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  1. Article ; Online: Fecal incontinence in older patients: A narrative review.

    Bernal-Sprekelsen, Juan Carlos / Valderas Cortés, Guillermo Felipe / Gómez Romero, Laura

    Cirugia espanola

    2018  Volume 96, Issue 6, Page(s) 391–392

    Title translation Incontinencia fecal en el paciente anciano. Revisión de conjunto.
    MeSH term(s) Age Factors ; Aged ; Fecal Incontinence ; Humans ; Risk Factors
    Language Spanish
    Publishing date 2018-05-09
    Publishing country Spain
    Document type Letter ; Comment
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2018.03.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Appreciation of the treatment in adult patients with congenital portosystemic connections in relation with their symptoms.

    Gómez Contreras, Ramón / Talens Ferrando, Amalia / Bernal Sprekelsen, Juan Carlos / Landete Molina, Francisco Javier / Zaragoza Fernández, Cristóbal

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2019  Volume 111, Issue 9, Page(s) 714–716

    Abstract: Background: portosystemic intrahepatic venous connections (Abernethy syndrome) are rare anatomical variants, which are classified according to the type of union between the portal venous circulation and the central venous system. In adults, the ... ...

    Abstract Background: portosystemic intrahepatic venous connections (Abernethy syndrome) are rare anatomical variants, which are classified according to the type of union between the portal venous circulation and the central venous system. In adults, the diagnosis is often incidental, although some cases can be presented with an encephalopathy without associated liver disease.
    Case reports: here we present two cases of portosystemic shunt, one with encephalopathy development, and the other casually caught. Its treatment by interventionist radiology, was decided in function of clinic symptoms. Both patients were asymptomatic at controls in the outpatient consultation. No complications derived from the therapeutic decision. The control is carried out annually with image tests and blood analysis.
    Discussion: given the low prevalence of malformation and its usual diagnosis at younger ages (associated with important cognitive alterations) its treatment in adults is not protocolized. In these cases the decision of the treatment would be conditioned to the associated symptomatology, being the minimally invasive treatment (by interventional radiology) a therapeutic option in the symptomatic adult. Observation by imaging tests and control in outpatient consultation (without associated treatment) would be a choice in asymptomatic adults.
    MeSH term(s) Aged ; Electroencephalography ; Female ; Hepatic Encephalopathy/diagnostic imaging ; Hepatic Encephalopathy/etiology ; Humans ; Incidental Findings ; Male ; Middle Aged ; Portal Vein/abnormalities ; Portal Vein/diagnostic imaging ; Septal Occluder Device ; Symptom Assessment ; Syndrome ; Tomography, X-Ray Computed ; Ultrasonography, Doppler ; Vascular Malformations/complications ; Vascular Malformations/diagnostic imaging ; Vascular Malformations/therapy ; Vena Cava, Inferior/abnormalities ; Vena Cava, Inferior/diagnostic imaging
    Language English
    Publishing date 2019-07-22
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2019.6210/2019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 199: Show issues Location:
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  3. Article: Laparoscopic surgery for adult enterocolic intussusception: Case report and literature review.

    Payá Llorente, Carmen / Martínez Pérez, Aleix / Bernal Sprekelsen, Juan Carlos / Sebastián Tomás, Juan Carlos / Armañanzas Villena, Ernesto

    Gastroenterologia y hepatologia

    2017  Volume 41, Issue 4, Page(s) 255–257

    Title translation Cirugía laparoscópica en el tratamiento de la invaginación entero-cólica en el adulto: a propósito de un caso y revisión de la literatura.
    MeSH term(s) Humans ; Ileal Diseases/diagnostic imaging ; Ileal Diseases/etiology ; Ileal Diseases/surgery ; Ileal Neoplasms/complications ; Ileal Neoplasms/diagnostic imaging ; Ileocecal Valve/diagnostic imaging ; Ileocecal Valve/surgery ; Intussusception/diagnostic imaging ; Intussusception/surgery ; Ischemia/etiology ; Laparoscopy/methods ; Lipoma/complications ; Lipoma/diagnostic imaging ; Male ; Meckel Diverticulum/complications ; Meckel Diverticulum/diagnostic imaging ; Young Adult
    Language Spanish
    Publishing date 2017-05-17
    Publishing country Spain
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2017.04.003
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  4. Article ; Online: Intraoperative ultrasound: Is it the method of choice for the detection of breast lesions?

