Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú
-
Rev Gastroenterol Peru · Oct 2002
[The validity of the proteins concentrations in the ascitic liquid and serum for the differential diagnosis of the ascitis].
Prospective evaluation was performed in 60 in-patients, carriers of ascites of different etiologies, analyzing the validity of the parameters depending on protein and albumin dosage, both in the ascitic serum and fluid, for the discrimination of possible etiological causes of ascites, including in these parameters Protein Concentration in the Ascitic Fluid, the Serum-Ascites Albumin Gradient, the Protein Ascites/Serum Ratio, and the Albumin Concentration in the ascitic fluid. Average age was 46.9 +/- 19.6, all female; 21 cases were associated with Chronic Hepatic Disease, 14 to Tuberculosis, 11 to Malignant Neoplasia, 7 to Nephrotic syndrome, 4 to Congestive Heart Failure, 2 to Collagen Disease, and 1 to a severe Malnutrition case. ⋯ However, the other parameters must not be excluded for the evaluation of those cases, aiming at establishing whether the peritoneum has been affected and hence the terms transudates and exudates should still be used on the basis of the high sensitivity value and specificity of theses tests, which do not differentiate them statistically from the Serum-Ascites Albumin Gradient. Using the cut-off points for each parameter, the most adequate for our population would be 1.5 gr/dl for Albumin and 2.5 gr/dl for protein, with the additional lower cost benefit.
-
Rev Gastroenterol Peru · Jan 2001
Review[Acalculous acute cholecystitis during the course of typhoid fever in children].
Determine the treatment of the acalculous acute cholecystitis during the course of typhoid fever in children. ⋯ Acute cholecystitis is not a common entity in children, and rare complication in the course of the typhoid fever. The surgical decision is primary in almost all the patients, for the risk of vesicular perforation and the possibility they become healthy carriers. Those patients who were not able to have a surgical treatment, were recommended to have medical treatment and ultrasonographic follow-up.
-
Rev Gastroenterol Peru · Sep 1995
Review Case Reports[Strongyloides stercoralis hyperinfection syndrome in a patient with human immunodeficiency virus (HIV) infection: report of a case and review of the literature].
A case of a twenty-one year old woman with Strongyloides stercoralis hyperinfection associated with human immunodeficiency virus infection that represents the fifteen case reported in the literature is here presented. Hypothesis for which this association is infrequent and several therapeutic alternatives are reviewed.
-
Rev Gastroenterol Peru · Jan 1995
Review Comparative Study[Intra-abdominal sepsis: surgical management].
Intraabdominal sepsis is a frequent clinical disorder in inpatients with severe consequences as septic shock and multisystem organic failure. It starts with the presence of germs or toxins from the abdominal cavity either intra or retroperitoneal. Pathophysiology is not yet totally understood. ⋯ Treatment is based in the administration of antibiotics, nutritional support, ventilatory and hemodynamic aids. The keystone of the management is surgery. This review details the main technics and strategies of the surgeon in the operative room.