Revista de Gastroenterologia de Mexico最新文献

{"title":"Eritromelalgia como manifestación paraneoplásica de cáncer de colon. Reporte de caso","authors":"B.J. Flores Robles, J.A. López-Martín","doi":"10.1016/j.rgmx.2025.04.012","DOIUrl":"10.1016/j.rgmx.2025.04.012","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 606-607"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145576137","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":"Factores asociados con mortalidad en mujeres con cirrosis descompensada alcohólica","authors":"J.L. Pérez-Hernández ,&nbsp;A.D. Santana-Vargas ,&nbsp;G. Gutiérrez-Reyes ,&nbsp;A. Díaz-Castro ,&nbsp;E.J. Morales-Mairena ,&nbsp;J.E. Lira-Vera ,&nbsp;O. Morales-Gutiérrez ,&nbsp;L.S. Juárez Chávez ,&nbsp;M.F. Higuera-de-la-Tijera","doi":"10.1016/j.rgmx.2025.04.008","DOIUrl":"10.1016/j.rgmx.2025.04.008","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Alcohol-related liver disease is becoming more common worldwide. Recently, alcohol consumption in women has increased significantly, raising the risk of developing alcohol-associated hepatitis, cirrhosis, and hepatocellular carcinoma. Greater susceptibility to alcohol-related liver damage appears to confer a higher mortality and decompensation risk on women. Our study aimed to assess alcohol consumption patterns and mortality rates in female patients with alcohol-related cirrhosis.</div></div><div><h3>Material and methods</h3><div>We conducted a single-center retrospective cohort study of patients hospitalized for cirrhosis due to chronic alcohol consumption at the Hospital General de Mexico «Dr. Eduardo Liceaga» between 2018 and 2021. Utilizing the patients’ electronic medical records, alcohol consumption patterns were identified and the survival rate for women and men after their first hospitalization was calculated through the Kaplan-Meier curve.</div></div><div><h3>Results</h3><div>A final total of 192 electronic medical records (50% women) were included. We classified the patients according to alcohol consumption into a)<!--> <!-->excessive consumption, or b)<!--> <!-->binge drinking. The median age for the onset of chronic alcohol consumption was higher in women than in men (18 vs. 16.5 years of age; P<!--> <!-->=<!--> <!-->0.0001). The median for alcohol consumption in g/occasion was lower in women than in men (140 vs. 275 in excessive alcohol consumption and 196 vs 320 in binge drinking; P<!--> <!-->=<!--> <!-->0.0001), as was the length of time of chronic alcohol consumption (24.5 vs. 30 years; P<!--> <!-->=<!--> <!-->0.0001)</div><div>The mortality rate during the first hospitalization was 32.8% (61.9% for women and 38.9% for men). The mean age for survival was lower for women (33.8<!--> <!-->±<!--> <!-->1.6 years of age, 95%<!--> <!-->CI: 30.5-37.1), compared with men (37.0<!--> <!-->±<!--> <!-->1.2 years of age, 95%<!--> <!-->CI: 35.4-38.6) (<em>P</em> <!-->=<!--> <!-->.002). The factors associated with mortality in the Cox proportional hazards models were women vs men (OR<!--> <!-->=<!--> <!-->4.1, 95%<!--> <!-->CI: 2.1-7.9) and excessive consumption vs binge drinking (OR<!--> <!-->=<!--> <!-->1.9, 95%<!--> <!-->CI: 1.1-3.5).</div></div><div><h3>Conclusions</h3><div>Alcohol-related mortality is higher in women than in men and is associated with lower alcohol consumption, a shorter period of continued chronic consumption, and an older age at consumption onset.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 512-519"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579940","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":"Encuesta en gastroenterólogos latinoamericanos expertos en trastornos del eje intestino-cerebro sobre el diagnóstico y el tratamiento del síndrome de intestino irritable en la práctica clínica","authors":"I. Hanna-Jairala ,&nbsp;G.A. Puentes-Leal ,&nbsp;A.M. Madrid ,&nbsp;L. Aguilar-Paiz ,&nbsp;J. Suazo-Barahona ,&nbsp;J.M. Remes-Troche ,&nbsp;E. Coss-Adame ,&nbsp;L.M. Bustos-Fernández ,&nbsp;L. Solé ,&nbsp;M. Gudiño-Zayas ,&nbsp;M. Schmulson","doi":"10.1016/j.rgmx.2025.03.005","DOIUrl":"10.1016/j.rgmx.2025.03.005","url":null,"abstract":"<div><h3>Introduction and aim</h3><div>Even though the guidelines on irritable bowel syndrome (IBS) are similar worldwide, there are differences between countries that can influence management. Our aim was to evaluate the heterogeneity in IBS management in Latin America.</div></div><div><h3>Materials and methods</h3><div>An internet survey was applied to 97 gastroenterologists, specialists in disorders of gut-brain interaction (DGBI), from 14 Latin American countries, and included 111 questions: 23 on diagnosis and 88 on treatment. An exploratory, descriptive, observational analysis was carried out on general qualitative data, by IBS subtype and by country.