Revista de gastroenterología de México
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Gastric pneumatosis is an unusual clinical finding in infants and children and it appears in the three following similar conditions: pneumatosis cystoides; emphysematous gastritis, and gastric emphysema. MATERIALS METHODS AND RESULTS: The clinical pictures and radiographic appearance of this association are described in four patients in whom the clinical course made suspect interstitial gastric emphysema. Two patients had hypertrophic pyloric stenosis and two, unspecific erosive gastritis. In the first two patients, a Fredet-Ramstedt procedure was performed. All patients survived. Differential diagnostic considerations, the importance of correct radiological diagnosis, and the results of proper therapy are discussed. ⋯ Pyloric and duodenal obstruction in infants is the main etiologic factor in gastric emphysema.
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Rev Gastroenterol Mex · Apr 1999
Clinical Trial[Abdominal complications after cardiopulmonary procedures].
To know the frequency of intraabdominal complications and its impact on survival of patients submitted to cardiopulmonary bypass for common open-heart surgical procedures. ⋯ Factors indicative of or contributing to periods of decreased end-organ perfusion appear to be significantly related to abdominal complications. Also, medical history of peptic ulcer disease represented an individual determinant of severe surgical complications as ulcer perforation and massive bleeding.
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Rev Gastroenterol Mex · Jan 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Eradication of Helicobacter pylori in peptic ulcer and chronic gastritis. A randomized clinical trial].
The Helicobacter pylori (Hp) is found in patients with gastritis and peptic ulcer approximately in up to 80 percent. The eradication rates of 80 to 90 percent are achievable with some regimens. ⋯ Eradication treatment was successful in 70% (p NS). Peptic ulcer refractory in 23% of patients and NSAID's use was inversely related to Hp eradication (p 0.05).
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Rev Gastroenterol Mex · Oct 1997
Comparative Study[Malnutrition and total parenteral nutrition: a cohort study to determine the incidence of refeeding syndrome].
The Refeeding Syndrome is conformed by a series of clinical manifestations related to electrolytic alterations associated with the restarting of the nutritive contribution both enteral and parenteral. ⋯ Refeeding Syndrome is a frequent entity in malnourished patients submitted to enteral or parenteral nutrition; at least in this study it was of 48%; its presence was followed by a longer hospital stay and a higher mortality rate.