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Patient Information

Digestive System

The function of the digestive system is to provide nutrients to all body cells.

Colorectal Cancer

Colorectal cancer is a malignant tumour that can be located at different levels inside the large intestine. It can be located at the level of the colon or at the end of the intestine, in the area called rectum.

Medical team in charge of drafting the Patient Dissemination section

Dr. Javier Nebreda Duran

Dr. Francesc Tresserra i Casas

Dr. Joan Carles i Galceran

Dra. M. Antonia Lequerica Cabello

Dra. Dolores Maluenda Colomer

Dr. Alberto Navarro Luna

Dra. Mª del Carmen Peña Cala

Dra. Raquel Sáez Redín

Dr. Xavier Llor-Farré

Ostomies

written by Dr. Josep M. Montané Sorigué

“And Ehud put forth his left hand, and took the dagger from his right thigh and thrust it into his belly. And the haft also went in after the blade: and the fat closed upon the blade, so that he could not draw the dagger out of his belly, and the dirt came out” Judges 3:21-22

This could be the first definition of a colostomy. Ostomies have always been associated to the violent side of mankind, especially during warfare.

Hippocrates (460-377 b.C) had already stated that wounds to the large instestine were fatal but not those to the small intestine.

Cromar (1968) reported that a soldier by the name of George Dappe who was wounded in the battle of Ramillies in 1706 lived for 14 years with a traumatic colostomy caused by a wound. This is probably the first reference of double-barrel colostomy.

Thomas Sydenham, a London surgeon from the 1800s treated occlusions attempting to pass a needle through the stenosis and recommended large amounts of mercury as its weight pulled at the occlusion. Clearly, these sort of treatments caused death to the patient.

The first scheduled ostomy was performed by a French surgeon by the name of Francés M Pilore in 1776 to manage an occlusion that did not respond to any treatment.He performed a cecostomy and sutured it to the skin using a sponge as a dressing. There were no complications during the first two weeks but the patient died. The autopsy revealed necrosis of the intestine due to the intake of mercury prior to surgery.

The first colostomy performed successfully was a left inguinal colostomy also carried out by a French surgeon by the name of Duret in 1793 on an infant who lived to the age of 45.

The first surgeon to perform a colostomy was George Freer in 1815 to treat a 47-year old farmer who had a malignant rectal occlusion.

Professor Fine, from Genève was also a pioneer in the history of surgery. In 1797 he performed the first transverse colostomy although in error, as what he really wanted to perform was an ileostomy to treat an occlusion but three months later after the autopsy he realised he had made a mistake.

Hendrik Collissen(1740-1824) described in his book the surgical technique to perform a colostomy via lumbar access in order to avoid the risk of peritonitis. This procedure was not accepted because of its technical complexity.

The second British surgeon to perform a colostomy was Daniel Pring who in 1820 performed a sigmoid colostomy on a woman also by the name of White. This surgical procedure was the first to describe dermal complications in the stoma and the first to report how the faecal matter is kept inside the stoma.

Generally, few surgeons dared to perform intestinal surgery as the peritoneum was accessed leading to potential lethal sepsis. Jean Amussat, a French surgeon, was of the opinion that surgeons did not want to compromise their reputation performing what was considered to be high risk surgery with a bad prognosis. A retrospective review of the literature showed that between 1716 and 1839 only 27 cases on colostomy had been published but only 6 of these lived.

As said before, the advances made in colostomy were unfortunately associated to warfare. In fact, it was in the Second World War when wounds to the abdomen and their treatment contributed the most to the development of the techniques to perform colostomies and their complications.

The first person to realise that ostomised patients needed special care was nurse, Elise Sorensen. The creation of first consultation office for the care of the ostomised patient was created was her own merit.

In our country, probably the first ostomy clinic was founded by Dr. Josep M. Montané Sorigué and the nurse Eva Gimeno, at the Creu clinic in Sabadell in 1976.

The development and advancements made in contention devices has been dramatic over these last few years, making the social life of ostomised patients practically normal. Behind barrier rings through obturators and seals, there has been and there is a long and fruitful research effort.

At present one of the most prestigious consultation offices is the Coloproctology Unit at the Pac Taulí University Hospital in Sabadell, Barcelona, directed by registered nurse Carmen del Pino. I. Carmen del Pino.

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General objectives of the ostomy care unit

To favour the continuity of the healthcare process.

To conduct proper patient education providing ostomised patients

their main caregivers with the necessary skills and knowledge to perform adequate stoma care.

Health education aimed at the prevention of late complications.

Get the ostomized person to rediscover their biological, psychological and social balance.

To work in a multidisciplinary manner with other health professionals attending ostomised patients.

To favour the continuity of the healthcare process.

To conduct proper patient education providing ostomised patients

their main caregivers with the necessary skills and knowledge to perform adequate stoma care.

Health education aimed at the prevention of late complications.

