[Penetrating wound of the abdomen. Report of a patient undergoing 24 operations]. / Herida penetrante del abdomen. Informe de un paciente operado 24 ocasiones.

We report a case of 41 year-old male who was operated on 24 times because of an entero-cutaneous fistula secondary to a gun shot wound. The patient was hospitalized during 23 months, most of which were spent fasting. He received parenteral nutrition during 16 months. The importance of nutritional support and the need to only operate when a patient's condition are optimal are stressed.

[Peri-choledochal varices. (Report of a case)]. / Várices pericoledocianas. (Presentación de un caso).

A case presentation of choledochal varices is published. Operative findings show extrahepatic portal hypertension, secondary to postoperative fibrosis and adhesions following cholecystectomy and choledochal stone extraction 15 and 3 years before this hospitalization.

Un nomograma util para la evaluacion nutricional. / An useful nomogram for nutritional evaluation

Se presenta un nomograma de evaluacion nutricional que agrupa 11 parametros clinicos y de laboratorio, mediante el cual se facilita objetivar el grado de desnutricion, su tipo y su repercusion somatica, visceral o inmunologica. Se presentan algunos estudios que objetivan su utilidad en la evaluacion preoperatoria, en el analisis comparativo de diversos tipos de desnutricion, en las caracteristicas nutritivas observadas a distintas edades y en algunos casos demostrativos del efecto logrado por metodos de alimentacion artificial