RESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso , Adenocarcinoma/diagnóstico , Comorbidade , Síndrome de Opsoclonia-Mioclonia/diagnóstico , Síndrome de Opsoclonia-Mioclonia/tratamento farmacológico , Neoplasias da Próstata/diagnóstico , Corticosteroides , Ataxia/etiologia , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada , Movimentos SacádicosAssuntos
Adenocarcinoma/diagnóstico , Comorbidade , Síndrome de Opsoclonia-Mioclonia , Neoplasias da Próstata/diagnóstico , Corticosteroides , Idoso , Ataxia/etiologia , Humanos , Masculino , Síndrome de Opsoclonia-Mioclonia/diagnóstico , Síndrome de Opsoclonia-Mioclonia/tratamento farmacológico , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada , Movimentos SacádicosAssuntos
Varizes Esofágicas e Gástricas/tratamento farmacológico , Hemorragia Gastrointestinal/prevenção & controle , Cirrose Hepática/complicações , Propranolol/uso terapêutico , Avaliação de Medicamentos , Varizes Esofágicas e Gástricas/complicações , Feminino , Hemorragia Gastrointestinal/etiologia , Humanos , Hipertensão Portal/complicações , Hipertensão Portal/tratamento farmacológico , Masculino , Pessoa de Meia-IdadeAssuntos
Varizes Esofágicas e Gástricas/etiologia , Hemorragia Gastrointestinal/prevenção & controle , Hipertensão Portal/tratamento farmacológico , Cirrose Hepática/complicações , Propranolol/uso terapêutico , Adulto , Feminino , Hemorragia Gastrointestinal/etiologia , Humanos , Hipertensão Portal/etiologia , Masculino , Pessoa de Meia-IdadeAssuntos
Ácidos e Sais Biliares/sangue , Doenças Biliares/sangue , Hepatopatias/sangue , Colestase/diagnóstico , Colestase Extra-Hepática/sangue , Ácido Glicocólico/análogos & derivados , Ácido Glicocólico/sangue , Hepatite/sangue , Humanos , Abscesso Hepático Amebiano/sangue , Cirrose Hepática Alcoólica/sangueRESUMO
Se determinaron los niveles sericos, de los acidos biliares colilglicina y sulfolitocolilglicina, por radioinmunoanalisis en varias enfermedades hepatobiliares como son: cirrosis secundaria a alcoholismo, cirrosis post-hepatitis, colestasis extrahepatica, absceso hepatico amibiano, hepatitis cronica activa y un grupo miscelaneo. La colilglicina se elevo principalmente, en aquellos padecimientos que cursaban con alteraciones hepatocelulares y obstruccion extrahepatica; los valores mas altos se observaron en pacientes con cirrosis hepatica secundaria a alcoholismo que cursaban con encefalopatia y en aquellos con obstruccion maligna. La sulfolitocolilglicina solo se incremento en la obstruccion extrahepatica por lo que se considera mas especifica y posiblemente de utilidad, para el diagnostico diferencial de colestasis. Se discuten las posibles causas que pueden intervenir en la elevacion de estos acidos biliares en los padecimientos hepatobiliares
Assuntos
Humanos , Ácido Glicocólico , HepatopatiasRESUMO
A prospective and comparative study between the citology obtained through gastric washing and endoscopic (biopsy and brushing) for the diagnostic of the gastric neoplasias was carried at the Hospital de Especialidades del Centro Médico La Raza. Twenty one patients with benign gastric ulcer and 18 patients with gastric neoplasia (Two lymphomas and 16 adenocarcinomas) which we checked through surgery, necropsy or clinic evolution were studied. From 21 cases of gastric ulcer, the washing produced enough material for diagnosis in 17 of them (81%); in 16 of these neoplasia was excluded (94.1%) with false positive (5.9%). The endoscopic regained 100% of useful material and in a 100% ignored neoplasia. From 18 neoplasia cases, gastric washing produced material for 14 of them (77.8%); in 10 of these (71.4%) it made a diagnostic with 4 false negatives (28.6%); Endoscopic collected material in a 100% and the accuracy diagnostic was of 17 (94.4%) with one false negative (5.6%). Gastric washing has a high index of uselless for diagnostic from 39 samples, 8 were useless and from these, autolisis was the mein cause. Citology through gastric washing is usefull for neoplasm diagnosis in those cases in which endoscopy would be contraindicated or in those in which it is absent.
Assuntos
Adenocarcinoma/diagnóstico , Lavagem Gástrica , Linfoma/diagnóstico , Neoplasias Gástricas/diagnóstico , Citodiagnóstico/métodos , Gastroscopia , Humanos , Úlcera Gástrica/diagnósticoRESUMO
From 1974 to 1976 Acute Amoebic Hepatic Abscess treatment was viewed retrospectively with a random double blind prospective study administering metronidazol emetine, or a combination of both to three groups of 20 patients per group. The retrospective study of 1974 underlines the then predominant tendency toward a surgical management with a higher mortality (p less than 0.002). In 1976 medical treatment patients increased with a corresponding diminution of mortality (p less than 0.001). The prospective study showed no statistically significant response difference to the pharmacologic treatment variations. Here only 1.6% of patients underwent surgery and 1/3 of them received puncture drainage due to medical treatment failure. We conclude that non complicated acute amoebic liver abscess treatment should be medical, preferably with only one antiamoebic drug.
Assuntos
Emetina/uso terapêutico , Abscesso Hepático Amebiano/tratamento farmacológico , Metronidazol/uso terapêutico , Ensaios Clínicos como Assunto , Método Duplo-Cego , Avaliação de Medicamentos , Emetina/administração & dosagem , Humanos , Injeções Intramusculares , Metronidazol/administração & dosagem , PlacebosRESUMO
In the Department of Gastroenterology of "El Centro Médico La Raza, I.M.S.S.", three groups of 20 patients were studied: group I with acute pancreatitis; group II with acute abdomen without pancreatic pathology, in both groups the diagnosis was demonstrated surgically or in necropsy; group III was formed by 20 normal voluntary persons, and served as control. A 4 per cent amilase/creatinine clearence index was considered as a high normal value. The diagnosis accuracy in group I was 90 per cent. In group II there was five false positive results, in 80 per cent of the cases the results of the amilase/creatinine clearence index was found within normal limits. The difference between group I and group III was significant (P less than 0.002). The difference between group I and group II was also significant (P less than 0.05). There was no significant difference between group II and group III. The amilase/creatinine clearence index has the advantage that it can be obtained with only one blood and urine samples taken simultaneously. We concluded that amilase/creatine clearence index is useful for the differential diagnosis in acute pancreatitis and that is probably due to an alteration in the tubular renal reabsorption.