Get the ostomized person to rediscover their biological, psychological and social balance.

To work in a multidisciplinary manner with other health professionals attending ostomised patients.

What sort of patients that can come to this Unit?

  • Patients who have ostomies for bowel elimination:

– Digestive stomas: colostomies, ileostomies, jejunostomies,etc.

– Urologic stomas: skin urostomies, ureteroileostomy,nephrostomy,etc.

  • Patients with high-debit enterocutaneus, vesical or biliary fistulas.

Links of Interest

American Gastroenterological Association

The American Gastroenterological Association (AGA) is dedicated to the mission of advancing the science and practice of gastroenterology. Founded in 1897, the AGA is the oldest medical-specialty society in the United States. Comprised of two non-profit organizations — the AGA and the AGA Institute — our more than 14,500 members include physicians and scientists who research, diagnose and treat disorders of the gastrointestinal tract and liver.

Cirujanos asociados

In 1986, a group of surgeons founded Quirúrgica, based on a new model, unique in the country, a model that brings together the best of public medicine (practical experience and permanent training) and the best of private medicine (efficiency and better patient care). beyond the disease) allows us to carry out our work guaranteeing the quality that our patients deserve.

Associació Espanyola d’Investigació sobre el Càncer

The “Asociación Española de Investigación sobre el Cáncer” (Spanish Association for Cancer Research) (ASEICA) was created in 1983 with the aim of bringing together Spanish professionals dedicated to cancer research in all fronts. After several years of focusing its activities on attempting to achieve solid national implantation, the ASEICA recently started a new phase of international trajectory with its incorporation to the European Association for Cancer Research (EACR) through the set up of joint activities with Societies as well as Latin-American and Spanish groups interested in cancer research.

American Society of Colon and Rectal surgeons

The American Society of Colon and Rectal Surgeons is a community of health care professionals who are dedicated to advancing the understanding, prevention and treatment of disorders of the colon, rectum and anus.

Sociedad Española de Coloproctologia

Digestive pathology was a branch of medicine until 1933. It was originally developed by true specialists on the subject who worked at private clinics, private consultation offices, hospitals or even schools, with no valid exchange of information amongst these practitioners. This was the case until congresses on the specialty began to be held, both at a national and at an international level. It is precisely at one of these congresses, after the closing ceremony of the II National Congress on Digestive Pathology held in Barcelona in December 1933, that the idea of creating a Society came to light as a result of an initiative promoted by the “Gallart Monés School of Pathology”. The creation of such Society served as a nexus for all the specialists whose common aim was the advance of the specialty.

Societat Catalana de Cirurgia

Although Catalan surgery has a long history and a noble tradition, surgical associationism of a scientific nature is connected with the old guilds and brotherhoods, so characteristic of the country's bourgeois and artisan society, and, in a special way, with the creation of the " Royal College of Surgery of Barcelona", under the auspices of Don Pedro Virgili and especially Antoni de Gimbernat, during the 18th century.

Cancer Care Ontario

Cancer Care Ontario is a planning and research organization that advises the Ontario government on all aspects of provincial cancer care, provides information to health care providers and decision-makers, and motivates better cancer system performance.

International Union Against Cancer

Its objectives are to advance scientific and medical knowledge in research, diagnosis, treatment and prevention of cancer, and to promote all other aspects of the campaign against cancer throughout the world. Particular emphasis is placed on professional and public education.

Agency for Healthcare Research and Quality's

The mission of the Agency for Healthcare Research and Quality (AHRQ) is to improve the quality, safety and efficiency of medical assistance for all north-americans. The information derived from investigative projects made by AHRQ help the population make better decisions and improve the quality of related services. AHRQ was previously known as Agency for Healthcare Policy and Research.

Spanish Association Against Cancer

AECC welcomes patients, relatives, voluntary and professional personell that work together to prevent, inform, help people and finance oncologic projects that allow better diagnostics and treatment of cancer.

Societat Española de Patologia Digestiva

Digestive pathology was a branch of medicine until 1933. It was originally developed by true specialists on the subject who worked at private clinics, private consultation offices, hospitals or even schools, with no valid exchange of information amongst these practitioners. This was the case until congresses on the specialty began to be held, both at a national and at an international level. It is precisely at one of these congresses, after the closing ceremony of the II National Congress on Digestive Pathology held in Barcelona in December 1933, that the idea of creating a Society came to light as a result of an initiative promoted by the “Gallart Monés School of Pathology”. The creation of such Society served as a nexus for all the specialists whose common aim was the advance of the specialty.

Societat Espanyola d’Endoscòpia Digestiva

The “Sociedad Española de Endoscopia Digestiva” (Spanish Society of Digestive Endoscopy), previously known as the “Spanish Association of Digestive Endoscopy” , is a non lucrative society created with the aim of bringing together people and institutions interested in digestive endoscopy in all its aspects, including healthcare provision, teaching and research activities as well as any other similar processes (echoendoscopy, endoscopic capsule, and other future techniques). It is governed under the applicable currently in force Law of Societies and additional norms and regulations The Society has its headquarters at 69, Francisco Silvela, 2ºC. Madrid.

