Dr. Rafael Castejón Huete
• More than 25 years of experience• Program Development of the Specialty of General Surgery and Gastroenterology in the Department of General Surgery and Digestive System II Princess Hospital attached to the Autonomous University of Madrid, 1982-1987. • Team Member of General Surgery and Digestive collaborative organization of the National Health # 79 at Clinica La Luz in Madrid, from 1984 to 1995.• Interim of Health Institute of General Surgery in the outpatient Pena Prieta Madrid, 1983.• Interim of Health Institute of General Surgery in the outpatient Pedro Gonzalez Bueno de Madrid, 1984.• Temporary replacement of the National Health and Medical Specialist in General Surgery Area Health Center Federica Motseny of Madrid, 1992.• Replacement of the National Health and Medical Specialist in General Surgery Area Health Center Federica Motseny of Madrid, 1993.• Member of Laparoscopic Surgery Unit Digestive Clinic Na Sa de Loreto and Clinica Virgen de la Paloma in Madrid. This unit besides care, teacher had a character in advanced laparoscopic techniques to medical specialists in general surgery, laparoscopic monitor acting, 1990-2001 surgery.• Medico Madrid City Council attached to SAMUR - Civil Protection 1997-2003.• Monitor practices in Master in Emergency Medicine from the Complutense University of Madrid, 1998-2000.• Career as a Medical Officer in the Emergency Outpatient Samur - Civil Protection, 2001.• Member of the Medico - Surgical Gastroenterology Unit. Clinica del Valle, Clinica Santa Elena, Clinica San Camilo, Venerable Third Order, Clinica San Rafael New Park and Hospital of Madrid, 2000-2012.• Member of Laparoscopic Surgery Medical Group and Endocrine. Na Sa Clinica de la Paloma and Clinica Santa Elena, from 2003 to 2014.• Medical Service Deputy General Surgery and Gastroenterology, Hospital del Escorial CAM 2004-2009.• Member of the Commission Teaching Hospital del Escorial CAM, 2007-2009.• Clinical Service Chief General Surgery and Gastroenterology, Hospital Infanta Elena of Valdemoro CAM creating protocol Bariatric Surgery and incorporating this benefit to the portfolio of services of that hospital, 2009-2010.• Surgeon reference for bariatric surgery in various medical societies in the private sphere of Madrid 2009-2014.• Realization of bariatric surgeries in Public Hospital de Torrevieja ( gastrojejunal bypass and gastroplasty tube ), 2010-2013. ...
• Bachelor of Medicine and Surgery from the Faculty of Medicine of the Complutense University of Madrid.• Degree in the Faculty of Medicine of the Autonomous University of Madrid obtained by Thesis entitled Revised and current clinical criteria in the surgical treatment of hepatic hydatid disease. • Doctor in Medicine and Surgery from the Faculty of Medicine of the Autonomous University of Madrid through the presentation of the doctoral thesis entitled Contributions to the study of heterotopic cardiac rejection experimental with the grade of Apto Cum Laude .• Specialist in General Surgery and Gastroenterology.• Master in Healthcare, 2011 Gestion. ...
Publications and conferences
• Attendance at more than 60 conferences and courses related to surgery and bariatric surgery laparoscopic digestive, nationally and internationally.• Numerous papers and specialty publications nationally and internationally.
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The abdominal wall surgery is surgery that improves the appearance of the abdominal muscles and flabby, stretched skin. Beyond the aesthetic function, The abdominal wall surgery is surgery that improves the appearance of the abdominal muscles and flabby, stretched skin. Beyond the aesthetic function, abdominal wall surgery is a procedure used to correct hernias in which the intestine protrudes through a weakness in the abdominal muscles. Today, most operations are performed using laparoscopic surgery. ...
Appendicitis is inflammation of the appendix, a worm-shaped organ located at the beginning of the large intestine (lower right abdomen) and who have Appendicitis is inflammation of the appendix, a worm-shaped organ located at the beginning of the large intestine (lower right abdomen) and who have no known function. The appendix may swell when it is blocked by feces, a foreign body or a tumor. Initially, the affected person will notice pain around the navel, which will go from mild to severe as the condition progresses. Subsequently, the trouble will move to stand on the appendix. The problem arises when the body rots inside the abdomen and the thin tissue that lines the abdominal cavity is also swollen. This is known as peritonitis. In this case, the pain worsens and the patient's life is in danger. Other symptoms that can lead to appendicitis are loss of appetite, vomiting, nausea, chills or fever, among others. The most common treatment is the appendix operation, which involves the removal of the abovementioned authorities, through an intervention called appendectomy. The patient's recovery depends on the state in which the appendix is at the time of surgery. ...
