7 results on '"Vicente Sanchiz"'
Search Results
2. Surgical treatment of an intraductal papillary mucinous neoplasm of the biliary tract diagnosed by SpyGlass�
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Joana Carolina Gómez-Adrián, Rosana Villagrasa, Joaquín Ortega, Vicente Sanchiz, Marina Garcés Albir, Rosa Martí Fernández, Dimitri Dorcaratto, María Pilar Ballester, Elena Muñoz-Forner, and Luis Sabater
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Male ,medicine.medical_specialty ,Hilum (biology) ,Bile Ducts, Extrahepatic ,medicine ,Hepatectomy ,Humans ,Aged ,Cholangiopancreatography, Endoscopic Retrograde ,Endoscopic retrograde cholangiopancreatography ,medicine.diagnostic_test ,Intraductal papillary mucinous neoplasm ,Bile duct ,business.industry ,Gastroenterology ,Anatomical pathology ,General Medicine ,medicine.disease ,Pancreatic Neoplasms ,medicine.anatomical_structure ,Bile Duct Neoplasms ,Dysplasia ,Biliary tract ,Cystic duct ,Radiology ,business - Abstract
We present the case of a 76-year-old male with a history of acute cholecystitis who underwent a scheduled laparoscopic cholecystectomy. Chronic cholecystitis with a thickened cystic duct was observed intraoperatively. The anatomic pathology report found high-grade dysplasia that affected the distal edge of the cystic duct. In view of these findings, an endoscopic retrograde cholangiopancreatography (ERCP) was performed with SpyGlass® and an excrescent lesion suggestive of malignancy adjacent to the cystic-common bile duct junction was observed. A resection of the extrahepatic bile duct was performed with lymphadenectomy of the hepatic hilum and hepaticojejunostomy in a subsequent procedure. The definitive pathology report confirmed pancreaticobiliary intraductal papillary mucinous neoplasia with high-grade dysplasia and free margins.
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- 2020
3. The role of endoscopic retrograde cholangiopancreatography in the management of iatrogenic bile duct injury after cholecystectomy
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Rosa Martí-Fernández, Dimitri Dorcaratto, Elena Muñoz Forner, Andrés Peña-Aldea, Joaquín Ortega, Vicente Sanchiz-Soler, Marina Garcés-Albir, Consuelo Gálvez-Castillo, Guillermo Martínez-Fernández, José Martín Arévalo, and Luis Sabater
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Adult ,Male ,Primary suture ,medicine.medical_specialty ,medicine.medical_treatment ,Iatrogenic Disease ,Open cholecystectomy ,Patient characteristics ,Sphincterotomy, Endoscopic ,Young Adult ,Postoperative Complications ,medicine ,Acute cholecystitis ,Humans ,Cholecystectomy ,Prospective Studies ,Laparoscopic cholecystectomy ,Aged ,Retrospective Studies ,Aged, 80 and over ,Cholangiopancreatography, Endoscopic Retrograde ,Gynecology ,Endoscopic retrograde cholangiopancreatography ,medicine.diagnostic_test ,Bile duct ,business.industry ,Incidence ,Suture Techniques ,Gastroenterology ,General Medicine ,Middle Aged ,medicine.anatomical_structure ,Cholecystectomy, Laparoscopic ,Female ,Stents ,Bile Ducts ,business - Abstract
espanolIntroduccion: la lesion yatrogenica de la via biliar (LYVB) es una complicacion con elevada morbilidad tras la colecistectomia. En los ultimos anos la endoscopia ha adquirido un papel fundamental en el manejo de esta patologia. Metodos: estudio retrospectivo de LYVB tras colecistectomia abierta (CA) o colecistectomia laparoscopica (CL) tratadas en nuestro centro entre 1993 y 2017. Se analizaron los datos referentes a las caracteristicas clinicas, tipo de lesion segun la clasificacion de Strasberg-Bismuth, diagnostico, tecnica de reparacion y seguimiento. Resultados: se estudian 46 pacientes. La incidencia LYVB fue de 0,48%, 0,61% para las CL y 0,24% para las CA. El diagnostico se realizo de forma intraoperatoria en 12 casos (26%) y mediante colangiopancreatografia retrograda endoscopica (CPRE) en 10 (21,7%). Las caracteristicas mas comunes a todos los pacientes con LYVB fueron la colecistitis aguda (20/46, 43,5%), ingreso previo por patologia biliar (16/46, 43,2%) y realizacion de CPRE previa a la colecistectomia (7/46, 18,9%). Los tipos de LYVB mas frecuentes fueron el D (17/46, 36,9%) y el A (15/46, 32,6%). El tratamiento mas empleado fue sutura primaria (13/46, 28,3%) seguido de CPRE (11/46, 23,9%) con esfinterotomia y/o endoprotesis. Ademas, la