RESUMO
Twenty five hundred esophagogastroduodenoscopies were examined, separating all the duodenal erosions' cases. The most important conclusions refer to two facts in relations to the existence of duodenal erosions (DE) with respect to duodenal erosions when coexisting with gastric erosions (gastroduodenal erosions-GDE). In the duodenal erosions symptomatology dominated frankly, mainly ulcerous syndrome, typical or atypical (P less than 0,01). The GDE had a clear predominancy of bleeding referring to DE (P less than 0,01), suggesting that the DE are to be considered a nosologic entity different as the GDE. The ulcerogenious antecedents (drugs, stress, alcohol, etc.) were frankly positive in both cases when there was bleeding, but of low percentage in the cases without bleeding, suggesting that its presence is important in the causing of bleeding but not in the generating erosions in itself.
Assuntos
Duodenopatias , Adulto , Fatores Etários , Idoso , Duodenopatias/patologia , Duodenoscopia , Duodeno/patologia , Feminino , Hemorragia Gastrointestinal/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Fatores SexuaisRESUMO
Se analizaron 2.500 esofagogastroduodenoscopias de nuestra Institucion separando todos los casos de erosiones duodenales.Las conclusiones mas importantes se refieren a dos hechos en relacion a la existencia de EDP con respecto a las EGD.En las EDP predomino francamente la sintomatologia, fundamentalmente sindrome ulceroso (dolor epigastrico), tipico o atipico (P < 0,01). A su vez las EGD tuvieron una clara predominancia de sangrado sobre las EDP (P < 0,01), sugiriendo que las EDP deben considerarse una entidad nosologica distinta a las EGD. Los antecedentes ulcerogenos (drogas, stress, alcohol, etc), fueron francamente positivos en ambos grupos cuando hubo sangrado, mientras que existieron en muy bajo porcentaje en los casos sin hemorragia, sugiriendo que su presencia es importante en la produccion del sangrado, pero no en la formacion de las erosiones en si
Assuntos
Duodenopatias , Hemorragia GastrointestinalRESUMO
Twenty five hundred esophagogastroduodenoscopies were examined, separating all the duodenal erosions cases. The most important conclusions refer to two facts in relations to the existence of duodenal erosions (DE) with respect to duodenal erosions when coexisting with gastric erosions (gastroduodenal erosions-GDE). In the duodenal erosions symptomatology dominated frankly, mainly ulcerous syndrome, typical or atypical (P less than 0,01). The GDE had a clear predominancy of bleeding referring to DE (P less than 0,01), suggesting that the DE are to be considered a nosologic entity different as the GDE. The ulcerogenious antecedents (drugs, stress, alcohol, etc.) were frankly positive in both cases when there was bleeding, but of low percentage in the cases without bleeding, suggesting that its presence is important in the causing of bleeding but not in the generating erosions in itself.
RESUMO
Se analizaron 2.500 esofagogastroduodenoscopias de nuestra Institucion separando todos los casos de erosiones duodenales.Las conclusiones mas importantes se refieren a dos hechos en relacion a la existencia de EDP con respecto a las EGD.En las EDP predomino francamente la sintomatologia, fundamentalmente sindrome ulceroso (dolor epigastrico), tipico o atipico (P < 0,01). A su vez las EGD tuvieron una clara predominancia de sangrado sobre las EDP (P < 0,01), sugiriendo que las EDP deben considerarse una entidad nosologica distinta a las EGD. Los antecedentes ulcerogenos (drogas, stress, alcohol, etc), fueron francamente positivos en ambos grupos cuando hubo sangrado, mientras que existieron en muy bajo porcentaje en los casos sin hemorragia, sugiriendo que su presencia es importante en la produccion del sangrado, pero no en la formacion de las erosiones en si
Assuntos
Duodenopatias , Hemorragia GastrointestinalRESUMO
Three cases of gastric leiomyoblastomas are presented (according to Stout's denomination) or epithelioid leiomyomas (according to Appelman). The subject is actualized and the low malignant potential of these tumors is pointed out. Leiomyoblastomas have to be classified among the leiomyomas (absolutely benign) and the leiomyosarcomas (malign). The lack of reliable criteria to determine the future of the patient is established, being the evolutive control the only way to make that clear. The mitotic counts--more than 5 for each 50 high-power dry objective field--is the most important isolated criterion to predict the probable malignancy of the lesion.
