82 results on '"Cerdán‑Santacruz, C."'
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2. Surgical treatment trends and outcomes for anal fistula: fistulotomy is still accurate and safe. Results from a nationwide observational study
- Author
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Cano‑Valderrama, Ó., Miguel, T. Fernández, Bonito, A. Correa, Muriel, J. Sancho, Fernández, F. J. Medina, Ros, E. Peña, Cabrera, A. M. García, and Cerdán‑Santacruz, C.
- Published
- 2023
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3. Local tumor regrowth after clinical complete response following neoadjuvant therapy for rectal cancer: what happens when organ preservation falls short
- Author
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Cerdán-Santacruz, C., Vailati, B. B., São Julião, G. P., Habr-Gama, A., and Perez, R. O.
- Published
- 2023
- Full Text
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4. Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study
- Author
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Podda, M, Di Martino, M, Pata, F, Nigri, G, Pisanu, A, Di Saverio, S, Pellino, G, Ielpo, B, Null, N, Tolla, A, Abdelkhalek, M, Emile, S, Dinagde, T, Bouzid, C, Mansour, A, Garzali, I, Aregawi, A, Zaghloul, T, Kchaou, A, Awad, S, Souadka, A, Ted, T, Saumtally, M, Ahmed, B, Bayileyegn, N, Nunziante, M, Shalaby, M, Debena, D, Zena, A, Adewunmi, O, Negasa, T, Bourguiba, M, Feituri, N, Kebede, K, Elfeki, H, Anas, A, Awad, A, Ermias, N, Hailemariam, D, Bejiga, G, Imana, R, Taffese, A, Feleke, T, Elghadban, H, Debela, B, Shiferaw, D, Tadesse, R, Chukwu, I, Mohammed, A, Hassen, K, Obiagwu, N, Tense, T, Taeme, M, Biniam, E, Tesfay, G, Tegegn, A, Teddy, T, Bekana, B, Nidaw, M, Ali, M, Gonfa, K, Kiros, S, Belay, T, Yallew, G, Wassie, C, Ayalew, A, Asfaw, F, Aimal, A, Casas, M, Madrid, F, Diaz-Elizondo, J, Merlo, I, De Campos, T, Schlottmann, F, Gomes, C, Hernández, E, Moncada-Ortega, A, Ramos-De la Medina, A, Vanerio, P, Morales, E, Stringfield, S, Gallardo, C, Fonseca, V, Muriel, M, Cantarino, F, Fichera, A, Rodriguez, A, Salinas, R, Crosbie, G, Menegozzo, C, Avellaneda, N, Briones, C, Varela, C, Lichliter, W, Koppel, D, Lenz, J, Pascual, F, Sibaja-Matamoros, D, Johnson, B, Mercado, O, Tita, A, Mukherjee, I, Lorenzo, I, Rueda, E, Rico, D, Terwes, N, Visag-Castillo, V, Escalante, K, Salvador, A, Pio, L, Rodas, E, Aguilar, J, Neri, I, Barzola, E, Barba, L, Zuchini, A, Acevedo, A, Gachabayov, M, Gonsaga, R, Bonilla, F, Knickerbocker, C, Tsouknidas, I, Salamea, J, Travers, L, Nari, G, Pachajoa, D, Valadez, M, Hale, L, Perez, G, Choudhry, A, Foreman, M, Brito, I, Ciro, M, Newton, C, Souza, H, Davis, D, Ferreira, R, Keller, D, Miguel, G, Singh-Ranger, G, Linares, N, Singares, E, Valdivieso, X, Teran, A, Vargas, L, Valinoti, A, Milne, D, Fleming, A, Quiroga-Garza, A, Espino, E, Bedros, N, Funk, G, Neves, F, Supit, T, Baba, A, Chalkoo, M, Kucuk, G, Sarmiento, R, Galeev, S, Korkoman, M, Yang, W, Medappil, N, Athar, R, Subramaniam, R, Chia, C, Alhazmi, A, Halder, S, Rusli, S, Rashid, A, Gülcü, B, Nagarajan, P, Rida, K, Jamiri, A, Batıkan, O, Khan, H, Mitul, A, Efetov, S, Junior, M, Gulcu, B, Farooqui, M, Mulpuri, V, Bagaria, D, Yusoff, A, Wani, R, Younis, M, Khobragade, K, Marwat, M, Bains, L, Kobe, Y, Koh, P, Tantravahi, U, Mohamad Mohamad, I, Abu-Arish, H, Yildirim, A, Ibrahim, A, Tan, J, Siagian, D, Bhattacharya, N, Chiu, J, Paramasvaran, G, Voon, K, Göktepe, B, Lee, L, Gupta, A, Rasheed, F, Al-Shehari, M, Syed, S, Bhat, P, Erdoğan, E, Roat, R, Nacion, A, Saraiya, S, Afolabi, A, Chai, F, Ghannam, W, Bhattacharya, K, Nl, H, Aloun, A, Bhatti, H, Koneti, A, Klib, M, Qureshi, A, Syn, N, Wani, A, Saeidi, S, Zeb, M, Bandaru, K, Menna, M, Morales-Conde, S, Gessa, E, Sánchez-Cabús, S, Spartalis, E, Antropoli, C, Manigrasso, M, Sica, G, Ercolani, G, Chitul, A, Bacchiocchi, G, Azevedo, J, Karamarkovic, A, Bonavina, L, Piozzi, G, Migueláñez, I, Merlini, D, Major, P, Grimaldi, L, Calu, V, Curro, G, Cotsoglou, C, Baldini, E, Delis, S, Kovacevic, B, Masetti, M, Selvaggi, F, Scabini, S, Reiti, A, Zullo, A, Giuliani, A, Alesina, P, Massey, L, Slesser, A, Neary, P, Sahnan, K, Colucci, G, Brady, R, Mihailescu, A, Adamina, M, Gerogiannis, I, van Ramshorst, G, Paradiso, G, Poto, G, Massaro, D, Nazir, F, Stubbs, B, Tasselli, F, Muñoz-Cruzado, V, Sabia, D, Vannelli, A, Marsella, V, Tomada, E, Giambusso, M, Davies, J, Uzzau, A, Balla, A, Scaringi, S, Lancellotti, F, Douka, E, Argenio, G, Cassese, G, Ammendola, M, Morelli, L, Francone, E, Bala, M, Thambi, P, Iacobone, M, Campisi, A, Tejedor, P, Spoletini, G, Mascherini, M, Belia, F, Idiz, U, Colak, E, Peters, P, Ros, E, Aytac, E, Vilallonga, R, Serrablo, A, Muttillo, E, Di Franco, G, Vanni, G, Isik, A, Sbacco, V, Tropeano, F, Porcellini, I, Butler, R, Fernandez, C, Papadopoulos, A, Salvans, S, Khan, J, Bellver, P, Mc Farlane, S, Apostolou, K, Tur-Martinez, J, Castellano, J, Santoliquido, M, Tallon-Aguilar, L, Celentano, V, Aliyev, V, al-Najami, I, Grama, F, Masior, Ł, Ciesielski, W, Luberto, A, Sparavigna, M, Klimczak, T, Negoi, I, Serradilla-Martín, M, Marinis, A, Cammarat, R, Bellido-luque, J, Manzo, C, Milana, F, Luglio, G, Zarnescu, N, Martínez, I, Olmi, S, Costea, R, Cerdán-Santacruz, C, Gica, N, Rompianesi, G, Gallo, G, Ridolfi, C, Sahid, S, Cc, T, López-Soler, G, Díaz, C, Mccawley, N, Luzzi, A, Abelló, D, Bonito, A, Ntomi, V, Gourgiotis, S, Pazos, N, Toscano, M, Zafra, D, Beisani, M, Oliva, A, Guler, M, Gómez, M, Oddis, L, Montcusí, B, Delgado, A, Lasarte, M, Antonacci, N, Sartori, A, Taylor, J, de Santos Iglesias, F, Mastronardi, M, Gunay, E, Yiu, A, Cano-Valderrama, O, Costantini, G, Digne-Malcolm, H, Petropoulou, T, Horesh, N, Kelly, M, Ahmed, N, Wyroslak-Najs, J, Naik, P, Vigorita, V, Michael, M, Castro, E, Paspala, A, D'Ambrosio, M, Pangeni, A, Dziakova, J, Terés, L, Lorente-Poch, L, Di Carlo, I, Spartalis, M, Moro-Valdezate, D, Davey, M, Turrado-Rodriguez, V, Tryliskyy, Y, Calussi, M, Farré, S, Labat, M, Marafante, C, Takkenberg, M, Brookes, C, Soares, A, Gialamas, E, Caputo, D, Corrons, L, Capitano, S, Charalabopoulos, A, Don, C, Marrano, E, Giuffrida, M, Tomasicchio, G, Bellato, V, Stijns, J, Creavin, B, Schizas, D, Blanco-Antona, F, Kykalos, S, Tartaglia, N, Pelegrina, A, Barranquero, A, Schena, C, Cremona, S, Baili, E, Cianci, P, Di Bella, A, Forcignanò, E, Fabbrizio, T, Salvetti, F, Inama, M, Campagnaro, T, Deerenberg, E, Reccia, I, Rocca, A, Fazio, F, Tampakis, A, Tepelenis, K, Di Meo, G, Konstantoudakis, G, Manatakis, D, Mineccia, M, Delvecchio, A, Faro, C, Rosso, E, Bandyopadhyay, S, Queffurus, M, Marin, J, Corvasce, A, Chillarge, G, Mohammed, M, Reid, R, Gherardi, D, Naeem, A, Pandanaboyana, S, Tayeh, S, Chevallay, M, Sergeant, G, Cuccomarino, S, Salimian, N, Kapsampelis, P, Ferretti, C, Glasbey, J, Harvitkar, R, Iqbal, M, de Oliveira, G, Pérez-Bertólez, S, Bergna, A, Brisinda, G, Rottoli, M, Roscio, F, Pedrazzani, C, Meyer, J, Marino, M, Brasset, C, Daniel, C, Devriendt, S, Soldini, G, Pennisi, D, Richards, C, Fiore, F, Bocchino, A, Au, S, Hernandez-Garcia, M, Frontali, A, Grossi, U, Lolis, E, Miotto, M, Di Filippo, G, Seretis, C, Barberis, A, De Luca, R, Levi Sandri, G, Reitano, E, Mattioli, M, Sciaudone, G, Fuschillo, G, Schiltz, B, Low, J, Bointas, G, Cozza, V, Delaune, V, Vescio, F, Curcio, S, Sevik, H, Santocchi, P, Stecca, T, Balaphas, A, Chessa, A, Leo, C, di Mola, F, Tarallo, M, Martini, F, Lisi, G, Khan, M, Nicolazzi, M, Pinotti, E, Morini, A, Esposito, G, Buonomo, O, Corallino, D, Demir, A, Roesel, R, De Lucia, C, Maruccia, M, Tekin, O, Pavone, G, Pradelle, I, Chrysikos, M, Farrukh, M, Baiocchi, G, Piras, C, Abellán, A, Olivieri, L, Materazzo, M, Carbone, L, Dulskas, A, Mulita, F, Corronca, F, Cappuccio, M, Smerieri, E, Sotiropoulu, M, Violante, T, Moletta, L, Rutegård, M, Brillantino, A, Landaluce-Olavarria, A, Ossola, P, Bono, D, Rosés, H, Perez-Sanchez, L, Sabbatini, S, Scotti, M, Cammarata, R, Ibáñez, N, Marano, A, Palmisano, S, Cascales-Sanchez, P, Mosca, V, Ballester, C, Iordache-Petrescu, M, Pozza, G, Akay, O, Bollino, R, Toti, J, Mascianà, G, Pach, R, Sensi, B, Natalia, S, Coppola, A, Altinel, Y, Brucchi, F, Guitart, M, Salido, A, Tamini, N, Garoufalia, Z, Mifsut, P, Wilkins, A, Navarro-Sánchez, A, Cestaro, G, Conti, L, Carvas, J, Gazia, C, Alonso, P, Spiezio, G, Maggi, G, Juloski, J, Braccio, B, Pañella, C, Freixa, C, Petrakis, G, Folliero, C, De Andrés-Asenjo, B, Iodice, A, Jansson, H, González, T, Ortega, I, Castro, M, Fernicola, A, Aparicio, A, Ortega, N, Chouliaras, C, Tura, M, Sidiropoulou, Z, Gonzalez, A, Augustin, G, Segura-Sampedro, J, Cuk, V, Piccolo, G, Ingallinella, S, Ortenzi, M, Uggeri, F, Carrabetta, S, Tolonen, M, Formisano, G, Manfredelli, S, Perra, T, Esposito, F, Perrone, G, Zacharis, G, Menéndez, J, Bottcher, S, Ioannidis, O, Borges, N, Sousa, X, Colombari, R, Tellez, C, Capolupo, G, Giuliani, G, Mastella, F, González, L, Merlini, I, Ghignone, F, de Sa, T, Mangana, O, Rodriguez-Lopez, M, Alvarez-Gallego, M, Chowdhury, A, Di Lascio, P, Carneros, V, Angrisani, M, Conte, L, Montiel, C, Ascari, F, Dajti, I, Lapolla, P, Sperotto, B, Mazzarella, G, Capuano, M, Lopez, M, Ferrario, L, Bulte, J, López, M, Guerci, C, Marra, A, Belkacem, A, Pérez, R, Panyko, A, Dimitrov, E, Luque, E, Manrique, M, Paranyak, M, Kaur, M, Barugola, G, Farazi-Chongouki, C, Estaire-Gómez, M, del Olmo, J, Nardo, B, Mutlu, A, Rubio, A, Marchegiani, F, Cereda, M, Vinci, D, Komaei, I, Petrucciani, N, Seyfried, S, Krsicka, P, Medas, F, Lesko, D, Murzi, V, Siragusa, L, Guerrero, M, Iranzo, M, Cestino, L, Pasculli, A, Smerieri, N, Benzoni, I, Festa, F, Jordão, D, Licardie, E, Nicolaescu, D, Balassone, V, La Vaccara, V, Romano, F, Adamovich, D, Papatheodorou, P, Maroni, N, Colás-Ruiz, E, Melberga, L, Chimenti, F, Ferrari, D, Arcudi, C, Police, A, De Simone, B, Sánchez-Guillén, L, Parreño-Manchado, F, Rachadell, J, Coletta, D, Saroglu, A, Pattacini, G, Antonelli, A, Anania, M, Litta, F, Lafranceschina, S, Bottari, A, Pavlovic, M, Rojas-Bonet, N, Tampaki, E, Kosir, J, Anelli, F, de las Casas, S, Kucukarslan, R, Pierobon, E, Milanesi, M, Drogouti, M, Sotiropoulou, M, Di Marco, F, Bannone, E, Sliwinski, S, Yildiz, I, Pellicciaro, M, Celotti, A, Malerba, M, Marino, F, Bourmpouteli, E, Bianco, G, Charitaki, E, Pascale, M, Ioannidis, A, Maraska, F, Petagna, L, Turri, G, Vailas, M, Romanzi, A, Pouwels, S, Rosa, F, Clocchiatti, L, Andreuccetti, J, Machairas, N, Frountzas, M, Lasithiotakis, K, Barone, M, Christodoulou, P, Potkonjak, D, Aiolfi, A, de Vries, H, Napetti, S, Castaldi, A, Botelho, P, Marziali, I, Uccelli, M, Pisano, M, Veroux, M, Locci, E, Romano, A, Cero, M, Cicerchia, P, Baldi, C, Russo, I, Tenconi, S, Saliu, F, Bondurri, A, Cardinali, L, Laracca, G, Martín-Pérez, B, Felsenreich, D, Cunha, M, Zerbo, D, Clementi, M, Delogu, D, Iossa, A, Bavikatte, A, Saracoglu, C, Pecorelli, N, Tufo, A, Biloslavo, A, Lianos, G, Carannante, F, Costanzo, A, Montuori, M, Cigognini, M, Silvestro, R, Atici, S, Milito, P, Ferronetti, A, Güngör, M, Di Venere, B, Puccioni, C, De Nobili, G, Selvaggi, L, Farolfi, T, Aeschbacher, P, Olivier, J, Frazzetta, G, Andriola, V, Giordano, A, De Luca, A, Ferrara, F, Casagranda, B, Sammartano, F, Russo, A, Rossi, S, Pacilli, M, Synekidou, E, Tutino, R, Ceresoli, M, De Rosa, M, Di Santo Albini, A, Vincenzi, P, Vellei, S, Benzoni, E, Murillo, G, Izzo, G, Scotto, B, Caruso, R, Colombo, F, D'Acapito, F, Lostoridis, E, Saladino, E, Poillucci, G, Moeckli, B, Manto, O, Kara, Y, Tatar, C, Cioffi, S, Mambrilla, S, Bianchi, V, Scopelliti, M, Agresta, F, Nava, A, Franchi, E, Fransvea, P, Prieto, M, Picardi, B, Rizzuto, A, Panaccio, P, Gussago, S, Marra, E, Addeo, P, Fernández Fernández, J, Gulmez, M, Pisaniello, D, Cannavo, M, López-López, V, Avella, P, Peloso, A, Bellanova, G, Candilio, G, Perotti, B, Granata, R, Florio, G, Ioia, G, Iannone, I, Ammerata, G, Zambon, M, Del Monte, S, Sasia, D, Fortuna, L, Litvin, A, Cannistra, M, De Padua, C, Sánchez, T, Paniagua-Garcia-Señorans, M, Guevara, J, Perfecto, A, Alconchel, F, Campanelli, M, Keci, L, Cricrì, M, Kampouroglou, G, Bagaglini, G, Farrarons, S, Greco, A, Walędziak, M, Serrano-Navidad, M, Van Doorn, B, Schiavo, C, Fabbri, N, Wani, I, Mondi, I, Anestiadou, E, Mendes, B, Verdi, D, Dorovinis, P, Cacciaguerra, A, Caldeira, B, Canonico, G, Dardanov, D, D'Ugo, S, Francis, F, Meneghini, S, Pesce, A, Puglisi, S, Bellini, M, Giordano, M, Fleres, F, Campus, F, Cillara, N, Moggia, E, Ciarleglio, F, Calini, G, Gravante, G, De Carlis, R, Altomare, M, Martines, G, Miggino, M, Marano, L, Stocco, A, Porcu, A, Pham, T, Gervasi, M, Pilia, T, Palomba, G, Picchetto, A, Spampinato, M, Tandoi, F, Piccoli, M, Gall, M, Santos, B, Agastra, E, Koëter, T, Samadov, E, Marsanic, P, Serena, D, Uzunoglu, M, Zanus, G, Braholli, E, Giovine, G, Galiffa, G, Lauricella, S, Lukmonov, S, Leventoglu, S, Chooklin, S, Dudi-Venkata, N, Gauci, C, Podda, Mauro, Di Martino, Marcello, Pata, Francesco, Nigri, Giuseppe, Pisanu, Adolfo, Di Saverio, Salomone, Pellino, Gianluca, Ielpo, Benedetto, null, null, Tolla, Ashenafi Negash, Abdelkhalek, Mohamed, Emile, Sameh, Dinagde, Tesfaye Aga, Bouzid, Chafik, Mansour, Ahmed Mohammed Farid Mahmoud, Garzali, Ibrahim Umar, Aregawi, Alazar Berhe, Zaghloul, Tarek M., Kchaou, Ali, Awad, Selmy S., Souadka, Amine, Ted, Tedla Gebretsadik, Saumtally, Mohammad Saad, Ahmed, Bensaad, Bayileyegn, Nebiyou Simegnew, Nunziante, Marco, Shalaby, Mostafa, Debena, Dawit Gebregiorgis, Zena, Alemayehu Shanko, Adewunmi, Olayinka Lukman, Negasa, Tolera A., Bourguiba, Mohamed Aboulkacem, Feituri, Nura, Kebede, Kirubel Abebe, Elfeki, Hossam, Anas, Abdelhmed, Awad, Ahmed K., Ermias, Nebiyou, Hailemariam, Dagnachew H., Bejiga, Gosa Hundie, Imana, Ruhama Yoseph, Taffese, Abebe, Feleke, Tsega Terefe, Elghadban, Hosam Mohamed, Debela, Bizuneh Sime, Shiferaw, Desta, Tadesse, Robel, Chukwu, Isaac Sunday, Mohammed, Abdullahi Ibrahim, Hassen, Khalid Arebo, Obiagwu, Ndubuisi K., Tense, Tadesse H., Taeme, Mulugeta, Biniam, Ewnte, Tesfay, Goytom Knfe, Tegegn, Ayenachew Getachew, Teddy, Tewodros Abule Bilata, Bekana, Bekana L., Nidaw, Melkamu Kibret, Ali, Mahmoud Ibrahim, Gonfa, Kebebe Bekele, Kiros, Samuel, Belay, Tatek, Yallew, Gebeyaw Mengist, Wassie, Chekol, Ayalew, Alem Mekete, Asfaw, Fitsum Terefe, Aimal, Aimal Khan, Casas, Maria Agustina, Madrid, Fausto A., Diaz-Elizondo, Jose