Hipertensiónportal en el embarazo: presentaciónde un caso

The coexistence of pregnancy and liver disease represents a complex clinical situation. Pregnancy develops hypervolemic state due to increased splachnic blood flow, which contributes to increased portal pressure transmitted to collateral veins that increase the risk of variceal bleeding in these patients. We report the case of a 39 years old patient in the sixth pregnancy and without any previous medical history that presented pre-sinusoidal portal hypertension, and thanks to appropriate multidisciplinary management had an uncomplicated delivery. We review the literature relevant to the case

Hipertensiónportal en el embarazo: presentaciónde un caso

The coexistence of pregnancy and liver disease represents a complex clinical situation. Pregnancy develops hypervolemic state due to increased splachnic blood flow, which contributes to increased portal pressure transmitted to collateral veins that increase the risk of variceal bleeding in these patients. We report the case of a 39 years old patient in the sixth pregnancy and without any previous medical history that presented pre-sinusoidal portal hypertension, and thanks to appropriate multidisciplinary management had an uncomplicated delivery. We review the literature relevant to the case

Tuberculosis esofágica: Informe de un caso

We report the case of an immune-competent man with symptoms of upper gastrointestinal bleeding secondary to esophageal ulcers of tubercular origin. Gastrointestinal involvement from Mycobacterium tuberculosis is rare even in patients with numerous occurrences of pulmonary and extrapulmonary diseases. The most frequently affected sites are the terminal ileum and the peritoneum. Esophageal tuberculosis is exotic and is usually secondary to extension from neighboring infected organs such as the mediastinal nodes and/or the bronchi. Clinical, endoscopic and radiological pictures of the esophageal disease often mimic malignancy. Tuberculosis treatment is the mainstay of treatment, and surgery is rarely required. © 2014 Asociaciones Colombianas de Gastroenterología, Endoscopia digestiva, Coloproctología y Hepatología

Tuberculosis esofágica: Informe de un caso

We report the case of an immune-competent man with symptoms of upper gastrointestinal bleeding secondary to esophageal ulcers of tubercular origin. Gastrointestinal involvement from Mycobacterium tuberculosis is rare even in patients with numerous occurrences of pulmonary and extrapulmonary diseases. The most frequently affected sites are the terminal ileum and the peritoneum. Esophageal tuberculosis is exotic and is usually secondary to extension from neighboring infected organs such as the mediastinal nodes and/or the bronchi. Clinical, endoscopic and radiological pictures of the esophageal disease often mimic malignancy. Tuberculosis treatment is the mainstay of treatment, and surgery is rarely required. © 2014 Asociaciones Colombianas de Gastroenterología, Endoscopia digestiva, Coloproctología y Hepatología

Caracterización de los pacientes con hemorragia de vías digestivas altas no varicosa en un hospital de tercer nivel de Cundinamarca, Colombia

Upper gastrointestinal tract bleeding is a common emergency whose most common etiology is a peptic ulcer. Restoration of intravascular volume and blood pressure management are priorities before identifying the cause of bleeding. After initial resuscitation and after hemodynamic stabilization has been achieved, an esophagogastroduodenoscopy (EGD) should be performed to identify the cause of bleeding and determine the treatment needed. This is a study performed at a third level referral hospital in Cundinamarca, Colombia. Materials and Methods: This is a retrospective study of data from electronic medical records of adult patients admitted to the emergency room of the Hospital Universitario de la Samaritana (HUS) because of upper gastrointestinal tract bleeding which ahd been diagnosed because of hematemesis, melena, rectal bleeding and/or anemia. Patients all underwent EGD between April 2010 and April 2011. Results: 385 patients with upper gastrointestinal tract bleeding were seen during the study period, but 100 were excluded because of bleeding secondary esophageal varices, incomplete clinical histories and lower gastrointestinal bleeding. A total of 285 patients were included. 69.1 % were older than 60 years, 73.3 % had hypertension, 55.1 % reported use of inflammatory drugs (NSAIDs) and aspirin (ASA), 19.6 % reported previous bleeding episodes, and 17.9 % had hemodynamic instability. 63 patients (22.1 %) required endoscopic hemostasis, and 32 (11.2 %) experienced rebleeding. Overall mortality reported was 13.1 % of which 55.3 % were men. Mortality attributable to gastrointestinal bleeding was 3.1 %. Conclusions: The majority of patients served by the HUS with upper GI bleeding are adults over 60 years. Peptic ulcers remain the most common diagnosis associated with the use of NSAIDs and ASA. The mortality rate is comparable to international standards. © 2013 Asociaciones Colombianas de Gastroenterología

