Publications by authors named "Manuela Elia Guedea"
Surgical treatment for colorectal cancer: analysis of the influence of an enhanced recovery programme on long-term oncological outcomes-a study protocol for a prospective, multicentre, observational cohort study.
BMJ Open
October 2020
Article Synopsis
- The study investigates whether Enhanced Recovery After Surgery (ERAS) protocols can improve long-term health outcomes, specifically focusing on 5-year survival rates for colorectal cancer patients.
- It involves a multicenter approach with 12 hospitals participating, comparing a group of patients who receive high-level ERAS implementation against those who do not.
- The research will utilize various cancer survival indicators and quality of life assessments, applying statistical methods to analyze results and determine the effectiveness of ERAS on patient outcomes.
Antecedentes: La colitis actínica es una endarteritis obliterante ocasionada por exposición a radiación ionizante. Se manifiesta de manera aguda (primeras semanas) o crónica (hasta 30 años después).
Caso ClÍnico: Paciente tratado por neoplasia rectal mediante quimiorradioterapia y amputación abdominoperineal.
Introduction: Surgical site infection (SSI) can be as high as 30% in patients undergoing colorectal surgery and is associated with an increase in morbidity and mortality. The aim of this study is to evaluate the impact of a set of simple preventive measures that have resulted in a reduction in surgical site infection in colorectal surgery.
Applied Method: Prospective study with two groups of patients treated in the colorectal unit of the "Clinico Universitario Lozano Blesa" hospital in Zaragoza.
Background: The use of a new chemotherapy as adjuvant treatment of colorectal cancer is not free of complications. Monoclonal antibodies are associated with bleeding and intestinal perforations.
Objective: To report the case of a patient who developed a serious complication after treatment with an antiangiogenic drug for colorectal neoplasm.
Background: The incidence of anastomotic stricture varies due to the different definitions given to the condition. In most cases they are asymptomatic, and if there are symptoms, they are usually those of a partial intestinal obstruction.
Case Report: The case is presented of an 80 year old patient who underwent a lower anterior resection for rectal neoplasm.
Introduction: Major Ambulatory Surgery (MAS) units are becoming increasingly important and require correct management. One of the principal improvement parameters in hospital management policy is the rate of cancellations of elective surgery.
Material And Method: We designed a retrospective, observational study by selecting all the patients operated on in our MAS unit from 1995 to 2009: 16.
Introduction: Biliopancreatic diversion by Scopinaro (BD) is a mixed (malabsortive and restrictive) bariatric technique that is successful in achieving long lasting weight lost in super obese patients. In fact, the diarrhoea (steatorrhea) that is expected after any malabsortive technique can sometimes cause significant nutritional changes and anal disease: these patients are frequently referred to our coloproctology outpatient clinic due to haemorrhoids, fissures, anal sepsis and fistula basically due to changes in quality and quantity of their faeces. The aim of this paper is to find out not only the prevalence of anal disease in our series of super obese surgical patients but also to compare the incidence between the two surgical techniques we perform in our department.
View Article and Find Full Text PDFBackground: Gastric restrictive procedures, currently the most popular surgical operations for morbid obesity, have proved to be effective in initiating weight loss, but questions regarding their long-term efficacy in weight maintenance have arisen. Biliopancreatic diversion (BPD) is a mixed and complex technique that has shown good long-term results. There are no series with long-term follow-up of BPD in Spain.
View Article and Find Full Text PDFBackground: Long-term follow-up is important in the evaluation of results of bariatric operations. The authors followed vertical banded gastroplasty (VBG) in an ongoing database.
Methods: From 1986 to 1999, 123 VBGs were performed in one surgical ward.
Background: Operations for morbid obesity that are effective in inducing weight loss improve blood pressure, glycemic control and dyslipidemia. Our purpose was to study the effectiveness of VBG in improving hypertension, diabetes and dyslipidemias in morbidly obese patients.
Methods: Retrospective analysis of a cohort of 80 morbidly, obese patients was conducted.