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INTRODUCTION. The double balloon enteroscope (DBE) is a new method allows the whole visualization of the small intestine lumen. The objective of present research was to assess the experience in the carrying out of this technique in children seen in the Pediatric Endoscopy Service of the Cuban Institute of Gastroenterology. METHODS. A retrospective and descriptive study was conducted to assess the accuracy, effectiveness and extent of the double balloon enteroscope screening in the diagnosis of small intestine diseases in children. Eight patients were studied by means of physical examination and negative complementary ones of small intestine disease, seen between November, 2008 and October, 2009. In three patients there was the clinical and radiological suspicion of Crohn's disease; in other three the suspicion of small intestine tumor and remainder were seen due to hidden bleeding of intestinal origin. RESULTS. Seven procedures were applied by retrograde route and two by the anterograde one, other patient undergoes total enteroscopy using both routes. The main extent of the oral DBE was of 62,5 min with an interval of 60 to 65min and by anal route it was of 50,7 min with an interval of 45 to 60 min. In all cases it was possible to identify some lesion explaining the symptoms. CONCLUSION. Double balloon enteroscope is a safe method for the diagnosis of small intestine disease in children. Source

La Rosa Hernandez D.,Institute Gastroenterologia | Gomez Cabezas E.J.,Direccion Provincial de Salud
Revista Cubana de Pediatria | Year: 2013

Two of the most important factors in the prevention of diseases in the under one-year old infants are breastfeeding and vaccination. The development of immune responses induced by vaccines requires an effective immune system in which the breastfeeding plays an essential role as an immune maturity inducer in the postnatal phase. Exclusive breastfeeding potentiates the immune responses from most of the vaccinal immunogens included in the infant vaccination programs. With the objective of expanding our knowledge on the effect of breastfeeding on vaccination, a literature review was made by using databases such as Google, Medline and the health information searcher from Infomed and breastfeeding and vaccine as subject headings. Source

Pascual M.G.-C.,Hospital Clinico Quirurgico Docente Joaquin Albarran | Berbes M.Z.,Hospital Clinico Quirurgico Docente Joaquin Albarran | Banos M.S.,Institute Gastroenterologia | Vazquez M.R.A.,Institute Gastroenterologia | Leyva L.M.,Hospital Dr. Carlos J. Finlay
Acta Gastroenterologica Latinoamericana | Year: 2011

Introduction. Medications to relief pain are more common in the everyday use during the colonoscopy practice, although schemes of medications vary. Objective. To evaluate the efficacy and the safety of propofol versus midazolam and petidhine in colonoscopy. Method. A randomized and simple-blind controlled clinical trial was carried out. We included 512 patients who underwent a colonoscopy during the period from February 2008 to January 2009. using propofol in one group and midazolam plus petidhine in another. Results. Cecal intubation was achieved in 247 patients (96.5%) with propofol and in 256 patients (100%) with midazolam plus petidhine. There were no significant differences between both methods regarding to the explored colon distance. Fifty-five patients (21.5%) had complications in the group receiving midazolam plus petidhine and 3 (1.2%) in the group receiving propofol. Complications were mild in both groups. Propofol reduced the relative risk of complications in 94.6% and absolute risk in 20.3%. Patients referred the same satisfaction degree with both methods. Conclusions. The use of propofol and midazolam plus petidhine is equally efficacious in the performance of the colonoscopy, while propofol is safer than midazolam plus propofol as a method of deep sedation. Source

Hierro Gonzalez A.,Institute Gastroenterologia | de Uime Ferreira E.P.,Institute Gastroenterologia | Gonzalez Fabian L.,Institute Gastroenterologia
Revista Cubana de Investigaciones Biomedicas | Year: 2016

Introduction: Gastric cancer is a serious health problem due to the complexity of its control. Objective: Describe the main clinical, epidemiological, endoscopic and histological characteristics of epithelial gastric cancer. Methods: An observational case-control study was conducted at the Institute of Gastroenterology from September 2012 to August 2014. The study sample consisted of 27 cases and 54 controls. Results: There was a predominance of the female gender (59.3 %, n= 27) and the 70-79 age group, with a mean age of 63.9 years. Epigastralgia was the most common symptom in both groups [85.2 % (cases) vs. 81.5 % (controls)]. Its association with nausea, vomiting, asthenia, anorexia and weight loss was more frequent in cases, with statistically significant differences (P= 0.008, CI= 1.39-25.31). The most common physical sign was skin and mucous pallor. The most frequent lesions were those larger than 2 cm, located in the two distal thirds of the stomach, and type III of the Paris classification. Signet ring cell carcinoma predominated (48.1 %). Conclusions: Epigastralgia associated to asthenia, weight loss and anorexia are the most common clinical symptoms in patients with epithelial gastric cancer. The most frequent histological type is signet ring cell carcinoma. © 2016, Editorial Ciencias Medicas. All rights reserved. Source

Hierro Gonzalez A.,Institute Gastroenterologia | Hano Garcia O.M.,Institute Gastroenterologia | Gonzalez Fabian L.,Institute Gastroenterologia
Revista Cubana de Medicina Tropical | Year: 2013

Introduction: filariae are nematodes from the family Filariidae. There are about 200 parasitic filariae, but only a few infect humans. Objectives: make a brief description of these parasitic diseases which may serve as guidance to the large number of Cuban cooperation doctors in African countries, where this condition is particularly common, and describe the behavior of filarial infections in patients cared for at Mouila Regional Hospital in Gabon. Methods: a cross-sectional observational descriptive study was conducted of 87 patients of both sexes aged 15 and over with confirmed filariasis. Results: it was found that 3.7% of patients had some kind of filariasis: 93.1% due to Loa loa, 5.7% due to Mansonella perstans and 1.1% due to coinfection by both. Females and persons over 65 were the most affected groups. The most common symptom was pruritus (59.8%), followed by polyarthralgia, lumbar pain and asthenia. Eosinophilia was present in 100% of subjects, and anemia was more frequent in patients infected with Mansonella perstans. Infection intensity was low in both filariases. The response was satisfactory in 86.1% of the patients treated with diethylcarbamazine and 82.4% of those treated with ivermectin. Conclusions: Loa loa was predominant mainly among women. Pruritus, anemia and eosinophilia were the main manifestations. Treatment with ivermectin was found to be effective. Source

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