Cholelithiasis, gallstones also known, is the occurrence of gallstones in the gallbladder, digestive organ in charge of accumulating bile, a must to Cholelithiasis, gallstones also known, is the occurrence of gallstones in the gallbladder, digestive organ in charge of accumulating bile, a must to perform digestion substance. A gallstone is a hard deposit whose size can vary considerably, consisting of pure cholesterol, bilirubin and calcium, or bilirubin and calcium. His appearance responds to several factors, including very high levels of cholesterol, obesity, diabetes and some hereditary problems, among others. Also, the symptoms also depend on the size of the stone, ranging from stomach pain, nausea and vomiting up. For treatment, consisting of end these calculations, bile salts orally, or Medicines called chenodeoxycholic acid and ursodeoxycholic acid, which manage to dissolve administered. When the patient has more severe symptoms, we resort to surgery through a laparoscopic cholecystectomy, modern technique with small incisions that allows a very quick recovery. ...
Colitis is an inflammation of the colon that causes abdominal pain and diarrhea. There are several types of colitis that differ in their level of invo Colitis is an inflammation of the colon that causes abdominal pain and diarrhea. There are several types of colitis that differ in their level of involvement and treatment. One of the most common is the nervous colitis, which appears when constant stress and nervousness occur, so that should reduce stress levels to placate. Furthermore, pseudomembranous colitis is one of the most aggressive forms of this inflammation, caused by bacteria (Clostridium difficile). Usually occurs in people who have been treated with antibiotics, and in patients with weakened immune systems due to other causes. It is a disease that weakens the patient and can have fatal consequences, making it necessary to initiate a shock treatment with antibiotics. Besides, it is also very common to ulcerative colitis, which affects the lining of the colon and rectum, and whose cause is unknown. The symptoms of ulcerative colitis are roaring and sounds on the intestine, mouth sores, joint pain and also from those of this ailment. ...
Or coloproctology colorectal surgery is the specialty of medicine derived from general surgery that deals with the diagnosis and treatment, both surgical and non fitness for repair, diseases of the colon, rectum and anus. The specter of exercise coloproctology includes ostomy management, colonoscopies, laparoscopic surgery, anal manometry, pelvic floor dysfunction and defecography. ...
Diverticulitis or diverticular disease is inflammation of diverticula of the colon due to increased intraluminal pressure. Diverticula are pockets that usually form on the left side of the colon walls, although it can occupy the entire colon, the presence of diverticula is called diverticulosis. When an increase in intraluminal pressure produces a pulse of the muscosa occurs through colonic muscle layers in their weak points, which correspond to the points where the neurovascular bundles penetrate. In most cases, diverticular disease have no symptoms, and only when there is bleeding or complications may appear diverticulitis. Diverticulitis (that is infection of the diverticula) in turn can cause abdominal pain, fever and chills. More serious complications can even cause an ruputura or fistulae that require surgery. The treatment of diverticular disease is essential and based on regular consumption of dietary fiber. In the case of diverticulitis, treatment should be done by antibiotics (oral or intravenous), restrictions on food and stool softeners. ...
It is an abnormal connection between an organ, vessel, or intestine and another structure. L fistula surgery is surgery to remove the path of a channel or abnormal connection between an organ, vessel, or intestine and another structure. Fistula can occur in many parts of the body and is usually the result of injury or surgery. There are different types of fistulas (blind, complete, incomplete, horseshoe) according to their type and require one kind or another intervention. Fistula operation can be approached with different techniques (cold, electrical or laser scalpel) and may include both fistulotomy (incision in the path of the fistula to the tissues heal from the inside out) as a fistulectomy (removal of the fistula tract) or marsupialization (close the channel forming a bag). In certain cases, you opt to seal the fistula with biological glues or plugs. Furthermore, the placement of special drains (seton) may be necessary, as in the case of an operation of perianal fistula, abscess associated. In certain cases the only existing solution to a fistula may be the ultimate placement of a seton (drainage). Most fistulas respond well to surgical treatment but in some cases perianal fistula surgery can leave sequels such as incontinence. ...
Gallstones or vesicular, also called stones are solid deposits of salts of variable size (from a bit to a nut) calcium compounds and bilirubin, cholesterol or a combination of the three, that form in the gallbladder gall. The gallstones cause no symptoms in many cases, although the patient may have a yellowish skin color (jaundice), fever or abdominal pain and even make stools whitish or have dizziness and vomiting. If the stones in the gallbladder symptoms occur, the patient usually requires surgery, which can be minimally invasively through small incisions in the abdomen through which a laparoscope and other tools (laparoscopic cholecystectomy) or open (open cholecystectomy) are introduced. You can also administer medications, although the disappearance of the stones in the gallbladder is slow and may recur after treatment. ...
Gallbladder surgery the surgical procedure is performed to remove the gallbladder, an organ located in the bottom serving liver and bile reserve. Removal is indicated when the patient has pain or symptoms caused by the formation of calculi (stones) in the gallbladder. Gallbladder operation can be minimally invasive or open. In the first case, the surgeon will make three or four incisions in the abdomen and one of the holes, insert a laparoscope (a thin, lighted tube connected to a camera that allows the inside of the cavity) and other instruments for the procedure. Then also gas with a needle inserted to expand the abdomen and cut the bile duct and blood vessels that lead to the gallbladder. Finally, it will remove the organ. When the disease is more severe or there are complications during gallbladder surgery, it performed an open operation. This involves making a small cut in the abdomen to open it and remove the gallbladder through the incision. ...
