective case-control analysis in Mexico»","authors":"G. Claudio-Pombosa, I. Sisa","doi":"10.1016/j.rgmxen.2023.07.006","DOIUrl":"10.1016/j.rgmxen.2023.07.006","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Page 170"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2255534X24000021/pdfft?md5=bd39ecfa574fc9a6683febd6ce8e7998&pid=1-s2.0-S2255534X24000021-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112399","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":"Metabolic disorders across the body mass index spectrum in a Colombian population with nonalcoholic fatty liver disease","authors":"C.E. Builes-Montaño ,&nbsp;E. Pérez-Giraldo ,&nbsp;S. Castro-Sánchez ,&nbsp;N.A. Rojas-Henao ,&nbsp;O.M. Santos-Sánchez ,&nbsp;J.C. Restrepo-Gutiérrez","doi":"10.1016/j.rgmxen.2023.04.001","DOIUrl":"10.1016/j.rgmxen.2023.04.001","url":null,"abstract":"<div><h3>Background and aims</h3><p>The relationship between obesity and nonalcoholic fatty liver disease (NAFLD) has long been established, and the prevalence of both conditions has grown together. Recent interest in NAFLD in nonobese individuals has led to an increasing number of studies, especially in Asia. Despite the fact that the prevalence of NAFLD in Latin America is one of the highest in the world, there is a lack of information on lean NAFLD populations from the region. The aim of the present study was to assess the risk of metabolic comorbidities across the whole body mass index spectrum when nonalcoholic steatohepatitis (NASH) was first diagnosed in a Latin American population.</p></div><div><h3>Methods</h3><p>A single-center, cross-sectional study on Colombian patients newly diagnosed with NAFLD, within the time frame of 2010–2020, compared their metabolic biochemical profile, liver enzymes, risk of prevalent metabolic abnormalities, and liver disease.</p></div><div><h3>Results</h3><p>Data from 300 patients were collected. Ninety-two percent of the patients were men and the median patient age was 47 (IQR 20) years. We found no significant differences in the biochemical, metabolic profile, or liver enzyme plasma concentration between lean, overweight, and obese individuals. Obese patients had significantly higher LDL cholesterol, and a higher risk of dyslipidemia (OR 1.86, 95% CI 1.14–3.05). Every 1<!--> <!-->kg increase in body weight increased the risk of having NASH by 2% (95% CI 2–4).</p></div><div><h3>Conclusions</h3><p>We evaluated the metabolic risk across the entire body mass index spectrum in a Colombian cohort with NAFLD and presented the characteristics of what we believe is the first Latin American lean NAFLD population to be described.</p></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Pages 64-69"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2255534X23000300/pdfft?md5=de35fba0af894657346fbaf8ae007061&pid=1-s2.0-S2255534X23000300-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792068","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":"Clinical features and bleeding risk factors of angiodysplasia lesions in a Tunisian population","authors":"S. Nasr,&nbsp;A. Khsiba,&nbsp;L. Hamzaoui,&nbsp;M. Mahmoudi,&nbsp;A. Ben-Mohamed,&nbsp;M. Yaakoubi,&nbsp;M. Medhioub,&nbsp;M. Azzouz","doi":"10.1016/j.rgmxen.2023.03.002","DOIUrl":"10.1016/j.rgmxen.2023.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Gastrointestinal angiodysplasia (GIAD) is the most common vascular anomaly in the gastrointestinal (GI) tract, yet little is known about the factors favoring their bleeding. Our study aim was to determine the characteristics of patients with GIAD lesions in a Tunisian population and identify the risk factors of bleeding.</p></div><div><h3>Patients and methods</h3><p>A retrospective study was carried out from January 2010 to February 2020 at a tertiary care medical center in Tunisia. Clinical and endoscopic data were collected from each patient’s medical reports. We divided the patients into two groups: group A, patients with symptomatic GIAD; and group B, patients with incidental lesions. Group A was subsequently divided into two subgroups, according to the presence or absence of recurrent bleeding. The groups were compared by clinical, laboratory, and endoscopic features.</p></div><div><h3>Results</h3><p>GIAD was diagnosed in 114 patients, with a mean age of 70 ± 13.3 years. GIAD lesions were mainly located in the colon (n = 72, 63%). Fifty-four patients (47%) presented with GIAD-related bleeding. The bleeding diagnosis was made during endoscopic procedures by visualizing active bleeding and the stigmata of recent hemorrhage in 10 (18.5%) and 12 (22.2%) cases, respectively. Most of the patients were treated by argon plasma coagulation (93%). Predictive factors of bleeding were age &gt; 75 years, number of lesions &gt;10, chronic kidney disease, diabetes mellitus, and coronary artery disease (<em>p</em>: 0.008; 0.002; 0.016; 0.048; and 0.039, respectively).