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A Sitges Serra

Publications and source records attributed to A Sitges Serra.

11 recordsLinked to original sources
PubMed1990

[Upper digestive hemorrhage as a complication of postoperative reflux gastritis].

Seven cases of upper gastrointestinal hemorrhage after gastroduodenal surgery are presented; in all the cases the pyloric region had been resected or excluded. The gastritis was documented by endoscopy and/or surgery; it was located in the area proximal to the anastomosis. There were no other causes of bleeding. In five cases the hemorrhage was controlled with medical treatment. In one case it was necessary to operate on urgently. Another case was that of a recurrent hemorrhage after surgery for bleeding peptic ulcer located in the anastomosis. We emphasize the possibility of acute gross hemorrhage as a complication of reflux gastritis; the common clinical finding of previous treatment with antiinflammatory drugs; and the rarity of this lesion as the cause of gastrointestinal hemorrhage and as a complication of postoperative reflux gastritis.

Adult↗
PubMed1981

[Comments on a series of 38 cases of primary hyperparathyroidism (author's transl)].

A series of 38 cases of primary hyperparathyroidism seen at a single hospital within a four a half year period is reported. The importance of hypercalcemia in the diagnosis of this syndrome and its screening in cases of arterial hypertension, gout, osteoporosis, and families with type I multiple endocrine neoplasia are underlined. The patients in the present series had a florid clinical history with a mean duration of 14 years. Main symptoms were urolithiasis (52%), arterial hypertension (28.9%), bone involvement and pain (23.7%), and peptic ulcer (18.4%). There were a high proportion of patients with hyperuricemia (26.3%), some with classical symptoms of gout. One patient presented simultaneous pituitary and pancreatic involvement. Surgical therapy was undertaken in 25 patients, of whom 24 (96%) were cured, one of them after reoperation. There were no cases of relapse, hypoparathyroidism, or postoperative death. Surgery is the only rational and definitive form of treatment of hyperparathyroidism; both experienced surgeons and pathologists are necessary to deal with the anatomic and histologic subtleties of this interesting endocrine disorder.

Adult↗
PubMedDate not supplied

[Catheter sepsis: pathogeny and prevention with a new connection model].

A revision is made of the issue regarding sepsis related to central intravenous catheterization. A special point was made on the relevance of latest discoveries in the field of pathogenicity in order to prevent, diagnose and treat this entity. Preventive measures should be geared to avoid intralumen infection, and success may depend on new connection models and industrial preparation of nutrient mixtures. Infected catheters must be removed, but in highly selected patients local and systemic antibiotic therapy may be attempted.

Catheterization, Central Venous↗
PubMedDate not supplied

[The effect of the TPN formulation on the the metabolic response to preoperative feeding in malnourished patients].

There has long existed proof that complications and mortality in patients suffering from malnutrition can be reduced by subjecting them to parenteral nutrition prior to surgery. However, it is also true that some patients do not show an improvement, and in fact that their condition worsens after artificial forced feeding during the preoperative period. Presentation of the preliminary results of a randomized prospective study performed on two groups of patients with malnutrition who were fed with different formula of parenteral nutrition. The aim was to investigate the influence of the water, sodium and glucose content of the diet on weight gain, the balance of water and sodium and changes in the concentration of albumin. 14 patients on whom major surgery was to be performed were studied over a 10-day period. Patients with metabolic alterations were excluded. The patients were randomized and some received a standard formula of parenteral nutrition and others a modified formula. It was shown that parenteral nutrition composition may have an important effect on the nutritional response in patients suffering from malnutrition. The intravenous modified diet, formulated in accordance with theoretical weight parameters, was proved to be more advantageous compared with a formula containing standard levels of water, sodium and glucose.

Female↗