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  1. Article: Review document of the Spanish Association of Neurogastroenterology and Motility on the management of opioid-induced constipation.

    Serra, Jordi / Alcedo, Javier / Barber, Claudia / Ciriza de Los Ríos, Constanza

    Revista espanola de enfermedades digestivas

    2024  

    Abstract: Opioid induced constipation is a rising problem due to the progressive increment in the prescription of opioids. By contrast to functional constipation, opioid-induced constipation is not a functional gut disorder, but a side effect of the use of opioids. ...

    Abstract Opioid induced constipation is a rising problem due to the progressive increment in the prescription of opioids. By contrast to functional constipation, opioid-induced constipation is not a functional gut disorder, but a side effect of the use of opioids. Opioids produce constipation due to a decrease in gastrointestinal motility and a reduction in the gastrointestinal secretions. The treatment of OIC focuses on three basic pillars: optimizing opioid drug indication, preventing constipation onset, and treating it if it occurs. As with any other cause of constipation, lifestyle adjustments and laxatives should be the first-line treatment in the pharmacological management of OIC. Osmotic laxatives such as polyethylene glycol (PEG) are the agents of choice. PEG is inert and is neither fermented nor absorbed in the gastrointestinal tract. Furthermore, it has broad clinical applicability due to its favourable safety profile. If first-line treatments fail, peripheral mu receptor antagonists (PAMORA) are the drugs of choice. They reduce the peripheral effects of OIC with minimal potential to diminish analgesia or induce centrally mediated withdrawal syndrome. Different PAMORA are available in the market, both for oral and subcutaneous administration, with demonstrated efficacy for management of OIC in different clinical trials.
    Language English
    Publishing date 2024-02-02
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2024.10242/2024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Barrett s esophagus - a review.

    Ciriza-de-los-Ríos, C

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2010  Volume 102, Issue 4, Page(s) 257–269

    MeSH term(s) Barrett Esophagus/diagnosis ; Barrett Esophagus/epidemiology ; Barrett Esophagus/pathology ; Barrett Esophagus/physiopathology ; Barrett Esophagus/prevention & control ; Barrett Esophagus/surgery ; Barrett Esophagus/therapy ; Esophagus/abnormalities ; Esophagus/pathology ; Humans ; Risk Factors
    Language English
    Publishing date 2010-04
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
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  3. Article: Practical approach to irritable bowel syndrome-diarrhea beyond low-FODMAP diet.

    Ciriza de Los Ríos, Constanza / Aparicio Cabezudo, Marta / Zatarain Vallés, Ana / Rey, Enrique

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2022  Volume 114, Issue 8, Page(s) 481–488

    Abstract: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by abdominal pain and altered defecation, usually accompanied by abdominal bloating or distension. The integrated model of bidirectional interaction between the ... ...

    Abstract Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by abdominal pain and altered defecation, usually accompanied by abdominal bloating or distension. The integrated model of bidirectional interaction between the central, autonomic, enteric nervous system, the microbiome, and the gut barrier allows a better understanding of the pathophysiology of IBS, as well as consideration of potential therapeutic strategies. IBS with predominant diarrhea (IBS-D) represents a therapeutic challenge. Dietary changes or restrictions are most commonly used by patients in an attempt at symptom control. Therefore, a number of diets, especially low-FODMAP diet, have increasingly gained interest as a therapy for IBS-D or mixed IBS. However, this kind of diet, while effective, is not exempt of problems. It is therefore necessary that other therapeutic options be considered while bearing pathophysiological mechanisms and general symptom management in mind.
    MeSH term(s) Diarrhea/complications ; Diet ; Fermentation ; Gastrointestinal Diseases/complications ; Humans ; Irritable Bowel Syndrome/complications ; Irritable Bowel Syndrome/therapy ; Monosaccharides/therapeutic use ; Oligosaccharides
    Chemical Substances Monosaccharides ; Oligosaccharides
    Language English
    Publishing date 2022-05-31
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2022.8749/2022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Barrett´s esophagus

    C. Ciriza-de-los-Ríos

    Revista Espanola de Enfermedades Digestivas, Vol 102, Iss 4, Pp 257-

    a review Esofago de Barrett

    2010  Volume 269

    Keywords Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Internal medicine ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Diseases of the digestive system. Gastroenterology ; RC799-869 ; Specialties of internal medicine ; RC581-951 ; DOAJ:Gastroenterology
    Language Spanish
    Publishing date 2010-04-01T00:00:00Z
    Publisher The Spanish Society of Digestive Pathology
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article: Questionnaires for the diagnosis of gastroesophageal reflux disease: are they really useful?

