20 results on '"Martín-Antona E"'
Search Results
2. Reduction in emergency surgery activity during COVID-19 pandemic in three Spanish hospitals
- Author
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Cano-Valderrama, O, primary, Morales, X, additional, Ferrigni, C J, additional, Martín-Antona, E, additional, Turrado, V, additional, García, A, additional, Cuñarro-López, Y, additional, Zarain-Obrador, L, additional, Duran-Poveda, M, additional, Balibrea, J M, additional, and Torres, A J, additional more...
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- 2020
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Catalog
3. “Time of crisis - Time of union”. A message from the group “Surgery AEC-COVID”.
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Morales-Conde, S, primary, Álvarez Peña, E, additional, Álvarez Gallego, M, additional, Aranda Narváez, JM, additional, Badía, JM, additional, Balibrea, JM, additional, García-Botella, A, additional, Espín Basany, E, additional, Martín-Antona, E, additional, Martín Pérez, E, additional, Martínez Cortijo, S, additional, Pascual Migueláñez, I, additional, Pérez Díaz, L, additional, Ramos Rodríguez, JL, additional, Rubio Pérez, I, additional, and Sánchez Santos, R, additional more...
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- 2020
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4. Recommendations for the management of hospitalized patients - “Closing the Back Door” procedure to fight against COVID-19
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Morales-Conde, S, primary, Licardie, E, additional, Álvarez Peña, E, additional, Álvarez Gallego, M, additional, Aranda Narváez, JM, additional, Badía, JM, additional, Balibrea, JM, additional, García-Botella, A, additional, Guirao, X, additional, Espín Basany, E, additional, Martín-Antona, E, additional, Martín Pérez, E, additional, Martínez Cortijo, S, additional, Pascual Migueláñez, I, additional, Pérez Díaz, L, additional, Ramos Rodríguez, JL, additional, Rubio Pérez, I, additional, and Sánchez Santos, R, additional more...
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- 2020
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5. Contributors
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Acosta Mérida, María Asunción, Antozzi, Luciano, Aragón, Carmen, Bretón, Julia Ocón, Bretón Lesmes, Irene, Cano-Valderrama, O., Carbajal, Ramiro, Castro Alija, Ma Jose, del Rio, Ana García, Esteban, Marcos Bruna, Faria, Silvia Leite, Ferrer-Márquez, Manuel, García-Villabona, Esther, González Antigüedad, Cynthia, Gutiérrez-Medina, Sonsoles, Hernanz Rodríguez, Gema M., Jiménez Perez, Jose María, Juan, Carlos Sánchez, Latini, Gisela Paola, Lisson, Rosa, López Otero, Marta, López, Alicia Molina, Marchesini, Joao Caetano, Marcuello-Foncillas, Clara, Martin Antona, E., Martín Garcia-Almenta, E., Medina, Sonsoles Gutiérrez, Molina López, Alicia, Ortez Toro, Jose Jorge, O’Kane, Mary, Pallardó, M. Lluch Escudero, Pedrianes Martín, Pablo B., Pérez-Ferre, Natalia, Pernaute, Andres Sánchez, Peteiro Miranda, Carlos Miguel, Poveda, Manuel Durán, Precybelovicz, Tamires, Priego, Pablo, Puy, Ramón Vilallonga, Quiroga-Subirana, Pablo, Rubio-Herrera, Miguel Ángel, Ruiz-Tovar, Jaime, Ruiz, Amalia Paniagua, Ruiz de Gordejuela, Amador García, Sánchez, Álvaro, Sánchez Santos, Raquel, Sarmiento, Andrei, Serrano Moreno, Clara, Torres García, A.J., Vallejo-Lantero, Carmen, Vázquez, Clotilde, Vázquez-Gutiérrez, Mercedes, and Zubiaga, Lorea more...
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- 2021
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6. Incidence of new‐onset benign anal disorders after bariatric surgery
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Cano‐Valderrama, O., primary, Sánchez‐Pernaute, A., additional, Rubio, M. A., additional, Talavera, P., additional, Martín‐Antona, E., additional, and Torres, A. J., additional
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- 2017
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7. Incidence of new-onset benign anal disorders after bariatric surgery.
