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  1. Article ; Online: íleo biliar como causa de obstrucción intestinal mecánica: reporte de un caso.

    Acevedo Forero, Ana María / Prada Rey, Adriana / Parra-Izquierdo, Viviana / Frías-Ordoñez, Juan Sebastián / Ardila-Báez, Manuel Alonso / Flórez-Sarmiento, Cristian

    Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru

    2024  Volume 44, Issue 1, Page(s) 83–86

    Abstract: Biliary ileus is a mechanical intestinal obstruction characterized by symptoms such as abdominal pain, jaundice and fever. The treatment of choice in these cases is associated with a surgical approach according to the clinical condition of the patient. ... ...

    Title translation Gallstone ileus as a cause of mechanical intestinal obstruction: a case report.
    Abstract Biliary ileus is a mechanical intestinal obstruction characterized by symptoms such as abdominal pain, jaundice and fever. The treatment of choice in these cases is associated with a surgical approach according to the clinical condition of the patient. It is important to study this pathology since its timely diagnosis and treatment are essential to avoid serious complications associated with high morbidity and mortality. This article describes a case related to biliary ileus.
    MeSH term(s) Humans ; Ileus/etiology ; Ileus/surgery ; Gallstones/complications ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Female ; Aged ; Male
    Language Spanish
    Publishing date 2024-05-10
    Publishing country Peru
    Document type Case Reports ; Journal Article ; English Abstract
    ZDB-ID 2058591-3
    ISSN 1609-722X ; 1609-722X
    ISSN (online) 1609-722X
    ISSN 1609-722X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: P056 Real life experience with the use of tofacitinib in ulcerative colitis in Colombia: case series.

    Parra Izquierdo, Viviana / Frias-Ordoñez, Juan / Galindo, Pablo / Romero-Sanchez, Consuelo / Florez, Cristian

    The American journal of gastroenterology

    2022  Volume 116, Issue Suppl 1, Page(s) S14–S15

    Abstract: Background: Tofacitinib is a molecule that inhibits Janus kinases, enzymes involved ulcerative colitis (UC) pathogenesis. This drug has recently been approved by INVIMA (abbreviation in Spanish of National Institute of Food and Drug Surveillance) in ... ...

    Abstract Background: Tofacitinib is a molecule that inhibits Janus kinases, enzymes involved ulcerative colitis (UC) pathogenesis. This drug has recently been approved by INVIMA (abbreviation in Spanish of National Institute of Food and Drug Surveillance) in Colombia.
    Objective: to describe real-life experience in Colombian patients with a diagnosis of UC treated with tofacitinib since its approval.
    Methods: Case series of 6 patients diagnosed with UC with moderate-severe activity defined by the American College of Gastroenterology Ulcerative Colitis Activity Index (ACG score) treated with tofacitinib 10 mg every 12 hours (BID) in the induction and maintenance phase. The decision to use tofacitinib was based on clinical judgment and patient preference. Response to treatment was evaluated in terms of endoscopic (Mayo score), paraclinical (CRP, ESR, fecal Calprotectin, Hemoglobin) and clinical response (absence of abdominal pain, diarrhea, and rectal bleeding). Additionally, adverse events, steroid use and response to extraintestinal manifestations (EIM) were evaluated.
    Results: Four men and two women with an average age of 35.6 years were included. All 6 patients had moderate to severe UC; 5 patients with pancolitis and 1 with left-colitis. The average time of diagnosis was 4.08 years. Four patients had previously failed TNF-inhibitors (3 Adalimumab, 2 Infliximab, 1 Golimumab), and 2 patients had previously failed integrin alpha-4beta7-inhibitor (Vedolizumab). Two patients were naïve to biological therapy. Three patients were at risk of colectomy due to severe disease activity. Three patients presented EIM. During the induction phase, 1 maintained disease activity without response, 5 presented clinical and paraclinical remission, 20% remained in moderate-severe activity, 20% mild activity and 60% in remission, the 3 patients who were at risk of colectomy were ruled out from surgery due to symptom improvement. At the endoscopic level, 3 endoscopic studies were obtained in the end of induction, of which 1 presented a Mayo score 3, and 2 patients with Mayo score 1. For naïve patients to biological therapy, one achieved clinical and paraclinical remission upon induction, the endoscopic response still has not been measured, in the second naive patient, tofacitinib was used in-hospital since he didn't respond to intravenous steroids for 72 hours and there was no availability of infliximab, ruling out other predisposing factors to exacerbation, achieving the discharge with adequate symptoms control and paraclinical findings. Three patients discontinued corticosteroids, and three patients achieved dose reduction. One patient reported and adverse event, none had drug-associated leukopenia, and 3 of them without lipid alteration after induction. All patients resolved their EIM during induction. Only one patient has completed follow-up during maintenance for 26 weeks, which is in clinical, paraclinical and endoscopic remission with a dose of 10 mg BID, 1 patient at 16 weeks decided to suspend the medication due to lack of response and the other 4 patients are in clinical and paraclinical remission but have not completed the 26 weeks of maintenance and have a follow-up appointment pending.
    Conclusion: The results of this case report suggest that tofacitinib may be an effective therapeutic alternative in patients with moderate to severe UC and associated extraintestinal manifestations, with a good safety profile.
    Language English
    Publishing date 2022-08-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.14309/01.ajg.0000798824.75637.a6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: P048 Metastatic Crohn's Disease Debuting with Severe Oral Manifestation and Vulvar Involvement - A Diagnostic Challenge.