American Gastroenterological Association

The American Gastroenterological Association (AGA) is dedicated to the mission of advancing the science and practice of gastroenterology. Founded in 1897, the AGA is the oldest medical-specialty society in the United States. Comprised of two non-profit organizations — the AGA and the AGA Institute — our more than 14,500 members include physicians and scientists who research, diagnose and treat disorders of the gastrointestinal tract and liver.

Cirujanos asociados

In 1986, a group of surgeons founded Quirúrgica, based on a new model, unique in the country, a model that brings together the best of public medicine (practical experience and permanent training) and the best of private medicine (efficiency and better patient care). beyond the disease) allows us to carry out our work guaranteeing the quality that our patients deserve.

Associació Espanyola d’Investigació sobre el Càncer

The “Asociación Española de Investigación sobre el Cáncer” (Spanish Association for Cancer Research) (ASEICA) was created in 1983 with the aim of bringing together Spanish professionals dedicated to cancer research in all fronts. After several years of focusing its activities on attempting to achieve solid national implantation, the ASEICA recently started a new phase of international trajectory with its incorporation to the European Association for Cancer Research (EACR) through the set up of joint activities with Societies as well as Latin-American and Spanish groups interested in cancer research.

American Gastroenterological Association

The American Gastroenterological Association (AGA) is dedicated to the mission of advancing the science and practice of gastroenterology. Founded in 1897, the AGA is the oldest medical-specialty society in the United States. Comprised of two non-profit organizations — the AGA and the AGA Institute — our more than 14,500 members include physicians and scientists who research, diagnose and treat disorders of the gastrointestinal tract and liver.

Cirujanos asociados

In 1986, a group of surgeons founded Quirúrgica, based on a new model, unique in the country, a model that brings together the best of public medicine (practical experience and permanent training) and the best of private medicine (efficiency and better patient care). beyond the disease) allows us to carry out our work guaranteeing the quality that our patients deserve.

Associació Espanyola d’Investigació sobre el Càncer

The “Asociación Española de Investigación sobre el Cáncer” (Spanish Association for Cancer Research) (ASEICA) was created in 1983 with the aim of bringing together Spanish professionals dedicated to cancer research in all fronts. After several years of focusing its activities on attempting to achieve solid national implantation, the ASEICA recently started a new phase of international trajectory with its incorporation to the European Association for Cancer Research (EACR) through the set up of joint activities with Societies as well as Latin-American and Spanish groups interested in cancer research.

American Society of Colon and Rectal surgeons

The American Society of Colon and Rectal Surgeons is a community of health care professionals who are dedicated to advancing the understanding, prevention and treatment of disorders of the colon, rectum and anus.

Sociedad Española de Coloproctologia

Digestive pathology was a branch of medicine until 1933. It was originally developed by true specialists on the subject who worked at private clinics, private consultation offices, hospitals or even schools, with no valid exchange of information amongst these practitioners. This was the case until congresses on the specialty began to be held, both at a national and at an international level. It is precisely at one of these congresses, after the closing ceremony of the II National Congress on Digestive Pathology held in Barcelona in December 1933, that the idea of creating a Society came to light as a result of an initiative promoted by the “Gallart Monés School of Pathology”. The creation of such Society served as a nexus for all the specialists whose common aim was the advance of the specialty.

Societat Catalana de Cirurgia

Although Catalan surgery has a long history and a noble tradition, surgical associationism of a scientific nature is connected with the old guilds and brotherhoods, so characteristic of the country's bourgeois and artisan society, and, in a special way, with the creation of the " Royal College of Surgery of Barcelona", under the auspices of Don Pedro Virgili and especially Antoni de Gimbernat, during the 18th century.

Cancer Care Ontario

Cancer Care Ontario is a planning and research organization that advises the Ontario government on all aspects of provincial cancer care, provides information to health care providers and decision-makers, and motivates better cancer system performance.

International Union Against Cancer

Its objectives are to advance scientific and medical knowledge in research, diagnosis, treatment and prevention of cancer, and to promote all other aspects of the campaign against cancer throughout the world. Particular emphasis is placed on professional and public education.

Agency for Healthcare Research and Quality's

The mission of the Agency for Healthcare Research and Quality (AHRQ) is to improve the quality, safety and efficiency of medical assistance for all north-americans. The information derived from investigative projects made by AHRQ help the population make better decisions and improve the quality of related services. AHRQ was previously known as Agency for Healthcare Policy and Research.

Spanish Association Against Cancer

AECC welcomes patients, relatives, voluntary and professional personell that work together to prevent, inform, help people and finance oncologic projects that allow better diagnostics and treatment of cancer.

