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  1. Article ; Online: Predictors of anastomotic leak after total gastrectomy in patients with adenocarcinoma.

    Rodríguez-Quintero, Jorge H / Aguilar-Frasco, Jorge / Morales-Maza, Jesús / Sánchez-García-Ramos, Emilio / Medina-Franco, Heriberto / Cortes-Gonzalez, Ruben

    Cirugia y cirujanos

    2022  Volume 90, Issue 2, Page(s) 216–222

    Abstract: Background: Esophagojejunal anastomotic leakage (EJAL) is among the most feared complications after gastric cancer surgery; they entail an uncertain prognosis and relate with increased morbidity and mortality. Factors associated with their development ... ...

    Title translation Predictores de fuga anastomótica después de gastrectomía total en pacientes con adenocarcinoma.
    Abstract Background: Esophagojejunal anastomotic leakage (EJAL) is among the most feared complications after gastric cancer surgery; they entail an uncertain prognosis and relate with increased morbidity and mortality. Factors associated with their development are not well determined, and their diagnosis and treatment vary between institutions.
    Material and methods: Retrospective case-control study of patients operated of total gastrectomy with Roux-en-Y esophagojejunostomy from January 2002 to December 2018. We divided our sample into two groups based on the presence of EJAL, and compared demographic, clinical, and histologic variables. We performed a logistic regression model to search risk factors associated with EJAL and described the management offered in our center.
    Results: We included 58 patients of which 8 (13.7%) presented clinically relevant EJAL. On the comparative analysis, albumin levels and diffuse histology presented a statistically significant difference between groups and presented association with EJAL in the logistic regression model. Regarding treatment of EJAL, ten patients (55.5%) required only conservative measures, whereas eight patients (44.4%) warranted an endoscopic or surgical intervention.
    Conclusion: Our retrospective analysis identified some factors that may be associated with the development of EJAL after gastric cancer surgery. High suspicion and prompt identification of this complication is essential to improve postoperative outcomes in this group.
    MeSH term(s) Adenocarcinoma/complications ; Adenocarcinoma/surgery ; Anastomotic Leak/epidemiology ; Anastomotic Leak/etiology ; Case-Control Studies ; Gastrectomy/adverse effects ; Humans ; Retrospective Studies
    Language English
    Publishing date 2022-03-28
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 730699-4
    ISSN 2444-054X ; 0009-7411
    ISSN (online) 2444-054X
    ISSN 0009-7411
    DOI 10.24875/CIRU.20001220
    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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    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Exenteración pélvica para cáncer de recto localmente avanzado y recurrente: resultados a largo plazo y factores pronósticos.

    Vergara-Fernández, Omar / Armillas-Canseco, Francisco / Sanjuán-Sánchez, Carlos / Sánchez-García-Ramos, Emilio / Medina-Franco, Heriberto

    Cirugia y cirujanos

    2021  Volume 89, Issue 4, Page(s) 449–456

    Abstract: Objetivo: El objetivo de este trabajo fue analizar los resultados perioperatorios y a largo plazo de los pacientes sometidos a exenteración pélvica para cáncer de recto en un centro de referencia en la Ciudad de México.: Método: Se incluyeron todos ... ...

