Revista de Gastroenterologia de Mexico最新文献

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Factores asociados al manejo y desenlaces negativos de la perforación esofágica 与食道穿孔的处理和不良后果相关的因素

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2024-01-01 DOI: 10.1016/j.rgmx.2023.05.005

J.A. Castrillón-Lozano , J.S. Arturo-Abadía , J.J. Acosta-Velásquez

引用次数: 0

Manejo de una estenosis de la anastomosis bilioentérica con ablación por radiofrecuencia intraluminal 腔内射频消融胆肠吻合狭窄的治疗

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2023-10-01 DOI: 10.1016/j.rgmx.2023.06.003

P. Valdez-Hernández , M. Ylhuicatzi-Durán , M. Guerrero-Hernández , R. Alvarado-Bachmann , D. Angulo-Molina

引用次数: 0

Infiltración hepática por carcinoma lobulillar de mama. Una causa infrecuente de ascitis por hipertensión portal 乳腺小叶癌肝浸润。门脉高压性腹水的罕见原因

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2023-10-01 DOI: 10.1016/j.rgmx.2023.07.002

D. Muíño-Domínguez , J. Martín-Sanz , M. Celada-Sendino , G. Meijide-Santos , C. Álvarez-Navascués

引用次数: 0

Trasplante hepático de un donador con infección por Acinetobacter baumannii multidrogorresistente. ¿Representa un riesgo? 耐多药鲍曼不动杆菌感染供体的肝移植。有风险吗?

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2023-10-01 DOI: 10.1016/j.rgmx.2023.06.001

C.J. García-Carrera , F.E. Rivera-Lopez , B. Papacristofilou-Riebeling , O.A. Fernández-García , I. García-Juárez

引用次数: 0

Intususcepción en adultos: todavía un reto diagnóstico para el cirujano 成人肠套叠：外科医生仍面临诊断挑战

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2023-10-01 DOI: 10.1016/j.rgmx.2021.10.010

F.E. Alvarez-Bautista , P. Moctezuma-Velázquez , A.S. Pimienta-Ibarra , O. Vergara-Fernández , N. Salgado-Nesme

Introduction and aims

Intussusception is rare in adults and can occur in the small bowel and colon. Its atypical presentation makes the diagnosis difficult. The aim of the present study was to evaluate the causes, clinical characteristics, and treatment outcomes of adult intussusception and to determine whether there was an association between etiology and clinical presentation.

Material and methods

A retrospective study was carried out on patients above 18 years of age that were treated for intussusception at a tertiary care hospital, between 2000 and 2020. The findings were summarized utilizing descriptive and inferential statistics.

Results

Twenty-eight cases were identified. Median patient age was 46 years (18-80) and median symptom duration was 18 days. Abdominal pain was the most frequent symptom (96.42%). The intussusceptions registered were enteroenteric (14), ileocecal (4), ileocolonic (4), colocolonic (5), and colorrectal (1). Intussusception etiology was benign in 15 cases, 9 were associated with malignancy, and 4 were idiopathic. Surgery was performed on 11 patients with enteroenteric intussusception and on all the cases of ileocecal, ileocolonic, colocolonic, and colorectal intussusception. There were 2 events of perioperative mortality (8%) and 8 of postoperative morbidity (32%). No significant differences were found regarding symptom duration or length of hospital stay, when the etiologic groups were compared.

Conclusions

Intussusception is rare in adults. Diagnosis is a challenge because of the nonspecific signs and symptoms. Surgical resection should be considered in the definitive treatment and management should be individualized according to the patient's comorbidities, clinical presentation, and risk of malignancy.

导言和目的肠套叠在成人中很少见，可发生在小肠和结肠。其不典型的表现使诊断变得困难。本研究旨在评估成人肠套叠的病因、临床特征和治疗效果，并确定病因和临床表现之间是否存在关联。材料和方法对 2000 年至 2020 年期间在一家三级医院接受肠套叠治疗的 18 岁以上患者进行了回顾性研究。研究结果通过描述性和推论性统计进行总结。患者年龄中位数为 46 岁（18-80 岁），症状持续时间中位数为 18 天。腹痛是最常见的症状（96.42%）。登记的肠套叠有肠道型（14 例）、回盲部型（4 例）、回结肠型（4 例）、结肠结肠型（5 例）和彩色直肠型（1 例）。肠套叠病因有 15 例为良性，9 例与恶性肿瘤有关，4 例为特发性。对 11 例肠套叠患者以及所有回盲部、回结肠、结肠和结肠直肠肠套叠病例进行了手术治疗。围手术期死亡病例 2 例（8%），术后发病病例 8 例（32%）。在症状持续时间和住院时间方面，各病因组之间没有明显差异。由于症状和体征不具特异性，诊断是一项挑战。在最终治疗中应考虑手术切除，并根据患者的合并症、临床表现和恶性肿瘤风险进行个体化治疗。