    Parra Izquierdo, Viviana / Frias-Ordoñez, Juan / Romero-Sanchez, Consuelo / Alvarado, Julio / Florez, Cristian

    The American journal of gastroenterology

    2022  Volume 116, Issue Suppl 1, Page(s) S12

    Abstract: Case: Background: Metastatic Crohn's disease (MCD) is an unusual cutaneous manifestation in Crohn's disease (CD), and concomitant oral and vulvar involvement is even more unusual. It can debut with cavity lesions oral such as canker sores, ulcers, lip ... ...

    Abstract Case: Background: Metastatic Crohn's disease (MCD) is an unusual cutaneous manifestation in Crohn's disease (CD), and concomitant oral and vulvar involvement is even more unusual. It can debut with cavity lesions oral such as canker sores, ulcers, lip edema, granulomatosis, dry mouth, abscesses in the salivary ducts, erythema, gingivitis, glossitis, among others, however, simultaneous compromise with several oral lesions and so severe with loss of multiple pieces dental is very rare.
    Case presentation: Patient in the fourth decade of life with a family history of autoimmunity who debuts with severe oral manifestations with a requirement for extraction of 14 teeth, severe gingivitis, smooth tongue and glossitis, aphthous stomatitis, ulcers, lip edema and angular cheilitis, without clear cause, and in management by the oral pathology group. Associated with this, there was vulvo-perineal compromise with ulcerated, inflammatory, erythematous and infiltrated lesions. It was initially suspected of Behçet's disease, HLA B51 was performed, it was negative, also, negative pathergy test, and no other suggestive systemic findings. A vulvar biopsy was performed with marked edema of the dermis, dilated lymphatics with perivascular and interstitial lymphoplasmacytic infiltrate and noncaseating granulomas, negative for microorganisms. At this level, it was compatible with MCD, without presence of gastrointestinal symptoms and calprotectin levels in stool in normal range. High and low endoscopic studies and capsule endoscopy were performed in small intestine, without alterations, it was managed by dermatology with topical steroids and by dentistry with dental implants. It was considered patient with inflammatory bowel disease (IBD) type CD with severe extraintestinal manifestations (EIM), although it did not present compromise intestinal treatment, it was decided to start treatment with anti-TNF initially with adalimumab developing paradoxical psoriasis, later treatment with infliximab, again with presentation of severe paradoxical psoriasis, for which it was suspended. Cyclosporine was also used as an immunomodulator, presenting intolerable tachycardia. 18 months after these symptoms, she presented episcleritis of the left eye and begins with colicky abdominal pain and average diarrheal stools 5-a-day, it was performed high and low endoscopic studies without alterations and new capsule endoscopic of small intestine documenting Crohn's enteritis involving the duodenum, jejunum and ileum, considering a patient with IBD type CD, with EIM with vulvo-perineal compromise, severe oral involvement and episcleritis. Currently is under management with azathioprine and Ustekinumab, with clinical improvement significant.
    Conclusions: MCD represents a diagnostic challenge, it can debut without gastrointestinal involvement, and its clinical and histopathological findings simulate other entities. A timely diagnosis is required to seek early benefit in the patient.
    Language English
    Publishing date 2022-08-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.14309/01.ajg.0000798792.71403.36
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Experiencia en colangioscopia digital peroral con SpyGlass DS en diferentes centros de referencia en gastroenterología y endoscopia digestiva en Colombia: Serie de casos.

