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array:24 [ "pii" => "S0210570520302211" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2020.04.007" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1561" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:232-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S2444382421000535" "issn" => "24443824" "doi" => "10.1016/j.gastre.2020.04.012" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1561" "copyright" => "Elsevier España, S.L.U." 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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:234-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Dysphagia after esophageal perforation from anterior cervical osteosynthesis plate migration" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "234" "paginaFinal" => "235" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Disfagia tras perforación esofágica por migración de material de osteosíntesis cervical" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1307 "Ancho" => 1500 "Tamanyo" => 136872 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Esophageal diverticulum plus osteosynthesis material.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Antonio Rodriguez-D’Jesus, Ana Gómez Rodríguez, Nereida Fernández Fernández, José Ignacio Rodríguez Prada" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Antonio" "apellidos" => "Rodriguez-D’Jesus" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Gómez Rodríguez" ] 2 => array:2 [ "nombre" => "Nereida" "apellidos" => "Fernández Fernández" ] 3 => array:2 [ "nombre" => "José Ignacio" "apellidos" => "Rodríguez Prada" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520302235?idApp=UINPBA00004N" "url" => "/02105705/0000004400000003/v1_202102240917/S0210570520302235/v1_202102240917/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0210570520302338" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2020.04.010" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1573" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:230-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen del mes</span>" "titulo" => "Úlceras gástricas múltiples secundarias a rivastigmina" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "230" "paginaFinal" => "231" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multiple gastric ulcers due to rivastigmine" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1488 "Ancho" => 1667 "Tamanyo" => 319714 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A)(B) Imágenes de gastroscopia donde se observa, mediante maniobra de retroversión, extensa ulceración y edematización afectando a curvadura menor gástrica e incisura (flechas negaras) con extensión hacia antro. (C)(D) Estudio radiológico de extensión mediante TC con contraste sin alteraciones destacables.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Soraya López López, Carlos Prieto Martínez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Soraya" "apellidos" => "López López" ] 1 => array:2 [ "nombre" => "Carlos" "apellidos" => "Prieto Martínez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2444382421000705" "doi" => "10.1016/j.gastre.2020.04.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382421000705?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520302338?idApp=UINPBA00004N" "url" => "/02105705/0000004400000003/v1_202102240917/S0210570520302338/v1_202102240917/es/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "An infectious etiology of esophageal cancer spreading from endemic to non-endemic areas" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "232" "paginaFinal" => "233" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Leonardo G. da Fonseca, Pedro H. Hashizume" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Leonardo G." "apellidos" => "da Fonseca" "email" => array:1 [ 0 => "l.fonseca@fm.usp.br" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Pedro H." "apellidos" => "Hashizume" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Clinical Oncology, Instituto do Cancer do Estado de São Paulo, University of São Paulo, Brazil" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Una etiología infecciosa del cáncer de esófago que se propaga de zonas endémicas a no endémicas" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2166 "Ancho" => 2501 "Tamanyo" => 482447 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 62-year-old man from a rural area in Brazil presented with progressively worsening dysphagia over 2 years. An upper gastrointestinal-endoscopy showed an enlargement of the esophagus and an infiltrative lesion located 25<span class="elsevierStyleHsp" style=""></span>cm from the upper incisor teeth (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Biopsy revealed a squamous cell carcinoma (SCC) and serologic test for <span class="elsevierStyleItalic">Trypanosoma cruzi</span> was positive. Positron-emission tomography showed an increased glycolytic metabolism in a semicircular thickening of the esophageal left anterolateral wall (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B and C). These findings were consistent with the diagnosis of locally-advanced SCC and Chagasic megaesophagus. A nasogastric feeding tube was fitted and chemotherapy (cisplatin/5-fluorouracil) was started. After 3 months, the patient presented with progressive disease and eventually died due to recurrent pneumonia.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Chagas disease is a tropical disease caused by the protozoan <span class="elsevierStyleItalic">Trypanosoma cruzi.</span> It is transmitted to humans by <span class="elsevierStyleItalic">Triatominae</span> insects, found in rural areas of Latin America, Asia and Africa.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Migratory flows have spread the disease worldwide. The United States and Spain are the non-endemic countries with more cases.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> Approximately 30% of infected individuals develop chronic stage disease. Gastrointestinal motor disorders, such as achalasia/megaesophagus, are a result of enteric nervous system injury caused by the protozoan.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> Among patients with Chagasic megaesophagus, an increased incidence of SCC is expected.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">Da Fonseca, LG: lecture fees from Bayer and Roche.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Hashizume, PH: nothing to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2166 "Ancho" => 2501 "Tamanyo" => 482447 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gastrointestinal manifestations of Chagas’ disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.B. Oliveira" 1 => "L. Troncon" 2 => "R. Dantas" 3 => "U. Meneghelli" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1572-0241.1998.270_r.x" "Revista" => array:6 [ "tituloSerie" => "Am J Gastroenterol" "fecha" => "1998" "volumen" => "93" "paginaInicial" => "884" "paginaFinal" => "889" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9647012" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chagas disease: a worldwide new challenge" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G.A. Schmunis" 1 => "Z.E. Yadon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.actatropica.2009.11.003" "Revista" => array:5 [ "tituloSerie" => "Nature" "fecha" => "2010" "volumen" => "115" "paginaInicial" => "14" "paginaFinal" => "21" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "High resolution esophageal manometry in patients with Chagas disease: a cross-sectional evaluation" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Sánchez-Montalvá" 1 => "M. Moris" 2 => "M. Mego" 3 => "F. Salvador" 4 => "A. Accarino" 5 => "K. Ramírez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1371/journal.pntd.0004416" "Revista" => array:4 [ "tituloSerie" => "PLoS Negl Trop Dis" "fecha" => "2016" "volumen" => "10" "paginaInicial" => "e0004416" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/02105705/0000004400000003/v1_202102240917/S0210570520302211/v1_202102240917/en/main.assets" "Apartado" => array:4 [ "identificador" => "75365" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02105705/0000004400000003/v1_202102240917/S0210570520302211/v1_202102240917/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520302211?idApp=UINPBA00004N" ]
