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Article ; Online: Extended use of bemiparin as thromboprophylaxis during bariatric surgery: results of anti-factor Xa activity measurements.

Muñoz-Atienza, Virginia / Gil-Rendo, Aurora / Amo-Salas, Mariano / Núñez-Guerrero, Paloma / Martín-Fernández, Jesús

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

2017 Volume 14, Issue 3, Page(s) 354–360

Abstract: Background: The incidence of venous thromboembolism (VTE) in morbidly obese patients after obesity surgery is between .2% and 3.5%. Because there are a lack of prospective studies on the type of drug, the correct dosage, and the optimal duration, there ... ...

Abstract	Background: The incidence of venous thromboembolism (VTE) in morbidly obese patients after obesity surgery is between .2% and 3.5%. Because there are a lack of prospective studies on the type of drug, the correct dosage, and the optimal duration, there are no specific recommendations found in the guidelines on thrombophylaxis. Objectives: To compare the incidence of VTE and hemorrhagic events in bariatric surgical patients receiving bemiparin thromboprophylaxis who have prophylactic and nonprophylactic Anti-factor Xa (AFXa) levels. Setting: University General Hospital of Ciudad Real, Spain, public practice. Methods: A cohort study of 122 morbidly obese patients who underwent bariatric surgery. The thromboprophylactic regimen consisted of bemiparin 5000 IU/24 hr for 30 days. AFXa levels were measured on the second and third day postoperation (prophylactic range: .3-.5 IU/mL). Body mass index, co-morbidities, prothrombotic risk factors, and thrombotic and hemorrhagic events were noted. Results: The mean body mass index was 48.4 kg/m Conclusion: A regimen of 5000 IU/24 hr of bemiparin for 30 days after obesity surgery appears to prevent VTE without increasing the risk of a major hemorrhage. The level of AFXa is not associated with postoperative thrombotic or hemorrhagic events occurring after bariatric surgery.
MeSH term(s)	Adult ; Anticoagulants/administration & dosage ; Bariatric Surgery/adverse effects ; Bariatric Surgery/methods ; Body Mass Index ; Drug Administration Schedule ; Factor Xa/metabolism ; Heparin, Low-Molecular-Weight/administration & dosage ; Humans ; Middle Aged ; Obesity, Morbid/surgery ; Operative Time ; Postoperative Complications/prevention & control ; Postoperative Hemorrhage/etiology ; Prospective Studies ; Risk Factors ; Treatment Outcome ; Venous Thromboembolism/prevention & control ; Young Adult
Chemical Substances	Anticoagulants ; Heparin, Low-Molecular-Weight ; Factor Xa (EC 3.4.21.6) ; bemiparin (PUE0TO3XDR)
Language	English
Publishing date	2017-12-14
Publishing country	United States
Document type	Clinical Trial ; Comparative Study ; Journal Article
ZDB-ID	2274243-8
ISSN	1878-7533 ; 1550-7289
ISSN (online)	1878-7533
ISSN	1550-7289
DOI	10.1016/j.soard.2017.12.004
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Zs.A 6572: Show issues

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Article: Hernia de Amyand: presentación de dos casos y revisión de la bibliografía.

Manzanares-Campillo, Maria del Carmen / Muñoz-Atienza, Virginia / Sánchez-García, Susana / García-Santos, Esther / Ruescas-García, Francisco / Martín-Fernández, Jesús

Cirugia y cirujanos

2014 Volume 82, Issue 2, Page(s) 195–199

Abstract: Background: Presence of the vermiform appendix in an inguinal hernia sac is an uncommon finding (1%), exceptionally rare if it's inflamed (0.13%). Clinically simulating incarcerated inguinal hernia and proper preoperative diagnosis is exceptional. We ... ...

