[Stromal tumors of the jejunum and obscure gastrointestinal bleeding. Use of minimally invasive techniques in three cases].

Abstract:

:Gastrointestinal bleeding is considered to be obscure when routine endoscopic techniques (esophagogastroscopy and colonoscopy) fail to identify the origin of the hemorrhage. These hemorrhages represent 5% of all gastrointestinal bleeding. Twenty-seven percent of these hemorrhages are due to small bowel disease and gastrointestinal stromal tumors (GIST) are a frequent cause, especially in middle-aged patients. We present three cases that illustrate the difficulty of diagnosing this clinical entity. We emphasize the use of minimally invasive techniques such as computed tomography and laparoscopic surgery in the complicated management of these patients. We believe that the use of these techniques could avoid the need for other more aggressive procedures and allow the application of early definitive surgical treatment with the advantages of laparoscopic surgery.

journal_name

Cir Esp

journal_title

Cirugia espanola

authors

López Pardo R,Mira Vázquez A,Cuevas del Pino D,Toral Guinea P,Krasniqui G

doi

10.1016/s0009-739x(07)71729-3

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

301-4

issue

5

eissn

0009-739X

issn

1578-147X

pii

13111964

journal_volume

82

pub_type

杂志文章
  • [Intraductal papillary mucinous neoplasms of the pancreas].

    abstract:INTRODUCTION:Mucin-producing pancreatic tumors account for 1% of all malignant tumors of the pancreas. Notable among these are intraductal papillary mucinous neoplasms of the pancreas, due to their variable clinical behavior, increased frequency, and the controversy surrounding the most suitable treatment and diagnosti...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/s0009-739x(05)70850-2

    authors: Moral A,Muñoz-Guijosa C,González JA,Magarzo J,Hernández A,Artigas V,Trias M

    更新日期:2005-05-01 00:00:00

  • [Prospective study of procalcitonin as a diagnostic marker of the severity of secondary peritonitis].

    abstract:INTRODUCTION:It has been shown that procalcitonin (PCT) is a good marker for sepsis as the more severe the infection the higher the plasma levels. The Mannheim peritonitis index (MPI) is very effective in assessing the prognosis of secondary peritonitis. The aim of this study is to find out whether there is any correla...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2009.02.007

    authors: Viñas Trullen X,Rodríguez López R,Porta Pi S,Salazar Terceros D,Macarulla Sanz E,Besora Canal P,Alvarez Tellez F,Iglesias Castro C,Feliu Palá X

    更新日期:2009-07-01 00:00:00

  • Usefulness of administrative databases for risk adjustment of adverse events in surgical patients.

    abstract:PURPOSE:The aim of this study was to assess the usefulness of clinical-administrative databases for the development of risk adjustment in the assessment of adverse events in surgical patients. METHODS:The study was conducted at the Hospital of Navarra, a tertiary teaching hospital in northern Spain. We studied 1602 ho...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2015.01.013

    authors: Rodrigo-Rincón I,Martin-Vizcaíno MP,Tirapu-León B,Zabalza-López P,Abad-Vicente FJ,Merino-Peralta A,Oteiza-Martínez F

    更新日期:2016-03-01 00:00:00

  • Influence of frailty in the outcome of surgical patients over 70 years old with admission criteria in ICU.

    abstract:INTRODUCTION:Frailty degree can influence more than age or severity in the outcome of patients older than 70 years undergoing surgery of the digestive system that require immediate postoperative control in the ICU. METHODS:A prospective and observational study of patients over 70 years of age who were admitted to the ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2020.04.022

    authors: Ruiz de Gopegui Miguelena P,Martínez Lamazares MT,Miguelena Hycka J,Claraco Vega LM,Gurpegui Puente M

    更新日期:2021-01-01 00:00:00

  • Analysis of the long-term results of living donor liver transplantation in adults.

