Hallazgos en endoscopia superior, ileocolonoscopia e histopatología de pacientes con VIH y diarrea crónica.

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Title: Hallazgos en endoscopia superior, ileocolonoscopia e histopatología de pacientes con VIH y diarrea crónica.
Alternate Title: Findings in upper endoscopy, ileocolonoscopy and histopathology of patients with HIV and chronic diarrhea.
Authors: Alberto Revuelta-Rodríguez, Luis1 betomedx@hotmail.com, Gutiérrez-Ortiz, Jennifer2
Source: Medicina Interna de México. nov/dic2021, Vol. 37 Issue 6, p946-951. 6p.
Abstract (English): BACKGROUND: Chronic diarrhea affects around 5% of the population, increasing up to 50% in the case of patients with HIV, only in certain patients, endoscopic studies are necessary. OBJECTIVE: To describe endoscopic and histopathological findings in patients with HIV and chronic diarrhea. MATERIALS AND METHODS: A cross-sectional, retrospective and observational study was conducted from January 2007 to January 2017, describing the findings found in upper endoscopies and ileocolonoscopies, as well as histopathology of patients with HIV and chronic diarrhea. RESULTS: A total of 72 ileocolonoscopies and 52 upper endoscopies were analyzed, with macroscopically normal results in 37 and 20, respectively, followed by ulcers/erosions in 17/72 ileocolonoscopies and erythematous gastropathy in 8/52 upper endoscopies. Histologically, unspecific findings were found in ileocolonic and gastroduodenal mucosa in 24/72 ileocolonoscopies and 24/52 upper endoscopies. CONCLUSIONS: The unspecified histopathological findings are high; however, the percentage of infections in patients with HIV is considerable, so endoscopic studies can be a great tool in patients with HIV and chronic diarrhea. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): ANTECEDENTES: La diarrea crónica afecta a alrededor del 5% de la población y se incrementa hasta el 50% en pacientes con VIH; solo en ciertos pacientes, los estudios endoscópicos son necesarios. OBJETIVO: Describir los hallazgos endoscópicos e histopatológicos en pacientes con VIH y diarrea crónica. MATERIALES Y MÉTODOS: Estudio transversal, retrospectivo y observacional, efectuado de enero de 2007 a enero de 2017, que describió los hallazgos obtenidos en endoscopias superiores e ileocolonoscopias, así como en el estudio histopatológico de pacientes con VIH y diarrea crónica. RESULTADOS: Se analizaron 72 ileocolonoscopias y 52 endoscopias superiores, con resultado macroscópicamente normal en 37 y 20, respectivamente, seguido de úlceras-erosiones en 17/72 ileocolonoscopias y gastropatía eritematosa en 8/52 endoscopias superiores. En términos histológicos, se obtuvieron hallazgos inespecíficos en la mucosa ileocolónica y gastroduodenal en 24/72 ileocolonoscopias y en 24/52 endoscopias superiores. CONCLUSIONES: Los hallazgos histopatológicos inespecíficos son altos; sin embargo, el porcentaje de infecciones en pacientes con VIH es considerable, por lo que los estudios endoscópicos pueden ser una gran herramienta en pacientes con VIH y diarrea crónica. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
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Abstract:BACKGROUND: Chronic diarrhea affects around 5% of the population, increasing up to 50% in the case of patients with HIV, only in certain patients, endoscopic studies are necessary. OBJECTIVE: To describe endoscopic and histopathological findings in patients with HIV and chronic diarrhea. MATERIALS AND METHODS: A cross-sectional, retrospective and observational study was conducted from January 2007 to January 2017, describing the findings found in upper endoscopies and ileocolonoscopies, as well as histopathology of patients with HIV and chronic diarrhea. RESULTS: A total of 72 ileocolonoscopies and 52 upper endoscopies were analyzed, with macroscopically normal results in 37 and 20, respectively, followed by ulcers/erosions in 17/72 ileocolonoscopies and erythematous gastropathy in 8/52 upper endoscopies. Histologically, unspecific findings were found in ileocolonic and gastroduodenal mucosa in 24/72 ileocolonoscopies and 24/52 upper endoscopies. CONCLUSIONS: The unspecified histopathological findings are high; however, the percentage of infections in patients with HIV is considerable, so endoscopic studies can be a great tool in patients with HIV and chronic diarrhea. [ABSTRACT FROM AUTHOR]
ISSN:01864866
DOI:10.24245/mim.v37i6.4537