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Endoscopic mucosal ablation-an alternative treatment for colonic polyps:Three case reports

World Journal of Gastroenterology 2020年第45期26卷 7258-7262页

作者： Antonio Mendoza Ladd joaquin espinoza Cesar Garcia Department of Internal Medicine Division of GastroenterologyTexas Tech University Health Sciences CenterPaul L Foster School of MedicineEl PasoTX 79905United States Escuela de Medicina Luis Razetti Universidad Central de VenezuelaCaracas 999188Venezuela Department of Endoscopy University Medical Center of El PasoEl PasoTX 79905United States

BACKGROUND Endoscopic resection of non-invasive lesions is now the standard of care for lesions in the GI ***,resection techniques require extensive training,are not available in all endoscopy centers and are prone to *** mucosal ablation(EMA)is a combination of resection and ablation techniques and it may offer an alternative in the management of such *** SUMMARY In this case series we report the successful treatment of three flat colonic polyps using the EMA *** lesions were treatment naïve and 1 was a recurrence after an endoscopic mucosal *** sizes ranged from 2 to 4 *** three polyps were ablated successfully with no immediate or delayed *** recurrence rate at 1 year of follow up was 0%.CONCLUSION Based on this initial experience,we conclude that EMA is a safe and effective technique for the treatment of non-invasive colonic polyps when endoscopic resection techniques are not available.

关键词： Endoscopy Mucosal ablation Colon polyp Argon plasma coagulation Alternative Safe Case report

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“Magic” of our gastric cancer results on perioperative chemotherapy

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World Journal of Gastrointestinal Pathophysiology 2016年第3期7卷 283-287页

作者： Carlos León-espinoza Fernando López-Mozos Roberto Marti-Obiol Marina Garces-Albir joaquin Ortega-Serrano Department of Digestive and General Surgery Hospital Clínico Universitario de Valencia

AIM: To determine reproducibility of perioperative chemotherapy for gastric cancer(GC) on our settings by identifying patient's overall survival and comparing them to larger ***: Retrospective analysis of our series,where we present our eleven-year's experience on GC managed according to perioperative approach of three preoperative chemotherapy cycles followed by surgery and finally three postoperative chemotherapy *** scheme used was Xelox(Oxaliplatin and Capecitabine).Epidemiologic parameters as well as surgical variables were analysed,presented,and compared to other series with similar *** was estimated by Kaplan Meier/log rank method and also compared to these ***: Mean age was 65 years *** survival in our series was 37.7%,similar to other groups using perioperative *** was 4% and morbidity 30%,which are also similar to those *** curves were compared to larger studies,finding similarities on *** survival analysis between chemotherapy responders and non-responders didn't reach statically significant ***: Perioperative chemotherapic scheme can be reproduced on our setting with good results and without increasing morbidity or mortality.

关键词： Stomach neoplasms Perioperative period Chemotherapy

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Does Adult Intestinal Invagination Need Surgery? Report of a Case and Review of Literature

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International Journal of Clinical Medicine 2011年第4期2卷 456-458页

作者： Carlos Leon-espinoza Maria Gomez-Mateo Fernando Lopez-Mozos Roberto Marti-Obiol Juan Raga-Vazquez joaquin Ortega-Serrano Departmentof General y Digestive Surgery Departmentof Pathology Hospital Clinico Universitario Valencia

Benign intestinal tumors are the most frequent cause of small bowel intussusception in adults. This report presents a case of a 67-year-old male with abdominal pain, leukocytosis and C-reactive protein elevation. After ultrasonography and double contrast CT-scan consistent with ileal intussusception patient underwent laparoscopy, which confirmed diagnose. Intestinal resection and anastomosis were performed via minilaparotomy. Further histological study showed a fibroid inflammatory polyp or Vanek’s tumor as intussusception’s lead point.

关键词： Invagination Intussusception Vanek

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Does Adult Intestinal Invagination Need Surgery? Report of a Case and Review of Literature

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International Journal of Clinical Medicine 2011年第4期

作者： Carlos Leon-espinoza Maria Gomez-Mateo Fernando Lopez-Mozos Roberto Marti-Obiol Juan Raga-Vazquez joaquin Ortega-Serrano

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