    Flórez Sarmiento, Cristian / Parra Izquierdo, Viviana / Frías Ordóñez, Juan Sebastián / Parga Bermúdez, Julián / Castillo, Jesús David / Rodríguez, Charlyn Stefani / Rodríguez, Víctor

    Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru

    2023  Volume 42, Issue 3, Page(s) 177–182

    Abstract: SpyGlass DS is a peroral cholangioscopy system, associated with improved image quality and configuration. Currently, there is diversity in its use and little information on its implementation, including clinical outcomes and adverse events. To describe ... ...

    Title translation Experience with digital peroral cholangioscopy using SpyGlass DS in different reference centers in gastroenterology and digestive endoscopy in Colombia: Case series.
    Abstract SpyGlass DS is a peroral cholangioscopy system, associated with improved image quality and configuration. Currently, there is diversity in its use and little information on its implementation, including clinical outcomes and adverse events. To describe the experience of using SpyGlass DS in several gastroenterology reference centres in Colombia, mentioning efficacy and possible adverse events. This is an observational study (case series). The main indication was choledocholithiasis (n:204), followed by biliary stricture (n:40) and pancreatolithiasis (n:16). 49.2% were male, mean age 58.6 years, clinically with predominance of abdominal pain (80.5%) and jaundice (86.1%). All cases had previous imaging (CT scan, MRI or ultrasound), 98.07% previous endoscopic retrograde cholangiopancreatography (n:255) and 75% biliary plastic stent. Laser was used in 78/220 patients and electrohydraulic lithotripsy in 142/220 patients, with single-session resolution rates of 96.15% and 95.07%, respectively. Seven cases required a second lithotripsy session and 3 patients required surgical management, one for pancreatolithiasis with basal pancreas divisum and 2 for hepatolithiasis. 40/260 patients presented with biliary stricture, 32/40 with malignant findings (cholangiocarcinoma) and 8/40 with benign pathology (primary sclerosing cholangitis, non-specific inflammatory changes) after histopathological studies. As complications, 6 cases of bacteraemia (2.5%) were recorded, being more frequent in cases of stenosis. The mean postoperative stay was 2.04 days. We concluded that the use of SpyGlass DS is feasible in our setting, being effective for diagnosis and treatment of biliary lesions, and with low risk of adverse events.
    MeSH term(s) Humans ; Male ; Middle Aged ; Female ; Endoscopy, Digestive System/adverse effects ; Endoscopy, Digestive System/methods ; Colombia ; Constriction, Pathologic/etiology ; Gastroenterology ; Lithiasis/etiology ; Liver Diseases/etiology ; Cholangiopancreatography, Endoscopic Retrograde/adverse effects ; Endoscopy, Gastrointestinal ; Cholestasis/etiology ; Pancreatic Diseases ; Bile Duct Neoplasms/diagnosis ; Bile Ducts, Intrahepatic/pathology
    Language Spanish
    Publishing date 2023-02-06
    Publishing country Peru
    Document type Observational Study ; English Abstract ; Journal Article
    ZDB-ID 2058591-3
    ISSN 1609-722X ; 1609-722X
    ISSN (online) 1609-722X
    ISSN 1609-722X
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  5. Article: Tofacitinib in the treatment of moderate to severe ulcerative colitis in Colombian pediatric patients: Real world experience.

