[Mirizzi syndrome: experience at Spanish Hospital of Veracruz].

Background: Mirizzi syndrome is a complication of gallbladder stones impacted in Hartmann's pouch or cystic duct with compression of the bile duct. The diagnosis is made by imaging studies, although most of them are found through intraoperative surgical findings. Treatment is cholecystectomy and bile duct restoration when needed.

Heller myotomy and laparoscopic fundoplication in achalasia. A retrospective experience.

Background: Laparoscopic myotomy associated with fundoplication is a useful therapeutic resource for the treatment of achalasia. The aim of the study was to analyze the outcomes of the surgical treatment of achalasia in a group of patients treated at the Hospital Naval de la Secretaría de Marina and at the Hospital Español in Veracruz during a 6-year period.

Methods: Eleven patients were submitted to myotomy and fundoplication.

Routine liver biopsy to screen for nonalcoholic fatty liver disease (NAFLD) during cholecystectomy for gallstone disease: is it justified?

Background: Nonalcoholic fatty liver disease (NAFLD) and gallstone disease (GD) share common risk factors. There are no firm recommendations regarding screening of NAFLD in patients at risk. Our aim was to assess the prevalence of and factors associated with NAFLD in a cohort of patients operated for symptomatic GD and evaluate the usefulness of routine liver biopsy.

[Frequency and clinical, biochemical and histological characteristics of nonalcoholic fatty liver disease in patients with gallstone disease].

Background: In 1980, nonalcoholic fatty liver disease (NALFD) was described. It is related to the genesis of gallstones and is considered as a manifestation of the metabolic syndrome. In order to determine the frequency, anatomoclinical characteristics and biochemical and histological alterations in NAFLD, patients underwent cholecystectomy (GD).

[Safety of laparoscopic cholecystectomy in complicated vesicular disease].

Objective: We assessed the experience and safety of cholecystectomy through laparoscopic approach in patients with complicated biliary gallbladder disease who were attended at the Hospital Español, Veracruz, Mexico, during a 10-year period.

Material And Methods: A prospective, longitudinal, comparative study with a control group was designed. We studied a group of patients with complicated cholelithiasis disease (Group I) and compared them with patients without complicated diseases.