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  1. Article ; Online: Exactitud diagnóstica en el cáncer de esófago localizado. Estudio observacional retrospectivo.

    Andrés-Imaz, Ainhoa / Martí-Gelonch, Laura / Eizaguirre-Letamendia, Emma / Asensio-Gallego, José I / Enríquez-Navascués, José M

    Cirugia y cirujanos

    2023  Volume 91, Issue 1, Page(s) 42–49

    Abstract: Objective: To assess the accuracy of the diagnostic tests for a correct clinical tumor staging in localized esophageal cancer (EC).: Method: Retrospective observational study of patients who underwent esophagectomy for cancer in a referral hospital ... ...

    Title translation Staging accuracy in resecable esophageal cancer. Observational retrospective study.
    Abstract Objective: To assess the accuracy of the diagnostic tests for a correct clinical tumor staging in localized esophageal cancer (EC).
    Method: Retrospective observational study of patients who underwent esophagectomy for cancer in a referral hospital between January 2003 and September 2019. Those patients who received neoadjuvant treatment were excluded in order to avoid bias from downstaging effects. The preoperative stage was compared with the pathological stage of the surgical specimen. Computed tomography (CT) , endoscopic ultrasound (EUS) and positron emission tomography (PET) were evaluated. The pT stage was correlated with the tumor length described in the esophagram (EG).
    Results: Among the 63 patients included, the clinical staging was correct in 16 (global accuracy 25.4%), it was overstaged in 21 (33.2%) and understaged in 26 (41.3%). For cT staging, the accuracy of EUS was higher than that of CT (46.6% and 34.9%, respectively), specially for early stages. EG tumor length correlated with pT stage (p < 0.05). For cN staging, PET had the highest sensitivity (50.0%) and negative predictive value (75.0%).
    Conclusions: Despite the multiple diagnostic tools used, the global accuracy of clinical staging in localized EC is still a challenge. The lack of a test that stands out significantly from the others reinforces the need to use them in a complementary way.
    MeSH term(s) Humans ; Neoplasm Staging ; Esophageal Neoplasms/diagnostic imaging ; Esophageal Neoplasms/surgery ; Retrospective Studies ; Endosonography/methods ; Esophagectomy
    Language English
    Publishing date 2023-02-08
    Publishing country Mexico
    Document type Observational Study ; Journal Article
    ZDB-ID 730699-4
    ISSN 2444-054X ; 0009-7411
    ISSN (online) 2444-054X
    ISSN 0009-7411
    DOI 10.24875/CIRU.21000722
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Giant gastric plexiform fibromyxoma.

    Martí Gelonch, Laura / Asensio Gallego, José Ignacio / Eizaguirre Letamendia, Emma / Enríquez-Navascués, Jose Maria

    Cirugia espanola

    2020  Volume 99, Issue 4, Page(s) 306

    Title translation Fibromixoma plexiforme de antro gástrico gigante.
    MeSH term(s) Digestive System Neoplasms ; Fibroma/surgery ; Gastrointestinal Stromal Tumors ; Humans ; Stomach Neoplasms
    Language Spanish
    Publishing date 2020-06-03
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2020.05.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Incidence and risk factors for de novo cholelithiasis after bariatric surgery.

    Andrés-Imaz, Ainhoa / Martí-Gelonch, Laura / Eizaguirre-Letamendia, Emma / Asensio-Gallego, José Ignacio / Enríquez-Navascués, José María

    Cirugia espanola

    2021  Volume 99, Issue 9, Page(s) 648–654

    Abstract: Introduction: Obesity and rapid weight loss after bariatric surgery (BS) are risk factors for the development of cholelitiasis. The aim of this study is to know the incidence of the de novo symptomatic cholelitiasis (DNSC) after BS and to analyze the ... ...

    Abstract Introduction: Obesity and rapid weight loss after bariatric surgery (BS) are risk factors for the development of cholelitiasis. The aim of this study is to know the incidence of the de novo symptomatic cholelitiasis (DNSC) after BS and to analyze the risk factors for its development.
    Methods: Single-centre retrospective observational study of patients undergoing BS between January 2010 and December 2017. The incidence of DNSC has been studied and sex, age, comorbilities, surgical tecnique, initial BMI and percentage of excess BMI lost (%EBMIL) at 6th, 12th and 24th postoperative months have been analyzed.
    Results: Among the 415 patients who underwent BS, 280 have been studied since they were not previously cholecystectomized and had a preoperative negative abdominal ultrasound. Twenty-nine developed DNSC (10,35%), with a remarkably higher increase in cumulative incidence during the first postoperative year (CI 5%, IC 95% 2,4-7,6). A higher percentage of excess BMI lost at the 6, 12 and 24 postoperative months was statistically significantly correlated with an increased risk of DNSC.
    Conclusions: Incidence of DNSC and cholecystectomy after BS are relatively high, mainly during rapid weight loss period and even more the higher the percentage of excess BMI lost is. Concomitant cholecystectomy during BS in case of preoperative cholelithiasis regardless of symptoms and the use of ursodeoxycholic acid during the period of greater risk for DNSC development are two therapeutic options to consider.
    MeSH term(s) Bariatric Surgery/adverse effects ; Cholelithiasis/epidemiology ; Humans ; Incidence ; Obesity, Morbid ; Risk Factors
    Language English
    Publishing date 2021-10-09
    Publishing country Spain
    Document type Journal Article ; Observational Study
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2021.09.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Diagnóstico inesperado en paciente con sospecha de GIST: infiltración gástrica por mieloma múltiple.

