Appreciation of the treatment in adult patients with congenital portosystemic connections in relation with their symptoms.

Background: portosystemic intrahepatic venous connections (Abernethy syndrome) are rare anatomical variants, which are classified according to the type of union between the portal venous circulation and the central venous system. In adults, the diagnosis is often incidental, although some cases can be presented with an encephalopathy without associated liver disease.

Case Reports: here we present two cases of portosystemic shunt, one with encephalopathy development, and the other casually caught.

[Surgical indications in gallbladder polyps].

Introduction: The surgery of gallbladder polyps is not well defined due to the lack of evidence-based clinical guidelines.

Objective: To analyse the management of polyps in Spain, and a review of the literature and treatment standards.

Material And Methods: The reports on cholecystectomy with gallbladder polyps (GBP) were extracted from the Pathology data base.

[Gallbladder cancer in a regional hospital].

Objectives: To assess the management of gallbladder cancer (GBC) in our region.

Material And Methods: Data on 372 patients who underwent cholecystectomy were identified from our database (January 2003 to February 2008) and 6 patients were found to have GBC.

Results: Four patients had incidental carcinoma, one case was preoperatively suspected, and one patient presented with jaundice and locally advanced neoplasia.

[Decrease of serum cholinesterase in colorectal cancer].

Background And Objective: Cholinesterase is an enzyme with an unknown physiologic function. Some situations are related to a decreased serum cholinesterase activity but those situations are not well defined and the responsible mechanisms are unknown. Malignancy is one of these situations.