Publications by authors named "Maria Perez Reyes"

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.
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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.
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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.
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Objetivo: Conocer la prevalencia de desarrollo infantil temprano (DIT), sus determinantes y la exposición a métodos de disciplina en la niñez mexicana en 2022. Material y métodos. Se estimaron los indicadores de DIT, sus determinantes y la exposición a métodos de disciplina siguiendo la metodología de las Encuestas de Indicadores por Conglomerados (MICS).

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Objetivo: Conocer las prevalencias nacionales de dificultad del funcionamiento de niñas, niños, adolescentes y adultos. Material y métodos. La Encuesta Nacional de Salud y Nutrición 2022 utilizó los módulos de discapacidad del Fondo de las Naciones Unidas para la Infancia (Unicef) y el Grupo Washington.

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Article Synopsis
  • 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.
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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.
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Background: Primary graft dysfunction is a common postoperative complication, lacking consensus regarding diagnostic criteria. Olthoff criteria are the most used, based on blood parameters in the first 7 postoperative days. This lack of consensus and late diagnosis evidence the need of early parameters.

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Background: The increase of quality of life, the improvement in the perioperative care programs, the use of the frailty index, and the surgical innovation has allowed to access of complex abdominal surgery for elderly patients like liver resection. Despite of this, in patients aged 70 or older there is a limitation for the implementation ERAS protocolos. The aim of this study is to evaluate the implementation ERAS protocol on elderly patients (≥70 years) undergoing liver resection.

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Background: Liver transplantation (LT) is a curative treatment for patients with hepatocellular carcinoma who are not candidates for resection. Despite the generalized use of the Milan criteria and up-to-seven criteria, new markers have been proposed to predict recurrence after LT. Biomarkers such as neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR), and scores such as the Model of Recurrence After Liver transplantation (MORAL) are used as predictors of post-LT recurrence.

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Biliary complications after liver transplantation have a high incidence of and a significant impact on morbidity and mortality. The primary aim of this study was to assess the influence of bile duct diameter on biliary complications and to determine whether a critical diameter for such complications could be determined. The secondary aim was to identify additional factors associated with biliary complications.

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