Title translation	Amyand's hernia: a report of two cases and review of the bibliography.
Abstract	Background: Presence of the vermiform appendix in an inguinal hernia sac is an uncommon finding (1%), exceptionally rare if it's inflamed (0.13%). Clinically simulating incarcerated inguinal hernia and proper preoperative diagnosis is exceptional. We present two unusual cases of Amyand's hernia, and review of the bibliography. Clinical cases: 1. Male patient 78 year old with an incarcerated right inguinal hernia which was performed preoperatively the diagnosis of Amyand's hernia by abdominal Computed Tomography. Clinical case 2. Female patient 82 year old with symptoms of an incarcerated right femoral hernia that finally showed an Amyand's hernia through a right inguinal hernia. Conclusions: Amyand's hernia is a rare entity whose preoperative diagnosis is uncommon, that it should always be considered in the differential diagnosis in cases with clinical signs of incarcerated right inguinal hernia.
MeSH term(s)	Aged ; Aged, 80 and over ; Antibiotic Prophylaxis ; Appendectomy ; Appendicitis/complications ; Appendix/pathology ; Emergencies ; Female ; Gangrene ; Hernia, Inguinal/complications ; Hernia, Inguinal/diagnosis ; Hernia, Inguinal/diagnostic imaging ; Herniorrhaphy ; Humans ; Male ; Radiography
Keywords	covid19
Language	Spanish
Publishing date	2014-03
Publishing country	Spain
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
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Article: Fibromatosis mamaria en el varón. A propósito de un caso.

Muñoz-Atienza, Virginia / Manzanares-Campillo, María Del Carmen / Sánchez-García, Susana / Pardo-García, Ricardo / Martín-Fernández, Jesús

Cirugia y cirujanos

2013 Volume 81, Issue 3, Page(s) 228–231

Abstract: Background: mammary fibromatosis is a rare pathology. It constitutes 0.2% of breast cancers, and case in men are exceptional. The definitive diagnosis is histological.: Clinical case: we report the case of a male of 52 years, diagnosed with breast ... ...

Title translation	Fibromatosis breast in the male. Case study.
Abstract	Background: mammary fibromatosis is a rare pathology. It constitutes 0.2% of breast cancers, and case in men are exceptional. The definitive diagnosis is histological. Clinical case: we report the case of a male of 52 years, diagnosed with breast fibromatosis after pathologic study of tumor in the right breast. Programmed surgery for excision with wide margins was done. We performed a mastectomy of the subcutaneous fibromatosis with a pathologic study with clear margins. The postoperative course was uncomplicated and did not require adjuvant therapy. At 6 months follow-up he remains free of disease. The treatment of choice is surgical excision with wide margins. Adjuvant treatment is controversial. Conclusions: the fibromatosis in the breast is very rare and an exceptional occurrence in men. Surgery is the definitive treatment; few results exist for adjuvant therapy.
MeSH term(s)	Biomarkers, Tumor/analysis ; Breast Neoplasms, Male/diagnosis ; Breast Neoplasms, Male/pathology ; Breast Neoplasms, Male/surgery ; Fibroma/chemistry ; Fibroma/diagnosis ; Fibroma/diagnostic imaging ; Fibroma/pathology ; Fibroma/surgery ; Humans ; Male ; Mastectomy, Subcutaneous ; Middle Aged ; Prognosis ; Remission Induction ; Ultrasonography
Chemical Substances	Biomarkers, Tumor
Language	Spanish
Publishing date	2013-05
Publishing country	Spain
Document type	Case Reports ; Journal Article
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
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Article: Merkel cell carcinoma: case report and literature review.

Sánchez-García, Susana / Manzanares-Campillo, Carmen / Menéndez-Sánchez, Pablo / Muñoz-Atienza, Virginia / Martín-Fernández, Jesús

Cirugia y cirujanos

2012 Volume 80, Issue 1, Page(s) 63–66

Abstract: Background: Merkel cell carcinoma is an aggressive neuroendocrine cell carcinoma arising in the epidermis of patients aged >60 years. This lesion is found in sun-exposed areas and presents as a small violet raised nodule. It is usually painless and ... ...