Antonio, Merlo, Ignacio Guillermo, De Campos, Tercio, Schlottmann, Francisco, Gomes, Carlos Augusto, Hernández, Edgard Efrén Lozada, Moncada-Ortega, Augusto, Ramos-De la Medina, Antonio, Vanerio, Patricio, Morales, Emilio J., Stringfield, Sarah Beth, Gallardo, Cristian, Fonseca, Vinicius Cordeiro, Muriel, Maria Emilia, Cantarino, Frederico, Fichera, Alessandro, Rodriguez, Agustin E., Salinas, Roberto Paúl Andrade, Crosbie, Gonzalo Gabriel, Menegozzo, Carlos Augusto Metidieri, Avellaneda, Nicolas, Briones, Cristhian Gonzalo Aspiazu, Varela, Cristopher, Lichliter, Warren E., Varela, Cristopher L., Koppel, Darren, Lenz, Jorge Godoy, Pascual, Franco, Sibaja-Matamoros, Dauber A., Johnson, Benjamin E., Mercado, Octavio Avila, Tita, Agustín, Mukherjee, Indraneil, Lorenzo, Irving, Rueda, Erick, Rico, Douglas, Terwes, Natasha Loria, Visag-Castillo, Victor, Escalante, Karol S., Salvador, Alan Francisco Alfaro, Pio, Luca, Rodas, Edgar B., Aguilar, Juan Carlos Cardozo, Neri, Ignacio, Barzola, Ernesto J., Barba, Leonardo A., Zuchini, Andrés Mendoza, Acevedo, Ana Karen Radilla, Gachabayov, Mahir, Gonsaga, Ricardo Alessandro Teixeira, Bonilla, Fernando, Knickerbocker, Chase Barrett, Tsouknidas, Ioannis, Salamea, Juan C., Travers, Lawrence Albert Salter, Nari, Gustavo Adrian, Pachajoa, Diana Alejandra Pantoja, Valadez, Michel Hernandez, Hale, Lyman Lansing, Perez, Guillermo, Choudhry, Asad, Foreman, Michaael L., Brito, Ismael, Ciro, Mauricio Pedraza, Newton, Carla Joyce, Souza, Hamilton Petry, Davis, Daniel G., Ferreira, Rodrigo Vaz, Keller, Deborah S., Miguel, Gustavo Machain, Singh-Ranger, Gurpreet, Linares, Neiling Massiel Oviedo, Singares, Eduardo Smith, Valdivieso, Xavier HGarcía, Teran, Alfonso Ivan Sanchez, Vargas, Luis Felipe Cabrera, Valinoti, Agustín, Milne, David M., Fleming, Andrew Martin, Quiroga-Garza, Alejandro, Espino, Eduardo Morales, Bedros, Nicole Mary, Funk, Geoffrey A., Neves, Fernanda V. S., Supit, Tommy, Baba, Arshad Ahmed, Chalkoo, Mushtaq A., Kucuk, Gultekin Ozan, Sarmiento, Ray Inocencio, Galeev, Shamil I., Korkoman, Mohammed J., Yang, Wah, Medappil, Noushif, Athar, Rahmatullah, Subramaniam, Ravichandran, Chia, Chi Fung, Alhazmi, Ahmad, Halder, Subhadip, Rusli, Siti Mayuha, Rashid, Arshad, Gülcü, Barış, Nagarajan, Prasanth, Rida, Khaled, Jamiri, Al-Radjid, Batıkan, Oğuzkağan, Khan, Huma Ahmed, Mitul, Ashrarur Rahman, Efetov, Sergey, Junior, Marcelo A. F. Ribeiro, Gulcu, Baris, Farooqui, Marryam Riaz, Mulpuri, Venu Bhargava, Bagaria, Dinesh, Yusoff, Ahmad Ramzi, Wani, Rauf, Younis, Muhammad Umar, Khobragade, Krunal H., Marwat, Muhammad Ibrahim, Bains, Lovenish, Kobe, Yoshiro, Koh, Peng Soon, Tantravahi, Umasankar, Mohamad Mohamad, Ikhwan Sani, Abu-Arish, Hamdoon, Yildirim, Ali Cihat, Ibrahim, Aini Fahriza, Tan, Jih Huei, Siagian, Dumaria Ketty, Bhattacharya, Neela, Chiu, Jennifer H. F., Paramasvaran, Ganendra, Voon, Kelvin, Göktepe, Berk, Lee, Lee Yeong Sing, Gupta, Amit, Rasheed, Faaiz, Al-Shehari, Mohammed, Syed, Syed Muhammad Ali, Bhat, Pawan Singh, Erdoğan, Emre, Roat, Rajesh, Nacion, Aeris Jane D., Saraiya, Swapnil Mukesh, Afolabi, Akinwale Ibrahim, Chai, Feng Yih, Ghannam, Wagih, Bhattacharya, Kaushik, NL, Harish, Aloun, Ali, Bhatti, Hamza Waqar, Koneti, Akshadhar J., Klib, Mohamad, Qureshi, Ahmad Uzair, Syn, Nicholas L., Wani, Ajaz, Saeidi, Sara, Zeb, Muhammad, Bandaru, Kalyan Vijay Kumar, Menna, Maria Paola, Morales-Conde, Salvador, Gessa, Emanuela, Sánchez-Cabús, Santiago, Spartalis, Eleftherios, Antropoli, Carmine, Manigrasso, Michele, Sica, Giuseppe S., Ercolani, Giorgio, Chitul, Andrei, Bacchiocchi, Giulia, Azevedo, José, Karamarkovic, Aleksandar, Bonavina, Luigi, Piozzi, Guglielmo N., Migueláñez, Isabel Pascual, Merlini, David, Major, Piotr, Grimaldi, Luciano, Calu, Valentin, Curro, Giuseppe, Cotsoglou, Christian, Baldini, Edoardo, Delis, Spiros, Kovacevic, Bojan, Masetti, Michele, Selvaggi, Francesco, Scabini, Stefano, Reiti, Andrian, Zullo, Alessia, Giuliani, Antonio, Alesina, Pier Francesco, Massey, Lisa H., Slesser, Alistair A. P., Neary, Peter M., Sahnan, Kapil, Tan, Jessica J., Colucci, Gianluca, Brady, Richard R. W., Mihailescu, Andrei, Adamina, Michel, Gerogiannis, Ioannis, van Ramshorst, Gabrielle, Paradiso, Giulia, Poto, Gianmario Edoardo, Massaro, Daniele, Nazir, Fozia, Stubbs, Benjamin M., Tasselli, Francesco Menegon, Muñoz-Cruzado, Virginia Durán, Sabia, Domenico, Vannelli, Alberto, Marsella, Valentina Enrica, Tomada, Elisa Paoluzzi, Giambusso, Mauro, Davies, Justin, Uzzau, Alessandro, Balla, Andrea, Scaringi, Stefano, Lancellotti, Francesco, Douka, Eleftheria, Argenio, Giulio, Cassese, Gianluca, Ammendola, Michele, Morelli, Luca, Francone, Elisa, Bala, Miklosh, Thambi, Prem, Iacobone, Maurizio, Campisi, Andrea, Tejedor, Patricia, Spoletini, Gabriele, Mascherini, Matteo, Belia, Francesco, Idiz, Ufuk Oguz, Colak, Elif, Peters, Paul Adewunmi, Ros, Emilio Peña, Aytac, Erman, Vilallonga, Ramon, Serrablo, Alejandro, Muttillo, Edoardo Maria, Di Franco, Gregorio, Vanni, Gianluca, Isik, Arda, Sbacco, Valentina, Tropeano, Francesca Paola, Porcellini, Iride, Butler, Rebecca Jayne, Fernandez, Carmen Cagigas, Papadopoulos, Aristeidis, Salvans, Silvia, Khan, Jan Sher, Bellver, Pedro Palazón, Mc Farlane, Sebastian Jeri, Apostolou, Konstantinos, Tur-Martinez, Jaume, Castellano, Javier Rivera, Santoliquido, Matteo, Tallon-Aguilar, Luis, Celentano, Valerio, Aliyev, Vusal, al-Najami, Issam, Grama, Florin A., Masior, Łukasz, Ciesielski, Wojciech J., Luberto, Antonio, Sparavigna, Marco, Klimczak, Tomasz Jerzy, Negoi, Ionut, Serradilla-Martín, Mario, Marinis, Athanasios, Cammarat, Roberto, Bellido-luque, Juan, Manzo, Carlo Alberto, Milana, Flavio, Luglio, Gaetano, Zarnescu, Narcis Octavian, Martínez, Isidro, Olmi, Stefano, Costea, Radu V., Cerdán-Santacruz, Carlos, Gica, Nicolae, Rompianesi, Gianluca, Gallo, Gaetano, Ridolfi, Cristina, Sahid, Saidah, CC, Tommaso, López-Soler, Guillermo, Díaz, Carlos JGómez, Mccawley, Niamh, Luzzi, Andrea Pierre, Abelló, David, Bonito, Alba Correa, Ntomi, Vasileia, Gourgiotis, Stavros, Pazos, Natalia Suárez, Toscano, Marta Jiménez, Zafra, David Ambrona, Beisani, Marc, Oliva, Alba, Guler, Mert, Gómez, Marta Jiménez, Oddis, Lidia, Montcusí, Blanca, Delgado, Ander Timoteo, Lasarte, Mateusz PJęckowski Aingeru Sarriuga, Antonacci, Nicola, Sartori, Alberto, Taylor, John Vincent, de Santos Iglesias, Francisco Juan, Mastronardi, Manuela, Gunay, Emre, Yiu, Andrew, Cano-Valderrama, Oscar, Costantini, Giulia, Digne-Malcolm, Holly Jane, Petropoulou, Thalia, Horesh, Nir, Kelly, Michael E., Ahmed, Nauman, Wyroslak-Najs, Justyna, Naik, Prashant, Vigorita, Vincenzo, Michael, Michael, Castro, Ernest, Paspala, Anna, D'Ambrosio, Marco, Pangeni, Anang, Dziakova, Jana, Terés, Lara Blanco, Lorente-Poch, Leyre, Di Carlo, Isidoro, Spartalis, Michael, Moro-Valdezate, David, Davey, Matthew G., Turrado-Rodriguez, Victor, Tryliskyy, Yegor, Calussi, Marco, Farré, Silvia Pérez, Labat, Miriam Cazador, Marafante, Chiara, Takkenberg, Marijn, Brookes, Charlotte Elisabeth, Soares, Antonio S., Gialamas, Eleftherios, Caputo, Damiano, Corrons, Laia Codina, Capitano, Sante, Charalabopoulos, Alexandros, Don, Cristine Brooke Pathirannehalage, Marrano, Enrico, Giuffrida, Maria Carmela, Tomasicchio, Giovanni, Bellato, Vittoria, Stijns, Jasper, Creavin, Ben, Schizas, Dimitrios, Blanco-Antona, Francisco, Kykalos, Stylianos, Tartaglia, Nicola, Pelegrina, Amalia, Barranquero, Alberto G., Schena, Carlo Alberto, Cremona, Simone, Baili, Efstratia, Cianci, Pasquale, Di Bella, Annamaria, Forcignanò, Edoardo, Fabbrizio, Tiziana, Salvetti, Francesco, Inama, Marco, Campagnaro, Tommaso, Deerenberg, Eva B., Reccia, Isabella, Rocca, Aldo, Fazio, Federico, Tampakis, Athanasios, Tepelenis, Kostas, Di Meo, Giovanna, Konstantoudakis, Georgios, Manatakis, Dimitrios K., Mineccia, Michela, Delvecchio, Antonella, Faro, Carmelo Lo, Rosso, Edoardo, Bandyopadhyay, Samik K., Queffurus, Michael, Marin, Jacopo Nicolò, Corvasce, Arianna, Chillarge, Gauri, Mohammed, Mohammed Mustafa, Reid, Rebecca, Gherardi, Dario, Naeem, Awais, Pandanaboyana, Sanjay, Tayeh, Salim, Chevallay, Mickael, Sergeant, Gregory, Cuccomarino, Salvatore, Salimian, Nick, Kapsampelis, Panagiotis, Ferretti, Carlotta, Glasbey, James, Harvitkar, Rafique Umer, Iqbal, Muhammad Rafaih, de Oliveira, Gabriel Paiva, Pérez-Bertólez, Sonia, Bergna, Alessandro, Brisinda, Giuseppe, Rottoli, Matteo, Roscio, Francesco, Pedrazzani, Corrado, Meyer, Jeremy, Marino, Marco V., Brasset, Camille, Daniel, Clerc, Devriendt, Stefanie, Soldini, Gabriele, Pennisi, Damiano, Richards, Chris B., Fiore, Felicia, Bocchino, Antonio, Au, Stephanie, Hernandez-Garcia, Miguel, Frontali, Alice, Grossi, Ugo, Lolis, Evangelos, Miotto, Marco, Di Filippo, Giacomo, Seretis, Charalampos, Barberis, Andrea, De Luca, Raffaele, Levi Sandri, Giovanni Battista, Reitano, Elisa, Mattioli, Marco, Sciaudone, Guido, Fuschillo, Giacomo, Schiltz, Boris, Low, Juin, Bointas, Georgios, Cozza, Valerio, Delaune, Vaihere, Vescio, Francesca, Curcio, Silvia, Sevik, Husnu, Santocchi, Pietro, Stecca, Tommaso, Balaphas, Alexandre, Chessa, Antonella, Leo, Cosimo Alex, di Mola, Fabio F., Tarallo, Mariarita, Martini, Francesco, Lisi, Giorgio, Khan, Mansoor, Nicolazzi, Marco, Pinotti, Enrico, Morini, Andrea, Esposito, Giuseppe, Buonomo, Oreste Claudio, Corallino, Diletta, Demir, Anıl, Roesel, Raffaello, De Lucia, Chiara, Maruccia, Michele, Tekin, Oguzhan, Pavone, Giovanna, Gupta, Ashish, Pradelle, Irene, Chrysikos, Michael, Farrukh, Maira, Baiocchi, Gian Luca, Piras, Carla, Abellán, Antonio Melero, Olivieri, Laura, Materazzo, Marco, Carbone, Ludovico, Dulskas, Audrius, Mulita, Francesk, Corronca, Federico, Cappuccio, Micaela, Smerieri, Elia, Sotiropoulu, Maria, Violante, Tommaso, Moletta, Lucia, Rutegård, Martin, Brillantino, Antonio, Landaluce-Olavarria, Aitor, Ossola, Paolo, Bono, Dario, Rosés, Helena Salvador, Perez-Sanchez, Luis E., Sabbatini, Sonia, Scotti, Mauro Alessandro, Cammarata, Roberto, Ibáñez, Noelia, Marano, Alessandra, Palmisano, Silvia, Cascales-Sanchez, Pedro, Mosca, Vinicio, Ballester, Cristina, Iordache-Petrescu, Madalina Ionela, Pozza, Gioia, Akay, Omer, Bollino, Ruggero, Toti, Johannes M. A., Mascianà, Gianluca, Pach, Radoslaw, Sensi, Bruno, Natalia, Savvala N., Coppola, Alessandro, Altinel, Yuksel, Brucchi, Francesco, Guitart, Marc Pérez, Salido, Andrea Jiménez, Tamini, Nicolò, Garoufalia, Zoe, Mifsut, Patricia, Wilkins, Alex, Navarro-Sánchez, Antonio, Cestaro, Giovanni, Conti, Luigi, Carvas, João M. B., Gazia, Carlo, Alonso, Patricia, Spiezio, Giovanni, Maggi, Giulia, Juloski, Jovan, Braccio, Bartolomeo, Pañella, Clara, Freixa, Celia Caula, Petrakis, Georgios, Folliero, Cristina, De Andrés-Asenjo, Beatriz, Iodice, Alessandra, Jansson, Hannes, González, Tomas Elosua, Ortega, Irene, Castro, Maria J., Fernicola, Agostino, Aparicio, Antonio Carlos Maya, Ortega, Nuria, Chouliaras, Christos, Tura, Marina Vila, Sidiropoulou, Zacharoula, Gonzalez, Ana, Augustin, Goran, Segura-Sampedro, Juan J., Cuk, Vladica, Piccolo, Gaetano, Ingallinella, Sara, Ortenzi, Monica, Uggeri, Fabio, Carrabetta, Salvatore, Tolonen, Matti, Formisano, Giampaolo, Manfredelli, Simone, Perra, Teresa, Esposito, Francesco, Perrone, Gennaro, Zacharis, Georgios, Menéndez, Jaime Iturbe, Bottcher, Sofia Maria Jaume, Ioannidis, Orestis, Borges, Nuno, Sousa, Xavier, Colombari, Renan C., Tellez, Clara, Capolupo, Gabriella Teresa, Giuliani, Giuseppe, Mastella, Federica, González, Lluis García, Merlini, Ilenia, Ghignone, Federico, de Sa, Tiago Correia, Mangana, Orsalia, Rodriguez-Lopez, Mario, Alvarez-Gallego, Mario, Chowdhury, Ashim, Di Lascio, Pierpaolo, Carneros, Virginia Jiménez, Angrisani, Marco, Conte, Luigi E., Montiel, Carmen Galiana, Ascari, Francesca, Dajti, Irida, Lapolla, Pierfrancesco, Sperotto, Beatrice, Mazzarella, Gennaro, Capuano, Marianna, Lopez, Maria Martinez, Ferrario, Luca, Bulte, Joris P., López, María Martínez, Guerci, Claudio, Marra, Angelo Alessandro, Belkacem, Acidi, Pérez, Raquel Escalera, Panyko, Arpád, Dimitrov, Evgeni, Luque, Eduardo J., Manrique, Mario Montes, Paranyak, Mykola, Kaur, Mandeep, Barugola, Giuliano, Farazi-Chongouki, Christos, Estaire-Gómez, Mercedes, del Olmo, Juan Carlos Martín, Nardo, Bruno, Mutlu, Arda Ulaş, Rubio, Ainhoa Valle, Merlini, David A., Marchegiani, Francesco, Cereda, Marco Angelo, Vinci, Danilo, Komaei, Iman, Petrucciani, Niccolo, Seyfried, Steffen, Krsicka, Petr, Medas, Fabio, Lesko, Dusan, Murzi, Valentina, Siragusa, Leandro, Guerrero, María Alejandra, Iranzo, Marina Alarcón, Cestino, Luca, Pasculli, Alessandro, Smerieri, Nazareno, Benzoni, Ilaria, Festa, Federico, Jordão, Daniel Filipe Martins, Licardie, Eugenio, Nicolaescu, Diana C., Balassone, Valerio, La Vaccara, Vincenzo, Romano, Fabrizio, Adamovich, Dmitry Mikhailovich, Papatheodorou, Panayiotis, Maroni, Norvana, Colás-Ruiz, Enrique, Melberga, Liene, Chimenti, Federica, Ferrari, Davide, Arcudi, Claudio, Police, Andrea, De Simone, Belinda, Sánchez-Guillén, Luis, Parreño-Manchado, Felipe Carlos, Rachadell, Juan José, Coletta, Diego, Saroglu, Azize, Pattacini, Gianmaria Casoni, Antonelli, Amedeo, Anania, Marco, Litta, Francesco, Lafranceschina, Stefano, Bottari, Andrea, Pavlovic, Mladen, Rojas-Bonet, Noel, Tampaki, Ekaterini Christina, Kosir, Jurij A., Anelli, Ferdinando M., de las Casas, Sara Gortázar, Kucukarslan, Rabia, Pierobon, Elisa Sefora, Milanesi, Maria, Drogouti, Maria, Sotiropoulou, Maria, Di Marco, Federica, Bannone, Elisa, Sliwinski, Svenja Christin, Yildiz, Ishak, Pellicciaro, Marco, Celotti, Andrea, Malerba, Michele, Marino, Fabio, Bourmpouteli, Eirini, Bianco, Giuseppe, Charitaki, Evgenia, Pascale, Marco Maria, Ioannidis, Argyrios, Maraska, Fatlum, Petagna, Lorenzo, Turri, Giulia, Vailas, Michail, Romanzi, Andrea, Pouwels, Sjaak, Rosa, Fausto, Clocchiatti, Lucrezia, Andreuccetti, Jacopo, Machairas, Nikolaos, Frountzas, Maximos, Lasithiotakis, Konstantinos, Barone, Mirko, Christodoulou, Prokopis, Potkonjak, Dario, Aiolfi, Alberto, de Vries, Hilbert S., Napetti, Sara, Castaldi, Antonio, Botelho, Pedro, Marziali, Irene, Uccelli, Matteo, Pisano, Michele, Veroux, Massimiliano, Locci, Eleonora, Romano, Angela, Cero, Mariagiulia Dal, Cicerchia, Pierfranco Maria, Baldi, Caterina, Russo, Iris Shari, Tenconi, Silvia Maria, Saliu, Fatmir, Bondurri, Andrea, Cardinali, Luca, Laracca, Giovanni