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Article ; Conference proceedings: IS PREOPERATIVE INTRAGASTRIC BALLOON EFFECTIVE TO DECREASE BARIATRIC SURGERY MORBIDITY, A SPANISH CLINICAL ESSAY

Rabago Torre, LR / Vicente, C / Maestro, I / Garcia, C / Martin Rios, MD / Perez, M / Herrera Merino, N

2018 Volume 50, Issue 04

Event/congress	ESGE Days 2018 accepted abstracts, Budapest, Hungary, 2018-04-19
Language	English
Publishing date	2018-03-27
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article ; Conference proceedings
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/s-0038-1637194
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Zs.A 669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 162: Show issues

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Article ; Conference proceedings: Ensayo clínico de balón intra-gástrico preoperatorio previo a cirugía bariátrica y repercusion en la morbilidad postoperatoria

Rábago Torre, LR / Vicente Martinez, C / Garcia-Ramos Garcia, C / Perez Ferrer, M / Maestro Prada, I / Herrera Merino, N

Endoscopy

2017 Volume 49, Issue 11

Event/congress	XXXIX Congreso Nacional de la Sociedad Española de Endoscopia Digestiva, Toledo, 2017-11-15
Language	Spanish
Publishing date	2017-10-26
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article ; Conference proceedings
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/s-0037-1607532
Database	Thieme publisher's database

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Zs.A 669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 162: Show issues

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Article ; Online: Irreversible Electroporation in Locally Advanced Pancreatic Adenocarcinoma: Aiming to Improve Overall Survival.

Enjuto, Diego Tristán / Herrera Merino, Norberto / Abadal Villandrade, José María / Gálvez González, Esther / Llorente Lázaro, Rosa / Díaz Peña, Patricia / Álvarez Pérez, María Jesús / Pérez González, Marta

Journal of gastrointestinal cancer

2020 Volume 51, Issue 3, Page(s) 1084–1087

Abstract: Irreversible electroporation (IRE) is a non-thermic ablation therapy which has been proposed for locally advanced pancreatic adenocarcinoma (LAPC) as well as for the local control of other types of tumors (kidney or liver). Its use has been extended in ... ...

Abstract	Irreversible electroporation (IRE) is a non-thermic ablation therapy which has been proposed for locally advanced pancreatic adenocarcinoma (LAPC) as well as for the local control of other types of tumors (kidney or liver). Its use has been extended in the last few years worldwide. Its advantage over other ablation techniques is that it only affects the lipids bilayer of the cell membrane avoiding vascular damage. Safety and viability have been demonstrated in recent studies. Overall survival seems (OS) to improve when it is combined with chemotherapy compared to chemotherapy with or without radiotherapy. Clinical trials should confirm these encouraging data.
MeSH term(s)	Adenocarcinoma/mortality ; Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Electroporation/methods ; Female ; Humans ; Male ; Middle Aged ; Pancreatic Neoplasms/mortality ; Pancreatic Neoplasms/pathology ; Pancreatic Neoplasms/surgery ; Survival Rate ; Treatment Outcome
Language	English
Publishing date	2020-05-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2452514-5
ISSN	1941-6636 ; 1559-0739 ; 1941-6628 ; 1537-3649
ISSN (online)	1941-6636 ; 1559-0739
ISSN	1941-6628 ; 1537-3649
DOI	10.1007/s12029-020-00425-9
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Zs.A 2184: Show issues

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Article ; Online: Autoinmune pancreatitis: Differential diagnosis with pancreatic adenocarcinoma.

Enjuto Martínez, Diego Tristán / Herrera Merino, Norberto / Pérez González, Marta / Llorente Lázaro, Rosa / Castro Carbajo, Pilar

Cirugia espanola

2017 Volume 95, Issue 8, Page(s) 480–482

Title translation	Pancreatitis autoinmune: diagnóstico diferencial con adenocarcinoma de páncreas.
MeSH term(s)	Adenocarcinoma/diagnosis ; Autoimmune Diseases/diagnosis ; Diagnosis, Differential ; Female ; Humans ; Male ; Middle Aged ; Pancreatic Neoplasms/diagnosis ; Pancreatitis/diagnosis
Language	Spanish
Publishing date	2017-01-14
Publishing country	Spain
Document type	Case Reports ; Letter
ZDB-ID	730701-9
ISSN	1578-147X ; 0009-739X
ISSN (online)	1578-147X
ISSN	0009-739X
DOI	10.1016/j.ciresp.2016.11.005
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Zs.B 96: Show issues

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Article ; Online: Preoperative intragastric balloon in morbid obesity is unable to decrease early postoperative morbidity of bariatric surgery (sleeve gastrectomy and gastric bypass): a clinical assay.