Abstract	Background: Merkel cell carcinoma is an aggressive neuroendocrine cell carcinoma arising in the epidermis of patients aged >60 years. This lesion is found in sun-exposed areas and presents as a small violet raised nodule. It is usually painless and rapidly growing. Although its clinical presentation and characteristic histology are usually sufficient, immunohistochemical features are helpful in making an accurate diagnosis. Clinical case: We present the case of a 62-year-old male with epidermoid carcinoma of the lung who was treated with surgery and local radiation for 2 months. He presented a painless 8-cm subcutaneous mass of some weeks of evolution, without inflammatory signs. Computerized tomography demonstrated a mass of probable lymph node origin. Fine-needle aspiration biopsy (FNAB) reported malignant cells and excisional surgery of the mass was performed, revealing a subcutaneous Merkel cell carcinoma. Conclusions: Merkel cell carcinoma is a rare entity that develops in mature patients, often in sun-exposed areas, and presents cutaneous injury in intact skin. Definitive diagnosis is done using immunohistochemistry.
MeSH term(s)	Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Axilla ; Biomarkers, Tumor/analysis ; Carcinoma, Merkel Cell/diagnosis ; Carcinoma, Merkel Cell/drug therapy ; Carcinoma, Merkel Cell/pathology ; Carcinoma, Merkel Cell/radiotherapy ; Carcinoma, Merkel Cell/surgery ; Carcinoma, Squamous Cell/diagnosis ; Carcinoma, Squamous Cell/diagnostic imaging ; Carcinoma, Squamous Cell/secondary ; Carcinoma, Squamous Cell/surgery ; Chemotherapy, Adjuvant ; Cisplatin/administration & dosage ; Diagnosis, Differential ; Etoposide/administration & dosage ; Humans ; Lung Neoplasms/diagnostic imaging ; Lung Neoplasms/surgery ; Male ; Middle Aged ; Neoplasm Invasiveness ; Neoplasms, Radiation-Induced/diagnosis ; Neoplasms, Radiation-Induced/drug therapy ; Neoplasms, Radiation-Induced/pathology ; Neoplasms, Radiation-Induced/radiotherapy ; Neoplasms, Radiation-Induced/surgery ; Neoplasms, Second Primary/diagnosis ; Neoplasms, Second Primary/surgery ; Pneumonectomy ; Radiography ; Radiotherapy, Adjuvant ; Skin Neoplasms/diagnosis ; Skin Neoplasms/drug therapy ; Skin Neoplasms/pathology ; Skin Neoplasms/radiotherapy ; Skin Neoplasms/secondary ; Skin Neoplasms/surgery ; Spleen/pathology ; Subcutaneous Tissue/pathology
Chemical Substances	Biomarkers, Tumor ; Etoposide (6PLQ3CP4P3) ; Cisplatin (Q20Q21Q62J)
Language	English
Publishing date	2012-01
Publishing country	Spain
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
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Article: Proximal-type epithelioid sarcoma in pubis. Case report and review of the literature.

Manzanares-Campillo, María del Carmen / Muñoz-Atienza, Virginia / Sánchez-García, Susana / Gil-Rendo, Aurora / Jara-Sánchez, Alberto / Martín-Fernández, Jesús

Cirugia y cirujanos

2011 Volume 79, Issue 6, Page(s) 560–563

Abstract: Background: The "proximal-type" epithelioid sarcoma (PES) is a rare variant of conventional epithelioid sarcoma. It has been described in older patients in the proximal portion of the extremities with a predilection for the pelvis and perineum. It is ... ...