    Title translation Pelvic exenteration for locally advanced and recurrent rectal cancer: long-term outcomes and prognostic factors.
    Abstract Objetivo: El objetivo de este trabajo fue analizar los resultados perioperatorios y a largo plazo de los pacientes sometidos a exenteración pélvica para cáncer de recto en un centro de referencia en la Ciudad de México.
    Método: Se incluyeron todos los pacientes que se sometieron a exenteración pélvica por cáncer de recto entre 1995 y 2019. Se analizaron variables demográficas, clínicas, quirúrgicas y patológicas.
    Resultados: Se incluyeron 18 pacientes operados por cáncer de recto (16 localmente avanzados y 2 recurrentes). La relación hombre: mujer fue de 1:3.5. La morbilidad mayor fue del 27.7%. El sangrado intraoperatorio ≥ 1000 ml se asoció con morbilidad (80 vs. 20%; p = 0,029) y mortalidad posoperatoria (100 vs. 0; p = 0.043). La mediana de sobrevida global fue 102 meses. Las sobrevidas global y libre de enfermedad a los 5 años fueron del 44.4% y el 38.8%, respectivamente. La invasión linfovascular fue un factor de mal pronóstico para sobrevida libre de enfermedad (p = 0.017).
    Conclusiones: La exenteración pélvica para el cáncer de recto es un procedimiento quirúrgico con altas morbilidad y mortalidad. La invasión linfovascular es un factor de mal pronóstico para la sobrevida libre de enfermedad.
    Introduction: Pelvic exenteration is a radical treatment for locally advanced and recurrent pelvic tumors. The aim of this study was to analyze the perioperative and long-term outcomes of patients undergoing pelvic exenteration for rectal cancer at a referral center in Mexico City.
    Method: We included all patients who underwent pelvic exenteration due to rectal cancer between 1995 and 2019. Demographic, clinical, surgical and pathological variables were analyzed.
    Results: 18 patients were included (16 locally advanced and 2 recurrent). The male-female ratio was 1:3.5. The highest morbidity was 27.7%. Intraoperative bleeding ≥ 1000 ml was associated with postoperative morbidity (80 vs. 20%; p = 0.029) and mortality (100 vs. 0; p = 0.043). The median overall survival was 102 months. Overall survival and disease free survival at 5 years after exenteration were 44.4% and 38.8%, respectively. Lymphovascular invasion of the tumor was a poor prognostic factor for disease free survival (p = 0.017).
    Conclusions: Pelvic exenteration for rectal cancer is a surgical procedure with high morbidity and mortality. Lymphovascular invasion is a poor prognostic factor for disease-free survival.
    MeSH term(s) Disease-Free Survival ; Female ; Humans ; Male ; Neoplasm Recurrence, Local ; Pelvic Exenteration ; Rectal Neoplasms/surgery ; Retrospective Studies
    Language English
    Publishing date 2021-08-02
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 730699-4
    ISSN 2444-054X ; 0009-7411
    ISSN (online) 2444-054X
    ISSN 0009-7411
    DOI 10.24875/CIRU.20000535
    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:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Long-term risk of adult overweight and obesity among achalasia patients who underwent Heller Myotomy.

    Perez-Ortiz, Andric C / Narváez-Chávez, Sofia / Furuzawa-Carballeda, Janette / Coss-Adame, Enrique / Valdovinos-Díaz, Miguel A / Peralta-Figueroa, José / Olvera-Prado, Hector / López-Verdugo, Fidel / Sánchez-García Ramos, Emilio / Torres-Villalobos, Gonzalo

    Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society

    2020  Volume 32, Issue 10, Page(s) e13921

    Abstract: Background: It is unknown whether surgically treated achalasia cases regain or surpass their usual weight into obesity or overweight in the long-term post-operative period. Here, we aimed to assess the incidence of overweight/obesity (Ob/Ow) and the ... ...

    Abstract Background: It is unknown whether surgically treated achalasia cases regain or surpass their usual weight into obesity or overweight in the long-term post-operative period. Here, we aimed to assess the incidence of overweight/obesity (Ob/Ow) and the risk for reoccurrence up to 48 months post-laparoscopic Heller myotomy (LHM).
    Methods: We performed a cohort of 114 achalasia cases undergoing LHM. All patients had a confirmed diagnosis of achalasia and had no added comorbidities. We followed up the body mass index (BMI) at the immediate post-operative period, and at one-, six-, 12-, 24-, and 48 months after LHM. We measured the incidence of Ob/Ow and its reoccurrence risk with Cox regression.
    Key results and conclusions: In the immediate post-operative period, the incidence of Ob/Ow was significantly less than the usual BMI (before the onset of symptoms) (28.2% vs 66.3%). From the sixth to the 48th month, there was a progressive increase in the incidence of Ob/Ow and at this timepoint the percent of Ob/Ow was not statistically different from the usual BMI. The most significant hazard for Ob/Ow reoccurrence in the long term following LHM is a usual BMI with obesity grade I or III and males lacking pre-surgical weight loss.
    Inferences: Achalasia cases undergoing surgical treatment should be monitored closely in the post-operative period for weight regain, regardless of their pre-operative BMI. Notably, males who before the onset of symptoms were obese or overweight are at significantly increased risk of regaining or surpassing their weight, despite most having lost weight pre-surgically.
    MeSH term(s) Adult ; Body-Weight Trajectory ; Cohort Studies ; Esophageal Achalasia/diagnosis ; Esophageal Achalasia/physiopathology ; Esophageal Achalasia/surgery ; Female ; Heller Myotomy/trends ; Humans ; Male ; Middle Aged ; Obesity/diagnosis ; Obesity/physiopathology ; Overweight/diagnosis ; Overweight/physiopathology ; Postoperative Care/trends ; Risk Factors ; Time Factors
    Language English
    Publishing date 2020-06-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 1186328-6
    ISSN 1365-2982 ; 1350-1925
    ISSN (online) 1365-2982
    ISSN 1350-1925
    DOI 10.1111/nmo.13921
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2979: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article: A rare case of choledochal cyst with pancreas divisum: case presentation and literature review.

