Examinando por Materia "Endoscopy, Gastrointestinal"

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Acceso abierto
Effectiveness of erythromycin infusion before gastric endoscopy in preventing complications in patients with upper gastrointestinal bleeding
(Universidad Privada Norbert Wiener, 2018-12-16) Rucoba Reategui, Jhon Shatner; Pezo Arteaga, Dolibeth; Calsin Pacompia, Wilmer
Objective: To analyze the evidence on the effectiveness of erythromycin infusion before gastric endoscopy in preventing complications in patients with upper gastrointestinal bleeding. Materials and Methods: The type of research was quantitative, the study design was a systematic review, the population was 35 articles, and the sample was 10 scientific articles published and indexed in scientific databases, the instrument was a search based of data: Cochrane Library, Scielo British Medical Journal, PubMed, Lancet, Wiley Online Library and epistemonikos, to evaluate the articles the GRADE method was used which evaluated the quality of evidence and the strength of recommendation. Results: In the final selection, 10 articles were chosen, we found that 10% correspond to South Korea, 20% to Saudi Arabia, 20% France, 10% China, 10% Iran and 30% the USA. In relation to the designs and types of studies, the majority were 30% clinical trials, 30% systematic review, 20% meta-analysis, 10% cases and controls and 10% randomized trial. Conclusions: It is concluded that 9 of 10 articles show the effectiveness of erythromycin infusion because it significantly improves the visualization of the gastric mucosa, reduces the possibility of a second endoscopy and reduces the duration of the endoscopic procedure. And 1 of 10 articles do not show endoscopic visualization because it was not analyzed because disparate definitions between studies did not allow for meaningful clinical inferences.
Acceso abierto
Effectiveness of percutaneous transhepatic biliary drainage versus endoscopic biliary drainage to reduce complications in preoperative patients with perihilar cholangiocarcinoma
(Universidad Privada Norbert Wiener, 2018-12-02) Otiniano Nonato, Luz Aurora; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence on the effectiveness of percutaneous transhepatic biliary drainage versus endoscopic biliary drainage to reduce complications in preoperative patients with perihilar cholangiocarcinoma. Material and Methods: Orderly, analytical and summary review of quantity from an analytical perspective through the Grade parameter in order to identify certainties found in the subsequent reference group.: Epistemonikos, PubMed, Scielo, Elsevier, Sciencedirect. In the 10 articles systematically reviewed, 50% (n= 5/10) are meta-analysis, 30% (n= 3/10) are randomized controlled trials and 20% (n= 2/10) are cohort studies. According to the data obtained from the organized analysis included in this work, they come from nations such as: Korea (20%), China (20%), Japan (10%), France (10%), Netherlands (10%), Canada (10%) USA (10%) and Australia (10%). Results: Textually of the traces found, 60% (n=6/10) (20, 21, 22,23 25, 27) indicate that DBTP is more effective than DBE while 20% (n=2/ 10) (24.28) indicate that DBE is more effective than DBTP, and 20% (n=2/10) (19.26) indicate that both DBTP and DBE have similar complications in preoperative patients with perihilar cholangiocarcinoma. Conclusion: 6 out of 10 articles showed that percutaneous transhepatic biliary drainage is more effective than endoscopic biliary drainage and should be performed as the first option, 2 of the 10 articles showed that endoscopic biliary drainage is more effective than percutaneous transhepatic biliary drainage for reduce days of prolonged hospital stay and 2 of 10 investigations demonstrated that endoscopic biliary drainage with percutaneous transhepatic biliary drainage have similar complications in preoperative patients with perihilar cholangiocarcinoma
Acceso abierto
Revisión crítica: alteración del microbioma intestinal de los pacientes sometidos a una cirugía bariátrica
(Universidad Privada Norbert Wiener, 2025-05-14) Ramírez Quintana, Cynthia Esmeralda; Ponce Castillo, Melissa
La formación de la microbiota intestinal humana, influenciada por factores ambientales y dietéticos, destaca la diversidad microbiana en el intestino y su estabilidad a lo largo de la vida. Desequilibrio, conocido como disbiosis, que se asocia, por citar algunas, con la obesidad y las adaptaciones postquirúrgicas; alteración en su riqueza que sugiere que estas cirugías pueden influir en la diversidad microbiana. De esta manera, la presente revisión crítica, titulada: “Alteración del microbioma intestinal de los pacientes sometidos a una cirugía bariátrica”, tiene el objetivo, fundamental, de analizar la influencia de estas cirugías en la microbiota intestinal y las modificaciones metabólicas posteriores. Se realiza la búsqueda bibliográfica en: PubMed, Scopus, Web of Science y otros; para seleccionar entre 40 artículos – que presentan como palabras clave “Cirugía bariátrica” y “microbioma intestinal” – los 10 que por su calidad metodológica – ensayos clínicos aleatorizados, revisiones sistemáticas y metaanálisis – respondan las preguntas que se consignan en las planillas de evaluación CASPe, según el diseño de investigación clínica. Considerando la revisión sistemática: “Gut Microbiota Profile in Adults Undergoing Bariatric Surgery: A Systematic Review” para el desarrollo del comentario crítico, tomando en cuenta – a criterio del evaluador – el nivel de evidencia “AII” y grado de recomendación “Fuerte”.