    abstract:INTRODUCTION:Living donor liver transplantation (LDLT) is an alternative to conventional transplantation given its excellent results. The aim of this study is to evaluate long-term outcomes in LDLT recipients. METHODS:100 consecutive THDV recipients from the Hospital Clínic of Barcelona from March 2000 to October 2015...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2017.03.012

    authors: Sánchez Cabús S,Estalella L,Pavel M,Calatayud D,Molina V,Ferrer J,Fondevila C,Fuster J,García-Valdecasas JC

    更新日期:2017-01-01 00:00:00

  • [Laparoscopic approach of achalasia. Long-term clinical and functional results and quality of life].

    abstract:INTRODUCTION:Laparoscopic Heller myotomy has become the gold standard procedure for patients with achalasia. This study evaluates the clinical status, quality of life, and functional outcomes after laparoscopic Heller myotomy. MATERIAL AND METHODS:We analyzed patients who underwent laparoscopic Heller myotomy with an ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2013.06.007

    authors: Marinello FG,Targarona EM,Balague C,Poca M,Mones J,Trias M

    更新日期:2014-03-01 00:00:00

  • [Advances in bariatric surgery: from the open approach to the biliopancreatic bypass with laparoscopic gastric preservation. Twelve years of experience].

    abstract:INTRODUCTION:An analysis is presented of the results in the treatment of morbid obesity after 12 years experience. MATERIAL AND METHODS:A retrospective study of patients subjected to surgery for morbid obesity from July 1998 to April 2010. Open techniques were initially used, and from January 2005 using biliopancreati...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2012.05.005

    authors: Sánchez Manuel FJ,Rodríguez Serrano S,de la Plaza Galindo M,Palomo Luquero A,Seco Gil JL

    更新日期:2012-11-01 00:00:00

  • [Ambulatory laparoscopic cholecystectomy. A cohort study of 1,600 consecutive cases].

    abstract:OBJECTIVE:A descriptive analysis of day-case laparoscopic cholecystectomy (ALC) in a cohort of 1,600 consecutive patients performed in Instituto de Cirugía y Aparato Digestivo (ICAD), Clínica Quirón de Valencia in the period 1997-2010. PATIENTS AND METHODS:Prospective observational study of 1,601 consecutive patients ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2012.08.009

    authors: Planells Roig M,Garcia Espinosa R,Cervera Delgado M,Navarro Vicente F,Carrau Giner M,Sanahuja Santafé A,Arnal Bertomeu C

    更新日期:2013-03-01 00:00:00

  • [Arterial trauma in hip arthroplasty].

    abstract:INTRODUCTION:Arterial injuries due to total hip arthroplasty can be a serious complication. The risk of vascular injury is related to proximity of the structures, tractions, and the aggressive use of instruments. OBJECTIVES:To analyze the frequency, injury mechanism, clinical presentation and therapeutic options in th...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/s0009-739x(08)70526-8

    authors: Leiva L,Arroyo A,Gil J,Rodríguez AI,Abarrategui C,Lobato M,Gesto R

    更新日期:2008-03-01 00:00:00

  • [Application of new technologies to the teaching of surgery in the school of medicine].

    abstract:INTRODUCTION:The new methods of teaching, based on new technologies, already available in other educational and professional fields are gradually being introduced in our Medical Schools. The aim of our study is to present our initial experience in the introduction of a subject on the principles of surgery in our univer...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2009.01.001

    authors: García Ureña MA,Marín Gómez LM,Vega Ruiz V,Díaz Godoy A

    更新日期:2009-03-01 00:00:00

  • [Inguinofemoral hernia: multicenter study of surgical techniques].

    abstract:INTRODUCTION:The present study was performed by the Spanish Association of surgeons through its abdominal wall and sutures section. The aim was to determine the current situation of inguinofemoral hernias in Spain and was based on an anonymous multicenter study with the participation of various national hospitals. MAT...

    journal_title:Cirugia espanola

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0009-739x(05)70883-6

    authors: Porrero JL,Sánchez-Cabezudo C,Bonachía O,López-Buenadicha A,Sanjuánbenito A,Hidalgo M