Guglielmo, Martín-Pérez, Beatriz, Felsenreich, Daniel M., Cunha, Miguel, Zerbo, Domenico, Clementi, Marco, Delogu, Daniele, Iossa, Angelo, Bavikatte, Akshay Prasannakumar, Saracoglu, Can, Pecorelli, Nicolò, Tufo, Andrea, Biloslavo, Alan, Lianos, Georgios D., Carannante, Filippo, Costanzo, Antonio, Montuori, Mauro, Cigognini, Maria, Silvestro, Roberto, Atici, Semra Demirli, Milito, Pamela, Ferronetti, Antonio, Güngör, Mert, Di Venere, Beatrice, Puccioni, Caterina, De Nobili, Giovanni, Selvaggi, Lucio, Farolfi, Tommaso, Aeschbacher, Pauline, Olivier, James B., Frazzetta, Giuseppe, Andriola, Valeria, Giordano, Alessio, De Luca, Alessandro, Ferrara, Francesco, Casagranda, Biagio, Sammartano, Fabrizio, Russo, Alfio Alessandro, Rossi, Stefano, Pacilli, Mario, Synekidou, Eirini, Tutino, Roberta, Ceresoli, Marco, De Rosa, Michele, Di Santo Albini, Andrea G., Vincenzi, Paolo, Vellei, Samantha, Benzoni, Enrico, Murillo, Gabriela Aracelly Arroyo, Izzo, Giuliano, Scotto, Bruno, Caruso, Riccardo, Colombo, Francesco, D'Acapito, Fabrizio, Lostoridis, Eftychios, Saladino, Edoardo, Poillucci, Gaetano, Moeckli, Beat, Manto, Ottavia, Kara, Yasin, Tatar, Cihad, Cioffi, Stefano Piero Bernardo, Mambrilla, Sara, Bianchi, Valentina, Scopelliti, Michele, Agresta, Ferdinando, Nava, Andrea Kazemi, Franchi, Eloisa, Fransvea, Pietro, Prieto, Mikel, Picardi, Biagio, Rizzuto, Antonia, Panaccio, Paolo, Gussago, Stefano, Marra, Ester, Addeo, Pietro, Fernández Fernández, June, Gulmez, Mehmet, Pisaniello, Donatella, Cannavo, Maurizio, López-López, Victor, Avella, Pasquale, Peloso, Andrea, Bellanova, Giovanni, Candilio, Giuseppe, Perotti, Bruno, Granata, Roberta, Florio, Gaetano, Ioia, Giovanna, Iannone, Immacolata, Ammerata, Giorgio, Zambon, Martina, Romano, Francesco Maria, Del Monte, Simone Rossi, Sasia, Diego, Fortuna, Laura, Giuffrida, Mario, Litvin, Andrey, Cannistra, Marco, De Padua, Cristina, Sánchez, Tatiana Gómez, Paniagua-Garcia-Señorans, Marta, Guevara, Jenny, Perfecto, Arkaitz, Alconchel, Felipe, Campanelli, Michela, Keci, Laura, Cricrì, Michele, Kampouroglou, Georgios, Bagaglini, Giulia, Farrarons, Sara Sentí, Greco, Antonio, Walędziak, Maciej, Carvas, João M., Serrano-Navidad, Monica, Van Doorn, Berend, Schiavo, Ciro, Fabbri, Nicolò, Wani, Ishfaq Ahmad, Mondi, Isabella, Anestiadou, Elissavet, Mendes, Beatriz ISilva, Verdi, Daunia, Dorovinis, Panagiotis, Cacciaguerra, Andrea Benedetti, Caldeira, Beatriz, Canonico, Giuseppe, Dardanov, Dragomir, D'Ugo, Stefano, Francis, Fayez Maged, Meneghini, Simona, Pesce, Antonio, Puglisi, Silvana Bernadetta, Bellini, Maria Irene, Pisano, Marcello, Giordano, Marco, Fleres, Francesco, Campus, Federica, Cillara, Nicola, Moggia, Elisabetta, Ciarleglio, Francesco A., Calini, Giacomo, Gravante, Gianpiero, De Carlis, Riccardo, Altomare, Michele, Martines, Gennaro, Miggino, Marco, Marano, Luigi, Stocco, Alberto, Porcu, Alberto, Pham, Thuy Vy, Gervasi, Maria Clelia, Pilia, Tiziana, Palomba, Giuseppe, Picchetto, Andrea, Spampinato, Marcello Giuseppe, Tandoi, Francesco, Piccoli, Micaela, Gall, Malina ECaraiman, Santos, Bárbara Ribeiro, Agastra, Ervis, Koëter, Tijmen, Samadov, Elgun, Marsanic, Patrizia, Serena, De Fatico Gilda, Uzunoglu, Mustafa Yener, Zanus, Giacomo, Braholli, Eriol, Giovine, Gennaro, Galiffa, Giampaolo, Lauricella, Sara, Lukmonov, Saidrakhim, Leventoglu, Sezai, Chooklin, Serge, Dudi-Venkata, Nagendra N., Gauci, Chahaya M., Podda, M, Di Martino, M, Pata, F, Nigri, G, Pisanu, A, Di Saverio, S, Pellino, G, Ielpo, B, Null, N, Tolla, A, Abdelkhalek, M, Emile, S, Dinagde, T, Bouzid, C, Mansour, A, Garzali, I, Aregawi, A, Zaghloul, T, Kchaou, A, Awad, S, Souadka, A, Ted, T, Saumtally, M, Ahmed, B, Bayileyegn, N, Nunziante, M, Shalaby, M, Debena, D, Zena, A, Adewunmi, O, Negasa, T, Bourguiba, M, Feituri, N, Kebede, K, Elfeki, H, Anas, A, Awad, A, Ermias, N, Hailemariam, D, Bejiga, G, Imana, R, Taffese, A, Feleke, T, Elghadban, H, Debela, B, Shiferaw, D, Tadesse, R, Chukwu, I, Mohammed, A, Hassen, K, Obiagwu, N, Tense, T, Taeme, M, Biniam, E, Tesfay, G, Tegegn, A, Teddy, T, Bekana, B, Nidaw, M, Ali, M, Gonfa, K, Kiros, S, Belay, T, Yallew, G, Wassie, C, 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Giovine, G, Galiffa, G, Lauricella, S, Lukmonov, S, Leventoglu, S, Chooklin, S, Dudi-Venkata, N, Gauci, C, Podda, Mauro, Di Martino, Marcello, Pata, Francesco, Nigri, Giuseppe, Pisanu, Adolfo, Di Saverio, Salomone, Pellino, Gianluca, Ielpo, Benedetto, null, null, Tolla, Ashenafi Negash, Abdelkhalek, Mohamed, Emile, Sameh, Dinagde, Tesfaye Aga, Bouzid, Chafik, Mansour, Ahmed Mohammed Farid Mahmoud, Garzali, Ibrahim Umar, Aregawi, Alazar Berhe, Zaghloul, Tarek M., Kchaou, Ali, Awad, Selmy S., Souadka, Amine, Ted, Tedla Gebretsadik, Saumtally, Mohammad Saad, Ahmed, Bensaad, Bayileyegn, Nebiyou Simegnew, Nunziante, Marco, Shalaby, Mostafa, Debena, Dawit Gebregiorgis, Zena, Alemayehu Shanko, Adewunmi, Olayinka Lukman, Negasa, Tolera A., Bourguiba, Mohamed Aboulkacem, Feituri, Nura, Kebede, Kirubel Abebe, Elfeki, Hossam, Anas, Abdelhmed, Awad, Ahmed K., Ermias, Nebiyou, Hailemariam, Dagnachew H., Bejiga, Gosa Hundie, Imana, Ruhama Yoseph, Taffese, Abebe, Feleke, Tsega Terefe, Elghadban, Hosam Mohamed, Debela, Bizuneh Sime, Shiferaw, Desta, Tadesse, Robel, Chukwu, Isaac Sunday, Mohammed, Abdullahi Ibrahim, Hassen, Khalid Arebo, Obiagwu, Ndubuisi K., Tense, Tadesse H., Taeme, Mulugeta, Biniam, Ewnte, Tesfay, Goytom Knfe, Tegegn, Ayenachew Getachew, Teddy, Tewodros Abule Bilata, Bekana, Bekana L., Nidaw, Melkamu Kibret, Ali, Mahmoud Ibrahim, Gonfa, Kebebe Bekele, Kiros, Samuel, Belay, Tatek, Yallew, Gebeyaw Mengist, Wassie, Chekol, Ayalew, Alem Mekete, Asfaw, Fitsum Terefe, Aimal, Aimal Khan, Casas, Maria Agustina, Madrid, Fausto A., Diaz-Elizondo, Jose Antonio, Merlo, Ignacio Guillermo, De Campos, Tercio, Schlottmann, Francisco, Gomes, Carlos Augusto, Hernández, Edgard Efrén Lozada, Moncada-Ortega, Augusto, Ramos-De la Medina, Antonio, Vanerio, Patricio, Morales, Emilio J., Stringfield, Sarah Beth, Gallardo, Cristian, Fonseca, Vinicius Cordeiro, Muriel, Maria Emilia, Cantarino, Frederico, Fichera, Alessandro, Rodriguez, Agustin E., Salinas, Roberto Paúl Andrade, Crosbie, Gonzalo Gabriel, Menegozzo, Carlos Augusto Metidieri, Avellaneda, Nicolas, Briones, Cristhian Gonzalo Aspiazu, Varela, Cristopher, Lichliter, Warren E., Varela, Cristopher L., Koppel, Darren, Lenz, Jorge Godoy, Pascual, Franco, Sibaja-Matamoros, Dauber A., Johnson, Benjamin E., Mercado, Octavio Avila, Tita, Agustín, Mukherjee, Indraneil, Lorenzo, Irving, Rueda, Erick, Rico, Douglas, Terwes, Natasha Loria, Visag-Castillo, Victor, Escalante, Karol S., Salvador, Alan Francisco Alfaro, Pio, Luca, Rodas, Edgar B., Aguilar, Juan Carlos Cardozo, Neri, Ignacio, Barzola, Ernesto J., Barba, Leonardo A., Zuchini, Andrés Mendoza, Acevedo, Ana Karen Radilla, Gachabayov, Mahir, Gonsaga, Ricardo Alessandro Teixeira, Bonilla, Fernando, Knickerbocker, Chase Barrett, Tsouknidas, Ioannis, Salamea, Juan C., Travers, Lawrence Albert Salter, Nari, Gustavo Adrian, Pachajoa, Diana Alejandra Pantoja, Valadez, Michel Hernandez, Hale, Lyman Lansing, Perez, Guillermo, Choudhry, Asad, Foreman, Michaael L., Brito, Ismael, Ciro, Mauricio Pedraza, Newton, Carla Joyce, Souza, Hamilton Petry, Davis, Daniel G., Ferreira, Rodrigo Vaz, Keller, Deborah S., Miguel, Gustavo Machain, Singh-Ranger, Gurpreet, Linares, Neiling Massiel Oviedo, Singares, Eduardo Smith, Valdivieso, Xavier HGarcía, Teran, Alfonso Ivan Sanchez, Vargas, Luis Felipe Cabrera, Valinoti, Agustín, Milne, David M., Fleming, Andrew Martin, Quiroga-Garza, Alejandro, Espino, Eduardo Morales, Bedros, Nicole Mary, Funk, Geoffrey A., Neves, Fernanda V. S., Supit, Tommy, Baba, Arshad Ahmed, Chalkoo, Mushtaq A., Kucuk, Gultekin Ozan, Sarmiento, Ray Inocencio, Galeev, Shamil I., Korkoman, Mohammed J., Yang, Wah, Medappil, Noushif, Athar, Rahmatullah, Subramaniam, Ravichandran, Chia, Chi Fung, Alhazmi, Ahmad, Halder, Subhadip, Rusli, Siti Mayuha, Rashid, Arshad, Gülcü, Barış, Nagarajan, Prasanth, Rida, Khaled, Jamiri, Al-Radjid, Batıkan, Oğuzkağan, Khan, Huma Ahmed, Mitul, Ashrarur Rahman, Efetov, Sergey, Junior, Marcelo A. F. Ribeiro, Gulcu, Baris, Farooqui, Marryam Riaz, Mulpuri, Venu Bhargava, Bagaria, Dinesh, Yusoff, Ahmad Ramzi, Wani, Rauf, Younis, Muhammad Umar, Khobragade, Krunal H., Marwat, Muhammad Ibrahim, Bains, Lovenish, Kobe, Yoshiro, Koh, Peng Soon, Tantravahi, Umasankar, Mohamad Mohamad, Ikhwan Sani, Abu-Arish, Hamdoon, Yildirim, Ali Cihat, Ibrahim, Aini Fahriza, Tan, Jih Huei, Siagian, Dumaria Ketty, Bhattacharya, Neela, Chiu, Jennifer H. F., Paramasvaran, Ganendra, Voon, Kelvin, Göktepe, Berk, Lee, Lee Yeong Sing, Gupta, Amit, Rasheed, Faaiz, Al-Shehari, Mohammed, Syed, Syed Muhammad Ali, Bhat, Pawan Singh, Erdoğan, Emre, Roat, Rajesh, Nacion, Aeris Jane D., Saraiya, Swapnil Mukesh, Afolabi, Akinwale Ibrahim, Chai, Feng Yih, Ghannam, Wagih, Bhattacharya, Kaushik, NL, Harish, Aloun, Ali, Bhatti, Hamza Waqar, Koneti, Akshadhar J., Klib, Mohamad, Qureshi, Ahmad Uzair, Syn, Nicholas L., Wani, Ajaz, Saeidi, Sara, Zeb, Muhammad, Bandaru, Kalyan Vijay Kumar, Menna, Maria Paola, Morales-Conde, Salvador, Gessa, Emanuela, Sánchez-Cabús, Santiago, Spartalis, Eleftherios, Antropoli, Carmine, Manigrasso, Michele, Sica, Giuseppe S., Ercolani, Giorgio, Chitul, Andrei, Bacchiocchi, Giulia, Azevedo, José, Karamarkovic, Aleksandar, Bonavina, Luigi, Piozzi, Guglielmo N., Migueláñez, Isabel Pascual, Merlini, David, Major, Piotr, Grimaldi, Luciano, Calu, Valentin, Curro, Giuseppe, Cotsoglou, Christian, Baldini, Edoardo, Delis, Spiros, Kovacevic, Bojan, Masetti, Michele, Selvaggi, Francesco, Scabini, Stefano, Reiti, Andrian, Zullo, Alessia, Giuliani, Antonio, Alesina, Pier Francesco, Massey, Lisa H., Slesser, Alistair A. P., Neary, Peter M., Sahnan, Kapil, Tan, Jessica J., Colucci, Gianluca, Brady, Richard R. W., Mihailescu, Andrei, Adamina, Michel, Gerogiannis, Ioannis, van Ramshorst, Gabrielle, Paradiso, Giulia, Poto, Gianmario Edoardo, Massaro, Daniele, Nazir, Fozia, Stubbs, Benjamin M., Tasselli, Francesco Menegon, Muñoz-Cruzado, Virginia Durán, Sabia, Domenico, Vannelli, Alberto, Marsella, Valentina Enrica, Tomada, Elisa Paoluzzi, Giambusso, Mauro, Davies, Justin, Uzzau, Alessandro, Balla, Andrea, Scaringi, Stefano, Lancellotti, Francesco, Douka, Eleftheria, Argenio, Giulio, Cassese, Gianluca, Ammendola, Michele, Morelli, Luca, Francone, Elisa, Bala, Miklosh, Thambi, Prem, Iacobone, Maurizio, Campisi, Andrea, Tejedor, Patricia, Spoletini, Gabriele, Mascherini, Matteo, Belia, Francesco, Idiz, Ufuk Oguz, Colak, Elif, Peters, Paul Adewunmi, Ros, Emilio Peña, Aytac, Erman, Vilallonga, Ramon, Serrablo, Alejandro, Muttillo, Edoardo Maria, Di Franco, Gregorio, Vanni, Gianluca, Isik, Arda, Sbacco, Valentina, Tropeano, Francesca Paola, Porcellini, Iride, Butler, Rebecca Jayne, Fernandez, Carmen Cagigas, Papadopoulos, Aristeidis, Salvans, Silvia, Khan, Jan Sher, Bellver, Pedro Palazón, Mc Farlane, Sebastian Jeri, Apostolou, Konstantinos, Tur-Martinez, Jaume, Castellano, Javier Rivera, Santoliquido, Matteo, Tallon-Aguilar, Luis, Celentano, Valerio, Aliyev, Vusal, al-Najami, Issam, Grama, Florin A., Masior, Łukasz, Ciesielski, Wojciech J., Luberto, Antonio, Sparavigna, Marco, Klimczak, Tomasz Jerzy, Negoi, Ionut, Serradilla-Martín, Mario, Marinis, Athanasios, Cammarat, Roberto, Bellido-luque, Juan, Manzo, Carlo Alberto, Milana, Flavio, Luglio, Gaetano, Zarnescu, Narcis Octavian, Martínez, Isidro, Olmi, Stefano, Costea, Radu V., Cerdán-Santacruz, Carlos, Gica, Nicolae, Rompianesi, Gianluca, Gallo, Gaetano, Ridolfi, Cristina, Sahid, Saidah, CC, Tommaso, López-Soler, Guillermo, Díaz, Carlos JGómez, Mccawley, Niamh, Luzzi, Andrea Pierre, Abelló, David, Bonito, Alba Correa, Ntomi, Vasileia, Gourgiotis, Stavros, Pazos, Natalia Suárez, Toscano, Marta Jiménez, Zafra, David Ambrona, Beisani, Marc, Oliva, Alba, Guler, Mert, Gómez, Marta Jiménez, Oddis, Lidia, Montcusí, Blanca, Delgado, Ander Timoteo, Lasarte, Mateusz PJęckowski Aingeru Sarriuga, Antonacci, Nicola, Sartori, Alberto, Taylor, John Vincent, de Santos Iglesias, Francisco Juan, Mastronardi, Manuela, Gunay, Emre, Yiu, Andrew, Cano-Valderrama, Oscar, Costantini, Giulia, Digne-Malcolm, Holly Jane, Petropoulou, Thalia, Horesh, Nir, Kelly, Michael E., Ahmed, Nauman, Wyroslak-Najs, Justyna, Naik, Prashant, Vigorita, Vincenzo, Michael, Michael, Castro, Ernest, Paspala, Anna, D'Ambrosio, Marco, Pangeni, Anang, Dziakova, Jana, Terés, Lara Blanco, Lorente-Poch, Leyre, Di Carlo, Isidoro, Spartalis, Michael, Moro-Valdezate, David, Davey, Matthew G., Turrado-Rodriguez, Victor, Tryliskyy, Yegor, Calussi, Marco, Farré, Silvia Pérez, Labat, Miriam Cazador, Marafante, Chiara, Takkenberg, Marijn, Brookes, Charlotte Elisabeth, Soares, Antonio S., Gialamas, Eleftherios, Caputo, Damiano, Corrons, Laia Codina, Capitano, Sante, Charalabopoulos, Alexandros, Don, Cristine Brooke Pathirannehalage, Marrano, Enrico, Giuffrida, Maria Carmela, Tomasicchio, Giovanni, Bellato, Vittoria, Stijns, Jasper, Creavin, Ben, Schizas, Dimitrios, Blanco-Antona, Francisco, Kykalos, Stylianos, Tartaglia, Nicola, Pelegrina, Amalia, Barranquero, Alberto G., Schena, Carlo Alberto, Cremona, Simone, Baili, Efstratia, Cianci, Pasquale, Di Bella, Annamaria, Forcignanò, Edoardo, Fabbrizio, Tiziana, Salvetti, Francesco, Inama, Marco, Campagnaro, Tommaso, Deerenberg, Eva B., Reccia, Isabella, Rocca, Aldo, Fazio, Federico, Tampakis, Athanasios, Tepelenis, Kostas, Di Meo, Giovanna, Konstantoudakis, Georgios, Manatakis, Dimitrios K., Mineccia, Michela, Delvecchio, Antonella, Faro, Carmelo Lo, Rosso, Edoardo, Bandyopadhyay, Samik K., Queffurus, Michael, Marin, Jacopo Nicolò, Corvasce, Arianna, Chillarge, Gauri, Mohammed, Mohammed Mustafa, Reid, Rebecca, Gherardi, Dario, Naeem, Awais, Pandanaboyana, Sanjay, Tayeh, Salim, Chevallay, 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- Abstract
The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS (R) v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 +/- 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 +/- 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 +/- 4.9 and 7.8 +/- 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 +/- 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI.
