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Mostrando las entradas de julio, 2017

Prognostic factors affecting outcomes in multivisceral en bloc resection for colorectal cancer.

Clinics (Sao Paulo).  2017 May;72(5):258-264. doi: 10.6061/clinics/2017(05)01. Prognostic factors affecting outcomes in multivisceral en bloc resection for colorectal cancer. Nahas CSR 1 ,  Nahas SC 1 ,  Ribeiro-Junior U 1 ,  Bustamante-Lopez L 1 ,  Marques CFS 1 ,  Pinto RA 1 ,  Imperiale AR 1 ,  Cotti GC 1 ,  Nahas WC 2 ,  Chade DC 2 ,  Piato DS 3 ,  Busnardo F 4 ,  Cecconello I 1 . Author information Abstract OBJECTIVES:: This study sought to determine the clinical and pathological factors associated with perioperative morbidity, mortality and oncological outcomes after multivisceral en bloc resection in patients with colorectal cancer. METHODS:: Between January 2009 and February 2014, 105 patients with primary colorectal cancer selected for multivisceral resection were identified from a prospective database. Clinical and pathological factors, perioperative morbidity and mortality and outcomes wer...

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study.

Rev Esp Enferm Dig.  2017 Apr;109(4):273-278. doi: 10.17235/reed.2017.4201/2016. Endoscopic colostomy with percutaneous colopexy: an animal feasibility study. Bustamante-Lopez LA 1 ,  Sulbaran M 2 ,  Nahas SC 3 ,  de Moura EG 2 ,  Nahas CS 3 ,  Marques CF 3 ,  Sakai C 2 ,  Cecconello I 3 ,  Sakai P 2 . Author information Abstract BACKGROUND: Indications for colostomy in colorectal diseases are obstruction of the large bowel, such as in cancer, diverticular disease in the acute phase, post-radiotherapy enteritis, complex perirectal fistulas, anorectal trauma and severe anal incontinence. Some critically ill patients cannot tolerate an exploratory laparotomy, and laparoscopic assisted colostomy also requires general anesthesia. OBJECTIVE: To evaluate the feasibility, safety and efficacy of performing colostomy assisted by colonoscopy and percutaneous colopexy. MATERIALS AND METHODS: Five pigs underwent endoscopic assi...

Overtube-assisted enteroscopy and capsule endoscopy for the diagnosis of small-bowel polyps and tumors: a systematic review and meta-analysis.

Endosc Int Open.  2016 Feb;4(2):E151-63. doi: 10.1055/s-0041-108261. Epub 2016 Jan 11. Overtube-assisted enteroscopy and capsule endoscopy for the diagnosis of small-bowel polyps and tumors: a systematic review and meta-analysis. Sulbaran M 1 ,  de Moura E 1 ,  Bernardo W 1 ,  Morais C 1 ,  Oliveira J 1 ,  Bustamante-Lopez L 2 ,  Sakai P 1 ,  Mönkemüller K 3 ,  Safatle-Ribeiro A 1 . Author information Abstract BACKGROUND AND STUDY AIMS: Several studies have evaluated the utility of double-balloon enteroscopy (DBE) and capsule endoscopy (CE) for patients with small-bowel disease showing inconsistent results. The aim of this study was to determine the sensitivity and specificity of overtube-assisted enteroscopy (OAE) as well as the diagnostic concordance between OAE and CE for small-bowel polyps and tumors. PATIENTS AND METHODS: We conducted a systematic review and meta-analysis of studies in which the results of OAE were...