[Disorders affecting the digestive system during sleep]. / Alteraciones del sistema digestivo durante el sueño.

AIMS: In this work we review the major publications dealing with disorders that affect the digestive system and how they are related to sleep. Development. Sleep disorders occur in 12-25% of the general population and a large percentage of these pathologies are related to disorders of the digestive system. We review the different pathologies and symptoms linked to the digestive tract that give rise to sleep disorders. The study first examined the upper digestive tract, that is, the teeth and teeth grinding, and we then went on to look at gastroesophageal reflux, esophageal motility disorders, peptic ulcer disease, cholelithiasis, gastric ulcer, irritable bowel, proctalgia, the extent to which the disorders are related to pregnancy, disorders at the paediatric age and eating disorders. CONCLUSIONS: Digestive pains during sleep form a heterogeneous clinical picture that disrupts patients' sleep and exerts an influence on their quality of daily living, which in turn may affect sleep and favour the appearance of pains. To date these symptoms have received relatively little attention, but in the few studies that have been carried out, it has not been possible to establish with any degree of accuracy whether sleep and the digestive system share common control mechanisms or not. Research into this type of disorders could help to prevent the appearance of the complications that appear in these clinical pictures.

Alteraciones del sistema digestivo durante el sueño / Disorders affecting the digestive system during sleep

Objetivo. En el presente trabajo se revisan las principales publicaciones que tratan sobre alteraciones del sistema digestivo y su relación con el sueño. Desarrollo. Los trastornos del sueño se dan en el 12-25 por ciento de la población general; una gran parte de esta patología tiene relación con alteraciones del sistema digestivo; realizamos una revisión de las distintas patologías digestivas y los cuadros relacionados con el tubo digestivo que acarrean trastornos de sueño. Comenzamos por el sistema digestivo superior, en los dientes, con el bruxismo, y continuamos con la enfermedad por reflujo gastroesofágico, los trastornos de la motilidad esofágica, la enfermedad ulcerosa péptica, la colelitiasis, la úlcera gástrica, el intestino irritable, la proctalgia, la relación de los trastornos con el embarazo, las alteraciones en la edad pediátrica y los trastornos de la alimentación. Conclusiones. Los dolores digestivos durante el sueño forman un cuadro heterogéneo de patologías que interrumpen el sueño del paciente e influyen sobre su calidad de vida diurna; ésta, a su vez, puede influir sobre el sueño y favorecer la aparición de dolores. Estos cuadros se han estudiado hasta ahora relativamente poco; cuando sí se han estudiado, no se ha llegado a establecer con precisión si existen mecanismos de control comunes entre el sueño y el aparato digestivo. La investigación de este tipo de trastornos podría llevar a evitar muchas de las complicaciones que aparecen en estos cuadros (AU)

Aims. In this work we review the major publications dealing with disorders that affect the digestive system and how they are related to sleep. Development. Sleep disorders occur in 12-25% of the general population and a large percentage of these pathologies are related to disorders of the digestive system. We review the different pathologies and symptoms linked to the digestive tract that give rise to sleep disorders. The study first examined the upper digestive tract, that is, the teeth and teeth grinding, and we then went on to look at gastroesophageal reflux, esophageal motility disorders, peptic ulcer disease, cholelithiasis, gastric ulcer, irritable bowel, proctalgia, the extent to which the disorders are related to pregnancy, disorders at the paediatric age and eating disorders. Conclusions. Digestive pains during sleep form a heterogeneous clinical picture that disrupts patients’ sleep and exerts an influence on their quality of daily living, which in turn may affect sleep and favour the appearance of pains. To date these symptoms have received relatively little attention, but in the few studies that have been carried out, it has not been possible to establish with any degree of accuracy whether sleep and the digestive system share common control mechanisms or not. Research into this type of disorders could help to prevent the appearance of the complications that appear in these clinical pictures (AU)

[Costal osteolysis due to a giant arteriosclerotic aneurysm of the ascending thoracic aorta]. / Osteólisis costal por un aneurisma arteriosclerótico gigante de la aorta torácica ascendente.

In this case report the patient had a giant saccular aneurysm caused by arteriosclerosis, located in the ascending aorta and protruding through the anterior thoracic wall, with osteolysis of the two adjacent ribs. Costal involvement in arteriosclerotic aneurysms has not been described in the literature. We review the incidence, types and clinical signs of aneurysms of the ascending aorta, emphasizing the complications caused by arteriosclerotic aneurysms.