- Published
- 2024
5. Early diverting stoma closure is feasible and safe: results from a before-and-after study on the implementation of an early closure protocol at a tertiary referral center
- Author
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Blanco Terés, L., primary, Cerdán Santacruz, C., additional, Correa Bonito, A., additional, Delgado Búrdalo, L., additional, Rodríguez Sánchez, A., additional, Bermejo Marcos, E., additional, García Septiem, J., additional, and Martín Pérez, E., additional
- Published
- 2024
- Full Text
- View/download PDF
6. Adult intussusception: a video vignette
- Author
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Gancedo Quintana, Á., Cerdán Santacruz, C., Viamontes Ugalde, F. E., Blanco Terés, L., Delgado Búrdalo, L., García Septiem, J., and Martín-Pérez, E.
- Published
- 2022
- Full Text
- View/download PDF
7. Local tumor regrowth after clinical complete response following neoadjuvant therapy for rectal cancer: what happens when organ preservation falls short
- Author
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Cerdán-Santacruz, C., primary, Vailati, B. B., additional, São Julião, G. P., additional, Habr-Gama, A., additional, and Perez, R. O., additional
- Published
- 2022
- Full Text
- View/download PDF
8. Adult intussusception: a video vignette
- Author
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Gancedo Quintana, Á., primary, Cerdán Santacruz, C., additional, Viamontes Ugalde, F. E., additional, Blanco Terés, L., additional, Delgado Búrdalo, L., additional, García Septiem, J., additional, and Martín-Pérez, E., additional
- Published
- 2021
- Full Text
- View/download PDF
9. Faecal incontinence in older people: evaluation, treatment and new surgical techniques
- Author
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Cerdán-Santacruz, C, Vigara-García, M, Ortega-López, M, and Cerdán-Miguel, J
- Published
- 2014
10. Evaluation of appendicitis risk prediction models in adults with suspected appendicitis
- Author
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Nepogodiev, D., Matthews, J. H., Morley, G. L., Naumann, D. N., Ball, A., Chauhan, P., Bhanderi, S., Mohamed, I., Glasbey, J. C., Wilkin, R. J. W., Drake, T. M., Clements, J., Blencowe, N. S., Herrod, P. J. J., Pata, F., Frasson, M., Blanco-Colino, R., Soares, A. 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A., Buckley-Jones S., Lecky-Thompson L., Saghir N., Mansoor S., Mistry D., Brown R., Wong A., Gurung S., Wensley F., Fleming T.A., Griggs R., Haines S., Bedoya S., Beverstock A., Johnson J., Govind G., Niaz O., Dyal A., Tokidis E., Punj S., Leusink A., Rudland I., Kelly M., Morgan R., Al-Musawi S., Lek C., Gilbert A., Gosal A., Mahoney R., Parwaiz I., Mitchard M.J., Ribeiro B., Merai H., Dean E.A., Khan S., Baginski A., Mann C., Foers W., Jones L., Woodward B., Mcwhirter D.M., Thomas A.T., Gilbert T.G., Weatherburn L.W., Pilkington J.P., Cameron F.C., Clements J.D., Mccann C., Davidson S., Hackney L., Clements J.S., Martin A., Du D.T., Shakoor Z., Yen S.K., Adnan M., Ranathunga S., Sana S., Tay Y.H., Chin M.Y., Gillespie M., Brown A.G., Campbell U., Chatzikonstantinou M., Mahendran B., Flack T., Chowdhary M., Lim J.M., Whiteman E., Shepherd J.A., Pedder A., Siggens K.L., Lai C.W., Morrison-Jones V., Hayat Z., Nehikhare I., Macleod C., Quinn H.C., Brown A., Neagle G., Chok S.M., Carrano 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Shurlock J., Siddique K., Forouzanfar A., Brews R., Acharya A., Jain A., Tozer P.J., Warusavitarne J., Emslie K.M., Collier-Wakefield O., Sivaloganathan P., Dobson C., Elseedawy M., McNally L., Williams M., Motiwala F.H., Choi S., Asmadi A.A., Burnside D., Everden A., Suriyakumar S., Sandu L., Kent D.A., Bowen J., Long P., Khair A., Shah K., Phelan L., Pierre R., Dhari A.A., Hoff M., Nickson S., Setshwaelo T., Chalk A., Parkola M.J., Harlinska A., Chan T., Dudek J.G., Rolph R., Allen M., Pollard H., Gormely R., Finlayson H., Ljungqvist G., Peponis C., Rahman M., Dhesi S., Arshad F., Faris A.R., Sooriyamoorthy T., Springate E.L., Barnieh W., Patel A.S., Siddiqui Z.A., Chishti I.A., Ayube-Brown J., Rabie M.R., Blake L., Yardimci E., Nagendram S., Neophytou G.I., Henderson L., Farhan-Alanie M., Kong C.Y., Ghazala R., Evans J., Hussain N., Kabir M., Hraishawi I., Cox M., Bailey J.A., Muhibullah N., Yanni F., Stevenson R., Nair A., Murphy C., Mcgucken O., Pandya R., Bowerman H., Lafaurie G., Van Boxel G.I., Shanmugarajah K., Maragouthakis D., Hanif Z., Evans J.D., Yoganathan S., Richardson T.D., Cook V., Clark G.L., Rigney B., O'Neill E., Guliani J., Chan D., Harper F., Sian T., Boereboom C., Blackwell J., Hardy E., Boyd-Carson H., Couch D.G., Barter C.A., Thoukididou S.N., Hatt J.R., Jones C.S., Dean S., Rajaretnam N., Masood M., Thakral N., Griffith D., Doherty C., Longshaw A., Peprah D., Mathew G., Hook A., Vance-Daniel J., Ibrahim Y., Walters K.J., Whewell H.E., Sherif M.A., Mckenna M., O'Sullivan D., Woodrow C., Gill S., Johnstone A., Gentry R., Irwin R., Forgie A., Welsh S., Ivey P., Bullivant J.K., English W.J., Osterberg A., Morowala A., Al-Faham Z., Islam S., Tan E., Sadek S., Sihra N., Shrestha D., Chong B., Nadeem A., Fasuyi J.A., Patel M.M., Daureeawoo R., Okekunle B., Cheruvu M., Mazumdar E., Hussain A., Patel C., Mcquaid M., Banks A., Robinson A., Khan M.S., Riaz W., Verroiotou M., Cohen J.A., Kouroumpas E., Ghaffari I., Moradzadeh J., Kamal M., Gulamhussein M., Gaines E., Ghatorae S., Clark S., Savill A., Hutchinson B., Chapman J., Wu F., Creasy W., Raymond M., Grosvenor S., Odeh A., Malik Y., Bansal H., Grant C., Raofi A., Ahmed B., Mai D., Souter J., Hamelmann R.N., Ikram S., Durbacz M., Gilliland N., Salem A., Chudek D., Ladwa N., Storey R., Fontaine C., Toomey D., Miller B., Oakey M., Smoker H., Chapman S.J., O'Hagan S.C., Tahir W., Wilcox G., Ahmad A., Akram F., Baddams T.S., Boshier P.R., Fehervari M., Easdon S., Ilozue T., Adam M.E., Jokhan S., Foster A., Nambiar K., Bohra P., Janardanan S., Shanmuganathan V., Maqboul F., Ettles C., Wardle S.D., Martinou E., Khasria A., Bagga R., Motter D., Mundkur N., Pan Y., Akbari K., Farrell S.M., Rahim A., Gummaraju A., Mahmoud A., Akinsola O., Smallcombe N., Tarazi M., Hanley C., Campbell U.M., Franklin D., Davidson J.R., Raza S.S., Krishnamoorthy A., Rajjoub Y., Ali M., Seddon T.C., Payne R.E., Das A., Martin L.M., Naismith K.N., Venkata U.P., Manda V.M., Burns K.M., Huang J., Samuel M., Docherty J.A., Cheah W.L., Ooi R., Nyeko-Lacek M., Marsh L., Prideaux A., Li C.H., Poacher A., Lee M., Muzaffar M., Kara A., Walsh E., Sunter H., Roth N., Roy C., Mcmorran D., Turnbull A., Layton G.R., Archer J.E., Yang P., Douka E., Amin V., Borghol K., Blackford O.D., Bond S., Baker B., Mohamed W.O., Williams R., Garnham J., Robb H.D., Allington J., Cloney L., Tamborska A., Kalia K., Fung E., Johnston Z., Lynch L., Christides A., Tan H.L., Cynthia G., Tsang B., Rossi C., Kaubrys M., Al-Khafaji N., Jenkins M., Peiris G.B., Gunning S., Nimako E., Pandya D., Hever P., Amayo A., Bull C., Clements C., Al-Sheikh M., Savioli F., Long M., Horsfield E., Robertson C., Ogboru S., Mcilwrath A.C., Bell J., Limb C., Obeid N., Rich J.E., Balasubramaniam A., Mashar R., Taylor M., Bruce J.S., Dennison G., Curtis N.J., Ezerska E., Ellis B., Wiggill S., Tee A., Ng S., Carder C., Abdelwahed A., Chandler S.B., Tinsley B.J., Finotti E., Occhioni G., Cossu F., Vulcano I., Viscosi F., Michelini M., Compagnoni B., Sepe C., Isolani S.M., Regina G., Alagna V., Martorelli G., Gabbianelli C., Moroni P., Zuin M., Conci S., Lazzari G., Costamagna D., Zurleni T.Z., Altomare M.A., Desiderio J., Di Cintio A., Gemini A., Trastulli S., Viviani E., Tomasoni M., Montori G., Harder G., Argenti F., Malabarba S., Checcacci P., Montanelli P., Guerra F., Skalamera I., Staderini F., Grandi S., Nelli T., Coratti F., Sorrentino L., Maffioli A., Cavallo D., Bondurri A., Groppo G., Curti R., Solaini L., Xidas A., Manias T., Delogu D., Vacca A., Solinas L., Corbellini C., Fiore L., Nigro A., Santurro L., Angrisani M., Sparta C., Lorettu A., Mura F.A., Ruggiu G.V., Pirari P.F., Pau R., Melis M., Piu F., Patti S., Deserra A., Angelieri D., Del Basso C., Rossi D., Iannone I., De Padua C., Giubilo C., Falaschi F., Cirillo B., Gordini L., Podda F., Sanna S., Saba A., Poillucci G., Pinna E., Messina A., Sena G., Cardona R., De Luca E., Sacco R., Vescio G., Ammendola M., Romano R., Bianco A., Bonfante P., D'Ambra L., Feleppa C., Gennai A., Lizzi V., Moggia E., Imperatore M., Bolzon S., Belvedere A., Amaducci E., Ripoli M.C., Segalini E., Cervellera M., Vaccari S., Eretta C.O., O'Neill R., Llewelyn O., Jones N., Clerici F., Ballabio M., Andolfi E., Angelini M., Fontani A., Miranda E., Scricciolo M., Provenza G., Pellicano G.A., Pulighe F., Argenio G., Melis A., Balestra F., Anania M., Cruccu A., Massaiu C., Murru M.L., Martino A., Luzzi A.P., La Valle G., Chillitupa C.Z., Bartoli A., Conti D., Spaziani A., Bellochi R., Listorti C., Salandini M.C., Carlucci M., Tenconi S.M., Cannavo M., Marano A., Giuffrida M.C., Cannata G., Pellegrino L., Giraudo G., Baraghini M., Garzi A., Giudicissi R., Zalla T., Romoli L., Vannucchi A., Giani I., Feroci F., Calussi M., Ribaudo M., Fiorot A., Stecca T., Nistri C., Fornasier C., Valiani S.V., Brunelli D.B., Evoli L.E., Giuliani N.G., Contine A.C., Renzi C.R., Feo C.V., Anania G., Carcoforo P., Aisoni F., Licari L., Tutino R., Cocorullo G., Silvestri V., De Marco P., Fontana T., Orlando G., Falco N., Baseggio M., Napetti S., Mella A., Rossi G.M., Chimetto A., Cosci M., Bonomo M., Scialandrone G., Chetta N., Carvalho L.C., Magalhaes J.S., Pereira A.M., Fernandes C., Fareleira A., Goncalves D., Pais M., Pereira A., Resende F.M., Correia D., Cardoso D., Tojal A., Santos S.C., Barbosa L., Louro H.C., Bairos F., Martins F.M., Messias F.M., Ferreira M.S., Borges F.C., Botelho P., Lima M., Valente P.M., Joao A.A., Guimaraes J.M., Rocha R., Nogueira S.T., Kabir U., Wong C., Rahmani L.S., Tan S., Chng S., Jasinski B., Cheng S.A., Mardhiah S., McGlynn K., Hannan E., Burke J., Haveliwala Z., O'Neill M., Boland M., Hayes C., Fox A., Zaborowski A., Mitru R.M., Mc-Dermott A., Coyle D., Stoica I., McMahon S.V., Laughlin D.M., Kannegieser-Bailey M., Murphy R., Muntean A., Shet S., Thomas L., De Freitas S., Quill S., Aljorfi A., Soh B., Law J.J., Hartnett J., Jansen T., Gilgan J., Jung J., Scanlon K., Szucs A., Ahern D.P., Redmond A.E., Edwards S.E., Manoharan P., Brennan S., Abdelgadir A.M., Mckevitt K.L., Zarog M.A., Ahmed G., Bukhari W., Ahad A., Paniagua M., Samartin C., Primo J.C., Garrido L., Lopez M., Rufo E., Trostchansky I., Rodriguez L., Infante H., Acosta A., Cremades P., Cidoncha A., Olmos V., Oliva I., Santamaria C., Cavero A., Calvo H., Suero C.A., Maderuelo V.M., Galvez P., Hernando A., Eguaras I., Recreo A.C., Garcia-Carrero M., Moreda R., De Andres U., Del Pozo E., Calvo M., Moratalla C.N., Ronda R.N., Contreras R.G., De Burgos C.B., Cortes G.V., Martinez C.C., Agudo A.R., Soriano J.T., Ramos X.H., Echazarreta E., Elia M., Hernaez A., Sanchez L., Vallejo-Bernad C., Oliver J.R., Sanchez-Rubio M., Kalviainen H.K., Genzor S., Gonzalez-Nicolas T., Puerta E., Laviano E., Gimenez T., Ferminan A., Muriel-Alvarez P., Sierra-Granon J.E., Escoll-Rufino J., Cuello-Guzman E., Mestres-Petit N., Merichal-Resina M., Pinillos-Somalo A., Gomez-Carmona Z., Vazquez-Fernandez A.P., Trujillo-Diaz J.J., Couso J.R., Fernandez M.D., Riera E., Espinosa J., Carral-Freire M., Martinez-Almeida R., Santarrufina-Martinez S., Sebastian-Tomas J.C., Gonzalvez-Guardiola P., Fernandez E.C., Mozo A.S., Stoyanov T.I., Santamaria P.C., Grimaldo E.G., Fernandez-Candela A., Curtis-Martinez C., Del-Valle-Ruiz S.R., Sanchez-Cifuentes A., Ramirez-Faraco M., Lopez A.F., Leon C., Kumar S., Fornell-Ariza M., Ayllon-Gamez S., Pena-Barturen C., Ojea-Ruiz-Yherla L., Saavedra-Chacon M., Perez-Calvo J., Gomez-Facundo H., Riba-Combatti L., Manas O.C., De-Soto-Cardenal B., De-La-Herranz-Guerrero P., Dominguez-Sanchez C., Gamero-Huaman J.C., Suarez-Cabrera A., Ramirez-Redondo A.A., Lara-Fernandez Y., Bascuas-Rodrigo B., Lopez-Duran B.L., Pigem A., Gil J., Salvador H., Planellas P., Farres R., Caballero A., Arnau M., Tapiolas I., Ridaura N., Roncero L.S., Collado-Roura F., Fijo L.M., Cormenzana O.B., Vinas N.L., Grifell M.S., Prats M.A., Torrado A.A., Sanz-Navarro S., Contreras-Saiz E., Solar-Garcia L., Moreno-Gijon M., Suarez-Sanchez A., Diaz-Vico T., Rodicio-Miravalles J.L., Garcia-Gutierrez C., Pila U., Melone S., Martin-Prieto L., Rojo J.A., Gonzalez M., Zorrilla L., Garcia-Marin J.A., Baeza-Murcia M., Pellicer-Franco E., Jimenez-Ballester M.A., Asensio-Gomez L., Gortazar-De-Las-Casas S., Guevara-Martinez J., Ramirez L., Verea S., Anguita F., Navarro G., Criado ADC., Lara M.C., Martinez E.T., Sanchez-Martinez A., Hernandez-Gimenez L., Galofre-Recasens M., Ferrer-Vilela I., Perez-Sanchez L.E., Esteves M.B., Menendez-Moreno A., Baz-Figueroa C., Rosat A., Hontoria M.S., Garcia N.A., Gracia-Roman R., Pascua-Sole M., Pino-Perez O., Garcia-Perez J.M., Pineno-Flores C., Ambrona-Zafra D., Sancho-Muriel J., Alvarez E., Jimenez-Rosellon R., Daga O., Alberca-Paramo A., Sanchez-Garcia S., Garcia-Santos E., Pareja-Ciuro F., Olivares-Oliver C., Navarro-Morales L., Tamayo-Lopez M.J., Tinoco-Gonzalez J., Garcia-Rivera C.O., Agua I.A., Moreno-Suero F., Pereira-Mosquera E., Zerpa C., Llacer E., Diaz A., Caro A., Feliu F., Franco M., Escuder J., Abellan M., Padilla E., Mambrilla-Herrero S., Plua-Muniz K.T., Bailon-Cuadrado M., Tejero-Pintor F.J., Choolani-Bhojwani E., Vila-Zarate C., Delgado-Plasencia L.J., Ponchietti L., Cousins L., Busuttil A., Baird C., Drye N., Brown O.D., Mansour S., Anderson O., Mahapatra R., Clements J.A., D'Souza N., Littlehales D.J., Tang A.M., Byrne B.E., Cunha P., Ogbuokiri C., Eiben P., Gravante G., Kho H., Dobbs S., Doulias T., Ng J., Wilson M., Venugopal R., Wolff J., Akhtar K., Walji H.D., Tognarelli J.M., Knight K.A., Ansari A., Hussaini S.A., Wright E., Brewer H., Rinkoff S., Harries R.L., Fairfield C.J., Abbott T., Jackson A., Wright H.L., Walters U., Carney K., Logan P.C., Mughal Z., Strachan E., Chasty B., Ma J., Mazzeo C., Badii B., Armellini A., Grassia M., Perin A., Ruzzenente A., Magnoli M., Depalma N., Longheu A., Papandrea M., Dova L., De Prizio M., Gusai G.P., Di Zitti L., Geretto P., Azabdaftari A., Chianese G., Elbetti C., Ruffolo C., Giaccari S., Devezas V., Ferreira J.S., Peixoto R., Alshafei A., Simo V., Jose H.S., Ugarte-Sierra B., Salva A.B., Gomez N., Marinello F., Medina-Arana V., Vega L., Ballester M.M., Espina B., Prieto-Nieto M.I., Rodriguez E.C., Padilla-Valverde D., and Duran-Munoz-Cruzado V.M.
