Réplica. El zumo de Tahitian Noni® no es hepatotóxico: nuestros comentarios / No disponible

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Hepatotoxicidad grave asociada al consumo de Noni (Morinda citrifolia) / Hepatotoxicity caused by a Noni (Morinda citrifolia) preparation

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Anxiety during the performance of colonoscopies: modification using music therapy.

BACKGROUND AND STUDY AIMS: Colonoscopies are usually performed using pharmacological sedation. This process entails certain risks. In the search for alternative methods, some studies have analysed the effect music can have on patients during the procedure when used as a complement to sedation. We present a prospective, randomized study in which we assess the anxiolytic action music has when it is administered during a single colonoscopy. PATIENTS AND METHODS: We included 118 patients who were scheduled for ambulatory colonoscopies. They were randomly assigned to the control group (n = 55) and the experimental group (n = 63). We determined their levels of anxiety using the State-Trait Anxiety Inventory Test (STAI) form, which they filled in before and after the examination. Patients listened to music through personal headphones. RESULTS: The score on the STAI form before the examination was 25.25 +/- 10.49 and 28.16 +/- 11.43 in the control and experimental groups, respectively (P > 0.05). The decrease of the score on the STAI scale after the colonoscopy in the control and experimental groups was 6.27 (95% confidence interval, 3.26-9.28) and 11.35 (95% confidence interval, 8.64-14.05), respectively (P < 0.01). CONCLUSIONS: Listening to music during ambulatory colonoscopies decreases the level of anxiety that is inherent to the process without other anxiolytic methods.

Recidiva de un linfoma no hodgkiniano en un reservorio venoso central tipo port-a-cath / Relapse of a non-Hodgkin lymphoma in a central vein reservoir port-a-cath type

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[Pseudoachalasia and secondary amyloidosis in a patient with rheumatoid arthritis]. / Seudoacalasia y amiloidosis secundaria en paciente con artritis reumatoide.

Rheumatic diseases cover a wide spectrum of clinical syndromes and frequently present with gastrointestinal alterations. Systemic amyloidosis is associated with infectious diseases or chronic inflammatory processes such as rheumatoid arthritis and it can also affect the gastrointestinal tract. Although esophageal involvement is difficult to quantify because its course is frequently asymptomatic, systemic amyloidosis is recognized as a cause of motor disorders of the esophagus. Typical manometric patterns, including achalasia, are usually absent. Esophageal involvement due to amyloid deposits usually corresponds to primary amyloidosis as only a few cases of secondary esophageal deposits (type AA) have been described. We describe a new case of this exceptional association that first presented as dysphagia in a patient with rheumatoid arthritis. The initial suspicion of pseudoachalasia led to the definitive diagnosis of secondary amyloidosis.

Complicación fatal tras una paracentesis diagnóstica: hematoma de la vaina de los rectos / A fatal case of diagnostic paracentesis: hematoma of the rectus abdominis

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Hemorragia digestiva secundaria a un leiomiosarcoma de íleon: tratamiento laparoscópico / Digestive hemorrhage secondary to leiomyosarcoma of the ileum: laparoscopic management

Las neoplasias malignas del intestino delgado representan únicamente el 2 por ciento de los tumores gastrointestinales. En su mayoría corresponden a adenocarcinomas y tumores carcinoides. Los tumores originados en la musculatura lisa intestinal se engloban dentro de la denominación de tumores estromales. Predominantemente se localizan en yeyuno e íleon. El tratamiento de esta entidad sigue siendo fundamentalmente quirúrgico, aunque su tratamiento laparoscópico sólo ha sido comunicado de forma ocasional. Describimos un caso de leiomiosarcoma de íleon cuyo tratamiento quirúrgico consistió en una resección laparoscópica (AU)

[Familial colonic varices: report of two cases]. / Varices colónicas familiares: presentación de dos casos.

Idiopathic or familial colonic varices are an infrequent cause of gastrointestinal hemorrhage. It seems that congenital vascular abnormalities are involved in its etiopathogenesis. We present two cases in the same family. The disease first presented as intermittent episodes of rectorrhagia. In one case varices of the small intestine were detected by radiology. Both cases were given conservative treatment and we believe that surgery should be limited to selected cases and always after a careful observation period.