Se presenta el caso de una paciente mujer de 35 años de edad operada por obesidad mórbida con índice de masa corporal (IMC) de 45, que fue referida por presentar fistula gastrobronquial post gastrectomía en manga la que no cicatrizó con medidas endoscópicas requiriendo manejo quirúrgico de resección total del remanente gástrico con reconstrucción en Y de Roux como opción curativa.

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El cáncer gástrico es una de las enfermedades neoplásicas más frecuentes en el mundo, alcanzando cifras que sobrepasan el medio millón de muertes cada año (1). En nuestro medio la frecuencia es similar en ambos sexos, con discreto predominio del sexo masculino (2-5).

El abdomen agudo es un síndrome muy frecuente en la práctica médica, cuyo principal síntoma es el dolor abdominal, el que puede responder a una enfermedad no específica.

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We describe our 10 year-experience in trealment of severe liver traumatic Injuries with selective extrahepatic arterial occluslon. Thls procedure done In 13 patients; lt was successful In 12 cases and falled In only 1 case. Post-operative hepatic complications were 23%; among the extrahepatic complicatlons, respiratory complications were 61.3%. Mortallty was caused by continuous hepatic bleeding In 7.6% of the patients; pancreatitis and neurologic injuries were the cause of death In 15.2 % or the cases. These experience proved that this procedure or hepatic hemostasis is highly reliable, associated to low-mortality, quickly, and applies either to inaccessible penetrating or nonpenetrating hepatic injuries, and also to those associated with gut injury. Besides, this procedure could be used when other hemostatlc methods have failed. Thls procedure can be developed by any trained surgeon an...

We describe our 10 year-experience in trealment of severe liver traumatic Injuries with selective extrahepatic arterial occluslon. Thls procedure done In 13 patients; lt was successful In 12 cases and falled In only 1 case. Post-operative hepatic complications were 23%; among the extrahepatic complicatlons, respiratory complications were 61.3%. Mortallty was caused by continuous hepatic bleeding In 7.6% of the patients; pancreatitis and neurologic injuries were the cause of death In 15.2 % or the cases. These experience proved that this procedure or hepatic hemostasis is highly reliable, associated to low-mortality, quickly, and applies either to inaccessible penetrating or nonpenetrating hepatic injuries, and also to those associated with gut injury. Besides, this procedure could be used when other hemostatlc methods have failed. Thls procedure can be developed by any trained surgeon an...