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Cano‐Valderrama, O., Sánchez‐Pernaute, A., Rubio, M. A., Talavera, P., Martín‐Antona, E., and Torres, A. J.
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- 2018
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8. Expression of MMP-9 and TIMP-1 as prognostic markers in gastric carcinoma
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de Mingo M, Morán A, Sánchez-Pernaute A, Iniesta P, Díez-Valladares L, Pérez-Aguirre E, de Juan C, García-Aranda C, Díaz-López A, García-Botella A, Martín-Antona E, Manuel Benito, Torres A, and Jl, Balibrea more...
9. Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons☆ Manejo quirúrgico de pacientes con infección por COVID-19. Recomendaciones de la Asociación Española de Cirujanos
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Balibrea J, Badia J, Rubio Pérez I, Martín Antona E, Álvarez Peña E, García Botella S, Álvarez Gallego M, Martín Pérez E, Martínez Cortijo S, and Salvador Morales-Conde
10. Lessons Learned in Elective Surgeries After 6 Pandemic Waves of SARS-CoV-2. A Single European Center Experience.
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García-Botella A, De la Serna Esteban S, López-Antoñanzas L, Avellana-Moreno R, Dziakova J, Cano Valderrama O, Martín-Antona E, Serrano-García I, and Torres García AJ
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- Humans, Pandemics, Prospective Studies, Elective Surgical Procedures, Postoperative Complications epidemiology, SARS-CoV-2, COVID-19 epidemiology, COVID-19 prevention & control
- Abstract
Background: The reported high surgical morbidity and mortality in patients with SARS-CoV-2 prompted preoperative screening and modification of surgical protocols. Although vaccination and treatment of COVID-19 have resulted in lower hospitalization rates and infection severity, publications on postoperative results have not been updated. The aim of the study was to analyze the outcomes of patients undergoing surgery in two periods with high incidence of SARS-CoV-2 infection, before and after vaccination., Materials and Methods: This is a prospective cohort study of patients undergoing surgery in two periods: March-June 2020 (Group2020) and December 2021-February 2022 (Group2022) (after massive vaccination)., Results: In total, 618 patients who underwent surgery were included in the analysis (Group2020: 343 vs. Group2022: 275). Significantly more oncological procedures were performed in Group2020, and there were no differences in postoperative complications. Nosocomial SARS-CoV-2 infection occurred in 4 patients in Group2020 and 1 patient in Group2022. In Group 2022, 70 patients (25.4%) had COVID-19 prior to surgery, and 68 (97.1%) were vaccinated. Comparative analysis between patients with past COVID-19 and those without showed no difference in postoperative morbidity and mortality. According to the time elapsed between SARS-CoV-2 infection and surgery (≤ 7 or > 7 weeks), comparative analysis showed no significant differences., Conclusion: The establishment of preoperative screening protocols for SARS-CoV-2 infection results in a low incidence of nosocomial infection and optimal postoperative outcomes. Preoperative SARS-CoV-2 infection in vaccinated patients was not associated with increased postoperative complications, even in shorter periods after infection. In surgical patients, individualized preoperative evaluation after SARS-CoV-2 infection may be more important than strict time limitation., (© 2023. The Author(s) under exclusive licence to Société Internationale de Chirurgie.) more...
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- 2023
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11. National survey on the treatment of acute appendicitis in Spain during the initial period of the COVID-19 pandemic.