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引用次数: 1

Utilidad del amonio sérico en encefalopatía hepática en pacientes hospitalizados graves 血清氨在重症住院患者肝性脑病中的作用

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2023-10-01 DOI: 10.1016/j.rgmx.2023.04.007

M.E. Phinder-Puente , O.R. Pérez-Nieto , N.N. Hernández-Velázquez , T.O. Mondragón-Labelle , E. Deloya-Tomas

引用次数: 0

Rendimiento de los criterios predictivos de la Sociedad Americana de Endoscopía Gastrointestinal en el diagnóstico de coledocolitiasis en un hospital público de segundo nivel del Estado de Nuevo León, México 美国胃肠内窥镜学会预测标准在墨西哥新莱昂州一家二级公立医院诊断胆总管结石中的表现

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2023-10-01 DOI: 10.1016/j.rgmx.2021.11.006

C. Ovalle-Chao , D.A. Guajardo-Nieto , R.A. Elizondo-Pereo

Introduction and aims

Currently there is no ideal diagnostic/therapeutic approach for patients with suspected choledocholithiasis. The primary aim of our study was to evaluate the performance of the criteria for predicting choledocholithiasis proposed by the American Society for Gastrointestinal Endoscopy (ASGE) in 2019.

Materials and methods

A retrospective study was conducted that included 352 patients seen at a secondary care public healthcare institution in Monterrey, Nuevo León, that treats an open population and does not have endoscopic ultrasound or magnetic resonance cholangiopancreatography at its disposal.

Results

The most frequent predictor presented by the patients was abnormal liver function tests (90.63%), and with their use alone, sensitivity was higher than that of all the predictors analyzed (91.41%). In addition, the finding of common bile duct stones on ultrasound imaging was the only predictor independently associated with the confirmatory diagnosis of choledocholithiasis. Regarding the general performance of the 2019 criteria, the high-risk category had 68.75% sensitivity, 52.08% specificity, a positive predictive value of 79.28%, a negative predictive value of 38.46%, diagnostic accuracy of 64.20%, and a confirmatory diagnosis of choledocholithiasis in 79.28% of the patients of that risk category.

Conclusions

The study corroborated that the presence of choledocholithiasis could be predicted using the choledocholithiasis predictors and risk categories proposed by the ASGE, with acceptable accuracy, in accordance with the standards suggested by those same guidelines.

导言和目的目前，对于疑似胆总管结石患者尚无理想的诊断/治疗方法。我们研究的主要目的是评估美国消化内镜学会（ASGE）2019 年提出的胆总管结石预测标准的性能。材料和方法我们开展了一项回顾性研究，纳入了新莱昂州蒙特雷市一家二级公共医疗保健机构的 352 名患者，该机构为开放性人群提供治疗，不具备内镜超声或磁共振胆胰管造影技术。结果患者最常提出的预测指标是肝功能检查异常（90.63%），仅使用肝功能检查异常的敏感性就高于所有分析的预测指标（91.41%）。此外，超声成像发现胆总管结石是唯一与胆总管结石确诊独立相关的预测因素。关于 2019 年标准的总体表现，高风险类别的敏感性为 68.75%，特异性为 52.08%，阳性预测值为 79.28%，阴性预测值为 38.46%，诊断准确率为 64.20%，79.28% 的高风险患者确诊为胆总管结石。结论该研究证实，根据 ASGE 提出的胆总管结石预测指标和风险类别，可以预测胆总管结石的存在，其准确性可以接受。

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引用次数: 0

Disfagia lusoria 卢苏里亚吞咽困难

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2023-10-01 DOI: 10.1016/j.rgmx.2023.07.004

O. Gómez-Escudero

引用次数: 0

Respuesta a Sánchez-Luque et al.: «El método de evaluación de causalidad de hepatotoxicidad de Roussel-Uclaf (RUCAM) en el contexto de sospecha diagnóstica de daño hepático inducido por medicamentos DILI: es aún vigente?» 对 Sánchez-Luque 等人的回应："罗塞尔-乌克拉夫肝毒性因果关系评估法（RUCAM）在诊断怀疑 DILI 药物性肝损伤方面的应用：它是否仍然有效？

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2023-10-01 DOI: 10.1016/j.rgmx.2023.07.006

O.M. Ardila-Suárez , L. Oriz-Benjumea , A.A. Arteta , L.G. Guevara-Casallas

引用次数: 0

Enfermedad de Ménétrier: una causa rara de gastropatía hipertrófica menetrier病:肥厚性胃病的一种罕见原因

IF 1.6 Q3 Medicine

Revista de Gastroenterologia de Mexico

Pub Date : 2023-10-01 DOI: 10.1016/j.rgmx.2023.05.003

C.E. Alcántara-Figueroa , D.C. Calderón-Cabrera , Y.K. Pariona-Martínez , R. de la Cruz-Rojas , R.A. Alcántara-Ascón

引用次数: 0

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