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    512 results match your criteria Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery[Journal]

    1 OF 11

    A PICTORIAL PRESENTATION OF ESOPHAGEAL HIGH RESOLUTION MANOMETRY CURRENT PARAMETERS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):69-71
    Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, USA.
    Introduction:: High resolution manometry is the current technology used to the study of esophageal motility and is replacing conventional manometry in important centers for esophageal motility with parameters used on esophageal motility, following the Chicago Classification. This classification unifies high resolution manometry interpretation and classifies esophageal disorders.

    Objective:: This review shows, in a pictorial presentation, the new parameters established by the Chicago Classification, version 3. Read More

    THE IMPACT OF THE MELD SCORE ON LIVER TRANSPLANT ALLOCATION AND RESULTS: AN INTEGRATIVE REVIEW.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):65-68
    Instituto Israelita Albert Einstein, São Paulo, SP, Brazil.
    Introduction:: Liver transplantation is intended to increase the survival of patients with chronic liver disease in terminal phase, as well as improved quality of life. Since the first transplant until today many changes have occurred in the organ allocation system.

    Objective:: To review the literature on the Model for End-stage Liver Disease (MELD) and analyze its correlation with survival after liver transplantation. Read More

    NEW TECHNIQUE FOR OBESITY SURGERY: INTERNAL GASTRIC PLICATION TECHNIQUE USING INTRAGASTRIC SINGLE-PORT (IGS-IGP) IN EXPERIMENTAL MODEL.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):60-64
    Center for Innovative Surgery (ZIC), Center for Bariatric and Metabolic Surgery, Department of General, Visceral and Transplant Surgery, Campus Virchow Klinikum and Department of General, Visceral, Vascular and Thoracic Surgery, Campus Mitte, Charité-Universitätsmedizin, Berlin, Germany.
    Background:: Bariatric surgery is currently the most effective method to ameliorate co-morbidities as consequence of morbidly obese patients with BMI over 35 kg/m2. Endoscopic techniques have been developed to treat patients with mild obesity and ameliorate comorbidities, but endoscopic skills are needed, beside the costs of the devices.

    Aim:: To report a new technique for internal gastric plication using an intragastric single port device in an experimental swine model. Read More

    LAPAROSCOPIC REPAIR OF LUMBAR HERNIA (GRYNFELT): TECHNICAL DESCRIPTION.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):56-59
    Nossa Senhora das Graças Hospital.
    Background:: Lumbar hernias are rare. Usually manifest with reducible volume increase in the post-lateral region of the abdomen and may occur in two specific anatomic defects: the triangles of Grynfelt (upper) and Petit (lower). Despite controversies with better repair, laparoscopic approach, following the same principle of the treatment of inguinal hernias, seems to present significant advantages compared to conventional/open surgeries. Read More

    ALTERNATIVE TECHNIQUE FOR CHOLECYSTECTOMY COMPARABLE TO SINGLE PORT.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):53-55
    Hospital Santa Cruz, Hospital Vita Batel and Clínica Los Angeles (Santa Cruz Hospital, Vita Batel Hospital and Los Angeles Clinic), Curitiba, PR, Brazil.
    Background:: With the advancement of laparoscopic surgery, new techniques have been proposed and disseminated in order to reduce the surgical aggression and get better cosmetic results.

    Aim:: To present alternative technique for videocholecystectomy comparable to single port technique using conventional material for laparoscopic surgery.

    Method:: Introduction of laparoscopic devices using two incisions; gallbladder traction with thread, exposition of Calot triangle, and ligature of cystic pedicle with polymer clips. Read More

    MODIFIED ALVARADO SCORE IN CHILDREN WITH DIAGNOSIS OF APPENDICITIS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):51-52
    Department of Pediatric Surgery, Imam Khomeini Hospital.
    Background:: Appendicitis is one of the most common abdominal emergency. Some predictive scoring systems are recommended to decrease the rate of negative appendectomy.

