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Protothecal bursitis after simultaneous kidney/liver transplantation: a case report and review / Isabel Cristina Ramírez Sánchez ; John Fredy Nieto Ríos ; Catalina Ocampo Kohn ; Arbey Aristizabal Álzate ; Gustavo Adolfo Zuluaga Valencia ; Octavio Germán Muñoz Maya ; Juan Camilo Pérez Cadavid  

Público ISBD Título : Protothecal bursitis after simultaneous kidney/liver transplantation: a case report and review Tipo de documento : documento electrónico Autores : Isabel Cristina Ramírez Sánchez, ; John Fredy Nieto Ríos, ; Catalina Ocampo Kohn, ; Arbey Aristizabal Álzate, ; Gustavo Adolfo Zuluaga Valencia, ; Octavio Germán Muñoz Maya, ; Juan Camilo Pérez Cadavid, Fecha de publicación : 2016 Títulos uniformes : Transplant Infectious Disease Idioma : Inglés (eng) Palabras clave : Prototheca  olecranon bursitis  transplant  antifungals  surgery Resumen : Solid organ transplantation is an accepted therapy for end‐stage diseases of the kidneys, liver, heart, and lungs. Unfortunately, transplantation is associated with infectious complications. Here, we present a case report of Prototheca wickerhamii olecranon bursitis and review all of the cases in solid organ transplant (SOT) recipients published in the literature to date. In our patient, the infection resolved with surgical therapy and limited antifungal therapy, and no symptoms have recurred over 24 months of follow‐up. A review of the literature suggests that 50% of SOT recipients with Prototheca infection present with disseminated infection, and the overall mortality is 75%. More studies are required to determine the optimal management of protothecosis in this population. Mención de responsabilidad : I Ramírez, J F Nieto-Ríos, C Ocampo-Kohn, A Aristizábal-Alzate, G Zuluaga-Valencia, O Muñoz Maya, J C Pérez Referencia : Transpl Infect Dis. 2016 Apr;18(2):266-74. DOI (Digital Object Identifier) : 10.1111/tid.12496 PMID : 26779785 En línea : https://onlinelibrary.wiley.com/doi/abs/10.1111/tid.12496 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3992 Protothecal bursitis after simultaneous kidney/liver transplantation: a case report and review [documento electrónico] / Isabel Cristina Ramírez Sánchez, ; John Fredy Nieto Ríos, ; Catalina Ocampo Kohn, ; Arbey Aristizabal Álzate, ; Gustavo Adolfo Zuluaga Valencia, ; Octavio Germán Muñoz Maya, ; Juan Camilo Pérez Cadavid,  . - 2016. Obra : Transplant Infectious Disease Idioma : Inglés (eng) Palabras clave : Prototheca  olecranon bursitis  transplant  antifungals  surgery Resumen : Solid organ transplantation is an accepted therapy for end‐stage diseases of the kidneys, liver, heart, and lungs. Unfortunately, transplantation is associated with infectious complications. Here, we present a case report of Prototheca wickerhamii olecranon bursitis and review all of the cases in solid organ transplant (SOT) recipients published in the literature to date. In our patient, the infection resolved with surgical therapy and limited antifungal therapy, and no symptoms have recurred over 24 months of follow‐up. A review of the literature suggests that 50% of SOT recipients with Prototheca infection present with disseminated infection, and the overall mortality is 75%. More studies are required to determine the optimal management of protothecosis in this population. Mención de responsabilidad : I Ramírez, J F Nieto-Ríos, C Ocampo-Kohn, A Aristizábal-Alzate, G Zuluaga-Valencia, O Muñoz Maya, J C Pérez Referencia : Transpl Infect Dis. 2016 Apr;18(2):266-74. DOI (Digital Object Identifier) : 10.1111/tid.12496 PMID : 26779785 En línea : https://onlinelibrary.wiley.com/doi/abs/10.1111/tid.12496 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3992

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Is elective neck dissection indicated during salvage surgery for head and neck squamous cell carcinoma? / Álvaro Enrique Sanabria Quiroga  