Abstract	Background: The "proximal-type" epithelioid sarcoma (PES) is a rare variant of conventional epithelioid sarcoma. It has been described in older patients in the proximal portion of the extremities with a predilection for the pelvis and perineum. It is clinically more aggressive, showing a higher incidence of recurrence, metastasis, resistance to chemotherapy and a higher mortality. We report the case of a patient with a PES of the pubic region and we review the previous literature. Clinical case: We report the case of a 57-year-old female with a painless, progressively growing mass in the region of the pubis. We performed surgical resection of the lesion with clear margins and histological and immunohistochemical study allowed the definitive diagnosis of PES. After 4 disease-free years, the patient had a tumor recurrence at the same location. We performed en bloc resection of the lesion and immunohistochemical study confirmed the recurrence of PES. The patient refused adjuvant therapy. Today, after 4 years of follow-up, the patient remains asymptomatic and without evidence of recurrence or distant disease. Conclusions: Diagnosis of PES is complex because histological findings may be confused with multiple tumors; therefore, immunohistochemical study is definitive. PES shows positivity for epithelial markers (cytokeratin and EMA), mesenchymal markers (vimentin) as well as CD34. According to what has been reported in the literature, surgical treatment with free margins is indicated, with adjuvant therapies when the risk of recurrence is high.
MeSH term(s)	Biomarkers, Tumor ; Bone Neoplasms/chemistry ; Bone Neoplasms/diagnosis ; Bone Neoplasms/diagnostic imaging ; Bone Neoplasms/pathology ; Bone Neoplasms/surgery ; Diagnosis, Differential ; Female ; Humans ; Magnetic Resonance Imaging ; Middle Aged ; Multimodal Imaging ; Neoplasm Recurrence, Local/surgery ; Positron-Emission Tomography ; Pubic Bone/chemistry ; Pubic Bone/diagnostic imaging ; Pubic Bone/pathology ; Sarcoma/chemistry ; Sarcoma/diagnosis ; Sarcoma/diagnostic imaging ; Sarcoma/pathology ; Sarcoma/surgery ; Tomography, X-Ray Computed
Chemical Substances	Biomarkers, Tumor
Language	Spanish
Publishing date	2011-11
Publishing country	Spain
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
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Article ; Online: Rapid intraoperative determination of intact parathyroid hormone during surgery for primary hyperparathyroidism. Experience at our center.

García-Santos, Esther Pilar / Martín-Fernández, Jesús / Gil-Rendo, Aurora / Menchén-Trujillo, Bruno / Martínez de Paz, Fernando / Manzanares-Campillo, M Carmen / Muñoz-Atienza, Virginia / Sánchez-García, Susana

Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion

2014 Volume 61, Issue 1, Page(s) 3–8

Abstract: Introduction: Primary hyperparathyroidism (PHPT) is due to a single adenoma in 85%-95% of cases, and is often cured after adenoma removal. Intraoperative rapid determination of intact parathyroid hormone (PTHio) may be a tool for monitoring the ... ...

Abstract	Introduction: Primary hyperparathyroidism (PHPT) is due to a single adenoma in 85%-95% of cases, and is often cured after adenoma removal. Intraoperative rapid determination of intact parathyroid hormone (PTHio) may be a tool for monitoring the effectiveness of PHPT surgery. The main objective of our study was to evaluate PTHio determination and to establish whether its successful implementation contributed to achieve minimally invasive surgery (MIS) and major ambulatory surgery (MAS) in the treatment of PHPT. Material and methods: Retrospective study of a consecutive series of patients diagnosed and operated on for PHPT at the University General Hospital of Ciudad Real between January 2005 and January 2012. Results: In the study period, 91 patients underwent surgery. 39 (42.9%) under general anesthesia, while 52 (57.1%) were candidates for regional anesthesia by cervical block. Seventy-six of all patients (83.5%) were amenable to MIS using a unilateral approach. Classical cervicotomy was performed in all other patients. PTHio determination was done in 75 patients, showing cure in the same surgery in 68 of them. MAS was performed in 70.3% (64) of patients. Conclusions: Determination of PTHio may allow for changing the surgical approach to PHPT at our department, allowing for performance of MIS on an outpatient basis in a significant proportion of patients with some cosmetic improvement, probably less pain, shorter hospital stay, and less potential complications than bilateral cervical exploration.
MeSH term(s)	Adenoma/blood ; Adenoma/complications ; Adenoma/surgery ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Surgical Procedures/methods ; Female ; Humans ; Hyperparathyroidism, Primary/blood ; Hyperparathyroidism, Primary/etiology ; Hyperparathyroidism, Primary/surgery ; Intraoperative Care/methods ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures ; Parathyroid Hormone/blood ; Parathyroid Neoplasms/blood ; Parathyroid Neoplasms/complications ; Parathyroid Neoplasms/surgery ; Parathyroidectomy/methods ; Retrospective Studies ; Young Adult
Chemical Substances	Parathyroid Hormone
Language	Spanish
Publishing date	2014-01
Publishing country	Spain
Document type	Journal Article ; Observational Study
ZDB-ID	1469349-5
ISSN	1579-2021 ; 0211-2299 ; 1575-0922
ISSN (online)	1579-2021
ISSN	0211-2299 ; 1575-0922
DOI	10.1016/j.endonu.2013.03.013
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Article: Angiomyofibroblastoma of the right ischiorectal fosa.

