[Transesophageal echocardiography to monitor fluid administration during the perioperative period].

Background: During the perioperative period an adequate intravascular volume must be maintained. Current recommendations overestimate perioperative volume requirements.

Aim: To compare perioperative volume administration using standard monitoring methods or guided by left ventricular filling parameters.

[Serial transverse enteroplasty for short bowel syndrome. Case report].

Among patients with short bowel syndrome, surgical small intestine lengthening techniques are employed to increase the absorptive surface. Among these, serial transverse enteroplasty involves transecting the bowel transversally, preserving the blood supply of the small intestine and creating a longer segment of bowel. We report a 51-year-old woman with a short bowel syndrome and multiple hospital admissions for complications.

[Active and refractory ulcerative proctitis: an update].

Ulcerative colitis (UC) is a chronic inflammatory disease of unknown etiology that affects a variable length of the colon, starting from the rectum. When the disease is confined to the rectum is called ulcerative proctitis (UP). Several studies have unsuccessfully attempted to determine the factors that determine the extent of involvement.

Modified loose-seton technique for the treatment of complex anal fistulas.

Aim: The aim of treatment of anal fistula is to remove the track avoiding while ensuring faecal continence. We report the results of a technique that preserves the external anal sphincter in patients with complex anal fistulas.

Method: Between 2006 and 2009, 18 patients underwent surgery for a complex anal fistula using this technique.

[Ileorectal anastomosis in the surgical treatment of ulcerative colitis: long-term results].

Background: Total colectomy with ileorectal anastomosis (IRA) is an alternative to the ileoanal pouch for the surgical treatment of ulcerative colitis in a selected group of patients. This technique leaves rectal mucosa liable to develop persistent proctitis, dysplasia and cancer.

Aim: To describe short and long-term results of IRA and to assess the presence of dysplasia.

[Ileal pouch-anal anastomosis for ulcerative colitis: complications and long term functional results].

Background: The ileo anal-pouch-anastomosis (IPAA) is the treatment of choice for patients with ulcerative colitis (UC).

Aim: To analyze the surgical outcomes, long term evolution and functional results of IPAA.

Material And Methods: All patients subjected to an IPAA, from 1984 to 2006 were identified from a prospectively constructed inflammatory bowel disease database.