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Search Results: 1 - 10 of 170343 matches for " Jean Michel Butte B "
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Tratamiento laparoscópico de la acalasia esofágica en ni os: Análisis de 4 casos Laparascopic treatment of oesphageal achalasia in children: an analysis of 4 cases
Luis Ibá?ez A,Gustavo Pérez B,Sergio Guzmán B,Jean Michel Butte B
Revista chilena de pediatría , 2004,
Abstract: Introducción: La acalasia esofágica se presenta en un bajo porcentaje en la población general y en ni os es más infrecuente aún. Su etiología no es clara, sin embargo se ha observado una alteración de los plexos submucosos del esófago. Existen múltiples tratamientos, de los cuales, la cirugía ha demostrado ser el mejor. La vía laparoscópica disminuye la estadía hospitalaria, las complicaciones y mantiene la efectividad de la vía abierta. Objetivos: Presentar los 4 primeros pacientes menores de 15 a os operados en el Hospital Clínico de la Universidad Católica por acalasia esofágica vía laparoscópica. Pacientes y Métodos: Se analizó los registros clínicos de aquellos pacientes menores de 15 a os, sometidos a una miotomía de Heller laparoscópica entre 1995 y 2003. Se analizó el sexo y la edad, las enfermedades asociadas, el tiempo de evolución de la enfermedad, tratamientos previos y su resultado, el peso, la talla, el índice de masa corporal, la baja de peso debido a la enfermedad, el estudio preoperatorio, los resultados quirúrgicos y el seguimiento. Resultados: Tres hombres y una mujer con una edad promedio de 14 a os. Dos habían recibido tratamiento previo con inyección de toxina botulínica, con resultados satisfactorios en forma transitoria. No se requirió conversión a cirugía abierta ni hubo morbimortalidad postoperatoria. Todos los pacientes tienen seguimiento actualizado y se encuentran conformes con los resultados. Conclusiones: La Miotomía de Heller laparoscópica mantiene la efectividad de la cirugía abierta con una baja morbimortalidad postoperatoria y buenos resultados funcionales Background: Oesphageal achalasia has a low incidence and prevalence in the general population, in children it is even rarer. While it′s aetiology is unclear, an alteration in the submucosal oesphageal plexus has been observed. Although multiple treatments exist, surgery has been demonstrated to be the best option. Laparascopic surgery diminishes the hospital stay, the complications, and it is as effective as open surgery. Objective: To present the first 4 patients younger than 15 years who underwent a laparascopic Heller′s myotomy for oesphageal achalasia. Patients and methods: We analyzed the clinical records of children younger than 15 who underwent laparascopic Heller′s myotomy between 1995 and 2003. Sex, age, associated illnesses, the period of evolution of the condition, previous treatments and results, weight, size, body weight index, preoperative studies, surgical results and follow-up. Results: 3 boys and 1 girl with a mean age of 14 yrs, 2 had previous treat
Malformación arteriovenosa del páncreas: caso clínico Pancreatic arteriovenous malformation: Report of one case
NICOLáS JARUFE C,JEAN MICHEL BUTTE B,FRANCISCO PACHECO B,IGNACIO SAN FRANCISCO
Revista Chilena de Cirugía , 2007,
Abstract: Las malformaciones arteriovenosas del páncreas (MAVP) son poco frecuentes y generalmente asintomáticas, por lo que existen escasos reportes en la literatura. Se pueden complicar con sangrado, dolor o hipertensión portal. El diagnóstico preciso se logra con la angiografía, que también puede ser usada como terapia inicial. El tratamiento definitivo es la cirugía. Se presenta el caso de un hombre de 35 a os que consultó por dolor epigástrico intenso con escasa respuesta a analgésicos. El estudio con tomografía computada, resonancia y angiografía de abdomen mostró una MAVP. Se le realizó una pancreatoduodenectomía con desaparición de los síntomas en forma completa Pancreatic arteriovenous malformations are uncommon and generally asymptomatic. Their complications can be bleeding, pain or portal hypertension. Angiography gives the definitive diagnosis and also can be used as the initial treatment. Surgery is the definitive treatment. We report a 35 years old with epigastric pain. Abdominal CAT scan, magnetic resonance and angiography showed a pancreatic arteriovenous malformation. He was subjected to a pancreatoduodenectomy with complete resolution of symptoms
Tumores estromales del estómago
BUTTE B,JEAN MICHEL; CABRERA T,ROBERTO; MéNDEZ O,GONZALO; LLANOS L,OSVALDO;
Revista chilena de cirugía , 2006, DOI: 10.4067/S0718-40262006000100007