    Parra-Izquierdo, Viviana / Frías-Ordoñez, Juan Sebastián / Cuadros, Carlos / Vargas, Melquicedec / Vera Chamorro, José Fernando / Romero Sanchez, Consuelo / Flórez-Sarmiento, Cristian

    Gastroenterologia y hepatologia

    2023  

    Abstract: Introduction: There are no studies on efficacy of tofacitinib for moderate-severe ulcerative colitis (UC) in pediatric patients in Latin America. The aim of this study was to describe the efficacy and safety, in real world, treated with tofacitinib in ... ...

    Title translation Tofacitinib en el tratamiento de la colitis ulcerosa moderada a grave en pacientes pediátricos colombianos: experiencia en mundo real.
    Abstract Introduction: There are no studies on efficacy of tofacitinib for moderate-severe ulcerative colitis (UC) in pediatric patients in Latin America. The aim of this study was to describe the efficacy and safety, in real world, treated with tofacitinib in our setting.
    Materials and methods: Case series of pediatric patients with UC who received treatment with tofacitinib in induction phase for 8 weeks and then maintenance therapy between November 2021 and February 2023.
    Results: Four female patients, median age 14.5 (SD 2.1; RIQ 12.5-16.5) years, all with prior biologic exposure, all 4 with prior use of anti-TNF, and 2/4 with prior use of anti-integrin. Clinical, biochemical and endoscopic remission was obtained in 3/4 at induction. Information was obtained from 3 patients in 6-month maintenance, 2/3 remained in clinical, biochemical and endoscopic remission and 1/3 has not achieved biochemical or endoscopic remission. Information was obtained from 1 patient in 12-month maintenance, achieving clinical and biochemical remission, however, endoscopic remission has not been achieved. One patient was initiated for severe acute UC with risk of colectomy, with significant improvement after 7 days, reaching therapeutic objectives at induction. No serious adverse events were reported in any of the cases.
    Conclusions: Efficacy and safety are demonstrated with tofacitinib in pediatric patients. With high percentage of response in induction treatment, sustained over time, and safe. In the context of severe acute hospitalized UC, it has a role as a potential rescue therapy due to its rapid action.
    Language Spanish
    Publishing date 2023-10-30
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2023.09.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Colombian experience with the use of tofacitinib in severe acute ulcerative colitis: A case series study.

    Parra-Izquierdo, Viviana / Frías-Ordoñez, Juan Sebastián / Juliao-Baños, Fabián / Cuadros, Carlos / Romero Sanchez, Consuelo / Flórez-Sarmiento, Cristian

    Gastroenterologia y hepatologia

    2023  

    Abstract: Introduction: Tofacitinib is indicated in patients with moderate to severe ulcerative colitis (UC); however, given its rapid onset of action, it may constitute an alternative in patients with hospitalized severe acute UC. There are few data on this ... ...

    Title translation Experiencia colombiana con el uso de tofacitinib en colitis ulcerosa aguda grave: estudio de serie de casos.
    Abstract Introduction: Tofacitinib is indicated in patients with moderate to severe ulcerative colitis (UC); however, given its rapid onset of action, it may constitute an alternative in patients with hospitalized severe acute UC. There are few data on this indication in the literature. The aim of this study was to describe the efficacy and safety of tofacitinib in the management of patients with hospitalized UC, as well as its clinical characteristics and other treatment patterns.
    Materials and methods: Descriptive observational study of adults and children with CUAG treated with tofacitinib between June 2019 and December 2022 in Colombia. Sociodemographic and clinical variables were collected, therapeutic response was evaluated in different periods of time and descriptive analysis of quantitative and qualitative variables was performed.
    Results: Six patients (five adults and one pediatric), mean age 33.2 (SD: 8.5) years, with CUAG. Symptom remission was obtained in 100% of patients at day 7 after tofacitinib initiation. In three patients information was obtained beyond 6 months, with 100% clinical, biochemical, and endoscopic remission and without requiring colectomy. In the case of the pediatric patient, symptom remission was achieved one week after starting tofacitinib, remaining in clinical, biochemical and endoscopic remission beyond 6 months. No serious adverse events were reported in any of the cases.
    Conclusions: Tofacitinib represents a rescue therapeutic alternative in CUAG, with rapid clinical response, adequate tolerance and less need for colectomy, being sustained for periods beyond 6 months.
    Language Spanish
    Publishing date 2023-10-06
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2023.10.003
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  7. Article ; Online: Cuerpos extraños en esófago: revisión de 84 casos.

