Publications by authors named "Julio Santoyo-Villalba"
Article Synopsis
- - Intestinal pneumatosis is a rare condition, and its link to cetuximab, a cancer treatment drug, is even rarer.
- - Documenting these unusual cases helps enhance clinical understanding and serves as a reference for future situations.
- - Publishing this information may help doctors recognize and manage this complication earlier, improving patient care.
Article Synopsis
- Lack of research on treating refractory hepatopulmonary syndrome (HPS) post-liver transplant leads to this case study that shows promising outcomes using extracorporeal membrane oxygenation (ECMO).
- A 59-year-old patient with alcohol-related liver cirrhosis faced severe hypoxemia and required intensive care, where ECMO was implemented after other therapies failed, resulting in significant recovery.
- The patient was discharged after 27 days with improved oxygen saturation and no symptoms, although he required steroids for acute rejection episodes.
Article Synopsis
- The study evaluates the implementation of an Enhanced Recovery After Surgery (ERAS) protocol in cirrhotic patients undergoing liver resection, as previous research mainly focused on patients with normal liver function.
- Data was collected from 101 adult patients, with outcomes indicating similar recovery, hospital stay, and complications between cirrhotic and non-cirrhotic patients.
- Compliance with the ERAS protocol significantly reduced complication rates, showing that using this approach in cirrhotic patients is both feasible and effective, yielding results comparable to those of standard patients.
Iatrogenic bile duct injury is a rare complication, although feared due to its morbidity and mortality. In urgent surgeries, its incidence can be doubled, so in selected cases we must assess the use of resources such as indocyanine green to minimize the risk of biliary or arterial lesions by allowing the correct identification of the structures. We present the case of a 57-year-old patient with acute cholecystitis who underwent laparoscopic cholecystectomy.
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- Reno-portal reconstruction is a surgical option for improving portal flow in liver transplants affected by complete portal thrombosis, especially when collateral veins are present.
- A 58-year-old man with cirrhosis and significant portal thrombosis underwent surgery, leading to the decision to perform a reno-portal and portoportal anastomosis to enhance blood flow, resulting in a healthy portal flow rate.
- Post-surgery, the patient showed good recovery and favorable liver function, demonstrating that combined anastomosis techniques can effectively address insufficient portal flow due to a small portal vein.
Article Synopsis
- Active infections in liver transplant recipients pose significant risks due to required immunosuppression, making them an absolute contraindication for the procedure.
- Despite successful treatments of viral infections like Influenza A in post-transplant patients, no prior cases have shown safe pre-transplant candidates with the virus.
- The mild symptoms associated with some viral infections, along with available treatments, suggest the potential for reconsidering liver transplants in selected cases with positive outcomes.
Liver involvement after abdominal blunt trauma must be expected, and in up to 30% of cases, spleen, kidney, and pancreas injuries may coexist. Whenever hemodynamics conditions do not contraindicate the overcoming of the ancient dogma according to which exploratory laparotomy should be performed after every major abdominal trauma, a CT scan has to clarify the liver lesions so as to determine the optimal management strategy. Except for complete vascular avulsion, no liver trauma grade precludes nonoperative management.
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- Acute emphysematous cholecystitis is a rare form of acute cholecystitis, occurring in about 1% of cases, marked by gas presence in the gallbladder or surrounding areas.
- It is linked to underlying conditions like arteriosclerosis, embolic events, and diabetes mellitus.
- Common bacteria associated with this condition include Streptococcus pyogenes, Escherichia coli, and Staphylococcus aureus, along with other bacteria like Proteus vulgaris and Pseudomonas aeruginosa.
Solitary fibrous tumor (SFT) is a rare neoplasm of mesenchymal origin that normally appears in the pleura; however, it has been described in other extrapleural locations. This tumor is rarely malignant and only a few cases of metastatic SFT have been described.
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- The study aimed to evaluate the effectiveness of D-MELD and BAR scores in predicting outcomes for patients who underwent liver transplants, particularly focusing on long-term survival rates.
- Researchers analyzed data from 336 patients over a 10-year period, using statistical methods to assess the predictive power of these scores for various survival milestones.
- Results showed that neither D-MELD nor BAR scores significantly predicted 5-year patient and graft survival, prompting a suggestion for the development of better scoring systems for transplant evaluation.
Article Synopsis
- The study analyzed the impact of new direct-acting antivirals (DAA) on liver transplantation (LT) for patients with hepatitis C virus (HCV) from January 2016 to August 2020.
- Out of 156 LTs, 33 (22%) were for HCV-infected patients, showing a 16% decrease compared to previous treatments with interferon/ribavirin, and the majority were due to hepatocellular carcinoma (HCC) rather than decompensated cirrhosis (DC).
- After DAA treatment, patients achieved a sustained viral response, with no significant differences in survival rates or post-surgery complications between the groups, indicating the need for further research with
Article Synopsis
- Hemoperitoneum from a non-traumatic liver rupture is uncommon, but it can happen in cases of metastatic tumors, like gastrointestinal stromal tumors (GIST).
- The article discusses a patient who experienced a liver rupture from a GIST metastasis, leading to severe instability that required emergency surgery.
- During the surgery, doctors found a large lesion on the liver and bleeding due to the rupture of metastatic liver tumors, highlighting a potential serious complication of GISTs.
Article Synopsis
- Cholangiocarcinoma is a serious liver cancer with a low survival rate, and surgery is currently the only treatment option that can cure it.
- Liver transplantation (LT) is recognized as the best treatment for another type of liver cancer, hepatocellular carcinoma, but there's potential for LT to help patients with intrahepatic cholangiocarcinoma (iCC).
- Research from a center revealed a case of successful incidental LT in an iCC patient with a 10-year survival, suggesting that updates to LT criteria could improve treatment options as donor availability increases.