Público ISBD Título : Is elective neck dissection indicated during salvage surgery for head and neck squamous cell carcinoma? Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, Fecha de publicación : 2014 Títulos uniformes : European Archives of Oto-rhino-laryngology Idioma : Inglés (eng) Palabras clave : Head and neck squamous cell carcinoma  neck dissection  chemoradiotherapy  surgery  salvage Resumen : Among patients with head and neck squamous cell carcinoma with a negative neck who are initially treated with (chemo)radiotherapy, a number of cases will recur locally without obvious neck recurrence. There is little information available as to the most efficacious management of the neck in these cases. We have reviewed the literature to see what conclusions can be drawn from previous reports. We conducted a bibliography search on MEDLINE and EMBASE databases. Studies published in the English language and those on squamous cell carcinoma of the oral cavity, nasopharynx, oropharynx, larynx and hypopharynx were included. Data related to neck management were extracted from the articles. Twelve studies satisfied the inclusion criteria. Five studies reported only one treatment plan (either neck dissection or observation), while the others compared neck dissection to observation. The rate of occult metastases ranged from 3.4 to 12 %. The studies included a variable distribution of primary sites and stages of the recurrent primary tumors. The risk of occult neck node metastasis in a clinically rN0 patient correlated with tumor site and T stage. Observation of the neck can be suggested for patients with T1-2 glottic tumors, who recurred with less advanced tumors (rT1-2). For patients with more advanced laryngeal recurrences or recurrence at other high-risk sites, neck dissection could be considered for the rN0 patient, particularly if the neck was not included in the previous radiation fields. Mención de responsabilidad : Alvaro Sanabria, Carl E Silver, Kerry D Olsen, Jesus E Medina, Marc Hamoir, Vinidh Paleri, Vanni Mondin, Alessandra Rinaldo, Juan P Rodrigo, Carlos Suárez, Carsten C Boedeker, Michael L Hinni, Luiz P Kowalski, Afshin Teymoortash, Jochen A Werner, Robert P Takes, Alfio Ferlito Referencia : Eur Arch Otorhinolaryngol. 2014 Dec;271(12):3111-9. DOI (Digital Object Identifier) : 10.1007/s00405-014-2893-x PMID : 24515917 En línea : https://link.springer.com/article/10.1007%2Fs00405-014-2893-x Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3775 Is elective neck dissection indicated during salvage surgery for head and neck squamous cell carcinoma? [documento electrónico] / Álvaro Enrique Sanabria Quiroga,  . - 2014. Obra : European Archives of Oto-rhino-laryngology Idioma : Inglés (eng) Palabras clave : Head and neck squamous cell carcinoma  neck dissection  chemoradiotherapy  surgery  salvage Resumen : Among patients with head and neck squamous cell carcinoma with a negative neck who are initially treated with (chemo)radiotherapy, a number of cases will recur locally without obvious neck recurrence. There is little information available as to the most efficacious management of the neck in these cases. We have reviewed the literature to see what conclusions can be drawn from previous reports. We conducted a bibliography search on MEDLINE and EMBASE databases. Studies published in the English language and those on squamous cell carcinoma of the oral cavity, nasopharynx, oropharynx, larynx and hypopharynx were included. Data related to neck management were extracted from the articles. Twelve studies satisfied the inclusion criteria. Five studies reported only one treatment plan (either neck dissection or observation), while the others compared neck dissection to observation. The rate of occult metastases ranged from 3.4 to 12 %. The studies included a variable distribution of primary sites and stages of the recurrent primary tumors. The risk of occult neck node metastasis in a clinically rN0 patient correlated with tumor site and T stage. Observation of the neck can be suggested for patients with T1-2 glottic tumors, who recurred with less advanced tumors (rT1-2). For patients with more advanced laryngeal recurrences or recurrence at other high-risk sites, neck dissection could be considered for the rN0 patient, particularly if the neck was not included in the previous radiation fields. Mención de responsabilidad : Alvaro Sanabria, Carl E Silver, Kerry D Olsen, Jesus E Medina, Marc Hamoir, Vinidh Paleri, Vanni Mondin, Alessandra Rinaldo, Juan P Rodrigo, Carlos Suárez, Carsten C Boedeker, Michael L Hinni, Luiz P Kowalski, Afshin Teymoortash, Jochen A Werner, Robert P Takes, Alfio Ferlito Referencia : Eur Arch Otorhinolaryngol. 2014 Dec;271(12):3111-9. DOI (Digital Object Identifier) : 10.1007/s00405-014-2893-x PMID : 24515917 En línea : https://link.springer.com/article/10.1007%2Fs00405-014-2893-x Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3775

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Laparoscopic management of gastric gastrointestinal stromal tumors / Álvaro Enrique Sanabria Quiroga ; Juan Camilo Correa Cote    

Público ISBD Título : Laparoscopic management of gastric gastrointestinal stromal tumors Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, ; Juan Camilo Correa Cote, Fecha de publicación : 2014 Títulos uniformes : World Journal of Gastrointestinal Endoscopy Idioma : Inglés (eng) Palabras clave : Gastrointestinal stromal tumors  Laparoscopy  Surgery  Stomach  Gastrectomy Resumen : Gastrointestinal stromal tumors (GISTs) are the most frequent gastrointestinal tumors of mesodermal origin. Gastric GISTs represent approximately 70% of all gastrointestinal GISTs. The only curative option is surgical resection. Many surgical groups have shown good results with the laparoscopic approach. There have not been any randomized controlled trials comparing the open vs laparoscopic approach, and all recommendations have been based on observational studies. The experience obtained from gastric laparoscopic surgery during recent decades and the development of specific devices have allowed the treatment of most gastric GISTs through the laparoscopic approach. Mención de responsabilidad : Juan Correa-Cote, Carlos Morales-Uribe, Alvaro Sanabria Referencia : World J Gastrointest Endosc. Jul 2014;6(7):296-303. DOI (Digital Object Identifier) : 10.4253/wjge.v6.i7.296 Derechos de uso : CC BY-NC En línea : https://www.wjgnet.com/1948-5190/full/v6/i7/296.htm Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3820 Laparoscopic management of gastric gastrointestinal stromal tumors [documento electrónico] / Álvaro Enrique Sanabria Quiroga, ; Juan Camilo Correa Cote,  . - 2014. Obra : World Journal of Gastrointestinal Endoscopy Idioma : Inglés (eng) Palabras clave : Gastrointestinal stromal tumors  Laparoscopy  Surgery  Stomach  Gastrectomy Resumen : Gastrointestinal stromal tumors (GISTs) are the most frequent gastrointestinal tumors of mesodermal origin. Gastric GISTs represent approximately 70% of all gastrointestinal GISTs. The only curative option is surgical resection. Many surgical groups have shown good results with the laparoscopic approach. There have not been any randomized controlled trials comparing the open vs laparoscopic approach, and all recommendations have been based on observational studies. The experience obtained from gastric laparoscopic surgery during recent decades and the development of specific devices have allowed the treatment of most gastric GISTs through the laparoscopic approach. Mención de responsabilidad : Juan Correa-Cote, Carlos Morales-Uribe, Alvaro Sanabria Referencia : World J Gastrointest Endosc. Jul 2014;6(7):296-303. DOI (Digital Object Identifier) : 10.4253/wjge.v6.i7.296 Derechos de uso : CC BY-NC En línea : https://www.wjgnet.com/1948-5190/full/v6/i7/296.htm Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3820

