Noninvasive breath tests for diagnosis of sibo and lactose intolerance in patients on chemotherapy treatment for colorectal and gastric cÂncer
CONCLUSION: Diarrhea was a frequent symptom in chemotherapy pa tients with gastric or colorectal cancer independent of the presence of SIBO or lactose intolerance. Surgery and chemotherapy treatment impacted in the intestinal habit of patients. Diagnosis of other causes of diarrhea may contribute to a better tolerance to treatment and quality of life.RESUMO CONTEXTO: Mundialmente, o c âncer colorretal (CCR) e gástrico (CG) são a terceira e a quinta causa de câncer mais prevalente, respectivamente. A diarreia é um sintoma comum entre os pacientes em quimioterapia ou radioterapia e pode reduzir a tolerância ao trata...
Source: Arquivos de Gastroenterologia - April 23, 2021 Category: Gastroenterology Source Type: research

The acceptance of changes in the management of patients with acute pancreatitis after the revised atlanta classification
CONCLUSION: Few studies have disclosed any form of acceptance or practice of these recommendations, despite the US and Chinese efforts. The lack of incorporation of these recommendations didn ’ t enable harnessing the benefits of their application in the clinical practice (particularly the improvement of the communication among health professionals and directly association with the worst prognoses); thus, it is necessary mobilizing the international medical community in order to change this scenario.RESUMO CONTEXTO: Ap ós a revisão da Classificação de Atlanta, em 2012, foram estabelecidas novas recomendações no ...
Source: Arquivos de Gastroenterologia - April 23, 2021 Category: Gastroenterology Source Type: research

Good quality of life after more than a decade of living donor liver transplantation
CONCLUSION: It is concluded that the various aspects LDLT recipients ’ QOF are similar to those of the general population more than a decade after the transplant, except for the mental health domain which is lower.RESUMO CONTEXTO: Receptores de transplante hep ático inter-vivo (THIV) apresentam elevada taxa de complicações biliares e vasculares pós-operatórias que podem reduzir a qualidade de vida (QV) devido à necessidade de tratamentos invasivos e repetitivos. OBJETIVO: O objetivo deste estudo é avaliar os vários aspectos da qualidade de vida dos pacientes submetidos a THIV após 10 anos de transplante e ...
Source: Arquivos de Gastroenterologia - April 23, 2021 Category: Gastroenterology Source Type: research

Impact of heartburn and regurgitation on individuals’ well-being in the general population: a brazilian national survey
CONCLUSION: Heartburn and regurgitation were frequent symptoms, women with higher prevalence. These symptoms led to a substantial impact on individuals ’ well-being, women being more affected.RESUMO CONTEXTO: Pirose e regurgita ção ácida são sintomas típicos usualmente relacionados à doença do refluxo gastroesofágico (DRGE). A DRGE é um dos diagnósticos gastrointestinais com maior prevalência mundial, afetando significativamente a qualidade de vida dos pacientes. OBJETIVO: Analisar o impacto de sintomas relaci onados à DRGE em uma amostra da população brasileira urbana. MÉTODOS: Inquérito nacional...
Source: Arquivos de Gastroenterologia - April 23, 2021 Category: Gastroenterology Source Type: research

Brazilian ibd study group position statement on sars-cov2 vaccination
ABSTRACT Mass vaccination offers the best strategy to fight against COVID-19 pandemic, and SARS-CoV2 vaccines are being approved in several countries for emergency use. In Brazil, vaccine approval is expected in the next few days, however potential concerns exist regarding vaccine recommendations for specific populations, such as patients with inflammatory bowel disease (IBD). To address these questions, the Brazilian IBD Study Group (GEDIIB) provides this practical advice with key recommendations about the COVID-19 vaccines in IBD population.RESUMO A vacina ção em massa oferece a melhor estratégia para enfrentamento da...
Source: Arquivos de Gastroenterologia - April 23, 2021 Category: Gastroenterology Source Type: research

Brazilian society of hepatology updated recommendations for diagnosis and treatment of hepatocellular carcinoma
ABSTRACT Hepatocellular carcinoma (HCC) is one of the leading causes of cancer-related mortality worldwide. The Brazilian Society of Hepatology (SBH) published in 2015 its first recommendations about the management of HCC. Since then, new data have emerged in the literature, prompting the governing board of SBH to sponsor a single-topic meeting in August 2018 in S ão Paulo. All the invited experts were asked to make a systematic review of the literature reviewing the management of HCC in subjects with cirrhosis. After the meeting, all panelists gathered together for the discussion of the topics and the elaboration of upda...
Source: Arquivos de Gastroenterologia - April 10, 2020 Category: Gastroenterology Source Type: research

