RESUMEN
We described a patient 40 years old, admitted to the clinic with periodic attacks of pain in the right upper quadrant. With ultrasound it was confirmed chronic acalculous cholecystitis, and at endoscopy and multiple biopsies revealed atrophy of the mucosa of the duodenum (DM), corresponding to celiac disease (stage III in the Marsh classification). Titer of antibodies to gliadin (AGA) and tissue transglutaminase (AtTG) were higher: 60 and 110 units/ml, respectively, at a rate of 10 units/ml. The patient was assigned a lifetime adherence to a gluten-free diet, serologic test and a control endoscopy with biopsy at 6 months. The important role of the doctor-endoscopist in the diagnosis of latent forms of celiac disease. The significance of DM atrophy in the pathogenesis of patients with chronic cholecystitis.
Asunto(s)
Colecistitis Alitiásica/diagnóstico , Enfermedad Celíaca/diagnóstico , Colecistitis Alitiásica/complicaciones , Colecistitis Alitiásica/tratamiento farmacológico , Adulto , Enfermedad Celíaca/complicaciones , Enfermedad Celíaca/dietoterapia , Dieta Sin Gluten , Femenino , Humanos , Resultado del TratamientoRESUMEN
Non-epithelial tumors account for 5% of all neoplasms of the gastrointestinal (GI) tract, most often have no clinical manifestations and they are finding during the endoscopy. Visual inspection and standard method for gable biopsy doesn't let to verify the kind of education. Endoscopic ultrasonography (EUS) significantly expands the possible differential diagnosis of submucosal formations on the basis of their ultrasound characteristics. The article presents the literature and personal experience of differential diagnosis of non-epithelial tumors, and benign formations of the esophagus, stomach and duodenum wall.
Asunto(s)
Neoplasias Duodenales/diagnóstico por imagen , Endosonografía/métodos , Neoplasias Esofágicas/diagnóstico por imagen , Neoplasias Gástricas/diagnóstico por imagen , Biopsia con Aguja Fina , Diagnóstico Diferencial , Neoplasias Duodenales/patología , Neoplasias Esofágicas/patología , Humanos , Membrana Mucosa/diagnóstico por imagen , Membrana Mucosa/patología , Neoplasias Gástricas/patologíaRESUMEN
UNLABELLED: Improving of the endoscopic techniques and the accumulation of medical experience shouldn't only contribute to improving the quality of endoscopic manipulation, but also reduce the stress reactions of the patient before their implementation. AIM: To evaluate the effectiveness and advantages of transnasal esophagogastroduodenoscopy. MATERIALS AND METHODS: Were analyzed the experience of more than 4000 transnasal esophagogastroduodenoscopy. To perform endoscopy transnasal endoscope used access Fujinon EG-530N (CPU EPX-4400). The level of situational anxiety before endoscopy was studied using the Spielberger-Hanin test in 110 patients. Were analyzed the subjective assessment of patients, as well as view endoscopists who conducted the research. RESULTS OF THE STUDY: According to the results of the study the lowest level of anxiety mounted among patients who underwent endoscopy transnasal access again. According to the subjective assessment of patients, the benefits of transnasal endoscopy were: the minimum expression or complete lack of gag reflex with the introduction of the device in a study, the possibility of dialogue with the doctor during the study, the lack of negative experiences of endoscopy. Was conducted the endoscopy transnasal access doctors said endoscopists improve the quality of visualization and increase the inspection, due to good tolerability study of a patient. CONCLUSION: Transnasal esophagogastroduodenoscopy is a promising screening method of investigation, since it is easier tolerated by patients and does not require sedation.
Asunto(s)
Endoscopía del Sistema Digestivo/instrumentación , Endoscopía del Sistema Digestivo/métodos , Enfermedades Gastrointestinales/diagnóstico , Ansiedad/etiología , Endoscopía del Sistema Digestivo/psicología , Humanos , Nariz , Satisfacción del PacienteRESUMEN
The survey provides information about a new problem in gastroenterology - non-alcoholic fatty gallbladder disease (cholicyststeatosis, steatocholecystitis).
Asunto(s)
Colecistitis/etiología , Hígado Graso/etiología , Obesidad/complicaciones , Colecistitis/prevención & control , Hígado Graso/prevención & control , Humanos , Obesidad/terapia , Factores de RiesgoRESUMEN
The article presented a rare clinical observation of 55 years old patient, long-suffering from gall bladder adenomiomatosis, for which the subsequent development was complicated by lymphocytoplasmocytic cholecystitis.