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A critical analysis of studies assessing L-ornithine-L-aspartate (LOLA) in hepatic encephalopathy treatmentemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Although the trials have shown efficacy of LOLA in reducing hyperammonemia of hepatic encephalopathy, sufficient evidence of a significant beneficial effect of LOLA on patients with hepatic encephalopathy was not found. The studies performed in this area were small, with short follow-up periods and half of them showed low methodological quality.CONTEXTO: Estudos experimentais e clínicos sugerem que a L-ornitina-L-aspartato pode ter uma influência favorável na encefalopatia hepática em virtude do seu efeito na redução da amônia, e melhora dos sintomas e achados laboratoriais. OBJETIVOS: Avaliar e analisa...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Non-cardiac chest painemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Exclusion of cardiac disease is of crucial importance. On the other hand non-cardiac chest pain could be related to gastrointestinal, muscular and respiratory causes and/or psychological disturbances. Treatment aims to attack mechanism generator in order to relieve or to eliminate symptoms. Drugs are the cornerstone of treatment, exception to achalasia patients because those have better response to dilation of the esophagus or surgery, and to those who need intensive pyschological therapy. The most important drugs used are proton pump inhibitors and triciclic antidepressants, the latter, to modulate central si...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Duodenal bypass does not decrease glucose levels of lean individuals with gastric cancer submitted to partial or total gastrectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, duodenal bypass do not decrease glucose levels in lean individuals treated for gastric cancer.Alterações no metabolismo da glucose após cirúrgias bariátricas podem ser creditadas ao desvio do duodeno. Este estudo avaliou o efeito do desvio do duodeno nos níveis glicêmicos de pacientes magros submetidos a gastrectomia por câncer. Foram revistos 56 pacientes não-diabéticos e 6 pacientes diabéticos submetidos a gastrectomia com reconstrução em Y-de-Roux por câncer (gastrectomia parcial em 66% e total em 34%). Os níveis glicêmicos não se alteraram significantemente depois da operação (P = 0,5)...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Comparison between hepatitis B and C epidemiological profiles at a public institution in São Paulo, Brazilemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXTO: As hepatites virais constituem doença de notificação compulsória e apresentam grande importância em nosso meio devido à elevada prevalência. OBJETIVO: Comparar o perfil epidemiológico dos casos confirmados de hepatites B e C notificados no Núcleo de Vigilância Epidemiológica do Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, no período entre janeiro de 2004 e abril de 2007. MATERIAL: Os resultados foram analisados através do teste do qui ao quadrado. RESULTADOS: Observou-se 112 casos confirmados de hepatite B e 651 de hepatite C. Houve predominância do sexo masculino dentre os ...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Assessing nutritional status before introducing enteral nutritionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXTO: O adequado diagnóstico do estado nutricional é de vital importância para a prescrição da terapia nutricional enteral no ambiente hospitalar. OBJETIVO: Avaliar indicadores do estado nutricional em pacientes ingressantes na terapia nutricional enteral em uma unidade hospitalar. MÉTODOS: Estudo transversal com 100 pacientes adultos, sendo analisado o estado nutricional de ingresso à terapia nutricional enteral, por meio do índice de massa corporal obtido do peso e estatura estimados a partir de fórmulas de predição, e de indicadores laboratoriais do estado metabólico e nutricional. RESULTADOS: Do total, ...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Poor outcomes with treatment of hepatorenal syndrome type 1 with splancnic vasoconstrictors and albumin: report of seven cases and review of the literatureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Treatment of HRS-1 with terlipressin and high-dose albumin was not associated with reversal of renal failure, but most of the treated subjects had severe end-stage liver disease with high MELD scores as well as high baseline creatinine values, parameters previously associated with bad outcomes.CONTEXTO: O tratamento da síndrome hepatorrenal do tipo 1 (SHR-1) com vasoconstritores esplâncnicos e albumina intravenosa tem se associado, em relatos de caso e estudos piloto não-controlados, à reversão da insuficiência renal em 60%-80% dos pacientes tratados. OBJETIVO: Avaliar os resultados do tratamento da SHR-...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Could gastric histology be a useful marker for making decision on Helicobacter pylori eradication therapy in patients with dyspepsia?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Since upper gastrointestinal endoscopy is part of the functional dyspepsia investigation and serology for anti-CagA antibody is not available in daily clinical practice, by biopsying gastric mucosa we would only be able to selectively apply H. pylori eradication therapy for those with histology that best correlate with virulent infecting strains (moderate or severe gastritis) - around ¼ of our study patients with dyspepsia.CONTEXTO: O benefício da terapia de erradicação do H. pylori como parte do tratamento da dispepsia funcional ainda é uma questão em aberto. Diferenças na distribuição geográfica, a ...