    Flórez Sarmiento, Cristian / Parra Izquierdo, Viviana / Frías Ordoñez, Juan Sebastian / Castillo, Jesús David / Murcia Monroy, Eliana / Delgado Cardona, Lidsay / Rodríguez, Charlyn Stefani

    Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru

    2024  Volume 43, Issue 4, Page(s) 328–333

    Abstract: The presence of esophageal foreign body (EFB) is a common emergency in gastroenterology. The protocol for management and endoscopic intervention can be variable among institutions.: Objective: to define the clinical characteristics of EFB in adults, ... ...

    Title translation Esophageal foreign bodies: review of 84 cases.
    Abstract The presence of esophageal foreign body (EFB) is a common emergency in gastroenterology. The protocol for management and endoscopic intervention can be variable among institutions.
    Objective: to define the clinical characteristics of EFB in adults, its radiological and endoscopic diagnosis, and complications based on a sample of patients in a gastroenterology center.
    Materials and methods: case series of patients admitted from the emergency department and referred to the gastroenterology department with a presumptive diagnosis of EFB. Clinical variables were collected, as well as characteristics, comorbidities, time of evolution and diagnostic opportunity, confirmatory studies, and complications.
    Results: 84 subjects, 70% men, mean age 45 (range: 17-87; SD 12.5) years. Urgent upper endoscopy was performed in 98.8% of the patients, with an average in-hospital stay of 2.5 days. 93% had no associated underlying pathology, in 6/84 (7.14%) patients structural or functional esophageal pathology was documented. 59/84 (70.2%) patients consulted in the first 24 hours, in 57.6% the presence of foreign body was confirmed endoscopically. In 67/84 (79.76%) patients radiography was performed prior to endoscopy, of which 62/67 (92.5%) had an abnormal result. Seventy percent of confirmed EFB were fish bones. The most frequent site of localization was in the cricopharyngeal region in 90% of the cases. In 66/84 (78.6%) subjects there was absence of complications, followed by deep laceration in 10/84 (11.9%) cases. In 3/84 (3.6%) cases complications requiring surgery were identified.
    Conclusions: Endoscopic intervention in the first 24 hours is an opportune moment to identify complications and provide the indicated treatment.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Middle Aged ; Endoscopy, Gastrointestinal ; Esophagus/diagnostic imaging ; Foreign Bodies/complications ; Foreign Bodies/diagnosis ; Foreign Bodies/therapy ; Hospitalization ; Adolescent ; Young Adult ; Aged ; Aged, 80 and over
    Language Spanish
    Publishing date 2024-01-16
    Publishing country Peru
    Document type English Abstract ; Journal Article
    ZDB-ID 2058591-3
    ISSN 1609-722X ; 1609-722X
    ISSN (online) 1609-722X
    ISSN 1609-722X
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  8. Article ; Online: Genotipos HLA asociados a síntomas gastrointestinales en pacientes con espondiloartritis sin enfermedad inflamatoria intestinal.

    Meneses-Toro, Maria Alejandra / Calixto, Omar Javier / Parra-Izquierdo, Viviana / Flórez-Sarmiento, Cristian / de-Quiroga, Juliette de Ávila / Ramos-Casallas, Alejandro / Chila-Moreno, Lorena / Bello-Gualtero, Juan Manuel / Bautista-Molano, Wilson / Romero-Sanchez, Consuelo

    Revista alergia Mexico (Tecamachalco, Puebla, Mexico : 1993)

    2024  Volume 71, Issue 1, Page(s) 66

    Abstract: Objective: This study aimed to establish the association between HLA-A, B, DR genotypes and gastrointestinal variables in patients with SpA without inflammatory bowel disease (IBD).: Methods: Retrospective study of 91 patients with SpA and 401 ... ...

