Abstract：
INTRODUCTION:Ischaemic colitis (IC) is the most common form of bowel ischaemia and is often under-diagnosed. OBJECTIVES:To report the results obtained in patients with IC who required surgical intervention in our Hospital, and to evaluate the predictive factors of mortality. METHODS:The data were obtained from the Gregorio Marañon Hospital CI database. The demographic and clinical characteristics, diagnostic methods, surgical techniques employed and mortality were analysed statistically, using the chi(2) and Student t test. RESULTS:One-hundred and one patients with CI were operated on between 1991 and 2006. The majority of them had cardiovascular histories and 35 cases were diagnosed during their hospital stay due to another cause. The signs and the symptoms were non-specific in 40% of the cases. Total morbidity and mortality was 39.6% and 41.6% respectively. In the post-operative IC cases, the death rate increased to 68% (p<0.01); 93% of the patients who died had transmural necrosis during the surgery (p<0.05) and 69% had a metabolic acidosis. CONCLUSIONS:The death rate in patients with IC that requires surgery is high, particularly if the diagnosis is made in the post-operative period after surgery for another cause, or if there is evidence of transmural necrosis during the intervention. Early diagnosis is the best tool to improve these results.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Serralta De Colsa D,Arjona Medina I,García-Marín A,Martín-Gil J,Pérez-Díaz MD,Turégano Fuentes Fdoi
10.1016/j.ciresp.2008.12.005subject
Has Abstractpub_date
2009-06-01 00:00:00pages
348-53issue
6eissn
0009-739Xissn
1578-147Xpii
S0009-739X(09)00091-8journal_volume
85pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract：OBJECTIVE:To determine the proportion of inappropriate days of hospitalization in the general surgery wards of three university hospitals, its causes, and associated factors. MATERIAL AND METHOD:We concurrently reviewed 596 days of hospitalisation during a 1-week period in 2000, using the Appropriateness Evaluation Pr...
journal_title：Cirugia espanola
pub_type： 杂志文章,多中心研究
doi：10.1016/s0009-739x(05)70913-1
更新日期：2005-09-01 00:00:00
abstract：:The selection of patients with hepatocellular carcinoma (HCC) for liver transplantation must be improved. One of the methods proposed to achieve this objective consists of including predictors of tumour aggressiveness to the decision making algorithm. The procedures that would enable this characteristic to be assessed...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2009.11.026
更新日期：2010-03-01 00:00:00
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
更新日期：2021-01-01 00:00:00
abstract：:The most frequent tumors that grow in the retrorectal space are embryological. Their management requires adequate knowledge of the characteristics of these lesions. We present five cases of retrorectal tumors. ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70978-2
更新日期：2006-11-01 00:00:00
abstract：UNLABELLED:Management of biliary tract complications (BTC) after liver transplantation (LT) has progressed in recent years. The aims of this study were, to analyse the incidence and management in our institution of BTC after 1000 LT; and to study the management of patients with anastomotic strictures (AS). RESULTS:The...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2010.03.010
更新日期：2010-06-01 00:00:00
abstract：INTRODUCTION:Current studies have shown the validity of the atraumatic fixation with fibrin glue (Tissucol) compared to conventional sutures in polypropylene mesh fixation. We propose to study the behaviour of absorbable mesh. MATERIAL AND METHODS:We used 20 Wistar white rats. Two hernia defects were made in the abdom...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.05.004
更新日期：2009-10-01 00:00:00
abstract：INTRODUCTION:The extracervical approach for thyroidectomy remains widely unknown in our country. Its main aim is to avoid a cervical scar while maintaining the same safety profile of conventional thyroidectomy. The objective is to communicate our experience after the first 15 cases using the endoscopic bilateral axillo...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2018.11.006
更新日期：2019-02-01 00:00:00
abstract：:The aim of this narrative review is to define the clinical-pathological characteristics and to clarify the management of right colonic diverticular disease. It is rare in Europe, USA and Australia and more common in Asia. In the recent years its incidence has increased in the West, with various distributions among pop...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2016.08.008
更新日期：2016-12-01 00:00:00
abstract：INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) was developed after the laparoscopic duodenal switch (LDS) procedure and is increasingly indicated in the treatment of morbid obesity. The main indication for LSG is LDS in patients with superobesity. MATERIAL AND METHOD:We describe the need to perform laparoscopic re...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71659-7
更新日期：2007-07-01 00:00:00
abstract：:Digestive surgeons should form part of the multidisciplinary team managing patients with oropharyngeal dysphagia. These patients can be diagnosed through clinical methods and complementary investigations such as videofluoroscopy and pharyngoesophageal manometry. These techniques also allow specific treatment to be sel...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/s0009-739x(07)71672-x
更新日期：2007-08-01 00:00:00
abstract：:Early-stage (T1) esophagogastric junction cancer continues to represent 2-3% of all cases. Adenocarcinoma is the most frequent and important type, the main risk factors for which are gastroesophageal reflux and Barrett's esophagus with dysplasia. Patients with mucosal (T1a) or submucosal (T1b) involvement initially re...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2019.04.001
更新日期：2019-10-01 00:00:00
abstract：:Localization of digestive hemorrhage is essential for the management of this entity. However, management is difficult in the small bowel, where emergency situations are rare but may require surgery without precise location of the lesion. We present a case of hemorrhage caused by jejunal diverticulum diagnosed by angio...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71337-4