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Neither genotype nor the gastric colonization site of Helicobacter pylori are predictive factors for the development of erosive esophagitis in patients with peptic ulcer disease, 1 year after eradicationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: The incidence of erosive esophagitis in peptic ulcer patients who had their H. pylori eradicated was 19%. No correlation was found between the gastric site colonized by H. pylori or strains expressing CagA and the prevention or development of erosive esophagitis in patients with peptic ulcer disease, 1 year after infection eradication.CONTEXTO: É controverso se a infecção pelo Helicobacter pylori é um fator de proteção ou de predisposição para o desenvolvimento da doença de refluxo gastroesofágico. Cepas mais virulentas tais como as que expressam a citotoxina CagA e o local no estômago de infecção...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Analysis of the bariatric surgery impact in a population from the center area of Rio Grande do Sul State, Brazil, using the BAROS methodemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXTO: Devido às alterações metabólicas causadas pelo excesso de peso, a cirurgia bariátrica tem sido muito utilizada, a fim de proporcionar perda e manutenção de peso a longo prazo na população com obesidade mórbida. OBJETIVO: Analisar o impacto da cirurgia bariátrica em uma população do centro do estado do Rio Grande do Sul utilizando o método BAROS. MÉTODOS: Foi realizado estudo retrospectivo, com 32 pacientes, de ambos os sexos, entre 19 e 44 anos de uma clínica particular de Santa Maria, RS. Analisaram-se as variações de peso e índice de massa corpórea, hábito intestinal, uso de tabaco e práti...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Serum globulin levels and intensity of hepatic fibrosis in patients with mansonic schistosomiasisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: In patients with schistosomiasis mansoni, an increase of the IgG serum levels was observed according to the progression from periportal fibrosis intensity, but the same was not founded with globulins levels. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Risk factors for indications of intraoperative blood transfusion among patients undergoing surgical treatment for colorectal adenocarcinomaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXT: Identification of risk factors for requiring transfusions during surgery for colorectal cancer may lead to preventive actions or alternative measures, towards decreasing the use of blood components in these procedures, and also rationalization of resources use in hemotherapy services. This was a retrospective case-control study using data from 383 patients who were treated surgically for colorectal adenocarcinoma at "Fundação Pio XII", in Barretos-SP, Brazil, between 1999 and 2003. OBJECTIVE: To recognize significant risk factors for requiring intraoperative blood transfusion in colorectal cancer surgical proced...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Non-adherence to the therapy in Crohn's disease patients: prevalence and risk factorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: In patients with Crohn's disease the prevalence of non-adherence to therapy is high (64%). The younger and non-white patients have higher propensity to non-adherence. In such circumstances efforts should be made to look for strategies to deal with this sort of people suffering from Crohn's disease, trying to increase the degree of adherence in this sort of patients. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Study of efficacy and safety of a new local cream ("healer") in the treatment of chronic anal fissure: a prospective, randomized, single-blind, comparative studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
OBJECTIVES: To determine the efficacy and safety of "healer" cream as monotherapy in the treatment of acute and chronic anal fissure. STUDY DESIGN: A prospective, randomized, single blinded, comparative trial. METHODS: Sixty patients suffering from anal fissure were included in the study. Patients were randomly divided into three groups: group A: treated with "healer" local cream application 3 times daily; group B: treated with nitroglycerine 0.25% local cream 3 times daily; group C: treated with a lidocaine 2% cream applied locally 3 times daily. All the followings were followed up and compared between groups. (1) Visual ...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Colonoscopic findings in asymptomatic peopleemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXTO: O câncer colorretal é causa de morte frequente e sua prevenção deve fazer parte dos programas de rastreamento em indivíduos assintomáticos. OBJETIVO: Avaliar os achados colonoscópicos de pessoas assintomáticas submetidas a colonoscopia. MÉTODO: Foram estudados 153 pessoas assintomáticas submetidas a colonoscopia. Sexo, idade, história pregressa e familiar, tabagismo e etilismo foram avaliados. Indivíduos com hematoquesia macro ou microscópica e os com doença colorretal foram excluídos. Preparo intestinal, presença de pólipos, angioectasias, doença diverticular, processo inflamatório e neoplasia...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Development of colorectal advanced neoplasia/adenomas in the long-term follow-up of patients submitted to colonoscopy with polipectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXTO: A colonoscopia e a polipectomia diminuem a incidência do câncer colorretal, assim como a mortalidade dele decorrente. O intervalo efetivo entre os exames de seguimento é determinado por características clínicas e achados endoscópicos considerados como preditivos para o desenvolvimento de lesões neoplásicas colônicas avançadas. OBJETIVOS: Avaliar a taxa de surgimento de lesões neoplásicas avançadas em pacientes submetidos a colonoscopias de seguimento em serviço de referência. MÉTODOS: Foram incluídos 392 pacientes submetidos a dois ou mais exames colonoscópicos completos entre 1995 e 2005, const...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

