- Pancreatitis Pathology and Treatment
- Pancreatic and Hepatic Oncology Research
- Liver Disease Diagnosis and Treatment
- Appendicitis Diagnosis and Management
- COVID-19 Clinical Research Studies
- Bariatric Surgery and Outcomes
- Gastroesophageal reflux and treatments
- Neuroendocrine Tumor Research Advances
- Colorectal Cancer Surgical Treatments
- Amoebic Infections and Treatments
- Dermatological and COVID-19 studies
- Pediatric Hepatobiliary Diseases and Treatments
- Anorectal Disease Treatments and Outcomes
- Metabolism and Genetic Disorders
- Gastrointestinal Tumor Research and Treatment
- Lipid metabolism and disorders
- Body Contouring and Surgery
- Thyroid and Parathyroid Surgery
- Sepsis Diagnosis and Treatment
- Diabetes Management and Research
- Congenital Diaphragmatic Hernia Studies
- Colorectal and Anal Carcinomas
- Cannabis and Cannabinoid Research
- Burkholderia infections and melioidosis
- Healthcare cost, quality, practices
Vall d'Hebron Hospital Universitari
2018-2024
Chris Hani Baragwanath Hospital
2024
University of the Witwatersrand
2024
Universitat Autònoma de Barcelona
2018-2023
Edinburgh Royal Infirmary
2023
Weatherford College
2022
Hospital de Nens de Barcelona
2019
Hospital Universitario Son Dureta
1992
Background. Changes in BUN have been proposed as a risk factor for complications acute pancreatitis (AP). Our study aimed to compare changes versus the Bedside Index Severity Acute Pancreatitis (BISAP) score and Physiology Chronic Health Evaluation-II (APACHE-II), well other laboratory tests such haematocrit its variations over 24 h C-reactive protein, order determine most accurate test predicting mortality severity outcomes AP. Methods. Clinical data of 410 AP patients, prospectively...
Abstract Background Treatment of low anterior resection syndrome (LARS) is challenging. Percutaneous tibial nerve stimulation (PTNS) can improve select bowel disorders. An RCT was conducted to assess the efficacy PTNS compared with sham in patients severe LARS. Method This a multicentre, double-blind RCT. Patients major LARS score were allocated receive or therapy (needle placement simulation without stimulation). The study included 16 sessions 30 min once week for 12 consecutive weeks,...
Objective Our main purpose was to compare the modified computed tomography severity index (MCTSI), (CTSI), and acute physiological chronic health evaluation (APACHE)‐II predictions regarding according revised Atlanta classification 2012 local complications in pancreatitis a consecutive prospective cohort. Methods One hundred forty‐nine patients diagnosed with were prospectively enrolled. APACHE‐II, MCTSI, CTSI calculated for all cases. Severity parameters included persistent organ or...
Objective: To evaluate machine learning models’ performance in predicting acute pancreatitis severity using early-stage variables while excluding laboratory and imaging tests. Summary Background Data: Severe (SAP) affects approximately 20% of (AP) patients is associated with high mortality rates. Accurate early prediction SAP in-hospital crucial for effective management. Traditional scores such as APACHE-II BISAP are complex require tests, predictive models lacking. Machine (ML) has shown...
Abstract Background The value of serum triglycerides (TGs) related to complications and the severity acute pancreatitis (AP) has not been clearly defined. Our study aimed analyze association elevated levels TG with AP. Methods demographic clinical data patients AP were prospectively analyzed. measured in first 24 h admission. Patients divided into two groups: one values of<200 mg/dL another TG≥200 mg/dL. Data on outcomes collected. Results From January 2016 December 2019, 247 cases...
Abstract Background The relevance of elevated serum triglyceride (TG) levels in the early stages acute pancreatitis (AP) not induced by hypertriglyceridemia (HTG) remains unclear. Our study aims to determine role TG at admission developing pancreatic necrosis. Methods We analyzed clinical data collected prospectively from patients with AP. According measured first 24 h after admission, we stratified into four groups: Normal (< 150 mg/dL), Borderline-high (150–199 High (200–499 mg/dL) and...
Abstract There are several overlapping clinical practice guidelines in acute pancreatitis (AP), however, none of them contains suggestions on patient discharge. The Hungarian Pancreatic Study Group (HPSG) has recently developed a laboratory data and symptom-based discharge protocol which needs to be validated. (1) A survey was conducted involving all members the International Association Pancreatology (IAP) understand characteristics international protocols. (2) We investigated safety...
Abstract Purpose Acquired rectovaginal fistulae (RVF) are a complication of paediatric HIV infection. We report our experience with the surgical management this condition. Methods retrospectively reviewed records patients HIV-associated RVF managed at Chris Hani Baragwanath Academic Hospital (2011–2023). Information about management, history, and long-term outcomes was collected. Results Ten were identified. Median age presentation 2 years (IQR: 1–3 years). Nine (9/10) underwent diverting...
Pancreatic neuroendocrine neoplasms are a rare and complex group of neoplastic lesions that develop from pancreatic islet cells. Their incidence has dramatically increased during the last two decades. Due to its nature pathophysiological behaviour, surgical management continues evolve. Surgery remains cornerstone treatment for most non-functional functional tumours, while lymphadenectomy controversial subject. Different techniques, such as pancreas-preserving minimally invasive approaches,...
Abstract Background: The relevance of elevated serum triglyceride (TG) levels in the early stages acute pancreatitis (AP) not induced by hypertriglyceridemia (HTG) remains unclear. Our study aims to determine role TG at admission developing pancreatic necrosis. Methods: We analyzed clinical data collected prospectively from patients with AP. According measured first 24 hours after admission, we stratified into four groups: Normal (<150 mg/dL), Borderline-high (150-199 High (200-499 mg/dL)...
Abstract Background Periarterial divestment is a surgical technique to approach borderline resectable (BR) or locally advanced (LA) pancreatic ductal adenocarcinoma (PDAC) with arterial involvement. There are no reports in the literature regarding role of endoscopic ultrasound and elastography (EUS-EG) exploring integrity Inoue’s level III its correlation periarterial feasibility. Our research aimed at EUS-EG this scenario. Methods We describe our II by patients BR LA cancer after...