Revista de gastroenterologia de Mexico (English)最新文献

{"title":"Bouveret’s syndrome: A rare cause of gastric outlet obstruction by an impacted gallstone via a cholecystoduodenal fistula","authors":"M. Nagahama , T. Chibana , A. Hokama","doi":"10.1016/j.rgmxen.2025.10.010","DOIUrl":"10.1016/j.rgmxen.2025.10.010","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Pages 598-600"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665350","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":"Gastroenteropancreatic neuroendocrine neoplasms: Clinical-pathologic analysis of 48 cases treated at the Hospital Ángeles del Pedregal in Mexico City between 2018 and 2024","authors":"R. Sánchez-Arreguín ,&nbsp;M. Ahumada-Ayala ,&nbsp;V. Santibañez-Silva ,&nbsp;B. Bautista-Martínez ,&nbsp;C. Gallegos-Garza","doi":"10.1016/j.rgmxen.2025.10.014","DOIUrl":"10.1016/j.rgmxen.2025.10.014","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Neuroendocrine neoplasms are rare tumors accounting for approximately 2% of all neoplasms, most of which (62–70%) originate in the gastrointestinal tract and pancreas. Our primary aim was to describe the clinical presentation and pathologic features of these tumors, to improve our knowledge and early identification of them.</div></div><div><h3>Materials and methods</h3><div>A retrospective, cross-sectional, observational, and descriptive study was conducted on patients with a confirmed diagnosis of neuroendocrine neoplasm treated at the <em>Hospital Ángeles del Pedregal</em> within the time frame of 2018 and 2024. All cases diagnosed with neuroendocrine neoplasm of the pancreas or gastrointestinal tract in surgical specimens from the pathology service were included. The clinical, laboratory, and imaging data were obtained from the patients’ hospital charts.</div></div><div><h3>Results</h3><div>Mean patient age was 55.2 years (range: 21–88 years). Of the 48 cases, 28 were men and 20 were women. The most frequent locations of the neuroendocrine neoplasms were the pancreas (25%), stomach (16.6%), rectum (12.5%), and appendix (10.4%). In 23/48 (47.9%) cases, the diagnosis of neuroendocrine neoplasm was incidental during surgery, endoscopy, or in imaging studies.</div></div><div><h3>Conclusions</h3><div>The great variety of gastroenteropancreatic neuroendocrine neoplasms was described. Given that these tumors rarely produce a typical secretory syndrome, a high level of clinical suspicion is needed. Circulating biomarkers may be useful for their early diagnosis.</div></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Pages 520-529"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403229","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 the letter to the editor: “The PPI test paradigm”","authors":"M.A. Valdovinos-Díaz","doi":"10.1016/j.rgmxen.2025.10.026","DOIUrl":"10.1016/j.rgmxen.2025.10.026","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Page 636"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453603","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":"Adjusted prevalence of metabolic-associated steatotic liver disease (MASLD) in a Mexican","authors":"R. Bernal-Reyes R ,&nbsp;B.A. Priego-Parra ,&nbsp;M.E. Icaza-Chávez ,&nbsp;J.M. Remes-Troche","doi":"10.1016/j.rgmxen.2025.10.027","DOIUrl":"10.1016/j.rgmxen.2025.10.027","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Pages 637-638"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477337","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 the management of gastroesophageal reflux disease”. The PPI test paradigm","authors":"D. García-Compeán,&nbsp;A.R. Jiménez-Rodríguez","doi":"10.1016/j.rgmxen.2025.10.025","DOIUrl":"10.1016/j.rgmxen.2025.10.025","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Pages 635-636"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453053","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":"Gastric amyloidosis as an initial presentation of multiple myeloma","authors":"J. Peng ,&nbsp;C. Zhang ,&nbsp;X. Tang","doi":"10.1016/j.rgmxen.2025.10.012","DOIUrl":"10.1016/j.rgmxen.2025.10.012","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Pages 594-595"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145426533","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":"Clinical characteristics and treatment of eosinophilic esophagitis in an adult population in Colombia","authors":"F. Juliao-Baños ,&nbsp;A. Lúquez-Mindiola ,&nbsp;A. Gómez-Venegas ,&nbsp;V. Parra-Izquierdo ,&nbsp;H. Marulanda-Fernández ,&nbsp;J. Carvajal-Gutiérrez ,&nbsp;B. Arturo-Arias ,&nbsp;P. Aponte-Ordoñez ,&nbsp;V. Parra-Vargas ,&nbsp;J. Toro-Calle ,&nbsp;C. Rodríguez-Rubiano ,&nbsp;R. Prieto-Ortiz ,&nbsp;R. Carmona-Valle ,&nbsp;A. Castro-Rodríguez ,&nbsp;F. Gil-Parada ,&nbsp;J. Castaño-Morales ,&nbsp;J. Velásquez-Lopera ,&nbsp;J. Donado-Gómez ,&nbsp;W. Otero-Regino","doi":"10.1016/j.rgmxen.2025.10.003","DOIUrl":"10.1016/j.rgmxen.2025.10.003","url":null,"abstract":"<div><h3>Introduction and aim</h3><div>There is an increase in the incidence and prevalence of eosinophilic esophagitis (EoE) worldwide and data in Latin America are scarce. The aim of our study was to describe the epidemiologic and clinical characteristics of EoE and its treatment, in adult patients in Colombia.</div></div><div><h3>Patients and methods</h3><div>A descriptive, cross-sectional study was conducted on patients with EoE, with the participation of 16 gastroenterologists from different Colombian cities. Demographic and clinical variables of the patients were evaluated, along with their treatment and complications. EoE severity was calculated utilizing the clinical severity index (CSI).