    Aim:: To evaluate sensitivity, specificity, positive predictive value, and negative predictive value of modified Alvarado score in children who underwent appendectomy. Read More

    MORTALITY OF URGENCY VERSUS ELECTIVE VIDEOLAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE CHOLECYSTITIS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):47-50
    Bahiana Medical School and Public Health, Salvador, BA, Brazil.
    Background:: Surgical approach is still controversial in patients with acute cholecystitis: to treat clinically the inflammatory process and operate electively later or to operate immediately on an emergency basis?

    Aim:: To test the hypothesis that urgent laparoscopic cholecystectomy in acute cholecystitis has a higher mortality than elective laparoscopic cholecystectomy.

    Methods:: From the data available in Datasus, mortality was compared between patients undergoing elective laparoscopic cholecystectomy for cholelithiasis and in urgency. Calculations were made of the relative reduction in risk of death, absolute reduction of risk of death and number needed to treat. Read More

    Angiolymphatic invasion as a prognostic fator in resected N0 pancreatic adenocarcinoma.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):42-46
    Discipline of Surgery of the Pancreas and Biliary System, Department of Surgery, Brotherhood of Santa Casa de São Paulo, São Paulo, SP, Brasil.
    Background:: Pancreatic adenocarcinoma remains one of the worst digestive cancers. Surgical resection is the main target when treating a patient with curative intent.

    Aim:: To assess angiolymphatic invasion as a prognostic factor in resected pN0 pancreatic cancer. Read More

    PREOPERATIVE COMPUTED TOMOGRAPHY VOLUMETRY AND GRAFT WEIGHT ESTIMATION IN ADULT LIVING DONOR LIVER TRANSPLANTATION.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):38-41
    Digestive Organ Transplantation Division, Department of Gastroenterology, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.
    Background:: Computed tomography volumetry (CTV) is a useful tool for predicting graft weights (GW) for living donor liver transplantation (LDLT). Few studies have examined the correlation between CTV and GW in normal liver parenchyma.

    Aim:: To analyze the correlation between CTV and GW in an adult LDLT population and provide a systematic review of the existing mathematical models to calculate partial liver graft weight. Read More

    ANATOMIC VARIATIONS OF HEPATIC ARTERY: A STUDY IN 479 LIVER TRANSPLANTATIONS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):35-37
    University Hospital Oswaldo Cruz, Faculty of Medical Sciences of Pernambuco University, Recife, PE, Brazil.
    Background:: The incidence of anatomic variations of hepatic artery ranges from 20-50% in different series. Variations are especially important in the context of liver orthotopic transplantation, since, besides being an ideal opportunity for surgical anatomical study, their precise identification is crucial to the success of the procedure.

    Aim:: To identify the anatomical variations in the hepatic arterial system in hepatic transplantation. Read More

    DETECTION OF OCCULT LYMPH NODE TUMOR CELLS IN NODE-NEGATIVE GASTRIC CANCER PATIENTS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):30-34
    Hospital das Clínicas.
    Background:: The presence of lymph nodes metastasis is one of the most important prognostic indicators in gastric cancer. The micrometastases have been studied as prognostic factor in gastric cancer, which are related to decrease overall survival and increased risk of recurrence. However, their identification is limited by conventional methodology, since they can be overlooked after routine staining. Read More

    DIFFERENT PROTOCOLS OF POSTCONDITIONING DOES NOT ATTENUATE MESENTERIC ISCHEMIA-REPERFUSION INJURY AFTER SHORT-TERM REPERFUSION.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):27-29
    Laboratory of Experimental Surgery, Faculty of Medicine, State University of Pará - UEPA, Belém, PA, Brazil.
    Background:: Mesenteric ischemia is a challenging diagnosis. Delay in diagnosis can lead to extent bowel necrosis and poor outcomes. Ischemia and reperfusion syndrome plays an important role in this scenario. Read More

    HYPERVASCULAR LIVER LESIONS IN RADIOLOGICALLY NORMAL LIVER.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):21-26
    Gastrocentro Clinic and Clinic for Digestive Tract Surgery and Hepato-biliary-pancreatic Surgery, Onofre Lopes University Hospital, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
    Background:: The hypervascular liver lesions represent a diagnostic challenge.

