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Arquivos de Gastroenterologia

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https://www.readbyqxmd.com/read/28977117/psychometric-property-of-fatigue-severity-scale-and-correlation-with-depression-and-quality-of-life-in-cirrhotics
#1
Danusa Rossi, Lucas Homercher Galant, Claudio Augusto Marroni
BACKGROUND: Fatigue is a common complaint in cirrhotic patients and may be considered a debilitating symptom with negative impact on quality of life. Research on its etiology and treatment has been hampered by the lack of relevant and reproducible measures of fatigue. OBJECTIVE: To evaluate the psychometric properties of the Fatigue Severity Scale (FSS) in cirrhotic patients and to correlate with depressive symptomatology and quality of life. METHODS: Cross-sectional study with a convenience sample of 106 cirrhotic patients, aged between 18 and 70 years, both genders, literate, pre and post liver transplantation in outpatient follow-up...
October 2, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28977116/variceal-bleeding-update-of-recommendations-from-the-brazilian-association-of-hepatology
#2
Paulo Lisboa Bittencourt, Edna Strauss, Alberto Queiroz Farias, Angelo Alves de Mattos, Edmundo Pessoa Lopes
Since the publication of the Brazilian Association of Hepatology recommendations for the prevention and treatment of variceal bleeding in 2010, new evidence-based data were reported in the literature. This has changed our current management for portal hypertension. This review updates the previous recommendations. It takes the new prognostic staging of cirrhosis into account allowing tailored treatment for advanced fibrosis, compensated or decompensated cirrhosis. An organizing panel of five experts reviewed all recommendations according to available data, which were subsequently scrutinized by all members of the Brazilian Association of Hepatology using a web-based approach...
October 2, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28977115/evaluation-of-human-leukocyte-antigen-class-i-and-ii-antigens-in-helicobacter-pylori-positive-pediatric-patients-with-active-gastritis-and-duodenal-ulcer
#3
Sevim Gönen, Sinan Sari, Yaşar Kandur, Buket Dalgiç, Oğuz Söylemezoğlu
BACKGROUND: As being the first bacteria determined to be carcinogenic, Helicobacter pylori (H. pylori) is a pathogen localized in the stomach in more than half of the world population. Some earlier studies have found a relation between tissue histocompatibility antigens and gastric cancers depending on the regions. OBJECTIVE: The present study aimed to determine the distribution of human leukocyte antigen (HLA) class I and class II antigens in H. pylori-positive pediatric patients with active gastritis and duodenal ulcer, excluding cancer cases, in our center...
October 2, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28977114/adalimumab-for-ulcerative-colitis-results-of-a-brazilian-multicenter-observational-study
#4
Patrícia Zacharias, Aderson Omar Mourão Cintra Damião, Antonio Carlos Moraes, Fábio Vieira Teixeira, Juliano Coelho Ludvig, Rodrigo Bremer Nones, Rogerio Saad-Hossne, Ligia Yukie Sassaki, Rosemary Pereira Lino da Silva, Luiza Facchin, Marcia Olandoski, Paulo Gustavo Kotze
BACKGROUND: Adalimumab is a monoclonal antibody, tumor necrosis factor-alpha (TNFα) inhibitor that has efficacy for inducing and maintaining remission in moderate-to-severe ulcerative colitis. Real world studies with adalimumab in Latin American ulcerative colitis patients are scarce. OBJECTIVE: To assess the clinical remission rates in induction and maintenance with adalimumab therapy in ulcerative colitis. METHODS: Observational, multicenter and retrospective study on a case series of patients with moderate-to-severe ulcerative colitis under adalimumab therapy...
October 2, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28977113/primary-sclerosing-cholangitis-in-children-and-adolescents
#5
Eleonora Druve Tavares Fagundes, Alexandre Rodrigues Ferreira, Caroline Caldeira Hosken, Thaís Costa Nascentes Queiroz
BACKGROUND: Primary sclerosing cholangitis is a rare disease, but its prevalence has been underestimated in children and adolescents due to broad variation in clinical presentation as well as diagnostic challenges in this life period. OBJECTIVE: To evaluate children and adolescents with primary sclerosing cholangitis and to describe their clinical, laboratorial, histopathological, and cholangiography conditions. METHODS: This is an observational descriptive research that took place from 2005 to 2016 and included all the patients seen in the Outpatient Unit for Pediatric Hepatology of Hospital das Clinicas of UFMG who had been diagnosed with primary sclerosing cholangitis before the age of 18...
