[Treatment of hemorrhoids using elastic ligation].
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Biomedical subjects
Publications and source records attributed to R Trullenque Peris.
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The development of artificial nutrition has made it possible to maintain the nutritional condition and survival of patients with large intestinal resections along with therapeutic support in certain pathological processes. As such patients have become aware of their potential and the prolonged life expectancy offered, they have increased their demands for enhanced comfort and independence. The experience with a patient with short gut syndrome following quasi-total intestinal resection due to necrosis, and with another with post-esophagocoloplasty necrosis, and the administration of intermittent outpatient total parenteral nutrition through a subcutaneous reservoir in both cases, enabled us to appreciate the advantages of the reservoir in administration of the nutrition. The ease of administration, reduced risk of infection and the positive psychological effect seen in these patients, enabled to lead a "practically normal" life, all vindicate the use of this method.
The use of venous access devices has been increased in recent years. The administration of nutrients parenterally is one of the indications for use of these devices. However, these are not free of complications, with infection and obstruction of the devices being the most common. One fo the less frequent but most feared complications, especially in those patients in whom the parenteral access route is the only access for the supply of nutrients, is that of thrombosis of the large veins. This study presents, along with the bibliographical review of the matter, the diagnostic and therapeutic procedures undertaken in a case of thrombosis of the superior vena cava, in a patient with total parenteral nutrition in the home, due to a short bowel syndrome.