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Adult ,humanos ,Decision Making ,Risk Assessment ,NO ,apendicectomía ,apendicitis ,evaluación de riesgos ,Appendectomy ,Humans ,hospital ,General ,collaborative ,LS7_4 ,right iliac fossa ,appendicitis ,emergency service ,Original Articles ,adulto ,Appendicitis ,adult ,appendectomy ,humans ,risk assessment ,decision making ,Lower GI ,Original Article ,appendicitis, prediction models, right iliac fossa pain ,Emergency Service, Hospital ,toma de decisión - Abstract
Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P, Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making were identified by identifying UK adults at low risk of appendicitis. An online calculator is available (http://appy-risk.org). WCC, white cell count; CRP, C‐reactive protein; AIRS, Appendicitis Inflammatory Response Score; AAS, Adult Appendicitis Score. Important differences between men and women
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- 2019
11. Laparoscopy may decrease morbidity and length of stay after elective colon cancer resection, especially in frail patients: results from an observational real-life study
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Cerdán Santacruz C, Frasson M, Flor-Lorente B, Ramos Rodríguez JL, Trallero Anoro M, Millán Scheiding M, Maseda Díaz O, Dujovne Lindenbaum P, Monzón Abad A, García-Granero Ximenez E, and ANACO Study Group
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Short-term outcome ,Laparoscopic surgery ,Morbidity ,Mortality ,Observational multicenter study ,Length-of-stay ,Colon cancer - Abstract
Advantages of laparoscopic approach in colon cancer surgery have been previously demonstrated in controlled, randomized trials and in retrospective analysis of large administrative databases. Nevertheless, evidence of these advantages in prospective, observational studies from real-life settings is scarce. This is a prospective, observational study, including a consecutive series of patients that underwent elective colonic resection for cancer in 52 Spanish hospitals. Pre-/intraoperative data, related to patient, tumor, surgical procedure, and hospital, were recorded as well as 60-day post-operative outcomes, including wound infection, complications, anastomotic leak, length of stay, and mortality. A univariate and multivariate analysis was performed to determine the influence of laparoscopy on short-term post-operative outcome. A sub-analysis of the effect of laparoscopy according to patients' pre-operative risk (ASA Score I-II vs. III-IV) was also performed. 2968 patients were included: 44.2% were initially operated by laparoscopy, with a 13.9% conversion rate to laparotomy. At univariate analysis, laparoscopy was associated with a decreased mortality (p = 0.015), morbidity (p < 0.0001), wound infection (p < 0.0001), and post-operative length of stay (p < 0.0001). At multivariate analysis, laparoscopy resulted as an independent protective factor for morbidity (OR 0.7; p = 0.004), wound infection (OR 0.6; p < 0.0001), and length of post-operative stay (Effect-2 days; p < 0.0001), compared to open approach. These advantages were more relevant in high-risk patients (ASA III-IV), even if the majority of them were operated by open approach (67.1%). In a real-life setting, laparoscopy decreases wound infection rate, post-operative complications, and length of stay, especially in ASA III-IV patients.
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- 2017
12. Supervivencia prolongada tras la resección de una metástasis hepática de un tumor neuroendocrino del páncreas
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Cano-Valderrama, Ó., primary, Díez-Valladares, L., additional, Domínguez-Serrano, I., additional, Cerdán-Santacruz, C., additional, and Torres-García, A.J., additional
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- 2011
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13. Inequalities in screening policies and perioperative protection for patients with acute appendicitis during the pandemic: Subanalysis of the ACIE Appy study
- Author
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Pellino, G., Podda, M., Pata, F., Di Saverio, S., Ielpo, B., Caruso, R., Gravante, G., Orengia, A., Chowdary, A., Kulkarni, A., Kuvvetli, A., Navarro, A., Smith, A., Ibiricu, A. C., Nacion, A. J. D., Alsaleh, A., Alhazmi, A., Elmabri, A., Wani, A., Rencuzogullari, A., Lasarte, A. S., Rubio, A. V., Bavikatte, A., Kumar, A., Jamiri, A. -R., Padilla, A. M. A., Cacurri, A., de San Ildefonso, A., Porcu, A., Sartori, A., Rocca, A., Paz Yanez, A., Becaria, A., Solis-Pena, A., Sretenovic, A., Urbistondo, A., Bandin, A., Najar, A., De Luca, A., Boddy, A., Charalabopoulos, A., Tzivanakis, A., Amendola, A., de Velasco, A. R. -G., Yildirim, A. C., Frontali, A., Toure, A. O., Garcia-Granero, A., Martinez Roldan, A., Larrainzar, A. S., Ratnayake, A. S., Gonzalez-Ganso, A. M., Minaya-Bravo, A. M., Das, A., Bondurri, A., Costanzi, A., Lucchi, A., Mazzari, A., Musig, A., Peloso, A., Piano, A., Police, A., Mihailescu, A., Pouy, A., Romano, A., Iossa, A., Leonetti, A. C., Guariniello, A., Isaac, A., Bovi, A. P. D., Chessa, A., Tromba, A., Martinez, A. A., Brillantino, A., Caira, A., Castaldi, A., Ferronetti, A., Giuliani, A., Prestera, A., Ramos-De la Medina, A., Tarasconi, A., Tornambe, A., Picciariello, A., Ioannidis, A., Leppaniemi, A., Khan, A., Rashid, A., Perez-Sanchez, A. L. E., Mittal, A., Mitul, A. R., Mehraj, A., Laharwal, A., Dorisme, A., Marinis, A., Iqbal, A., Moncada, A., Braccio, B., Alkhafaji, B., de Andres Asenjo, B., Martin-Perez, B., De Simone, B., Perez, B. S., Creavin, B., Cali, B., Pascotto, B., Stubbs, B., Retes, B. Z., Jovanovic, B., Goh, B. K. P., Sensi, B., Biddau, C., Gazia, C., Vallicelli, C., Fagundes, C. A., Santacruz, C. C., Chirico, C., Diaz, C. J. G., Petrola, C., Rodriguez, C. S., Benitez, C. Y., Dammaro, C., Lo Faro, C., Reinke, C., Paez, C. D., Oliva, C., Paranjape, C., Thomas, C., Chia, C. F., Kong, C. K., De Lucia, C., Chao, C. O., Arcudi, C., Guerci, C., Chia, C., Parise, C., Folliero, C., Varela, C., Ferguson, D. M., Camacho, D., Popowich, D., Lima, D. S., Rega, D., Delogu, D., Zigiotto, D., Vinci, D., D'Antonio, D., Parini, D., Merlini, D. A., Zimmerman, D. D. E., Moro-Valdezate, D., Pertile, D., Giusti, D. M., Keller, D. S., Tarik, D., Kalivaci, D., Mazingi, D., Maldonado-Pintado, D. G., Sasia, D., Linardoutsos, D., Osilli, D., Murrone, D., Russello, D., Rodas, E., Roa, E. A. A., Ricciardi, E., Rosso, E., Saladino, E., Flores-Villalba, E., Ajs, E. R., Smith-Singares, E., Baili, E., Kouroumpas, E., Bourmpouteli, E., Douka, E., Martin-Perez, E., Guaitoli, E., Samadov, E., Francone, E., Vaterlini, E., Morales, E., Pena, E., Zhao, E., Del Pozo Andres, E., Benzoni, E., Erdas, E., Pinotti, E., Colas-Ruiz, E., Aytac, E., Laterza, E., Agastra, E., Foianini, E., Moscoso, E., Laviano, E., Marra, E., Cardamone, E., Licardie, E., Mpaili, E., Pinna, E., Varo, E., Navarro, F. M., Marino, F., Medas, F., Romano, F., Maraska, F., Saliu, F., Madrid, F., Rosa, F., Mastella, F., Gheza, F., Luvisetto, F., Alconchel, F., Vieira, F. M., Pareja, F., Agresta, F., Luna, F., Bonilla, F., Cordera, F., Burdio, F., Mendoza-Moreno, F., Flores, F. M., Aranda, F. P., Taylor, F., Ramos, F. L., Fernandes, F., Tropeano, F. P., Balestra, F., Bianco, F., Ceci, F., Colombo, F., Di Marzo, F., Ferrara, F., Lancellotti, F., Lazzarin, F., Litta, F., Martini, F., Pizza, F., Roscio, F., Virdis, F., Antona, F. B., Ramirez, F. C., Fernandez, F. M., Llinares, F. O., Quezada, F., Schlottmann, F., Herrera-Almario, G., Massaferro, G., Bislenghi, G., van Ramshorst, G., Gallo, G., Luglio, G., Bointas, G., Kampouroglou, G., Papadopoulos, G., Manrique, G. A., Calini, G., Nastri, G., Formisano, G., Galiffa, G., Palini, G. M., Colucci, G., Pagano, G., Vanni, G., Pattacini, G. C., De Paola, G., Lisi, G., Partida, G., Bellanova, G., De Nobili, G., Necchi, G. S., Sinibaldi, G., Tebala, G., Bagaglini, G., Izzo, G., Argenio, G., Brisinda, G., Candilio, G., Di Grezia, G., Esposito, G., Faillace, G., Frazzetta, G., La Gumina, G., Nigri, G., Romeo, G., Amatriain, G. C., Ortega, G., Martin-Martin, G., Stavrou, G. A., Gunadi, Ugon, G. A., Machain, G., Marcucci, G., Martinez-Mier, G., Machain, G. M., Nari, G., Calvo, H., Fathy, H., Hamilton, Ahmed, H., Faraj, H., Nava, H., Macias, H. O., Nikaj, H., Solano, H., Khan, H. A., Alarcon, H. S., Ebied, H., Giani, I., Ateca, I. V., Neri, I., San Roman, I. A., Fidoshev, I., Rodriguez, I. M., Negoi, I., Ortega, I., Bernescu, I., Russo, I. S., Rodriguez, I. V., Palomares, I., Baltazar, I., Torrejimeno, I. J., Jurado, I. M. C., Reccia, I., Hussain, I., Toledo, I. B., Mora-Guzman, I., al-Najami, I., Dogaru, I., Romic, I., Balciscueta, I., Kenington, J. C., Sagolsem, J., Jang, J. Y., Olivier, J., Lammel-Lindemann, J., Dziakova, J., Villavicencio, J. I. R., Salinas, J., Pejanovic, J., Parreira, J. G., Perez, J. R., Reyes, J. A. S., Luque, J. A. M., Mak, J., Rodriguez, J. S., Kok, J. H. H., Krook, J., Diaz-Elizondo, J. A., Castell, J., Garcia-Flores, J. E., Navalon, J. M. J., Rodrigues, J. M. S., Pinto, J. P., Gomez, J. T. C., Luque, J. B., del Olmo, J. C. M., Salamea, J. C., Olivier, J. F. C., Laina, J. L. B., Ordonez, J. M., Gutierrez, J., Abba, J., Sofi, J. A., Sherafgan, K., Sahnan, K., Yanaga, K., Beatson, K., Asim, L., Alvarez, L., Siragusa, L., Farber, L., Ong, L., Athanasios, L., Garcia-Bruna, L., De Martino, L., Ferrario, L., Giordano, L., Gordini, L., Pio, L., Ponchietti, L., Moletta, L., Curella, L., Poggi, L., Taglietti, L., Bonavina, L., Conti, L., Goffredi, L., Ruiz, L. A. G., Barrionuevo, L., Fregoso, L. E., Cabrera, L. F., Rodriguez, L. G., Grande, L., Osoria, L. G., Gonzalez, L. J. K., Sanchez-Guillen, L., Tallon-Aguilar, L., Tresierra, L., Giavarini, L., Hasabelnabi, M., Odovic, M., Uemura, M., Khan, M., Artiles-Armas, M., David, M., Di Martino, M., Spampinato, M. G., Ribeiro, M. A. F., Viola, M., Angrisani, M., Calussi, M., Cannistra, M., Catarci, M., Cereda, M., Conte, M., Giordano, M., Pellicciaro, M., Marino, M. V., Vaterlini, M. E., Jimenez, M. F., Lolli, M. G., Bellini, M. I., Lemma, M., Chiarello, M. M., Nicola, M., Arrigo, M., Mejia, M. C., Manrique, M. M., Rodriguez-Lopez, M., Serradilla-Martin, M., Lara, M. Z., Martinez, M., Bagnall, M., Peter, M., Lara, M. C., Gomez, M. J., Paniagua-Garcia-Senorans, M., Gonzalez, M. P., Rutegard, M., Salo, M., Franceschilli, M., Silveri, M., Veroux, M., Pezzulo, M., Nardi, M., Rottoli, M., Tolonen, M., Ciro, M. P., Zuluagua, M., Cannavo, M., Cervellera, M., Iacobone, M., Montuori, M., Dominguez, M. G., Bingol-Kologlu, M., Tahir, M., Lim, M., Wilson, M. S. J., Wilson, M., Campanelli, M., Bisaccia, M., De Rosa, M., Maruccia, M., Paterno, M., Pisano, M., Torre, M., Trevino, M., Zuolo, M., Bartolome, M. A. H., Farina, M., Pera, M., Calvo, M. P., Sotelo, M., Thway, M. M., Hassan, M., Hassan, M. S. E., Azfar, M., Bouhuwaish, M., Taha, M., Zaieem, M., Korkoman, M., Guraieb, M., Shalaby, M., Raza, M. A., Younis, M. U., Elhadi, M., Zulfiqar Ali, M., Quazi, N., Dudi-Venkata, N. N., Alselaim, N., Loria, N., Ramirez, N. V., Win Than, N., Smart, N., Trelles, N., Pinto, N., Allievi, N., Petrucciani, N., Antonacci, N., Cillara, N., De'Angelis, N., Gica, N., Nicolaescu, D. C., Krystek, N., Falco, N., Pecorelli, N., Tamini, N., Dallas, N. A., Machairas, N., Brito, N., Fieturi, N. A., Ortega, N., Mercado, O. A., Irkorucu, O., Alsherif, O., Valles, O., Ioannidis, O., Palmas, O. H., Palmas, O. I. H., Guadarrama, O. S., Bozbiyik, O., Omelanczuk, P., Ottolino, P., Rodrigues, P., Ruiz, P., Campenni, P., Chiarade, P., Olivares, P. P., Baroffio, P., Panaccio, P., Wintringer, P., Di Fronzo, P., Talento, P., Favoriti, P., Sendino, P., Marsanic, P., Mifsut, P., Andrade, P., Ajawin, P., Abadia-Barno, P., Castaneda, P. A. N., Arevalos, P. O. S., Bellver, P. P., Koh, P. S., Souza, P., Major, P., Bali, R. S., Khattar, R. M., Lui, R., Melo, R. B., Ebrahiminia, R., Azar, R., Murga, R. L., Pirolo, R., Brady, R., Davies, R. J., Dholakia, R., Rattan, R., Singhal, R., Lim, R., Angelico, R., Isernia, R. M., Tutino, R., Faccincani, R., Peltrini, R., Carrera-Ceron, R., Tejos, R., Kashyap, R., Fajardo, R., Lozito, R., Pareja, R. M., Garbarino, S., Morales-Conde, S., Benli, S., Mansour, S., Flores, S., Suarez, S. L., Lopez, B. S., Fuentes, S., de las Casas, S. G., Napetti, S., de Guzman, S. O., Awad, S., Lujan, S. A. W., Gentilli, S., Grimaldi, S., Pizarro, S. O., Tayar, S., Nabi, S., Chan, S. M., Junaid, S., Rojas, S., Monetti, S., Garcia, S., Salvans, S., Tenconi, S., Shaw, S., Santoni, S., Parra, S. A., Cardenas, S., Perez-Bertolez, S., Chiappetta, S., Dessureault, S., Delis, S., Bonapasta, S. A., Rausei, S., Scaringi, S., Keswani, S., Ali, S. M., Cetinkunar, S., Fung, T. L. D., Rawashdeh, T., Lopez, T. N., De Campos, T., Duque, T. C., Perra, T., Liakakos, T., Daskalakis, T., Barnes, T., Koeter, T., Zalla, T., Gonzalez, T. E., Elosua, T., Campagnaro, T., Brown, T., Luoto, T., Oumar, T. A., Giustizieri, U., Grossi, U., Bracale, U., Rivas, U., Sosa, V., Testa, V., Andriola, V., Tonini, V., Balassone, V., Celentano, V., Progno, V., Raju, V., Carroni, V., Cavallaro, V., Rao Katta, V., De Simone, V., Primo Romaguera, V., Garcia Orozco, V., Luraschi, V., Rachkov, V., Turrado-Rodriguez, V., Visag-Castillo, V., Dowling, V., Graham, V., Papagni, V., Vigorita, V., Fonseca, V. C., Carneros, V. J., Bellato, V., Goncalves, W., Powers, W. F., Grigg, W., Bechstein, W. O., Lim, Y. B., Altinel, Y., Golubovic, Z., Balciscueta, Z., Ielpo, B, Podda, M, Pellino, G, Pata, F, Caruso, R, Gravante, G, Di Saverio, S, Orengia, A, Chowdary, A, Kulkarni, A, Kuvvetli, A, Navarro, A, Smith, A, Cavero Ibiricu, A, D Nacion, A J, Alsaleh, A, Alhazmi, A, Elmabri, A, Wani, A, Rencuzogullari, A, Sarriugarte Lasarte, A, Valle Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A-R, M Alvarado Padilla, A, Cacurri, A, de San Ildefonso, A, Porcu, A, Sartori, A, Rocca, A, Paz Yáñez, A, Becaria, A, Solís-Peña, A, Sretenović, A, Urbistondo, A, Bandin, A, Najar, A, De Luca, A, Boddy, A, Charalabopoulos, A, Tzivanakis, A, Amendola, A, Ramirez-Gutierrez de Velasco, A, Cihat Yildirim, A, Frontali, A, O Toure, A, García-Granero, A, Martínez Roldan, A, Sanz Larrainzar, A, Sanjiva Ratnayake, A, M Gonzalez-Ganso, A, M Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mazzari, A, Musig, A, Peloso, A, Piano, A, Police, A, Mihailescu, A, Pouy, A, Romano, A, Iossa, A, C Leonetti, A, Guariniello, A, Isaac, A, P Delli Bovi, A, Chessa, A, Tromba, A, Álvarez Martínez, A, Brillantino, A, Caira, A, Castaldi, A, Ferronetti, A, Giuliani, A, Prestera, A, Ramos-De la Medina, A, Tarasconi, A, Tornambè, A, Picciariello, A, Ioannidis, A, Leppäniemi, A, Khan, A, Rashid, A, E Pérez-Sánchez, A L, Mittal, A, Rahman Mitul, A, Mehraj, A, Laharwal, A, Dorismé, A, Marinis, A, Iqbal, A, Moncada, A, Braccio, B, Alkhafaji, B, de Andrés Asenjo, B, Martin-Perez, B, De Simone, B, Sánchez Pérez, B, Creavin, B, Calì, B, Pascotto, B, Stubbs, B, Zavala Retes, B, Jovanovic, B, P Goh, B K, Sensi, B, Biddau, C, Gazia, C, Vallicelli, C, A Fagundes, C, Cerdán Santacruz, C, Chirico, C, J Gómez Díaz, C, Petrola, C, Sánchez Rodriguez, C, Yánez Benítez, C, Dammaro, C, Lo Faro, C, Reinke, C, Dominguez Paez, C, Oliva, C, Paranjape, C, Thomas, C, Fung Chia, C, Kwan Kong, C, De Lucia, C, Ovalle Chao, C, Arcudi, C, Guerci, C, Chia, C, Parise, C, Folliero, C, Varela, C, M Ferguson, D, Camacho, D, Popowich, D, Souza Lima, D, Rega, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Parini, D, A Merlini, D, E Zimmerman, D D, Moro-Valdezate, D, Pertile, D, M Giusti, D, S Keller, D, Tarik, D, Kalivaçi, D, Mazingi, D, G Maldonado-Pintado, D, Sasia, D, Linardoutsos, D, Osilli, D, Murrone, D, Russello, D, Rodas, E, A Acuña Roa, E, Ricciardi, E, Rosso, E, Saladino, E, Flores-Villalba, E, Ruiz Ajs, E, Smith-Singares, E, Baili, E, Kouroumpas, E, Bourmpouteli, E, Douka, E, Martin-Perez, E, Guaitoli, E, Samadov, E, Francone, E, Vaterlini, E, Morales, E, Peña, E, Zhao, E, Del Pozo Andres, E, Benzoni, E, Erdas, E, Pinotti, E, Colás-Ruiz, E, Aytac, E, Laterza, E, Agastra, E, Foianini, E, Moscoso, E, Laviano, E, Marra, E, Cardamone, E, Licardie, E, Mpaili, E, Pinna, E, Varo, E, M Navarro, F, Marino, F, Medas, F, Romano, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Mastella, F, Gheza, F, Luvisetto, F, Alconchel, F, Monge Vieira, F, Pareja, F, Agresta, F, Luna, F, Bonilla, F, Cordera, F, Burdió, F, Mendoza-Moreno, F, Muñoz Flores, F, Pardo Aranda, F, Taylor, F, L Ramos, F, Fernandes, F, P Tropeano, F, Balestra, F, Bianco, F, Ceci, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Lazzarin, F, Litta, F, Martini, F, Pizza, F, Roscio, F, Virdis, F, Blanco Antona, F, Cervantes Ramírez, F, M Fernandez, F, O Llinares, F, Quezada, F, Schlottmann, F, Herrera-Almario, G, Massaferro, G, Bislenghi, G, van Ramshorst, G, Gallo, G, Luglio, G, Bointas, G, Kampouroglou, G, Papadopoulos, G, Arredondo Manrique, G, Calini, G, Nastri, G, Formisano, G, Galiffa, G, M Palini, G, Colucci, G, Pagano, G, Vanni, G, Casoni Pattacini, G, De Paola, G, Lisi, G, Partida, G, Bellanova, G, De Nobili, G, Sammy Necchi, G, Sinibaldi, G, Tebala, G, Bagaglini, G, Izzo, G, Argenio, G, Brisinda, G, Candilio, G, Di Grezia, G, Esposito, G, Faillace, G, Frazzetta, G, La Gumina, G, Nigri, G, Romeo, G, Chocarro Amatriaín, G, Ortega, G, Martin-Martin, G, A Stavrou, G, Gunadi, G, Armand Ugon, G, Machain, G, Marcucci, G, Martínez-Mier, G, M Machain, G, Nari, G, Calvo, H, Fathy, H, Hamilton, H, Ahmed, H, Faraj, H, Nava, H, Ordas Macias, H, Nikaj, H, Solano, H, Ahmed Khan, H, Sánchez Alarcón, H, Ebied, H, Giani, I, Villalabeitia Ateca, I, Neri, I, A San Roman, I, Fidoshev, I, Martinez Rodriguez, I, Negoi, I, Ortega, I, Bernescu, I, Shari Russo, I, Vincente Rodríguez, I, Palomares, I, Baltazar, I, Jaén Torrejimeno, I, M