CPRE se utilizo en el postoperatorio inmediato de 6 pacientes (13%) con reparacion quirurgica de la LYVB para solucionar complicaciones inmediatas. Conclusion: la CPRE es util en el manejo de la LYVB no diagnosticada intraoperatoriamente. Permite localizar la zona lesionada de la via biliar, realizar maniobras terapeuticas y tratar de manera satisfactoria algunas complicaciones postoperatorias. EnglishIntroduction: iatrogenic bile duct injury (IBDI) is a complication with a high morbidity after cholecystectomy. In recent years, endoscopy has acquired a fundamental role in the management of this pathology. Methods: a retrospective study of IBDI after open cholecystectomy (OC) or laparoscopic cholecystectomy (LC) of patients treated in our center between 1993 and 2017 was performed. Clinical characteristics, type of injury according to the Strasberg-Bismuth classification, diagnosis, repair techniques and follow-up were analyzed. Results: 46 patients were studied and IBDI incidence was 0.48%, 0.61% for LC and 0.24% for OC. A diagnosis was made intraoperatively in 12 cases (26%) and by endoscopic retrograde cholangiopancreatography (ERCP) in 10 (21.7%) cases. The most common IBDI patient characteristics were acute cholecystitis (20/46, 43.5%), previous admission due to biliary pathology (16/46, 43.2%) and ERCP prior to cholecystectomy (7/46, 18.9%). The most frequent types of IBDI were D (17/46, 36.9%) and A (15/46, 32.6%). The most commonly used treatment was primary suture (13/46, 28.3%) followed by ERCP (11/46, 23.9%) with sphincterotomy and/or stents. In addition, ERCP was performed during the immediate postoperative period in 6 (13%) patients with a surgical IBDI repair in order to resolve immediate complications. Conclusion: ERCP is useful in the management of IBDI that is not diagnosed intraoperatively. This procedure facilitates the localization of the injured area of the bile duct, therapeutic maneuvers and successful outcomes in postoperative complications.
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- 2019
4. Malondialdehyde in early phase of acute pancreatitis
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María Isabel Sanz, Francisco J. Romero, Vicent Hernandez, Esperanza Cuadrado, María Miranda, Pedro Almela, Vicente Sanchiz, Miguel Minguez, Adolfo Benages, R Añón, Isabel Pascual, and Francisco Mora
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Adult ,Male ,Complications ,medicine.disease_cause ,Severity of Illness Index ,chemistry.chemical_compound ,Malondialdehyde ,Healthy volunteers ,Humans ,Medicine ,Prospective Studies ,Chromatography, High Pressure Liquid ,Aged ,Aged, 80 and over ,business.industry ,Gastroenterology ,General Medicine ,Middle Aged ,Prognosis ,medicine.disease ,Acute pancreatitis ,Oxidative Stress ,Pancreatitis ,chemistry ,Oxidative stress ,Case-Control Studies ,Anesthesia ,Acute Disease ,Disease Progression ,Female ,business ,Early phase ,Biomarkers - Abstract
Aims: to assess oxidative stress in acute pancreatitis, its evolution over time and its relationship with the severity of the disease. Methods: during a two-year period, patients with acute pancreatitis with less than 24 hours of pain were evaluated. Serum was obtained the first, second and fourth day from admittance, if complications were detected, and after recovery. Malondialdehyde was determined by high performance liquid chromatography. Twenty healthy volunteers constituted the control group. Malondialdehyde between groups was compared with Mann-Whitney and Kruskal-Wallis tests; malondialdehyde evolution was studied with Wilcoxon test. Results: one hundred and sixty-nine patients were included (91 women, median age 67 years, range 20-95); 33 suffered a severe episode. Malondialdehyde decreased from first to fourth day (0.600 vs. 0.451 vs. 0.343 μM, respectively, p < 0.05). When complications were detected, malondialdehyde level was similar to that of first and second day (0.473 μM, p > 0.05). In severe attacks malondialdehyde was higher than in control group at day 2 (severe: 0.514; mild: 0.440; control: 0.347 μM, p < 0.05 severe vs. control). Conclusions: an early oxidative stress is observed in acute pancreatitis. In severe attacks, oxidative stress remains high longer than in mild episodes. The onset of complications is associated with high malondialdehyde concentration.
