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220 results on '"Valdivieso, Andrés"'

1. Textbook outcome in patients with biliary duct injury during cholecystectomy

Author

Lopez-Lopez, Victor, Kuemmerli, Christoph, Maupoey, Javier, López-Andujar, Rafael, Lladó, Laura, Mils, Kristel, Müller, Philip, Valdivieso, Andres, Garcés-Albir, Marina, Sabater, Luis, Cacciaguerra, Andrea Benedetti, Vivarelli, Marco, Valladares, Luis Díez, Pérez, Sergio Annese, Flores, Benito, Brusadin, Roberto, Conesa, Asunción López, Cortijo, Sagrario Martinez, Paterna, Sandra, Serrablo, Alejando, Toop, Ferdinand Heinz Walther, Oldhafer, Karl, Sánchez-Cabús, Santiago, Gil, Antonio González, Masía, Jose Antonio González, Loinaz, Carmelo, Lucena, Jose Luis, Pastor, Patricia, Garcia-Zamora, Cristina, Calero, Alicia, Valiente, Juan, Minguillon, Antonio, Rotellar, Fernando, Alcazar, Cándido, Aguilo, Javier, Cutillas, Jose, Ruiperez-Valiente, Jose A., Ramírez, Pablo, Petrowsky, Henrik, Ramia, Jose Manuel, and Robles-Campos, Ricardo

Published
2024
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2. The multi-societal European consensus on the terminology, diagnosis and management of patients with synchronous colorectal cancer and liver metastases: an E-AHPBA consensus in partnership with ESSO, ESCP, ESGAR, and CIRSE

Author

Hauke Lang, Smith, Martin, deOliveira, Michelle L., Adair, Anya, Gilg, Stefan, Swijnenburg, Rutger-Jan, Jaekers, Joris, Jegatheeswaran, Santhalingam, Buis, Carlijn, Parks, Rowan, Bockhorn, Maximilian, Conroy, Thierry, Petras, Panagiotis, Primavesi, Florian, Chan, Anthony K.C., Cipriani, Federica, Rubbia-Brandt, Laura, Foster, Lucy, Abdelaal, Amr, Yaqub, Sheraz, Rahbari, Nuh, Fondevila, Constantino, Abradelo, Manuel, Kok, Niels FM., Tejedor, Luis, Martinez-Baena, Dario, Azoulay, Daniel, Maglione, Manuel, Serradilla-Martín, Mario, Azevedo, José, Romano, Fabrizio, Line, Pål-Dag, Forcén, Teresa Abadía, Panis, Yves, Stylianides, Nicolas, Bale, Reto, Quaia, Emilio, Yassin, Nuha, Duque, Victoria, Espin-Basany, Eloy, Mellenhorst, Jarno, Rees, Adam, Adeyeye, Ademola, Tuynman, Jurriaan B., Simillis, Constantinos, Duff, Sarah, Wilson, Richard, De Nardi, Paola, Palmer, Gabriella Jansson, Zakaria, Andee Dzulkarnaen, Perra, Teresa, Porcu, Alberto, Tamini, Nicolò, Kelly, Michael E., Metwally, Islam, Morarasu, Stefan, Carbone, Fabio, Estaire-Gómez, Mercedes, Perez, Elena Martin, Seligmann, Jennifer, Gollins, Simon, Braun, Michael, Hessheimer, Amelia, Alonso, Vincente, Radhakrishna, Ganesh, Alam, Noreen, Camposorias, Constantinos, Barriuoso, Jorge, Ross, Paul, Ba-Ssalamah, Ahmed, Muthu, Sivakumar, Filobbos, Rafik, Nadarajah, Vinotha, Hattab, Annas, Newton, Claire, Barker, Sharon, Sibbald, Jill, Hancock, Jodie, de Liguori Carino, Nicola, Deshpande, Rahul, Lancellotti, Francesco, Paterna, Sandra, Gutierrez-Diez, Marta, Artigas, Consuelo, Siriwardena, Ajith K., Serrablo, Alejandro, Fretland, Åsmund A., Wigmore, Stephen J., Ramia-Angel, Jose M., Malik, Hassan Z., Stättner, Stefan, Søreide, Kjetil, Zmora, Oded, Meijerink, Martijn, Kartalis, Nikolaos, Lesurtel, Mickaël, Verhoef, Cornelis, Balakrishnan, Anita, Gruenberger, Thomas, Jonas, Eduard, Devar, John, Jamdar, Saurabh, Jones, Robert, Hilal, Mohammad A., Andersson, Bodil, Boudjema, Karim, Mullamitha, Saifee, Stassen, Laurents, Dasari, Bobby V.M., Frampton, Adam E., Aldrighetti, Luca, Pellino, Gianluca, Buchwald, Pamela, Gürses, Bengi, Wasserberg, Nir, Gruenberger, Birgit, Spiers, Harry V.M., Jarnagin, William, Vauthey, Jean-Nicholas, Kokudo, Norihiro, Tejpar, Sabine, Valdivieso, Andres, and Adam, René

