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A Estefan

Publications and source records attributed to A Estefan.

5 recordsLinked to original sources
PubMed2002

Principles and strategies for teaching therapeutic responses to self-harm.

This paper explains the educational principles and strategies underpinning a nursing course offered at an Australian university. The course is entitled 'Self-harm and therapeutic responses' and explores contemporary theories and practices to improve understanding and responses to people who self-harm. The course aims to shape the practices of nurses in developing healthier clinical and social environments for people who self-harm.

Adult↗
PubMed1999

[Pancreatic and colonic simultaneous or successive resections of tumors in both organs, duodenum infiltrating colon carcinoma and pancreas tail carcinoma invading left colon. Report 10 cases].

Two patients with cancer of the right colon fistulized in duodenum underwent simultaneous right hemicolectomies and cephalic duodenopancreatectomies. There were no important post-operative complications and they are both alive eleven and ten years after surgery. In another case a piece of duodenum adherent to colon was resected and the duodenum was transversally sutured, segments IV and V of the liver were also resected because of a infiltration. The patient is well more than three years after surgery. Another similar patient who underwent resection of a part of the duodenum during a right hemicolectomy due to adenocarcinoma, developed the head of the pancreas ten months later which was resected by means of a cephalic duodenopancreatectomy. He survived the second operation for three years and a half and died with carcinomatosis. A fourth female patient who had been referred due to jaundice caused by cephalopancreatic cancer was reoperated two months later with resection of the tumor Seven months after duodenopancreatectomy she underwent another operation for resection of a bleeding cancer of the rectum by means of anterior resection. She survived for four and a half years. Cancers of body and tail of the pancreas sometimes invade the left colon and make necessary resection in the same operation. This happened in four other cases. In two of them it was necessary to resect stomach and the first jejunal loop. Respective survivals were of two years and nine months in two cases, others are 4111 alive more than two years after surgery. But the fourth case, who had an acinar carcinoma, died a month later with en hepatic metastasis which grew rapidly. The opposite happened to the tenth patient because colon cancer invaded pancreas and stomach, that were partially resected. The patient is alive two and a half years later.

Adult↗
PubMedDate not supplied

[Transhepatic intubation with double "O" tubes (author's transl)].

In biliary stenosis involving disappearance of hepatic duct, or in re-stricture of hepaticojejunostomy, there is no other solution than to reconstruction the anastomosis, stenting with transhepatic transanastomotic tubes. Until recently, we had been successfully using double transhepatic "U" tubes tied together under hepatic bifurcation. Now, however, we have adopted a variation of our technique consisting in not trying the seton tubes together and having them come out through different orifices of the jejunum. The right tube comes out of the jejunum through the middle of jejunum Roux in "Y" loop. The left tube comes out through the stump of the Roux in "Y" loop. In this manner, the tubes pull the hepaticojejunostomy transversally between them, thus preventing restricture.

Cholestasis↗