RESUMO
La manometría esofágica de alta resolución (MAR) está en fase de desarrollo, como se evidencia por las diferentes clasificaciones de Chicago. Con el fin de unificar criterios en algunos aspectos prácticos con limitada evidencia científica se llevó a cabo la Primera Reunión Nacional de Consenso en Manometría de Alta Resolución del Grupo Español de Motilidad Digestiva, en la que participaron un amplio grupo de expertos. Las propuestas se basaron en una encuesta previa con 47 preguntas, la exhaustiva revisión de la bibliografía disponible y la experiencia de los participantes. Se plantearon aspectos metodológicos sobre criterios de análisis poco definidos de algunos nuevos parámetros de alta resolución y otros aspectos no considerados, como la actividad espontánea o las ondas secundarias, elaborándose conclusiones finales con utilidad práctica (AU)
High resolution esophageal manometry (HRM) is currently under development as can be seen in the various Chicago classifications. In order to standardize criteria in certain practical aspects with limited scientific evidence, the First National Meeting for Consensus in High Resolution Manometry of the Spanish Digestive Motility Group took place, bringing together a wide group of experts. The proposals were based on a prior survey composed of 47 questions, an exhaustive review of the available literature and the experience of the participants. Methodological aspects relating to the poorly defined analysis criteria of certain new high resolution parameters were discussed, as well as other issues previously overlooked such as spontaneous activity or secondary waves. Final conclusions were drawn with practical application (AU)
Assuntos
Humanos , Masculino , Feminino , Manometria/instrumentação , Manometria/métodos , Manometria , Conferências de Consenso como Assunto , Sociedades Médicas/organização & administração , Sociedades Médicas/normas , Anestesia/tendências , Anestesia , Administração Tópica , Motilidade Gastrointestinal , Motilidade Gastrointestinal/fisiologia , Transtornos da Motilidade Esofágica/induzido quimicamente , Transtornos da Motilidade Esofágica/complicações , Contração Muscular , Perfusão/métodosRESUMO
High resolution esophageal manometry (HRM) is currently under development as can be seen in the various Chicago classifications. In order to standardize criteria in certain practical aspects with limited scientific evidence, the First National Meeting for Consensus in High Resolution Manometry of the Spanish Digestive Motility Group took place, bringing together a wide group of experts. The proposals were based on a prior survey composed of 47 questions, an exhaustive review of the available literature and the experience of the participants. Methodological aspects relating to the poorly defined analysis criteria of certain new high resolution parameters were discussed, as well as other issues previously overlooked such as spontaneous activity or secondary waves. Final conclusions were drawn with practical applications.
Assuntos
Doenças do Esôfago/diagnóstico por imagem , Esôfago/diagnóstico por imagem , Manometria/métodos , Anestesia , Consenso , Motilidade Gastrointestinal , HumanosRESUMO
Simultaneous gastric and pancreatic ductal adenocarcinoma is an exceptional situation with short literature review. The accumulated risk throughout life in women is 0.8% for gastric cancer and 0.6% for pancreas cancer. We report a case where both tumors are demonstrated. The patient was surgically intervened removing both tumors and achieving total recovery, with no signs of tumor recurrence after four months. This is to remind us that simultaneous tumors do exist, especially when suggestive images of neoplasia appear in a patient previously diagnosed of tumor in another location.
Assuntos
Adenocarcinoma/cirurgia , Carcinoma Ductal Pancreático/cirurgia , Neoplasias Pancreáticas/cirurgia , Neoplasias Gástricas/cirurgia , Adenocarcinoma/diagnóstico por imagem , Carcinoma Ductal Pancreático/diagnóstico por imagem , Endossonografia , Feminino , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Neoplasias Pancreáticas/diagnóstico por imagem , Neoplasias Gástricas/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
No disponible
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Adenocarcinoma/complicações , Adenocarcinoma/cirurgia , Adenocarcinoma , Neoplasias Ductais, Lobulares e Medulares/complicações , Carcinoma Ductal Pancreático/complicações , Carcinoma Ductal Pancreático/cirurgia , Carcinoma Ductal Pancreático , Gastrectomia/métodos , Gastrectomia/tendências , Carcinoma Ductal Pancreático/fisiopatologia , Deiscência da Ferida Operatória/complicações , Deiscência da Ferida Operatória/cirurgia , Diagnóstico Diferencial , Qualidade de VidaRESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso , Octreotida/uso terapêutico , Fármacos Gastrointestinais/uso terapêutico , Angiodisplasia/complicações , Hemorragia Gastrointestinal/tratamento farmacológico , Hemorragia Gastrointestinal/etiologia , Melena/tratamento farmacológico , Melena/etiologiaRESUMO
Acute acalculous cholecystitis (AAC) is defined as an acute inflammation of the gallbladder in the absence of stones. We herein report a case of a young man who developed AAC after a Salmonella enteritidis gastrointestinal infection.