Published
2023
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3. Alternative forms of portal vein revascularization in liver transplant recipients with complex portal vein thrombosis

Author

Fundora, Yiliam, Hessheimer, Amelia J., Del Prete, Luca, Maroni, Lorenzo, Lanari, Jacopo, Barrios, Oriana, Clarysse, Mathias, Gastaca, Mikel, Barrera Gómez, Manuel, Bonadona, Agnès, Janek, Julius, Boscà, Andrea, Álamo Martínez, Jose María, Zozaya, Gabriel, López Garnica, Dolores, Magistri, Paolo, León, Francisco, Magini, Giulia, Patrono, Damiano, Ničovský, Jiří, Hakeem, Abdul Rahman, Nadalin, Silvio, McCormack, Lucas, Palacios, Pilar, Zieniewicz, Krzysztof, Blanco, Gerardo, Nuño, Javier, Pérez Saborido, Baltasar, Echeverri, Juan, Bynon, J. Steve, Martins, Paulo N., López López, Víctor, Dayangac, Murat, Lodge, J. Peter A., Romagnoli, Renato, Toso, Christian, Santoyo, Julio, Di Benedetto, Fabrizio, Gómez-Gavara, Concepción, Rotellar, Fernando, Gómez-Bravo, Miguel Ángel, López Andújar, Rafael, Girard, Edouard, Valdivieso, Andrés, Pirenne, Jacques, Lladó, Laura, Germani, Giacomo, Cescon, Matteo, Hashimoto, Koji, Quintini, Cristiano, Cillo, Umberto, Polak, Wojciech G., and Fondevila, Constantino

Published
2023
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6. Vascular injury during cholecystectomy: A multicenter critical analysis behind the drama

Author

Lopez-Lopez, Victor, Kuemmerli, Christoph, Cutillas, Jose, Maupoey, Javier, López-Andujar, Rafael, Ramos, Emilio, Mils, Kristel, Valdivieso, Andres, Valero, Arkaitz Perfecto, Martinez, Pedro Antonio, Paterna, Sandra, Serrablo, Alejando, Reese, Tim, Oldhafer, Karl, Brusadin, Roberto, Conesa, Asunción López, Valladares, Luis Díez, Loinaz, Carmelo, Garcés-Albir, Marina, Sabater, Luis, Mocchegiani, Federico, Vivarelli, Marco, Pérez, Sergio Annese, Flores, Benito, Lucena, Jose Luis, Sánchez-Cabús, Santiago, Calero, Alicia, Minguillon, Antonio, Ramia, Jose Manuel, Alcazar, Cándido, Aguilo, Javier, Ruiperez-Valiente, Jose A., Grochola, Lukasz Filip, Clavien, Pierre-Alain, Petrowsky, Henrik, and Robles-Campos, Ricardo

Published
2022
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7. Machine Learning-Based Analysis in the Management of Iatrogenic Bile Duct Injury During Cholecystectomy: a Nationwide Multicenter Study

