Publications by authors named "A Martinez-Esteban"

Article Synopsis
  • The study compares the classic Whipple procedure to the pylorus-sparing Transverso-Longmire technique, focusing on postoperative complications, specifically delayed gastric emptying (DGE).
  • Among 97 patients, the classic Whipple showed significantly better outcomes with lower DGE rates, shorter hospital stays, and fewer readmissions compared to the pylorus-sparing technique.
  • While the pylorus-sparing method had a lower incidence of bile leaks, it was linked to higher rates of DGE and overall hospital admissions, suggesting the need for careful patient selection and monitoring.
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Objectives: To assess the efficacy and safety of simple open versus laparoscopic nephrectomies for treating benign renal pathologies, with a focus on comparing the prevalence of surgical complications at a first-level center in Mexico City.

Methods: A retrospective analysis spanning 2010-2020 was conducted where all patients undergoing simple nephrectomy for benign conditions were included and stratified into open and laparoscopic surgery groups. Variables analyzed included urological history, laboratory findings, surgical outcomes, complications, and histopathological results.

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Median arcuate ligament syndrome (MALS), also known as Dunbar syndrome, is a rare but significant cause of chronic abdominal pain resulting from the extrinsic compression of the celiac trunk. This condition typically manifests with symptoms such as postprandial pain, nausea, vomiting, and weight loss, often leading to a diagnostic challenge due to its mimicry of other abdominal disorders. Diagnosis is based on exclusion and requires a high index of suspicion combined with precise imaging findings.

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Incidentalomas, or tumors found incidentally, are very common. However, pancreatic tumors are usually not found as incidentalomas. To date, these tumors represent a diagnostic and therapeutic challenge, since the risks and benefits associated with surgeries that can be performed to remove these tumors must be evaluated due to perioperative complications.

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Systemic infections are not always going to present as we expect. The study of bacteremia and febrile syndrome represents one of the most important diagnostic challenges nowadays. This case demonstrates the importance of a multidisciplinary approach and finding a common point that explains all the patient's symptoms, no matter how disconnected they may seem.

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