Publication: Diarrea crónica refractaria y malabsorción secundaria a hipogammaglobulinemia común variable, infestación crónica por giardia lambila y gastrectomía total por adenocarcinoma gástrico: un manejo nutricional complejo
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Identifiers
Date
2011-07
Authors
Domínguez-López, M.E.
González-molero, I.
Ramírez-Plaza, C.P.
Soriguer, F.
Olveira, G.
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
Grupo Aula Médica, S.L.
Abstract
El adenocarcinoma gástrico es una de las causas más frecuentes de mortalidad en el mundo, siendo la cirugía el único tratamiento potencialmente curativo, aunque los efectos adversos digestivos y nutricionales son frecuentes y abundantes. La hipogammaglobulinemia variable común es causa de frecuentes manifestaciones digestivas, derivándose las más importantes en diarrea crónica causada por giardiasis, hiperplasia nodular linfoide o atrofia vellosa, siendo frecuente la malabsorción y la desnutrición. Los déficits nutricionales secundarios a la malabsorción (postgastrectomía y asociada a la atrofia vellosa y la giardiasis por hipogammaglobulinemia variable común) son asimismo frecuentes. Presentamos el caso de un paciente gastrectomizado por adenocarcinoma gástrico y con hipogammaglobulinemia variable común e infestación crónica por giardiasis que presenta una importante diarrea crónica refractaria a tratamiento y malabsorción.
Gastric cancer is a frequent cause of cancer-related mortality in the world. Surgery is the only potentially curative therapy, although the adverse effects of surgery are common and considerable. Common variable immunodeficiency is in many cases cause of gastrointestinal system problems such as chronic diarrhea caused by infestation with giardia lamblia, nodular lymphoid hiperplasia ad loss of villi leading frequently to malapsortion and malnutrition. Nutritional deficiencies due to malapsorption (postgastrectomy and secondary to loss of villi, giardiasis and common variable inmunodeficiency) are common. We present the case of a patient with gastric cancer who underwent a gastrectomy with common variable hipogammaglobulinemia and chronic infestation by giardia lamblia, with serious diarrhea resistant to treatment and malabsorption.
Gastric cancer is a frequent cause of cancer-related mortality in the world. Surgery is the only potentially curative therapy, although the adverse effects of surgery are common and considerable. Common variable immunodeficiency is in many cases cause of gastrointestinal system problems such as chronic diarrhea caused by infestation with giardia lamblia, nodular lymphoid hiperplasia ad loss of villi leading frequently to malapsortion and malnutrition. Nutritional deficiencies due to malapsorption (postgastrectomy and secondary to loss of villi, giardiasis and common variable inmunodeficiency) are common. We present the case of a patient with gastric cancer who underwent a gastrectomy with common variable hipogammaglobulinemia and chronic infestation by giardia lamblia, with serious diarrhea resistant to treatment and malabsorption.
Description
Caso clínico
MeSH Terms
Medical Subject Headings::Diseases::Immune System Diseases::Immunologic Deficiency Syndromes::Common Variable Immunodeficiency
Medical Subject Headings::Diseases::Parasitic Diseases::Intestinal Diseases, Parasitic::Giardiasis
Medical Subject Headings::Diseases::Neoplasms::Neoplasms by Site::Digestive System Neoplasms
Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Signs and Symptoms, Digestive::Diarrhea
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Digestive System Surgical Procedures::Gastrectomy
Medical Subject Headings::Organisms::Eukaryota::Diplomonadida::Giardia::Giardia lamblia
Medical Subject Headings::Diseases::Parasitic Diseases::Intestinal Diseases, Parasitic::Giardiasis
Medical Subject Headings::Diseases::Neoplasms::Neoplasms by Site::Digestive System Neoplasms
Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Signs and Symptoms, Digestive::Diarrhea
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Digestive System Surgical Procedures::Gastrectomy
Medical Subject Headings::Organisms::Eukaryota::Diplomonadida::Giardia::Giardia lamblia
DeCS Terms
CIE Terms
Keywords
Gastrectomy, Chronic diarrhea, Gastrectomía, Diarrea crónica
Citation
Domínguez-López ME, González-Molero I, Ramírez-Plaza CP, Soriguer F, Olveira G. Diarrea crónica refractaria y malabsorción secundaria a hipogammaglobulinemia común variable, infestación crónica por giardia lambila y gastrectomía total por adenocarcinoma gástrico: un manejo nutricional complejo. Nutr Hosp. 2011;26(4):922-5.