    Ransom-Rodríguez, Adrián / Blachman-Braun, Ruben / Sánchez-García Ramos, Emilio / Varela-Prieto, Jesús / Rosas-Lezama, Erick / Mercado, Miguel Ángel

    Annals of hepato-biliary-pancreatic surgery

    2017  Volume 21, Issue 1, Page(s) 52–56

    Abstract: Choledochal cysts are rare congenital malformations of the bile duct characterized by dilatations of the intrahepatic and/or extrahepatic portion of the biliary tree, they are associated to an anomalous arrangement of the pancreaticobiliary duct. ... ...

    Abstract Choledochal cysts are rare congenital malformations of the bile duct characterized by dilatations of the intrahepatic and/or extrahepatic portion of the biliary tree, they are associated to an anomalous arrangement of the pancreaticobiliary duct. Pancreas divisum results from a fusion failure of the pancreatic buds. The coexistence of pancreas divisum and choledochal cyst in adults has been reported in less than 10 well documented cases. This article presents a case of a 42-year-old Peruvian man with intermittent episodes of abdominal pain, initially diagnosed with choledocholithiasis, who underwent open cholecystectomy. During surgery, a diagnosis of choledochal cyst and pancreas divisum was made, and therefore a hepaticoduodenostomy was performed. The patient was referred to our hospital due to persistence of abdominal pain. After admission, a papillectomy was achieved without further complications. A cyst resection and dismantling of hepaticoduodenostomy with Roux-en-Y was performed 8 years later. During the subsequent 18-month follow-up, the patient remains asymptomatic.
    Language English
    Publishing date 2017-02-28
    Publishing country Korea (South)
    Document type Case Reports
    ZDB-ID 3012179-6
    ISSN 2508-5859 ; 2508-5778
    ISSN (online) 2508-5859
    ISSN 2508-5778
    DOI 10.14701/ahbps.2017.21.1.52
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Esophageal schwannomas: A rarity beneath benign esophageal tumors a case report.

    Sanchez-Garcia Ramos, Emilio / Cortes, Rubén / de Leon, Alexandra Rueda / Contreras-Jimenez, Emmanuel / Rodríguez-Quintero, Jorge Humberto / Morales-Maza, Jesús / Aguilar-Frasco, Jorge / Irigoyen, Alejandro / Reyes, Frida / Alfaro-Goldaracena, Alejandro

    International journal of surgery case reports

    2019  Volume 58, Page(s) 220–223

    Abstract: Introduction: Esophageal Schwannoma is a rare tumor that represents the least frequent mesenchymal tumor of the esophagus and represents a condition with only a few cases reported in the literature PRESENTATION OF A CASE: We report a 40-year-old female ... ...

    Abstract Introduction: Esophageal Schwannoma is a rare tumor that represents the least frequent mesenchymal tumor of the esophagus and represents a condition with only a few cases reported in the literature PRESENTATION OF A CASE: We report a 40-year-old female with a 5 years history of gastroesophageal reflux, repeated history of pharyngitis, odynophagia that culminated in progressive oropharyngeal dysphagia to solids. A barium esophagogram revealed a filling defect in the superior and middle thirds of the esophagus. Upper gastrointestinal endoscopy showed a smooth elevated lesion in the upper third of the esophagus, impossible to resect by this mean. An open left cervical approach revealed an 80 × 45 × 20 mm large tumor, which was resected.
    Discussion: In general, Schwanommas are rarely found in the gastrointestinal tract (GI), while the great majority occur in the stomach, esophagic is the least common GI form of presentation.
    Conclusion: The knowledge about a new case, impacts in obtaining more information about the clinical course and surgical treatment of this tumor.
    Language English
    Publishing date 2019-04-18
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2019.03.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Atypical Presentation of Retroperitoneal Sarcomas as Hernias of the Inguinal Canal.