    Aim:: To identify risk factors for cancer in patients with non-hemangiomatous hypervascular hepatic lesions in radiologically normal liver.

    Method:: This prospective study included patients with hypervascular liver lesions in radiologically normal liver. Read More

    ENDOSCOPIC SLEEVE GASTROPLASTY FOR OBESITY TREATMENT: TWO YEARS OF EXPERIENCE.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):18-20
    Bariatric Endoscopy Unit, Madrid Sanchinarro University Hospital, Madrid, Spain.
    Background:: Bariatric endoscopic techniques are minimally invasive and induce gastric volume reduction to treat obesity. Aim : To evaluate endoscopic sleeve gastroplasty (Apollo method) using a suturing method directed at the greater curvature, as well as the perioperative care, two year safety and weight loss.

    Method:: Prospective single-center study over 154 patients (108 females) using the endoscopic sleeve gastroplasty procedure under general anesthesia with overnight inpatient observation. Read More

    QUALITY OF LIFE AFTER VERTICAL GASTRECTOMY EVALUATED BY THE BAROS QUESTIONNAIRE.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):14-17
    Department of Medicine, Regional University of Blumenau.
    Background:: The satisfactory outcome in the surgical treatment of obesity must include, in addition to weight loss, a significant change in the pre-existing comorbidities and in the quality of life.

    Aim:: To evaluate the quality of life in the late postoperative period in patients that underwent videolaparoscopic sleeve gastrectomy.

    Methods:: It was applied the questionnaire "Bariatric Analysis and Reporting Outcome System" (BAROS) in patients that underwent videolaparoscopic sleeve gastrectomy. Read More

    NUTRITIONAL ASPECTS AND THE USE OF NUTRITIONAL SUPPLEMENTS BY WOMEN WHO UNDERWENT GASTRIC BYPASS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):11-13
    Clínica Baretta, Curitiba, PR, Brazil.
    Background:: Bariatric surgery is deemed one of the most effective procedures for the treatment of obesity and it aims at the reduction and maintenance of weight loss in long term, as the control of the related comorbidities.

    Aim:: Quantify the occurrence of alterations of the gastrointestinal tract, suggestive signs of nutritional deficiencies and the use of supplements in a group of women undergoing bariatric surgery.

    Methods:: The sample consisted of women aged 20-65 years submitted to Roux-en-Y gastric bypass with monitoring equal to or higher than 24 months. Read More

    CHANGING PARADIGMS IN PREOPERATIVE FASTING: RESULTS OF A JOINT EFFORT IN PEDIATRIC SURGERY.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):7-10
    Faculty of Medicine, University Center of Varzea Grande, Várzea Grande, MT, Brazil.
    Background:: Current researches associate long fasting periods to several adverse consequences. The fasting abbreviation to 2 h to clear liquids associated with the use of drinks containing carbohydrates attenuates endocrinometabolic response to surgical trauma, but often is observed children advised to not intake food from 00:00 h till the scheduled surgical time, regardless of what it is.

    Aim:: To evaluate the safety of a protocol of preoperative fasting abbreviation with a beverage containing carbohydrates, and early postoperative feeding in children underwent elective small/mid-size surgical procedures during a national task-force on pediatric surgery. Read More

    PREVALENCE AND PREDICTORS OF CHANGES IN BOWEL HABITS AFTER LAPAROSCOPIC CHOLECYSTECTOMY.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):3-6
    Edmundo Vasconcelos Hospital Complex, São Paulo, SP, Brazil.
    Background:: The incidence of cholecystolithiasis is approximately 15% of the population. It is believed that between 30-40% of cholecystectomy patients have symptoms after surgery, being changes in bowel habits the most common among them.