Caracterización de los pacientes con hemorragia de vías digestivas altas no varicosa en un hospital de tercer nivel de Cundinamarca, Colombia

Upper gastrointestinal tract bleeding is a common emergency whose most common etiology is a peptic ulcer. Restoration of intravascular volume and blood pressure management are priorities before identifying the cause of bleeding. After initial resuscitation and after hemodynamic stabilization has been achieved, an esophagogastroduodenoscopy (EGD) should be performed to identify the cause of bleeding and determine the treatment needed. This is a study performed at a third level referral hospital in Cundinamarca, Colombia. Materials and Methods: This is a retrospective study of data from electronic medical records of adult patients admitted to the emergency room of the Hospital Universitario de la Samaritana (HUS) because of upper gastrointestinal tract bleeding which ahd been diagnosed because of hematemesis, melena, rectal bleeding and/or anemia. Patients all underwent EGD between April 2010 and April 2011. Results: 385 patients with upper gastrointestinal tract bleeding were seen during the study period, but 100 were excluded because of bleeding secondary esophageal varices, incomplete clinical histories and lower gastrointestinal bleeding. A total of 285 patients were included. 69.1 % were older than 60 years, 73.3 % had hypertension, 55.1 % reported use of inflammatory drugs (NSAIDs) and aspirin (ASA), 19.6 % reported previous bleeding episodes, and 17.9 % had hemodynamic instability. 63 patients (22.1 %) required endoscopic hemostasis, and 32 (11.2 %) experienced rebleeding. Overall mortality reported was 13.1 % of which 55.3 % were men. Mortality attributable to gastrointestinal bleeding was 3.1 %. Conclusions: The majority of patients served by the HUS with upper GI bleeding are adults over 60 years. Peptic ulcers remain the most common diagnosis associated with the use of NSAIDs and ASA. The mortality rate is comparable to international standards. © 2013 Asociaciones Colombianas de Gastroenterología

Arbuscular mycorrhizal networks: process and functions. A review

International audienceAn unprecedented, rapid change in environmental conditions is being observed, which invariably overrules the adaptive capacity of land plants. These environmental changes mainly originate from anthropogenic activities, which have aggravated air and soil pollution, acid precipitation, soil degradation, salinity, contamination of natural and agro-ecosystems with heavy metals such as cadmium (Cd), lead (Pb), mercury (Hg), arsenic (As), global climate change, etc. The restoration of degraded natural habitats using sustainable, low-input cropping systems with the aim of maximizing yields of crop plants is the need of the hour. Thus, incorporation of the natural roles of beneficial microorganisms in maintaining soil fertility and plant productivity is gaining importance and may be an important approach. Symbiotic association of the majority of crop plants with arbuscular mycorrhizal (AM) fungi plays a central role in many microbiological and ecological processes. In mycorrhizal associations, the fungal partner assists its plant host in phosphorus (P) and nitrogen (N) uptake and also some of the relatively immobile trace elements such as zinc (Zn), copper (Cu) and iron (Fe). AM fungi also benefit plants by increasing water uptake, plant resistance and biocontrol of phytopathogens, adaptation to a variety of environmental stresses such as drought, heat, salinity, heavy metal contamination, production of growth hormones and certain enzymes, and even in the uptake of radioactive elements. The establishment of symbiotic association usually involves mutual recognition and a high degree of coordination at the morphological and physiological level, which requires a continuous cellular and molecular dialogue between both the partners. This has led to the identification of the genes, signal transduction pathways and the chemical structures of components relevant to symbiosis; however, scientific knowledge on the physiology and function of these fungi is still limited. This review unfolds our current knowledge on signals and mechanisms in the development of AM symbiosis; the molecular basis of nutrient exchange between AM fungi and host plants; and the role of AM fungi in water uptake, disease protection, alleviation of various abiotic soil stresses and increasing grain production