Browsing by Author "Reyes, Natalia"

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    Acetylated starch and inulin as encapsulating agents of gallic acid and their release behaviour in a hydrophilic system
    (2012) Robert Canales, Paz Soledad; Garcia, Paula; Reyes, Natalia; Chavez, Jorge; Santos Blanco, José Guillermo
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    Portosystemic shunt surgery for severe portal hypertension due to portal thrombosis after bariatric surgery
    (2024) Reyes, Natalia; Jarufe, Alessandra; Briceno, Eduardo; Vinuela, Eduardo; Martinez, Jorge; Dib, Martin; Jarufe, Nicolas
    Portal vein thrombosis is a rare complication after laparoscopic sleeve gastrectomy, a widely performed bariatric surgery procedure. Occasionally, the development of portal vein thrombosis can progress to more severe conditions, including portal hypertension and cavernomatosis, thereby presenting a complex and challenging clinical scenario. The management of such complications often requires careful consideration; however, surgical intervention in the form of a splenorenal shunt is an exceptional indication. We present the case of a 33-year-old female patient who had previously undergone laparoscopic sleeve gastrectomy in 2014 and subsequently developed portal thrombosis, followed by cavernomatosis and associated complications of portal hypertension. A proximal splenorenal shunt procedure and splenectomy were successfully performed to manage portal hypertension. The presentation of this clinical case aims to contribute to the available evidence and knowledge surrounding this rare and challenging pathology.
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    Type I choledochal cyst. Total laparoscopic resection and Roux-en-Y reconstruction to two separated ducts
    (2024) Reyes, Natalia; Sotomayor, Camila; Inzunza, Martin; Briceno, Eduardo; Vinuela, Eduardo; Martinez, Jorge; Jarufe, Nicolas
    A choledochal cyst is a rare condition that requires surgical treatment to prevent complications, such as obstructive jaundice, cyst rupture, cholangitis, and the risk of malignancy. Complete cyst excision is considered the best option, as it reduces the risk of inflammation and the development of cholangiocarcinoma. Therefore, cholecystectomy and complete cyst resection followed by reconstruction with a Roux-en-Y hepaticojejunostomy is the treatment of choice. We present a case (with video) that shows the complete resection of a type I choledochal cyst with Roux-en-Y reconstruction of two separate ducts since the right posterior duct reached the cyst independently. The laparoscopic approach offers all the advantages of mini-invasive surgery and better visualization of the structures; however, biliary reconstruction to fine ducts implies a surgical challenge that requires high training in mini-invasive surgery.