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Biomedical subjects

J C Manuel Palazuelos

Publications and source records attributed to J C Manuel Palazuelos.

13 recordsLinked to original sources
PubMed1993

[Congenital cysts of the choledochus].

We describe six cases of congenital choledochal cyst of the Toddani type I. All were female, with a mean age of 33.5 years (16-52). The onset of symptoms ranged 8-192 months (mean 92.8), with an unexpected finding. Ultrasound scan was performed in five patients, with two accurate diagnoses, one suspicious and two wrong results. In two cases a C.T. was performed and the diagnosis was confirmed in both. A cholelithiasis was associated in four cases. Four patients (66.4%) were treated by cyst excision, Roux-en-Y hepaticojejunostomy and cholecystectomy, three of them as a primary procedure, and one more after failure of some derivative operations. All evolved well but one, requiring sphincterotomy and Wirsungtomy. Two patients (33.6%) were treated by cholecystectomy only, with a favourable evolution. Nevertheless, we emphasize the good results achieved with cyst excision and we recommend it as the procedure of choice.

Adolescent↗
PubMed1989

[Gastric necrosis secondary to acute gastric dilatation in children].

We present a new case of acute dilatation gastric with fundus, in a three years old girl with Beckwith Syndrome and infection respiratory disease. The diagnosis and treatment were done early we performed a Friederich of necrosis wall and simple suture. The evolution postoperative was satisfactory.

Acute Disease↗
PubMed1989

[Cancer of the gallbladder].

We present 118 cases of cancer of the gallbladder out of 4,165 operations for gallbladder disease (6.2%) compiled over a period of 18 years at the Hospital Nacional "Valdecilla". Females were predominant, 82.2%, and the mean age was 73.2 years. The most relevant clinical finding was pain in the right upper quadrant in 73.7%, and a mass at this level in 43.2%. The diagnosis was correct in 36 cases (30.5%). All patients were treated surgically; the resectability rate was 58.5% and potentially curative cholecystectomy was performed in 15.2%. The tumor was adenocarcinoma in 91.5%, one stage I of Nein, 5 stage II, 12 stage III, 33 stage IV and 67 stage V. The 5-year survival was 100% for stage I-II and 41.6% for III; stages IV-V did not survive more than a year.

Adenocarcinoma↗