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Documentos electrónicos

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Which percutaneous tracheostomy method is better? A systematic review / Álvaro Enrique Sanabria Quiroga  

Público ISBD Título : Which percutaneous tracheostomy method is better? A systematic review Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, Fecha de publicación : 2014 Títulos uniformes : Respiratory Care Idioma : Inglés (eng) Palabras clave : Tracheostomy  meta-analysis  intensive care  surgery  minimally invasive surgical procedures Resumen : Background: The aim of this study was to assess the different methods of percutaneous tracheostomy in terms of successful performance of the tracheostomy as well as safety. Tracheostomy is the most common procedure performed on the airway for patients in ICUs. Lately, several methods of percutaneous tracheostomy (multiple dilator, progressive dilator, forceps dilation, screw-like dilation, balloon dilation, and translaryngeal) have been described, with theoretical advantages, but there is no consensus about which is better. Methods: A systematic review with critical appraisal of the literature was done. Literature in multiple databases was searched. Randomized controlled trials comparing different tracheostomy methods were selected. Clinical and methodological characteristics were assessed. A meta-analysis using fixed effect models was planned for statistically homogeneous outcomes. Results: Fourteen randomized controlled trials were included, most of them with small sample sizes and with comparisons of multiple methods. Blue Rhino methods were less difficult for surgeons (risk difference of 14.7% [95% CI 8–21.5]) and had more minor bleeding events (risk difference of −6.3% [95% CI −13.58 to 0.8]). There were no differences in major bleeding events. Statistically, heterogeneity and lack of data impede comparison with other outcomes. Conclusion: The Blue Rhino method is less difficult and has more minor bleeding events, but physicians also have more experience with this technique. However, trials are underpowered to define the best method. Mención de responsabilidad : Alvaro Sanabria Referencia : Respir Care. 2014 Nov;59(11):1660-70. DOI (Digital Object Identifier) : 10.4187/respcare.03050 PMID : 25185145 En línea : http://rc.rcjournal.com/content/59/11 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3760 Which percutaneous tracheostomy method is better? A systematic review [documento electrónico] / Álvaro Enrique Sanabria Quiroga,  . - 2014. Obra : Respiratory Care Idioma : Inglés (eng) Palabras clave : Tracheostomy  meta-analysis  intensive care  surgery  minimally invasive surgical procedures Resumen : Background: The aim of this study was to assess the different methods of percutaneous tracheostomy in terms of successful performance of the tracheostomy as well as safety. Tracheostomy is the most common procedure performed on the airway for patients in ICUs. Lately, several methods of percutaneous tracheostomy (multiple dilator, progressive dilator, forceps dilation, screw-like dilation, balloon dilation, and translaryngeal) have been described, with theoretical advantages, but there is no consensus about which is better. Methods: A systematic review with critical appraisal of the literature was done. Literature in multiple databases was searched. Randomized controlled trials comparing different tracheostomy methods were selected. Clinical and methodological characteristics were assessed. A meta-analysis using fixed effect models was planned for statistically homogeneous outcomes. Results: Fourteen randomized controlled trials were included, most of them with small sample sizes and with comparisons of multiple methods. Blue Rhino methods were less difficult for surgeons (risk difference of 14.7% [95% CI 8–21.5]) and had more minor bleeding events (risk difference of −6.3% [95% CI −13.58 to 0.8]). There were no differences in major bleeding events. Statistically, heterogeneity and lack of data impede comparison with other outcomes. Conclusion: The Blue Rhino method is less difficult and has more minor bleeding events, but physicians also have more experience with this technique. However, trials are underpowered to define the best method. Mención de responsabilidad : Alvaro Sanabria Referencia : Respir Care. 2014 Nov;59(11):1660-70. DOI (Digital Object Identifier) : 10.4187/respcare.03050 PMID : 25185145 En línea : http://rc.rcjournal.com/content/59/11 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3760

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