The ethics of writing a scientific paperemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

The English language is necessaryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Dr. Dahir Ramos de Andradeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

1º Encontro Nacional dos Editores dos Arquivos de gastroenterologiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Contraception and pregnancy after liver transplantation: an update overviewemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Successful pregnancies are the rule after liver transplantation. A carefully monitoring by an experience multidisciplinary team increases the chances of favorable maternofetal outcome. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

En-bloc pancreatoduodenectomy and right hemicolectomy for treating locally advanced right colon cancer (T4): a series of five patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A series of five cases of right-colon adenocarcinoma that invaded the proximal duodenum is presented. All patients underwent successful en-bloc pancreatoduodenectomy plus right hemicolectomy by General Surgery Service of the Teaching Hospital of the ABC Medical School, Santo André, SP, Brazil. The study was conducted between 2000 and 2007. There were two major complications but no mortality. Three patients did not present any recurrence over the course of 15 to 54 months of follow-up. Multivisceral resection with en-bloc pancreatoduodenectomy should be considered for patients who are fit for major surgery but do not prese...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Recalled and recorded bowel habits confirm early onset and high frequency of constipation in day-care nursery childrenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXT: Mothers recall early-onset constipation in children attending gastroenterology clinics. OBJECTIVES: To study the bowel habit of young children in the community to determine, first, whether early-onset constipation is confirmed in this setting and, second, the agreement between recalled and recorded bowel habit. METHODS:Defecation data of 57 children aged 6.0-40.7 mo were obtained by maternal recall (questionnaire on predominant stool characteristics) and by record (1,934 defecations registered prospectively at home and in the nursery). The bowel habit was classified according to stool frequency and proportion of s...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Clinical and endoscopic outcome after Nissen fundoplication for gastroesophageal reflux diseaseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions - Fundoplication was effective for treating esophagitis, even in patients with previous esophageal stenosis. Endoscopic follow up may detect surgery failure in children undergone anti-reflux surgery even in asymptomatic patients. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Alpha-interferon versus peg-interferon associated to ribavirin in the treatment of genotype 1 hepatitis C virus and human imunodeficiency virus coinfected patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXTO: Tem sido sugerido que os pacientes coinfectados por vírus da hepatite C e da imunodeficiência humana (VHC/HIV) devam ser tratados com interferon peguilado associado à ribavirina (PEG+RBV) porque as taxas de resposta virológica sustentada seriam maiores do que aquelas obtidas com interferon convencional associado à ribavirina (IFN+RBV). No entanto, há escassez de trabalhos na literatura comparando as duas opções de tratamento nesta população de pacientes, em especial fora do cenário de ensaios clínicos. OBJETIVO: Avaliar a resposta virológica sustentada ao tratamento com IFN+RBV versus PEG+RBV em paci...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Immunoreactivity of cytokeratins 7 and 20 in goblet cells and columnar blue cells in patients with endoscopic evidence of Barrett's esophagusemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXT: Barrett's esophagus is characterized by the presence of goblet cells. However, when alcian-blue is utilized, another type of cells, called columnar blue cells, is frequently present in the distal esophagus of patients with endoscopic evidence of Barrett's esophagus. Cytokeratin 7 and 20 immunoreactivity has been previously studied in areas of intestinal metaplasia at the esophagogastric junction. However, the expression of these cytokeratins in columnar blue cells has not been characterized. OBJECTIVE: To compare the expression of cytokeratin 7 and 20 in goblet cells and columnar blue cells in patients with endosc...