    Aim:: 1) Defining the prevalence, and 2) identifying predictors of changes in bowel habits after laparoscopic cholecystectomy. Read More


    ROBOTIC SURGERY: BIOETHICAL ASPECTS.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):287-290
    Nucleus of Medical Sciences Studies, Dynamics Faculty of Piranga Valley, Ponte Nova, MG, Brazil.
    Introduction:: The use of robots in surgery has been increasingly common today, allowing the emergence of numerous bioethical issues in this area.

    Objective:: To present review of the ethical aspects of robot use in surgery.

    Method:: Search in Pubmed, SciELO and Lilacs crossing the headings "bioethics", "surgery", "ethics", "laparoscopy" and "robotic". Read More

    USE OF TRANEXAMIC ACID IN TRAUMA PATIENTS: AN ANALYSIS OF COST-EFFECTIVENESS FOR USE IN BRAZIL.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):282-286
    Division of Gastrointestinal Surgery and Liver and Pancreas Transplantation, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul.
    Introduction:: Use of tranexamic acid (TXA) in trauma has been the subject of growing interest by researchers and health professionals. However, there are still several open questions regarding its use. In some aspects medical literature is controversial. Read More

    TECHNOLOGICAL INFORMATION REGARDING PREBIOTICS AND PROBIOTICS NUTRITION VERSUS THE PATENT REGISTERS: WHAT IS NEW?
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):279-281
    Master of Surgery and Experimental Research, State University of Pará - UEPA, Belém, PA, Brazil.
    Introduction:: Food is a key factor both in prevention and in promoting human health. Among the functional food are highlighted probiotics and prebiotics. Patent databases are the main source of technological information about innovation worldwide, providing extensive library for research sector. Read More

    SERUM LEPTIN LEVENS AND HEPATOCELLULAR CARCINOMA: REVIEW ARTICLE.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):276-278
    Postgraduate Program in Science in Gastroenterology and Hepatology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
    Introduction:: Hepatocellular carcinoma is one of the most frequent types of malignant tumors in the world. There is growing evidence of the relationship between it development and obesity. The mechanism that links obesity to cancer is still not fully understood; however, it is essential to the understanding the adipose tissue in metabolic changes related to obesity and hepatocellular carcinoma. Read More

    GLP-2: A POORLY UNDERSTOOD MEDIATOR ENROLLED IN VARIOUS BARIATRIC/METABOLIC SURGERY-RELATED PATHOPHYSIOLOGIC MECHANISMS.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):272-275
    Department of Surgery.
    Introduction:: Glucagon-like peptide-2 (GLP-2) is a gastrointestinal hormone whose effects are predominantly trophic on the intestinal mucosa.

    Aim:: Critically evaluate the current literature on the influence of bariatric/metabolic surgery on the levels of GLP-2 and its potential clinical implications.

    Method: s: Narrative review through online research on the databases Medline and Lilacs. Read More

    AN INNOVATIVE EX-VIVO MODEL FOR RAPID CHANGE OF THE PAPILLA FOR TEACHING ADVANCED ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PROCEDURES.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):269-271
    Postgraduate Program, Departament of Surgery, University of São Paulo, São Paulo, SP, Brazi.
    Background:: Models for endoscopic retrograde cholangiopancreatography training allow practice with an expert feedback and without risks. A method to rapidly exchange the papilla can be time saving and accelerate the learning curve.

    Aim:: To demonstrate a newly method of rapid exchange papilla in ex-vivo models to teach retrograde cholangiopancreatography advanced procedures. Read More

    SEDATION IN COLONOSCOPY BY USING THREE DIFFERENT PROPOFOL INFUSION METHODS AND ANALYSIS OF PLASMA CONCENTRATION LEVELS: A PROSPECTIVE COMPARATIVE STUDY.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):264-268
    Department of Surgery.
    Background:: The propofolemia becomes directly linked to the clinical effects of this anesthetic and is the focus for studies comparing propofol clinical use, in different administration methods routinely used in endoscopy units where sedation is widely administered to patients.