October 2, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954047/comparative-study-on-gastrostomy-and-orally-nutrition-of-children-and-adolescents-with-tetraparesis-cerebral-palsy
#6
Thaisa Barboza Caselli, Elizete Aparecida Lomazi, Maria Augusta Santos Montenegro, Maria Angela Bellomo-Brandão
BACKGROUND: Gastrostomy tube feeding (GTF) is indicated for children with feeding difficulties due to tetraspastic cerebral palsy, although there are no definitive conclusions about the benefits of GTF. OBJECTIVE: To compare nutritional status and diet of pediatric patients with tetraparesis cerebral palsy who are fed by GTF with those fed orally (PO). METHODS: A transversal and descriptive study on 54 patients with spastic tetraparesis was held...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954046/adenoma-detection-rate-evaluation-and-quality-of-colonoscopy-in-the-center-west-region-of-brazil
#7
Daniela Medeiros Milhomem Cardoso, Marco Aurélio Silveira Botacin, Marilia Adriano Mekdessi
BACKGROUND: Colorectal cancer is the third commonest cancer in men and the second in women worldwide. Peculiarities of its evolution allow secondary prevention measures through colonoscopy, with high diagnostic and therapeutic capacity. In this context, the quality indicators of the procedure become important, among them the adenoma detection rate (ADR). OBJECTIVE: To relate the ADR in a medium risk population subjected to colonoscopy with sociodemographic, technical and histopathological indicators...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954045/low-prevalence-of-barrett-s-esophagus-in-a-risk-area-for-esophageal-cancer-in-south-of-brazil
#8
Diego Michelon DE Carli, Amanda Faria de Araujo, Renato Borges Fagundes
BACKGROUND: Barrett's esophagus a complication of gastroesophageal reflux disease (GERD) is a precursor of esophageal adenocarcinoma. The incidence of esophageal adenocarcinoma has been increasing in most Western countries. Rio Grande do Sul (RS), the Southernmost state of Brazil has the highest rates of esophageal cancer with low prevalence of esophageal adenocarcinoma. OBJECTIVE: To investigate the prevalence of Barrett's esophagus among patients underwent to upper gastrointestinal endoscopy in the last 5 years...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954044/histological-features-of-eosinophilic-esophagitis-in-children-and-adolescents
#9
Adriana Elisabeth Aguiar Benavides Carrasco, Rodrigo Strehl Machado, Francy Reis da Silva Patrício, Elisabete Kawakami
BACKGROUND: Eosinophilic esophagitis is an emerging disease featured by eosinophilic esophageal infiltrate not responsive to proton pump inhibitors. OBJECTIVE: To characterize histological features of children and adolescents with eosinophilic esophagitis. METHODS: Cross-sectional study in a tertiary hospital. Biopsies from each esophageal third from 14 patients (median age 7 years) with eosinophilic esophagitis were evaluated. Histological features evaluated included morphometry of esophageal epithelium, esophageal density (per high power field), extracellular eosinophilic granules, eosinophilic microabscesses, surface disposition of eosinophils, epithelial desquamation, peripapillary eosinophilia, basal layer hyperplasia and papillary elongation...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954043/safety-profile-of-anti-tnf-therapy-in-crohn-s-disease-management-a-brazilian-single-center-direct-retrospective-comparison-between-infliximab-and-adalimumab
#10
Mariella Bau, Patricia Zacharias, Diogo Araújo Ribeiro, Larissa Boaron, Alvaro Steckert, Paulo Gustavo Kotze
BACKGROUND: Infliximab and adalimumab are considered effective drugs in the management of Crohn's disease. However, due to significant immunossupression, they can cause important adverse events, mostly infections. OBJECTIVE: The aim of this study was to quantify and describe adverse events derived from adalimumab and infliximab use in Crohn's disease patients, and to compare the safety profile between these two agents. METHODS: This was an observational, single-center, longitudinal, retrospective study with Crohn's disease patients under infliximab or adalimumab therapy...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954042/antisecretory-treatment-for-pediatric-gastroesophageal-reflux-disease-a-systematic-review
#11
Ângelo Zambam de Mattos, Gabriela Meirelles Marchese, Bárbara Brum Fonseca, Carlos Kupski, Marta Brenner Machado
BACKGROUND: Proton pump inhibitors and histamine H2 receptor antagonists are two of the most commonly prescribed drug classes for pediatric gastroesophageal reflux disease, but their efficacy is controversial. Many patients are treated with these drugs for atypical manifestations attributed to gastroesophageal reflux, even that causal relation is not proven. OBJECTIVE: To evaluate the use of proton pump inhibitors and histamine H2 receptor antagonists in pediatric gastroesophageal reflux disease through a systematic review...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954041/importance-of-measuring-levels-of-infliximab-in-patients-treating-inflammatory-bowel-disease-in-a-brazilian-cohort
#12
Katia Cristina Kampa, Daphne Benatti Gonçalves Morsoletto, Marcela Rocha Loures, Alcindo Pissaia, Rodrigo Bremer Nones, Cláudia Alexandra Pontes Ivantes