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Preoperative progressive pneumoperitoneum in voluminous abdominal wall herniasemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Preoperative progressive pneumoperitoneum is a safe and easy executed procedure, which simplifies surgery and reduces post-operative respiratory and cardiovascular complications. It is indicated for patients with hernias that have lost the right of domain in the abdominal cavity. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Ki67 and p53 in gastrointestinal stromal tumors - GISTemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: The most common site was the small intestine and 80% had a malignant potential justifying the high recurrence observed. No significant correlation was found between p53 and overall outcome of the patients. In group I patients, the evaluation Ki67LI may be a marker of prognosis. The positivity of both markers is higher among the patients with worst prognosis than in the others.CONTEXTO: Os tumores estromais gastrointestinais (GIST) são os tumores mesenquimais mais frequentes. A proliferação intestinal e a apoptose são cada vez mais importantes na avaliação do prognóstico de diversos cânceres. OBJETIVO: A...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Comparative study between MBI (FICE®) and magnification chromoendoscopy with indigo carmine in the differential diagnosis of neoplastic and non-neoplastic lesions of the colorectumemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Both methods, either the MBI/FICE® system or the use of indigo carmine dye with magnification, achieved a high accuracy for the differential diagnosis between neoplastic and non-neoplastic colorectal lesions. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Morphometric digital measurement of the luminal opening area of colonic crypts (pits) can differentiate the adenomas from other colonic lesionsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: The morphometric characteristics of colonoscopy images allowing the observer to compare differences between hyperplastic and adenomatous polyps and colorectal carcinoma lesions. Digital morphometric studies are feasible like the present study shows. This can help the colonoscopist in clinical decisions. A software with morphometric measures can apply and will permit the digital morphometric analysis. The data generated from the application of software, can provide valuable points in differentiation of various lesions, guiding the conduct clinical, already during the endoscopic procedure. Morphometric analysis ...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspectsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: The correlation between endoscopic and histological findings was high. The agreement between the initial histologic evaluation and slides review was not satisfactory. The chance of subjects with normal ileoscopy with abdominal pain and/or chronic diarrhea, showing histological alterations was higher in relation to the asymptomatic ones or with other symptoms, although the clinical importance of this datum was not evaluated.CONTEXTO: Para o diagnóstico de doenças que afetam o íleo terminal, a colonoscopia permite avaliação macroscópica e realização de biopsias. Estudos com critérios para caracterizaçÃ...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Seroprevalence of Helicobacter pylori in patients with colon adenomas in a brazilian university hospitalemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: There is a positive association between H. pylori infection and colonic adenomas. This association is more evident in women, especially for tubular adenomas and distal colonic location.CONTEXTO: A associação entre a infecção pelo Helicobacter pylori e as neoplasias de cólon tem motivado alguns estudos recentes, porém os resultados ainda são controversos. OBJETIVO: Avaliar a prevalência da infecção pelo H. pylori em pacientes com adenomas colônicos e naqueles com cólons normais à colonoscopia. MÉTODOS: Após as colonoscopias, distribuíram-se os indivíduos em dois grupos: pacientes com adenomas de...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Performance of computed tomographic colonography for the screening of colorectal polyp in acromegalic patients: a prospective studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: The authors present the first reports of computed tomographic colonography in the screening of colorectal polyps in acromegalic patients. In this study, computed tomographic colonography was performed without complications and a complete and safe colorectal evaluation was possible in all acromegalic patients. Moreover, computed tomographic colonography presented good sensitivity, specificity and accuracy for the identification of acromegalic patients with polyps of any size and better results in the diagnosis of large polyps, when they were compared to small polypoid lesions.CONTEXTO: Pacientes com acromegalia ...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

The importance of evidence-based medicine concepts for the clinical practitioneremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Com a vasta produção científica e o surgimento de novas terapias e equipamentos, torna-se fundamental que o gastroenterologista lance mão de instrumentos que o auxiliem na avaliação crítica do "novo" conhecimento, que poderá ou não ser incorporado a sua prática clínica. A medicina baseada em evidências consiste neste instrumento. Associando conceitos da informática médica e da epidemiologia clínica, a medicina baseada em evidências tem como único e maior objetivo o paciente. Assim, na análise crítica do "novo conhecimento", o movimento da medicina baseada em evidências valoriza os ensaios clínicos corr...
