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Biomedical subjects

Roberto Blanco-Benavides

Publications and source records attributed to Roberto Blanco-Benavides.

6 recordsLinked to original sources

[Boerhaave's Syndrome. Case report and literature review].

OBJECTIVE: Report of a case of spontaneous perforation of esophagus in a 70-year-old patient. BACKGROUND: Boerhaave syndrome or spontaneous esophageal perforation is a life-threatening condition that demands early diagnosis and urgent management. Without surgical intervention, spontaneous perforation of esophagus is virtually incompatible with life. The classic history is of a patient who vomits and experiences epigastric or substernal pain. Diagnosis is often delayed because esophageal perforations can masquerade as many other clinical disorders. METHODS: Report of a case of a patient with Boerhaave syndrome referred to our institution. CONCLUSION: Boerhaave syndrome is suspected on a clinical basis and confirmed with radiologic studies. As gastric content passes to mediastinum and usually pleural space, a delay in diagnosis raises morbidity and mortality significantly. This pathology is best treated with definitive repair and mediastinal and/or pleural drainage procedures.

Aged↗

[Pneumoperitoneum].

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Humans↗

[Solitary jejunal diverticulum with heterotopic gastric mucosa: diagnosis and management. A case report].

INTRODUCTION: Diverticular disease of small bowel is an uncommon entity and may be the cause of vague abdominal symptoms generally an incidental finding that occasionally require surgical therapy for resolution. METHOD: We report a case of a patient with complicated solitary jejunal diverticulum with perforation and non-Meckelean heterotopic gastric tissue that required resection, and include a review of the literature of this association. CONCLUSION: Surgical treatment of diverticular disease of the small bowel is limited to symptomatic patients with non-response to medical therapy or who have some acute complications of same.

Child↗

[Postoperative entero-cutaneous fistula].

Enterocutaneous fistulas of the digestive tract is a major catastrophe of surgical practice. In most cases, they represent serious complications of abdominal surgery. A total of 90% of cases develop of a surgical complication or injury. Despite progress in the management of fistulas, they were traditionally associated with high morbidity and mortality rates. The three major complications of fistulas have been electrolyte disturbance, malnutrition and sepsis. Complications are strongly related to anatomic site of fistula, to biochemical and electrolyte content of discharge, output, and underlying pathology. The ultimate objective in management of patients with enterocutaneous fistulas is fistula closure. In 1964, Chapman proposed management for fistulas in which a set of priorities in treatment was emphasized. Medical treatment is intended to cure (spontaneous closure) or to prepare patients for surgery. It was recognized that adequate nutritional support is an essential part of treatment of enterocutaneous fistulas. Control of sepsis is a priority because sepsis is the most common cause of death. Uncontrolled sepsis should be attacked as early as possible. Although spontaneous closure has increased in most series, it is likely that the majority of patients will require an operation and this should be performed at the proper time.

Digestive System Fistula↗