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Prieto M, Ielpo B, Jiménez Fuertes M, González Sánchez MDC, Martín Antona E, Balibrea JM, and Aranda Narváez JM
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- Acute Disease, Appendectomy methods, Appendicitis complications, Appendicitis diagnosis, Appendicitis epidemiology, COVID-19 complications, COVID-19 diagnosis, COVID-19 epidemiology, Health Care Surveys, Humans, Incidence, Infection Control methods, Laparoscopy trends, Pandemics, Spain epidemiology, Appendectomy trends, Appendicitis therapy, COVID-19 therapy, Conservative Treatment trends, Health Care Rationing trends, Infection Control trends, Practice Patterns, Physicians' trends
- Abstract
Introduction: The COVID-19 pandemic has had a significant impact on Spanish hospitals, which have had to allocate all available resources to treat these patients, reducing the ability to attend other common pathologies. The aim of this study is to analyze how the treatment of acute appendicitis has been affected., Method: A national descriptive study was carried out by an online voluntary specific questionnaire with Google Drive™ distributed by email by the Spanish Association of Surgeons (AEC) to all affiliated surgeons currently working in Spain (5203), opened from April 14th to April 24th., Results: We received 337 responses from 170 centers. During the first month of the pandemic, the incidence of acute appendicitis decreased. Although conservative management increased, the surgical option has been the most used in both simple and complicated appendicitis. Despite the fact that the laparoscopic approach continues to be the most widely used in our services, the open approach has increased during this pandemic period., Conclusion: Highlight the contribution of this study in terms of knowledge of the status of the treatment of acute appendicitis during this first month of the pandemic, being able to serve for a better possible organization in future waves of the pandemic and a reorganization of current protocols and management of acute appendicitis in a pandemic situation., (Copyright © 2020 AEC. Published by Elsevier España, S.L.U. All rights reserved.) more...
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- 2021
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12. Obesity and SARS-CoV-2: Considerations on bariatric surgery and recommendations for the start of surgical activity.
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Sánchez Santos R, Garcia Ruiz de Gordejuela A, Breton Lesmes I, Lecube Torelló A, Moizé Arcone V, Arroyo Martin JJ, Fernandez Alsina E, Martín Antona E, Rubio Herrera MÁ, Sabench Pereferrer F, Sánchez Pernaute A, and Vilallonga Puy R more...
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- Comorbidity, Humans, Obesity epidemiology, SARS-CoV-2, Bariatric Surgery standards, COVID-19 epidemiology, Obesity surgery, Pandemics, Practice Guidelines as Topic
- Abstract
The SARS-CoV-2 pandemic has a great impact worldwide, being Spain one of the most affected countries. The delay in bariatric surgery can have fatal consequences since up to 50% of the patients who are on the waiting list develop a new comorbidity during the time they remain on it and 1.5% of patients die while waiting for the intervention. That is why bariatric surgery should not be delayed, if the occupation of the hospital by COVID-19+ patients decreases significantly, and sufficient resources and safety are available to restart surgery in patients with benign pathology. This document contains the main recommendations for the bariatric surgery programs in our country from the point of view of safety, bariatric patient preparation and follow up during the SARS-CoV-2 pandemia., (Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.) more...
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- 2021
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13. A dynamic scale for surgical activity (DYSSA) stratification during the COVID-19 pandemic.
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Morales-Conde S, Balla A, Álvarez Gallego M, Aranda Narváez JM, Badia JM, Balibrea JM, García-Botella A, Guirao X, Espín-Basany E, Martín-Antona E, Pérez EM, Martínez Cortijo S, Pascual Miguelañez I, Pérez Díaz L, Ramos Rodríguez JL, Rubio Pérez I, Sánchez Santos R, and Soria-Aledo V more...
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- Humans, Pandemics, SARS-CoV-2, COVID-19 epidemiology, COVID-19 prevention & control, Clinical Decision-Making, Risk Assessment methods, Spain epidemiology, Surgery Department, Hospital organization & administration
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- 2020
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14. Acute Care Surgery during the COVID-19 pandemic in Spain: Changes in volume, causes and complications. A multicentre retrospective cohort study.