</p></div><div><h3>Conclusion</h3><p>Knowledge of the predictive factors of bleeding aids endoscopists in the decision-making process in cases of angiodysplasia.</p></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Pages 31-41"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2255534X23000257/pdfft?md5=ea352d5ba5b16f81ba0fa4fb0370b169&pid=1-s2.0-S2255534X23000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188436","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":"CD138 immunohistochemistry identifies more plasma cells compared with hematoxylin and eosin staining in autoimmune hepatitis. An observational study","authors":"A.F. Romano-Munive ,&nbsp;C. Moctezuma-Velázquez ,&nbsp;J. Sauma-Rodríguez ,&nbsp;P. Ramos-Martínez ,&nbsp;A. Torre-Delgadillo","doi":"10.1016/j.rgmxen.2022.08.002","DOIUrl":"10.1016/j.rgmxen.2022.08.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Autoimmune hepatitis (AIH) is associated with periportal infiltration by plasma cells. Plasma cell detection is routinely performed through hematoxylin and eosin (H&amp;E) staining. The present study aimed to assess the utility of CD138, an immunohistochemical plasma cell marker, in the evaluation of AIH.</p></div><div><h3>Materials and methods</h3><p>A retrospective study was conducted, in which cases consistent with AIH, within the time frame of 2001 and 2011, were collected. Routine H&amp;E-stained sections were used for evaluation. CD138 immunohistochemistry (IHC) was performed to detect plasma cells.</p></div><div><h3>Results</h3><p>Sixty biopsies were included. In the H&amp;E group, the median and interquartile range (IQR) was 6 (4-9) plasma cells/high power field (HPF) and was 10 (IQR 6-20) plasma cells/HPF in the CD138 group (p &lt; 0.001). There was a significant correlation between the number of plasma cells determined by H&amp;E and CD138 (p = 0.31, p = 0.01). No significant correlation was found between the number of plasma cells determined by CD138 and IgG level (p = 0.21, p = 0.09) or stage of fibrosis (p = 0.12, p = 0.35), or between IgG level and stage of fibrosis (p = 0.17, p = 0.17). No significant correlation was found between the treatment response and the number of plasma cells determined by H&amp;E (p = 0.11, p = 0.38), CD138 (p = 0.07, p = 0.55), or stage of fibrosis (p = 0.16, p = 0.20). CD138 expression was different between the treatment response groups (p = 0.04).</p></div><div><h3>Conclusion</h3><p>CD138 increased the detection of plasma cells in liver biopsies of patients with AIH, when compared with routine H&amp;E staining. However, there was no correlation between the number of plasma cells determined by CD138 and serum IgG levels, stage of fibrosis, or response to treatment.</p></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Pages 52-56"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2255534X23000270/pdfft?md5=148927a77132514dce6a9aad4fe4a080&pid=1-s2.0-S2255534X23000270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192639","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":"Liver injury due to COVID-19 in critically ill adult patients. A retrospective study","authors":"N.V. Alva ,&nbsp;O.R. Méndez ,&nbsp;J.C. Gasca ,&nbsp;I. Salvador ,&nbsp;N. Hernández ,&nbsp;M. Valdez","doi":"10.1016/j.rgmxen.2023.04.002","DOIUrl":"10.1016/j.rgmxen.2023.04.002","url":null,"abstract":"<div><h3>Introduction and aim</h3><p>Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged, causing the current pandemic of acute respiratory disease known as COVID-19. Liver injury due to COVID-19 is defined as any liver injury occurring during the course of the disease and treatment of patients with COVID-19, with or without liver disease. The incidence of elevated liver transaminases, alanine aminotransferase (ALT) and aspartate aminotransferase (AST), ranges from 2.5 to 76.3%. The aim of the present study was to describe the hepatic biochemical abnormalities, after a SARS-CoV-2-positive polymerase chain reaction (PCR) test, and the mortality rate in critically ill patients.</p></div><div><h3>Materials and methods</h3><p>A retrospective study was conducted that included 70 patients seen at a private hospital in Mexico City, within the time frame of February-December 2021. Median patient age was 44.5 years (range: 37-57.2) and 43 (61.4%) of the patients were men. Liver function tests were performed on the patients at hospital admission.