Vicente Martin, Cristina / Rabago Torre, Luis R / Castillo Herrera, Luis A / Arias Rivero, Marisa / Perez Ferrer, Miguel / Collado Pacheco, David / Martin Rios, Maria Dolores / Barba Martin, Raquel / Ramiro Martin, Javier / Vazquez-Echarri, Jaime / Herrera Merino, Norberto

Surgical endoscopy

2019 Volume 34, Issue 6, Page(s) 2519–2531

Abstract: Introduction: There are few studies that investigate the usefulness of the preoperative intragastric balloon (IGB). This study will evaluate if pre-surgical weight loss with IGB reduces morbidity and mortality after surgery.: Method: Prospective ... ...

Abstract	Introduction: There are few studies that investigate the usefulness of the preoperative intragastric balloon (IGB). This study will evaluate if pre-surgical weight loss with IGB reduces morbidity and mortality after surgery. Method: Prospective randomised study of patients with morbid obesity treated with gastric bypass or vertical gastrectomy, with two arms: the balloon arm (B-arm), where an IGB was inserted within the 6 months before surgery, and the control arm (C-arm). Results: The study included 66 patients: 65.6% women, 69.6% with bypass. Age: 43 years (SD 10.2) B-arm and 42.6 years (SD 9.2) in the C-arm. We found 34.4% therapeutic failures in IGB. The mean body weight loss, %EWL and BMI reduction before surgery was 16.2 kg (SD 9.84) B-arm versus 4.7 (SD 8.70) in the C-arm, 23.6% versus 4.7% (p < 0.001) and 6.04 versus 1 (p < 0.001), respectively. The hospital stay was 7 days (p Conclusions: The preoperative balloon does not achieve a reduction in the post-surgical morbidity, nor does it reduce the hospital stay or rate of re-operations. The balloon achieves a higher weight loss result when compared to a diet programme, its added cost must also be given due consideration. Trail registry: This study has been registered on ClinicalTrials.gov with the Identifier: NCT01998243 (November 28, 2013).
MeSH term(s)	Adult ; Bariatric Surgery/adverse effects ; Bariatric Surgery/methods ; Female ; Gastrectomy/adverse effects ; Gastric Balloon ; Gastric Bypass/adverse effects ; Humans ; Length of Stay ; Male ; Middle Aged ; Morbidity ; Obesity, Morbid/surgery ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Postoperative Period ; Preoperative Care/instrumentation ; Preoperative Care/methods ; Prospective Studies ; Treatment Outcome ; Weight Loss
Language	English
Publishing date	2019-08-09
Publishing country	Germany
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-019-07061-w
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Endoscopic extraction of adjustable gastric bands after intragastric migration as a complication of bariatric surgery: technique and advice.

Collado-Pacheco, David / Rábago-Torre, Luis Ramon / Arias-Rivera, Maria / Ortega-Carbonel, Alejandro / Olivares-Valles, Ana / Alonso-Prada, Alicia / Vázquez-Echarri, Jaime / Herrera-Merino, Norberto

Endoscopy international open

2016 Volume 4, Issue 6, Page(s) E673–7

Abstract: Background: Surgery has been the method most widely used to manage the extraction of gastric bands with inclusion as a late complication of bariatric surgery; however, surgical extraction entails morbidity and limits future surgical procedures. The ... ...

Abstract	Background: Surgery has been the method most widely used to manage the extraction of gastric bands with inclusion as a late complication of bariatric surgery; however, surgical extraction entails morbidity and limits future surgical procedures. The development of endoscopic techniques has provided an important means of improving the treatment of this complication, enabling minimally invasive and safe procedures that have a high success rate. Methods: A retrospective analysis was conducted of patients who had laparoscopic gastric banding complicated by intragastric migration and were treated endoscopically. A technique already described for managing this complication was employed. An MTW Endoskopie Dormia basket for mechanical lithotripsy or a standard 0.0035-in guidewire was placed around the band, and an MTW Endoskopie emergency lithotripter was used to section it, after which the band was extracted with a standard polypectomy snare. Also analyzed were the initial symptoms of patients with this complication, the mean time from surgery to development of the event, the success rate of endoscopic treatment, and complications, Results: A total of 127 patients had undergone gastric banding surgery in our Bariatric Surgery Center; of these, 12 patients (9.4 %) developed a complication such as intragastric migration of the band. Weight gain and pain were the main symptoms in 11 patients (92 %), and the mean time to the development of symptoms was 51.3 months. A single endoscopic treatment was successful in 7 of 9 patients (78 %). Only 1 complication, involving ventilation during anesthesia, occurred; no other adverse events were recorded. Conclusions: The endoscopic extraction of bands with inclusion is feasible and can be performed easily and successfully. The procedure is available in all hospitals and has a low incidence of related complications, so that unnecessary surgical procedures can be avoided.
Language	English
Publishing date	2016-05-12
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2761052-4
ISSN	2196-9736 ; 2364-3722
ISSN (online)	2196-9736
ISSN	2364-3722
DOI	10.1055/s-0042-105868
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Hipertensión portal izquierda con sangrado por varices gástricas como forma de presentación de un hipernefroma.

