ABSTRACT
Enteral nutrition in intensive care has been a great advance in medicine, due to its benefit, cost-effectiveness and few complications. Bronchoaspiration, diarrhea, regurgitation or mechanical problems are the main adverse effects. Esophageal obstruction by bezoar is a very infrequent complication, and there are only a few cases described in the literature.
Subject(s)
Bezoars , Enteral Nutrition , Bezoars/diagnostic imaging , Bezoars/etiology , Bezoars/therapy , Critical Care , Diarrhea/etiology , Enteral Nutrition/adverse effects , Esophagus , HumansABSTRACT
INTRODUCTION: immigrants from areas of high endemicity for hepatitis C represent a relevant risk group. The goal of this study was to analyze the characteristics of these patients in a high-immigration health care area, and to analyze the impact of promoting diagnosis and referral by means of training sessions in the primary care setting. MATERIALS AND METHODS: a retrospective study in immigrant patients with HCV monoinfection treated with direct-acting antiviral agents in Almería between 2015 and 2020. Epidemiological and clinical variables were collected, as well as the impact of a micro-elimination approach. RESULTS: a total of 175 immigrant patients were enrolled, most of them from eastern Europe (52.5 %), followed by sub-Saharan Africa (21.1 %) and the Maghreb (14.8 %). Patients from sub-Saharan Africa and eastern Europe were younger (p = 0.002) and sub-Saharan subjects predominantly exhibited genotypes 2 and 3, whereas genotype 1 predominated in the rest of patients (p < 0.001). Of all the patients, 156 attained SVR (ITT-SVR, 89.1 %). The modified ITT rate was 96.9 %. Patients with SVR had spent more time in Spain (12.7 vs 6.1 years; p = 0.006). CONCLUSIONS: the immigrant population with HCV infection in our health care area exhibits homogeneous clinical and epidemiological characteristics. The efficacy of antiviral therapy is similar to that reported in the non-immigrant population, with higher rates of losses to follow-up and dosage errors, particularly in those who have been in the country for less time.
Subject(s)
Hepatitis C, Chronic , Hepatitis C , Antiviral Agents/therapeutic use , Emigration and Immigration , Hepacivirus , Hepatitis C/drug therapy , Hepatitis C/epidemiology , Hepatitis C, Chronic/drug therapy , Humans , Retrospective StudiesABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Immunotherapy/methods , Colitis, Ulcerative/diagnosis , Colitis/chemically induced , Melanoma/drug therapy , Skin Neoplasms/drug therapy , Melanoma/secondary , Immunologic Factors/adverse effects , Diagnosis, Differential , Colitis/drug therapy , Adrenal Cortex Hormones/therapeutic use , Enterocolitis/chemically inducedSubject(s)
Colorectal Neoplasms/genetics , Genes, BRCA1 , Inflammatory Bowel Diseases/genetics , Neoplastic Syndromes, Hereditary/genetics , Adenocarcinoma/genetics , Adenocarcinoma/surgery , Adult , Age of Onset , Anti-Inflammatory Agents/therapeutic use , Azathioprine/therapeutic use , Breast Neoplasms/genetics , Colitis, Ulcerative/genetics , Colonic Neoplasms/genetics , Colonic Neoplasms/surgery , Female , Genetic Predisposition to Disease , Humans , Male , Mesalamine/therapeutic use , Proctocolectomy, RestorativeSubject(s)
Antibodies, Monoclonal, Humanized/adverse effects , Antineoplastic Agents, Immunological/adverse effects , Colitis/chemically induced , Bone Neoplasms/secondary , Colitis/diagnostic imaging , Colitis/drug therapy , Colitis, Ulcerative/diagnostic imaging , Colonoscopy , Humans , Lung Neoplasms/secondary , Male , Melanoma/drug therapy , Melanoma/secondary , Middle Aged , Skin Neoplasms/drug therapyABSTRACT
In relation to the article published in this journal by Guzmán describing a case of ampulla of Vater carcinosarcoma, we present a case of extrahepatic bile duct carcinosarcoma. A neoplasm described in different anatomical locations with an exceptional origin in the bile duct.