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    Item type:Publication,
    Síndrome de Wilkie. Reporte de un caso
    (2017)
    González Hermosillo-Cornejo, Daniel
    ;
    Díaz Girón-Gidi, Alejandro
    ;
    Vélez-Pérez, Francisco Manuel
    ;
    Lemus-Ramírez, Ramón Ignacio
    ;
    Andrade Martínez-Garza, Pablo
    Background: Wilkie syndrome, also referred as superior mesenteric artery syndrome, is an unusual cause of a proximal small bowel obstruction. It is characterised by the compression of the duodenum in its third portion due to a narrowing of the space between the superior mesenteric artery and the aorta. Its presentation symptoms are consistent and include the obstruction of the proximal small bowel. However, the physical and laboratory findings are non-specific. Nevertheless, many imaging methods are useful for its diagnosis. The management of this condition varies between observation and surgery, depending on each particular case. Clinical case: The case is presented of a 19 year-old male who began with acute, intense abdominal pain, nausea, vomiting, and diarrhoea. On examination, he had abdominal wall rigidity and hyperesthesia. Imaging studies were requested, revealing a decreased superior mesenteric artery angle, a shortening of the aortic mesenteric distance, and a decrease in the calibre of the third duodenal portion, all findings concomitant with Wilkie syndrome. Conservative treatment was applied and the patient was discharged without complications. © Cirugía y Cirujanos
    Scopus© Citations 7  12  1
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    Construcción y validación de la escala EsVida para la valoración del requerimiento de manejo en urgencias de una gastroenteritis infecciosa
    (2021)
    Fernández-Garrido, C.L.
    ;
    Bernárdez-Zapata, I.
    ;
    Iglesias-Leboreiro, José
    Introduction: Infectious gastroenteritis can result in unnecessary emergency room consultations. Instruments are needed to detect the risks for unfavorable progression. Aim: To develop and validate a comprehensive severity scale for acute gastroenteritis in children. Materials and methods: Data associated with complications (probable items) were determined through a MeSH search. The EsVida scale was developed with 4 theoretic domains: personal history (3 items), social problems (2 items), risks for severe gastroenteritis (4 items), and signs of fluid and electrolyte imbalance (4 items). The items were evaluated as present (one point) or absent (zero points) on a 0 to 13-point scale. To validate the instrument, an observational study was conducted at the emergency service on children from one to 13 years of age with acute gastroenteritis. The scale was re-developed utilizing the risks calculated by logistic regression analysis. © Revista de Gastroenterología de México
    Scopus© Citations 1  26  2