BACKGROUND: Crohn's disease and ulcerative colitis are chronic inflammatory bowel diseases. In such pathologies, there is an increased production of alpha tumor necrosis factor (TNF-α). Patients, in whom the conventional immunosuppressant treatment fails, require the use of immunobiological therapy, such as anti-TNF-α, a monoclonal antibody. Infliximab is an anti-TNF-α drug, a chimerical immunoglobulin, with a murine component, which is responsible for the generation of immunogenicity against the drug and formation of anti-TNF-α antibodies...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954040/alcohol-dependence-in-gastroenterolog-youtpatient-on-a-public-hospital
#13
Mariana de Andrade Pranke, Gabriela Perdomo Coral
BACKGROUND: Alcoholism and alcoholic liver disease are both considered worldwide health problems. OBJECTIVE: The prevalence of alcohol dependence, the associated risk factors and the concordance between the prevalence found and the data collected during the medical visit were evaluated. METHODS: A prospective study evaluating gastroenterology outpatients at a public tertiary hospital was conducted. Two specific questionnaires to assess alcohol dependence were applied: Cut down, Annoyed by criticism, Guilty, Eye-opener (CAGE) and The Alcohol Use Disorder Identification Test (AUDIT)...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954039/flow-mediated-dilation-and-carotid-intima-media-thickness-in-patients-with-chronic-gastritis-associated-with-helicobacter-pylori-infection
#14
Arezo Judaki, Siros Norozi, Mohammad Reza Hafezi Ahmadi, Samira Mis Ghavam, Khairollah Asadollahi, Asghar Rahmani
BACKGROUND: Endothelial dysfunction is one of the early stages of vascular diseases. OBJECTIVE: The aim of this study was to investigate the endothelial dysfunction markers in patients with chronic gastritis associated with Helicobacter pylori (H. pylori) infection. METHODS: By a cross sectional study, basic and clinical information of 120 participants (40 patients with positive H. pylori infection, 40 patients with negative H. pylori infection and 40 healthy people) were analyzed...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28954038/characterization-of-the-mucin-phenotype-can-predict-gastric-cancer-recurrence-after-endoscopic-mucosal-resection
#15
Fabio Yuji Hondo, Humberto Kishi, Adriana Vaz Safatle-Ribeiro, Fernanda Cristina Simões Pessorrusso, Ulysses Ribeiro, Fauze Maluf-Filho
BACKGROUND: Endoscopic mucosal resection is still considered an accepted treatment for early gastric cancer for selected cases. Histopathologic criteria for curative endoscopic resection are intramucosal well-differentiated adenocarcinoma, lateral and deep margins free of tumor, no histological ulceration, and no venous or lymphatic embolism. A 5% local recurrence rate has been described even when all the above-mentioned criteria are met. On the other hand, antigen expression by tumoral cells has been related to the biological behavior of several tumors...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/29160376/eosinophilic-esophagitis-and-proton-pump-inhibitors-is-there-a-new-link
#16
Mauro Batista de Morais
No abstract text is available yet for this article.
December 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28724049/hepatitis-b-status-in-hemodialysis-patients
#17
Maia Nogueira Crown Guimarães, Tila Facincani, Sigrid De Sousa Dos Santos
BACKGROUND: Patients on chronic dialysis present a high prevalence of hepatitis B virus infection. Despite infection-control practices, surveillance of serological markers, and hepatitis B vaccination, there are still outbreaks of the disease in dialysis centers. OBJECTIVE: This study aims to assess the serologic and vaccination status for hepatitis B in hemodialysis patients. METHODS: This cross-sectional study assessed serologic markers and hepatitis B vaccination status of chronic kidney disease patients on regular dialysis program in São Carlos, SP, Brazil...
July 13, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28876368/complementary-and-alternative-medicine-a-world-to-be-explored
#18
EDITORIAL
Adérson Omar Mourão Cintra Damião
No abstract text is available yet for this article.
July 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28724051/obesity-and-crohn-s-disease-what-comes-first-the-egg-or-the-chicken
#19
Paulo Gustavo Kotze
No abstract text is available yet for this article.
July 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28724050/higher-meld-score-increases-the-overall-cost-on-the-waiting-list-for-liver-transplantation-a-micro-costing-analysis-based-study
#20
Jose Antonio Orellana Turri, Tassia Cristina Decimoni, Leandro Augusto Ferreira, Marcio Augusto Diniz, Luciana Bertocco de Paiva Haddad, Alessandro Gonçalves Campolina
BACKGROUND: The pre-transplant period is complex and includes lots of procedures. The severity of liver disease predisposes to a high number of hospitalizations and high costs procedures. Economic evaluation studies are important tools to handle costs on the waiting list for liver transplantation. OBJECTIVE: The objective of the present study was to evaluate the total cost of the patient on the waiting list for liver transplantation and the main resources related to higher costs...
July 2017: Arquivos de Gastroenterologia
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