Revista de gastroenterologia de Mexico (English)最新文献

英文中文

Comments on the article, “Performance of the predictive criteria of the American Society for Gastrointestinal Endoscopy in the diagnosis of choledocholithiasis at a secondary care public hospital in the state of Nuevo León, Mexico” 对文章 "墨西哥新莱昂州一家二级公立医院采用美国消化内镜学会预测标准诊断胆总管结石的效果 "的评论。

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2024.06.005

J.K. Crisostomo-Estrada , N.Y. Gonzales-Reyes , Y.I. Ñahui Sullca

引用次数: 0

Experience of endoscopy versus surgery as initial management of chronic pancreatitis 慢性胰腺炎初始治疗中内镜检查与手术的对比经验。

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2024.03.003

U. Lara-Orozco , V. Ortiz-Higareda , J.L. Martínez-Ordaz , E.V. Rodríguez-Negrete , Y. Choncoa-Valderrama

Introduction and aim

Chronic pancreatitis is a pathologic fibroinflammatory syndrome of the pancreas. Treatment includes medical management and endoscopic and/or surgical interventions. Our aim was to describe progression in patients with chronic pancreatitis whose initial management was either endoscopic or surgical.

Material and methods

A retrospective, analytic, observational, and longitudinal study was conducted that included patients diagnosed with chronic pancreatitis treated at the Hospital de Especialidades of the Centro Médico Nacional Siglo XXI from 2015 to 2021.

Results

Twenty-two patients were included in the study; 12 underwent endoscopy and 10 underwent surgery. The mean number of interventions performed was 3 in the endoscopic management group and 1.1 in the surgical management group (p = 0.001). Regarding pain remission (partial or total), results were statistically significant in favor of surgical management (p = 0.035). Of the 12 patients that initially underwent endoscopy, 7 (58.3%) eventually required surgery during follow-up. There were no statistically significant differences with respect to opioid and pancreatin use, readmissions, weight loss, steatorrhea, newly diagnosed diabetes, or deaths during follow-up.

Conclusion

Pain is the main indication for invasive treatment, whether endoscopic or surgical, in patients with chronic pancreatitis. Slightly more than half of the patients that were initially managed endoscopically required surgery during follow-up. Management decisions should be multidisciplinary and individualized for each patient.

简介和目的：慢性胰腺炎是一种胰腺病理性纤维炎症综合征。治疗方法包括药物治疗、内镜治疗和/或手术治疗。我们的目的是描述最初接受内镜或手术治疗的慢性胰腺炎患者的病情进展：我们开展了一项回顾性、分析性、观察性和纵向研究，纳入了2015年至2021年在二十一世纪国家医学中心专科医院接受治疗的慢性胰腺炎患者：研究共纳入22名患者，其中12人接受了内镜检查，10人接受了手术治疗。内镜治疗组的平均干预次数为 3 次，手术治疗组为 1.1 次（P = 0.001）。在疼痛缓解（部分或完全缓解）方面，手术治疗的结果具有显著统计学意义（p = 0.035）。在最初接受内窥镜检查的 12 名患者中，有 7 人（58.3%）在随访期间最终需要接受手术治疗。在随访期间，阿片类药物和胰岛素的使用、再入院、体重减轻、脂肪泻、新诊断的糖尿病或死亡等方面没有明显的统计学差异：结论：疼痛是慢性胰腺炎患者接受内镜或手术等侵入性治疗的主要指征。在最初接受内镜治疗的患者中，略多于一半的患者在随访期间需要接受手术治疗。治疗决定应由多个学科共同做出，并根据每位患者的具体情况而定。

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引用次数: 0

An unusual finding after endovascular treatment of gastrointestinal bleeding: An endoscopic view of an endovascular spiral 血管内治疗消化道出血后的异常发现：血管内螺旋的内窥镜视图。

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2024.10.004

J.E. Aquino-Matus , M. Figueroa-Palafox , J. Guerrero-Ixtlahuac , L.R. Valdovinos-García

引用次数: 0

Weight change and lifestyle modifications implemented during the COVID-19 pandemic lockdown are associated with the development of gastrointestinal symptoms COVID-19 大流行封锁期间实施的体重改变和生活方式调整与胃肠道症状的出现有关。

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2024.09.001

F. Higuera-de-la-Tijera , A. Servín-Caamaño , F. Lajud-Barquín , A. Tovar-Aguilar

Introduction and aims

Pandemic lockdown measures are a cause of concern, regarding their negative impact on the mental health of individuals. The results of numerous studies have associated the appearance of gastrointestinal symptoms with different psychologic disorders, such as stress, depression, and anxiety, due to gut-brain axis interaction. The aim of the present study was to determine the prevalence of, and factors associated with, gastrointestinal symptom onset related to the COVID-19 pandemic lockdown and various lifestyle modifications.

Methods

An analytic, observational, and cross-sectional study was conducted on an open population that agreed to participate within the time frame of January to May 2021.