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Cano-Valderrama O, Morales X, Ferrigni CJ, Martín-Antona E, Turrado V, García A, Cuñarro-López Y, Zarain-Obrador L, Duran-Poveda M, Balibrea JM, and Torres AJ
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- Abdominal Wall, Abscess epidemiology, Acute Disease, Appendectomy statistics & numerical data, Appendicitis epidemiology, Betacoronavirus, COVID-19, Cholecystitis, Acute epidemiology, Cohort Studies, Comorbidity, Diabetes Mellitus epidemiology, Dyslipidemias epidemiology, Emergencies, Female, Hernia, Abdominal epidemiology, Hernia, Abdominal surgery, Herniorrhaphy statistics & numerical data, Humans, Hypertension epidemiology, Intestinal Obstruction epidemiology, Laparoscopy statistics & numerical data, Logistic Models, Male, Middle Aged, Myocardial Ischemia epidemiology, Pandemics, Rectal Diseases epidemiology, Reoperation statistics & numerical data, Retrospective Studies, SARS-CoV-2, Spain epidemiology, Time-to-Treatment statistics & numerical data, Abscess surgery, Appendicitis surgery, Cholecystitis, Acute surgery, Coronavirus Infections epidemiology, Intestinal Obstruction surgery, Mortality, Pneumonia, Viral epidemiology, Postoperative Complications epidemiology, Rectal Diseases surgery
- Abstract
Background: during the COVID-19 pandemic, the number of Acute Care Surgery procedures performed in Spanish hospitals decreased significantly. The aim of this study was to compare Acute Care Surgery activity during the COVID-19 pandemic and during a control period., Material and Methods: a multicenter retrospective cohort study was performed including patients who underwent Acute Care Surgery in three tertiary care hospitals in Spain during a control (11
th March 2019 to 21st April 2019) and a pandemic (16th March 2020 to 26th April 2020) period. Type of surgical procedures, patients' features and postoperative complications were compared., Results: two hundred and eighty-five and 117 patients were included in each group. Mean number of patients who underwent Acute Care Surgery during the control and pandemic periods was 2.3 and 0.9 patients per day and hospital (p < 0.001), representing a 58.9% decrease in Acute Care Surgery activity. Time from symptoms onset to patient arrival at the Emergency Department was longer during the pandemic (44.6 vs. 71.0 h, p < 0.001). Surgeries due to acute cholecystitis and complications from previous elective procedures decreased (26.7% vs. 9.4%) during the pandemic, while bowel obstructions and abdominal wall hernia surgeries increased (12.3% vs. 22.2%) (p = 0.001). Morbidity was higher during pandemic period (34.7% vs. 47.1%, p = 0.022), although this difference was not statistically significant in the multivariate analysis. Reoperation rate (17.9% vs. 12.8%, p = 0.212) and mortality (6.7% vs. 4.3%, p = 0.358) were similar in both groups., Conclusion: during the COVID-19 pandemic, a significant reduction in the performance of Acute Care Surgery procedures was observed. Moreso, a longer time from symptoms onset to patient arrival at the Emergency Department was noted. Higher morbidity was observed in patients undergoing Acute Care Surgery during the pandemic period, although there was not any difference in mortality or reoperation rate., (Copyright © 2020 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.) more...- Published
- 2020
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15. Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons.
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Balibrea JM, Badia JM, Rubio Pérez I, Martín Antona E, Álvarez Peña E, García Botella S, Álvarez Gallego M, Martín Pérez E, Martínez Cortijo S, Pascual Miguelañez I, Pérez Díaz L, Ramos Rodriguez JL, Espin Basany E, Sánchez Santos R, Soria Aledo V, López Barrachina R, and Morales-Conde S more...
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- COVID-19, Coronavirus Infections complications, Coronavirus Infections prevention & control, Humans, Pneumonia, Viral complications, Pneumonia, Viral prevention & control, Coronavirus Infections transmission, Disease Transmission, Infectious prevention & control, Infection Control methods, Pandemics prevention & control, Pneumonia, Viral transmission, Surgical Procedures, Operative methods
- Abstract
Due to the current pandemic of respiratory disease known as coronavirus disease 2019 (COVID-19) caused by the SARS-CoV-2 virus, many patients with confirmed or suspected COVID-19 infection will require elective surgery, surgery that cannot be postponed, or emergency surgical treatment. In these situations, special measures need to be adopted in order to minimize the possibility of transmission between patients, exposure of healthcare personnel and the development of postoperative complications. This document explains the main principles to consider when managing confirmed or suspected COVID-19 patients during evaluation as well as when surgical treatment is required., (Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.) more...
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- 2020
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16. [Eosinophilic cholecystitis after elective cholecystectomy for gallbladder stones].