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- 2011
5. Prevalence of silent fecal and urinary incontinence in women from the town of Teruel
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A. Ballester, Miguel Minguez, Vicente Sanchiz, Adolfo Benages, Vicent Hernandez, and Belen Herreros
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Gynecology ,education.field_of_study ,medicine.medical_specialty ,Pregnancy ,Obstetrics ,business.industry ,Urinary system ,Population ,Urinary incontinence ,Gastroenterology ,General Medicine ,Overweight ,medicine.disease ,Risk factors ,Fecal incontinence ,Prevalence ,medicine ,Childbirth ,Women ,medicine.symptom ,education ,business ,Body mass index - Abstract
OBJECTIVES To study the prevalence of fecal (FI) and urinary incontinence (UI) in women from Teruel (Spain), as well as the clinical conditions associated with these disorders. METHODS We studied prospectively women with an age range of 20-64 years who were randomly selected from the population seen in a primary care center because of medical disorders not related to incontinence. Patients with functional or cognitive impairment were excluded. Medical and obstetric antecedents, as well as the type and frequency of incontinence symptoms were collected in a questionnaire. RESULTS Out of 115 women, 103 completed the study (mean age: 41+/-12 years range 20-64). UI was present in 34.9% (stress 33%, urge 14%, mixed 47%), FI in 14 (13.6%) (flatus 57%, liquid stools 43%), and 10 (9.7%) displayed both disorders. Age > 42 years and body mass index more or equal of 25 were associated with FI and UI; pregnancy was only associated with UI, but the group of women with more or equal of 2 vaginal deliveries showed a higher frequency of FI (p < 0.05, Chi squared test). In the multivariate analysis, only the presence of UI was associated with FI (OR 6.0; CI 95% 1.7-21). Association of FI and UI was more frequent in women older than 42 years (OR 16.7, CI 95% 1.9-141). No statistical differences were found when smoking, exercise, and type of childbirth were compared between the presence/absence of FI or UI. CONCLUSIONS Urinary and fecal incontinence are frequent in women, and the coexistence of both disorders is not uncommon. Age, overweight and parity are associated with the presence of fecal and/or urinary incontinence.
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- 2005
6. Unstimulated salivary flow rate, pH and buffer capacity of saliva in healthy volunteers
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Miguel Minguez, Vicente Sanchiz, Belen Herreros, J. V. Muñoz-Montagud, C. Fenoll-Palomares, Adolfo Benages, and Vicent Hernandez
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Adult ,Male ,Saliva ,medicine.medical_specialty ,Adolescent ,Bicarbonate ,Secretory Rate ,Salivary buffer capacity ,Buffers ,chemistry.chemical_compound ,Sex Factors ,Oligosialia ,Internal medicine ,Salivary flow rate ,Healthy volunteers ,medicine ,Humans ,Prospective Studies ,Whole saliva ,Prospective cohort study ,Aged ,business.industry ,Age Factors ,Gastroenterology ,General Medicine ,Hydrogen-Ion Concentration ,Middle Aged ,Bicarbonates ,Endocrinology ,chemistry ,Female ,Salivation ,business ,Alcohol consumption - Abstract
Objectives: To assess the salivary flow rate, pH, and buffer capacity of healthy volunteers, and their relationships with age, gender, obesity, smoking, and alcohol consumption, and to establish the lower-end value of normal salivary flow (oligosialia). Methods: A prospective study was conducted in 159 healthy volunteers (age > 18 years, absence of medical conditions that could decrease salivary flow). Unstimulated whole saliva was collected during ten minutes, and salivary flow rate (ml/min), pH, and bicarbonate concentration (mmol/l) were measured using a Radiometer ABL 520. The 5 percentile of salivary flow rate and bicarbonate concentration was considered the lower limit of normality. Results: Median salivary flow rate was 0.48 ml/min (range: 0.1-2 ml/min). Age younger than 44 years was associated with higher flow rates (OR 2.10). Compared with women, men presented a higher flow rate (OR 3.19) and buffer capacity (OR 2.81). Bicarbonate concentration correlated with salivary flow rate. The lower-end values of normal flow rate and bicarbonate concentration were 0.15 ml/min and 1.800 mmol/l, respectively. The presence of obesity, smoking, and alcohol consumption did not influence salivary parameters. Conclusions: In healthy volunteers, salivary flow rate depends on age and gender, and correlates with buffer capacity. Obesity, smoking, and alcohol use do not influence salivary secretion.