Author

Lopez-Lopez, Victor, Maupoey, Javier, López-Andujar, Rafael, Ramos, Emilio, Mils, Kristel, Martinez, Pedro Antonio, Valdivieso, Andres, Garcés-Albir, Marina, Sabater, Luis, Valladares, Luis Díez, Pérez, Sergio Annese, Flores, Benito, Brusadin, Roberto, Conesa, Asunción López, Cayuela, Valentin, Cortijo, Sagrario Martinez, Paterna, Sandra, Serrablo, Alejando, Sánchez-Cabús, Santiago, Gil, Antonio González, Masía, Jose Antonio González, Loinaz, Carmelo, Lucena, Jose Luis, Pastor, Patricia, Garcia-Zamora, Cristina, Calero, Alicia, Valiente, Juan, Minguillon, Antonio, Rotellar, Fernando, Ramia, Jose Manuel, Alcazar, Cándido, Aguilo, Javier, Cutillas, Jose, Kuemmerli, Christoph, Ruiperez-Valiente, Jose A., and Robles-Campos, Ricardo

Published
2022
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8. Author Correction: Identification of Genetically Important Individuals of the Rediscovered Floreana Galápagos Giant Tortoise (Chelonoidis elephantopus) Provides Founders for Species Restoration Program.

Author

Miller, Joshua M, Quinzin, Maud C, Poulakakis, Nikos, Gibbs, James P, Beheregaray, Luciano B, Garrick, Ryan C, Russello, Michael A, Ciofi, Claudio, Edwards, Danielle L, Hunter, Elizabeth A, Tapia, Washington, Rueda, Danny, Carrión, Jorge, Valdivieso, Andrés A, and Caccone, Adalgisa

Subjects
Biochemistry and Cell Biology, Other Physical Sciences
Abstract

A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has been fixed in the paper.

Published
2018

10. Identification of Genetically Important Individuals of the Rediscovered Floreana Galápagos Giant Tortoise (Chelonoidis elephantopus) Provide Founders for Species Restoration Program.

Author

Miller, Joshua M, Quinzin, Maud C, Poulakakis, Nikos, Gibbs, James P, Beheregaray, Luciano B, Garrick, Ryan C, Russello, Michael A, Ciofi, Claudio, Edwards, Danielle L, Hunter, Elizabeth A, Tapia, Washington, Rueda, Danny, Carrión, Jorge, Valdivieso, Andrés A, and Caccone, Adalgisa

Subjects
Animals, Humans, Turtles, DNA, Mitochondrial, Cluster Analysis, Breeding, Microsatellite Repeats, Founder Effect, Genotype, Genetic Variation, DNA, Mitochondrial, Biochemistry and Cell Biology, Other Physical Sciences
Abstract

Species are being lost at an unprecedented rate due to human-driven environmental changes. The cases in which species declared extinct can be revived are rare. However, here we report that a remote volcano in the Galápagos Islands hosts many giant tortoises with high ancestry from a species previously declared as extinct: Chelonoidis elephantopus or the Floreana tortoise. Of 150 individuals with distinctive morphology sampled from the volcano, genetic analyses revealed that 65 had C. elephantopus ancestry and thirty-two were translocated from the volcano's slopes to a captive breeding center. A genetically informed captive breeding program now being initiated will, over the next decades, return C. elephantopus tortoises to Floreana Island to serve as engineers of the island's ecosystems. Ironically, it was the haphazard translocations by mariners killing tortoises for food centuries ago that created the unique opportunity to revive this "lost" species today.

Published
2017

11. RFID and Wireless Based System for Restaurant Industry

Author

Riofrío-Valdivieso, Andrés, Quinga-Socasi, Francisco, Bustamante-Orellana, Carlos, Andrade-Chamorro, Eddy, Kacprzyk, Janusz, Series Editor, Pal, Nikhil R., Advisory Editor, Bello Perez, Rafael, Advisory Editor, Corchado, Emilio S., Advisory Editor, Hagras, Hani, Advisory Editor, Kóczy, László T., Advisory Editor, Kreinovich, Vladik, Advisory Editor, Lin, Chin-Teng, Advisory Editor, Lu, Jie, Advisory Editor, Melin, Patricia, Advisory Editor, Nedjah, Nadia, Advisory Editor, Nguyen, Ngoc Thanh, Advisory Editor, Wang, Jun, Advisory Editor, Botto-Tobar, Miguel, editor, León-Acurio, Joffre, editor, Díaz Cadena, Angela, editor, and Montiel Díaz, Práxedes, editor

