Is the physician expertise in digital rectal examination of value in detecting anal tone in comparison to anorectal manometry?
CONCLUSION: More experienced colorectal surgeons used to DRE had a more significant agreement with the ARM, thereafter would have more appropriate therapeutic management to patients with sphincter functional problems. ARM, therefore, persists as an important exam to objectively evaluate the sphincter complex, justifying its utility in the clinical practice.RESUMO CONTEXTO: Exame anorretal digital (EAD) faz parte do exame f ísico, também é essencial para a avaliação do cirurgião colorretal. Um bom EAD oferece informações preciosas relacionadas às queixas do paciente, que auxiliam na tomada de decisões. Sua real...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Multivariate analysis of biliary flow-related factors and post-kasai survival in biliary atresia patients
CONCLUSION: Age at surgery>90 days was associated with absence of biliary flow. The presence of biliary drainage and the absence of structural malformations are cornerstone features for higher survival rates with the native liver.RESUMO CONTEXTO: A atresia biliar representa a principal causa de colestase tratada cirurgicamente durante o per íodo neonatal. Se a criança não for operada, ela evolui invariavelmente para cirrose biliar secundária. OBJETIVO: Avaliar, através de análise multivariada, os fatores prognósticos associados à presença de fluxo biliar e à sobrevida com fígado nativo após a realizaç...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
[article partial retraction] prevalence of helicobacter pylori infection in dyspeptic patients and its association with clinical risk factors for developing gastric adenocarcinoma
CONCLUSION: This study shows a high prevalence of H. pylori infection and identifies its contribution to gastric inflammations, which in the long term are manifested in high-risk clinical factors for the development of gastric adenocarcinoma.RESUMO CONTEXTO: No Brasil, particularmente nas áreas mais pobres, a prevalência da infecção por Helicobacter pylori pode variar até 90%. Esses índices aumentam com o envelhecimento da população e são distintos entre as diferentes regiões do país. Podendo manifestar diferentes sintomatologias, essa infecção está diretamente relacion ada com o desenvolvimento de patolog...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Predictors of unsuccessful of treatment for fecal incontinence biofeedback for fecal incontinence in female
CONCLUSION: Biofeedback therapy shows effective treatment with 50% reductions in FI score in half of patients. Factors associated with unsuccessful outcome include FI score ≥ 10, previous vaginal delivery, previous anorectal and/or colorectal surgery, and reduced mean sustained squeeze pressure.RESUMO CONTEXTO: Biofeedback é um método eficaz de tratamento para a incontinência fecal. No entanto, há controvérsias sobre fatores que podem ser correlacionados com a sua eficácia. Objetivo - Avaliar a eficácia do biofeedback no tratamento da incontinência fecal (IF), identificando os fatores preditivos relacionados a...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Bariatric surgery and binge eating disorder: should surgeons care about it? a literature review of prevalence and assessment tools
CONCLUSION: Study heterogeneity accounted for the variability of the results from different centers and methodological flaws such as insufficient sample size and selection bias impaired the evidence on the magnitude of BED in surgical settings. For the sake of comparability and generalizability of the findings in future studies, researchers must recruit representative samples of treatment-seeking candidates for bariatric surgery and systematically apply standard instruments for the assessment of BED.RESUMO CONTEXTO: Os transtornos alimentares entre os candidatos à cirurgia bariátrica são comuns e estão associados a ...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Clinical and endoscopic evaluation in patients with gastroesophageal symptoms
CONCLUSION Male gender and hiatal hernia were associated with EE. Aged patients, smoking and hiatal herni a were related to severe EE. It is suggested that the risk factors for EE and non-EE types are different. Cohort studies are necessary to identify the exact mechanisms involved in each disease form.RESUMO CONTEXTO: A doen ça do refluxo gastroesofágico (DRGE) é uma das doenças digestivas mais comuns na prática médica e deve ser suspeitada de acordo com os seus sintomas clínicos, podendo ser classificada em esofagite erosiva (EE) de acordo com os achados de endoscopia. OBJETIVO: Avaliar os achados endoscópic...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
18f-fdg pet/ct as an assessment tool of hepatocellular carcinoma secondary to non-alcoholic fatty liver disease development in experimental model
CONCLUSION: 18F-FDG PET/CT was able to evaluate the development of HCC in an experimental model of NAFLD non-invasively. From the standardization of PET/CT in this model, it is possible to us e this tool in future studies to monitor, in vivo and non-invasively, the progression of HCC.RESUMO BACKGROUND: O carcinoma hepatocelular (CHC) pode ser a última fase da doença hepática gordurosa não alcoólica (DHGNA). Modelos experimentais são cruciais para elucidação da patogênese do CHC secundário a DHGNA. A tomografia por emissão de pósitrons/tomografia computadorizada (PET/TC) com 2-desoxi-2-(18F)fluoro-D-glicose (1...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Chromoendoscopy using toluidine blue plus lugol’s solution for early diagnosis of esophageal premalignant lesions and superficial neoplasms in high-risk patients
