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J Alvarez Caperochipi

Publications and source records attributed to J Alvarez Caperochipi.

9 recordsLinked to original sources
PubMed1989

[Spontaneous cholecystocolonic fistulas. Presentation of 5 cases].

From 1979 to 1987, 5 patients with cholecystocolonic fistula were operated on in our service, which represents 25% of a total of 20 external biliodigestive fistulas complied over this period. Admission was as an emergency in 4 of the 5 patients (80%), and in one for elective programmed surgery. External biliodigestive fistula was suspected in 3 patients (60%) and biliocolonic fistula in one (20%), on observing aerobilia and leakage of contrast into the hepatic angle of the colon. On two occasions (40%) associated choledocholithiasis was detected, by means of echographic study in one case and intraoperative cholangiography in the other. Antecedents of biliary pathology were present in 3 of our 5 observations (60%), with a mean time of evolution of 12 years.

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PubMed1989

[Colonic surgery in the elderly. Comparative study with other age groups].

From 1980 to 1986, 569 patients with colonic disease underwent surgery in the General Surgery Service of "Nuestra Sra. de Aránzazu" Hospital, 131 of them over 75 and representing 23% of the total. In this group, neoplasms were the most common lesion, for a total of 108 cases (83.2%). Among nontumoral diseases, half corresponded to diverticula. Colonic surgery was practiced as an emergency in 35.87% of the cases and in 72.7% of the non-neoplastic lesions, with an overall operative mortality of 28 patients (21.37%). We analyze the distribution of the different lesions of the colon, the urgency of the operation and operative mortality as related to age, evaluating the limitations in elderly patients and their increased surgical risk.

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PubMedDate not supplied

[Preoperative nutritional status in geriatric patients with digestive neoplasm].

Between October 1987 and January 1989, a prospective study was performed on the nutritional state of 100 elderly patients aged 65 and over, with digestive neoplasia. We found that 47% were suffering from malnutrition. This was associated to greater postoperative complications and mortality, and prealbumin and weight-loss percentages were the nutritional parameters most often altered, and which showed better correlations to the development of postoperative complications. Based on these two parameters, we prepared a classification system for these patients, dividing them into three surgical risks groups from the nutritional standpoint, which enabled us to select those patients who would most benefit from preoperative nutritional support, and evaluate the effectiveness of this treatment in reducing postoperative complications and mortality, by means of a corresponding prospective study.

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