Societat Española de Patologia Digestiva

Digestive pathology was a branch of medicine until 1933. It was originally developed by true specialists on the subject who worked at private clinics, private consultation offices, hospitals or even schools, with no valid exchange of information amongst these practitioners. This was the case until congresses on the specialty began to be held, both at a national and at an international level. It is precisely at one of these congresses, after the closing ceremony of the II National Congress on Digestive Pathology held in Barcelona in December 1933, that the idea of creating a Society came to light as a result of an initiative promoted by the “Gallart Monés School of Pathology”. The creation of such Society served as a nexus for all the specialists whose common aim was the advance of the specialty.

Societat Espanyola d’Endoscòpia Digestiva

The “Sociedad Española de Endoscopia Digestiva” (Spanish Society of Digestive Endoscopy), previously known as the “Spanish Association of Digestive Endoscopy” , is a non lucrative society created with the aim of bringing together people and institutions interested in digestive endoscopy in all its aspects, including healthcare provision, teaching and research activities as well as any other similar processes (echoendoscopy, endoscopic capsule, and other future techniques). It is governed under the applicable currently in force Law of Societies and additional norms and regulations The Society has its headquarters at 69, Francisco Silvela, 2ºC. Madrid.

American Society of Colon and Rectal surgeons

The American Society of Colon and Rectal Surgeons is a community of health care professionals who are dedicated to advancing the understanding, prevention and treatment of disorders of the colon, rectum and anus.

Sociedad Española de Coloproctologia

Digestive pathology was a branch of medicine until 1933. It was originally developed by true specialists on the subject who worked at private clinics, private consultation offices, hospitals or even schools, with no valid exchange of information amongst these practitioners. This was the case until congresses on the specialty began to be held, both at a national and at an international level. It is precisely at one of these congresses, after the closing ceremony of the II National Congress on Digestive Pathology held in Barcelona in December 1933, that the idea of creating a Society came to light as a result of an initiative promoted by the “Gallart Monés School of Pathology”. The creation of such Society served as a nexus for all the specialists whose common aim was the advance of the specialty.

Societat Catalana de Cirurgia

Although Catalan surgery has a long history and a noble tradition, surgical associationism of a scientific nature is connected with the old guilds and brotherhoods, so characteristic of the country's bourgeois and artisan society, and, in a special way, with the creation of the " Royal College of Surgery of Barcelona", under the auspices of Don Pedro Virgili and especially Antoni de Gimbernat, during the 18th century.

Cancer Care Ontario

Cancer Care Ontario is a planning and research organization that advises the Ontario government on all aspects of provincial cancer care, provides information to health care providers and decision-makers, and motivates better cancer system performance.

International Union Against Cancer

Its objectives are to advance scientific and medical knowledge in research, diagnosis, treatment and prevention of cancer, and to promote all other aspects of the campaign against cancer throughout the world. Particular emphasis is placed on professional and public education.

Agency for Healthcare Research and Quality's

The mission of the Agency for Healthcare Research and Quality (AHRQ) is to improve the quality, safety and efficiency of medical assistance for all north-americans. The information derived from investigative projects made by AHRQ help the population make better decisions and improve the quality of related services. AHRQ was previously known as Agency for Healthcare Policy and Research.

Spanish Association Against Cancer

AECC welcomes patients, relatives, voluntary and professional personell that work together to prevent, inform, help people and finance oncologic projects that allow better diagnostics and treatment of cancer.

Societat Española de Patologia Digestiva

Digestive pathology was a branch of medicine until 1933. It was originally developed by true specialists on the subject who worked at private clinics, private consultation offices, hospitals or even schools, with no valid exchange of information amongst these practitioners. This was the case until congresses on the specialty began to be held, both at a national and at an international level. It is precisely at one of these congresses, after the closing ceremony of the II National Congress on Digestive Pathology held in Barcelona in December 1933, that the idea of creating a Society came to light as a result of an initiative promoted by the “Gallart Monés School of Pathology”. The creation of such Society served as a nexus for all the specialists whose common aim was the advance of the specialty.

Societat Espanyola d’Endoscòpia Digestiva

The “Sociedad Española de Endoscopia Digestiva” (Spanish Society of Digestive Endoscopy), previously known as the “Spanish Association of Digestive Endoscopy” , is a non lucrative society created with the aim of bringing together people and institutions interested in digestive endoscopy in all its aspects, including healthcare provision, teaching and research activities as well as any other similar processes (echoendoscopy, endoscopic capsule, and other future techniques). It is governed under the applicable currently in force Law of Societies and additional norms and regulations The Society has its headquarters at 69, Francisco Silvela, 2ºC. Madrid.
Dr. Javier Nereda Duran

Doctor en medicina i cirurgia

Especialitzat en aparell digestiu

Llicenciat en medicina i cirurgia per la Universitat Central de Barcelona i especialista en aparell digestiu.

