Results: 5176

Tratamento endoscópico da doença do refluxo gastroesofágico com uso de radiofrequência (Stretta): resultados a curto prazo da primeira série de casos brasileira

Arq. gastroenterol; 55 (supl.1), 2018
ABSTRACT BACKGROUND: New endoscopic treatments for gastroesophageal reflux (GERD) are developed every year and are indicated in cases that are refractory to conventional therapies as well as after surgical treatment failure. OBJECTIVE: To present the first cases of endoscopic therapy for GERD perform...

Utilidad de la monitorización terapéutica de infliximab en el manejo de la enfermedad inflamatoria intestinal

Rev. méd. Chile; 146 (11), 2018
Background: Primary non-response and secondary loss of response (LOR) are significant problems of biological therapy for inflammatory bowel disease (IBD). Therapeutic drug monitoring (TDM) in IBD patients receiving these drugs can improve outcomes. Aim: To measure serum infliximab levels and anti-inflix...

Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primaria

Rev. méd. Chile; 146 (11), 2018
Background: Adequate management of high blood pressure (HBP) and Type 2 Diabetes (DM2) is a challenge to the healthcare system in Chile. Aim: To evaluate the effectiveness of a case management (CM) approach to manage HBP and DMII at Primary Healthcare (PHC) level, headed by healthcare technicians with t...

Evolutive study of rheumatic carditis cases treated with corticosteroids in a Public Hospital

Background: Rheumatic carditis is a challenge for treatment and secondary prophylaxis, due to severe valve sequelae. Objective: To evaluate the cases of rheumatic carditis in patients under 18 years old treated with corticosteroids.Methods: An observational, longitudinal and retrospective study was carri...

Anesthetic management of endovascular treatment for acute ischemic stroke: Influences on outcome and complications

Rev. bras. anestesiol; 68 (6), 2018
Abstract Background and objectives: The emerging use of endovascular therapies for acute ischemic stroke, like intra-arterial thrombectomy, compels a better understanding of the anesthetic management required and its impact in global outcomes. This article reviews the available data on the anesthetic ma...

Evaluation of preeclampsia results after use of metformin in gestation: systematic review and meta-analysis

Abstract Objective Does the use of metformin have an influence on the outcomes of preeclampsia (PE)? Sources of Data The descriptors pregnancy, metformin, treatment, and preeclampsia associated with the Boolean operators AND and OR were found in the MEDLINE, LILACS, Embase and Cochrane databases. A flo...

Methotrexate therapy for ectopic pregnancies: A tertiary center experience

Abstract Objective Our aim is to demonstrate the importance of methotrexate (MTX) therapy for the treatment of ectopic pregnancy (EP). Methods This retrospective study consisted of 99 patients (72 tubal EPs, 20 pregnancies of unknown location (PUL), 4 cesarean section (CS) scar EPs and 3 cervical EPs) ...

Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario: caso clínico

Rev. méd. Chile; 146 (11), 2018
Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypo...

Reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un caso

Rev. méd. Chile; 146 (11), 2018
Sickle cell anemia was a rare disease in Chile, especially in adults, however the recent immigration wave from Haiti is changing this scenario. We report a 29 year old black female from Haiti with a non-disclosed history of sickle cell anemia. She was transfused with two units of red blood cells, found u...

Papel del médico de familia en el diagnóstico concomitante de mieloma y amiloidosis primaria en una misma paciente: caso clínico

Rev. méd. Chile; 146 (11), 2018
Multiple Myeloma is a myeloproliferative disorder of plasma cells, which may be complicated with secondary amyloidosis. We report a 48 year old woman consulting to primary care for weight loss and malaise. An initial laboratory study revealed a hypogammaglobulinemia with a monoclonal component and lambda...