Published
2020
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14. Brain Tumor Classification Using Principal Component Analysis and Kernel Support Vector Machine

Author

Torres-Molina, Richard, Bustamante-Orellana, Carlos, Riofrío-Valdivieso, Andrés, Quinga-Socasi, Francisco, Guachi, Robinson, Guachi-Guachi, Lorena, Goos, Gerhard, Founding Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Woeginger, Gerhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Yin, Hujun, editor, Camacho, David, editor, Tino, Peter, editor, Tallón-Ballesteros, Antonio J., editor, Menezes, Ronaldo, editor, and Allmendinger, Richard, editor

Published
2019
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24. Pegylated interferon plus ribavirin in HIV-infected patients with recurrent hepatitis C after liver transplantation: A prospective cohort study

Author

Castells, Lluis, Rimola, Antoni, Manzardo, Christian, Valdivieso, Andrés, Montero, José Luis, Barcena, Rafael, Abradelo, Manuel, Xiol, Xavier, Aguilera, Victoria, Salcedo, Magdalena, Rodriguez, Manuel, Bernal, Carmen, Suarez, Francisco, Antela, Antonio, Olivares, Sergio, del Campo, Santos, Laguno, Montserrat, Fernandez, José R., de la Rosa, Gloria, Agüero, Fernando, Perez, Iñaki, González-García, Juan, Esteban-Mur, Juan I., and Miro, Jose M.

Published
2015
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25. Use of artificial intelligence as an innovative donor-recipient matching model for liver transplantation: Results from a multicenter Spanish study

Author

Briceño, Javier, Cruz-Ramírez, Manuel, Prieto, Martín, Navasa, Miguel, Ortiz de Urbina, Jorge, Orti, Rafael, Gómez-Bravo, Miguel-Ángel, Otero, Alejandra, Varo, Evaristo, Tomé, Santiago, Clemente, Gerardo, Bañares, Rafael, Bárcena, Rafael, Cuervas-Mons, Valentín, Solórzano, Guillermo, Vinaixa, Carmen, Rubín, Ángel, Colmenero, Jordi, Valdivieso, Andrés, Ciria, Rubén, Hervás-Martínez, César, and de la Mata, Manuel

Published
2014
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26. Superior Outcomes Using Normothermic Regional Perfusion in CDCD Liver Transplantation

Author

Hessheimer, Amelia, Coll, Elisabeth, Valdivieso, Andrés, Gómez, Manuel, Santoyo, Julio, Ramírez, Pablo, Gómez-Bravo, Miguel Ángel, López-Andujar, Rafael, Villar, Jesús, Jiménez, Carlos, Lluís, Félix, Lladó, Laura, Casanova, Daniel, Barrera, Manuel, Charco, Ramón, López-Baena, Jose Ángel, Briceño, Javier, Pardo, Fernando, Blanco, Gerardo, Pacheco, David, Domínguez-Gil, Beatriz, Sánchez-Turrión, Victor, and Fondevila, Constantino

Published
2018
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27. Multicentre Study on Hepatic Adenomas

Author

Ramia, José Manuel, Bernardo, Carmen, Valdivieso, Andrés, Dopazo, Cristina, Jover, José María, Albiol, M. Teresa, Pardo, Fernando, Fernandez Aguilar, José Luis, Gutierrez Calvo, Alberto, Serrablo, Alejandro, Diez Valladares, Luis, Pereira, Fernando, Sabater, Luis, Muffak, Karim, and Figueras, Joan

Published
2014
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28. Estudio multicéntrico sobre adenomas hepáticos