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- 2004
7. Malondialdehyde in early phase of acute pancreatitis Malondialdehído en la fase inicial de la pancreatitis aguda
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Vicent Hernández, María Miranda, Isabel Pascual, Vicente Sánchiz, Pedro Almela, Ramón Añón, Esperanza Cuadrado, María Isabel Sanz, Miguel Mínguez, Francisco Mora, Francisco Javier Romero, and Adolfo Benages
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Estrés oxidativo ,Malondialdehído ,Pancreatitis aguda ,Complicaciones ,Oxidative stress ,Malondialdehyde ,Acute pancreatitis ,Complications ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Aims: to assess oxidative stress in acute pancreatitis, its evolution over time and its relationship with the severity of the disease. Methods: during a two-year period, patients with acute pancreatitis with less than 24 hours of pain were evaluated. Serum was obtained the first, second and fourth day from admittance, if complications were detected, and after recovery. Malondialdehyde was determined by high performance liquid chromatography. Twenty healthy volunteers constituted the control group. Malondialdehyde between groups was compared with Mann-Whitney and Kruskal-Wallis tests; malondialdehyde evolution was studied with Wilcoxon test. Results: one hundred and sixty-nine patients were included (91 women, median age 67 years, range 20-95); 33 suffered a severe episode. Malondialdehyde decreased from first to fourth day (0.600 vs. 0.451 vs. 0.343 μM, respectively, p < 0.05). When complications were detected, malondialdehyde level was similar to that of first and second day (0.473 μM, p > 0.05). In severe attacks malondialdehyde was higher than in control group at day 2 (severe: 0.514; mild: 0.440; control: 0.347 μM, p < 0.05 severe vs. control). Conclusions: an early oxidative stress is observed in acute pancreatitis. In severe attacks, oxidative stress remains high longer than in mild episodes. The onset of complications is associated with high malondialdehyde concentration.Objetivos: valorar el estrés oxidativo en la pancreatitis aguda, su evolución a lo largo del tiempo y su relación con la gravedad de la enfermedad. Métodos: durante un periodo de dos años, se estudiaron los pacientes ingresados por pancreatitis aguda con dolor abdominal de menos de 24 horas de evolución. Se obtuvo suero de los pacientes el primer, segundo y cuarto día de ingreso, en el momento en que se detectaban complicaciones y tras la recuperación. La concentración de malondialdehído fue determinada utilizando cromatografía líquida de alta resolución. Veinte voluntarios sanos conformaron el grupo control. La concentración de malondialdehído entre los diferentes grupos se comparó utilizando el test de Mann-Whitney y el test de Kruskal-Wallis; la evolución de malondialdehído se valoró mediante el test de Wilcoxon. Resultados: se incluyeron 169 pacientes (91 mujeres, edad mediana 67 años, rango 20-95); 33 sufrieron un episodio grave. La concentración de malondialdehído descendió desde el primer al cuarto día (0,600 vs. 0,451 vs. 0,343 μM, respectivamente, p < 0,05). Cuando se detectaban complicaciones, los niveles de malondialdehído eran similares a los del primer y segundo día (0,473 μM, p > 0,05). En los episodios graves la concentración de malondialdehído fue superior que en el grupo control en el día 2 (grave: 0,514; leve: 0,440; control: 0.347 μM, p < 0,05 grave vs. control). Conclusiones: en la pancreatitis aguda existe un estrés oxidativo precoz. En los episodios graves, el estrés oxidativo permanece elevado durante más tiempo que en los episodios leves. El desarrollo de complicaciones se asocia a una elevada concentración de malondialdehído.
- Published
- 2011
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