</p></div><div><h3>Results</h3><p>Gamma glutamyl transferase (GGT) levels were elevated (p = 0.032), as were those of AST (p = 0.011) and ALT (p = 0.021). The patients were stratified into age groups: 18-35, 36-50, and &gt; 50 years of age. The 18 to 35-year-olds had the highest liver enzyme levels and transaminase levels were higher, the younger the patient. Due to the low mortality rate (one patient whose death did not coincide with a hepatic cause), the multivariate analysis showed an R² association of 0.689, explained by AST, GGT, and C-reactive protein levels.</p></div><div><h3>Conclusions</h3><p>Despite the increase in transaminases in our study population during the course of COVID-19, there was no increase in mortality. Nevertheless, hospitalized patient progression should be continuously followed.</p></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Pages 57-63"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10110936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9391338","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":"Response to Sisa et al. Comments on the article: “Indocyanine green fluorescence angiography in colorectal surgery: A retrospective case-control analysis in Mexico”","authors":"L.E. Salgado-Cruz ,&nbsp;D. Tueme-de la Peña","doi":"10.1016/j.rgmxen.2023.10.001","DOIUrl":"10.1016/j.rgmxen.2023.10.001","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Page 171"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2255534X24000069/pdfft?md5=75c8f75851d850df75e100ab6b290a70&pid=1-s2.0-S2255534X24000069-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133472","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":"Transjugular intrahepatic portosystemic shunt safety in patients on the liver transplantation waiting list. Risks and benefits","authors":"M. Vilatobá","doi":"10.1016/j.rgmxen.2023.02.005","DOIUrl":"10.1016/j.rgmxen.2023.02.005","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2255534X23000397/pdfft?md5=87db60da14cf813ccd7c5fab2d25895c&pid=1-s2.0-S2255534X23000397-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9442951","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":"Operative safety of orthotopic liver transplant in patients with prior transjugular intrahepatic portosystemic shunts: A 20-year experience","authors":"D.E. Hinojosa-González ,&nbsp;A. Baca-Arzaga ,&nbsp;G. Salgado-Garza ,&nbsp;A. Roblesgil-Medrano ,&nbsp;F.E. Herrera-Carrillo ,&nbsp;M.Á. Carrillo-Martínez ,&nbsp;C. Rodríguez-Montalvo ,&nbsp;F. Bosques-Padilla ,&nbsp;E. Flores-Villalba","doi":"10.1016/j.rgmxen.2022.07.005","DOIUrl":"10.1016/j.rgmxen.2022.07.005","url":null,"abstract":"<div><h3>Introduction and aims</h3><p>Orthotopic liver transplant (OLT) is the definitive treatment of most types of liver failure. Transjugular intrahepatic portosystemic shunt (TIPS) and portocaval shunt placement procedures reduce the systemic vascular complications of portal hypertension. TIPS placement remains a “bridge” therapy that enables treatment of refractory symptoms until transplantation becomes available. The aim of the present study was to describe the operative impact of TIPS prior to OLT.</p></div><div><h3>Materials and methods</h3><p>A retrospective review was conducted on patients that underwent liver transplant at the <em>Hospital San José</em> within the timeframe of 1999 and February 2020.</p></div><div><h3>Results</h3><p>We reviewed a total of 92 patients with OLT. Sixty-six patients were male and 26 were female, with a mean age of 52 years. Nine (9.8%) of the 92 patients had a TIPS, before the OLT. Preoperative Child-Pugh class, MELD score, and sodium and platelet levels were similar between groups. We found no difference in the means of intensive care unit stay, operative time, or blood transfusions for liver transplant, with or without previous TIPS. There was no significant difference between groups regarding vascular and biliary complication rates or the need for early intervention. The overall one-year mortality rate in the TIPS group was 11%.</p></div><div><h3>Conclusions</h3><p>TIPS is an appropriate therapeutic bridge towards liver transplant. We found no greater operative or postoperative complications in patients with TIPS before OLT, when compared with OLT patients without TIPS. The need for transfusion, operative time, and ICU stay were similar in both groups.</p></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"89 1","pages":"Pages 4-10"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2255534X22000925/pdfft?md5=f3cc9c71c7e21b42acfdf6803328d362&pid=1-s2.0-S2255534X22000925-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40640015","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}