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nutricion in surgery

S Mejía-Rivera, S A Pérez-Marroquín, R Cortés-González, H Medina-Franco
INTRODUCTION AND AIMS: Esophagectomy is a highly invasive surgery and one of its postoperative complications is anastomotic leakage, occurring in 53% of cases. The aim of the present study was to determine the sensitivity of the contrast-enhanced swallow study as a method for diagnosing anastomotic leak in patients that underwent esophagectomy. MATERIAL AND METHODS: The present retrospective study included the case records of patients that underwent esophagectomy with reconstruction and cervical anastomosis at the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán within the time frame of January 1, 2000 and May 31, 2006...
March 7, 2018: Revista de Gastroenterología de México
Elisangela Mara Trindade, Telma Souza E Silva Gebara, Maria Paula Carlini Cambi, Giorgio Alfredo Pedroso Baretta
Background: Bariatric surgery is deemed one of the most effective procedures for the treatment of obesity and it aims at the reduction and maintenance of weight loss in long term, as the control of the related comorbidities. Aim: Quantify the occurrence of alterations of the gastrointestinal tract, suggestive signs of nutritional deficiencies and the use of supplements in a group of women undergoing bariatric surgery. Methods: The sample consisted of women aged 20-65 years submitted to Roux-en-Y gastric bypass with monitoring equal to or higher than 24 months...
January 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Carlos Augusto Leite de Barros Carvalho, Augusto Aurélio de Carvalho, Paulo Luiz Batista Nogueira, José Eduardo de Aguilar-Nascimento
Background: Current researches associate long fasting periods to several adverse consequences. The fasting abbreviation to 2 h to clear liquids associated with the use of drinks containing carbohydrates attenuates endocrinometabolic response to surgical trauma, but often is observed children advised to not intake food from 00:00 h till the scheduled surgical time, regardless of what it is. Aim: To evaluate the safety of a protocol of preoperative fasting abbreviation with a beverage containing carbohydrates, and early postoperative feeding in children underwent elective small/mid-size surgical procedures during a national task-force on pediatric surgery...
January 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
José Sampaio-Neto, Alcides José Branco-Filho, Luis Sérgio Nassif, André Thá Nassif, Flávia David João De Masi, Graciany Gasperin
Background: The gastric bypass has nutritional and electrolyte disturbances rate of approximately 17%. The most common deficits are protein malnutrition, ferric and zinc, in addition to the vitamin. Although rare, some malnutrition stages reach such severity that ends up being necessary hospitalization and sometimes revisional or reversal surgical procedures. Aim: To present a proposal of surgical revision for treatment of severe malnutrition after bariatric surgery...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Amanda Kaseker Tedesco, Rafaela Biazotto, Telma Souza E Silva Gebara, Maria Paula Carlini Cambi, Giorgio Alfredo Pedroso Baretta
Background: The bariatric surgery may cause some nutritional deficiencies. Aim: To compare the serum levels of biochemical markers, in iimmediate post-surgical patients who were submitted to bariatric surgery. Methods: Non-concurrent prospective cross-sectional study. The analysis investigated data in medical charts of pre-surgical and immediate post-surgical patients who were submitted to bariatric surgery, focusing total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides, C reactive protein, vitamin B12 levels, folic acid, homocysteine values, iron and serum calcium at the referred period...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Reginaldo Ceneviva
Nutritional and metabolic complications can develop after Roux-en-Y gastric bypass (RYGB) when there is an exaggerated response to the anatomical and functional changes or when there is inadequate nutritional supplementation. Severe malnutrition is rare, but deficiencies of vitamin B12, iron, calcium and thiamin, metabolic bone disease and gallstones are common after RYGB. Shortage of vitamin B12, iron, calcium and also cholelithiasis are caused at least partially by excluding the duodenum and proximal jejunum from food transit...
March 2016: Revista do Colégio Brasileiro de Cirurgiões
Juan José Díez, Amelia Oleaga, Cristina Álvarez-Escolá, Tomás Martín, Juan Carlos Galofré
Incidence of thyroid cancer is increasing in Spain and worldwide. Overall thyroid cancer survival is very high, and stratification systems to reliably identify patients with worse prognosis have been developed. However, marked differences exist between the different specialists in clinical management of low-risk patients with thyroid carcinoma. Almost half of all papillary thyroid carcinomas are microcarcinomas, and 90% are tumors < 2 cm that have a particularly good prognosis. However, they are usually treated more aggressively than needed, despite the lack of adequate scientific support...