    Aim:: To evaluate the effects of three different regimens of intravenous propofol infusion in colonoscopies.

    Methods:: A total of 50 patients that underwent colonoscopies were consecutively assigned to three groups: 1) intermittent bolus infusion; 2) continuous manually controlled infusion; 3) continuous automatic infusion. Read More

    CORRELATION OF NON-ALCOHOLIC FATTY LIVER DISEASE AND FEATURES OF METABOLIC SYNDROME IN MORBIDLY OBESE PATIENTS IN THE PREOPERATIVE ASSESSMENT FOR BARIATRIC SURGERY.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):260-263
    Andarai Federal Hospital, Department of Bariatric and Metabolic Surgery, Rio de Janeiro.
    Background:: Obesity is an epidemic and chronic disease that can bring other comorbidities to the patient. Non-alcoholic fatty liver disease is present in up to 90% of these patients and can progress to hepatitis and hepatocarcinoma. The relationship of this liver disease and obesity is already well known; however, it is possible that some parameters of the comorbidities are more related than others in the pathophysiology of the disease. Read More

    CORRELATION BETWEEN PRE AND POSTOPERATIVE LEVELS OF GLP-1/GLP-2 AND WEIGHT LOSS AFTER ROUX-EN-Y GASTRIC BYPASS: A PROSPECTIVE STUDY.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):257-259
    Department of Surgery.
    Background:: The role of gut hormones in glucose homeostasis and weight loss achievement and maintenance after bariatric surgery appears to be a key point in the understanding of the beneficial effects observed following these procedures.

    Aim:: To determine whether there is a correlation between the pre and postoperative levels of both GLP-1 and GLP-2 and the excess weight loss after Roux-en-Y gastric bypass (RYGB).

    Methods:: An exploratory prospective study which enrolled 11 individuals who underwent RYGB and were followed-up for 12 months. Read More

    PRELIMINARY ANALYSIS OF INTERLEUKIN-6 CHANGES IN PRE- AND POSTOPERATIVE IN DIABETIC PATIENTS WITH BMI<35 SUBMITTED TO PARTIAL DUODENAL SWITCH.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):252-256
    Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná/University Evangelic Hospital of Curitiba/Medical Research Institute, Curitiba, PR, Brazil.
    Background:: Studies related to obesity have shown association with metabolic syndrome. Data showing that obesity is capable to cause low grade chronic inflammation, without its classic signs and symptoms, call attention to researches to study different cells types and the mechanism of the inflammatory process.

    Aim:: To evaluate the variation of glycated hemoglobin (HbA1c) and the pro-inflammatory cytokine interleukin-6 (IL6) in diabetic patients with BMI <35 kg/m2 in the pre and postoperative of partial duodenal switch. Read More

    DIETARY MANAGEMENT FOR DYSLIPIDEMIA IN LIVER TRANSPLANT RECIPIENTS.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):246-251
    Postgraduate Program in Surgical Sciences.
    Background:: Dyslipidemia occurs in approximately 70% of all liver transplant (LT) recipients, and no prior control studies have demonstrated any dietary intervention to change it.

    Aim:: To analyze the effects of a dietary intervention on the lipid profile of dyslipidemic LT recipients.