The adjustable gastric band is a silicone ring that is placed around the upper stomach to limit capacity. It is therefore a type of restrictive barátirca surgery. With this transaction the limited amount of food and the speed with which they pass into the stomach, thus ensures that the patient can sate before and lose weight. It is a simple operation that is performed laparoscopically and is reversible. In these cases, in which must be removed gastric band, stomach generally returns to its natural form. Patients who undergo this procedure should have a BMI between 35 and 40 and commit to change their dietary habits and lifestyle to promote treatment success. ...
The gastric bypass or gastric bypass surgery is a technique of bariatric surgery is to reduce and restrict the absorption of food. These techniques are directed to the treatment of morbid obesity and is a mixed procedure that combines restrictive malabsorptive phases. The procedure is to reduce and restrict food absorption creating a small reservoir at the expense of lower stomach Curls separately from the rest of the stomach to prevent a deviation fistula more effect to the small intestine. Thus it is achieved early satiety. The technique also acts by hormonal effect in reducing Ghelina decreased and gastric inhibitory peptide. The process is done by open surgery (laparotomy) and endoscopically. ...
The gastroesophageal reflux occurs when there is an alteration of the barrier between the esophagus and stomach, the gastric contents of the stomach back into the esophagus. Not always considered a pathology as also occurs in healthy people. In these cases it is somewhat sporadic, contact of gastric acid with esophageal mucosa is very short. When altered, gastroesophageal reflux disease occurs. ...
A hernia is the outward displacement of an organ or tissue of the cavity is normally housed. The patient notices a lump on the part of the body where it develops. The causes can be diverse, being congenital, acquired (obesity, constipation, physical exertion) or traumatic (for any impact or blow). The type of hernia depends on its location: femoral (upper thigh), more common in women; hiatal (upper part of the stomach); surgical or hernia (a poorly closed scar); umbilical (around the navel), which usually occurs when not heal well after birth; and inguinal (groin), more common in men. ...
Laparoscopy is a surgical technique inspection of the abdominal cavity that does not require large incisions. During the laparoscopic surgical procedure, the abdomen is introduced into a laparoscope, which is a tube containing an optical system coupled to a light source. The camera allows the doctor to inspect, from a monitor, the pelvic organs and, if necessary, introduce other instruments through the same laparoscope to correct any problems. The benefits of laparoscopic surgery are numerous, so it is applied in various fields. In urology shorter hospital stay and recovery is required, there is less chance of infectious complications, decreases postoperative pain and no visible scarring. In gynecology it is used for inspection of certain diseases or gynecological processes: cysts, fibroids, hysterectomy, pelvic inflammatory disease, ectopic pregnancy, etc. Moreover, laparoscopy is used in other medical specialties and processes such as prostate cancer, the varicele or some kidney diseases. ...
A hepatic cyst is a cyst on the liver. It may be benign or malignant. Often no symptoms, but discovered in time when a scan is performed in the hígaod otherwise. There are different types of hepatic cysts. ...
Morbid obesity is also known as class III obesity or severe obesity. It is all overweight exceeds a BMI of 40 or even 35 if the patient has a disease or disability to severe as a result of excess weight. In many countries it is a public health problem due to the new eating habits of the society. Morbid obesity can be treated with a low calorie diet and regular exercise. In extreme cases you can turn to bariatric surgery. ...
Obesity is a disease characterized by the presence of an excess of fat mass (fat) in the body and for weight gain, usually due to a disproportionate food intake. This condition is easily diagnosed by assessing the body mass index and overall constitution of the person. The sum of factors that cause this disease, typical of the XXI century, include a sedentary lifestyle, a poor dietary patterns, and genetic and environmental factors. On the other hand, obesity is often aggravated by a number of other associated diseases, such as diabetes, cholesterol, triglycerides and hypertension, in addition to incur certain social rejection and lead to psychological problems. Also among the population suffering from this disease, there is increased risk of cardiovascular events, particularly in patients with abdominal obesity (an indicator of insulin resistance). The treatment of obesity through the monitoring of the recommendations of endocrine and nutritionists, based on a good individualized dietary plan, and changes in daily routines, especially when it comes to exercise. It is also important to establish these guidelines from childhood to avoid the appearance of so-called childhood obesity. ...
Obesity surgery, known as bariatric surgery, is the set of techniques to reduce the intake or food absorption capacity. Surgery is indicated for morbidly obese patients having a body mass index greater than 40kg / m2 or to those affected by severe obesity and associated diseases. Moreover, stomach surgery is performed through restrictive, malabsorptive or mixed media. The restrictive adjustable gastric banding (one ring placed around the entrance of the stomach which limits intake) gastrectomy (stomach reduction operation to remove 80 percent of its volume) and plicated tubular gastroplasty (included stomach operation that reduces the intake capacity by inward folding of the wall of the stomach itself). Malabsorptive techniques are duodenal (removal of much of the stomach joins the small intestine up to the duodenum to take half of it) and biliopancreatic diversion (halving junction of the stomach and small intestine). The combined procedure is the gastric bypass (leaving a small stomach and connected to the small intestine, using 60 percent of it). All these methods can be performed by open or laparoscopic surgery. ...
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