June 2015: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
Carmen Gómez-Candela, Ruth Serrano Labajos, Natalia García-Vazquez, Marlhyn Valero Pérez, Marina Morato Martínez, Cristina Santurino Fontecha, Ana González Madroño, Samara Palma-Milla
UNLABELLED: Disease-Related Malnutrition (DRM) is present in a high percentage of patients admitted to hospital and their impact is diverse and of great importance. OBJECTIVES: Nutrition Department of University Hospital La Paz, in collaboration with all members of the Nutrition Committee, we decided to implement some method of screening in our centre which allowed us to detect as many patients with malnutrition risk as possible. RESULTS: Due to the large size of our centre, with about 1,500 beds and the few human resources in our unit, we chose to use the CONUT system (Nutritional Control), a 100% automatic method based on analytical parameters, very easy to use, low cost and whose validity is confirmed, characteristics that fulfilled our needs...
November 1, 2013: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Juan Carlos Galofré, Garcilaso Riesco-Eizaguirre, Cristina Alvarez-Escolá
Special considerations are warranted in management of thyroid nodule and thyroid cancer during pregnancy. The diagnostic and therapeutic approach of thyroid nodules follows the standard practice in non-pregnant women. On the other hand, differentiated thyroid cancer management during pregnancy poses a number of challenges for the mother and fetus. The available data show that pregnancy is not a risk factor for thyroid cancer development or recurrence, although flare-ups cannot be completely ruled out in women with active disease...
March 2014: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
von Flüe, Ott
Crohn's disease and ulcerative colitis are specific inflammatory bowel diseases. Quality of life can be considerably limited. It does not depend on the form of therapy that Crohn's disease is highly recurrent, whereas colitis ulcerosa is curable by proctocolectomy. For both forms of disease surgery is an important option. It has to be included early in the therapy concept and not as last choice. Quality of life in patients with Crohn's disease can be raised significantly by surgery. Meticulous selection of the patients are essential to the policy of surgery as well as a regular aftercare...
March 1, 2003: Therapeutische Umschau. Revue Thérapeutique
J C Castellanos-Juárez, H Tapia-Cid de León, R Vega-Batista, R R Mejía-Ovalle, G González-Longoria, V H Guerrero-Guerreo, O Vergara-Fernández, Q H González-Contreras
BACKGROUND: Rectal prolapse is defined as a falling out of place of the rectum through anus. Surgery is the treatment of choice to reverse abnormal anatomy and to improve anorectal function. OBJECTIVE: To review the experience in recent years of surgical management of rectal prolapse in the Hospital Central Militar and Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubiran. METHODS: All patients with rectal prolapse who underwent surgical treatment between January 1993 through December 2008 at two institutions in Mexico City were included...
January 2011: Revista de Gastroenterología de México
Martin Iglesias, Patricia Butron, Leonardo Abarca, Mario F Perez-Monzo, Beatriz de Rienzo-Madero
Deformities caused by massive weight loss were originally subsidized at the Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán." This caused great economical losses, which led to the development of a classification to select patients with functional problems secondary to massive weight loss. The parameter used is the size of the pannus in relation to fixed anatomic structures within the following anatomic regions: abdomen, arms, thighs, mammary glands, lateral thoracic area, back, lumbar region, gluteal region, sacrum, and mons pubis...
August 2010: Annals of Plastic Surgery
Jesús Vioque, José Manuel Ramos, Eva María Navarrete-Muñoz, Manuela García De La Hera
OBJECTIVE: To analyse Spanish scientific research output related to obesity during a 20-year period from 1988 to 2007 into context with the European Union productivity METHODS: The bibliometric study was based on research of the MEDLINE database in PubMed. Search terms were "obesity" appearing in MeSH. Linear regression was used to estimate trends in number of publications. RESULTS: We retrieved 50,120 documents on obesity in the study period, and 1,407 were by Spanish authors (2...