CONCLUSION: Chromoendoscopy with toluidine blue combined with Lugol ’ s solution is a useful tool in the screening of esophageal premalignant lesions and superficial neoplasms.RESUMO CONTEXTO: O c âncer de esôfago é o oitavo câncer mais comum. O prognóstico é sombrio em pacientes com estágios avançados. Pacientes com doença precoce têm um melhor prognóstico do que aqueles com estágio avançado. Existem várias técnicas para a triagem de lesões pré-malignas e superficiais, inclu indo cromoendoscopia. OBJETIVO: Este artigo objetivou determinar a efetividade da cromoendoscopia com azul de toluidina combi...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Anthropometric and dietetic evaluation of people with ileostomies
CONCLUSION: Therefore, it is suggested the periodic evaluation of the nutritional status of this population. Thus, it is expected that preventive, therapeutic and maintenance dietary diagnosis and planning may contribute to the nutritional status of the person with the ileostomy.RESUMO CONTEXTO: Al ém do manejo adequado das eliminações da estomia, a manutenção da nutrição para a pessoa com ileostomia é um grande desafio. OBJETIVO: Este trabalho teve como objetivo avaliar o estado nutricional de pessoas com ileostomia. MÉTODOS: Trata-se de um estudo transversal, realizado numa popu lação de 17 pessoas com ...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
The correlation of neck circumference and insulin resistance in nafld patients
CONCLUSION: NC is associated with the HOMA-IR index in patients with non-alcoholic fatty liver disease. NC can be used in the screening of insulin resistance in these patients, considering that insulin resistance plays a key role in the progression of the disease.RESUMO CONTEXTO: A resist ência à insulina, em especial a induzida pela obesidade, desempenha papel central no desenvolvimento da doença hepática gordurosa não alcoólica (DHGNA). Embora seja importante a avaliação de pacientes com excesso de peso, as ferramentas de avaliação nutricional utilizadas na prática clín ica apresentam limitações. A circu...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Endoscopic band ligation for the treatment of hemorrhoidal disease
CONCLUSION: The endoscopic elastic ligation method proved to be a feasible, safe and efficient for the treatment of symptomatic hemorrhoidal disease grades II and III. The technique had moderate rates of immediate and late complications, but most of the complications are considered of low magnitude, easily resolved and without clinical repercussions, no matter how much ligations were performed in the same procedure.RESUMO CONTEXTO: Existem diversas op ções terapêuticas para o tratamento da doença hemorroidária sintomática, desde medidas higienodietéticas até cirurgia. A técnica mais consagrada para o tratamento...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Early weight loss outcomes and glucose metabolism parameters after banded versus non-banded one anastomosis gastric bypass: a prospective randomized trial
ABSTRACT BACKGROUND: The influence of the placement of a band on the outcomes of one anastomosis gastric bypass (OAGB) has not been appropriately studied yet. OBJECTIVE: To compare early weight loss and glucose metabolism parameters following banded versus non-banded OAGB. METHODS: A prospective randomized study, which evaluated 20 morbidly obese individuals who underwent banded and non-banded OAGB and were followed-up for three months. Weight loss (percentage of excess weight loss - %EWL and percentage of body mass index loss - %BMIL) and glucose metabolism outcomes (glucose, insulin and homeostasis model assessment...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Time trends of helicobacter pylori prevalence in itajaÍ - sc: a retrospective study of 25 years based on endoscopic database
CONCLUSION: Although this study is retrospective and based on endoscopic database analysis, without access to clinical data of patients such as prior use of proton pump inhibitor and antibiotics to endoscopy, its results are important because they may reflect the current panorama of Helicobacter pylori infection in the city under study, where it has been presenting a gradual reduction of prevalence over the years, with current rates similar to that of developed countries (33%). Future studies are needed to confirm our data.RESUMO CONTEXTO: A bact éria Helicobacter pylori associa-se fortemente ao desenvolvimento do ade...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Evaluation of carbohydrate and fiber consumption in patients with irritable bowel syndrome in outpatient treatment
CONCLUSION: The study identified a number of inadequacies in the consumption of different nutrients, excessive carbohydrate intake, especially FODMAPs, identified by the respondents as responsible for a worsening of their conditions. By contrast, other food groups such as meat, eggs and dairy were consumed by the sample population in insufficient quantities.RESUMO CONTEXTO: A s índrome do intestino irritável é um distúrbio funcional crônico, no qual a dieta, principalmente o teor de fibra dietética e presença de carboidratos fermentativos (FODMAPs) podem influenciar nos principais sintomas: dores, desconforto e/o...
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
Anorectal functional disorders: towards a better diagnosis and treatment
(Source: Arquivos de Gastroenterologia)
Source: Arquivos de Gastroenterologia - May 23, 2019 Category: Gastroenterology Source Type: research