Author

Ramia, José Manuel, Bernardo, Carmen, Valdivieso, Andrés, Dopazo, Cristina, Jover, José María, Albiol, M. Teresa, Pardo, Fernando, Fernandez Aguilar, José Luis, Gutierrez Calvo, Alberto, Serrablo, Alejandro, Diez Valladares, Luis, Pereira, Fernando, Sabater, Luis, Muffak, Karim, and Figueras, Joan

Published
2014
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30. OS-101-YI Remodelling of hepatocyte cholesterol metabolism mediates colorectal liver metastasis

Author

Nieva-Zuluaga, Ane, Arteta, Beatriz, de Gauna, Mikel Ruiz, Apodaka-Biguri, Maider, Fernández-Puertas, Idoia, González-Romero, Francisco, Gomez-Jauregui, Paul, Sainz-Ramírez, Natalia, Alfaro-Jiménez, Kendall, Santos, Beatriz Gómez, Delgado, Igotz, Valdivieso, Andres, Bustamante, Javier, Bujanda, Luis, Banales, Jesus Maria, Giannou, Anastasios, Huber, Samuel, Aurrekoetxea, Igor, Buque, Xabier, and Aspichueta, Patricia

Published
2024
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33. Everolimus plus minimized tacrolimus on kidney function in liver transplantation: REDUCE, a prospective, randomized controlled study

Author

Gómez-Bravo, Miguel, primary, Prieto Castillo, Martín, additional, Navasa, Miquel, additional, Sánchez-Antolín, Gloria, additional, Lladó, Laura, additional, Otero, Alejandra, additional, Serrano, Trinidad, additional, Jiménez Romero, Carlos, additional, García González, Miguel, additional, Valdivieso, Andrés, additional, González-Diéguez, María Luisa, additional, de la Mata, Manuel, additional, Pons, José A., additional, Salcedo, Magdalena, additional, Rodrigo, Juan M., additional, Cuervas-Mons, Valentín, additional, González Rodríguez, Antonio, additional, Caralt, Mireia, additional, Pardo, Fernando, additional, Varo Pérez, Evaristo, additional, Crespo, Gonzalo, additional, Rubin, Ángel, additional, Guilera, Magda, additional, Aldea, Anna, additional, and Santoyo, Julio, additional

Published
2022
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37. Análisis evolutivo de los campos de refugiados. Cinco casos de estudio. De estructuras temporales a asentamientos permanentes

Author

Valdivieso Andrés, Irene and González García, Isabel

Subjects
Arquitectura, Urbanismo
Abstract

En este trabajo se analiza si los elementos básicos propuestos por el ACNUR para el establecimiento de campos de refugiados son suficientes para desarrollar vida en ellos. Muchos de los campos se han visto obligados a permanecer con el paso de los años. La condición de asentamiento temporal ya no define a un campo de refugiados. En los cinco casos de estudio se ha cartografiado lo que propone el Alto Comisionado viendo si se logran cubrir las necesidades de cada campo. Pero el desarrollo del trabajo, tiene la finalidad de analizar cómo cada campo ha podido dar respuesta a su permanencia en el tiempo. Para lograr entender cada caso concreto se ha analizado, además, su historia, la cultura de los refugiados, el lugar donde se asientan y las mejoras que se han llevado a cabo. Este trabajo no pretende dar una solución a los campos, sino entender cómo se han ido adaptando a esa transformación que se han visto obligados a vivir.

Published
2021

38. JUEGO Y PANDEMIA:: Jugar La 'Pandemia'

Author

Osorio Valdivieso, Andrés

Abstract

Lo que tienen en común las pala- bras panteísmo, panfleto, panora- ma y pancarta tiene que ver con la pandemia: todas ellas comparten un prefijo griego que define el todo: pan. La historia etimológica de esta partícula gramatical nos lleva, pasando por el latín y el griego, hasta la raíz indoeuropea pant. El prefijo “pan” conjuntamente con “demia” (demos) se podría traducir, según su etimología, como “todo el pueblo” o la “totalidad del pueblo”, de la población. Si pudiéramos hacer un cálculo que nos permita reconocer la cantidad de veces que socialmente ha sido utilizada esta palabra, tal vez nos sorprenderíamos de la frecuencia en su uso en los últimos 3 o 4 meses. Se volvió parte de nuestro discurso cotidiano, se impuso en nuestros intercambios de tal manera que no hemos tenido tiempo de percatarnos lo que decimos al repetirla y compartirla: “la totalidad sobre el pueblo”. Toda la población debe andar por el mismo andarivel. Se trata de un concepto total, la pandemia es un término que define la gestión del todo y de todos.