    更新日期:2005-07-01 00:00:00

  • [Bronchogenic carcinoma in patients undergoing solid organ transplant. The role of surgery].

    abstract:BACKGROUND:The incidence of neoplastic diseases is higher in patients undergoing solid organ transplant. However, the incidence of bronchogenic carcinoma (BC) is controversial. The objective of our study was to determine the incidence of BC in a large cohort of transplant patients and the role of surgery. MATERIAL AND...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2009.02.017

    authors: Padilla J,Cerón J,Peñalver JC,Jordá C,Pastor E,de Aguiar K

    更新日期:2009-08-01 00:00:00

  • [Preoperative blood ordering in elective colon surgery: requirement or routine?].

    abstract:BACKGROUND:Preoperative blood ordering is frequently in elective colon surgery, even for procedures that rarely require blood transfusion. Most often this procedure is performed without proper analysis of the real needs. The aim of this study was to evaluate the patients who receive transfusion and determining their as...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2013.05.011

    authors: Feliu F,Rueda JC,Ramiro L,Olona M,Escuder J,Gris F,Jiménez A,Duque E,Vicente V

    更新日期:2014-01-01 00:00:00

  • [Thyroidectomy in the ambulatory setting. A prospective study].

    abstract:INTRODUCTION:The recent reintroduction of local/regional anesthesia (LRA) for thyroidectomy has enabled this intervention to be performed in the outpatient setting. The aim of this study was to compare the results of thyroidectomy using two anesthesia methods. PATIENTS AND METHODS:One hundred twenty-five patients requ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/s0009-739x(06)70959-9

    authors: Sánchez-Blanco JM,Recio-Moyano G,Guerola-Delgado A,Gómez-Rubio D,Jurado-Jiménez R,Torres-Arcos C

    更新日期:2006-10-01 00:00:00

  • Sleep deprivation among surgical residents: does it affect performance while practising a laparoscopic intestinal anastomosis?

    abstract:INTRODUCTION:To assess the impact of fatigue due to incorrect night rest in the performance of a laparoscopic manual anastomosis. METHODS:A prospective study evaluating the results from the realization of a manual endotrainer entero-enteral anastomosis performed by residents in terms of fatigue caused by inadequate ni...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2020.12.010

    authors: Real Noval H,Martín Parra JI,Fernández Fernández J,Del Castillo Criado Á,Ruiz Gómez JL,López Useros A,Fernández Santiago R,Manuel Palazuelos JC

    更新日期:2021-01-16 00:00:00

  • [Multicentric inflammatory pseudotumor].

    abstract::Inflammatory pseudotumor is a non-neoplastic process characterized by irregular growth of inflammatory cells. This type of tumor can arise in any part of the body; most are confined to a single site and are benign. We present the case of a 51-year-old man in whom a solitary pulmonary nodule was detected as an incident...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/s0009-739x(07)71287-3

    authors: Medina-Achirica C,Gutiérrez de la Peña C,Gómez Menchero J,Gutiérrez Cafranga E,López Hurtado M,Gil Quiros J,Mateo Vallejo F

    更新日期:2007-03-01 00:00:00

  • [Treatment of colorectal cancer with unresectable metastasis with chemotherapy without primary tumor resection: analysis of tumor-related complications].

    abstract:INTRODUCTION:Although the conventional treatment of patients with stage iv colorectal cancer involves resection of the primary tumor followed by chemotherapy, several studies suggest that in patients with few symptoms the first and only treatment should be chemotherapy. The objective of this study is to analyze the com...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2013.04.015

    authors: Cáceres M,Pascual M,Alonso S,Montagut C,Gallén M,Courtier R,Gil MJ,Grande L,Andreu M,Pera M

    更新日期:2014-01-01 00:00:00

  • [Inversion of the sequence of surgery after neoadjuvant chemotherapy for synchronous liver metastases from colorectal cancer].