    Martí-Gelonch, Laura / Asensio-Gallego, José I / Eizaguirre-Letamendia, Emma / Murgoitio-Lazkano, Francisco J / Arana-Iñiguez, Íñigo / Enríquez-Navascués, José M

    Cirugia y cirujanos

    2020  Volume 88, Issue Suppl 2, Page(s) 90–93

    Abstract: El mieloma múltiple se caracteriza por la proliferación neoplásica medular de células plasmáticas productoras de inmunoglobulina monoclonal. Un porcentaje pequeño de pacientes presenta compromiso extramedular en forma de plasmocitoma, siendo la ... ...

    Title translation Unexpected diagnosis in a patient with suspected GIST: gastric infiltration due to multiple myeloma.
    Abstract El mieloma múltiple se caracteriza por la proliferación neoplásica medular de células plasmáticas productoras de inmunoglobulina monoclonal. Un porcentaje pequeño de pacientes presenta compromiso extramedular en forma de plasmocitoma, siendo la localización más habitual las vías respiratorias altas. La afectación gastrointestinal es rara y la clínica asociada dependerá de la localización, la extensión y el mecanismo de infiltración. La afectación gástrica en forma de tumoración tiene un aspecto y una sintomatología similares a los de otras lesiones, por lo que es necesario realizar un diagnóstico histológico para un adecuado tratamiento. A continuación se presenta el caso de un mieloma múltiple con afectación gástrica.
    Multiple myeloma is characterized by medullary neoplastic proliferation of plasma cells producing monoclonal immunoglobulin. A small percentage of patients have extramedullary involvement in form of plasmacytoma, the most common location being the upper respiratory tract. Gastrointestinal involvement is rare and the associated symptoms will depend on the location, extent and mechanism of infiltration. Gastric involvement presents an appearance and symptoms similar to other lesions, so a histological diagnosis is necessary for proper treatment. This article presents the case of multiple myeloma with gastric involvement.
    MeSH term(s) Gastrointestinal Stromal Tumors ; Humans ; Multiple Myeloma
    Language English
    Publishing date 2020-12-07
    Publishing country Mexico
    Document type Case Reports ; Journal Article
    ZDB-ID 730699-4
    ISSN 2444-054X ; 0009-7411
    ISSN (online) 2444-054X
    ISSN 0009-7411
    DOI 10.24875/CIRU.20000566
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 797: Show issues Location:
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  5. Article ; Online: Incidence and risk factors for de novo cholelithiasis after bariatric surgery.

    Andrés-Imaz, Ainhoa / Martí-Gelonch, Laura / Eizaguirre-Letamendia, Emma / Asensio-Gallego, José Ignacio / Enríquez-Navascués, José María

    Cirugia espanola

    2020  

    Abstract: Introduction: Obesity and rapid weight loss after bariatric surgery (BS) are risk factors for the development of cholelitiasis. The aim of this study is to know the incidence of the de novo symptomatic cholelitiasis (DNSC) after BS and to analyze the ... ...

    Title translation Incidencia y factores de riesgo para el desarrollo de colelitiasis tras cirugía bariátrica.
    Abstract Introduction: Obesity and rapid weight loss after bariatric surgery (BS) are risk factors for the development of cholelitiasis. The aim of this study is to know the incidence of the de novo symptomatic cholelitiasis (DNSC) after BS and to analyze the risk factors for its development.
    Methods: Single-centre retrospective observational study of patients undergoing BS between January 2010 and December 2017. The incidence of DNSC has been studied and sex, age, comorbilities, surgical tecnique, initial BMI and percentage of excess BMI lost (%EIMCP) at 6th, 12th and 24th postoperative months have been analyzed.
    Results: Among the 415 patients who underwent BS, 280 have been studied since they were not previously cholecystectomized and had a preoperative negative abdominal ultrasound. Twenty-nine developed DNSC (10.35%), with a remarkably higher increase in cumulative incidence during the first postoperative year (5%, 95% CI 2,4-7,6). A higher percentage of excess BMI lost at the 6, 12 and 24 postoperative months was statistically significantly correlated with an increased risk of DNSC.
    Conclusions: Incidence of DNSC and cholecystectomy after BS are relatively high, mainly during rapid weight loss period and even more the higher the percentage of excess BMI lost is. Concomitant cholecystectomy during BS in case of preoperative cholelithiasis regardless of symptoms and the use of ursodeoxycholic acid during the period of greater risk for DNSC development are two therapeutic options to consider.
    Language Spanish
    Publishing date 2020-12-15
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2020.10.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Massive haemolysis due to sepsis caused by Clostridium perfringens secondary to liver abscess. Presentation of two cases with a similar history.