Published
2020

39. Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores

Author

Catoni, María Isabel, Salas, Sofía P., Roessler, Emilio, Valdivieso, Andrés, Vukusich, Antonio, and Rivera, M. Soledad

Subjects
Kidney Failure, Advance Care Planning, Renal Dialysis, Clinical Decision-Making, Chronic, Aged
Abstract

Background: In Chile there are 22,310 people in Chronic Hemodialysis (CHD), 53% of them older adults (OA). Shared decision-making and advance directives (AD) are especially important in OA with end-stage chronic renal failure, since they have greater levels of disability, morbidity and mortality, raising doubts about the benefit of therapy. Aims: To understand the experience in decision making and explore ways to express AD, in OA in CHD. Material and Methods: A qualitative phenomenological study, performing 12 in-depth interviews to OA who had been at CHD for at least one year. Results: The analysis revealed four broad comprehensive categories, two related to participation in the decision to enter CHD, namely the experience of subjects as spectators and their lack of interest for decision support and two referred to the expression of AD, namely the difficulty in facing their own finitude and resistance to express AD. Conclusions: There is little participation of older adults in the decision about their admission to dialysis therapy, and once they enter the CHD program they are not prepared to discuss AD in general, nor an eventual suspension of dialysis in particular.

Published
2020

40. Análisis evolutivo de los campos de refugiados. Cinco casos de estudio. De estructuras temporales a asentamientos permanentes

Author

González García, Isabel, Valdivieso Andrés, Irene, González García, Isabel, and Valdivieso Andrés, Irene

Abstract

En este trabajo se analiza si los elementos básicos propuestos por el ACNUR para el establecimiento de campos de refugiados son suficientes para desarrollar vida en ellos. Muchos de los campos se han visto obligados a permanecer con el paso de los años. La condición de asentamiento temporal ya no define a un campo de refugiados. En los cinco casos de estudio se ha cartografiado lo que propone el Alto Comisionado viendo si se logran cubrir las necesidades de cada campo. Pero el desarrollo del trabajo, tiene la finalidad de analizar cómo cada campo ha podido dar respuesta a su permanencia en el tiempo. Para lograr entender cada caso concreto se ha analizado, además, su historia, la cultura de los refugiados, el lugar donde se asientan y las mejoras que se han llevado a cabo. Este trabajo no pretende dar una solución a los campos, sino entender cómo se han ido adaptando a esa transformación que se han visto obligados a vivir.

Published
2021

48. Human immunodeficiency virus–infected liver transplant recipients with incidental hepatocellular carcinoma: A prospective multicenter nationwide cohort study

Author

Agüero, Fernando, Forner, Alejandro, Valdivieso, Andrés, Blanes, Marino, Barcena, Rafael, Manzardo, Christian, Rafecas, Antoni, Castells, Lluis, Abradelo, Manuel, Barrera-Baena, Pilar, González-Diéguez, Luisa, Salcedo, Magdalena, Serrano, Trinidad, Jiménez-Pérez, Miguel, Herrero, José Ignacio, Gastaca, Mikel, Aguilera, Victoria, Fabregat, Juan, Del Campo, Santos, Bilbao, Itxarone, Romero, Carlos Jiménez, Moreno, Asunción, Rimola, Antoni, Miro, José M, and FIPSE Investigators