Ha exercit diversos càrrecs, com ara: metge col•laborador del Servei de Coloproctologia de la Clínica Plató Fundació Privada de Barcelona, des del febrer de 1994 fins al juliol de 1999; metge col•laborador de la Unitat Endoscòpia Digestiva de la Clínica Plató Fundació Privada de Barcelona, des del febrer de 1994 fins al juliol de 1999; metge col•laborador de la Unitat d’Aparell Digestiu de l’Hospital Comarcal Sant Joan de Déu de Martorell, Barcelona, de juliol de 1997 a juliol de 1999.

Actualment és metge adjunt del Servei d’Aparell Digestiu i responsable de la Unitat d’Endoscòpia Digestiva, de l’Institut Universitari Dexeus de Barcelona.

Membre de diversos comitès científics, desenvolupa una gran activitat com a divulgador científic participant en cursos, simposis, congressos i diverses publicacions en revistes i capítols de llibres.

Dr. Francesc Tressera i Casas

Doctor en medicina i cirurgia

Especialista en anatomia patològica

Doctor en medicina i cirurgia per la Universitat de Barcelona, especialista en anatomia patològica. És cap del Servei d’Anatomia Patològica de l’Institut Universitari Dexeus.

Desenvolupa una important tasca de recerca en el camp de la patologia mamària, ginecològica, digestiva i oftalmològica, a la vegada que una significativa activitat de divulgació del resultat dels seus treballs. En aquesta linia, és autor de mes de 125 articles en revistes espanyoles i estrangeres, ha col·laborat en cinc llibres sobre patologia, i ha estat ponent en mes d’un centenar de cursos, congressos, simposis nacionals i internacionals.

És acadèmic de la Reial Acadèmia de Farmàcia de Catalunya des de l’any 2004, i ha estat distingit amb diversos premis nacionals i internacionals.

Dr. Joan Carles i Galceran

Doctor en medicina i cirurgia

Metge especialista en oncologia mèdica

Professor de tercer cicle a la Universitat Autònoma de Barcelona. Exerceix la seva activitat mèdica a l’Hospital de l’IMAS. La seva activitat investigadora és molt rellevant: com a investigador principal ha participat en més d’un nombre significatiu de projectes d’investigació oncològica.

La seva activitat divulgadora és molt extensa amb gairebé un centenar d’articles en revistes nacionals i internacionals, unes 80 intervencions en congressos i simposis nacionals i també internacionals, i la coredacció de diversos llibres. També destaca la seva participació en el Comitè de Redacció de la revista mèdica Revista Española de Oncología, i la coordinació de les Jornades de Revisió d’ASCO (American Society of Clinical Oncology) des del 2000.

És membre de diverses societats mèdiques com ara la Societat Catalana-Balear d’Oncologia, la Societat Espanyola d’Oncología Médica des de 1988 (SEOM), la Societat Europea d’Oncologia Mèdica (ESMO) des de 1991 o la Societat Americana d’Oncologia Mèdica (ASCO).

Dra. Mª Antonia Lequerica Cabello

Llicenciada en medicina i cirurgia
Residència cirurgia general i aparell digestiu
Especialista cirurgia general i aparell digestiu
Llicenciada en medicina i cirurgia per la Facultat de Medicina de Santander, Universitat de Cantàbria, el 1989. Títol d’especialista en cirurgia general i aparell digestiu, des del gener de 1997.
Metgessa assistenta voluntària en el Servei de Cirurgia Cardiovascular de l’Hospital Universitari Marqués de Valdecilla de Santander (Prof. J. M. Revuelta), de 1989 a 1991.
Professora col·laboradora honorífica del Departament de Ciències Mèdiques i Quirúrgiques de la Facultat de Medicina de la Universitat de Cantàbria, de 1989 a 1991.
Metgessa adjunta d’urgències de cirurgia general i aparell digestiu a l’Hospital General Vall d’Hebron, de 1997 a 1999.
Metgessa adjunta d’urgències de cirurgia toràcica a l’Hospital General Vall d’Hebron, de 1997 a 1998. Metgessa adjunta d’urgències de cirurgia general i aparell digestiu de l’Hospital Municipal de Badalona, de 1997 al 2001.
Metgessa adjunta d’urgències de cirurgia general i aparell digestiu a l’Hospital Josep Trueta de Girona, des de 1998. Membre agregada de la Societat Catalana de Cirurgia des de 1994. Incorporació a Quirúrgica Cirujanos Asociados l’any 2000.
Membre associada del Centre Mèdic Teknon des del 2001. Participació en cursos de cirurgia hepatobiliopancreàtica, mamària, de còlon i laparoscòpica.

Dra. Dolores Maluenda Colomer

Doctora en gastroenterologia

Especialista en aparell digestiu

Llicenciada en medicina per la Universitat Autònoma de Barcelona i doctora en medicina de la Universitat de Navarra, especialista en aparell digestiu.