    Methods:: All LT recipients with dyslipidemia on clinical follow-up were enrolled. Read More

    LIVER TRANSPLANTATION FOR CARCINOMA HEPATOCELLULAR IN SÃO PAULO: 414 CASES BY THE MILAN/BRAZIL CRITERIA.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):240-245
    Postgraduation Program in Interdisciplinary Surgical Science, Federal University of São Paulo, São Paulo, SP, Brazil.
    Background:: The criterion of Milan (CM) has been used as standard for indication of liver transplantation (LTx) for hepatocellular carcinoma (HCC) worldwide for nearly 20 years. Several centers have adopted criteria expanded in order to increase the number of patients eligible to liver transplantation, while maintaining good survival rates. In Brazil, since 2006, the criterion of Milan/Brazil (CMB), which disregards nodules <2 cm, is adopted, including patients with a higher number of small nodules. Read More

    PEDIATRIC LIVER TRANSPLANTATION WITH EX-SITU LIVER TRANSECTION AND THE APPLICATION OF THE HUMAN FIBRINOGEN AND THROMBIN SPONGE IN THE WOUND AREA.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):236-239
    Department of Surgical Gastroenterology and Liver Transplantation.
    Background:: Surgical strategy to increase the number of liver transplants in the pediatric population is the ex-situ liver transection (reduction or split). However, it is associated with complications such as hemorrhage and leaks. The human fibrinogen and thrombin sponge is useful for improving hemostasis in liver surgery. Read More

    DO PROXIMAL AND DISTAL GASTRIC TUMOURS BEHAVE DIFFERENTLY?
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):232-235
    Department of Surgery, Hospital de Clínicas de Porto Alegre; Porto Alegre, RS, Brazil.
    Background:: Although the incidence of gastric (adenocarcinoma) cancer has been decreasing over time, it is still one of the most common malignancies worldwide, and proximal tumours tend to have a worse prognosis.

    Aim:: To compare surgical outcomes and prognosis between proximal - excluding tumours of the cardia - and distal gastric cancer.

    Methods:: Out of 293 cases reviewed - 209 with distal and 69 with proximal gastric cancer - were compared for clinical and pathological features, stage, surgical outcome, mortality and survival. Read More

    EXPRESSION OF E-CADHERIN AND WNT PATHWAY PROTEINS BETACATENIN, APC, TCF-4 AND SURVIVIN IN GASTRIC ADENOCARCINOMA: CLINICAL AND PATHOLOGICAL IMPLICATION.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):227-231
    Postgraduate Program in Interdisciplinary Surgical Science, Federal University of São Paulo - UNIFESP, São Paulo, SP; Brazil.
    Background:: Gastric cancer is the fifth most frequent cancer and the third most common cause of cancer-related deaths worldwide.It has been reported that Wnt/ betacatenin pathway is activated in 30-50% of these tumors. However,the deregulation of this pathway has not been fully elucidated. Read More

    GROWTH FACTORS AND COX2 IN WOUND HEALING: AN EXPERIMENTAL STUDY WITH EHRLICH TUMORS.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):223-226
    Postgraduate Program in Interdisciplinary Surgical Science, Paulista School of Medicine, Federal University of São Paulo - UNIFESP, São Paulo, SP, Brazil.
    Background:: Healing is an innate biological phenomenon, and carcinogenesis acquired, but with common humoral and cellular elements. Carcinogenesis interferes negatively in healing.

    Aim:: To evaluate the histological changes in laparotomy scars of healthy Balb/c mice and with an Ehrlich tumor in its various forms of presentation. Read More

    INFLUENCE OF TOBACCO, ALCOHOL AND DIABETES ON THE COLLAGEN OF CREMASTER MUSCLE IN PATIENTS WITH INGUINAL HERNIAS.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):218-222
    Department of Surgery, School of Medical Sciences, State University of Campinas, UNICAMP, Campinas, SP, Brazil.
    Background:: New findings point out that the mechanism of formation of the hernias can be related to the collagenous tissues, under activity of aggressive agents such as the tobacco, alcohol and diabetes.

    Aim:: To analyze the collagen present in the cremaster muscle in patients with inguinal hernias, focusing the effect of tobacco, alcohol, and diabetes.