    Bernal Sprekelsen, Juan Carlos / López García, José / Agramunt Lerma, Marcos / Escudero de Fez, María Dolores

    Cirugia espanola

    2014  Volume 92, Issue 5, Page(s) 373–374

    MeSH term(s) Breast Neoplasms/surgery ; Female ; Humans ; Mastectomy/methods
    Language English
    Publishing date 2014-05
    Publishing country Spain
    Document type Comment ; Letter
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2013.12.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 96: Show issues Location:
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  5. Article ; Online: Spontaneous rectovaginal fistula during bevacizumab therapy for colon cancer.

    Bernal-Sprekelsen, Juan Carlos / Landete, Francisco Javier / Safont, María José / López, José

    International journal of colorectal disease

    2013  Volume 28, Issue 4, Page(s) 591

    MeSH term(s) Antibodies, Monoclonal, Humanized/adverse effects ; Antibodies, Monoclonal, Humanized/therapeutic use ; Bevacizumab ; Colonic Neoplasms/drug therapy ; Female ; Humans ; Middle Aged ; Rectovaginal Fistula/chemically induced
    Chemical Substances Antibodies, Monoclonal, Humanized ; Bevacizumab (2S9ZZM9Q9V)
    Language English
    Publishing date 2013-04
    Publishing country Germany
    Document type Case Reports ; Letter
    ZDB-ID 84975-3
    ISSN 1432-1262 ; 0179-1958
    ISSN (online) 1432-1262
    ISSN 0179-1958
    DOI 10.1007/s00384-012-1503-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2121: Show issues Location:
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  6. Article ; Online: Sarcoidosis esplénica. Una indicación quirúrgica rara de esplenectomía.

    Bernal Sprekelsen, Juan Carlos / Landete Molina, Francisco Javier / Morera Ocón, Francisco José / Ripoll Orts, Francisco

    Cirugia espanola

    2012  Volume 90, Issue 3, Page(s) e9

    Title translation Splenic sarcoidosis. A rare surgical indication of splenectomy.
    MeSH term(s) Female ; Humans ; Middle Aged ; Sarcoidosis/surgery ; Splenectomy ; Splenic Diseases/surgery
    Language Spanish
    Publishing date 2012-03
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2010.09.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 96: Show issues Location:
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  7. Article: Invaginación intestinal en el adulto: presentación de un caso y revisión de la literatura médica española.

    Morera-Ocón, Francisco J / Hernández-Montes, Eugenia / Bernal-Sprekelsen, Juan C

    Cirugia espanola

    2009  Volume 86, Issue 6, Page(s) 358–362

    Abstract: Introduction: Intestinal invagination in the adult is an uncommon condition, often manifested by non-specific chronic or sub-acute symptoms. In the majority of occasions there is an organic lesion. There are currently no large patient series published ... ...

    Title translation Intestinal invagination in adults: Presentation of a case and a review of the Spanish literature.
    Abstract Introduction: Intestinal invagination in the adult is an uncommon condition, often manifested by non-specific chronic or sub-acute symptoms. In the majority of occasions there is an organic lesion. There are currently no large patient series published in the literature to help define the management of these patients.
    Material and method: A review of case series published in the Spanish literature. A data base of patients over 15 years old was designed. Data was extracted from national clinical cases using Internet resources. Our own recent clinical case is added.
    Results: A series of 30 adults with intestinal invagination was obtained (29 cases from the review and one own). The median age was 45 years (19-84 years) and 17/30 (57%) were males. A total of 27/30 patients had abdominal pain and 8/30 (28%) cases had established intestinal obstruction. The preoperative diagnosis of invagination was made in 25/30 (83%) of patients. The invaginations were; enteroenteric, 61%; colocolic, 12%; enterocolic, 21%; and gastrojejunal, 6%. A total of 85% of the invaginations were associated with a proliferative lesion and 43% of the latter were malignant.
    Conclusions: The diagnosis of invagination in the adult is usually made preoperatively. There are no data to support intestinal resection without performing a reduction. Resection must be the norm and the presence of lymph nodes is no argument to perform large resections.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Intussusception/diagnosis ; Intussusception/surgery ; Male ; Middle Aged ; Young Adult
    Language Spanish
    Publishing date 2009-12
    Publishing country Spain
    Document type Case Reports ; English Abstract ; Journal Article ; Review
    ZDB-ID 730701-9
    ISSN 0009-739X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2009.08.002
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    Zs.B 96: Show issues Location:
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  8. Article ; Online: Obstrucción sigmoidea por cálculo biliar.