Ha participat en diversos cursos, congressos i simposis mèdics, tant nacionals com internacionals, i ha fet estades professionals en diversos països.

Ha desplegat una significativa activitat divulgadora, participant en la redacció de cinc llibres, i ha publicat més de quaranta articles en revistes especialitzades d’àmbit nacional i internacional.

Participa en diverses societats mèdiques. Fruit de la seva activitat, el 1995 va rebre el premi Primer Accèssit Shering-Plough sobre “Fisiologia i patologia del fetge i vies biliars” com a reconeixement a la seva tasca.

Dr. Alberto Navarro Luna

Llicenciat en medicina i cirurgia
Metge especialista en cirurgia general
Especialitzat en cirurgia colorectal
Llicenciat en medicina i cirurgia a la Facultat de Medicina de la Universitat Central de Barcelona, coordinador de la Unitat de Coloproctologia del Servei de Cirurgia de l’Hospital Mútua de Terrassa.
Pertany a diverses associacions i societats mèdiques, com ara l’Associació Espanyola de Cirurgians, l’Associació Espanyola de Digestologia I l’Associació Espanyola de Coloproctologia.

Ha rebut i impartit cursos en diversos països i ha donat nombroses conferències i ponències, entre les quals destaquen el XXIII Congrés Nacional i Internacional de la Societat Mexicana de Cirurgians de Recte Còlon (Huatulco, Mèxic), el Congrés Iberollatinoamericà de Coloproctologia (Isla Margarita, Veneçuela) i el LXI Congrés Nacional de la Societat de Patologia Digestiva (Sant Sebastià, Espanya).

Ha publicat un gran nombre d’articles i és coautor de diversos llibres.

Ha desenvolupat i desenvolupa una important tasca investigadora: actualment és l’investigador principal de l’Hospital Mútua de Terrassa en l’Estudi multicèntric de viabilitat, amb vuit institucions europees i nord-americanes, per a l’estudi del “Tractament del restrenyiment per mitjà de neuromodulació d’arrels sacres”.

Dra. Mª del Carmen Peña Cala

Llicenciada en medicina i cirurgia

Especialista en aparell digestiu

Llicenciada en medicina i cirurgia per la Universitat de Cadis. Metgessa interna resident en l’especialitat d’aparell digestiu, Hospital Universitari Germans Trias i Pujol (HUGTIP) de Badalona.

Actualment és metgessa adjunta del Servei de Digestiu i membre agregada de l’Institut Dexeus. El seu camp d’investigació són les alteracions genètiques implicades en el desenvolupament del càncer colorectal, relacionat amb la malaltia inflamatòria intestinal.

Ha realitzat una desena de comunicacions orals i pòsters, i ha publicat dotze articles en mitjans de comunicació científics. És membre de la Societat Espanyola de Motilitat Intestinal des del 2001, membre del Grup Espanyol de Treball per a l’Estudi de la Malaltia de Crohn i Colitis Ulcerosa (GETECCU) des del 2001 i membre del Grup Multidisciplinari d’estudi de Patologia del Sòl Pèlvic des del 2002.

Dra. Raquel Sáez Redín

Cirurgia general i digestiva

Cirurgia de la mama

Coloproctologia

Llicenciada en medicina i cirurgia per la Universitat de Navarra el 1987, i titulada en l’especialització de cirurgia general i de l’aparell digestiu (1994), va completar els seus estudis en coloproctologia en el Departament de Cirurgia Colorectal de la Universitat de Minnesota (Minneapolis, EUA) i a la Mayo Clinic de Rochester (Minnesota, EUA).

Actualment és membre associada del Centre Mèdic Teknon des del 2002 i de Quirúrgica Cirujano Asociados, i metgessa adjunta d’urgències a l’Hospital Mútua de Terrassa.

Com a activitat divulgadora científica ha participat en diversos congressos i simposis, on ha presentat una vuitantena de comunicacions i ha publicat una desena d’articles científics en la seva especialitat.

És membre de diverses societats científiques, entre les quals l’Associació Espanyola de Cirurgians, l’Associació de Patologia Digestiva, l’Associació de Coloproctologia i Senologia i Patologia Mamària, l’American Society of Colon and Rectal Surgeons.

Dr. Xavier Llor-Farré

Llicenciat en medicina i cirurgia
Especialista en medicina interna i gastroenterologia
Llicenciat en medicina i cirurgia per la Universitat Autònoma de Barcelona (1986), especialista en medicina interna per la Universitat de Chicado/Lutheran General Hospital (1994) i especialista en gastroenterologia per la Universitat d’Illinois a Chicago (1997).

