Pub Date : 2025-07-01DOI: 10.1016/j.rgmx.2025.05.006
A. Hokama
{"title":"Nódulo de la hermana Mary Joseph: metástasis cutánea (letálide) umbilical como forma de presentación inicial de adenocarcinoma de sigmoide","authors":"A. Hokama","doi":"10.1016/j.rgmx.2025.05.006","DOIUrl":"10.1016/j.rgmx.2025.05.006","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Page 502"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866816","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rgmx.2025.06.003
J.A. Castrillón-Lozano , J.A. Lozano-Arce , R.L. Arroyave-Zuluaga
{"title":"Trasplante de microbiota fecal en Clostridioides difficile recurrente: ¿es pertinente mayor rigor metodológico y el análisis de otras poblaciones?","authors":"J.A. Castrillón-Lozano , J.A. Lozano-Arce , R.L. Arroyave-Zuluaga","doi":"10.1016/j.rgmx.2025.06.003","DOIUrl":"10.1016/j.rgmx.2025.06.003","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Pages 506-507"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866819","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}
Childhood obesity is a pandemic with significant morbidity and mortality implications, impacting both quality of life and the economic burden on healthcare systems. Given the effects on health for the pediatric population, and aligned with the multidisciplinary management approach, the Obesity Working Group of the Latin American Society for Pediatric Gastroenterology, Hepatology and Nutrition (LASPGHAN) summoned a group of healthcare professionals to develop a consensus on overweight and obesity. The aim of this document is to present those consensus results.
Material and methods
The LASPGHAN Obesity Working Group organized 6 working panels to formulate statements on diagnostic approach, treatment, and follow-up. We conducted a comprehensive review of the current literature across several databases utilizing different search criteria. Thirty-four panelists from the countries that make up the LASPGHAN were selected. They participated in an anonymous online voting process using the Delphi method. A priori consensus for each statement was defined as 80% agreement on a 3-point Likert scale.
Results
Twenty-six statements were discussed and voted upon, resulting in the final approval of 22 statements.
Conclusions
There is a lack of uniformity in diagnosing overweight and obesity in Latin America, especially in the choice of growth charts and cutoff points for the pediatric population.
{"title":"Consenso sobre el diagnóstico, tratamiento y seguimiento de niñas, niños y adolescentes con sobrepeso y obesidad de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica: LASPGHAN-SOB","authors":"Y. Rivera-Suazo , J. Alberto-Meléndez , J.E. Alfaro-Bolaños , F.J. Álvarez-Chávez , A.G. Ayala-Germán , M.J. Galaviz-Ballesteros , M. Higuera-Carillo , C.L. Taquez-Castro , A.L. Villa-Gómez , B.N. Villaroel-Ibarra , B.A. Alvarado-Cárcamo , F.A. Reynoso-Zarzosa , Y.B. Quiñones-Pacheco , C.M. Timossi-Baldi , R. Vázquez-Frias","doi":"10.1016/j.rgmx.2025.03.002","DOIUrl":"10.1016/j.rgmx.2025.03.002","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>Childhood obesity is a pandemic with significant morbidity and mortality implications, impacting both quality of life and the economic burden on healthcare systems. Given the effects on health for the pediatric population, and aligned with the multidisciplinary management approach, the Obesity Working Group of the Latin American Society for Pediatric Gastroenterology, Hepatology and Nutrition (LASPGHAN) summoned a group of healthcare professionals to develop a consensus on overweight and obesity. The aim of this document is to present those consensus results.</div></div><div><h3>Material and methods</h3><div>The LASPGHAN Obesity Working Group organized 6 working panels to formulate statements on diagnostic approach, treatment, and follow-up. We conducted a comprehensive review of the current literature across several databases utilizing different search criteria. Thirty-four panelists from the countries that make up the LASPGHAN were selected. They participated in an anonymous online voting process using the Delphi method. <em>A priori</em> consensus for each statement was defined as 80% agreement on a 3-point Likert scale.