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Cerdán Santacruz C, Martín Antona E, Martín García-Almenta E, Díez Valladares L, and Torres García AJ
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- Adult, Elective Surgical Procedures, Female, Humans, Cholecystectomy, Cholecystitis pathology, Eosinophilia pathology, Gallstones surgery, Postoperative Complications pathology
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- 2013
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17. The differential tissue expression of inflammatory, oxidative stress, and apoptosis markers in human uncontrolled non-heart-beating donors.
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Balibrea JM, Núñez-Peña JR, García-Martín MC, Olmedilla Y, Martín-Antona E, Berthuin J, Rancan L, Vara E, and Balibrea JL
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- Adult, Aged, Cadaver, Cytokines metabolism, Female, Heme Oxygenase (Decyclizing) metabolism, Heme Oxygenase-1 metabolism, Humans, Liver pathology, Lung pathology, Male, Middle Aged, Nitric Oxide Synthase Type II metabolism, Nitric Oxide Synthase Type III metabolism, Pancreas pathology, bcl-2-Associated X Protein metabolism, Apoptosis physiology, Heart Arrest metabolism, Inflammation physiopathology, Liver metabolism, Lung metabolism, Oxidative Stress physiology, Pancreas metabolism, Tissue Donors
- Abstract
Background: Uncontrolled non-heart-beating donor (UNHBD) transplantation offers a major opportunity to ameliorate the effects of the donor shortage. However, little is known about the true status of the organs obtained from these donors. UNHBD transplantation is performed under unfavorable conditions and involves exposure to several harmful stimuli that have been identified as triggers for immediate inflammatory response, oxidative stress, and apoptotic phenomena. This adverse scenario could explain the higher rates of graft dysfunction due to primary nonfunction traditionally observed in NHBD. Our aim was to assess the expression of proinflammatory, oxidative, and apoptotic markers in liver, lung, and pancreas tissue samples obtained from UNHBD and to compare these expression levels with those observed in brain-dead donors (BDD)., Methods: Samples from human type 2 NHBD and BDD were obtained at the end of cold storage. Interleukin (IL)-1β, tumor necrosis factor-α, IL-6, IL-10, endothelial nitric oxide synthase, inducible nitric oxide synthase, type 1 heme oxygenase, type 2 heme oxygenase, Bax, and Bcl-2 protein and mRNA expression, as well as catalase, glutathione peroxidase, and glutathione reductase tissue activity, were determined., Results: UNHBD showed similar or lower expression of proinflammatory mediators and apoptosis markers in all three organs without modifications to the anti-inflammatory cytokines. Although the major oxidative stress marker levels were also comparable in both types of donors, the type 1 heme oxygenase mRNA expression and antioxidant enzyme activity were slightly diminished in UNHBD., Conclusions: The initial tissue damage generated during the UNHB donation process is at least comparable with that observed in BDD. However, although the expression of the immediate immune response and apoptosis markers is similar, a mild impairment of the local antioxidant activity was observed. more...
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- 2013
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18. Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). One to three-year follow-up.
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Sánchez-Pernaute A, Herrera MA, Pérez-Aguirre ME, Talavera P, Cabrerizo L, Matía P, Díez-Valladares L, Barabash A, Martín-Antona E, García-Botella A, Garcia-Almenta EM, and Torres A
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- Adult, Aged, Anastomosis, Surgical methods, Blood Chemical Analysis, Female, Follow-Up Studies, Humans, Laparoscopy, Male, Middle Aged, Obesity, Morbid blood, Postoperative Period, Treatment Outcome, Weight Loss, Young Adult, Duodenum surgery, Gastrectomy methods, Gastric Bypass methods, Ileum surgery, Obesity, Morbid surgery
- Abstract
Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a new operation for morbid obesity based on the biliopancreatic diversion in which a sleeve gastrectomy is followed by an end-to-side duodeno-ileal diversion. The preservation of the pylorus makes possible the reconstruction in one loop, which reduces operating time and needs no mesentery opening. We review the results obtained on the first 50 operated patients with 1 to 3 years follow-up. Eighteen men and 32 women with a mean BMI of 44 kg/m(2) were operated on. Hypertension was present in 50%, sleep apnea in 30%, hypertriglyceridemia in 60% and hypercholesterolemia in 43%.There were 27 type two diabetics, most of them on insulin therapy. There were two gastric staple-line leaks and one long-term subphrenic abscess. Follow-up is complete for 98% of the patients. Excess weight loss reached 94.7% at 1 year, and it was maintained over the second and third year. At 1 year, mild anemia has been detected in 10% of the cases. Albumin concentration was under normal levels in 8% of the patients in the first postoperative year, but all patients recovered to normal levels by the third postoperative year. All diabetic patients have normalized glucose or HbA1c levels after the sixth postoperative month with no need of anti-diabetic therapy. SADI-S is a promising operation which offers excellent weight loss and metabolic results. The elimination of one anastomosis reduces operative time and decreases the possibility of surgically related complications. more...
