RESUMEN
El verde de indocianina es una tinción fluorescente visible con luz cercana al infrarrojo. Es útil para la identificación de las estructuras anatómicas (tracto biliar, uréteres, paratiroides, conducto torácico), la vascularización de tejidos (en anastomosis en cirugía colorrectal, esofágica, gástrica, bariátrica, para plastias y colgajos en cirugía de pared abdominal, hepática, en hernias estranguladas en la isquemia intestinal), para la identificación de tumores (hígado, páncreas, suprarrenal, implantes en la carcinomatosis peritoneal, tumores retroperitoneales y linfomas) y para la identificación del ganglio centinela y del mapeo linfático de tumores malignos (cáncer de estómago, mama, colon, recto, esófago y piel). Las evidencias son muy alentadoras, aunque se necesita la estandarización de su uso y más estudios prospectivos y aleatorizados con mayor número de pacientes para obtener conclusiones definitivas sobre su uso. El objetivo de esta revisión de la literatura es proveer una guía para el uso de la fluorescencia con verde de indocianina en procedimientos de cirugía general (AU)
Indocyanine Green is a fluorescent substance visible in near-infrared light. It is useful for the identification of anatomical structures (biliary tract, ureters, parathyroid, thoracic duct), the tissues vascularization (anastomosis in colorectal, esophageal, gastric, bariatric surgery, for plasties and flaps in abdominal wall surgery, liver resection, in strangulated hernias and in intestinal ischemia), for tumor identification (liver, pancreas, adrenal glands, implants of peritoneal carcinomatosis, retroperitoneal tumors and lymphomas) and sentinel node identification and lymphatic mapping in malignant tumors (stomach, breast, colon, rectum, esophagus and skin cancer). The evidence is very encouraging, although standardization of its use and randomized studies with higher number of patients are required to obtain definitive conclusions on its use in general surgery. The aim of this literature review is to provide a guide for the use of ICG fluorescence in general surgery procedures (AU)
Asunto(s)
Humanos , Verde de Indocianina/administración & dosificación , Colorantes/administración & dosificación , Procedimientos Quirúrgicos Operativos/métodosAsunto(s)
Adenocarcinoma , Endometriosis , Laparoscopía , Adenocarcinoma/complicaciones , Adenocarcinoma/cirugía , Anastomosis Quirúrgica , Colostomía , Endometriosis/complicaciones , Endometriosis/cirugía , Femenino , Humanos , Verde de Indocianina , Complicaciones Posoperatorias/cirugía , Estudios RetrospectivosAsunto(s)
Colectomía/métodos , Anomalías del Sistema Digestivo/complicaciones , Enfermedades Diverticulares/cirugía , Angiografía con Fluoresceína/métodos , Vólvulo Intestinal/complicaciones , Laparoscopía/métodos , Colorantes , Enfermedades Diverticulares/etiología , Femenino , Humanos , Verde de Indocianina , Persona de Mediana EdadRESUMEN
The relationship between childhood illnesses and growth increments in length and weight was investigated in a 13-month birth cohort of rural Mexican children. Increments in length and weight for each year from birth to three years were related to high and low frequencies of reported time ill during the same period. Seventy-two of the 276 children had already been characterized as exhibiting "growth failure" relative to other members of the cohorts, and this was considered as a separate factor in the study. We found that upper and lower respiratory infection did not affect incremental gain in height or weight. A high frequency of diarrheal infection was found to reduce weight gain, although gain in height was not affected. Relative to the total sample, the average child with a high frequency of diarrhea achieved only 95 per cent of expected body weight age three; a chidl with both growth failure and high diarrheal frequency reached only 90 per cent of expected body weight at age three.