Menéndez-Sánchez, Pablo / Villarejo-Campos, Pedro / Padilla-Valverde, David / Muñoz-Atienza, Virginia / González-López, Lucía / Martín-Fernández, Jesús

Cirugia y cirujanos

2010 Volume 78, Issue 5, Page(s) 448–450

Abstract: Background: angiomyofibroblastoma is a soft-tissue lesion. The vulvovaginal region of middle-aged females is the most frequent localization. Angiomyofibroblastoma is a well-circumscribed subcutaneous tumor at the vulva and perineum region. It is a ... ...

Abstract	Background: angiomyofibroblastoma is a soft-tissue lesion. The vulvovaginal region of middle-aged females is the most frequent localization. Angiomyofibroblastoma is a well-circumscribed subcutaneous tumor at the vulva and perineum region. It is a painful and slow-growing tumor. It is often thought to represent a Bartholin's gland cyst. Treatment of choice is surgical excision. Clinical case: We describe the case of a 49-year-old female with a right vulvar tumor that had been growing for 2 years. Ultrasonography, computed tomography and magnetic resonance revealed a tumor at the right ischiorectal fossa. Diagnosis after surgical excision was angiomyofibroblastoma. Conclusions: angiomyofibroblastoma must be considered in the differential diagnosis of vulvovaginal tumors because its treatment differs from others lesions of that region.
MeSH term(s)	Female ; Humans ; Middle Aged ; Neoplasms, Muscle Tissue/diagnosis ; Neoplasms, Muscle Tissue/surgery ; Vulvar Neoplasms/diagnosis ; Vulvar Neoplasms/surgery
Language	Spanish
Publishing date	2010-09
Publishing country	Spain
Document type	Case Reports ; Journal Article
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
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Article ; Online: Hypersecretory villous adenoma as the primary cause of an intestinal intussusception and McKittrick-Wheelock syndrome.

Sanchez Garcia, Susana / Villarejo Campos, Pedro / Manzanares Campillo, Maria Del Carmen / Gil Rendo, Aurora / Muñoz Atienza, Virginia / García Santos, Esther Pilar / Ruescas García, Francisco Javier / Bertelli Puche, Jose Luis

Canadian journal of gastroenterology = Journal canadien de gastroenterologie

2013 Volume 27, Issue 11, Page(s) 621–622

MeSH term(s)	Adenoma, Villous/complications ; Adenoma, Villous/diagnosis ; Adenoma, Villous/pathology ; Aged ; Colonic Neoplasms/complications ; Colonic Neoplasms/diagnosis ; Colonic Neoplasms/pathology ; Female ; Humans ; Intussusception/diagnosis ; Intussusception/etiology ; Intussusception/pathology ; Rectal Diseases/diagnosis ; Rectal Diseases/etiology ; Rectal Diseases/pathology ; Water-Electrolyte Imbalance/diagnosis ; Water-Electrolyte Imbalance/etiology
Language	English
Publishing date	2013-09-30
Publishing country	Canada
Document type	Case Reports ; Journal Article
ZDB-ID	639439-5
ISSN	1916-7237 ; 0835-7900
ISSN (online)	1916-7237
ISSN	0835-7900
DOI	10.1155/2013/252156
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Article ; Online: Nesidioblastosis. A case of hyperplasia of the islets of Langerhans in the adult.

García-Santos, Esther Pilar / Manzanares-Campillo, María del Carmen / Padilla-Valverde, David / Villarejo-Campos, Pedro / Gil-Rendo, Aurora / Muñoz-Atienza, Virginia / Sánchez-García, Susana / Puig-Rullán, Ana María / Rodríguez-Peralto, José Luis / Martín-Fernández, Jesús

Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.

2013 Volume 13, Issue 5, Page(s) 544–548

Abstract: Introduction: Nesidioblastosis is a rare disease caused by hyperplasia of pancreatic islets, developing a state of hypoglycemia due to an increase in the insulin production. It is the leading cause of hyperinsulinic hypoglycemia in childhood, whereas in ...