    Title translation HLA genotypes associated with gastrointestinal symptoms in patients with spondyloarthritis without inflammatory bowel disease.
    Abstract Objective: This study aimed to establish the association between HLA-A, B, DR genotypes and gastrointestinal variables in patients with SpA without inflammatory bowel disease (IBD).
    Methods: Retrospective study of 91 patients with SpA and 401 healthy controls, with typing by Illumina Sequencing/PacBio and LIFECODES HLA-PCR/SSO multiplex sequencing technology. The presence of gastrointestinal symptoms was evaluated by administering a survey, and those who presented 2 or more symptoms were taken for clinical evaluation by rheumatology and gastroenterology, colonoscopy and histopathological study. (Ethics committee approval).
    Results: The 59,3% of the patients were men, with a mean age of 43,9±11.4 years; 80,2% were classified as ankylosing spondylitis. 14, 28 and 19 genotypes for the HLA-A*, HLA-B* and HLA-DR* loci were identified in both groups, of which a relationship with gastrointestinal symptoms was identified:
    Conclusions: These findings indicate a potential genetic predisposition related to HLA genotypes that may increase the likelihood of food intolerance, gastrointestinal symptoms, and even visible and microscopic changes, specifically in the ileal tissue. The study highlights the presence of B*27 and other noteworthy HLA class I and class II genes (such as DRB1*14) in the diverse Colombian population.
    MeSH term(s) Humans ; Male ; Female ; Adult ; Retrospective Studies ; Genotype ; Gastrointestinal Diseases/genetics ; Gastrointestinal Diseases/etiology ; Spondylarthritis/genetics ; Spondylarthritis/complications ; Middle Aged ; Inflammatory Bowel Diseases/genetics ; Inflammatory Bowel Diseases/complications ; HLA Antigens/genetics ; HLA-A Antigens/genetics ; HLA-B Antigens/genetics
    Chemical Substances HLA Antigens ; HLA-A Antigens ; HLA-B Antigens
    Language Spanish
    Publishing date 2024-02-01
    Publishing country Mexico
    Document type English Abstract ; Journal Article
    ZDB-ID 639125-4
    ISSN 2448-9190 ; 0002-5151
    ISSN (online) 2448-9190
    ISSN 0002-5151
    DOI 10.29262/ram.v71i1.1371
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Fenotipificación y genotipificación en pacientes con enfermedad inflamatoria intestinal en un centro de referencia de Colombia.

    Parra Izquierdo, Viviana / Hani, Albis Cecilia / Romero-Sánchez, Consuelo / Sánchez, Ana Isabel / Laguado, Yuly / Leguizamó, Ana María / Frías-Ordoñez, Juan Sebastián / Puentes, Gerardo Andrés / Zarante, Ignacio

    Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru

    2024  Volume 44, Issue 1, Page(s) 26–34

    Abstract: Introduction: Attempts have been made to identify the genetic factors related to susceptibility to inflammatory bowel disease (IBD), and the current conclusions are in favor of a complex pathology model, without a clear hereditary pattern.: Objective!# ...

