Revista de gastroenterología de México
-
Rev Gastroenterol Mex · Oct 2005
Comparative Study[Antireflux surgery, comperative study of three laparascopic techniques].
Laparoscopic fundoplication for the surgical treatment of gastroesophageal reflux disease is widely accepted all over the world. ⋯ Our results are comparable to the ones published in the world literature. In our hands, a Nissen fundoplication with complete mobilization of the fundus yielded the best results, a Nissen-Rossetti operation had more disphagia and more reoperations and a partial fundoplication of Toupet, had a higher incidence of recurrent heartburn.
-
Acute liver failure, also called fulminant hepatic failure, is characterized by sudden hepatic synthetic dysfunction associated with coagulopathy and hepatic encephalopathy. Acute liver failure has most recently been defined based on the timing from onset of jaundice to encephalopathy as follows: 1) hyperacute (1-7 days); 2) acute (8-28 days), and 3) subacute (29-60 days). Rapid onset of encephalopathy in hyperacute liver failure is paradoxically associated with highest rate of spontaneous recovery, and subacute liver failure is associated with worst prognosis. ⋯ A substantial number of cases have an indeterminate etiology. Major complications of acute liver failure that require active intervention include metabolic disorders, coagulopathy, cerebral edema, renal failure, and infection. The focus of management of acute liver failure is comprehensive supportive care in an intensive care unit and assessment of the need for liver transplantation.
-
The objective of this report is to describe the existence of a rare tumor that must be taken into consideration when studying the diagnosis of pancreatic tumors. ⋯ Frantz-Gruber tumor is a rare pancreatic tumor suspected during the evaluation of a young female with abdominal pain and confirmed during surgery. It is important to consider the existence of this tumor in the evaluation of patients with these characteristics; even if the tumor's biological behavior is benign Frantz-Gruber tumor is considered a low-grade malignant tumor
-
To analyze the results obtained with the laparoscopic appendectomy in a trial of 106 cases from 1997 to December of 2002 in a surgeons group. Comparing the results with the papers of the literature to qualified the safety and security of the method and to establish the advantages upon the open appendectomy. ⋯ The surgical indications for the laparoscopic appendectomy are the same that for open surgery. The technique is safe and effective that can be carried out in any patient, still in cases or perforated appendicitis or gangrenous. The success is depend of the experience of the surgical team. The wound infection, recovery time, postoperative pain are less in the laparoscopic appendectomy.