更新日期：2007-06-01 00:00:00
abstract：:Conflict between two ethical and legal conditions such as life and freedom is frequent in medical practice. Jurisdiction has handed down contradictory decisions and edicts when placing life (and therefore the lex artis of physicians) above Jehovah's witnesses' right to refuse blood transfusions. However, in principle,...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71741-4
更新日期：2007-12-01 00:00:00
abstract：INTRODUCTION:Currently, the bases for the treatment of esophageal cancer are surgical resection and chemotherapy. Among the various surgical techniques used, minimally invasive esophagectomy (MIE) aims to reduce surgical aggression and cardiopulmonary complications while maintaining basic oncological principles. We pre...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70943-5
更新日期：2006-09-01 00:00:00
abstract：INTRODUCTION:We prospectively evaluated health-related quality of life (HRQoL) through the gastrointestinal quality of life index (GIQLI) as a system to prioritize patients on the waiting list for laparoscopic cholecystectomy (LC) and its correlation with a linear prioritization system developed in the General and Gast...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2012.07.021
更新日期：2013-05-01 00:00:00
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
更新日期：2005-10-01 00:00:00
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
更新日期：2013-03-01 00:00:00
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
更新日期：2005-07-01 00:00:00
abstract：INTRODUCTION:The aim of this study was to analyze prognostic factors for survival and recurrence in patients with resected pancreatic neuroendocrine tumors (PNT). METHODS:Medical records of 95 patients with resected PNT were retrospectively reviewed. The variables studied were: age, sex, form of presentation (sporadic...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2016.05.010
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:The population over 65 years old represents 40-50% of the all visits made to an emergency department (ED). Some situations of stress and dehumanization can occur due to user overflow. Our target is to identify factors influencing overall satisfaction of patients older than 65 attended in the ED, in order t...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(08)70565-7
更新日期：2008-05-01 00:00:00
abstract：:Extrahepatic complications from hepatic cystic echinococcosis are rare and may be life threatening. Although the prevalence of echinococcosis in Spain had decreased, the number of cases of this disease and its severity has risen again due to immigration. We report the case of a patient with a giant hepatic echinococcu...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71695-0
更新日期：2007-09-01 00:00:00
abstract：INTRODUCTION:The «Bogota bag» (BB) is one of the options for contained laparostomy (CL). The aim of this study was to report the procedure associated hospital morbidity (PAHM) in patients undergoing relaparotomy followed by a laparostomy using the BB. MATERIAL AND METHOD:Between 2002 and 2008, a prospective series of ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2011.01.010
更新日期：2011-06-01 00:00:00
abstract：INTRODUCTION:Advanced age and comorbidity impact on post-operative morbi-mortality in the frail surgical patient. The aim of this study is to assess the impact of a comprehensive, multidisciplinary and individualized care delivered to the frail patient by implementation of a Work Area focused on the Complex Surgical Pa...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2017.09.015
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVES:The introduction of antimicrobial prophylaxis in surgery was designed and pre-intervention (controls) and post-intervention (cases) evaluations were carried out at a university tertiary hospital. PATIENTS AND METHOD:Prospective recording of information on prophylaxis in all patients undergoing non-emergency...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(08)75045-0
更新日期：2008-12-01 00:00:00
abstract：INTRODUCTION:The classic treatment of Zenker's diverticulum (ZD) has been cricopharyngeal myotomy (CPM), with the need or not to resect it being argued (diverticulectomy versus diverticulopexy). However, the advance of endoscopic techniques requires new treatment strategies to be established. We analyse the complicatio...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2011.09.001
更新日期：2012-04-01 00:00:00
abstract：:As a contribution to International Physics Year (2005), we performed a historical study of Einstein's final years and the diseases that required surgical treatment. Because of the particular circumstances of the age, two of the most famous surgeons of the time, Rudolph Nissen and Frank Glenn, as well as the well-known...
journal_title：Cirugia espanola
pub_type： 传,历史文章,杂志文章
doi：10.1016/s0009-739x(06)70841-7
更新日期：2006-03-01 00:00:00
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
更新日期：2021-01-16 00:00:00
abstract：:Hepatic cell transplantation consists of grafting already differentiated cells such as hepatocytes. Human hepatocytes are viable and functionally active. Liver cell transplantation is carried out by means of a 3-step method: isolation of hepatocytes from donor liver rejected for orthotopic transplantation, preparing a...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.10.002
更新日期：2010-03-01 00:00:00
abstract：AIM:Today, free margin surgery is the gold-standard management for soft-tissue sarcoma patients and one of the most important predictors of recurrence and survival. To obtain optimal results, a multidisciplinary approach is necessary. The aim of this study was to evaluate the evolution of patients with RPS treated by «...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2014.02.002
更新日期：2014-10-01 00:00:00
abstract：INTRODUCTION:Performing intracorporeal anastomoses and sutures is possibly the technique that requires the greatest skill in laparoscopic surgery. The appearance of the new barbed sutures in recent years has seemed to facilitate this surgical step. The aim of our study is to evaluate short-term results in patients with...
journal_title：Cirugia espanola
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ciresp.2019.10.002
更新日期：2020-03-01 00:00:00
