Estadísticas

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      "titulo" => "Últimos avances sobre los tumores pancreáticos"
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          "autoresLista" => "José Lariño Noia"
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      "titulo" => "Colonoscopia en el cribado del cáncer colorrectal"
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          "autoresLista" => "Xavier Bessa Caserras"
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              "nombre" => "Xavier Bessa"
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    "titulo" => "Últimos avances en pancreatitis crónica"
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        "autoresLista" => "J. Enrique Domínguez-Muñoz"
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        "titulo" => "Latest advances in chronic pancreatitis"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los avances m&#225;s recientes con impacto en la pr&#225;ctica cl&#237;nica de los pacientes con pancreatitis cr&#243;nica se centran en el diagn&#243;stico precoz de la enfermedad&#44; la predicci&#243;n del grado de fibrosis del p&#225;ncreas&#44; la evaluaci&#243;n de los pacientes con elevaci&#243;n asintom&#225;tica de los valores s&#233;ricos de enzimas pancre&#225;ticas&#44; el tratamiento quir&#250;rgico y farmacol&#243;gico del dolor y el conocimiento de la historia natural de la pancreatitis autoinmune&#46; En pacientes con hallazgos ecoendosc&#243;picos indeterminados para pancreatitis cr&#243;nica&#44; la repetici&#243;n de la ecoendoscopia en el seguimiento permite confirmar o excluir el diagn&#243;stico&#46; El h&#225;bito tab&#225;quico&#44; las reagudizaciones&#44; los resultados de las pruebas funcionales pancre&#225;ticas y los hallazgos ecoendosc&#243;picos permiten predecir el grado de fibrosis en pancreatitis cr&#243;nica&#46; En el tratamiento del dolor&#44; la administraci&#243;n oral de antioxidantes parece ser eficaz&#44; aunque queda por demostrar su combinaci&#243;n y dosis &#243;ptima&#46; El desarrollo de sobrecrecimiento bacteriano es muy frecuente en pacientes con pancreatitis cr&#243;nica&#44; aunque su impacto sobre los s&#237;ntomas es desconocido&#46; Por &#250;ltimo&#44; la pancreatitis autoinmune recidiva en alrededor de la mitad de los pacientes y lo hace habitualmente en los primeros 2 a&#241;os de seguimiento&#44; sin diferencias entre tipos 1 y 2&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This article summarizes some of the recent and clinically relevant advances in chronic pancreatitis&#46; These advances mainly concern the early diagnosis of the disease&#44; the prediction of the fibrosis degree of the gland&#44; the evaluation of patients with asymptomatic hyperenzimemia&#44; the medical and surgical treatment of abdominal pain and the knowledge of the natural history of the autoimmune pancreatitis&#46; In patients with indetermined EUS findings of chronic pancreatitis&#44; a new endoscopic ultrasound examination in the follow-up is of help to confirm or to exclude the disease&#46; Smoking&#44; number of relapses&#44; results of pancreatic function tests and EUS findings allow predicting the degree of pancreatic fibrosis in patients with chronic pancreatitis&#46; Antioxidant therapy has shown to be effective in reducing pain secondary to chronic pancreatitis&#44; although the type and optimal dose of antioxidants remains to be elucidated&#46; Development of intestinal bacterial overgrowth is frequent in patients with chronic pancreatitis&#44; but its impact on symptoms is unknown and deserves further investigations&#46; Finally&#44; autoimmune pancreatitis relapses in about half of the patients with either type 1 or type 2 disease&#59; relapses frequently occur within the first two years of follow-up&#46;</p>"
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