Cornejo Jurado, I, Reccia, I, Hussain, I, Brito Toledo, I, Mora-Guzmán, I, Al-Najami, I, Dogaru, I, Romic, I, Balciscueta, I, C Kenington, J, Sagolsem, J, Y Jang, J, Olivier, J, Lammel-Lindemann, J, Dziakova, J, I Roldán Villavicencio, J, Salinas, J, Pejanovic Jose Gustavo Parreira, J, Rincón Pérez, J, S Reyes, J A, A Medina Luque, J, Mak, J, Salas Rodriguez, J, H Herrera Kok, J, Krook, J, A Diaz-Elizondo, J, Castell, J, Eduardo García-Flores, J, M Jover Navalón, J, M Silva Rodrigues, J, Pereira Pinto, J, T Castell Gómez, J, Bellido Luque, J, C Martín Del Olmo, J, C Salamea, J, F Coronel Olivier, J, L Blas Laina, J, M Ordoñez, J, Gutierrez, J, Abba, J, Ahmad Sofi, J, Sherafgan, K, Sahnan, K, Yanaga, K, Beatson, K, Asim, L, Alvarez, L, Siragusa, L, Farber, L, Ong, L, Athanasios, L, García-Bruña, L, De Martino, L, Ferrario, L, Giordano, L, Gordini, L, Pio, L, Ponchietti, L, Moletta, L, Curella, L, Poggi, L, Taglietti, L, Bonavina, L, Conti, L, Goffredi, L, A Garcia Ruiz, L, Barrionuevo, L, E Fregoso, L, F Cabrera, L, G Rodriguez, L, Grande, L, G Osoria, L, J Kantun Gonzalez, L, Sánchez-Guillén, L, Tallon-Aguilar, L, Tresierra, L, Giavarini, L, Hasabelnabi, M, Odovic, M, Uemura, M, Khan, M, Artiles-Armas, M, David, M, Di Martino, M, G Spampinato, M, F Ribeiro, M A, Viola, M, Angrisani, M, Calussi, M, Cannistrà, M, Catarci, M, Cereda, M, Conte, M, Giordano, M, Pellicciaro, M, Vito Marino, M, E Vaterlini, M, F Jiménez, M, G Lolli, M, I Bellini, M, Lemma, M, M Chiarello, M, Nicola, M, Arrigo, M, Caneda Mejia, M, Montes Manrique, M, Rodriguez-Lopez, M, Serradilla-Martín, M, Zambrano Lara, M, Martínez, M, Bagnall, M, Peter, M, Cañón Lara, M, Jimenez Gomez, M, Paniagua-Garcia-Señorans, M, Perez Gonzalez, M, Rutegård, M, Salö, M, Franceschilli, M, Silveri, M, Veroux, M, Pezzulo, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluagua, M, Cannavò, M, Cervellera, M, Iacobone, M, Montuori, M, García Domínguez, M, Bingol-Kologlu, M, Tahir, M, Lim, M, J Wilson, M S, Wilson, M, Campanelli, M, Bisaccia, M, De Rosa, M, Maruccia, M, Paterno, M, Pisano, M, Torre, M, Treviño, M, Zuolo, M, A Hernandez Bartolome, M, Farina, M, Pera, M, Prieto Calvo, M, Sotelo, M, Myat Thway, M, Hassan, M, Salah Eldin Hassan, M, Azfar, M, Bouhuwaish, M, Taha, M, Zaieem, M, Korkoman, M, Guraieb, M, Shalaby, M, A Raza, M, U Younis, M, Elhadi, M, Zulfiqar Ali, M, Quazi, N, N Dudi-Venkata, N, Alselaim, N, Loria, N, Villan Ramírez, N, Win Than, N, Smart, N, Trelles, N, Pinto, N, Allievi, N, Petrucciani, N, Antonacci, N, Cillara, N, De'Angelis, N, Gica, N, C Nicolaescu, D, Krystek, N, Falco, N, Pecorelli, N, Tamini, N, A Dallas, N, Machairas, N, Brito, N, Ahmed Fieturi, N, Ortega, N, Avila Mercado, O, Irkorucu, O, Alsherif, O, Valles, O, Ioannidis, O, Hernández Palmas, O, I Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Omelanczuk, P, Ottolino, P, Rodrigues, P, Ruiz, P, Campenni, P, Chiarade, P, Prieto Olivares, P, Baroffio, P, Panaccio, P, Wintringer, P, Di Fronzo, P, Talento, P, Favoriti, P, Sendino, P, Marsanic, P, Mifsut, P, Andrade, P, Ajawin, P, Abadía-Barnó, P, A Najar Castañeda, P, O Sillas Arevalos, P, Palazón Bellver, P, Soon Koh, P, Souza, P, Major, P, Singh Bali, R, Mohan Khattar, R, Lui, R, Bessa Melo, R, Ebrahiminia, R, Azar, R, López Murga, R, Pirolo, R, Brady, R, J Davies, R, Dholakia, R, Rattan, R, Singhal, R, Lim, R, Angelico, R, M Isernia, R, Tutino, R, Faccincani, R, Peltrini, R, Carrera-Ceron, R, Tejos, R, Kashyap, R, Fajardo, R, Lozito, R, Madariaga Pareja, R, Garbarino, S, Morales-Conde, S, Benli, S, Mansour, S, Flores, S, Limon Suarez, S, Santiago Lopez, B, Fuentes, S, Gortazar de Las Casas, S, Napetti, S, Ortiz de Guzmán, S, Awad, S, A Weckmann Luján, S, Gentilli, S, Grimaldi, S, Olivares Pizarro, S, Tayar, S, Nabi, S, M Chan, S, Junaid, S, Rojas, S, Monetti, S, García, S, Salvans, S, Tenconi, S, Shaw, S, Santoni, S, A Parra, S, Cárdenas, S, Pérez-Bertólez, S, Chiappetta, S, Dessureault, S, Delis, S, Amore Bonapasta, S, Rausei, S, Scaringi, S, Keswani, S, M Ali, S, Cetinkunar, S, D Fung, T L, Rawashdeh, T, N López, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Barnes, T, Koëter, T, Zalla, T, E González, T, Elosua, T, Campagnaro, T, Brown, T, Luoto, T, Alpha Oumar, T, Giustizieri, U, Grossi, U, Bracale, U, Rivas, U, Sosa, V, Testa, V, Andriola, V, Tonini, V, Balassone, V, Celentano, V, Progno, V, Raju, V, Carroni, V, Cavallaro, V, Rao Katta, V, De Simone, V, Primo Romaguera, V, H García Orozco, V, Luraschi, V, Rachkov, V, Turrado-Rodriguez, V, Visag-Castillo, V, Dowling, V, Graham, V, Papagni, V, Vigorita, V, Cordeiro Fonseca, V, Jimenez Carneros, V, Bellato, V, Gonçalves, W, F Powers, W, Grigg, W, O Bechstein, W, B Lim, Y, Altinel, Y, Golubović, Z, Balciscueta, Z, Pellino G., Podda M., Pata F., Di Saverio S., Ielpo B, Rottoli M., and Tonini V.
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medicine.medical_specialty ,business.industry ,COVID-19 ,Perioperative ,Appendicitis ,COVID-19 testing ,humans ,healthcare disparities ,mass screening ,perioperative care ,Perioperative Care ,Settore MED/18 - Chirurgia Generale ,Healthcare Disparitie ,COVID-19 Testing ,Pandemic ,Acute appendicitis ,medicine ,Humans ,Mass Screening ,Surgery ,Appendiciti ,Healthcare Disparities ,Intensive care medicine ,business ,Human - Abstract
Acute appendicitis remains a common reason for hospital admission. Reports have suggested a reduction in patients attending emergency departments during the acute phase of the SARSCoV- 2 pandemic. Moreover, a global surge in conservative management of acute appendicitis has recently been registered by the Appy Study of the Association of Italian Surgeons in Europe (ACIE)1. This is a treatment option that has been known for some years, although quite seldom used before the pandemic2–4. As most countries are experiencing new waves of the pandemic, the attitude of surgeons towards SARS-CoV-2 screening policies and personal protective equipment (PPE) used during the management of patients with acute appendicitis need to be established. According to a subanalysis of the ACIE Appy Study, half of surgeons globally were testing patients for SARS-CoV-2 only when symptomatic or there was suspicion of infection; approximately 12 per cent did not test patients at all (Fig. 1 and Table S1). There were regional differences. In Europe, respondents tested all patients (50.8 per cent) or those with suspected infection (43.9 per cent), with only 5.3 per cent not being tested at all. In the USA, the majority of participants only tested patients with a suspected infection (65.6 per cent). A similar picture of testing only those with a suspected infection was also reported from Latin America (57.2 per cent), Asia/Middle East (76.8 per cent), and Africa (41.7 per cent). Even more worrisome, 58.3 per cent of respondents from Africa and 27.6 per cent from Latin America were not testing patients at all before appendicectomy. Concerning the screening modality, most respondents used PCR alone or in combination with chest imaging. Serology was rarely used overall and never in Africa (Fig. 1 and Table S2 ). It is now accepted that chest imaging is not routinely required and that PCR is an accurate screening modality. Serology might, however, be useful to shed light on the disease course and previous exposure to the virus, but respondents from some countries still have restricted access to this test. In terms of PPE during appendicectomy, most African respondents did not use different PPE compared with the prepandemic period in patients who tested negative for COVID-19. More concerning is that 58.3 per cent did not use different PPE in untested patients. This differed from other regions where the rate of those not considering a change of PPE in untested patients did not exceed 22 per cent. One in 10 respondents from Latin America also reported that they were not using different PPE compared with the prepandemic phase in patients who tested positive for COVID-19. These data, and taking into account the high prevalence of acute appendicitis, leads to the conclusion that omission of routine patient screening may have contributed to local clusters among patients and threatened the safety of healthcare workers5. In this respect, it is likely that limited access to PPE explains the attitude of surgeons towards patients with unknown SARSCoV- 2 status or those infected, raising ethical concerns about the safety of surgical staff. It is of outmost importance that, even during challenging times and stress on economic stability, industrialized countries make efforts to sustain low-income countries and those with limited resources. This would ensure equal working conditions, safer treatment for patients with acute appendicitis, and better control of the pandemic
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- 2021
14. Specific training in coloproctology: cross-sectional cohort study through the Young Group of the Spanish Association of Coloproctology.
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Fernández-Miguel T, Cano-Valderrama Ó, García-Señorans MP, Bonito AC, Ros EP, Reyes-Díaz ML, and Cerdán-Santacruz C
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Introduction: Specific training at surgical super-specialities and its objective evaluation is a challenge nowadays in order to measure the potential benefits that it might add., Material and Methods: An online survey addressed by the "Grupo Joven de la Asociación Española de Coloproctología" has been performed in order to evaluate the level of formation achieved specifically at colorectal surgery., Results: 128 surgeons participated, representing 81 colorectal surgery units. Mean satisfaction after the period of formation was moderate to high in 84% of the ones polled. The main points of improvement were the realization of advanced surgical techniques (52%) and academic questions (45%). The big part of the respondents has performed simple proctologic procedures (98%) and oncological open colic resections (100%) during their training period, observing the scarcity of related pelvic floor procedures (20%) and diagnosis techniques (10-45%). Scientific production (31,5%) and presentation of studies at congresses (82,8%) have been moderated. No differences between accredited units and non-accredited units have been observed., Conclusions: Specific formation in colorectal surgery is appropriate, with a high level of simple procedures and open surgery performed by personal at formation. In view of these results, it seems logical to think that even though is necessary a progress in the formation of minimal invasive and diagnosis techniques., Competing Interests: Declaration of competing interest The authors of the article do not have any commercial association that might pose a conflict of interest in relation to this article., (Copyright © 2024 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
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- 2024
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15. Standardization of the definition of the types of oncological colectomy. Delphi method for consensus of experts of the Spanish Association of Surgeons.
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Garcia-Granero A, Martín-Martín GP, Dujovne-Lindenbaum P, Alvarez Laso CJ, Cerdán-Santacruz C, Flor-Lorente B, and Biondo S
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- Humans, Spain, Consensus, Lymph Node Excision methods, Lymph Node Excision standards, Societies, Medical, Colectomy methods, Colectomy standards, Delphi Technique, Colonic Neoplasms surgery, Colonic Neoplasms pathology
- Abstract
There is no international consensus on the definition of the type of oncological resection that corresponds to each of the colectomies existing in the current literature. The objective is to define for each colectomy described in the literature: embryological dissection plane, vascular pedicles in which to perform central ligation, the extent of the colectomy, and the need for resection of the greater momentum. A consensus of experts is carried out through the Delphi methodology through two rounds from the Coloproctology Section of the Spanish Association of Surgeons. Study period: November 2021-January 2023. 120 experts were surveyed. Degrees of consensus: Very strong: >90%, Strong: 80%-90%, Moderate: 50%-80%, No consensus: <50%. The definition for each oncological colectomy was established by very strong, and strong recommendations. Each oncological colectomy was established as Right hemicolectomy (RHC), RHC with D3 lymphadenectomy, Extended-RHC, transverse colon segmental colectomy, splenic flexure segmental colectomy, subtotal colectomy, total colectomy, left hemicolectomy (LHC), extended-LHC, sigmoidectomy., (Copyright © 2024 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
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- 2024
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16. Local Excision for organ preservation in early REctal cancer with No Adjuvant treatment (LORENA Trial): prospective observational study protocol.
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Tovar Pérez R, Cerdán Santacruz C, Cano-Valderrama Ó, Jiménez Escovar F, Flor Lorente B, Perez RO, and García Septiem J
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- Humans, Prospective Studies, Organ Sparing Treatments methods, Neoplasm Staging, Digestive System Surgical Procedures methods, Margins of Excision, Rectal Neoplasms surgery, Rectal Neoplasms pathology, Rectal Neoplasms therapy
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Introduction: Local resection (LR) is an alternative to total mesorectal excision (TME) that avoids its associated morbidity to the detriment of oncological radicality in early stages of rectal cancer. There are several conditioning factors for the success of this strategy, such as poor prognosis histological factors (PPHF), involvement of resection margins, clinical under staging, or complications that may lead to the indication for radical surgery with TME., Patients and Method: An international multicenter prospective observational open-label study has been designed. Consecutive patients diagnosed with early rectal cancer (cT1N0 on MRI +/- endorectal ultrasound) whose lower limit is a maximum of 2 cm proximal to the ano-rectal junction will be included. The primary objective of the study is to determine the overall prevalence of PPHF after LR and requiring TME or postoperative radio-chemotherapy., Discussion: The prevalence of PPHF conditioning the success of LR in early distal rectal cancer has been scarcely studied in the literature, and there are very few prospective data. Considering the increasing interest in the watch and wait strategy in rectal cancer and its possible application in early-stage tumors, it seems necessary to know this information. The results of this study will help guide clinical practice in patients with early distal rectal cancer. It will also provide quality information for the design of future comparative studies to improve organ preservation success in these patients., Trial Registration Number: NCT05927584., (Copyright © 2024 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
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- 2024
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17. Prospective study about the security and efficacy of treatment without antibiotic therapy of patients diagnosed with acute uncomplicated diverticulitis after launching a protocol at a tertiary hospital.
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Correa Bonito A, Cerdán Santacruz C, García Del Álamo Hernández Y, Gijón Moya F, Bermejo Marcos E, Rodríguez Sánchez A, García Septiem J, and Martín Pérez E
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- Humans, Prospective Studies, Female, Male, Middle Aged, Acute Disease, Aged, Adult, Treatment Outcome, Diverticulitis drug therapy, Diverticulitis diagnosis, Anti-Bacterial Agents therapeutic use, Anti-Bacterial Agents administration & dosage, Tertiary Care Centers, Clinical Protocols
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Introduction: The main objective of our study is to analyze the results in our hospital after launching a treatment protocol without antibiotic therapy for patients diagnosed with acute uncomplicated diverticulitis., Methods: Our observational, prospective, single-center study was developed after launching a treatment protocol without antibiotic therapy for patients diagnosed with acute uncomplicated diverticulitis (AUD) in January 2021. The follow-up period was from January 1, 2021 to September 30, 2023. Variables evaluated by the study have included demographic and analytical variables, as well as those related to diagnosis and whether the patients needed to start antibiotic treatment, inpatient treatment, or surgical procedures., Results: In total, 199 patients were diagnosed with AUD, 75 of whom were treated without antibiotic therapy as outpatients. Seven of these patients needed to start antibiotic treatment because of adverse evolution; none of these patients required surgical procedures. The need for inpatient treatment, urgent care, or surgical procedures is similar to the group of patients treated with antibiotics. The main risk factor of failure of outpatient treatment without antibiotic therapy identified by the study was the presence of bacteriuria at diagnosis., Conclusions: Our results confirm previous reports, observing that treatment without antibiotic therapy in selected patients with AUD is safe., (Copyright © 2024 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
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- 2024
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18. [Hemorroids: They are not all the same, nor do they require the same treatment].
