Robert Glynne-Jones (Consultant clinical oncologist) Barnet Hospital – London, United Kingdom Treatment for rectal cancer patients is constantly evolving towards a highly tailored approach. An updated and multidisciplinary team of specialists should work together in order to achieve this. The goal is to offer the best treatment with the lowest toxicity rate. In this lecture, […]
Antonio M Lacy (Director of Department of Gastrointestinal Surgery) Ainitze Ibarzabal (Gastrointestinal Surgery Senior Specialist) The typical case is a patient who has undergone a Roux-n-Y gastric bypass. After losing weight these patients may present intermittent abdominal pain and distension. The CT-Scan with oral contrast may reveal a change in the gouge of the gut, […]
A 62 year-old female with morbid obesity BMI 42 Kg/m2, T2DM, obstructive sleep apnea syndrome and autoimmune hepatitis underwent a sleeve gastrectomy. At 1 year of follow up she presented insufficient weight lost (18 Kg <50% EWL), persistence of comorbidities and osteopenia. Will you perform revisional bariatric surgery?
Mario Pagès (Radiology consultant) Hospital Clínic, Barcelona – Spain This video shows the investigation sequence in a patient diagnosed with colon cancer and suspected peritoneal carcinomatosis. She is a 40-year-old female with no drug allergies or toxic habits. There was only one episode of mild pancreatitis during pregnancy and a caesarean. She presented constipation and […]
Salvadora Delgado (Gastrointestinal surgery senior consultant) Dulce Momblán (Gastrointestinal surgery specialist) Hospital Clínic, Barcelona – Spain Case A 62-year-old male patient with a history of high blood pressure (treated with two drugs), a coronary angioplasty due to ischemic heart disease (twice), and an open cholecystectomy. He suffered from morbid obesity with a BMI of 50.9 […]
David Kerr (Consultant physician and Professor of Cancer Medicine) John Radcliffe Hospital, University of Oxford, Oxford – United Kingdom Colorectal cancer patients may require adjuvant therapy depending on the biology and stage of the resected tumor. The ideal scenario is tailoring chemotherapy, obtaining the highest benefit. Use of the biomarker test provides robust data for […]
Salvadora Delgado (Gastrointestinal surgery senior consultant) Ricard Corcelles (Gastrointestinal Surgery consultant) Hospital Clínic, Barcelona – Spain Case A 34-year-old male with a previous history of Crohn’s disease controlled with Infliximab was admitted to the hospital due to abdominal pain and fever. A CT scan and a colonoscopy showed that there were inflammatory changes in the […]
Antonio M Lacy (Director of Department of Gastrointestinal Surgery) Marta Jimenez (Gastrointestinal Surgery Specialist) This video is focused in the main steps to perform a right colectomy by minimal invasive surgery. The patient was placed in supine position, the leading surgeon standing on the left plus two assistant surgeons, one on each side of the […]
Antonio M Lacy (Director of Department of Gastrointestinal Surgery) María Fernández-Hevia (Gastrointestinal Surgery Specialist) Hospital Clínic – Barcelona, Spain Case A 38 years female patient with history of restrictive pulmonary disease due to morbid obesity BMI almost 43 Kg/m2 underwent a sleeve gastrectomy by the laparoscopic approach. She developed gastroesophageal reflux disease one month after […]
A 82 years old female patient with medical record of high blood pressure, primary amyloidosis and chronic renal failure (requiring haemodialysis), cesarean and eventroplasty. Suffered from an episode of acute diverticulitis Hinchey II managed with antibiotics. At follow up she maintained asymptomatic but a CT Scan showed a collection of 5.5 x 4.2 x 5.7cm. Which is the best strategy?
Collection surrouded by small bowel, not feasible to drain by CT Scan
Richard J. Heald CBE Professor, Surgical Director, Pelican Cancer Foundation, Basingstoke, England Chairman of the Colorectal Programme, Champalimaud Foundation, Lisbon, Portugal Remarkably, I have been invited this very month to four major meetings on the subject of Transanal Mesorectal Excision; in four countries Catalonia, Italy, Belgium and The UK. My prediction that the literature on […]
Mario Pagès (Radiology Consultor) Hospital Clínic, Barcelona – Spain Case A 82 years female, with overweight (BMI of 31 Kg./m2) patient with previous history of high blood pressure presented to the emergency department complaining of abdominal pain and distention. At physical examination there was tenderness at the left iliac fossa and a X ray revealed […]
Annabel Blasi (Anesthesiology senior specialist) Hospital Clinic – Barcelona, Spain Thromboelastometry is a diagnostic tool for point-of-care coagulation monitoring. It helps the theatre team to simplify the distinction between surgical bleeding and coagulopathy. The following presentation will provide a foundation for the principles, basic interpretation and clinical application of the thromboelastometry. The Hospital Clínic have […]
Àngels Ginés (Gastroenterology / Endoscopic Unit Senior Consultant) Gloria Fernández-Esparrach (Gastroenterology / Endoscopic Unit Consultor) Isis Araujo (Gastroenterology / Endoscopic Unit Specialist) Endoscopy Unit Hospital Clínic, Barcelona – Spain Case A 47-year-old male, regular smoker and mild alcohol consumption suffered and abdominal blunt trauma 8 years ago. After recurrent abdominal pain a CT Scan was […]
Joana Ferrer (Hepatobiliary Surgery Senior Specialist) Nils Hidalgo (Emergency Surgery Assistant Specialist) Mario Pagès (Radiology Consultor) Hospital Clínic, Barcelona – Spain Case A 36 years old female with previous history of a uterine myoma and anemia, no surgical record, presented to the emergency department suffering from recurrent abdominal pain with one day of evolution. At […]