Abstract: background: digestive tract stromal tumors are uncommon and are the second most common non epithelial digestive cancer, after gastric lymphoma. their behavior is unpredictable and depends on the size of the tumor and its number of mitoses. aim: to report our experience with gastric stromal tumors. patients and methods: retrospective review of medical records of 13 patients operated for gastric stromal tumors (aged 63 ± 15 years. six women). the condition of the patients was revised after a mean of 54 months of follow up. results: eight patients consulted for upper gastrointestinal bleeding. a stromal tumor was suspected in five patients during endoscopy. a wedge gastric resection was performed in nine patients (one was done by laparoscopy), a total gastrectomy in two and subtotal gastrectomy in two. the pathological study showed a benign tumor in seven patients and a malignant tumor in six. mean survival after 54 months of follow up was 92%. conclusions: in this group of patients with gastric stromal tumors, the surgical treatment performed allowed a good control of the disease
Estado actual del tratamiento quirúrgico de la úlcera péptica perforada en el Hospital Regional de Talca: Experience of a regional hospital
Butte B,Jean Michel; Dagnino U,Bruno; Tapia V,Alvaro; Llanos L,Jorge;
Revista chilena de cirugía , 2007, DOI: 10.4067/S0718-40262007000100005
Abstract: background: peptic ulcer perforation is an uncommon by devastating complication that requires emergency surgical treatment. aim: to review the results of surgical treatment of peptic ulcer perforation in a chilean regional hospital. material and methods: retrospective review of medical records of 22 patients (age range 21-88 years, 21 males) operated for a perforated peptic ulcer, between 1995 and 2000. results: the most common presentation symptom was acute epigastric pain in 21 patients. the diagnosis was done with a plain abdominal x ray obtained in the standing position, in 11 patients. a simple suture of the ulcer was done in 12 patients, suture plus epiploplasty in seven and gastric resection in three. seven patients (32%) had postoperative complications and two (9%) died as a consequence of an associated septic process. an endoscopic follow up was done in nine patients and in two, the peptic ulcer remained active. these two patients were subjected to an elective excisional surgery. conclusions: local surgical correction of peptic ulcer perforation is the emergency treatment of choice but does not avoid ulcer relapse
Tratamiento con malla de poliglactina del hematoma subcapsular hepático roto
BUTTE B,JEAN MICHEL; JARUFE C,NICOLáS; VULETIN S,FERNANDO; MARTíNEZ C,JORGE;
Revista chilena de cirugía , 2006, DOI: 10.4067/S0718-40262006000500012
Abstract: most patients with subcapsular liver hematomas can be managed conservatively with a good hemodynamic and imaging monitoring. surgery is reserved for patients with hemodynamic instability or when there are other lesions requiring surgical exploration. during surgery, liver lesions are usually wrapped with compresses. polyglactine mesh has the same function, but does not require to be withdrawn, decreasing the risk for complications. we report four female patients with a ruptured subcapsular liver hematoma treated with polyglactine mesh wrapping. one patient was aged four days and had multiple malformations, one was aged 29 and had a hellp syndrome, one was aged 34 years and had a lupus hepatitis and one aged 82 years and was in anticoagulant treatment. there was a mean of 2.3 surgical interventions in each patients and mean hospital stay was 17 days. one patient had to be admitted again due to a progression of the hematoma and was managed with selective arterial embolization. the newborn patient died of a respiratory infection, one month after discharge
Carcinoide intestinal múltiple: Análisis de un caso y revisión de la literatura
Butte B,Jean Michel; Escobar F,Cyntia; O'Brien S,Andrés; Zú?iga D,Alvaro;
Revista médica de Chile , 2006, DOI: 10.4067/S0034-98872006001000014
Abstract: small bowel carcinoid tumors are more common in the distal ileum and they are multiple in 30% of cases. the most common clinical manifestation is abdominal pain and the treatment of choice is surgical excision. we report a 63 years old female consulting for abdominal pain. an intestinal transit by computed axial tomography revealed multiple images compatible with small bowel carcinoid tumors. she had a surgical excision of the involved intestinal segment and the pathological study confirmed the imaging diagnosis. in the follow up, this patients has been asymptomatic
Intususcepcion ileocecal por pólipo de íleon lleocolic intussusception
JEAN MICHEL BUTTE B,DEMIAN FULLERTON M,GONZALO CARRASCO A,JAVIERA TORRES M
Revista Chilena de Cirugía , 2007,
Abstract:
Mucocele apendicular Appendiceal mucocele
JEAN MICHEL BUTTE B,JAVIERA TORRES M,IVETTE ARRIAGADA J,CLAUDIA BUSTAMANTE R
Revista Chilena de Cirugía , 2007,
Abstract:
Tratamiento con malla de poliglactina del hematoma subcapsular hepático roto Treatment of subcapsular liver hematoma using a polyglactine mesh