    abstract::In some patients with colorectal cancer and synchronous liver metastases, chemotherapy and current combinations of chemotherapy allow the size of these metastases to be reduced so that they can be surgically resected. However, in many patients, the initial systematic treatment of the primary tumor is associated with g...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/s0009-739x(07)71713-x

    authors: Marín-Hargreaves G,Artigas V,González JA,Martínez C,Marcuello E,Trías-Folch M

    更新日期:2007-10-01 00:00:00

  • [Transanal resection using a single port trocar: a new approach to NOTES].

    abstract:INTRODUCTION:The morbidity and mortality, along with the functional changes that arise from radical surgery of rectal cancer, has led to an increasing interest in local treatment in the early stages of cancer of the rectum. Conventional transanal surgery has a high recurrence rate, for this reason transanal endoscopic ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2010.09.006

    authors: Cid RC,Pérez JC,Elosua TG,Pinto FL,Alegre JM,Martín R,Jiménez JT

    更新日期:2011-01-01 00:00:00

  • Groove pancreatitis vs. pancreatic adenocarcinoma: A review of 8 cases.

    abstract:INTRODUCTION:Groove pancreatitis (PS) is an uncommon clinical situation and radiologically it can mimic carcinoma of the periampullary area. The aim of this paper is to study a series of 8 patients who underwent surgery with preoperative diagnosis of pancreatic head mass and subsequent pathological diagnosis of PS. ME...

    journal_title:Cirugia espanola

    pub_type: 杂志文章,评审

    doi:10.1016/j.ciresp.2016.02.011

    authors: Sánchez-Bueno F,Torres Salmerón G,de la Peña Moral J,Ortiz Ruiz E,Fuster Quiñonero M,Gutiérrez Zárate WV,Claver Valderas MA,Parrilla Paricio P

    更新日期:2016-06-01 00:00:00

  • Treatment algorithm for anal fissure. Consensus document of the Spanish Association of Coloproctology and the Coloproctology Division of the Spanish Association of Surgeons.

    abstract::The Spanish Association of Coloproctology and the Coloproctology Division of the Spanish Association of Surgeons propose this consensus document with a treatment algorithm for anal fissure that could be used for decision making. Non-surgical therapy and surgical treatment of anal fissure are explained, and the recomme...

    journal_title:Cirugia espanola

    pub_type: 共识发展会议,杂志文章

    doi:10.1016/j.ciresp.2018.02.007

    authors: Arroyo A,Montes E,Calderón T,Blesa I,Elía M,Salgado G,García-Armengol J,de-la-Portilla F

    更新日期:2018-05-01 00:00:00

  • [Basic concepts in survival analysis].

    abstract::The present article aims to introduce and explain basic concepts in survival analysis. Most survival analyses use terms such as Kaplan-Meyer, logrank, and censored times, among others. We discuss the background to these terms and their interpretation. We discuss how to produce and interpret survival curves and how to ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/s0009-739x(05)70923-4

    authors: Rebasa P

    更新日期:2005-10-01 00:00:00

  • Analysis of Quality Indicators for Colorectal Cancer Surgery in Units Accredited by the Spanish Association of Coloproctology.

    abstract:INTRODUCTION:Currently, there is growing interest in analyzing the results from surgical units and the implementation of quality standards in order to identify good healthcare practices. Due to this fact, the Spanish Association of Coloproctology (AECP) has developed a unit accreditation program that contemplates basic...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2018.02.008

    authors: de la Portilla F,Builes S,García-Novoa A,Espín E,Kreisler E,Enríquez-Navascues JM,Biondo S,Codina A

    更新日期:2018-04-01 00:00:00

  • [Applicability, safety and efficacy of an ambulatory treatment protocol in patients with uncomplicated acute diverticulitis].

    abstract:INTRODUCTION:The aim of this study was to evaluate the applicability, safety and efficacy of an ambulatory treatment protocol in patients with uncomplicated acute diverticulitis. PATIENTS AND METHODS:All patients diagnosed with uncomplicated acute diverticulitis based on abdominal computed tomography findings during a...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/s0009-739x(06)70989-7

    authors: Peláez N,Pera M,Courtier R,Sánchez J,Gil MJ,Parés D,Grandea L

    更新日期:2006-12-01 00:00:00

  • [Multimodal (fast-track) rehabilitation in elective colorectal surgery: evaluation of the learning curve with 300 patients].