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Cerdán-Santacruz C and Cerdán-Miguel J
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- 2024
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19. Results of a national survey about the management of patients with acute uncomplicated diverticulitis.
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Correa Bonito A, Cerdán Santacruz C, Pellino G, Fernández Miguel T, Bermejo Marcos E, Rodríguez Sánchez A, García Septiem J, and Martín-Pérez E
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- Humans, Anti-Bacterial Agents therapeutic use, Ambulatory Care methods, Diverticulitis therapy
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Introduction: Management of patients diagnosed of acute uncomplicated diverticulitis has evolved lately and according to the latest guidelines, outpatient treatment and management without antibiotherapy may be used in selected patients. The aim of this study is to evaluate the adhesión among national centres to these and others recommendations related to this pathology., Methods: An online national survey, that has been broadcast by several applications, was performed. The results obtained were statistically analysed., Results: A total of 104 surgeons participated, representing 69 national hospitals. Of those, in 82.6% of the centres, outpatient management is performed for acute uncomplicated diverticulitis. 23.2% of the hospitals have a protocol stablished for treatment without antibiotherapy in selected patients. Centres that do not follow these protocols allege that the mean reasons are the logistic difficulties to set them up (49.3%) and the lack of current evidence for it (44.8%). Significative statistical differences have been found when comparing the establishment of such protocols between centres with advanced accredited units and those who are not, with higher rates of outpatient management and treatment without antibiotics in accredited units (p ≤ .05)., Conclusions: In spite that this a very common disease, there is a huge national heterogeneity in its treatment. This is why it would adviseable to unify diagnostic and treatment criteria by the collaboration of scientific societies and the simplification of the development of hospitalary protocols., (Copyright © 2024 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
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- 2024
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20. "You will never walk alone… anymore".
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Cerdán-Santacruz C, Roca Font Á, and Carreras Alberti M
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- 2024
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21. National observational study about the surgical treatment of anal fistula: Does the kind of hospital modify the results?
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Cano-Valderrama O, Cerdán-Santacruz C, Fernández Veiga P, Fernández-Miguel T, Viejo E, García-Granero Á, Calderón T, and Reyes ML
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- Humans, Treatment Outcome, Retrospective Studies, Anal Canal surgery, Hospitals, High-Volume, Rectal Fistula epidemiology, Rectal Fistula surgery, Fecal Incontinence epidemiology, Fecal Incontinence etiology
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Introduction: Performing the surgical procedure in a high-volume center has been seen to be important for some surgical procedures. However, this issue has not been studied for patients with an anal fistula (AF)., Material and Methods: A retrospective multicentric study was performed including the patients who underwent AF surgery in 2019 in 56 Spanish hospitals. A univariate and multivariate analysis was performed to analyse the relationship between hospital volume and AF cure and fecal incontinence (FI)., Results: 1809 patients were include. Surgery was performed in a low, middle, and high-volume hospitals in 127 (7.0%), 571 (31.6%) y 1111 (61.4%) patients respectively. After a mean follow-up of 18.9 months 72.3% (1303) patients were cured and 132 (7.6%) developed FI. The percentage of patients cured was 74.8%, 75.8% and 70.3% (p = 0.045) for low, middle, and high-volume hospitals. Regarding FI, no statistically significant differences were observed depending on the hospital volume (4.8%, 8.0% and 7.7% respectively, p = 0.473). Multivariate analysis didńt observe a relationship between AF cure and FI., Conclusion: Cure and FI in patients who underwent AF surgery were independent from hospital volume., (Copyright © 2023 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
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- 2024
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22. RAPIDO: Condolences.
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Vailati BB, Cerdán-Santacruz C, São Julião GP, Corbi LE, and Perez RO
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- 2024
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23. Local Recurrence in Rectal Cancer: Small Absolute Numbers in a BIG Problem.
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Vailati BB, Cerdán-Santacruz C, São Julião GP, Corbi L, and Perez RO
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- Humans, Neoplasm Staging, Neoplasm Recurrence, Local epidemiology, Neoplasm Recurrence, Local pathology, Retrospective Studies, Rectal Neoplasms epidemiology, Rectal Neoplasms surgery
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- 2024
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24. RAPIDO: Rest in Peace.
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Vailati BB, Cerdán-Santacruz C, Julião GPS, Corbi L, and Perez RO
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- Humans, Social Conditions, Rest
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- 2024
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25. FiLaC® procedure for highly selected anal fistula patients: indications, safety and efficacy from an observational study at a tertiary referral center.
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Blanco Terés L, Bermejo Marcos E, Cerdán Santacruz C, Correa Bonito A, Rodríguez Sanchez A, Chaparro M, Gisbert JP, García Septiem J, and Martín-Pérez E
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- Humans, Male, Adult, Middle Aged, Female, Treatment Outcome, Tertiary Care Centers, Anal Canal surgery, Retrospective Studies, Rectal Fistula surgery, Crohn Disease complications
- Abstract
Background: the ideal clinical profile of patients or fistula features for fistula laser closure (FiLaC®) technique remain to be established. The aim of this study was to analyze clinical outcomes and the safety profile of FiLaC® in search for an ideal setting for this technique., Methods: a retrospective observational study was performed from a prospective database including all consecutive patients who underwent surgery for anal fistula (AF) with FiLaC® in the coloproctology unit of a tertiary referral center, between October 2015 and December 2021. The FiLaC® procedure was offered to AF patients who were considered to be at risk of fecal incontinence. Fistulas were described according to Parks' classification and categorized as complex or simple according to the American Gastroenterological Association (AGA) guidelines. Healing was defined by the closure of the internal and external openings for at least six months. Predictive factors of AF healing were investigated., Results: a total of 36 patients were included, with a mean age of 48 ± 13.9 years. Twenty patients (55.6 %) were male and 13 patients (36 %) had Crohn's disease (CD). Fourteen patients (38.8 %) had a complex fistula. The primary and secondary healing rates were 55.6 % and 91.7 %, respectively, during a median follow-up time of 12 months (IQR 7-29). No fecal continence impairment was registered in any case. The proportion of patients with primary healing was significantly higher in CD patients (76.9 % vs 43.5 %, p = 0.048)., Conclusions: FiLaC® is a sphincter-preserving procedure with an excellent safety profile and reasonable success rate despite of the strict patient selection. This technique may be attractive for patients with CD due to its higher primary healing rate.
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- 2023
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26. The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications-A Quasi-Experimental Study.
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Fraile Olivero CA, Jarabo Sarceda JR, Fernández Martín E, Alen Villamayor V, Calatayud Gastardi J, Gómez Martínez AM, Santos P, Arribas Manzanal PD, Cerdán Santacruz C, and Hernando Trancho F
- Abstract
Postoperative pulmonary complications (PPCs) increase the hospital length of stay (LOS) and the cost of healthcare associated with surgical procedures. Strategies to reduce PPCs begin before surgery and continue in the postoperative period. Fissios App© is a smartphone application that contains perioperative medical advice and a structured respiratory physiotherapy program. The objective was to implement the use of this app in a group of patients scheduled for a thoracic surgical procedure and determine its efficacy in reducing PPCs. This was a quasi-experimental study in which all patients attended a face-to-face respiratory physiotherapy program, and the intervention group used Fissios App© as a complement. We prospectively recorded the postoperative evolution of both groups, analyzed the categorical differences and quantitative variables, and created a binary logistic regression model. We recruited 393 patients (131 intervention and 262 control). The intervention group had a lower incidence of PPCs (12.2% versus 24% in the control group, p = 0.006), a shorter LOS (a median of 3 days (IQR = 2-5) versus 4 days (IQR = 3-6, p = 0.001) in the control group), and a reduction in the risk of developing PPCs by 63.5% (OR: 0.365, 95% CI: 0.17-0.78). The use of Fissios App© improved the clinical outcomes after surgery and reduced the probability of developing PPCs.
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- 2023
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27. Diagnostic Accuracy of Abdominal CT for Locally Advanced Colon Tumors: Can We Really Entrust Certain Decisions to the Reliability of CT?
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García Del Álamo Hernández Y, Cano-Valderrama Ó, Cerdán-Santacruz C, Pereira Pérez F, Aldrey Cao I, Núñez Fernández S, Álvarez Sarrado E, Obregón Reina R, Dujovne Lindenbaum P, Taboada Ameneiro M, Ambrona Zafra D, Pérez Farré S, Pascual Damieta M, Frago Montanuy R, Flor Lorente B, Biondo S, and Collaborative Group For The Study Of Metachronous Peritoneal Metastases Of pT Colon Cancer
- Abstract
Many different options of neoadjuvant treatments for advanced colon cancer are emerging. An accurate preoperative staging is crucial to select the most appropriate treatment option. A retrospective study was carried out on a national series of operated patients with T4 tumors. Considering the anatomo-pathological analysis of the surgical specimen as the gold standard, a diagnostic accuracy study was carried out on the variables T and N staging and the presence of peritoneal metastases (M1c). The parameters calculated were sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios, as well as the overall accuracy. A total of 50 centers participated in the study in which 1950 patients were analyzed. The sensitivity of CT for correct staging of T4 colon tumors was 57%. Regarding N staging, the overall accuracy was 63%, with a sensitivity of 64% and a specificity of 62%; however, the positive and negative likelihood ratios were 1.7 and 0.58, respectively. For the diagnosis of peritoneal metastases, the accuracy was 94.8%, with a sensitivity of 40% and specificity of 98%; in the case of peritoneal metastases, the positive and negative likelihood ratios were 24.4 and 0.61, respectively. The diagnostic accuracy of CT in the setting of advanced colon cancer still has some shortcomings for accurate diagnosis of stage T4, correct classification of lymph nodes, and preoperative detection of peritoneal metastases.
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- 2023
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28. "Long-term oncologic outcomes and risk factors for distant recurrence after pathologic complete response following neoadjuvant treatment for locally advanced rectal cancer. A nationwide, multicentre study".
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Cerdán-Santacruz C, Cano-Valderrama Ó, Santos Rancaño R, Terés LB, Vigorita V, Pérez TP, Rosciano Paganelli JG, Paredes Cotoré JP, Carre MK, Flor-Lorente B, Antona FB, Martín EY, Tebar JC, Cao IA, Coltell ZB, Alonso MG, Paredes Cotoré JP, Prada López BL, Riesco AB, Cánovas NI, Sánchez CM, Serrat DR, Conde GA, Toscano MJ, Aira AC, Pérez MR, Petit NM, Espín Basany E, Carré MK, Pellino G, Retuerta JM, Saldaña AG, Laso CÁ, Allende IA, Álvarez DH, Cazador AC, Sánchez Bautista WM, Torres Sánchez MT, Bonito AC, Velázquez MC, Díaz OM, Fuentes NS, Olías MDCV, Pérez TP, Rosciano Paganelli JG, Lorente BF, Valderrama ÓC, Santos Rancaño R, Terés LB, and Santacruz CC
- Abstract
Background: Pathologic complete response (pCR) after multimodal treatment for locally advanced rectal cancer (LARC) is used as surrogate marker of success as it is assumed to correlate with improved oncologic outcome. However, long-term oncologic data are scarce., Methods: This retrospective, multicentre study updated the oncologic follow-up of prospectively collected data from the Spanish Rectal Cancer Project database. pCR was described as no evidence of tumour cells in the specimen. Endpoints were distant metastases-free survival (DMFS) and overall survival (OS). Multivariate regression analyses were run to identify factors associated with survival., Results: Overall, 32 different hospitals were involved, providing data on 815 patients with pCR. At a median follow-up of 73.4 (IQR 57.7-99.5) months, distant metastases occurred in 6.4% of patients. Abdominoperineal excision (APE) (HR 2.2, 95%CI 1.2-4.1, p = 0.008) and elevated CEA levels (HR = 1.9, 95% CI 1.0-3.7, p = 0.049) were independent risk factors for distant recurrence. Age (years) (HR 1.1; 95%-CI 1.05-41.09; p < 0.001) and ASA III-IV (HR = 2.0; 95%-CI 1.4-2.9; p < 0.001), were the only factors associated with OS. The estimated 12, 36 and 60-months DMFS rates were 96.9%, 91.3%, and 86.8%. The estimated 12, 36 and 60-months OS rates were 99.1%, 94.9% and 89.3%., Conclusions: The incidence of metachronous distant metastases is low after pCR, with high rates of both DMFS and OS. The oncologic prognosis in LARC patients that achieve pCR after neoadjuvant chemo-radiotherapy is excellent in the long term., Competing Interests: Declaration of competing interest The authors of the article do not have any commercial association that might pose a conflict of interest in relation to this article., (Copyright © 2023 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.)
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- 2023
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29. Short-Course Radiation and Consolidation Chemotherapy for Rectal Cancer-The Rise and Fall of a Treatment Strategy-Rest in Peace.
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Vailati BB, Cerdán-Santacruz C, São Julião GP, Corbi L, and Perez RO
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- Humans, Fluorouracil therapeutic use, Neoadjuvant Therapy, Chemoradiotherapy, Consolidation Chemotherapy, Rectal Neoplasms radiotherapy, Rectal Neoplasms drug therapy
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- 2023
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30. Endorectal Advancement Flap Repair of Rectovaginal Fistula.
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Cerdán Santacruz C, Gancedo Quintana Á, and Cerdán Miguel J
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- Female, Humans, Rectum surgery, Treatment Outcome, Rectovaginal Fistula surgery, Rectal Fistula surgery
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- 2023
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31. Near-complete response following neoadjuvant therapy in rectal cancer: resect now?
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Perez RO, Cerdán-Santacruz C, and São Julião GP
- Subjects
- Humans, Rectum pathology, Remission Induction, Chemoradiotherapy, Treatment Outcome, Neoplasm Staging, Retrospective Studies, Neoadjuvant Therapy, Rectal Neoplasms drug therapy, Rectal Neoplasms surgery
- Published
- 2023
- Full Text
- View/download PDF
32. "Optimal recovery" after colon cancer surgery in the elderly, a comparative cohort study: Conventional care vs. enhanced recovery vs. prehabilitation.
- Author
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Cerdán Santacruz C, Merichal Resina M, Gómez Báez FD, Milla Collado L, Sánchez Rubio MB, Cano Valderrama Ó, Morales Rul JL, Sebastiá Vigatá E, Fierro Barrabés G, Escoll Rufino J, Sierra Grañón JE, and Olsina Kissler JJ
- Subjects
- Humans, Aged, Cohort Studies, Retrospective Studies, Length of Stay, Postoperative Complications epidemiology, Postoperative Complications prevention & control, Postoperative Complications etiology, Preoperative Exercise, Colonic Neoplasms surgery, Colonic Neoplasms complications
- Abstract
Background: Colon cancer in elderly patients is an increasing problem due to its prevalence and progressive aging population. Prehabilitation has experienced a great grown in this field. Whether it is the best standard of care for these patients has not been elucidated yet., Methods: A retrospective comparative cohort study of three different standards of care for elderly colon cancer patients (>65 years) was conducted. A four-weeks trimodal prehabilitation program (PP), enhanced recovery program (ERP) and conventional care (CC) were compared. Global complications, major complications (Clavien-Dindo ≥ 3), reinterventions, mortality, readmission and length of stay were measured. Optimal recovery, defined as postoperative course without major complications, no mortality, hospital discharge before the fifth postoperative day and without readmission, was the primary outcome measure. The influence of standard of care in optimal recovery and postoperative outcomes was assessed with univariate and multivariate logistic regression models., Results: A total of 153 patients were included, 51 in each group. Mean age was 77.9 years. ASA Score distribution was different between groups (ASA III-IV: CC 56.9%, ERP 25.5%, PP 58.9%; p = 0.014). Optimal recovery rate was 55.6% (PP 54.9%, ERP 66.7%, CC 45.1%; p = 0.09). No differences were found in major complications (p = 0.2) nor reinterventions (p = 0.7). Uneventful recovery favors ERP and PP groups (p = 0.046 and p = 0.049 respectively)., Conclusions: PP and ERP are safe and effective for older colon cancer patients. Fewer overall complications and readmissions happened in ERP and PP patients. Major complications were independent of the standard of care used., (Copyright © 2022. Published by Elsevier España, S.L.U.)
- Published
- 2023
- Full Text
- View/download PDF
33. Treatment for acute uncomplicated diverticulitis without antibiotherapy: systematic review and meta-analysis of randomized clinical trials.
- Author
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Correa Bonito A, Cerdán Santacruz C, Di Martino M, Blanco Terés L, Gancedo Quintana Á, Martín-Pérez E, Biondo S, and García Septiem J
- Subjects
- Humans, Acute Disease, Randomized Controlled Trials as Topic, Anti-Bacterial Agents therapeutic use, Diverticulitis drug therapy
- Abstract
Background: Use of antibiotics in selected cases of acute uncomplicated diverticulitis (AUD) has recently been questioned., Objective: The aim of this study is to examine the safety and efficacy of treatment regimens without antibiotics compared with that of traditional treatments with antibiotics in selected patients with AUD., Data Sources: PubMed, Medline, Embase, Web of Science, and the Cochrane Library., Methods: A systematic review was performed according to PRISMA and AMSTAR guidelines by searching through Medline, Embase, Web of Science, and the Cochrane Library for randomized clinical trials (RCTs) published before December 2022. The outcomes assessed were the rates of readmission, change in strategy, emergency surgery, worsening, and persistent diverticulitis., Study Selection: RCTs on treating AUD without antibiotics published in English before December 2022 were included., Intervention: Treatments without antibiotics were compared with treatments with antibiotics., Main Outcome Measures: The outcomes assessed were the rates of readmission, change in strategy, emergency surgery, worsening, and persistent diverticulitis., Results: The search yielded 1163 studies. Four RCTs with 1809 patients were included in the review. Among these patients, 50.1% were treated conservatively without antibiotics. The meta-analysis showed no significant differences between nonantibiotic and antibiotic treatment groups with respect to rates of readmission [odds ratio (OR)=1.39; 95% CI: 0.93-2.06; P =0.11; I2 =0%], change in strategy (OR=1.03; 95% CI: 0.52-2,02; P =0.94; I2 =44%), emergency surgery (OR=0.43; 95% CI: 0.12-1.53; P =0.19; I2 =0%), worsening (OR=0.91; 95% CI: 0.48-1.73; P =0.78; I2 =0%), and persistent diverticulitis (OR=1.54; 95% CI: 0.63-3.26; P =0.26; I2 =0%)., Limitations: Heterogeneity and a limited number of RCTs., Conclusions: Treatment for AUD without antibiotic therapy is safe and effective in selected patients. Further RTCs should confirm the present findings., (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
- Published
- 2023
- Full Text
- View/download PDF
34. Delorme's Procedure for Rectal Prolapse.
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Cerdán Santacruz C, Gancedo Quintana Á, and Cerdán Miguel J
- Subjects
- Humans, Intestinal Mucosa, Rectum surgery, Treatment Outcome, Rectal Prolapse surgery
- Published
- 2022
- Full Text
- View/download PDF
35. Watch and wait: Why, to whom and how.
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Cerdán-Santacruz C, Vailati BB, São Julião GP, Habr-Gama A, and Perez RO
- Subjects
- Chemoradiotherapy, Humans, Neoadjuvant Therapy, Neoplasm Recurrence, Local drug therapy, Treatment Outcome, Rectal Neoplasms pathology, Watchful Waiting methods
- Abstract
The current standard of care for the treatment of locally advanced rectal cancer includes neoadjuvant chemoradiation (nCRT) followed by total mesorrectal excision (TME). The observation of significant primary tumor response to radiation and chemotherapy led to the idea of organ-preserving strategies in selected patients who achieved clinical, endoscopic and radiological evidence of complete tumor regression. One of these strategies includes no immediate surgery with close surveillance, known as the Watch and Wait strategy (W&W). The potential benefits of this approach with the avoidance of radical TME have to be weighed against the potential risk of local tumor regrowth. Exploration of these advantages and disadvantages will attempt to answer why W&W may be an attractive alternative to rectal cancer patients and their treating physicians. In order to safely implement this strategy, some key issues related to baseline staging, neoadjuvant treatment regimens, timing for tumor response assessment, must be carefully considered. The combination of these features will attempt to clarify "how" and "to whom" the W&W strategy may be considered. Ultimately, in the setting of contemporary neoadjuvant treatment regimens including total neoadjuvant therapy strategies (TNT), the achievement of a clinical complete response is likely to affect a significant proportion of patients. As endoscopic and radiological imaging modalities have evolved and improved, W&W is expected to become an integral part during multidisciplinary management decision. Finally, understanding the clinical consequences of local tumor regrowth both in terms of local and distant relapse may allow for optimal and safe selection of patients fully aware of advantages or disadvantages of this strategy., (Copyright © 2022 Elsevier Ltd. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
36. Multimodal Management of Fecal Incontinence Focused on Sphincteroplasty: Long-Term Outcomes from a Single Center Case Series.