    Ciriza de Los Ríos, Constanza

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2016  Volume 108, Issue 4, Page(s) 171–173

    Abstract: Gastroesophageal reflux disease (GERD) is a major medical complaint both in primary care and gastroenterology clinics. This is partly due to the condition's high prevalence, which in developed countries is estimated to be 10-20%. Its initial diagnosis, ... ...

    Abstract Gastroesophageal reflux disease (GERD) is a major medical complaint both in primary care and gastroenterology clinics. This is partly due to the condition's high prevalence, which in developed countries is estimated to be 10-20%. Its initial diagnosis, however, remains controversial. The Montreal definition of GERD is widely accepted, and both heartburn and regurgitation are therein considered the syndrome's typical symptoms. However, in the DIAMOND study only 49% of patients with GERD surprisingly reports these symptoms as major causes of disability (40%) heartburn, 9% regurgitation).
    MeSH term(s) Gastroesophageal Reflux/diagnosis ; Gastroesophageal Reflux/drug therapy ; Humans ; Proton Pump Inhibitors/therapeutic use ; Reference Values ; Reproducibility of Results ; Surveys and Questionnaires
    Chemical Substances Proton Pump Inhibitors
    Language English
    Publishing date 2016-04
    Publishing country Spain
    Document type Editorial
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2016.4267/2016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Diagnostic and therapeutic challenges in the management of obstructive defecation.

    Martos Vizcaíno, Esperanza / Ciriza de Los Ríos, Constanza / Canga Rodríguez-Valcárcel, Fernando

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2021  Volume 113, Issue 8, Page(s) 619

    Abstract: Chronic constipation is a very common disease in daily clinical practice with a significant deterioration in quality of life that increases when associated with obstructive defecation. For this reason, we believe that the case presented here can improve ... ...

    Abstract Chronic constipation is a very common disease in daily clinical practice with a significant deterioration in quality of life that increases when associated with obstructive defecation. For this reason, we believe that the case presented here can improve our knowledge of these problems.
    MeSH term(s) Constipation/diagnosis ; Constipation/therapy ; Defecation ; Humans ; Quality of Life
    Language English
    Publishing date 2021-01-04
    Publishing country Spain
    Document type Letter
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2021.7587/2020
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  7. Article: High-resolution manometry and impedance-pH/manometry: novel techniques for the advancement of knowledge on esophageal function and their clinical role.

    Ciriza-de-Los-Ríos, C / Canga-Rodríguez-Valcárcel, F

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2010  Volume 101, Issue 12, Page(s) 861–869

    MeSH term(s) Adult ; Electric Impedance ; Esophageal Diseases/diagnosis ; Esophageal Diseases/drug therapy ; Esophageal Sphincter, Upper/physiology ; Esophageal pH Monitoring ; Esophagus/physiology ; Gastroesophageal Reflux/diagnosis ; Humans ; Manometry ; Proton Pump Inhibitors
    Chemical Substances Proton Pump Inhibitors
    Language English
    Publishing date 2010-01-14
    Publishing country Spain
    Document type Comparative Study ; Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.4321/s1130-01082009001200006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Consensus document on exclusion diets in irritable bowel syndrome (IBS).

    Casellas, Francesc / Burgos, Rosa / Marcos, Ascensión / Santos, Javier / Ciriza-de-Los-Ríos, Constanza / García-Manzanares, Álvaro / Polanco, Isabel / Puy-Portillo, María / Villarino, Antonio / Lema-Marqués, Beatriz / Vázquez-Alférez, M ª Del Carmen

    Nutricion hospitalaria

    2018  Volume 35, Issue 6, Page(s) 1450–1466

    Abstract: This paper summarizes the contents of a consensus document on exclusion diets in irritable bowel disease that was developed by a task force from SEPD, FEAD, SENPE, FESNAD, SEÑ, SEEN, SEGHNP, SEDCA and ADENYD. The complete document is available at the ... ...