    abstract:INTRODUCTION:The aim of this paper is to assess the learning curve on compliance to the application of a multimodal rehabilitation program (MMRP) protocol and patient recovery after elective colorectal surgery. MATERIAL AND METHODS:A comparative prospective study of 3 consecutive cohorts of 100 patients (P1, P2 and P3...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2010.04.006

    authors: Salvans S,Gil-Egea MJ,Martínez-Serrano MA,Bordoy E,Pérez S,Pascual M,Alonso S,Parés D,Courtier R,Pera M,Grande L

    更新日期:2010-08-01 00:00:00

  • [Current status and future perspectives of hepatocyte transplantation].

    abstract::The imbalance between the number of potential beneficiaries and available organs, originates the search for new therapeutic alternatives, such as Hepatocyte transplantation (HT).Even though this is a treatment option for these patients, the lack of unanimity of criteria regarding indications and technique, different c...

    journal_title:Cirugia espanola

    pub_type: 杂志文章,评审

    doi:10.1016/j.ciresp.2013.04.010

    authors: Pareja E,Cortés M,Gómez-Lechón MJ,Maupoey J,San Juan F,López R,Mir J

    更新日期:2014-02-01 00:00:00

  • Development and Validation of a Tool for the Evaluation of Laparoscopic Intestinal Anastomosis in Simulation.

    abstract:INTRODUCTION:Laparoscopic side-to-side intestinal anastomosis is a common in clinic practice and training simulation. The aim of this study is to design and validate a reliable and reproducible tool for its evaluation. METHODS:A modified Delphi method was used to design a tool with elements that determine quality, inc...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2019.10.005

    authors: Fernández MJ,Toledo E,Cañón M,Manuel-Palazuelos JC,M Maestre J

    更新日期:2020-05-01 00:00:00

  • Intrahepatic cholangiocarcinoma: Prognostic factors for recurrence and survival in a series of 67 patients treated surgically at a single center.

    abstract:INTRODUCTION:Intrahepatic cholangiocarcinoma is a primary liver neoplasm whose only curative treatment is surgery. The objective of this study was to determine the prognostic factors for survival of intrahepatic cholangiocarcinoma treated surgically with curative intent. METHODS:Sixty-seven patients who had been treat...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2020.07.003

    authors: Rafecas A,Torras J,Fabregat J,Lladó L,Secanella L,Busquets J,Serrano T,Ramos E

    更新日期:2020-09-10 00:00:00

  • Axillary radiotherapy in conservative surgery for early-stage breast cancer (stage I and II).

    abstract:INTRODUCTION:Several clinical studies analyze axillary treatment in women with early-stage breast cancer because of changes in the indication for axillary lymph node dissection. The aim of the study is to analyze the impact of axillary radiotherapy in disease-free and overall survival in women with early breast cancer ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/j.ciresp.2016.04.003

    authors: García Novoa A,Acea Nebril B,Díaz I,Builes Ramírez S,Varela C,Cereijo C,Mosquera Oses J,López Calviño B,Seoane Pillado MT

    更新日期:2016-06-01 00:00:00

  • [Immediate peritoneal response to contamination during laparoscopic surgery in an experimental mouse model].

    abstract:INTRODUCTION:Several studies have shown that laparoscopic surgery (LS) minimizes surgical trauma and preserves immune response. Another advantage is the lower incidence of infectious complications. However, several in vitro studies have shown that an atmosphere with CO2 affects macrophage physiology, which would affect...

    journal_title:Cirugia espanola

    pub_type: 杂志文章

    doi:10.1016/s0009-739x(06)70810-7

    authors: Rodríguez M,Targarona EM,Camacho M,Balagué C,Vila L,Trias M

    更新日期:2006-01-01 00:00:00