</div></div><div><h3>Results</h3><div>The study included 152 patients with EoE seen within the time frame of November 2023 and July 2024. A total of 58.6% were men and the mean patient age at diagnosis was 43.3 years (range: 18−79). The time from symptom onset to diagnosis was 32.5 months (median), with an interquartile range (25−75%) of 11.0–79.8 months. A total of 134 (88.2%) patients received treatment with proton pump inhibitors (PPIs), 66 (43.4%) had dietary treatment, 42 (27.6%) received steroids, and 9 (5.9%) underwent endoscopic dilatation. A total of 57.2% of the patients received combination therapy. Histologic remission was achieved in 68.4% of the patients and dysphagia improved in 93.4% of the cases. In relation to the CSI, histologic remission was achieved in 75.6% of the patients with mild disease activity, in 63.9% with moderate activity, and in 50% with severe activity (p = 0.003).</div></div><div><h3>Conclusions</h3><div>Our results showed there is an important delay in the diagnosis of EoE in Colombia. The most widely used treatment was with PPIs, but more than half the patients had combination therapy. National management guidelines that consider local treatment availability need to be developed.</div></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Pages 561-568"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433136","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":"Colonic tumor stricture: A rare case of leiomyosarcoma","authors":"R. Fernández García ,&nbsp;P. Abellán Alfocea ,&nbsp;J.L. López Hidalgo ,&nbsp;E. Redondo Cerezo ,&nbsp;M. Lecuona Muñoz","doi":"10.1016/j.rgmxen.2025.10.011","DOIUrl":"10.1016/j.rgmxen.2025.10.011","url":null,"abstract":"","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Pages 608-609"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403279","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":"Acute colonic pseudo-obstruction: A case series and literature review","authors":"A. Fuentes-Montalvo,&nbsp;A.L. Ordoñez-Vázquez,&nbsp;J.S. Arenas-Martínez,&nbsp;E. Coss-Adame","doi":"10.1016/j.rgmxen.2025.10.023","DOIUrl":"10.1016/j.rgmxen.2025.10.023","url":null,"abstract":"<div><div>Acute colonic pseudo-obstruction (ACPO) is an obstructive phenomenon of functional origin characterized by pain and acute colonic dilatation in the absence of a mechanical cause. It primarily affects patients with several comorbidities, postoperative patients, and/or critically ill patients. The most widely accepted pathophysiologic theory is enteric autonomic dysfunction. Diagnosis must be confirmed through abdominal tomography, ruling out causes of mechanical obstruction and revealing complications, such as ischemia and/or bowel perforation. Treatment is stepped, taking symptom severity, cecal diameter, hemodynamic stability, and/or the presence of complications into account. It is started with conservative measures, and in cases with partial response or refractoriness, there are pharmacologic, endoscopic, and surgical therapeutic options. The aim of this article is to describe four cases of patients diagnosed with ACPO treated at a tertiary care hospital.</div></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Pages 630-634"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477333","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":"Double balloon enteroscopy in pediatrics: Evaluation of midgut pathologies at a national medical center","authors":"A. Meza-Gallegos,&nbsp;R.A. Rodríguez-Izaguirre,&nbsp;M.S. Gallardo-Luna,&nbsp;E.C. Araujo-Gutiérrez,&nbsp;A.R. Castañeda-Ortiz,&nbsp;T.J. Galicia-Gómez","doi":"10.1016/j.rgmxen.2025.10.018","DOIUrl":"10.1016/j.rgmxen.2025.10.018","url":null,"abstract":"<div><h3>Introduction and aim</h3><div>Double balloon enteroscopy is used for the diagnosis and treatment of diseases of the small bowel. It is a less invasive means for carrying out a therapeutic intervention, compared with surgical alternatives. Experience with double balloon enteroscopy in pediatrics is in the early stages of development. We believe the performance of this procedure in children has a significant clinical impact on therapeutic decision-making in diseases of the small bowel. Our aim was to evaluate double balloon enteroscopy in children for the diagnosis and treatment of midgut pathologies.</div></div><div><h3>Material and methods</h3><div>A retrospective, descriptive, and observational study was conducted.</div></div><div><h3>Results</h3><div>Twenty procedures were performed on patients whose ages ranged from 6 to 17 years, with a mean of 13.3 years. The most frequent indication for doble balloon enteroscopy was gastrointestinal bleeding suspected to originate from the small bowel.</div><div>Double balloon enteroscopy resulted in an overall diagnostic yield of 65% and an endoscopic therapeutic yield of 25%. Endoscopic therapy was performed in 4 patients (anastomosis rehabilitation through cutting, sclerosis of vascular lesion with 1.5% polidocanol, polypectomy, biliary stent removal). No patient underwent surgical treatment after double balloon enteroscopy. Therapeutic yield, in general, including endoscopic and medical treatment, was 55%.</div></div><div><h3>Conclusions</h3><div>We consider double balloon enteroscopy in pediatric patients a feasible procedure, offering good results with minor complications and directly contributing to medical and/or endoscopic decision-making.</div></div>","PeriodicalId":74705,"journal":{"name":"Revista de gastroenterologia de Mexico (English)","volume":"90 4","pages":"Pages 547-553"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433146","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}