Results

A total of 298 subjects, 165 of whom were women (55.4%), agreed to participate and the mean patient age was 36.1 ± 12.6 years. There was a significant increase in the frequency of several gastrointestinal symptoms: epigastric burning, early satiety, heartburn, regurgitation, constipation, and diarrhea. Changes in weight and modifications in lifestyle were found to be associated variables.

Conclusions

The results of this study showed a significant increase in a wide variety of gastrointestinal symptoms related to lifestyle changes due to the pandemic lockdown. Weight change, supplement and multivitamin intake, and reduced physical activity were the main associated risk factors. Public healthcare systems should take a multidisciplinary approach into consideration for the care of affected individuals.

导言和目的：大流行病封锁措施对个人心理健康的负面影响令人担忧。许多研究结果表明，由于肠道-大脑轴的相互作用，胃肠道症状的出现与压力、抑郁和焦虑等不同的心理疾病有关。本研究旨在确定与 COVID-19 大流行封锁和各种生活方式改变有关的胃肠道症状的发病率及其相关因素：方法：对同意在 2021 年 1 月至 5 月期间参与研究的开放人群进行分析、观察和横断面研究：共有 298 名受试者同意参与研究，其中 165 人为女性（55.4%），患者平均年龄为 36.1 ± 12.6 岁。以下几种胃肠道症状的出现频率明显增加：上腹灼热、早饱、胃灼热、反胃、便秘和腹泻。体重的变化和生活方式的改变是相关变量：这项研究的结果表明，由于大流行病封锁，与生活方式改变相关的各种胃肠道症状明显增加。体重变化、补充剂和多种维生素的摄入量以及运动量的减少是主要的相关风险因素。公共医疗保健系统应考虑采用多学科方法来护理受影响的个人。

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引用次数: 0

Chylous ascites secondary to pancreatic pseudocyst: A case report 胰腺假性囊肿继发的乳糜腹水：病例报告

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2024.10.005

S.A. Chávez-Sánchez , S. Ordinola-Solís , V. Aguilar-Sánchez , C. García-Encinas

引用次数: 0

Colorectal adenocarcinoma in children and adolescents 儿童和青少年结直肠腺癌。

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2024.02.003

R. Bigliardi , M. Morici , G. Messere , G. Ortiz , J. Fernandez , A. Varela , J. Vidal , F. Diaz , J. Salas , M.C. Riccheri

Introduction

Colorectal adenocarcinoma is rare in children and adolescents and tends to present with nonspecific signs and symptoms, leading to late diagnoses.

Objectives

Our aim was to describe the clinical presentation and progression in children and adolescents with colorectal adenocarcinoma treated at our hospital and detect possible predisposing conditions of this disease.

Materials and methods

Eight patients with colorectal adenocarcinoma were followed at the Hospital Posadas within the time frame of January 2000 and December 2021. We searched for diseases predisposing to this cancer.

Results

The mean patient age was 16 years (between 11 and 17 years of age). Clinical presentation was abdominal pain in the 8 patients; 4 of them had pain in the right hypochondrium, 3 had abdominal tumor, 4 had rectal bleeding, and 3 had weight loss. Mean symptom duration was 9 weeks (range: 1-24 weeks). None of the patients showed predisposing illnesses. One patient presented with polyposis, with no cases in any other family member. Histology showed mucinous adenocarcinoma in all the patients, 4 of whom had the signet ring cell subtype. The primary tumor was located in the right colon in 6 patients. At diagnosis, staging according to the modified Dukes classification was: I: one patient; IIb: one patient; IIIb: one patient; IIIc: one patient; and IV: 4 patients. All patients except 2 received chemotherapy and one patient received radiotherapy. Overall survival at 3 years was 25%.

Conclusions

All patients presented with mucinous adenocarcinoma, no predisposing diseases were found, and the children with colorectal cancer had a very poor prognosis. Colorectal cancer diagnosis should be considered in children presenting with acute abdominal pain, abdominal tumor, or lower gastrointestinal bleeding, especially if there is weight loss.

导言：结直肠腺癌在儿童和青少年中非常罕见，往往表现为非特异性症状和体征，导致诊断较晚：我们的目的是描述在我院接受治疗的儿童和青少年结直肠腺癌患者的临床表现和病情发展，并检测该疾病可能的易感因素：波萨达斯医院在2000年1月至2021年12月期间对8名结直肠腺癌患者进行了随访。结果：患者的平均年龄为 16 岁（16 岁以下）：患者平均年龄为16岁（11至17岁）。8名患者的临床表现为腹痛，其中4人右下腹疼痛，3人腹部肿瘤，4人直肠出血，3人体重减轻。平均症状持续时间为 9 周（范围：1-24 周）。所有患者均无诱发疾病。其中一名患者患有息肉病，其他家庭成员中没有病例。组织学检查显示，所有患者均为黏液腺癌，其中 4 人属于标志环细胞亚型。6 名患者的原发肿瘤位于右侧结肠。确诊时，根据修改后的杜克斯分类法进行了分期：I期：1名患者；IIb期：1名患者；IIIb期：1名患者；IIIc期：1名患者；IV期：4名患者。除 2 名患者外，其他患者均接受了化疗，1 名患者接受了放疗。3年的总生存率为25%：结论：所有患者均为粘液腺癌，未发现诱发疾病，儿童结直肠癌患者预后极差。如果儿童出现急性腹痛、腹部肿瘤或下消化道出血，尤其是体重减轻，应考虑诊断为结直肠癌。

