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Introduction: Carotid body tumors are rare neoplasms with malignant potential. We aim to follow up on our initial experience published in 2015 and compare the occurrence of complications and postoperative outcomes with the use of retrocarotid dissection (RCD) against the standard caudocranial (SCCD) technique. Methods: This was an observational, case–control study in which we analyzed all of the carotid body tumor resections performed from 1986 to 2022. Parametric and nonparametric tests were used accordingly. Statistical analysis was performed on Stata 17. Results: A total of 181 surgical procedures were included, mean age was 56 years (± 13.63), and 168 (93%) were performed in women. The mean medio-lateral diameter was larger in the RCD group (2.85 ± 1.57 cm vs 1.93 ±1.85 cm; p = 0.002) and presurgical embolization was more frequently performed in the SCCD group (27.5% vs 0.7%; p < 0.001). A total of 40 (22.09%) resections were performed using the SCCD technique. In contrast, in 141 (77.91%) procedures the RCD technique was used. The mean surgical time in the RCD group was lower (197.37 ± 70.56 min vs 232 ± 98.34 min; p = 0.01). No statistically significant difference was found between SCCD and RCD in terms of vascular lesions (n = 20 [11.04%], 15% vs 9%, respectively; p = 0.36), transient or permanent nerve injuries (25% vs 33%, respectively; p = 0.31), or mean intraoperative bleeding (SCCD: 689.95 ± 680.05 mL vs RCD: 619.64 ± 837.94 mL; p > 0.05). Conclusions: RCD appears to be a safe and equivalent alternative to the standard caudocranial approach in terms of intraoperative bleeding or vascular lesions, with a sustained, significant decrease in surgical time. [ABSTRACT FROM AUTHOR]

Resumen: Introducción y objetivo: La Revista de Gastroenterología de México (RGM) fundada en 1935 es una de las revistas de divulgación científica en México y Latinoamérica con mayor impacto. El objetivo del presente estudio es caracterizar los artículos más citados de la RGM incluyendo originales, revisión y consensos. Métodos: Se utilizaron las bases de datos de Scopus, PubMed y Google Scholar para identificar los artículos originales, revisión y consensos más citados de la RGM. Se analizaron sus características como diseño y tema, así como autores e instituciones participantes. Resultados: Los artículos más citados de la RGM corresponden al periodo entre 1996 y 2018, teniendo un promedio de 16.5 citas por artículo. El 58% (n = 29) de los trabajos pertenecen al área de gastroenterología y 20% (n = 10) a cirugía; los temas más frecuentes fueron: trastorno funcional digestivo, virus de hepatitis y cáncer gástrico. El 36% de los trabajos corresponden a un diseño prospectivo no aleatorizado, seguido de estudios transversales en el 26% y prospectivos aleatorizados en el 18%. Conclusión: Los 50 artículos más citados representan un total de 826 citas, mientras que los 10 consensos y artículos de revisión más citados, 208 citas.Estos trabajos presentan una diversidad en disciplinas afines a la gastroenterología que han logrado impactar en la comunidad científica y representan diferentes grupos de investigación activos a lo largo de la república mexicana y otros países. Abstract: Introduction and aim: The Revista de Gastroenterología de México (RGM), founded in 1935, is one of the most influential journals of scientific dissemination in Mexico and Latin America. The aim of the present review was to characterize the RGM's most frequently cited original articles, review articles, and consensuses. Methods: The most cited original articles, review articles, and consensuses of the RGM were identified using the Scopus, PubMed, and Google Scholar databases. Their designs and topics, as well as their authors and participating institutions, were analyzed. Results: The most highly cited articles of the RGM corresponded to the period from 1996 to 2018, with a mean of 16.5 citations per article. Fifty-eight percent (n = 29) of the articles belonged to the area of gastroenterology and 20% (n = 10) to surgery. The most frequent topics were functional gastrointestinal disorders, hepatitis virus, and gastric cancer. Thirty-six percent of the articles had a nonrandomized prospective design, followed by cross-sectional studies (26%) and randomized prospective studies (18%). Conclusion: The 50 most-cited articles included a total of 826 citations and the 10 most-cited consensuses and review articles had a total of 208 citations.Those studies encompass a diversity of disciplines related to gastroenterology that have impacted the scientific community and correspond to the work of different active research groups in Mexico and other countries.