Actualment desenvolupa la seva activitat professional a l’Institut Català de la Salut, Hospital Universitari Germans Trias i Pujol, centrant la seva activitat investigadora en el càncer colorectal, àcids grassos i la malaltia inflamatòria intestinal. És coordinador del Grup d’Oncologia Digestiva, Xarxa Nacional d’Investigació en Hepatologia i Gastroenterologia 2003-05.
Les seves activitats de divulgació científica són molt significatives, entre les quals destaquen els llibres publicats i més d’un centenar d’articles en revistes nacionals i internacionals, i la seva participació en congressos i convencions mèdiques, on ha dictat diverses conferències. La seva activitat s’estén també en l’àmbit acadèmic impartint estudis de tercer curs i dirigint tesis doctorals.
Pertany a diverses societats mèdiques, entre les quals: American Gastroenterological Association, American Society for Gastrointestinal Endoscopy, American Association for the Advancement of Science, Associació Espanyola de Gastroenterologia, Societat Catalana de Digestologia i Societat Catalana d’Endoscòpia Digestiva.

Dr. Javier Nereda Duran

Medical doctor

Specialist in digestology (gastoenterology)

Medical doctor by the “Universidad Central de Barcelona”. Specialist in digestology (gastoenterology).

Dr Nebreda has held several posts: consultant at the Service of Coloproctology at the “Clínica Plató Fundación Privada” in Barcelona, from February 1994 until July 1999, consultant at the Unit of Digestive Endoscopy at the “Clínica Plató Fundación Privada” in Barcelona, from February 1994 until July 1999, consultant at the Unit of Digestology at the “Hospital Comarcal Sant Joan de Déu”, Martorell, Barcelona, from July 1997 to July 1999.

Dr Nebreda currently holds the post of associate specialist consultat at the Unit of Digestive Endoscopy at “Instituo Universitario Dexeus” in Barcelona.

Dr Nebreda is a member of several scientific committees and performs an extensive activity as scientific lecturer.

Dr. Francesc Tressera i Casas

Medical doctor

Specialist in pathology

Medical doctor and PhD in Medicine by the “Universidad de Barcelona”. Specialist in pathology. Dr Tresserra is head of the Pathology Department at “Institut Universitari Dexeus”.

Dr Tresserra´s work in research is very significant in the field of breast pathology, gynaecology, digestive and ophthalmologic pathology, with a significant amount of scientific dissemination of the results of the research projects undertaken. In this line, Dr Tresserra has authored over 125 papers in Spanish and international journals, having collaborated in five books on pathology. Dr Tresserra has given over 100 lectures in several courses, congresses, and national and international symposiums.

Dr Tresserra is an academician at the “Real Academia de Farmacia de Cataluña” from 2004. And has been distinguished with several national and international awards.

Dr. Joan Carles i Galceran

Medical doctor

Specialist in medical oncology

Dr Carles is professor of the third cycle at the “Universidad Autonoma de Barcelona”. He currently works as staff physician at “Hospital IMAS”. His research work is very significant, having been principal investigator of a number of research projects in oncology.

His activity as a lecturer is very extensive with nearly 100 hundred papers published in national and international journals, about 80 lectures in national congresses and symposiums and nearly as many in international events. Worth pointing out is his participation as a writer for the medical journal “Revista Española de Oncología”

and the coordination of the ASCO Workshop (American Society of Clinical Oncology) from the year 2000.

Dr. Mª Antonia Lequerica Cabello

Medical doctor
Internship: General and Digestive Surgery
Specialist: General and Digestive Surgery
Medical doctor degree by the “Universidad de Medicina de Santander, Universidad de Cantabria” in 1989. Specialist completion certificate in general and digestive surgery obtained in January 1997.
Volunteer assistant physician at the Service of Cardiovascular Surgery at the “Hospital UniversitarioMarqués de Valdecilla de Santander (Prof. J.M. Revuelta) from 1989 to 1991.
Honorific collaborating professor at the Department of Medical and Surgical Sciences of the “Facultat de Medicina de la Universidad de Cantabria” from 1989 to 1991.
Associate staff physician at the Emergency department in general and digestive surgery at “Hospital General Vall d´ Hebron, from 1997 to 1999.
Associate staff physician at the Emergency department in thoracic surgery at “Hospital General Vall d´Hebron” from 1977 to 1998. Associate staff physician at the Emergency department in general and digestive surgery at “Hospital Municipal de Badalona”, from 1997 to 2001.
Associate physician of general and digestive surgery at the “Hospital Josep Trueta de Girona” from 1998. Aggregate member of the “Sociedad Catalana de Cirugía” since 1994. Dr Lequerica became part of Quirúrgica Cirujanos Asociados in 2000.
Associate member of “Centro Médico Teknon” since 2001. Dr Lequerica has participated in courses of hepatobiliopancreatic, breast, and colon surgery as well as in laparoscopic surgery courses.

