Revista de gastroenterología de México
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Rev Gastroenterol Mex · Apr 2004
Comparative Study Clinical Trial[Management of the abdominal wall in sepsis. Comparison of two techniques].
To compare two techniques of open abdomen management in patients with abdominal sepsis. ⋯ Use of subcutaneous polyethylene bag in patient with abdominal sepsis and open abdomen appears safer when compared with Bogota bag.
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Rev Gastroenterol Mex · Oct 2003
Review Case Reports[Cervical esophagogastrostomy dehiscence after gastric pull-up for type I esophageal atresia. Case report of a patient successfully treated with fibrin glue and a review of the literature].
The treatment of choice for type 1 esophageal atresia is surgery to re-establish continuity of gastrointestinal tract by colon interposition or gastric pull-up. Incidence of cervical anastomosis dehiscence is 20-40%. Although it is not a serious complication, it requires a fasting period and nutritional support to achieve spontaneous closure within 2-4 weeks. ⋯ We demonstrated that use of biological adhesives can shorten time required to achieve closure of high- and low-output volume fistulas. In the present case, use of fibrin glue to obliterate the fistulous tract gave satisfactory results, reducing time to spontaneous closure and facilitating early commencement of oral feeding. Cases of enterocutaneous fistula closure reviewed in the literatura generally involve adults, but the technique can be used in children with this type of complication.
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Rev Gastroenterol Mex · Jul 2003
Review Comparative Study[Exactness of transcutaneous sonography in the diagnosis of gastric wall lesions].
Our objective was to determine sensitivity, especificity and predictive values of transcutaneous sonography for detecting gastric wall lesions. ⋯ Transcutaneous sonography is a rapid, low cost and non-invasive method that may be useful to establish clinic diagnosis and in the first steps of gastric wall lesions evaluation, it is valuable in assessment of diagnostic orientation for the referring clinic.
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Rev Gastroenterol Mex · Jan 2003
[Iron-deficiency anemia in children. A old problem not yet resolved].
Iron-deficiency anemia is still a health problem worldwide. Iron supplementation of some foods such as milk formulas and cereals apparently has not been the solution due to bioavailability of iron. In Mexico, there is high prevalence of anemia in children to date, mainly those under 2 years of age and predominantly in the Southern part of the country. Probably the main causes are iron-deficiency anemia in pregnant women, recurrent infections, such as gastroenteritis and parasites, and the most important one undoubtedly, deficient iron intake.