Abstract	Introduction: Nesidioblastosis is a rare disease caused by hyperplasia of pancreatic islets, developing a state of hypoglycemia due to an increase in the insulin production. It is the leading cause of hyperinsulinic hypoglycemia in childhood, whereas in adults it only represents the 0.5-5% of cases. The pathogenesis is still unknown. We have studied several genetic mutations associated with dependent potassium channel of ATP present in the beta cells of the pancreas, as well as in patients underwent bariatric surgery because of the metabolic changes involved. Report: Woman (38 years old) attends consultation of General Surgery derived from Endocrinology before symptoms of persistent hypoglycemia. Factitious hypoglycemia and syndromes of neuroendocrine origin were ruled out. Imaging tests failed to identify space-occupying lesions. The medical treatment failed, persisting hypoglycemia symptoms. Before the given analytical and radiological findings obtained, and the persistence of symptoms affecting the quality of life of the patient, we opted for surgical treatment performing a pancreatectomy of the 80% of the gland. The final pathologic diagnosis was nesidioblastosis. Discussion: Nesidioblastosis is a rare pathology, but it must be present in the differential diagnosis of hypoglycemia symptoms with endogenous hyperinsulinism in adults, once the intake of sulfonylureas and possible pancreatic neoformations have been ruled out.
MeSH term(s)	Adult ; Diagnosis, Differential ; Female ; Humans ; Hyperplasia/complications ; Hypoglycemia/diagnosis ; Islets of Langerhans/pathology ; Nesidioblastosis/diagnosis ; Nesidioblastosis/pathology ; Nesidioblastosis/surgery ; Pancreatectomy ; Pancreatic Neoplasms/diagnosis
Language	English
Publishing date	2013-09
Publishing country	Switzerland
Document type	Case Reports ; Journal Article
ZDB-ID	2056680-3
ISSN	1424-3911 ; 1424-3903
ISSN (online)	1424-3911
ISSN	1424-3903
DOI	10.1016/j.pan.2013.06.009
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Article: Fascitis necrosante como forma de presentación de una apendicitis aguda gangrenosa.

García-Santos, Esther P / Menéndez Sánchez, Pablo / Muñoz-Atienza, Virginia / Sánchez-García, Susana / Ruescas-García, Francisco Javier / Valle-García, Ricardo / Bertelli-Puche, Jose Luis / Padilla-Valverde, David / Villarejo-Campos, Pedro / Gil-Rendo, Aurora / Jara-Sánchez, Alberto / Reina Escobar, David / Martín-Fernández, Jesús

Gastroenterologia y hepatologia

2012 Volume 35, Issue 9, Page(s) 676–677

Title translation	Necrotizing fasciitis as a form of presentation of acute gangrenous appendicitis.
MeSH term(s)	Abdominal Abscess/etiology ; Abdominal Abscess/microbiology ; Abdominal Abscess/surgery ; Acute Disease ; Aged, 80 and over ; Appendicitis/complications ; Appendicitis/diagnosis ; Appendicitis/microbiology ; Appendicitis/surgery ; Back Muscles/microbiology ; Bacteremia/complications ; Bacteremia/microbiology ; Bacteroides Infections/complications ; Bacteroides fragilis ; Coinfection ; Debridement ; Escherichia coli Infections/complications ; Escherichia coli Infections/diagnosis ; Fasciitis, Necrotizing/etiology ; Fasciitis, Necrotizing/microbiology ; Fasciitis, Necrotizing/surgery ; Fusobacterium Infections/complications ; Gangrene ; Humans ; Laparotomy ; Male ; Peritonitis/etiology ; Psoas Abscess/etiology ; Psoas Abscess/microbiology ; Psoas Abscess/surgery ; Retroperitoneal Space ; Streptococcal Infections/complications ; Streptococcal Infections/diagnosis ; Viridans Streptococci
Language	Spanish
Publishing date	2012-11
Publishing country	Spain
Document type	Case Reports ; Letter
ZDB-ID	632502-6
ISSN	0210-5705
ISSN	0210-5705
DOI	10.1016/j.gastrohep.2012.05.005
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