    Title translation Documento de consenso sobre las dietas de exclusión en el síndrome del intestino irritable (SII)Consensus document on exclusion diets in irritable bowel syndrome (IBS).
    Abstract This paper summarizes the contents of a consensus document on exclusion diets in irritable bowel disease that was developed by a task force from SEPD, FEAD, SENPE, FESNAD, SEÑ, SEEN, SEGHNP, SEDCA and ADENYD. The complete document is available at the FEAD and in SENPE websites. Irritable bowel syndrome is a highly prevalent functional digestive disorder where, in addition to drugs, therapy includes diet and acquisition of healthy habits as basic elements for its control. In order to facilitate dietary counseling for these patients in daily practice, the present consensus document on the role of exclusion diets was developed. To this end, consensus opinions were collected from various experts in the national scientific societies aiming at establishing recommendations applicable to the health care of patients with irritable bowel syndrome.
    MeSH term(s) Consensus ; Diet ; Diet, Gluten-Free ; Dietary Carbohydrates/metabolism ; Dietary Fats/metabolism ; Dietary Proteins/metabolism ; Fermentation ; Gastrointestinal Microbiome ; Humans ; Irritable Bowel Syndrome/diet therapy ; Lactose/administration & dosage ; Monosaccharides/administration & dosage ; Oligosaccharides/administration & dosage ; Patient Education as Topic
    Chemical Substances Dietary Carbohydrates ; Dietary Fats ; Dietary Proteins ; Monosaccharides ; Oligosaccharides ; Lactose (J2B2A4N98G)
    Language English
    Publishing date 2018-12-03
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1481223-x
    ISSN 1699-5198 ; 0212-1611
    ISSN (online) 1699-5198
    ISSN 0212-1611
    DOI 10.20960/nh.2357
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Epiphrenic and middle esophageal diverticula: A rare cause of esophageal dysphagia. Esophageal high resolution manometry findings.

    Ciriza-de-Los-Ríos, Constanza / Canga-Rodríguez-Valcárcel, Fernando / Modesto Dutari-Valdés, José / Castel-de-Lucas, Isabel

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2015  Volume 107, Issue 5, Page(s) 316–321

    MeSH term(s) Aged ; Deglutition Disorders/etiology ; Diverticulum, Esophageal/complications ; Diverticulum, Esophageal/diagnosis ; Female ; Humans ; Male ; Manometry ; Middle Aged
    Language English
    Publishing date 2015-05
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
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  10. Article: How the Body Position Can Influence High-resolution Manometry Results in the Study of Esophageal Dysphagia and Gastroesophageal Reflux Disease.

    Ciriza-de-Los-Ríos, Constanza / Canga-Rodríguez-Valcárcel, Fernando / Lora-Pablos, David / De-La-Cruz-Bértolo, Javier / Castel-de-Lucas, Isabel / Castellano-Tortajada, Gregorio

    Journal of neurogastroenterology and motility

    2015  Volume 21, Issue 3, Page(s) 370–379

    Abstract: Background/aims: The body position can influence esophageal motility data obtained with high-resolution manometry (HRM). To examine whether the body position influences HRM diagnoses in patients with esophageal dysphagia and gastroesophageal reflux ... ...

    Abstract Background/aims: The body position can influence esophageal motility data obtained with high-resolution manometry (HRM). To examine whether the body position influences HRM diagnoses in patients with esophageal dysphagia and gastroesophageal reflux disease (GERD).
    Methods: HRM (Manoscan) was performed in 99 patients in the sitting and supine positions; 49 had dysphagia and 50 had GERD as-sessed by 24-hour pH monitoring. HRM plots were analyzed according to the Chicago classification.
    Results: HRM results varied in the final diagnoses of the esophageal body (EB) in patients with dysphagia (P = 0.024), the result being more distal spasm and weak peristalsis while sitting. In patients with GERD, the HRM diagnoses of the lower esophageal sphinc-ter (LES), the esophagogastric junction (EGJ) morphology, and EB varied depending on the position; (P = 0.063, P = 0.017, P = 0.041 respectively). Hypotensive LES, EGJ type III (hiatal hernia), and weak peristalsis were more frequently identified in the sitting position. The reliability (kappa) of the position influencing HRM diagnoses was similar in dysphagia and GERD ("LES diagnosis": dysphagia 0.32 [0.14-0.49] and GERD 0.31 [0.10-0.52], P = 0.960; "EB diagnosis": dysphagia 0.49 [0.30-0.69] and GERD 0.39 [0.20-0.59], P = 0.480). The reliability in "EGJ morphology" studies was higher in dysphagia 0.81 (0.68-0.94) than in GERD 0.55 (0.37-0.73), P = 0.020.
    Conclusions: HRM results varied according to the position in patients with dysphagia and GERD. Weak peristalsis was more frequently diagnosed while sitting in dysphagia and GERD. Hypotensive LES and EGJ type III (hiatal hernia) were also more frequently diagnosed in the sitting position in patients with GERD.
    Language English
    Publishing date 2015-06-29
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2573719-3
    ISSN 2093-0887 ; 2093-0879
    ISSN (online) 2093-0887
    ISSN 2093-0879
    DOI 10.5056/jnm14110
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