</div></div><div><h3>Results</h3><div>Twenty-six statements were discussed and voted upon, resulting in the final approval of 22 statements.</div></div><div><h3>Conclusions</h3><div>There is a lack of uniformity in diagnosing overweight and obesity in Latin America, especially in the choice of growth charts and cutoff points for the pediatric population.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Pages 428-450"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866810","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rgmx.2024.12.008
L. Villalonga Lopez-Uribarri, J. Carrascosa Gil, H. Rodrigo Pérez
{"title":"Gastritis flemonosa. Un caso raro de dolor abdominal agudo","authors":"L. Villalonga Lopez-Uribarri, J. Carrascosa Gil, H. Rodrigo Pérez","doi":"10.1016/j.rgmx.2024.12.008","DOIUrl":"10.1016/j.rgmx.2024.12.008","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Pages 477-478"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866813","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rgmx.2025.04.003
A.S. Vargas-Castro , M. Guerrero-Hernández , J. Ramírez-Landero , M.J. Acosta-Falomir , J. Aguirre-Valadez
{"title":"Causas poco comunes de hipertensión portal: fístula arteriovenosa esplénica espontánea. Un reporte de caso y revisión","authors":"A.S. Vargas-Castro , M. Guerrero-Hernández , J. Ramírez-Landero , M.J. Acosta-Falomir , J. Aguirre-Valadez","doi":"10.1016/j.rgmx.2025.04.003","DOIUrl":"10.1016/j.rgmx.2025.04.003","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Pages 495-498"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863422","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rgmx.2025.06.005
R. Vázquez-Frias
{"title":"La alimentación es pieza clave en la patogénesis de la enfermedad hepática esteatósica asociada a disfunción metabólica en la población pediátrica","authors":"R. Vázquez-Frias","doi":"10.1016/j.rgmx.2025.06.005","DOIUrl":"10.1016/j.rgmx.2025.06.005","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Pages 347-348"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866767","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rgmx.2024.11.009
R.A. Muñoz , F.J. Miranda , A.A. Ramírez , D. Regalado , J.C. Ortiz , G. Gallardo , S. Pizarro
Introduction and aims
There are differences, with genetic and embryologic support, in the clinical behavior of proximal colon cancer (PCC) (right colon: cecum, ascending colon, and transverse colon) and distal colon cancer (DCC) (left colon: descending colon, sigmoid colon, rectum). Our aim was to determine whether there was a divergent pattern in the demographic characteristics, risk factors, TNM stage, and clinical stage at diagnosis between patients with PCC and those with DCC.
Material and methods
A retrospective, analytic, and multicenter study was conducted. Medical records of patients diagnosed with colorectal cancer, confirmed by histopathology and with TNM staging, within the time frame of 2018-2023, were collected from two hospital centers in the city of Chihuahua. They were divided into the PCC and DCC groups, for evaluating the abovementioned characteristics.
Results
From a total of 513 cases, 404 were included in the study. Significant differences were found in the demographic characteristics of female sex and a history of cholecystectomy, both with a greater relative frequency for PCC. Distant metastasis was present in 35.6% of patients, despite their younger age at diagnosis. The rectum was the most commonly affected segment in the DCC group, as was the ascending colon in the PCC group. There was a greater prevalence of peritoneal carcinomatosis in the PCC group. In contrast, the DCC group had a greater prevalence of distant metastasis to other organs, as both individual metastasis (M1a) and multiple site metastasis (M1b). There were no considerable differences in the KRAS, NRAS, or BRAF gene mutations between the two groups.
Conclusions
PCC was associated with a history of cholecystectomy and female sex and had more aggressive TNM staging, compared with DCC.