    Methods:: Fifteen patients with inguinal hernia divided in three groups were studied: group I (n=5) was control; group II (n=5) were smokers and/or drinkers; and group III (n=5) had diabetes mellitus. Read More

    EVALUATION OF LYMPHATIC SPREAD, VISCERAL METASTASIS AND TUMORAL LOCAL INVASION IN ESOPHAGEAL CARCINOMAS.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):215-217
    Cancer Institute of São Paulo State, São Paulo, SP, Brazil.
    Background:: Knowing esophageal tumors behavior in relationship to lymph node involvement, distant metastases and local tumor invasion is of paramount importance for the best esophageal tumors management.

    Aim:: To describe lymph node involvement, distant metastases, and local tumor invasion in esophageal carcinoma, according to tumor topography and histology.

    Methods:: A total of 444 patients with esophageal squamous cell carcinoma and 105 adenocarcinoma were retrospectively analyzed. Read More

    UNDERSTANDING THE INTERNATIONAL CONSENSUS FOR ACUTE PANCREATITIS: CLASSIFICATION OF ATLANTA 2012.
    Arq Bras Cir Dig 2016 Jul-Sep;29(3):206-210
    Catholic University of Brasília, Brasília, DF, Brazil.
    Introduction:: Contrast computed tomography and magnetic resonance imaging are widely used due to its image quality and ability to study pancreatic and peripancreatic morphology. The understanding of the various subtypes of the disease and identification of possible complications requires a familiarity with the terminology, which allows effective communication between the different members of the multidisciplinary team.

    Aim:: Demonstrate the terminology and parameters to identify the different classifications and findings of the disease based on the international consensus for acute pancreatitis ( Atlanta Classification 2012). Read More

    MANAGEMENT OF ACUTE SEVERE ULCERATIVE COLITIS: A CLINICAL UPDATE.
    Arq Bras Cir Dig 2016 Jul-Sep;29(3):201-205
    Discipline of Coloproctology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, SP, Brazil.
    Introduction:: Acute severe colitis is a potentially lethal medical emergency and, even today, its treatment remains a challenge for clinicians and surgeons. Intravenous corticoid therapy, which was introduced into the therapeutic arsenal in the 1950s, continues to be the first-line treatment and, for patients who are refractory to this, the rescue therapy may consist of clinical measures or emergency colectomy.

    Objective:: To evaluate the indications for and results from drug rescue therapy (cyclosporine, infliximab and tacrolimus), and to suggest a practical guide for clinical approaches. Read More

    LAPAROSCOPICALLY ASSISTED ANORECTOPLASTY AND THE USE OF THE BIPOLAR DEVICE TO SEAL THE RECTAL URINARY FISTULA.
    Arq Bras Cir Dig 2016 Jul-Sep;29(3):198-200
    Department of Pediatric Surgery, Federal University of Triangulo Mineiro, Uberaba, MG, Brazil.
    Background:: The anorectal anomalies consist in a complex group of birth defects. Laparoscopic-assisted anorectoplasty improved visualization of the rectal fistula and the ability to place the pull-through segment within the elevator muscle complex with minimal dissection. There is no consensus on how the fistula should be managed. Read More

    POST-REPERFUSION LIVER BIOPSY AND ITS VALUE IN PREDICTING MORTALITY AND GRAFT DYSFUNCTION AFTER LIVER TRANSPLANTATION.
    Arq Bras Cir Dig 2016 Jul-Sep;29(3):189-193
    Postgraduate Program im Sugical clinics, Healtu Sciences Sector, Federal University of Paraná, Curitiba, PR, Brazil.
    Background:: The outcome of the patients after liver transplant is complex and to characterize the risk for complications is not always easy. In this context, the hepatic post-reperfusion biopsy is capable of portraying alterations of prognostic importance.

    Aim:: To compare the results of liver transplantation, correlating the different histologic features of the hepatic post-reperfusion biopsy with graft dysfunction, primary non-function and patient survival in the first year after transplantation. Read More

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