JEAN MICHEL BUTTE B,NICOLáS JARUFE C,FERNANDO VULETIN S,JORGE MARTíNEZ C
Revista Chilena de Cirugía , 2006,
Abstract: En la mayoría de los enfermos el traumatismo hepático tiene un tratamiento médico. Esto se ve favorecido por el desarrollo de UCI y por el seguimiento estricto de las lesiones con estudios imagenológicos, fundamentalmente con TAC. El tratamiento quirúrgico se realiza en los pacientes con compromiso hemodinámico o cuando existen otras lesiones que ameritan una operación. Clásicamente, las lesiones hepáticas han sido tratadas con empaquetamiento del hígado con compresas. La malla de poliglactina cumple el mismo rol, pero tiene el beneficio de no necesitar ser retirada, lo que disminuiría la morbimortalidad. Presentamos 4 pacientes tratadas con malla de poliglactina luego de un traumatismo hepático, su evolución inmediata y alejada. Además se discuten aspectos de este tratamiento Most patients with subcapsular liver hematomas can be managed conservatively with a good hemodynamic and imaging monitoring. Surgery is reserved for patients with hemodynamic instability or when there are other lesions requiring surgical exploration. During surgery, liver lesions are usually wrapped with compresses. Polyglactine mesh has the same function, but does not require to be withdrawn, decreasing the risk for complications. We report four female patients with a ruptured subcapsular liver hematoma treated with polyglactine mesh wrapping. One patient was aged four days and had multiple malformations, one was aged 29 and had a HELLP syndrome, one was aged 34 years and had a lupus hepatitis and one aged 82 years and was in anticoagulant treatment. There was a mean of 2.3 surgical interventions in each patients and mean hospital stay was 17 days. One patient had to be admitted again due to a progression of the hematoma and was managed with selective arterial embolization. The newborn patient died of a respiratory infection, one month after discharge
Hernioplastia inguinal con técnica Prolene hernia system: Evaluación de los resultados a largo plazo Long term results of inguinal hernia repair with prolene hernia system technique
JEAN MICHEL BUTTE B,FRANCISCA LEóN G,NICOLETTE VAN SINT JAN D,CAMILA HEVIA S
Revista Chilena de Cirugía , 2007,
Abstract: Introducción: En múltiples trabajos se han evaluado los resultados a corto y mediano plazo de la reparación de la hernia inguinal con la técnica prolene hernia system PHS). Sin embargo, en pocos estudios se han reportado resultados a largo plazo. Objetivos: Evaluar los resultados a largo plazo de la reparación de la hernia inguinal con la técnica PHS. Material y método: Se realizó un estudio prospectivo de 62 enfermos operados con la técnica PHS entre 2001 y 2002. Las complicaciones inmediatas y el dolor fueron evaluadas en todos los enfermos. Se completaron 4 a os de seguimiento en 53 pacientes que se analizan en este trabajo (90,1%). Se evaluó la recurrencia hemiaria, la presencia de dolor crónico (en reposo y en actividad), el rechazo de la malla y la satisfacción con la operación. Resultados: El grupo está formado por 50 hombres (94%) y 3 mujeres (6%), con una edad de 53,2 + 8,5 a os. En 52 enfermos (98%) la hernia inguinal fue asintomática. Se repararon 58 hernias en 53 enfermos. Dos enfermos (2,5%) presentaron complicaciones inmediatas. En el seguimiento a largo plazo, no se ha observado recurrencia, dolor crónico, rechazo de la malla y todos los enfermos están satisfechos con los resultados obtenidos. Conclusiones: La hernioplastia inguinal con técnica PHS presenta buenos resultados en el seguimiento a largo plazo, sin recidiva ni dolor crónico. Los pacientes se encuentran satisfechos con los resultados obtenidos Background: Short and mid-term results of inguinal hernia repair with Prolene Hernia System (PHS) have been evaluated. However, few studies have reported long-term recurrence rates. Aim: To evaluate long-term outcomes among patients who underwent inguinal hernia repair with Prolene Hernia System technique. Material and Methods: A prospective study of 62 patients operated with PHS from 2001 to 2002. Pain and immediate complications were evaluated in all patients. Four years follow-up was completed in 53 (90.1%) patients, who are the analyzed group. The evaluated issues were hernia recurrence, chronic pain (at rest and in activity), alteration in sexual behavior, mesh rejection and overall satisfaction with the procedure. Results: Fifty men (94%) and three women (6%), aged 53.2 + 8.5 years were analyzed. In 52 patients (98%), inguinal hernia was symptomatic. Fifty eight hernias were repaired on the 53 patients. On immediate follow-up, postoperative complications were observed in two patients (2.5%). In long-term follow-up, no patient had hernia recurrence, chronic pain or alterations in sexual behavior. Conclusions: Inguinal hernia repair
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