A sífilis congênita é uma doença infecciosa de abrangência mundial, com potencial para determinar complicações sistêmicas, seja na sífilis congênita precoce (acometimento ósseo, neurológico, hematológico e hepatoesplênico), ou tardia (estigmas decorrente de remodelação e deformidades ósseas). Apesar de ser uma doença passível de tratamento e prevenção a um custo acessível, no Brasil houve um aumento de três vezes na sua prevalência entre os nascidos vivos nos últimos dez anos. A realização de um pré-natal de qualidade permite uma abordagem efetiva da gestante infectada com o tratamento oportuno desta, dos parceiros infectados e da criança em gestação. A melhoria na qualidade à assistência com observância aos fatores de risco pode, de maneira significativa, reduzir a ocorrência da sífilis congênita e prevenir as complicações graves dessa doença na criança a curto e longo prazo.
Bezoars are concretions of nondigestible organic material in the lumen of the gastrointestinal tract (GIT), which can be classified into different types, according to their composition. Although rare, they constitute a possible cause of GI tract obstruction. It is a difficult condition to diagnose and, in most cases, occurs incidentally, requiring high clinical suspicion. The treatment is essentially surgical. Among the risk factors for this condition, abdominal surgeries, mainly gastric, seem to have implication in its pathogenesis. Such knowledge could help in the detection and facilitate the diagnosis, with earlier treatment and, therefore, better prognosis of patients treated for this condition. Objective: To evaluate data in the literature on intestinal obstruction by bezoars, its diagnostic and therapeutic approach and the association with previous gastric surgery. Methodology: Literature review using mainly the descriptors intestinal obstruction and bezoar, in the Scielo, LILACS, PubMed databases, delimiting findings between 2010-2022, in Portuguese and English. Conclusion: The possibility of a bezoar as a cause of obstructive acute abdomen must be considered mainly in elderly patients with previous gastrectomy, with clinical examination and imaging tests, in association with clinical and dietary history, of great importance for the diagnosis and resolution of the condition. to ensure a better prognosis for these patients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.