Biomedical subjects

J Baixauli

Publications and source records attributed to J Baixauli.

8 recordsLinked to original sources

PubMed2005

[The present state of esophageal laparoscopic surgery].

Laparoscopic surgery has changed the therapeutic approach in the most frequent esophageal diseases. With the excellent results in the control of symptoms and the low associated morbidity, surgical treatment is increasingly indicated in benign esophageal pathology as a superior alternative to a chronic and less efficient medical treatment. For the hiatus hernia and gastroesophageal reflux, Nissen's fundoplication by laparoscopy is the technique of choice. The best results in the treatment of achalasia are obtained with Heller's laparoscopic myotomy. This growing experience includes the resection of tumours of the esophagus combining thoracoscopy and laparoscopy with similar results to those of open surgery.

Esophageal Achalasia↗

PubMed2005

[Laparoscopic bariatric surgery: proximal gastric bypass].

The spectacular increase in the prevalence of obesity in our society and the significant complications and comorbidities that it gives rise to have stimulated the interest of scientists and public in this pathology. Surgical treatment is at present the only efficient and lasting treatment for morbid obesity and in many cases it appreciably improves, and even definitively cures, associated complications such as the case of diabetes or hypertension. Amongst the different techniques of bariatric surgery, the gastric bypass (GBP) seems to be definitively establishing itself, since it offers an excellent balance between loss of weight (>70% of the excess), surgical risk and subsequent quality of life. The possibility of carrying out this technique employing a laparoscopic approach has improved its acceptance by doctors and patients while it has made it possible to reduce morbidity and mortality, length of hospital stay and costs. Proximal GBP is carried on those patients with an BMI <60 Kg/m2; for BMI >60 Kg/m2 the GBP employed is denominated distal. Between October 2003 and November 2005, our centre performed 55 laparoscopic proximal Roux-en-Y gastric bypasses via laparoscopy. These involved 42 women and 13 males with an average age of 44 years. The average BMI was 43.5 (35-55.8). The average basal weight was 116.15 Kg. There was no peroperative mortality, nor reinterventions. The BMI after 12 months was 28.4. The average basal weight was 74.2 Kg. Laparoscopic Roux-en-Y proximal gastric bypass is a safe and efficient technique for the treatment of morbid obesity.

Adult↗

PubMed1999

Combined surgical approach for sarcoma lung metastasis with atrial involvement.

A 20-year-old patient, who had been treated for a femur sarcoma with pulmonary metastases 8 years before, arrived at our institution with a new metastatic hilar lung nodule. During the standard lobectomy procedure an unexpected atrial invasion by the tumor was discovered. Intraoperative transesophageal echocardiography (TEE) showed a big pediculated tumor in the atrium. Cardiopulmonary bypass (CPB) was required in order to safely resect the atrial wall with the tumor. The atrial defect was repaired with a pericardial patch. Postoperative course was uneventful. After 14 months, the patient is asymptomatic and free of disease.

Adult↗

PubMed1996

[Secondary hypertension of equivocal diagnosis].

Secondary hypertension (20%) is the result of specific causes and is susceptible of cure. It is uncommon, however, that in the same patient several pathological conditions which a priori could individually cause increased pressure values should coexist. A presentation if made of a patient with arterial hypertension, the study of which demonstrated the existence of homolateral adrenal tumour (corticoadenoma), renal tumour (angiomyolipoma), as well as proximal stenosis and small distal aneurism of the renal artery upper branch. An explanation is given here of the diagnostic evolution showing the images obtained, including a debate of the methodology followed and treatment performed.

Adenoma↗

PubMed1994

[Prostatic signet ring cell carcinoma].

Presentation of one case of prostate carcinoma of "signet ring" cells. Review of its clinical evolution, explaining the histological and histochemical findings, so as to contribute more data with regard to prognosis and composition of those cells. Update and comparison of various authors' views, which are explained for discussion.

Carcinoma, Signet Ring Cell↗

PubMed1994

[Testicular metastasis of prostatic carcinoma: report of a case].

Testicle metastasis from prostate cancer is uncommon and often a casual finding during necropsy or after androgen suppressive orchidectomy. A new, asymptomatic case is analyzed, illustrating the various dissemination pathways that could explain this type of metastasis, according to several authors. Also, a description and histological corroboration of the case are included.

Adenocarcinoma↗

PubMedDate not supplied

[Follow-up of breast cancer: review of 750 cases after 5 years].

Recurrence of breast cancer can present in very small tumors even 20 years after initial treatment. Periodic revision of all the operated population during a long time will be necessary to detect all the recurrences. For this the cost-benefit relation of follow-up in breast cancer is a controversial topic. We present our results in 750 cases of breast cancer operated from 1980 and submitted to a follow-up protocol during five years. We analyzed the value of follow-up for the discovery of metastases, local recurrence after conservative treatment and after mastectomy. Finally we considered the usefulness of early diagnosis of familial breast cancer and cancer in the contralateral breast. Metastases was discovered in asymptomatic patients in 68%, which could improve the survival. Recurrence after mastectomy was seen in 1.3% of the patient and a half of these after treatment presented survival superior to 3 years. Follow-up favours early diagnosis and could have influence on survival.

Breast Neoplasms↗

PubMedDate not supplied

[Role of surgery in the treatment of primary gastric lymphoma].

Primary gastric lymphoma's optimum management remains controversial. We reviewed our series of 23 patients with primary gastric lymphoma treated in our hospital between 1976 and 1998 with surgery as main therapy. Ten patients underwent surgical resection alone, whereas 13 also received postoperative adjuvant therapy, depending on the oncologist-haematologist's recommendations. No differences were found between treatments regarding mortality and morbidity. Clinical-histological features and patients, follow-up are analyzed. No patient died because of lymphoma and there wasn't either local or distant recurrence. We consider that surgery remains a valid option for the primary gastric lymphoma treatment. The introduction of combined modalities of radiation therapy and chemotherapy will depend on the final stage, the tumor histological features, and the feasibility of getting a radical resection.

Adult↗