Subjects
Adult, Male, medicine.medical_specialty, Carcinoma, Hepatocellular, Cirrhosis, IMPACT, medicine.medical_treatment, Hepatitis C virus, HIV Infections, HEPATITIS-C, 030230 surgery, Liver transplantation, medicine.disease_cause, Gastroenterology, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine, Humans, Prospective Studies, RECURRENCE, Cause of death, RISK, Transplantation, Hepatology, business.industry, Incidence (epidemiology), Liver Neoplasms, virus diseases, Middle Aged, medicine.disease, Liver Transplantation, TUMOR CHARACTERISTICS, Spain, Hepatocellular carcinoma, Cohort, SURVIVAL, Female, 030211 gastroenterology & hepatology, Surgery, EXPLANTS, business, Liver Failure, Cohort study
Abstract

There is a lack of data on incidental hepatocellular carcinoma (iHCC) in the setting of liver transplantation (LT) in human immunodeficiency virus (HIV)-infected patients. This study aims to describe the frequency, histopathological characteristics, and outcomes of HIV+ LT recipients with iHCC from a Spanish multicenter cohort in comparison with a matched cohort of LT patients without HIV infection. A total of 15 (6%) out of 271 patients with HIV infection who received LT in Spain from 2002 to 2012 and 38 (5%) out of the 811 HIV- counterparts presented iHCC in liver explants (P = 0.58). Patients with iHCC constitute the present study population. All patients also had hepatitis C virus (HCV)-related cirrhosis. There were no significant differences in histopathological features of iHCC between the 2 groups. Most patients showed a small number and size of tumoral nodules, and few patients had satellite nodules, microvascular invasion, or poorly differentiated tumors. After a median follow-up of 49 months, no patient developed hepatocellular carcinoma (HCC) recurrence after LT. HIV+ LT recipients tended to have lower survival than their HIV- counterparts at 1 (73% versus 92%), 3 (67% versus 84%), and 5 years (50% versus 80%; P = 0.06). There was also a trend to a higher frequency of HCV recurrence as a cause of death in the former (33% versus 10%; P = 0.097). In conclusion, among LT recipients for HCV-related cirrhosis, the incidence and histopathological features of iHCC in HIV+ and HIV- patients were similar. However, post-LT survival was lower in HIV+ patients probably because of a more aggressive HCV recurrence. Liver Transplantation 23 645-651 2017 AASLD.

Published
2017
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50. Resultados de una encuesta sobre el soporte nutricional perioperatorio en la cirugía pancreática y biliar en España

Author

Loinaz, Carmelo, Ochando, Federico, Vicente, Emilio, Serrablo, Alejandro, López Cillero, Pablo, Gómez, Miguel Ángel, Fabregat Prous, Joan, Varo, Evaristo, Miyar de Leon, Albert, Fondevila, Constantino, Valdivieso, Andrés, Blanco, Gerardo, Sánchez, Belinda, López Andújar, Rafael, Fundora, Yilian, Cugat Andorrà, Esteban, Díez Valladares, Luis, Herrera, Javier, García Gil, Agustín, Morales, Rafael, Pardo, Fernando, Sabater, Luis, Baena, José Ángel, Muñoz Bellvis, Luis, Martín Pérez, Elena, Pérez Saborido, Baltasar, Suárez, Miguel Ángel, Meneu, Juan Carlos, Albiol, Maite, Sanjuanbenito, Alfonso, Ramia, José Miguel, Pereira, Fernando, Paseiro, Gloria, Palomo, Juan Carlos, Leon, Miguel, GENPOCIRP (Grupo Encuesta Nutrición PeriOperatoria en CIRugia Pancreatobiliar), UAM. Departamento de Cirugía, and Instituto de Investigación Sanitaria Hospital Universitario de La Princesa (IIS-IP)

Subjects
medicine.medical_specialty, Medicina, Medicine (miscellaneous), Páncreas. Biliar. Cirugía. Nutrición, Nutritional Status, Critical Care and Intensive Care Medicine, Pancreatic head, Biliary surgery, Pancreatic surgery, Pancreatectomy, Surveys and Questionnaires, medicine, Humans, Malalties del pàncrees, Pancreas, Nutrició, Nutrition, Nutrition and Dietetics, Nutritional Support, business.industry, General surgery, Biliary, Guideline, Perioperative, Middle Aged, Biliar, Pancréas diseases, Biliary Tract Surgical Procedures, Páncreas, Solid food, Spain, Nutrición, Surgery, Preoperative fasting, business, Oral feeding
Abstract

