Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú
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Rev Gastroenterol Peru · Apr 2009
[Prospective validation of the Rockall Scoring System in patients with upper gastrointestinal bleeding in Cayetano Heredia Hospital Lima- Peru].
The present study intends to validate the Rockall Score in patients with upper gastrointestinal bleeding (UGB) in our current medical setting and to find the value that best discriminates between patients with high or low risk of mortality, rebleeding and the need of more than two units of packed red blood cells (PRBC). ⋯ The Rockall scoring system is useful to identify patients with high mortality risk, but not to predict rebleeding or the need for blood transfusion in our hospital.
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Fibrovascular polyps are extremely rare benign neoplasias of the esophagus, which usually originate in the lower cricoid area. They do not produce any discomfort in the patient for a long time, however it may make itself evident by the patient's regurgitation of the polyp, producing asphyxia or, more frequently, dysphagia. The case of a 58 year old male patient is presented herein, with a 9 month record of dysphagia, weight loss and intermittent melena. ⋯ The endoscopy confirmed the presence of a pediculated tumor, implanted in the cervical esophagus. Surgeons suspected the potential malignancy of the tumor and performed a transhiatal esophagectomy. The final pathologic diagnosis was giant fibrovascular esophageal polyp.
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Rev Gastroenterol Peru · Apr 2003
Review[Clinical-epidemiological characteristics in caustics ingestion patients in the Hipólito Unanue National Hospital].
The ingestion of caustic substances represents a serious problem, often with devastating consequences on the esophagus and the stomach. ⋯ Adolescents and young adults are the age groups which most suffer of this pathology. Bleach is the most ingested caustic substance (66.7%). Women have a higher risk of ingesting a caustic substance (64.4%). Caustic substances are mostly ingested pure (64.4%). Conjugal conflicts are the main reason for caustic ingestion. Clinical symptoms vary, with abdominal pain being the main discomfort among these patients. Oropharyngeal congestion is the most frequent finding. Esophageal-gastric mucose edema and hyperemia (Zargar 1) are the endoscopic lesions mostly found.
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Rev Gastroenterol Peru · Oct 2002
Comparative Study[Comparative evaluation of the surgical treatment of acute appendicitis: open appendicetomy versus laparoscopic appendicectomy in the national hospital hospital Carlos a. Seguin e. Essalud].
To establish the advantages and disadvantages of open appendicectomy versus laparoscopic appendicectomy in the surgical treatment of acute appendicitis in the National Hospital Carlos Alberto Seguin Escobedo. ⋯ Laparoscopic appendicectomy does not offer significant benefits over open appendicectomy in patients with acute appendicitis with the exception of the esthetic aspect in women and disadvantages langer operative time and more expensive.