Joya Seijo, M D / del Valle Loarte, P / Marco Martínez, J / Herrera Merino, N / Agud Aparicio, J L

Anales de medicina interna (Madrid, Spain : 1984)

2004 Volume 21, Issue 6, Page(s) 283–284

Abstract: We report a clinic case of renal-cell carcinoma presenting as sinistral portal hypertension; a clinical syndrome consisting of esplenic vein thrombosis manifested as isolated gastric varices with patent portal vein and normal hepatic function. The most ... ...

Title translation	Sinistral portal hypertension with bleeding gastric varices as initial manifestation of renal-cell carcinoma.
Abstract	We report a clinic case of renal-cell carcinoma presenting as sinistral portal hypertension; a clinical syndrome consisting of esplenic vein thrombosis manifested as isolated gastric varices with patent portal vein and normal hepatic function. The most frequent cause of this syndrome is pancreatic pathology. Renal-cell carcinoma is characterized by a wide variety of symptoms as initial manifestation. In our case, the patient developed a massive gastrointestinal bleeding secondary to isolated gastric varices caused by splenic vein thrombosis due to extrinsic compression by a hypernephroma that infiltrated the pancreas.
MeSH term(s)	Carcinoma, Renal Cell/complications ; Carcinoma, Renal Cell/diagnosis ; Carcinoma, Renal Cell/pathology ; Esophageal and Gastric Varices/etiology ; Female ; Gastrointestinal Hemorrhage/etiology ; Humans ; Hypertension, Portal/etiology ; Kidney Neoplasms/complications ; Kidney Neoplasms/diagnosis ; Kidney Neoplasms/pathology ; Middle Aged ; Pancreatic Neoplasms/complications ; Pancreatic Neoplasms/secondary ; Splenic Vein ; Venous Thrombosis/etiology
Language	Spanish
Publishing date	2004-01-15
Publishing country	Spain
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	639013-4
ISSN	0212-7199
ISSN	0212-7199
DOI	10.4321/s0212-71992004000600006
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Zs.B 3021: Show issues

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Article: Endoscopic extraction of adjustable gastric bands after intragastric migration as a complication of bariatric surgery: technique and advice

Endoscopy International Open

2016 Volume 04, Issue 06, Page(s) E673–E677

Abstract	Background: Surgery has been the method most widely used to manage the extraction of gastric bands with inclusion as a late complication of bariatric surgery; however, surgical extraction entails morbidity and limits future surgical procedures. The development of endoscopic techniques has provided an important means of improving the treatment of this complication, enabling minimally invasive and safe procedures that have a high success rate. Methods: A retrospective analysis was conducted of patients who had laparoscopic gastric banding complicated by intragastric migration and were treated endoscopically. A technique already described for managing this complication was employed. An MTW Endoskopie Dormia basket for mechanical lithotripsy or a standard 0.0035-in guidewire was placed around the band, and an MTW Endoskopie emergency lithotripter was used to section it, after which the band was extracted with a standard polypectomy snare. Also analyzed were the initial symptoms of patients with this complication, the mean time from surgery to development of the event, the success rate of endoscopic treatment, and complications, Results: A total of 127 patients had undergone gastric banding surgery in our Bariatric Surgery Center; of these, 12 patients (9.4 %) developed a complication such as intragastric migration of the band. Weight gain and pain were the main symptoms in 11 patients (92 %), and the mean time to the development of symptoms was 51.3 months. A single endoscopic treatment was successful in 7 of 9 patients (78 %). Only 1 complication, involving ventilation during anesthesia, occurred; no other adverse events were recorded. Conclusions: The endoscopic extraction of bands with inclusion is feasible and can be performed easily and successfully. The procedure is available in all hospitals and has a low incidence of related complications, so that unnecessary surgical procedures can be avoided.
Language	English
Publishing date	2016-05-12
Publisher	© Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	2761052-4
ISSN	2196-9736 ; 2364-3722
ISSN (online)	2196-9736
ISSN	2364-3722
DOI	10.1055/s-0042-105868
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Article: Tratamiento quirúrgico de la peritonitis esclerosante.

