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R Monferrer Guardiola

Publications and source records attributed to R Monferrer Guardiola.

9 recordsLinked to original sources

Incidence of inflammatory bowel disease in the 02 health area of Castellon (1992-1996).

OBJECTIVES: To evaluate the incidence and distribution of inflammatory bowel disease (IBD) in the 02 health area of the province of Castellon. METHODS: Retrospective study of 133 cases of inflammatory bowel disease (in 72 males and 61 females aged 13 to 86 years), diagnosed during the period from 1992 to 1996 in an eminently rural area with a population of 349,318 inhabitants. RESULTS: The incidence of IBD was 9.5 cases/100,000 inhabitants/year (6.8, 1.9 and 0.8 cases/100,000 inhabitants/year for ulcerative colitis, Crohn's disease and indeterminate colitis respectively). Incidence was similar in males and females (sex ratio 1.18:1), and average age was 40.9 years (42.6, 35.8 and 38.6 for ulcerative colitis, Crohn's disease and indeterminate colitis respectively). The predominant clinical forms were rectosigmoiditis in ulcerative colitis, granulomatous colitis and terminal colitis in Crohn's disease and proctosigmoiditis in indeterminate colitis. CONCLUSION: The incidence and the forms of presentation of IBD in the 02 health area of the province of Castellon are similar to those reported in the rest of Spain, mainly in the urban population.

Adolescent↗

[Gastric carcinoma in patients younger than 30 years of age. Report of 11 cases].

Eleven cases of gastric carcinoma occurring in patients younger than 30 years were found in a pool of 929 diagnosed in Hospital General de Castelló during the period of 1976 to 1995. Ten patients were male (10/11). The mean age was 26.9 years. In eight cases precancerous lesions were present. The mean time between diagnosis and surgery was 9 months. The most frequent location was the antrum (63.6%) and the most common histology was gastric/diffuse adenocarcinoma of signet-ring cell type (45.5%). Amplified partial gastrectomy was performed in 81.8%, with Billroth II anastomosis in 36.4%. Immediate postoperative mortality rate was 9.1% and the overall mean survival 56 months, being of 54% and 36% at two and five years, respectively.

Adult↗

[Incidence of gastric cancer in the 02 health area of Castellon].

We retrospectively reviewed 169 cases of gastric carcinoma diagnosed between 1992 and 1994 in a population of 349,318 inhabitants included in Health Zone 02 in the province of Castellon. These 169 cases correspond to an incidence ratio of 16.1 cases/100,000 inhabitants/year. Males were affected more frequently than females in a 2/1 ratio. Additionally, a male predominance exists at younger ages, however below the age of 30 the incidence in males and females was similar. Pathologic findings showed that the diffuse type gastric adenocarcinoma was more frequently encountered (57.4%) than the Lauren's intestinal type. Overall, the risk of gastric adenocarcinoma in the zones that was studied was higher than in the other two provinces of the Comunidad Valenciana.

Adult↗