    Title translation Phenotyping and genotyping in patients with inflammatory bowel disease in a reference center in Colombia.
    Abstract Introduction: Attempts have been made to identify the genetic factors related to susceptibility to inflammatory bowel disease (IBD), and the current conclusions are in favor of a complex pathology model, without a clear hereditary pattern.
    Objective: To perform phenotypic and genotypic characterization of patients with IBD in Colombian population and to describe its possible association with predisposition.
    Materials and methods: case series, 16 patients with IBD according to clinical and pathological criteria, onset of gastrointestinal symptoms after 18 years of age. All had pre-test genetic counseling and family trees of at least three generations were made. Also, genotyping, using a multi-gene panel that included genes related to IBD and some autoimmune disorders. Finally, a genomic analysis of variants was performed.
    Results: 9 women and 7 men, with mean age of diagnosis of IBD of 35 years, and gastrointestinal symptoms appearance of 32 years. 11/16 (68.75%) required biological therapy. 10/16 (62.5%) were refractory to standard therapy. 3/16 (18.75%) had positive family history of IBD. 100% cases presented at least one single nucleotide polymorphism related to IBD risk in more than one gene. The genes most related to ulcerative colitis (UC) were CD48, CD6, and TYK2 for UC, and CD6 and ITGAM for Crohn's disease. The most frequent gene was CD6. It was found presence of up to 5 genes in 3/16 (18.75%), 4 in 3/16 (18.75%), and three in 5/16 (31.25%).
    Conclusion: In IBD there is the presence of genetic variants with associated predisposition, but without confirmed pathogenicity, and whose sum seems to contribute to its pathophysiology.
    MeSH term(s) Humans ; Colombia/epidemiology ; Female ; Male ; Adult ; Phenotype ; Middle Aged ; Genotype ; Genetic Predisposition to Disease ; Young Adult ; Inflammatory Bowel Diseases/genetics ; Adolescent ; Crohn Disease/genetics ; Crohn Disease/epidemiology ; Colitis, Ulcerative/genetics
    Language Spanish
    Publishing date 2024-05-10
    Publishing country Peru
    Document type English Abstract ; Journal Article
    ZDB-ID 2058591-3
    ISSN 1609-722X ; 1609-722X
    ISSN (online) 1609-722X
    ISSN 1609-722X
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  10. Article: Clinical and therapeutic characterisation of a multicentre cohort of patients with inflammatory bowel disease in Colombia.

    Parra-Izquierdo, Viviana / Flórez Sarmiento, Cristian / Frías-Ordoñez, Juan Sebastián / Vargas, Melquicedec / Kock, Joshua / Lozano Escobar, Natalia / Márquez, Juan Ricardo

    Gastroenterologia y hepatologia

    2022  Volume 46, Issue 8, Page(s) 585–593

    Abstract: Introduction: In Latin America and Colombia there are few studies about the clinical and therapeutic characteristics of patients with inflammatory bowel disease (IBD). The objective of this study is to obtain an approximation to these data from a sample ...

    Title translation Caracterización clínica y terapéutica de una cohorte multicéntrica de pacientes con enfermedad inflamatoria intestinal en Colombia.
    Abstract Introduction: In Latin America and Colombia there are few studies about the clinical and therapeutic characteristics of patients with inflammatory bowel disease (IBD). The objective of this study is to obtain an approximation to these data from a sample of patients from different reference centres in Colombia.
    Patients and methods: Cross-sectional study in adult and paediatric patients, with IBD, attended ambulatory in 6 institutions in different cities, between 2017 and 2020 information was collected on different dates, about demographic, clinical, and therapeutic aspects.
    Results: Six hundred and five subjects, 565 (93.4%) adults, mean age 43 years (SD 12.78), 64% with ulcerative colitis (UC). The age at diagnosis of UC was 41.9 years, while in Crohn's disease (CD) it was 47.9 years. In UC, there was greater left involvement (47.2%), and in CD, 42.8% ileocolonic (L3). More than 50% were in mild activity or clinical remission. In UC, the biologic requirement was 27.2%, while in CD, 78%. Overall hospitalisation requirement was 39.5%, and the need for surgery was 37.5% in UC and 62.5% in CD. Also, 40 pediatric patients, 90% female, with UC being more frequent (80%). In UC, 83.3% presented extensive colitis, and in CD, all with ileocolonic localization (L3). More than 95% were in mild activity or remission. Biologic therapy was required in 16.6% and 75% for UC and CD, respectively. The frequency of hospitalisations and surgery was 2.7%.
    Conclusions: This study shows some unique characteristics of patients with IBD in Colombia. An earlier diagnosis is required, with a better therapeutic approach.
    MeSH term(s) Adult ; Humans ; Female ; Child ; Male ; Colombia/epidemiology ; Cross-Sectional Studies ; Inflammatory Bowel Diseases/epidemiology ; Inflammatory Bowel Diseases/therapy ; Crohn Disease/diagnosis ; Crohn Disease/epidemiology ; Crohn Disease/therapy ; Colitis, Ulcerative/therapy ; Colitis, Ulcerative/drug therapy
    Language Spanish
    Publishing date 2022-12-01
    Publishing country Spain
    Document type Multicenter Study ; Journal Article
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2022.11.006
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