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Virtual colonoscopy, colonic polyps and acromegalyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - July 5, 2009 Category: Gastroenterology Source Type: journals

Endoscopic follow-up of cyanoacrylate obliteration of gastric varicesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report our experience with cyanoacrylate injection. Twenty three patients with portal hypertension and gastric varices underwent intra-variceal injection of a cyanoacrylate/lipiodol solution (1:1). Study endpoint was variceal obliteration. Mean follow-up was 25.3 months. Variceal obliteration was achieved in 87% of patients. Recurrence occurred in one patient (4.3%) and rebleeding in another case (4.3%). Mild abdominal pain was described in 13% of patients. Overall mortality was 21.7% and rebleeding related mortality rate was 4.3%. Our results confirm that cyanoacrylate injection is effective and safe to eradicate gastr...
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

First robotic-assisted laparoscopic liver resection in Latin Americaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Graças ao melhor conhecimento da anatomia segmentar do fígado e desenvolvimento de novas técnicas, houve aumento no número de indicações de hepatectomias. O desenvolvimento da cirurgia minimamente invasiva ocorreu paralelamente e o aumento da experiência, aliado ao desenvolvimento de novos instrumentais, resultaram no crescimento exponencial das ressecções hepáticas videolaparoscópicas. A abordagem laparoscópica pode tornar viável a ressecção hepática em pacientes cirróticos com hipertensão portal que não tolerariam este mesmo procedimento por via laparotômica. A cirurgia robótica surgiu nos últimos a...
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Prevalence of HBsAg in pregnant women of Passo Fundo, RS, Brazil: comparative study between public and private health systemsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Estimou-se a prevalência do HBsAg em gestantes dos sistemas de saúde público e privado de Passo Fundo, RS, Brasil. Foram analisados prontuários de 3.573 gestantes de 6 serviços públicos e 16 privados. O nível socioeconômico foi estimado comparando-se o número de gestações. A prevalência geral de HBsAg foi de 0,7%, não diferindo entre os sistemas público e privado (0,64% vs 0,79%; P = 0,603). O número de gestações foi maior nas gestantes do sistema público [2 (1-6) vs 1 (1-3); P = 0,0001]. Conclui-se que a prevalência do HBsAg em gestantes de Passo Fundo é baixa e independente do nível socioeconômico.W...
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Model of experimental nonalcoholic steatohepatitis from use of methionine and choline deficient dietemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: The diet restricted in methionine and choline induced steatosis and steatohepatitis in an animal model with low cost. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Nutritional status of patients with biliary atresia and autoimmune hepatitis related to serum levels of vitamins A, D and Eemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXT: Chronic liver disease may induce to malabsorption of lipids and fat-soluble vitamins, leading to injury of nutritional status. OBJECTIVES: To evaluate the nutritional status of pediatric-age patients with autoimmune hepatitis and biliary atresia related to serum levels of vitamins A, D and E and the disease severity. METHODS: This controlled transverse study, evaluated the patients with autoimmune hepatitis and biliary atresia and a reference group paired by sex and age. The patients underwent anthropometric evaluation, alimentary inquiry and determination of serum levels of vitamins A, D and E by high performance...