Assuntos
Leiomioma/patologia , Neoplasias Gástricas/patologia , Feminino , Mucosa Gástrica/patologia , Gastroscopia , Humanos , Leiomioma/diagnóstico , Masculino , Pessoa de Meia-Idade , Índice Mitótico , Prognóstico , Neoplasias Gástricas/diagnósticoRESUMO
1.897 patients with upper gastrointestinal bleeding (UGIB) were studied and the cause was diagnosed in 1.756 (92.6%). The most frequently found pathology was the acute bleeding gastropathy (24.5%). Considering the gastric duodenal and anastomotic ulcer as a whole, in 47.5% of the cases the ulcer was observed. Both pathologies together make out that 72 out of 100 patients with UGIB have bleeding due to an ulcer or gastritis. It comes out that the low incidence of neoplasy as a consequence of UGIB and that the 31% of the diagnosed pathology could not have been diagnosed by X-ray.
Assuntos
Endoscopia/métodos , Hemorragia Gastrointestinal/diagnóstico , Doença Aguda , Duodeno , Varizes Esofágicas e Gástricas/complicações , Esôfago , Hemorragia Gastrointestinal/etiologia , Humanos , Úlcera Péptica/complicações , EstômagoRESUMO
1.897 patients with upper gastrointestinal bleeding (UGIB) were studied and the cause was diagnosed in 1.756 (92.6
). The most frequently found pathology was the acute bleeding gastropathy (24.5
). Considering the gastric duodenal and anastomotic ulcer as a whole, in 47.5
of the cases the ulcer was observed. Both pathologies together make out that 72 out of 100 patients with UGIB have bleeding due to an ulcer or gastritis. It comes out that the low incidence of neoplasy as a consequence of UGIB and that the 31
of the diagnosed pathology could not have been diagnosed by X-ray.
RESUMO
Three cases of gastric leiomyoblastomas are presented (according to Stouts denomination) or epithelioid leiomyomas (according to Appelman). The subject is actualized and the low malignant potential of these tumors is pointed out. Leiomyoblastomas have to be classified among the leiomyomas (absolutely benign) and the leiomyosarcomas (malign). The lack of reliable criteria to determine the future of the patient is established, being the evolutive control the only way to make that clear. The mitotic counts--more than 5 for each 50 high-power dry objective field--is the most important isolated criterion to predict the probable malignancy of the lesion.
RESUMO
1.897 patients with upper gastrointestinal bleeding (UGIB) were studied and the cause was diagnosed in 1.756 (92.6
). The most frequently found pathology was the acute bleeding gastropathy (24.5
). Considering the gastric duodenal and anastomotic ulcer as a whole, in 47.5
of the cases the ulcer was observed. Both pathologies together make out that 72 out of 100 patients with UGIB have bleeding due to an ulcer or gastritis. It comes out that the low incidence of neoplasy as a consequence of UGIB and that the 31
of the diagnosed pathology could not have been diagnosed by X-ray.
RESUMO
Three cases of gastric leiomyoblastomas are presented (according to Stouts denomination) or epithelioid leiomyomas (according to Appelman). The subject is actualized and the low malignant potential of these tumors is pointed out. Leiomyoblastomas have to be classified among the leiomyomas (absolutely benign) and the leiomyosarcomas (malign). The lack of reliable criteria to determine the future of the patient is established, being the evolutive control the only way to make that clear. The mitotic counts--more than 5 for each 50 high-power dry objective field--is the most important isolated criterion to predict the probable malignancy of the lesion.