May 2010: Gaceta Sanitaria
Orlando Bada-Yllán, Félix I Téllez-Avila, Takeshi Takahashi-Monroy, Claudia María Hoyos-Tello, Xeily Zárate, Sandra García-Osogobio
INTRODUCTION: Enterocutaneous fistulas are an important complication of gastrointestinal surgery. Most of the cases (75% to 85%) are secondary to postoperative complications and are related to a high morbi-mortality rate, mainly sepsis, malnutrition and fluid and electrolyte imbalance. The aim of this study is to describe the main causes of enterocutaneous fistulas and morbi-mortality associated to treatment in the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán...
December 2009: Acta Gastroenterologica Latinoamericana
María Elena Romero-Lbargüengoitia, Israel Lerman-Garber, Miguel Francisco Herrera-Hernández, Juan Pablo-Pantoja, Mauricio Sierra-Salazar, Federico López-Rosales, Margarita Zamora-Barrón, Angeles Vargas-Martínez, Eduardo García-García
INTRODUCTION: Morbid obesity is a serious health problem associated to a significant reduction in life expectancy. OBJECTIVE: To evaluate the anthropometric and metabolic changes observed in obese patients, 3, 6 and 12 months after laparoscopic Roux-en-Y gastric bypass surgery and the complications associated with the procedure. MATERIAL AND METHODS: Retrospective study that included 128 consecutive obese patients submitted for bariatric surgery at the INCMNSZ (2004-2006)...
May 2009: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
F López-Rosales, Q González-Contreras, L J Muro, M M Berber, H T Cid de León, O V Fernández, R R Veana
BACKGROUND: Since the introduction of laparoscopic colectomy in 1991, experience in laparoscopic bowel surgery has gradually increased. Several reports from specialized centers have demonstrated that laparoscopic colorectal resections are feasible and safe, providing an acceptable alternative to laparotomy for a variety of diseases. Some studies have shown the feasibility, safety, and good functional outcome of the minimally invasive procedures for ulcerative colitis (UC) and familial adenomatous polyposis (FAP)...
December 2007: Surgical Endoscopy
J Arch-Ferrer, J C Barreto-Andrade, T Takahashi, S García-Osogobio, E León-Rodríguez
OBJECTIVE: To analyze the short- and long-term outcomes of the surgical treatment for colorectal cancer at the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ) in Mexico City. BACKGROUND: Colorectal cancer is the second most frequent malignant tumor of the digestive tract in Mexico. Its incidence is rising, and its identification in early stages is important to offer a curative surgical treatment. METHODS: Retrospective, descriptive observational trial...
October 2001: Revista de Gastroenterología de México
L F Pérez Méndez, R V García-Mayor
AIM: To determinate the prevalence of patients with Home Enteral Nutrition (HEN) in Galicia. DESIGN: Transversal study. SUBJECTS: Patients aged > or = 14 years, treated with HEN in our community since January 1998 to December 1999. Population of reference was 1.789.983. METHOD: Questionnaire previously designed. MAIN RESULTS: During the study period were treated 2,784 patients which represent a prevalence of 10...
November 2001: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
J F Téllez-Zenteno, A Torre-Delgadillo, L F Uscanga-Domínguez
OBJECTIVE: To identify the clinical, laboratory and imaging characteristics of 41 patients with a pyogenic hepatic abscess. RESEARCH DESIGN: Retrospective, descriptive. SETTING: Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán. STUDY UNITS: 41 patients with a pyogenic hepatic abscess. MAIN MEASUREMENTS: The measurement of the following variables was carried out: previous background, period of evolution, symptoms, signs, laboratory studies, imaging, treatment, complications and evolution...
May 2001: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
N Ofelia Uribe-Uribe, A Penélope Romero-Lagarza, F Nuncio-Zamora, K Hermosillo-Reséndiz, A Angeles-Angeles
INTRODUCTION: Fine-needle aspiration biopsy (FNAB) is currently considered the most reliable and cost effective examination for diagnosis of solitary thyroid nodules prior to surgery. Because of its great utility the indication of intraoperative examination (IOE) (macroscopic examination, cytology and frozen section), has recently been questioned. OBJECTIVE: To compare the accuracy of the FNAB and IOE, in those patients with nodular thyroid disease who undergo thyroidectomy...
July 2000: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
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