</div></div><div><h3>Results</h3><div>Diagnostic data: 98% of those surveyed utilize the Rome IV criteria; 100% order laboratory tests when there are alarm symptoms; 90% order colonoscopy in patients over 50 years of age; 73% order abdominopelvic CT; 66% order breath tests for SIBO; and 96% order anorectal manometry in IBS-C with symptoms of a defecation disorder. Treatment data: antispasmodics are the most widely prescribed drugs, with differences according to IBS subtype and local availability; 83% indicate a low FODMAP diet; in IBS-D and abdominal distension, more than 90% prescribe rifaximin and/or probiotics, and 81%, cholestyramine; in IBS-C, the most widely prescribed treatments are polyethylene glycol, psyllium, prucalopride, and linaclotide; up to 94% indicate neuromodulators as second-line treatment; and 99% consider indicating psychotherapy in cases of depression.</div></div><div><h3>Conclusions</h3><div>Even though most of the specialists diagnose and treat IBS in accordance with guidelines, there are differences regarding local availability, and abdominopelvic CT appears to be overused. Knowing how general practitioners and internists manage this entity would be useful for establishing practical guidelines on the diagnosis and treatment of IBS that are adjusted by country.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 530-546"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579946","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":"Hallazgo inusual durante una colonoscopia: ¡una cucaracha!","authors":"J. Rodríguez-Castellot,&nbsp;P. Alonso-Castellano","doi":"10.1016/j.rgmx.2025.05.009","DOIUrl":"10.1016/j.rgmx.2025.05.009","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 601-602"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580041","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":"Intususcepción intestinal como manifestación clínica de adenocarcinoma primario de íleon terminal","authors":"F.J. Valentin ,&nbsp;C.S. Silva ,&nbsp;A. Alfaro ,&nbsp;L.E. Zamora-Nava ,&nbsp;C. Ortiz","doi":"10.1016/j.rgmx.2025.04.011","DOIUrl":"10.1016/j.rgmx.2025.04.011","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 603-605"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580042","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":"Obstrucción biliar luego de migración de coils colocados para el manejo de pseudoaneurisma de la arteria hepática posterior a la colocación de prótesis biliar","authors":"R.A. Rincón-Sánchez","doi":"10.1016/j.rgmx.2025.07.005","DOIUrl":"10.1016/j.rgmx.2025.07.005","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 627-629"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580045","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":"Virus de Epstein-Barr como causa de úlceras rectales en paciente con inmunosupresión: reporte de caso","authors":"F.J. Valentín-Cortez ,&nbsp;C.S. Silva-Ramos ,&nbsp;C.F. Ortiz-Hidalgo ,&nbsp;J. Lizardi-Montaño ,&nbsp;J. Lizardi-Cervera","doi":"10.1016/j.rgmx.2025.06.012","DOIUrl":"10.1016/j.rgmx.2025.06.012","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 617-620"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580299","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":"Compromiso gastrointestinal alto secundario a plasmocitoma extramedular: presentación inusual en un paciente inmunosuprimido","authors":"S.A. Hernández,&nbsp;A. Chaar,&nbsp;F. Ávila,&nbsp;S. Sambracos","doi":"10.1016/j.rgmx.2025.04.006","DOIUrl":"10.1016/j.rgmx.2025.04.006","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 609-612"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145576139","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":"Tumor neuroendocrino en el ciego; una causa inusual de diarrea crónica en un adulto joven","authors":"D.A. Calle-Rodas ,&nbsp;M.A. Corral-Cazorla ,&nbsp;P.D. Muñoz-Espinoza ,&nbsp;C.A. Machuca-Carpio ,&nbsp;J.D. Cordero-García","doi":"10.1016/j.rgmx.2025.05.007","DOIUrl":"10.1016/j.rgmx.2025.05.007","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 612-615"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145576140","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":"Características clínicas y tratamiento de la esofagitis eosinofílica en población adulta en 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.rgmx.2025.04.004","DOIUrl":"10.1016/j.rgmx.2025.04.004","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 (<em>P</em>=.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":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 4","pages":"Pages 561-568"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579943","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}