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Knowledge of obstetricians about the vertical transmission of hepatitis B virusemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: We observed that the knowledge of the obstetricians about the diagnosis and management of hepatitis virus B infection during pregnancy is not adequate, reinforcing the need of continuous medical education programs on the infections that can be transmitted vertically. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Portal vein thrombosis after esophagogastric devascularization and splenectomy in schistosomal portal hypertension patients: What's the real importance?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Portal vein thrombosis is an early and frequent event after esophagogastric devascularization and splenectomy, usually partial with benign outcome and low morbidity. Total portal vein thrombosis is more frequently associated with a high morbidity complication, the superior mesenteric vein thrombosis. Long-term survival was not influenced by either partial or total portal thrombosis. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Minimal hepatic encephalopathy detection by neuropsychological and neurophysiological methods and the role of ammonia for its diagnosisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Minimal hepatic encephalopathy is a frequent condition in cirrhotic patients. The arterial ammonia concentration does not play a major role in its diagnosis. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Hepatitis C recurrence after living donor and cadaveric liver transplantationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Hepatitis C recurrence is similar in patients who underwent living donor liver transplantation or cadaveric liver transplantation. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

The resistance to fluconazole in patients with esophageal candidiasisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXT: Esophageal candidiasis is often observed in patients with risk factors for its development and fluconazole is the therapeutic choice for the treatment of this disease. OBJECTIVES: To determine its frequency, by performing upper digestive endoscopy; to determine Candida species involved in its pathogenesis and verify their distribution according with the predisposing factors and to determine susceptibility to fluconazole in the samples. METHODS: From March 2006 to April 2007, all patients submitted to esophagogastroduodenoscopy at the Digestive Endoscopy Unit in the Oswaldo Cruz University Hospital, Recife, PE, Bra...
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Prognostic value of carcinoembryonic antigen distribution in tumor tissue of colorectal carcinomaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXT: Carcinoembryonic antigen (CEA) can be detected in colorectal tumor tissue but its role in the survival of patients remains controversial. OBJECTIVE: To characterize the expression of tissue CEA using immunohistochemical staining in colorectal tumors and to analyze the relationship between this finding and preoperative plasmatic level of CEA, morphologic features and survival of patients operated with curative intent for colorectal carcinoma. METHOD: Forty-seven patients were included in the study: 18 (38.3%) males and 29 (61.7%) females, with a mean age of 67.8 ± 9.7 years (37 to 84 years). Immediately before lap...
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Incidence and prevalence rates of inflammatory bowel diseases, in midwestern of São Paulo State, Brazilemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: The inflammatory bowel diseases incidence in the studied area was as low as in other countries of Latin America and smaller than that found in countries of South Europe. The crescent prevalence justifies the policies to adequate medical cares for inflammatory bowel diseases patients in this area.CONTEXTO: No Brasil, a incidência e prevalência populacionais das doenças inflamatórias intestinais são desconhecidas. OBJETIVO: Neste trabalho, estimou-se esses parâmetros na área que abrange a antiga região de saúde DIR 11, no centro-oeste do Estado de São Paulo. MÉTODOS: Usou-se um registro sequencial de 1...
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Higher prevalence of obesity in erosive gastroesophageal reflux diseaseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: There was a greater prevalence of obesity and over-weight in the group of patients with erosive esophagitis compared to patients with non-erosive reflux disease. There was no difference in reflux intensity measurements in any of the body mass index categories, in both groups. Although there was a major prevalence of hiatal hernia in the group of erosive reflux disease patients, this superiority was not extended to the categories of excessive weight in both groups. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Study of epidemiological surveillance of venous thromboembolism prophylaxis in surgical specialties of a school tertiary referral hospitalemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Although the indications of prophylactic heparin to venous thromboembolism are well known, we verify an incomplete adhesion of medical professionals, exposing patients to severe complications. (Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Pesquisa científica e publicaçõesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals

Pós-graduação no exterior: vale a pena?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - June 25, 2009 Category: Gastroenterology Source Type: journals