    Martí Gelonch, Laura / Jiménez Agüero, Raul / Rodríguez Canas, Nerea / Enríquez Navascués, Jose Maria

    Gastroenterologia y hepatologia

    2018  Volume 41, Issue 9, Page(s) 562–563

    Title translation Hemólisis masiva debida a sepsis por Clostridium perfringens secundaria a absceso hepático. Presentación de dos casos con un mismo antecedente.
    MeSH term(s) Adenocarcinoma/surgery ; Aged ; Anemia, Hemolytic/etiology ; Bile Duct Neoplasms/surgery ; Cholangiocarcinoma/surgery ; Clostridium Infections/complications ; Clostridium perfringens/isolation & purification ; Fatal Outcome ; Heart Arrest/etiology ; Humans ; Liver Abscess/complications ; Liver Abscess/diagnostic imaging ; Liver Abscess/microbiology ; Male ; Middle Aged ; Pancreatic Neoplasms/surgery ; Postoperative Complications/etiology ; Postoperative Complications/microbiology ; Shock, Septic/etiology ; Tomography, X-Ray Computed
    Language Spanish
    Publishing date 2018-02-16
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2017.11.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2044: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  7. Article ; Online: Minimally invasive and robotic surgery in the surgical treatment of esophagogastric junction cancer.

    Díez Del Val, Ismael / Loureiro González, Carlos / Asensio Gallego, José Ignacio / Bettonica Larrañaga, Carla / Leturio Fernández, Saioa / Eizaguirre Letamendia, Emma / Miró Martín, Mónica / García Fernández, Marta María / Martí Gelonch, Laura / Aranda Danso, Humberto / Barrenetxea Asua, Julen / Estremiana García, Fernando / Ortiz Lacorzana, Javier / Farran Teixidó, Leandre

    Cirugia espanola

    2019  Volume 97, Issue 8, Page(s) 451–458

    Abstract: Minimally invasive surgery provides for the treatment of esophagogastric junction tumors under safe conditions, reducing respiratory and abdominal wall complications. Recovery is improved, while maintaining the oncological principles of surgery to obtain ...

    Title translation Cirugía mínimamente invasiva y robótica en el tratamiento quirúrgico de las neoplasias de la unión esofagogástrica.
    Abstract Minimally invasive surgery provides for the treatment of esophagogastric junction tumors under safe conditions, reducing respiratory and abdominal wall complications. Recovery is improved, while maintaining the oncological principles of surgery to obtain an optimal long-term outcome. It is important to have a sufficient volume of activity to progress along the learning curve with close expert supervision in order to guarantee R0 resection and adequate lymphadenectomy. Minimal invasiveness ought not become an objective in itself. Should total gastrectomy be performed, the risk of a positive proximal margin makes intraoperative biopsy compulsory, without ruling out a primary open approach. Meanwhile, minimally invasive esophagectomy has been gaining ground. Its main difficulty, the intrathoracic anastomosis, can be safely carried out either with a mechanical side-to-side suture or a robot-assisted manual suture, thanks to the 3-D vision and versatility of the instruments.
    MeSH term(s) Anastomosis, Surgical/methods ; Barrett Esophagus/pathology ; Esophageal Neoplasms/diagnostic imaging ; Esophageal Neoplasms/pathology ; Esophageal Neoplasms/surgery ; Esophagectomy/methods ; Esophagogastric Junction/diagnostic imaging ; Esophagogastric Junction/pathology ; Esophagogastric Junction/surgery ; Esophagoscopy ; Gastrectomy/methods ; Humans ; Laparoscopy ; Lymph Node Excision/methods ; Neoplasm Invasiveness ; Positron Emission Tomography Computed Tomography ; Postoperative Complications/prevention & control ; Robotic Surgical Procedures ; Stomach Neoplasms/pathology ; Stomach Neoplasms/surgery
    Language Spanish
    Publishing date 2019-04-29
    Publishing country Spain
    Document type Journal Article ; Review
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2019.03.013
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