    Aguilar-Frasco, Jorge L / Rodriguez-Quintero, Jorge H / Moctezuma-Velázquez, Paulina / Sarre-Lazcano, Catherine / Morales-Maza, Jesús / Pastor-Sifuentes, Francisco U / Sánchez-García Ramos, Emilio / Rodríguez-Orihuela, Diana L / Alfaro-Goldaracena, Alejandro / Medina-Franco, Heriberto

    Indian journal of surgical oncology

    2020  Volume 11, Issue Suppl 2, Page(s) 151–155

    Language English
    Publishing date 2020-07-09
    Publishing country India
    Document type Case Reports
    ZDB-ID 2568289-1
    ISSN 0976-6952 ; 0975-7651
    ISSN (online) 0976-6952
    ISSN 0975-7651
    DOI 10.1007/s13193-020-01161-z
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  7. Article: Usefulness of Gum Chewing to Decrease Postoperative Ileus in Colorectal Surgery with Primary Anastomosis: A Randomized Controlled Trial.

    Vergara-Fernandez, Omar / Gonzalez-Vargas, Ana Prixila / Castellanos-Juarez, Juan Carlos / Salgado-Nesme, Noel / Sanchez-Garcia Ramos, Emilio

    Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion

    2016  Volume 68, Issue 6, Page(s) 314–318

    Abstract: Background: Postoperative ileus generates a high impact on morbidity, hospital stay, and costs.: Objective: To study the efficiency and safety of chewing gum to decrease postoperative ileus in colorectal surgery.: Method: A randomized controlled ... ...

    Abstract Background: Postoperative ileus generates a high impact on morbidity, hospital stay, and costs.
    Objective: To study the efficiency and safety of chewing gum to decrease postoperative ileus in colorectal surgery.
    Method: A randomized controlled trial was performed including 64 patients who underwent elective colorectal surgery with primary anastomosis in a tertiary referral center. Patients were divided in two groups: (i) A: gum chewing group (n = 32), and (ii) B: patients who had standard postoperative recovery (n = 32).
    Results: Postoperative ileus was observed in 6% (2/32) of the gum-chewing group and in 21.8% (7/32) in the standard postoperative recovery group, with an odds ratio of 0.167 (95% CI: 0.37-0.75; p = 0.006). Vomiting was present in two patients from group A and in eight from group B (6.25 vs. 25.0%; p = 0.03). Passage of flatus within the first 48 hours was present in 30 patients from group A and in 20 from group B (94 vs. 63%; p = 0.002). There was earlier oral feeding (96 ± 53 vs. 117 ± 65 hours; p= 0.164) and a shorter length of hospital stay (7 ± 5 vs. 9 ± 5 days; p= 0.26) in the gum-chewing group (p N.S.).
    Conclusions: The use of chewing gum after colorectal surgery was associated with less postoperative ileus and vomiting, and with an increased passage of flatus within the first 48 hours after surgery. Since gum chewing is an inexpensive procedure and is not associated with higher morbidity, it can be safely used for a faster postoperative recovery in elective colorectal surgery.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anastomosis, Surgical/methods ; Chewing Gum ; Colorectal Surgery/methods ; Female ; Humans ; Ileus/epidemiology ; Ileus/prevention & control ; Length of Stay ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Postoperative Nausea and Vomiting/epidemiology ; Postoperative Nausea and Vomiting/prevention & control ; Prospective Studies ; Tertiary Care Centers ; Young Adult
    Chemical Substances Chewing Gum
    Language English
    Publishing date 2016-11
    Publishing country Mexico
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 138348-6
    ISSN 0034-8376
    ISSN 0034-8376
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 288: Show issues Location:
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