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引用次数: 0

Chronic nausea and vomiting syndrome and impact on quality of life 慢性恶心呕吐综合征及其对生活质量的影响。

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2024.10.001

F.A. Félix-Téllez , J.A. Velarde-Ruiz Velasco , J.M. Aldana-Ledesma , E.S. García-Jiménez , E.C. Morel-Cerda , A.R. Flores-Rendón , J.M. Remes-Troche

Introduction and aim

Chronic nausea and vomiting syndrome is a disorder of gut-brain interaction that affects the productive-age population. Our aim was to determine the association of this disorder with quality of life, workplace performance, and socioeconomic impact related to gastrointestinal health.

Methods

A cross-sectional study on a Mexican population was conducted. The patients were classified as having chronic nausea and vomiting syndrome or other disorders of gut-brain interaction. A comparative analysis of quality of life, workplace productivity, annual medical consultations, and digestive health-related expenses was carried out, applying a logistic regression model.

Results

One thousand patients were included, 79.2% of whom met the criteria for a disorder of gut-brain interaction. Of the 792 patients, 10.3% presented with chronic nausea and vomiting syndrome. Said syndrome was associated with a negative impact on usual activities (OR 4.34, 95% CI 1.90-9.30, p ≤ 0.001), pain/discomfort (OR 2.09, 95% CI 1.31-3.33, p ≤ 0.001), anxiety/depression (OR 2.08, 95% CI 1.30-3.40, p ≤ 0.001), workplace presenteeism (OR 3.96, 95% CI 2.47-6.44, p ≤ 0.001), and workplace absenteeism (OR 2.54, 95% CI 1.52-4.16, p ≤ 0.001). There was also a higher number of annual medical consultations for digestive health (p = 0.013), without generating a greater annual expense due to digestive health (p = 0.08).

Conclusions

Chronic nausea and vomiting syndrome produces a negative impact on quality of life, which could be secondary to its symptomatology or its association with anxiety and depression.

简介和目的：慢性恶心和呕吐综合征是一种肠道与大脑相互作用的疾病，影响着生产年龄段的人群。我们的目的是确定这种疾病与生活质量、工作表现以及与肠胃健康相关的社会经济影响之间的关系：方法：我们对墨西哥人口进行了一项横断面研究。患者被分为慢性恶心呕吐综合征患者和其他肠脑交互障碍患者。采用逻辑回归模型对患者的生活质量、工作效率、年就诊率和消化系统健康相关费用进行了比较分析：结果：共纳入了 1000 名患者，其中 79.2% 符合肠脑互动障碍的标准。在 792 名患者中，10.3%患有慢性恶心和呕吐综合征。该综合征与对日常活动的负面影响（OR 4.34，95% CI 1.90-9.30，P ≤ 0.001）、疼痛/不适（OR 2.09，95% CI 1.31-3.33，P ≤ 0.001）、焦虑/抑郁（OR 2.08，95% CI 1.30-3.40，p ≤ 0.001）、工作场所缺勤（OR 3.96，95% CI 2.47-6.44，p ≤ 0.001）和工作场所旷工（OR 2.54，95% CI 1.52-4.16，p ≤ 0.001）。此外，每年因消化系统健康而就诊的次数也较多（p = 0.013），但每年因消化系统健康而产生的费用并没有增加（p = 0.08）：结论：慢性恶心和呕吐综合征会对生活质量产生负面影响，这可能是由于其症状或与焦虑和抑郁有关。

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引用次数: 0

Response to the Letter to the Editor by Castrillón-Lozano JL, et al. “Application of artificial intelligence regarding the performance of the predictive criteria of the American Society for Gastrointestinal Endoscopy in the diagnosis of choledocholithiasis” 对 Castrillón-Lozano JL 等人写给编辑的信 "人工智能在诊断胆总管结石时对美国消化内镜学会预测标准性能的应用 "的回应。

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2024.10.002

C. Ovalle-Chao

引用次数: 0

Rice and esophageal motility 米饭和食道运动

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2023.12.003

S.R. Achem , G. Vázquez-Elizondo

引用次数: 0

Gastric infiltration in multiple myeloma 多发性骨髓瘤的胃部浸润。

Revista de gastroenterologia de Mexico (English)

Pub Date : 2024-10-01 DOI: 10.1016/j.rgmxen.2024.05.005

R. Michaus , F. Pérez-Jacobo

引用次数: 0

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Revista de gastroenterologia de Mexico (English)

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