Genexpert for abdominal tuberculosis
CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.RESUMO CONTEXTO: A desnutri ção está associada a fatores clínicos, incluindo maior tempo de internação, aumento da morbimortalidade e custos hospitalares. OBJETIVO: Investigar a prevalência de desnutrição por diferentes indicadores nutricionais e identificar fatores que contribuem para a desnutrição em pacientes h ospitalizados. MÃ...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Predictive parameters to identify incontinent patients amenable for rehabilitation treatment: the muscular synergies evaluation
CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.RESUMO CONTEXTO: A desnutri ção está associada a fatores clínicos, incluindo maior tempo de internação, aumento da morbimortalidade e custos hospitalares. OBJETIVO: Investigar a prevalência de desnutrição por diferentes indicadores nutricionais e identificar fatores que contribuem para a desnutrição em pacientes h ospitalizados. MÃ...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

ASSOCIATION OF TNF-α-308G>A POLYMORPHISMAND CELIAC DISEASE
CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.RESUMO CONTEXTO: A desnutri ção está associada a fatores clínicos, incluindo maior tempo de internação, aumento da morbimortalidade e custos hospitalares. OBJETIVO: Investigar a prevalência de desnutrição por diferentes indicadores nutricionais e identificar fatores que contribuem para a desnutrição em pacientes h ospitalizados. MÃ...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Nutritional indicators of malnutrition in hospitalized patients
CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.RESUMO CONTEXTO: A desnutri ção está associada a fatores clínicos, incluindo maior tempo de internação, aumento da morbimortalidade e custos hospitalares. OBJETIVO: Investigar a prevalência de desnutrição por diferentes indicadores nutricionais e identificar fatores que contribuem para a desnutrição em pacientes h ospitalizados. MÃ...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

New immunization schedule effectiveness against hepatitis b in liver transplantation patients
CONCLUSION: The studies did not find seroconversion superiority between the different immunization schedules (conventional and unconventional). However, since candidates to liver transplantation are usually very vulnerable, results show that super accelerated immunization schedules are possibly recommended for such group of patients; serologic test results will be higher when the immunization schedule is completed in the pre-transplant period.RESUMO CONTEXTO: O transplante de f ígado, apesar de ser um procedimento de elevado risco, está consolidado como recurso terapêutico para cura e melhoria da qualidade de vida de...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Impact of current diet at the risk of non-alcoholic fatty liver disease (nafld)
ABSTRACT The nonalcoholic fatty liver disease (NAFLD) affects approximately 20%-30% of general population and is even more prevalent among obese individuals. The risk factors mainly associated with NAFLD are diseases related to the metabolic syndrome, genetics and environment. In this review, we provide a literature compilation evaluating the evidence behind dietary components, including calories intake, fat, protein, fibers and carbohydrate, especially fructose which could be a trigger to development and progression of the NAFLD. In fact, it has been demonstrated that diet is an important factor for the development of NAF...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Definition of vitamin d deficiency in schoolchildren: systematic review with meta-analysis
CONCLUSION: The most common definition in the literature of 25(OH)D deficiency in schoolchildren was at levels below 20 ng/mL. No side effects have been reported in studies that used fortification and/or vitamin D supplementation. Daily supplementation is more effective than seasonal supplementation. However, more studies are needed to define what can be considered as optimal levels of 25(OH)D in children.RESUMO CONTEXTO: A defici ência de vitamina D está sendo reconhecida como uma pandemia devido ao volume de pessoas afetadas pela deficiência e o número de doenças geradas ou estimuladas por tal deficiência. Há f...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Helicobacter pylori infection and gastric cancer precursor lesions: prevalence and associated factors in a reference laboratory in southeastern brazil
CONCLUSION: The present study reinforces the association of H. pylori infection with gastric cancer precursor lesions in a Brazilian population, emphasizing the importance of infection prevention measures, as well as the treatment of infected patients, especially in regions with lower socioeconomic levels that show a higher prevalence of infection by H. pylori.RESUMO CONTEXTO: A infec ção por Helicobacter pylori é o fator de risco mais importante para atrofia gástrica e metaplasia intestinal, ambas consideradas lesões precursoras do câncer gástrico. Portanto, a investigação da ocorrência de infecção por H. p...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Risk factors associated with early mortality after percutaneous endoscopic gastrostomy in patients at a tertiary care center in brazil: a retrospective single-center survival study
CONCLUSION: In patients who had been subjected to the PEG procedure for long-term nutrition, low haemoglobin, pre-procedure intensive care unit internment or both are associated with the risk of early mortality.RESUMO CONTEXTO: A gastrostomia endosc ópica percutânea (GEP) é o principal método aceito para a alimentação por sonda em um longo período. OBJETIVO: Investigar os fatores de risco associados à mortalidade precoce após a realização de GEP. MÉTODOS: Análise retrospectiva de sobrevida em um centro terciário em Recife, Bra sil. Prontuários de 150 pacientes submetidos a colocação de GEP forma rev...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research