Dr. Dolores Maluenda Colomer

Medical doctor

PhD degree in gastroenterology

Medical doctor degree granted by the “Universidad Autónoma de Barcelona” and PhD in medicine by the “Universidad de Navarra”. Specialist in gastroenterology.

Dr Maluenda has participated in numerous courses, congresses and medical symposiums, both national and internationally, and has done professional stages in several countries.

Dr Maluenda has performed a significant dissemination activity, participating in the writing of five books, with over forty papers published in specialised national and international magazines.

Dr Maluenda is a member of several medical societies. As a result of this dedication, she received the “Accesit SHering-Plough” award in 1995 on “Physiology and Pathology of the Liver and biliary tract” in recognition for her work.

Dr. Alberto Navarro Luna

Medical doctor
Specialist in general surgery
Specialist in colorectal surgery
Medical doctor degree by the “Facultad de Medicina de la Universidad Central de Barcelona”, co-ordinator of the Unit of Coloproctology at the Department of Surgery of “Hospital Mútua de Terrassa”.
Dr Navarro is a member of several medical associations and societies, such as the “Asociación Española de Cirujanos”, the “Asociación Española de Digestología” and the “Asociación Española de Coloproctología”.

Dr Navarro has taken and taught courses in several countries and has also given numerous lectures and presentations, being the “XXIII Congreso Nacional e Internacional de la Sociedad Mexicana de Cirujanos de Recto Colon” (Huatulco, México) one of the most renown; the “Congreso Iberolatinoamericano de Coloproctología” (Isla Margarita, Venezuela) and the “LXI Congreso Nacional de la Sociedad de Patología Digestiva (San Sebastián, España).

Dr Navarro has published a large number of papers and is co-author of several books.

He has and is currently very actively involved in research work. Currently he is the principal investigator at the “Hospital Mútua de Terrasa” of a viability multicenter study including 8 European and North American institutions on the study of “Treatment of constipation by means of neuromodulation of sacral roots”.

Dr. Mª del Carmen Peña Cala

Medical doctor

PhD degree in gastroenterology

Medical doctor degree granted by the “Universidad de Cadiz”. In-training physician in the specialty of gastroenterology at the “Hospital Universitari Germans Trias i Pujol (HUGTIP)” of Badalona.

Currently she is associate physician at the Department of Gastroenterology and aggregrate member at Institut Dexeus. Her field of research are genetic alterations involved in the development of colorectal cancer and its relationship with intestinal inflammatory disease.

Dr Peña has been a member of the “Sociedad Española de Motilidad Intestinal” since 2001, a member of the Spanish working group for the study of Chron´s diseases and ulcerous colitis (GETECCU) since 2001 and a member of the multidisciplinary working group for the study of the pathology of the pelvic floor since 2002.

Dr. Raquel Sáez Redín

General and digestive surgery

Surgery of the breast

Coloproctology

Medical doctor degree granted by the “Universidad de Navarra” in 1987. Specialist in general and digestive surgery in 1994. She completed her studies on coloproctology at the Department of Colorectal Surgery at the University of Minnesota (Minneapolis, USA) and at the Mayo Clinic in Rochester (Minnesota, USA).

Dr Saéz is currently associate consultant at “Centro Médico Teknon”, having become a member in 2002. She is also a member of Qurúrgica Cirujanos Asociados and associate staff physician at the Emergency Dpt. at “Hospital Mutua de Terrassa”.

As scientific lecturer, she has participated in several congresses and symposiums, having written over eight communications and published twelve papers on her specialty.

Dr Saéz is a member of several scientific societies, among these the “Asociación Española de Cirujanos”, “Asociación de Patología Digestiva”, “Asociación de Coloproctología y Senología y Patología Mamaria” and the American Society of Colon and Rectal Surgeons.

Dr. Xavier Llor-Farré

Medical doctor
Specialist in internal medicine and gastroenterology
Medical degree granted by the “Universidad Autónoma de Barcelona” (1986). Specialist in internal medicine by Chicago University/Lutheran General Hospital (1994) and specialist in gastroenterology by the University of Illinois in Chicago (1997).

Dr Llor is currently working at the “Institut Català de la Salut”, “Hospital Universitario Germans Trias i Pujol”. His work focuses mainly on colorectal cancer, fatty acids and on intestinal inflammatory disease. He is co-ordinator of the Digestive Oncology group, National Research Network in Hepatology and Gastroenterology 2003-2005.
He has participated in congresses and medical convections as lecturer. His activities extend to the academic world, having taught third year classes and chaired doctoral theses. His work as scientific adviser are rather significant, being the books and the papers he has published both in national as well as in international journals the most relevant.
Dr Llor is a member of several medical societies, among these: American Gastroenterological Association, American Society for Gastrointestinal Endoscopy, American Association for the Advancement of Science, “Asociación Española de Gastroenterología”, “Sociedad Catalana de Digestología” and “Sociedad Catalana de Endoscopia Digestiva”.