Introduction and aim: The Revista de Gastroenterología de México (RGM), founded in 1935, is one of the most influential journals of scientific dissemination in Mexico and Latin America. The aim of the present review was to characterize the RGM’s most frequently cited original articles, review articles, and consensuses. Methods: The most cited original articles, review articles, and consensuses of the RGM were identified using the Scopus, PubMed, and Google Scholar databases. Their designs and topics, as well as their authors and participating institutions, were analyzed. Results: The most highly cited articles of the RGM corresponded to the period from 1996 to 2018, with a mean of 16.5 citations per article. Fifty-eight percent (n = 29) of the articles belonged to the area of gastroenterology and 20% (n = 10) to surgery. The most frequent topics were functional gastrointestinal disorders, hepatitis virus, and gastric cancer. Thirty-six percent of the articles had a nonrandomized prospective design, followed by cross-sectional studies (26%) and randomized prospective studies (18%). Conclusion: The 50 most-cited articles included a total of 826 citations and the 10 most-cited consensuses and review articles had a total of 208 citations.Those studies encompass a diversity of disciplines related to gastroenterology that have impacted the scientific community and correspond to the work of different active research groups in Mexico and other countries. Resumen: Introducción y objetivo: La Revista de Gastroenterología de México (RGM) fundada en 1935 es una de las revistas de divulgación científica en México y Latinoamérica con mayor impacto. El objetivo del presente estudio es caracterizar los artículos más citados de la RGM incluyendo originales, revisión y consensos. Métodos: Se utilizaron las bases de datos de Scopus, PubMed y Google Scholar para identificar los artículos originales, revisión y consensos más citados de la RGM. Se analizaron sus características como diseño y tema, así como autores e instituciones participantes. Resultados: Los artículos más citados de la RGM corresponden al periodo entre 1996 y 2018, teniendo un promedio de 16.5 citas por artículo. El 58% (n = 29) de los trabajos pertenecen al área de gastroenterología y 20% (n = 10) a cirugía; los temas más frecuentes fueron: trastorno funcional digestivo, virus de hepatitis y cáncer gástrico. El 36% de los trabajos corresponden a un diseño prospectivo no aleatorizado, seguido de estudios transversales en el 26% y prospectivos aleatorizados en el 18%. Conclusión: Los 50 artículos más citados representan un total de 826 citas, mientras que los 10 consensos y artículos de revisión más citados, 208 citas.Estos trabajos presentan una diversidad en disciplinas afines a la gastroenterología que han logrado impactar en la comunidad científica y representan diferentes grupos de investigación activos a lo largo de la república mexicana y otros países.

Summary: Background: Cirrhosis is a public health threat associated with high mortality. Alcoholic Liver Disease (ALD) is the leading cause in Latin America and Metabolic Associated Fatty Liver Disease (MAFLD) in western countries. In Mexico, ALD and chronic Hepatitis C Virus infection (HCV) were the most frequent aetiologies during the past decades. We aimed to describe the trends in the aetiologies of cirrhosis in a middle-income country. Methods: We performed a retrospective cohort study including patients diagnosed with cirrhosis between 2000 and 2019 from six different tertiary care hospitals in central Mexico. We collected information regarding cirrhosis etiology, year of diagnosis, hepatocellular carcinoma development, liver transplantation, and death. We illustrated the change in the tendencies of cirrhosis aetiologies by displaying the proportional incidence of each etiology over time stratified by age and gender, and we compared these proportions over time using chi square tests. Findings: Overall, 4,584 patients were included. In 2019, MAFLD was the most frequent cirrhosis etiology (30%), followed by ALD (24%) and HCV (23%). During the study period, MAFLD became the leading etiology, ALD remained second, and HCV passed from first to fourth. When analysed by gender, ALD was the leading etiology for men and MAFLD for women. The annual incidence of HCC was 3·84 cases/100 persons-year, the median survival after diagnosis was 12·1 years, and seven percent underwent LT. Interpretation: Increased alcohol consumption and the obesity epidemic have caused a transition in the aetiologies of cirrhosis in Mexico. Public health policies must be tailored accordingly to mitigate the burden of alcohol and metabolic conditions in developing countries. Funding: None.

Background: Cirrhosis is a public health threat associated with high mortality. Alcoholic Liver Disease (ALD) is the leading cause in Latin America and Metabolic Associated Fatty Liver Disease (MAFLD) in western countries. In Mexico, ALD and chronic Hepatitis C Virus infection (HCV) were the most frequent aetiologies during the past decades. We aimed to describe the trends in the aetiologies of cirrhosis in a middle-income country., Methods: We performed a retrospective cohort study including patients diagnosed with cirrhosis between 2000 and 2019 from six different tertiary care hospitals in central Mexico. We collected information regarding cirrhosis etiology, year of diagnosis, hepatocellular carcinoma development, liver transplantation, and death. We illustrated the change in the tendencies of cirrhosis aetiologies by displaying the proportional incidence of each etiology over time stratified by age and gender, and we compared these proportions over time using chi square tests., Findings: Overall, 4,584 patients were included. In 2019, MAFLD was the most frequent cirrhosis etiology (30%), followed by ALD (24%) and HCV (23%). During the study period, MAFLD became the leading etiology, ALD remained second, and HCV passed from first to fourth. When analysed by gender, ALD was the leading etiology for men and MAFLD for women. The annual incidence of HCC was 3·84 cases/100 persons-year, the median survival after diagnosis was 12·1 years, and seven percent underwent LT., Interpretation: Increased alcohol consumption and the obesity epidemic have caused a transition in the aetiologies of cirrhosis in Mexico. Public health policies must be tailored accordingly to mitigate the burden of alcohol and metabolic conditions in developing countries., Funding: None., Competing Interests: The authors have no conflict of interest to disclose., (© 2021 The Author(s).)