- Author
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Cerdán Santacruz C, Cerdán Santacruz DM, Milla Collado L, Ruiz de León A, and Cerdán Miguel J
- Abstract
The management of patients with fecal incontinence and an external anal sphincter (EAS) defect remains controversial. A retrospective series of overlapping anal sphincteroplasties performed between 1985−2013 from a single center, supplemented by selective puborectalis plication and internal anal sphincter repair is presented. Patients were clinically followed along with anorectal manometry, continence scoring (Cleveland Clinic Incontinence Score—CCS) and patient satisfaction scales. Patients with a suboptimal outcome were managed with combinations of biofeedback therapy (BFT), peripheral tibial nerve stimulation (PTNS), sacral nerve stimulation (SNS) or repeat sphincteroplasty. There were 120 anterior sphincter repairs with 90 (75%) levatorplasties and 84 (70%) IAS repairs. Over a median follow-up of 120 months (IQR 60−173.7 months) there were significant improvements in the recorded CCIS values (90.8% with a preoperative CCIS > 15 vs. 2.5% postoperatively; p < 0.001). There were 42 patients who required ancillary treatment with four repeat sphincteroplasties, 35 patients undergoing biofeedback therapy, 10 patients treated with PTNS and three managed with SNS implants with an ultimate good functional outcome in 92.9% of cases. No difference was noted in ultimate functional outcome between those treated with sphincteroplasty alone compared with those who needed ancillary treatments (97.1% vs. 85.7%, respectively). Overall, 93.3% considered the outcome as either good or excellent. Long-term functional outcomes of an overlapping sphincteroplasty are good. If the initial outcome is suboptimal, response to ancillary treatments remains good and patients are not compromised by a first-up uncomplicated sphincter repair.
- Published
- 2022
- Full Text
- View/download PDF
37. Traumatic deficient perineum: surgical management and outcome from a single center.
- Author
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Cerdán-Santacruz C, Cano-Valderrama Ó, and Cerdán-Miguel J
- Subjects
- Anal Canal surgery, Child, Child, Preschool, Defecation, Female, Humans, Manometry, Rectum, Treatment Outcome, Fecal Incontinence etiology, Fecal Incontinence surgery, Perineum surgery
- Abstract
Introduction and Hypothesis: Deficient perineum is a disruption of the perineal body and distal rectovaginal septum presenting with anal incontinence and a range of urogenital symptoms. There is scarce reported outcome of this condition with management often delayed and with a variety of surgical alternatives. This study aims to determine faecal continence outcomes after long-term surgical repair., Methods: Patients were included for analysis after surgical repair between 1989 and 2012. Cases were preoperatively assessed by endosonography and anorectal manometry with a record of their continence with the Cleveland Clinic Incontinence Score (CCIS). Surgical repair comprised an overlapping repair of the external anal sphincter (EAS) with levatorplasty. There was selective use of internal anal sphincter (IAS) suture and/or advancement perineoplasty for soft tissue reconstruction. Patients were clinically evaluated for functional outcomes with comparison of their postoperative CCIS., Results: There were 20 patients (median age 55.5 years; range 29-81 years) with a median duration of incontinence symptoms of 174 (range 1-540) months. All patients had an EAS and IAS defect with 14 (70%) undergoing an IAS suture and 10 (50%) a Corman-style anoplasty. Over a median follow-up of 137.2 (range 13-322) months, there was a significant decrease in the recorded median preoperative vs. postoperative CCIS 18, range 13-20 vs. 2, range 0-10, respectively; p < 0.001) with 18 (90%) satisfied with the functional outcome. Faecal diversion was not used in any of the patients., Conclusions: Experienced delayed repair of a traumatic cloaca is associated with an acceptable functional outcome at medium- to long-term follow-up., (© 2021. The International Urogynecological Association.)
- Published
- 2022
- Full Text
- View/download PDF
38. Patients' Perceived Satisfaction Through Telephone-Assisted Tele-Consultation During the SARS-CoV-2 Pandemic Period: Observational Single-Centre Study at a Tertiary-Referral Colorectal Surgery Department.
- Author
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Blanco Terés L, Cerdán Santacruz C, García Septiem J, Maqueda González R, Lopesino González JM, Correa Bonito A, and Martín-Pérez E
- Subjects
- Female, Humans, Male, Middle Aged, Pandemics, Patient Satisfaction, Personal Satisfaction, SARS-CoV-2, Telephone, COVID-19 epidemiology, Colorectal Surgery, Remote Consultation, Telemedicine
- Abstract
Introduction: The pandemic produced by SARS-CoV-2 has obliged us to set up the tele-assistance to offer a continuity of care. This implies an innovation, being the degree of satisfaction of patients unknown. Methods: A telephonic survey was conducted with the validated in the Spanish tool Telehealth Usability Questionnaire (Telehealth Usability Questionnaire; rating from 1-7) of all candidate patients assisted consecutively in the Coloproctology Unit. We included demographic variables, education level, job status, diagnosis and consultation type. A descriptive study was done. The relationship between the willingness of consultation model in the future (telemedicine vs traditional) and the categorical variables was analysed through the chi-squared test. Results: A total of 115 patients were included. The average age was 59.9 years, being 60% women. The average score in each of the survey items was higher than 6 in all the questions but 1. 26.1% of the surveyed patients confessed being advocated to tele-assistance in the future. The only factors related to greater willingness to tele-assistance were male gender (37% vs 18.8%; P = .03) and a higher academic preparation level in favour of higher technical studies (35.9%) and university studies (32.4%) opposite to the rest ( P = .043). The rest of variables studied, job status, labour regimen, diagnostic group and consultation type did not show any relationship. Conclusions: A vast majority of patients answered favourably to almost all the items of the survey. However, only 26.1% of them would choose a model of tele-assistance without restrictions.
- Published
- 2022
- Full Text
- View/download PDF
39. Interval colonoscopy following acute diverticulitis should not be discouraged yet: results from a retrospective cohort.
- Author
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Cerdán Santacruz C, Muriel Álvarez P, Roig Ferreruela G, Merichal Resina M, Pinillos Somalo AI, Mestres Petit N, Sierra Grañón JE, and Olsina Kissler JJ
- Subjects
- Acute Disease, Colonoscopy, Humans, Middle Aged, Retrospective Studies, Colonic Neoplasms, Diverticulitis, Diverticulitis, Colonic diagnostic imaging, Diverticulitis, Colonic epidemiology
- Abstract
Background: Although included in some guidelines, the recommendation of interval colonoscopy after an acute diverticulitis (AD) episode has recently been questioned. In this study, we evaluated the incidence of colon cancer during the follow-up of an episode of AD., Methods: A retrospective review was carried out of patients with conservatively treated AD at our Institution (January 2011 to December 2018) with or without endoscopic study. Patients who had no colonoscopy performed were followed for two years. The demographic, clinical, radiological, follow-up and anatomopathological records were analysed. We determined CT scan validity for the differential diagnosis of CC and AD; sensibility, specificity, predictive values and likelihood ratios were calculated. Patients lost to follow-up and patients who had had colonoscopy in the previous three years were excluded., Results: This study included 285 patients with a mean age of 59 years. A total of 225 interval colonoscopies were performed and 60 patients without colonoscopy were followed up. There were 19 CC (6.7%) diagnosed, 14 with interval colonoscopy and 5 during follow-up; 8 (42.1%) happened in patients who had had an episode of uncomplicated AD. Although CT scan accuracy is high, 87.7%, positive and negative likelihood ratios were low, 4.67 and 0.64, respectively., Conclusions: Interval colonoscopy should still be advisable after an episode of AD. The rationale for this statement is based on a non-negligible rate of hidden CC and an important uncertainty in the differential diagnosis., (© 2021. Springer Science+Business Media, LLC, part of Springer Nature.)
- Published
- 2021
- Full Text
- View/download PDF
40. Proctologic emergency consultation during COVID-19: Comparative cross-sectional cohort study.
- Author
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Maqueda Gonzalez R, Cerdán Santacruz C, García Septiem J, Blanco Terés L, Lopesino González JM, Fernández Jiménez G, and Martín-Pérez E
- Subjects
- Cohort Studies, Cross-Sectional Studies, Emergency Service, Hospital, Humans, Male, Middle Aged, Referral and Consultation, Retrospective Studies, SARS-CoV-2, COVID-19
- Abstract
Introduction: Proctologic issues entail a frequent reason for consultation in the emergency department (ED). We aim to analyze how the SARS-COV-2 pandemic has impacted in the demand for proctological consultations., Material and Method: Descriptive comparative retrospective study of cross-sectional cohorts of patients attending the ED for proctological complaints from March to April in 2020 and 2019. Demographic variables, comorbidities, reasons for consultation and diagnosis, treatment and readmission were included. Four periods were analyzed according to the different stages of the pandemic derived limitations., Results: A total of 191 patients were reviewed, 58 in 2020 and 133 in 2019 with an average age of 48 years (SD 20.1) and 112 (58.6%) males. The average number of daily consultations was 2.18 patients in 2019 versus 0.95 in 2020 (p=0.025) meaning a 56% reduction in consultations for proctological reasons. This difference in average consultations was significant in both periods of lockout (p=0.001) and previous de-escalation (p=0.014). The diagnosis distribution was similar between both periods; however, perianal abscesses doubled their rate in 2020, 22.4% versus 11.3% (p=0.045). There was an increasing need for surgery, 31% vs 15% (p=0.011) with no difference in outpatients regimen after emergency surgery (12.5% vs 7.5%, p=0.201). Three patients in 2020 required readmission to the ED (5.2% vs 12.9%, p=0.086)., Conclusion: There was a decrease of a 56% in proctologic emergency consultation, however, the need for surgery was twice more frequent during the study period. Reflection on the use of emergencies for proctological reasons is warranted., (Copyright © 2020 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
41. Perforated jeyunal diverticulitis: a rare cause of acute abdomen.
- Author
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Santos Rancaño R, Delgado Morales M, Hernández García M, Cerdán Santacruz C, Buendía Pérez E, and Alonso Guillén R
- Subjects
- Aged, Diverticulitis surgery, Female, Humans, Intestinal Perforation surgery, Jejunal Diseases surgery, Rare Diseases surgery, Abdomen, Acute etiology, Diverticulitis complications, Intestinal Perforation complications, Jejunal Diseases complications, Rare Diseases complications
- Published
- 2021
- Full Text
- View/download PDF
42. Laparoscopic repair of perineal hernia without suture fixation - a video vignette.
- Author
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Cerdán-Santacruz C, Ambrona-Zafra D, Villalobos-Mori R, Mestres Petit N, Sierra Grañón JE, and Olsina-Kissler JJ
- Subjects
- Hernia etiology, Herniorrhaphy, Humans, Perineum surgery, Surgical Mesh, Suture Techniques, Sutures, Hernia, Ventral, Laparoscopy
- Published
- 2021
- Full Text
- View/download PDF
43. Adult Intestinal Intussusception: Practical Issues and Concerns.
- Author
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Cerdán Santacruz C and García Septiem J
- Subjects
- Adenocarcinoma complications, Adenocarcinoma diagnosis, Adenocarcinoma pathology, Adenocarcinoma surgery, Adult, Cecal Neoplasms complications, Cecal Neoplasms diagnosis, Cecal Neoplasms pathology, Cecal Neoplasms surgery, Disease Management, Female, Humans, Ileal Diseases etiology, Ileal Diseases surgery, Intussusception etiology, Intussusception surgery, Laparoscopy, Neoplasm Staging, Tomography, X-Ray Computed, Ileal Diseases diagnosis, Intussusception diagnosis
- Abstract
Case Summary: A 37-year-old woman with no relevant past medical history presented to the emergency department after a 2-day-long period of crampy abdominal pain with an inability for oral intake because of persistent vomiting. The physical examination was unremarkable. Abdominal CT scan with water-soluble oral contrast revealed an ileocecal intussusception (Fig. 1). Because the patient was hemodynamically stable and no abdominal tenderness was found, a delayed surgical intervention was planned with laparoscopic approach. During intervention, the intestinal invagination was reduced, a cecal neoplasm suspected, and a right hemicolectomy with complete mesocolic excision was performed (Fig. 2). Postoperative recovery was uneventful, with discharge on postoperative day 5. The definite pathological report showed well-differentiated colon adenocarcinoma pT2N1aMx, with 1 of 49 positive lymph nodes., (Copyright © The ASCRS 2021.)
- Published
- 2021
- Full Text
- View/download PDF
44. Strongyloides colitis is an often misdiagnosed lethal infection that resembles ulcerative colitis: first case of colon perforation in an adult.
- Author
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Santos Rancaño R, Cerdán Santacruz C, Delgado Morales M, Buendía Pérez E, Bumedien F, Sánchez Bueno VM, Pérez Zapata I, and Alonso Guillén R
- Subjects
- Adult, Animals, Colon, Diagnostic Errors, Humans, Strongyloides, Colitis diagnosis, Colitis etiology, Colitis, Ulcerative complications, Colitis, Ulcerative diagnosis
- Published
- 2021
- Full Text
- View/download PDF
45. When the Need is Greater Than Feasible.
- Author
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Fraile Olivero CA, Jarabo Sarceda JR, Cerdán Santacruz C, Santos Capa P, Arribas Manzanal PD, Barriuso R, and Hernando Trancho F
- Published
- 2020
- Full Text
- View/download PDF
46. Proctologic emergency consultation during COVID-19: Comparative cross-sectional cohort study.
- Author
-
Maqueda Gonzalez R, Cerdán Santacruz C, García Septiem J, Blanco Terés L, Lopesino González JM, Fernández Jiménez G, and Martín-Pérez E
- Abstract
Introduction: Proctologic issues entail a frequent reason for consultation in the emergency department (ED). We aim to analyze how the SARS-COV-2 pandemic has impacted in the demand for proctological consultations., Material and Method: Descriptive comparative retrospective study of cross-sectional cohorts of patients attending the ED for proctological complaints from March to April in 2020 and 2019. Demographic variables, comorbidities, reasons for consultation and diagnosis, treatment and readmission were included. Four periods were analyzed according to the different stages of the pandemic derived limitations., Results: A total of 191 patients were reviewed, 58 in 2020 and 133 in 2019 with an average age of 48 years (SD 20.1) and 112 (58.6%) males. The average number of daily consultations was 2.18 patients in 2019 versus 0.95 in 2020 (p=0.025) meaning a 56% reduction in consultations for proctological reasons. This difference in average consultations was significant in both periods of lockout (p=0.001) and previous de-escalation (p=0.014). The diagnosis distribution was similar between both periods; however, perianal abscesses doubled their rate in 2020, 22.4% versus 11.3% (p=0.045). There was an increasing need for surgery, 31% vs 15% (p=0.011) with no difference in outpatients regimen after emergency surgery (12.5% vs 7.5%, p=0.201). Three patients in 2020 required readmission to the ED (5.2% vs 12.9%, p=0.086)., Conclusion: There was a decrease of a 56% in proctologic emergency consultation, however, the need for surgery was twice more frequent during the study period. Reflection on the use of emergencies for proctological reasons is warranted., (Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF
47. Peristomal Pyoderma Gangrenosum in a Rectal Cancer Patient With an Ileostomy: A Case Study.
- Author
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Cerdán Santacruz C, Lancharro Bermúdez M, Caparrós Sanz MR, and Cerdán Miguel J
- Subjects
- Aged, Early Detection of Cancer, Female, Humans, Pyoderma Gangrenosum etiology, Treatment Outcome, Wound Healing, Ileostomy adverse effects, Ostomy adverse effects, Pyoderma Gangrenosum therapy, Rectal Neoplasms, Skin Care methods
- Abstract
Background: Peristomal pyoderma gangrenosum (PPG) is a rare complication mainly associated with inflammatory bowel disease. Although it has also been found in patients with an ileostomy with rectal cancer, the best treatment options in this context have not been precisely elucidated., Case: This case report describes the importance of a multidisciplinary treatment approach for a rare case of PPG around a protective ileostomy resulting from rectal cancer., Conclusions: Early diagnosis of PPG is imperative to avoid further extension of the lesion. Aggressive management with a multidrug treatment, both topical and systemic, is recommended in severe cases. Close monitoring of the response is necessary, given the variability in the effectiveness of the treatments.
- Published
- 2020
- Full Text
- View/download PDF
48. Squamous carcinoma over perineal hidradenitis suppurativa.
- Author
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Cerdán Santacruz C, Santos Rancaño R, Díaz Del Arco C, Ortega Medina L, and Cerdán Miguel J
- Subjects
- Buttocks pathology, Fatal Outcome, Humans, Male, Middle Aged, Sacrum pathology, Carcinoma, Squamous Cell, Hidradenitis Suppurativa complications, Pelvic Neoplasms, Perineum pathology
- Published
- 2019
- Full Text
- View/download PDF
49. Comment on "Long Term Outcome of Surgery Versus Conservative Management for Recurrent and Ongoing Complaints After an Episode of Diverticulitis. 5-year Follow-up Results of a Multicenter Randomized Control Trial (DIRECT-Trial)".
- Author
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Cerdán Santacruz C, Merichal Resina M, Sierra Grañón JE, and Olsina Kissler JJ
- Subjects
- Conservative Treatment, Follow-Up Studies, Humans, Longitudinal Studies, Diverticulitis, Diverticulitis, Colonic
- Published
- 2019
- Full Text
- View/download PDF
50. Prevalence of anal incontinence in a working population within a healthcare environment.
- Author
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Cerdán Santacruz C, Santos Rancaño R, Vigara García M, Fernández Pérez C, Ortega López M, and Cerdán Miguel J
- Subjects
- Adult, Age Distribution, Aged, Female, Humans, Logistic Models, Male, Manometry, Middle Aged, Multivariate Analysis, Prevalence, Risk Factors, Sex Distribution, Spain, Surveys and Questionnaires, Tertiary Care Centers, Ultrasonography, Young Adult, Anal Canal physiopathology, Fecal Incontinence epidemiology, Fecal Incontinence etiology, Health Personnel statistics & numerical data
- Abstract
Objectives: Anal incontinence is a devastating affliction with several considerations that make it difficult to define in terms of epidemiology with good precision. The aim of the present work is to study the prevalence of an important disorder such as anal incontinence in a healthy working population within a sanitary environment., Material and Methods: A cluster of easy understanding and filling inquiry forms are distributed to 910 apparently healthy individuals at our hospital. This questionnaires include filiation data, passed medical history, presence or not of Incontinence and other symptoms such as urgency. The Cleveland Clinic Incontinence Score is also registered., Results: Anal incontinence is present in a 21.2% of subjects when considered in any of it forms (flatus, liquid or solid faeces). A Clevleand Clinic Incontinence Score higher than 6 was obtained in a 7.3% of the sample and higher than 10 in 1.2%. No gender predominance has been identified. A slightly higher severity is recognised with increasing age. Obstetric and anal surgical background are the only related factors identified in the studied sample., Conclusions: Faecal incontinence is a high prevalent affliction, even among apparently healthy population. Considering the aetiologic factors that have been established, prevention during obstetric and anal surgical procedures is absolutely mandatory.
- Published
- 2017
- Full Text
- View/download PDF
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