{"title":"Diferencias en factores de riesgo, características demográficas y clínico-patológicas al diagnóstico entre el cáncer de colon proximal y distal: un análisis multicéntrico de cohorte retrospectiva","authors":"R.A. Muñoz , F.J. Miranda , A.A. Ramírez , D. Regalado , J.C. Ortiz , G. Gallardo , S. Pizarro","doi":"10.1016/j.rgmx.2024.11.009","DOIUrl":"10.1016/j.rgmx.2024.11.009","url":null,"abstract":"<div><h3>Introduction and aims</h3><div>There are differences, with genetic and embryologic support, in the clinical behavior of proximal colon cancer (PCC) (right colon: cecum, ascending colon, and transverse colon) and distal colon cancer (DCC) (left colon: descending colon, sigmoid colon, rectum). Our aim was to determine whether there was a divergent pattern in the demographic characteristics, risk factors, TNM stage, and clinical stage at diagnosis between patients with PCC and those with DCC.</div></div><div><h3>Material and methods</h3><div>A retrospective, analytic, and multicenter study was conducted. Medical records of patients diagnosed with colorectal cancer, confirmed by histopathology and with TNM staging, within the time frame of 2018-2023, were collected from two hospital centers in the city of Chihuahua. They were divided into the PCC and DCC groups, for evaluating the abovementioned characteristics.</div></div><div><h3>Results</h3><div>From a total of 513 cases, 404 were included in the study. Significant differences were found in the demographic characteristics of female sex and a history of cholecystectomy, both with a greater relative frequency for PCC. Distant metastasis was present in 35.6% of patients, despite their younger age at diagnosis. The rectum was the most commonly affected segment in the DCC group, as was the ascending colon in the PCC group. There was a greater prevalence of peritoneal carcinomatosis in the PCC group. In contrast, the DCC group had a greater prevalence of distant metastasis to other organs, as both individual metastasis (M1a) and multiple site metastasis (M1b). There were no considerable differences in the KRAS, NRAS, or BRAF gene mutations between the two groups.</div></div><div><h3>Conclusions</h3><div>PCC was associated with a history of cholecystectomy and female sex and had more aggressive TNM staging, compared with DCC.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Pages 373-380"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866856","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rgmx.2024.12.010
S. Gómez-Jordan , A. Sepúlveda , A. Montes , N. Forti-Sosa
{"title":"Encuentro inesperado con Ascaris lumbricoides durante extracción endoscópica de cálculos del conducto biliar: un reporte de caso","authors":"S. Gómez-Jordan , A. Sepúlveda , A. Montes , N. Forti-Sosa","doi":"10.1016/j.rgmx.2024.12.010","DOIUrl":"10.1016/j.rgmx.2024.12.010","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Pages 479-480"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866814","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rgmx.2025.04.002
D. Aguirre-Villarreal , L. Rosales-Rentería , I. García-Juárez , A. Rosales-Padrón , F. Manzo-Santana
Cirrhosis of the liver is a major cause of death worldwide, with a recent increase in cases secondary to metabolic dysfunction-associated steatotic liver disease and alcohol use. Liver transplantation is currently the only definitive treatment but requires immunosuppression for preventing graft rejection.
Calcineurin inhibitors are the cornerstone of immunosuppression in transplanted patients. However, their use conditions metabolic and renal complications, such as metabolic syndrome, post-transplant diabetes, and chronic kidney disease. Minimizing or discontinuing immunosuppression has been shown to reduce those adverse effects in selected patients, especially those with potential immunotolerance. Predictors of immunotolerance and cardiovascular complications in transplanted patients have been identified in recent studies. Thus, there is a need for developing individualized strategies for balancing metabolic risk and graft rejection prevention.
{"title":"El papel de la inmunosupresión en trasplante hepático. Ventajas y desventajas","authors":"D. Aguirre-Villarreal , L. Rosales-Rentería , I. García-Juárez , A. Rosales-Padrón , F. Manzo-Santana","doi":"10.1016/j.rgmx.2025.04.002","DOIUrl":"10.1016/j.rgmx.2025.04.002","url":null,"abstract":"<div><div>Cirrhosis of the liver is a major cause of death worldwide, with a recent increase in cases secondary to metabolic dysfunction-associated steatotic liver disease and alcohol use. Liver transplantation is currently the only definitive treatment but requires immunosuppression for preventing graft rejection.</div><div>Calcineurin inhibitors are the cornerstone of immunosuppression in transplanted patients. However, their use conditions metabolic and renal complications, such as metabolic syndrome, post-transplant diabetes, and chronic kidney disease. Minimizing or discontinuing immunosuppression has been shown to reduce those adverse effects in selected patients, especially those with potential immunotolerance. Predictors of immunotolerance and cardiovascular complications in transplanted patients have been identified in recent studies. Thus, there is a need for developing individualized strategies for balancing metabolic risk and graft rejection prevention.</div></div>","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Pages 499-501"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866815","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rgmx.2025.03.007
F. Barreda , R. Cruz , H. Benites-Goñi , C. Barreda , J. Alférez
{"title":"Reporte de caso: adenocarcinoma rectal con metástasis de implantación en la región perianal","authors":"F. Barreda , R. Cruz , H. Benites-Goñi , C. Barreda , J. Alférez","doi":"10.1016/j.rgmx.2025.03.007","DOIUrl":"10.1016/j.rgmx.2025.03.007","url":null,"abstract":"","PeriodicalId":51767,"journal":{"name":"Revista de Gastroenterologia de Mexico","volume":"90 3","pages":"Pages 491-492"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866864","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}
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