Bujalance Cabrera, Francisco Manuel / Herrera Merino, Norberto / Salvador Fernández, Mariano / Escudero Escudero, Juana / Sierra Ortega, Miguel Angel / Oliva Díaz, Catalina / Martínez Veiga, José Luis

Cirugia espanola

2007 Volume 81, Issue 3, Page(s) 139–143

Abstract: Objectives: Sclerosing encapsulating peritonitis (SEP) or abdominal cocoon is a rare disease characterized by the formation of a fibrocollagenous membrane that wraps around the loops of the small bowel, producing obstruction. We present the results of ... ...

Title translation	Surgical treatment of sclerosing encapsulating peritonitis.
Abstract	Objectives: Sclerosing encapsulating peritonitis (SEP) or abdominal cocoon is a rare disease characterized by the formation of a fibrocollagenous membrane that wraps around the loops of the small bowel, producing obstruction. We present the results of the surgical treatment of this disease in three patients with chronic renal failure who developed SEP during the course of peritoneal dialysis (PD) and provide a literature review on the subject aimed at the general surgeon. Patients and method: In our area, the PD program treated 150 patients in 14 years, with seven cases of suspected SEP. In three patients, exploratory laparotomy was required. Clinical data, diagnostic imaging tests, type of surgery, immediate postoperative course, and status of the patient during subsequent follow-up are described. Results: In one of the three patients, bowel obstruction led to perforation requiring resection with anastomosis; the postoperative course was complicated and the patient died. In the remaining two patients, elective surgery was performed with the aim of removing the capsule enclosing the intestinal loops. In both patients the immediate postoperative course was favorable, although recurrence of intestinal encapsulation occurred in one patient. Conclusions: The success of surgery in this disease is determined by the technique used. The correct technique consists of freeing the adhesions and extirpating of the capsule as far as possible. Perforation, as well as resection and intestinal anastomosis, significantly increase mortality.
MeSH term(s)	Adult ; Female ; Humans ; Intestinal Obstruction/complications ; Intestinal Obstruction/surgery ; Male ; Peritonitis/complications ; Peritonitis/surgery ; Sclerosis/complications ; Sclerosis/pathology ; Surgical Procedures, Operative/methods
Language	Spanish
Publishing date	2007-03-06
Publishing country	Spain
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	730701-9
ISSN	0009-739X
ISSN	0009-739X
DOI	10.1016/s0009-739x(07)71285-x
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Zs.B 96: Show issues

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Article: Adenocarcinoma sobre quiste de colédoco. Aportación de un caso y revisión de la literatura.

Herrera Cabezón, J / Herrera Merino, N / Díaz del Río Botas, M / Pardo Sánchez, F / Pereira Pérez, F / Abascal Morte, J

Revista espanola de las enfermedades del aparato digestivo

1989 Volume 76, Issue 4, Page(s) 381–384

Abstract: We present a case of cancer of a choledochal cyst in a patient with antecedents of cholecystectomy, who complained of pain in the right hypochondrium. Echography and CAT disclosed a cystic mass of biliary location, and the diagnosis was confirmed by ... ...

Title translation	Adenocarcinoma in a choledochal cyst. Report of a case and review of the literature.
Abstract	We present a case of cancer of a choledochal cyst in a patient with antecedents of cholecystectomy, who complained of pain in the right hypochondrium. Echography and CAT disclosed a cystic mass of biliary location, and the diagnosis was confirmed by intraoperative cholangiography and biopsy of the cyst margin. Cysto-jejunostomy on a Roux-en-Y loop was performed. The patient survived 11 months and died of tumoral dissemination. We reviewed 130 cases of cancer of a choledochal cyst published up until 1986 and possible etiopathogenic causes, and we discuss the diagnostic problems and related treatment.
MeSH term(s)	Adenocarcinoma/complications ; Adenocarcinoma/surgery ; Common Bile Duct Diseases/complications ; Common Bile Duct Diseases/diagnosis ; Common Bile Duct Neoplasms/complications ; Common Bile Duct Neoplasms/surgery ; Cysts/complications ; Cysts/diagnosis ; Diagnosis, Differential ; Echinococcosis, Hepatic/diagnosis ; Female ; Humans ; Middle Aged
Language	Spanish
Publishing date	1989-10
Publishing country	Spain
Document type	Case Reports ; English Abstract ; Journal Article ; Review
ZDB-ID	124098-5
ISSN	0034-9437 ; 0370-4343
ISSN	0034-9437 ; 0370-4343
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