Estadísticas

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      "titulo" => "Últimos avances en tumores pancreáticos"
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          "autoresLista" => "José Lariño Noia"
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      "titulo" => "Novedades en el cáncer colorrectal hereditario"
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          "autoresLista" => "Leticia Moreira"
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    "titulo" => "Últimos avances en pancreatitis crónica"
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        "autoresLista" => "J. Enrique Domínguez Muñoz"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><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 de la enfermedad en sus fases iniciales&#44; el tratamiento de sus manifestaciones cl&#237;nicas y complicaciones&#44; fundamentalmente el dolor y la insuficiencia pancre&#225;tica exocrina&#44; as&#237; como en el diagn&#243;stico y tratamiento de la pancreatitis autoinmune&#46; La evaluaci&#243;n multimodal din&#225;mica del p&#225;ncreas guiada por ecograf&#237;a endosc&#243;pica asociada a secretina intravenosa aporta informaci&#243;n relevante para el diagn&#243;stico de la enfermedad en fases precoces&#46; La realizaci&#243;n de litotricia extracorp&#243;rea en pancreatitis cr&#243;nica calcificante y la inserci&#243;n de pr&#243;tesis pancre&#225;ticas son t&#233;cnicas &#250;tiles para el tratamiento del dolor en algunos pacientes con pancreatitis cr&#243;nica&#46; La insuficiencia pancre&#225;tica exocrina en pancreatitis cr&#243;nica se asocia a un incremento significativo de la mortalidad&#46; A pesar de ello&#44; la mayor&#237;a de los pacientes sigue sin recibir tratamiento enzim&#225;tico sustitutivo o lo hace a dosis inferiores a las recomendadas&#46; Las nuevas agujas de punci&#243;n guiada por ecoendoscopia permiten confirmar el diagn&#243;stico histol&#243;gico de pancreatitis autoinmune en un porcentaje elevado de pacientes&#46; El tratamiento de mantenimiento con azatioprina en estos pacientes es eficaz para evitar recidivas de la enfermedad&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><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 treatment of symptoms and complications&#44; mainly pain and pancreatic exocrine insufficiency&#44; and the diagnosis and therapy of autoimmune pancreatitis&#46; The multimodal dynamic endoscopic ultrasound-guided secretin-stimulated evaluation of the pancreas provides relevant morphological and functional information for the diagnosis of chronic pancreatitis at early stages&#46; Extracorporeal shock wave lithotripsy in patients with calcifying pancreatitis and endoscopic pancreatic stent placement are effective alternatives for pain therapy in patients with chronic pancreatitis&#46; Presence of pancreatic exocrine insufficiency in patients with chronic pancreatitis is associated with a significantly increase of mortality rate&#46; Despite that&#44; pancreatic enzyme replacement therapy is not prescribed in the majority of patients with pancreatic exocrine insufficiency&#44; or it is prescribed at a low dose&#46; The newly developed and commercialized needles for endoscopic ultrasound-guided pancreatic biopsy are effective in retrieving appropriate tissue samples for the histological diagnosis of autoimmune pancreatitis&#46; Maintenance therapy with azathioprine is effective and safe to prevent relapses in patients with autoimmune pancreatitis&#46;</p></span>"
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