    Bernal Sprekelsen, Juan Carlos / De Tursi Rispoli, Leonardo / Landete Molina, Francisco Javier / Millán Tarín, José

    Cirugia espanola

    2010  Volume 88, Issue 5, Page(s) 332

    Title translation Gallstone obstruction of the sigmoid colon.
    MeSH term(s) Aged ; Female ; Gallstones/complications ; Humans ; Intestinal Obstruction/etiology ; Sigmoid Diseases/etiology
    Language Spanish
    Publishing date 2010-11
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2009.07.010
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  9. Article ; Online: Tratamiento ambulatorio de las hemorroides con sistema hemorpex. ¿Un método innovador?

    Bernal Sprekelsen, Juan Carlos / Morera Ocón, Francisco / Landete Molina, Francisco Javier / López García, José

    Cirugia espanola

    2010  Volume 87, Issue 4, Page(s) 266–7; author reply 267–8

    Title translation Outpatient treatment for haemorrhoids with hemorpex. An innovative method?.
    MeSH term(s) Ambulatory Surgical Procedures/instrumentation ; Hemorrhoids/surgery ; Humans ; Proctoscopy/methods ; Treatment Outcome ; Young Adult
    Language Spanish
    Publishing date 2010-04
    Publishing country Spain
    Document type Comment ; Letter
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2009.11.028
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    Zs.B 96: Show issues Location:
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  10. Article ; Online: Indicaciones quirúrgicas en los pólipos de vesícula biliar.

    Morera-Ocón, Francisco José / Ballestín-Vicente, Javier / Calatayud-Blas, Ana María / de Tursi-Rispoli, Leonardo Cataldo / Bernal-Sprekelsen, Juan Carlos

    Cirugia espanola

    2013  Volume 91, Issue 5, Page(s) 324–330

    Abstract: Introduction: The surgery of gallbladder polyps is not well defined due to the lack of evidence-based clinical guidelines.: Objective: To analyse the management of polyps in Spain, and a review of the literature and treatment standards.: Material ... ...

    Title translation Surgical indications in gallbladder polyps.
    Abstract Introduction: The surgery of gallbladder polyps is not well defined due to the lack of evidence-based clinical guidelines.
    Objective: To analyse the management of polyps in Spain, and a review of the literature and treatment standards.
    Material and methods: The reports on cholecystectomy with gallbladder polyps (GBP) were extracted from the Pathology data base. Patients subjected to surgery with a diagnosis of GBP were identified in the Surgery data base. A single list was prepared and a review was made of the clinical histories, including, age, gender, clinical data, ultrasound report, and histopathology report.
    Results: A total of 30 patients, with a median age of 51 years (range 22-83), 21 of whom were female, were included. The ultrasound diagnosis was GBP in 19 patients, GBP and calculi in 7 cases, and calculi with no polyps in 4 cases. Other diagnoses concurrent with GBP were multiple haemangiomas (3), large single simple cyst (1), and multiple simple cysts (1). Eleven patients had typical pain (biliary origin), 5 of which showed no calculi on ultrasound. Eight had non-specific pain, which persisted in 3 cases after the cholecystectomy. Pseudopolyps were found in 20 gallbladders, and true polyps in 4 cases. In 3 cases, polyps were not found in the pathology study.
    Conclusions: The ultrasound report must specify the size, shape, and number of polyps. Patients with biliary type pain would benefit from a cholecystectomy. The probability of malignancy is minimum if the GBP is less than 10mm and aged under 50 years, and a cholecystectomy is not required. A GBP greater than 10mm should be an indication of cholecystectomy.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Female ; Gallbladder Neoplasms/surgery ; Humans ; Male ; Middle Aged ; Polyps/surgery ; Retrospective Studies ; Spain ; Young Adult
    Language Spanish
    Publishing date 2013-05
    Publishing country Spain
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2012.04.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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