- Published
- 2010
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19. Expression of MMP-9 and TIMP-1 as prognostic markers in gastric carcinoma.
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de Mingo M, Morán A, Sánchez-Pernaute A, Iniesta P, Díez-Valladares L, Pérez-Aguirre E, de Juan C, García-Aranda C, Díaz-López A, García-Botella A, Martín-Antona E, Benito M, Torres A, and Balibrea JL more...
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- Adenocarcinoma mortality, Aged, Enzyme-Linked Immunosorbent Assay, Female, Gastric Mucosa metabolism, Humans, Male, Prognosis, Stomach Neoplasms mortality, Survival Analysis, Adenocarcinoma metabolism, Biomarkers, Tumor metabolism, Matrix Metalloproteinase 9 metabolism, Stomach Neoplasms metabolism, Tissue Inhibitor of Metalloproteinase-1 metabolism
- Abstract
Background/aims: The aim of the present work is to clarify the role of metalloproteinase-9 and its inhibitor in the evolution of gastric cancer after surgical resection., Methodology: We have studied 44 gastric cancer patients submitted to surgery. There were 13 proximal tumors, 16 located in the middle third and 15 in the distal one. Overall survival was 26% at 6 years. Metalloproteinase-9 and tissue inhibitor of metalloproteinase concentrations were investigated by means of ELISA in frozen samples of tumoral and normal gastric mucosa., Results: Mean concentration of metalloproteinase-9 in tumoral tissue was 42 ng/mg of total protein, and this value was 6.9 times greater than the mean concentration in non-tumoral tissue. Cancer tissue also expressed higher levels of TIMP-1, 7.25 versus 4.39 ng/mg of protein. Higher levels of metalloproteinase expression in tumoral tissue, greater [metalloproteinase in tumor]/[metalloproteinase in non-tumor] ratio and greater [metalloproteinase]/[inhibitor] ratio in tumor cells, were all of them statistically related to a worse prognosis when T1 and T2 tumors were considered., Conclusions: The expression of metalloproteinase-9 or its inhibitor is related to a more aggressive phenotype of gastric cancer. more...
- Published
- 2007
20. Epithelioid hemangioendothelioma of the liver.
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García-Botella A, Díez-Valladares L, Martín-Antona E, Sánchez-Pernaute A, Pérez-Aguirre E, Ortega L, Rodríguez R, and Balibrea JL
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- Adult, Diagnosis, Differential, Female, Humans, Middle Aged, Hemangioendothelioma, Epithelioid pathology, Hemangioendothelioma, Epithelioid surgery, Liver Neoplasms pathology, Liver Neoplasms surgery, Liver Transplantation
- Abstract
Epithelioid hemangioendothelioma (EH) is a rare tumor of vascular origin, which occurs at sites such as soft tissues, liver, or lung, and has a highly unpredictable malignant potential. It is an intermediate entity between well-differentiated hemangioma and angiosarcoma. We present two cases of this rare disease in which the tumor was detected fortuitously and the definitive diagnosis was based on histological evidence. Both our cases are highly illustrative of the two ways in which hepatic EH can present (nodular or diffuse) and of its diagnostic and therapeutic management. Neoplastic cells expressed the factor VIII-related antigen, CD31 or CD34. Treatment was surgical resection in one patient and liver transplant in the other. Although EH of the liver has a better prognosis than other hepatic neoplasms, conservative treatment is not recommended. Our cases highlight the importance of a histological diagnosis to avoid it being mistaken for another entity. more...
- Published
- 2006
- Full Text
- View/download PDF
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