Introduction: a survey on peri-operative nutritional support in pancreatic and biliary surgery among Spanish hospitals in 2007 showed that few surgical groups followed the 2006 ESPEN guidelines. Ten years later we sent a questionnaire to check the current situation. Methods: a questionnaire with 21 items sent to 38 centers, related to fasting time before and after surgery, nutritional screening use and type, time and type of peri-operative nutritional support, and number of procedures. Results: thirty-four institutions responded. The median number of pancreatic resections (head/total) was 29.5 (95% CI: 23.0-35; range, 5-68) (total, 1002); of surgeries for biliary malignancies (non-pancreatic), 9.8 (95% CI: 7.3-12.4; range, 2-30); and of main biliary resections for benign conditions, 10.4 (95% CI: 7.6-13.3; range, 2-33). Before surgery, only 41.2% of the sites used nutritional support (< 50% used any nutritional screening procedure). The mean duration of preoperative fasting for solid foods was 9.3 h (range, 6-24 h); it was 6.6 h for liquids (range, 2-12). Following pancreatic surgery, 29.4% tried to use early oral feeding, but 88.2% of the surveyed teams used some nutritional support; 26.5% of respondents used TPN in 100% of cases. Different percentages of TPN and EN were used in the other centers. In malignant biliary surgery, 22.6% used TPN always, and EN in 19.3% of cases. Conclusions: TPN is the commonest nutrition approach after pancreatic head surgery. Only 29.4% of the units used early oral feeding, and 32.3% used EN; 22.6% used TPN regularly after surgery for malignant biliary tumours. The 2006 ESPEN guideline recommendations are not regularly followed 12 years after their publication in our country., Introducción: realizamos una encuesta sobre soporte nutricional perioperatorio en cirugía pancreática y biliar en hospitales españoles en 2007, que mostró que pocos grupos quirúrgicos seguían las guías de ESPEN 2006. Diez años después enviamos un cuestionario para comprobar la situación actual. Métodos: treinta y ocho centros recibieron un cuestionario con 21 preguntas sobre tiempo de ayunas antes y después de la cirugía, cribado nutricional, duración y tipo de soporte nutricional perioperatorio, y número de procedimientos. Resultados: respondieron 34 grupos. La mediana de pancreatectomías (cabeza/total) fue de 29,5 (IC 95 %: 23,0-35; rango, 5-68) (total, 1002), la de cirugías biliares malignas de 9,8 (IC 95 %: 7,3-12,4; rango, 2-30) y la de resecciones biliares por patología benigna de 10,4 (IC 95 %: 7,6-13,3; rango, 2-33). Solo el 41,2 % de los grupos utilizaban soporte nutricional antes de la cirugía (< 50 % habian efectuado un cribado nutricional). El tiempo medio de ayuno preoperatorio para sólidos fue de 9,3 h (rango, 6-24 h), y de 6,6 h para líquidos (rango, 2-12). Tras la pancreatectomía, el 29,4 % habían intentado administrar una dieta oral precoz, pero el 88,2 % de los grupos usaron algún tipo de soporte nutricional y el 26,5 % usaron NP en el 100 % de los casos. Los demás grupos usaron diferentes porcentajes de NP y NE en sus casos. En la cirugía biliar maligna, el 22,6 % utilizaron NP siempre y NE en el 19,3 % de los casos. Conclusiones: la NP es el soporte nutricional más utilizado tras la cirugía de cabeza pancreática. Solo el 29,4 % de las unidades usan nutrición oral precoz y el 32,3 % emplean la NE tras este tipo de cirugía. El 22,6 % de las instituciones usan NP habitualmente tras la cirugía de tumores biliares malignos. Las guías ESPEN 2006 no se siguen de forma habitual en nuestro país tras más de 10 años desde su publicación.

Published
2020

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