metricas
covid
Buscar en
Cirugía Española (English Edition)
Toda la web
Inicio Cirugía Española (English Edition) Laparoscopic Approach to Intestinal Obstruction
Journal Information

Statistics

Follow this link to access the full text of the article

Letter to the Editor
Laparoscopic Approach to Intestinal Obstruction
Abordaje laparoscópico de la oclusión intestinal
Carlos Fortea-Sanchis
Corresponding author
carlosfortea@gmail.com

Corresponding author.
, Pablo Priego-Jiménez, Laura Granel-Villach, José Luis Salvador-Sanchis
Servicio de Cirugía General y Digestiva, Hospital General de Castellón, Castellón, Spain
Read
2424
Times
was read the article
724
Total PDF
1700
Total HTML
Share statistics
 array:23 [
  "pii" => "S2173507714005055"
  "issn" => "21735077"
  "doi" => "10.1016/j.cireng.2014.05.009"
  "estado" => "S300"
  "fechaPublicacion" => "2015-01-01"
  "aid" => "1332"
  "copyright" => "AEC"
  "copyrightAnyo" => "2014"
  "documento" => "simple-article"
  "subdocumento" => "cor"
  "cita" => "Cir Esp. 2015;93:56-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1297
    "formatos" => array:3 [
      "EPUB" => 13
      "HTML" => 935
      "PDF" => 349
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:18 [
      "pii" => "S0009739X14002115"
      "issn" => "0009739X"
      "doi" => "10.1016/j.ciresp.2014.05.008"
      "estado" => "S300"
      "fechaPublicacion" => "2015-01-01"
      "aid" => "1332"
      "copyright" => "AEC"
      "documento" => "simple-article"
      "subdocumento" => "cor"
      "cita" => "Cir Esp. 2015;93:56-7"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 3313
        "formatos" => array:3 [
          "EPUB" => 12
          "HTML" => 2407
          "PDF" => 894
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
        "titulo" => "Abordaje laparosc&#243;pico de la oclusi&#243;n intestinal"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "56"
            "paginaFinal" => "57"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Laparoscopic approach to intestinal obstruction"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Carlos Fortea-Sanchis, Pablo Priego-Jim&#233;nez, Laura Granel-Villach, Jos&#233; Luis Salvador-Sanchis"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Carlos"
                "apellidos" => "Fortea-Sanchis"
              ]
              1 => array:2 [
                "nombre" => "Pablo"
                "apellidos" => "Priego-Jim&#233;nez"
              ]
              2 => array:2 [
                "nombre" => "Laura"
                "apellidos" => "Granel-Villach"
              ]
              3 => array:2 [
                "nombre" => "Jos&#233; Luis"
                "apellidos" => "Salvador-Sanchis"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173507714005055"
          "doi" => "10.1016/j.cireng.2014.05.009"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507714005055?idApp=UINPBA00004N"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X14002115?idApp=UINPBA00004N"
      "url" => "/0009739X/0000009300000001/v1_201501010037/S0009739X14002115/v1_201501010037/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173507714005031"
    "issn" => "21735077"
    "doi" => "10.1016/j.cireng.2014.03.014"
    "estado" => "S300"
    "fechaPublicacion" => "2015-01-01"
    "aid" => "1317"
    "copyright" => "AEC"
    "documento" => "simple-article"
    "subdocumento" => "cor"
    "cita" => "Cir Esp. 2015;93:57-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1239
      "formatos" => array:3 [
        "EPUB" => 14
        "HTML" => 884
        "PDF" => 341
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Hiatal Hernias or Paraesophageal Hernias?"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "57"
          "paginaFinal" => "58"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "¿Hernias de hiato o hernias paraesofágicas?"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jorge de Tomás Palacios"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Jorge"
              "apellidos" => "de Tomás Palacios"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0009739X14001754"
        "doi" => "10.1016/j.ciresp.2014.03.018"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X14001754?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507714005031?idApp=UINPBA00004N"
    "url" => "/21735077/0000009300000001/v1_201501140027/S2173507714005031/v1_201501140027/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173507714004906"
    "issn" => "21735077"
    "doi" => "10.1016/j.cireng.2014.06.008"
    "estado" => "S300"
    "fechaPublicacion" => "2015-01-01"
    "aid" => "1343"
    "copyright" => "AEC"
    "documento" => "simple-article"
    "subdocumento" => "cor"
    "cita" => "Cir Esp. 2015;93:56"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1075
      "formatos" => array:3 [
        "EPUB" => 15
        "HTML" => 760
        "PDF" => 300
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Reply to the Comment of the Letter to the Editor on the Survey on Trauma Systems in Spain"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "56"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Réplica al comentario de la carta al director sobre la encuesta de sistemas de trauma en España"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "David Costa Navarro"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "David"
              "apellidos" => "Costa Navarro"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0009739X14002243"
        "doi" => "10.1016/j.ciresp.2014.06.007"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X14002243?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507714004906?idApp=UINPBA00004N"
    "url" => "/21735077/0000009300000001/v1_201501140027/S2173507714004906/v1_201501140027/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Laparoscopic Approach to Intestinal Obstruction"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor,"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "56"
        "paginaFinal" => "57"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Carlos Fortea-Sanchis, Pablo Priego-Jiménez, Laura Granel-Villach, José Luis Salvador-Sanchis"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Carlos"
            "apellidos" => "Fortea-Sanchis"
            "email" => array:1 [
              0 => "carlosfortea@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Pablo"
            "apellidos" => "Priego-Jiménez"
          ]
          2 => array:2 [
            "nombre" => "Laura"
            "apellidos" => "Granel-Villach"
          ]
          3 => array:2 [
            "nombre" => "José Luis"
            "apellidos" => "Salvador-Sanchis"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Cirugía General y Digestiva, Hospital General de Castellón, Castellón, Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>."
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Abordaje laparoscópico de la oclusión intestinal"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have read with great interest the article by Poves et al.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> about the use of laparoscopy in the treatment of intestinal obstruction due to adherences and internal hernias. We believe it would be useful to complement the information of the authors by reporting our experience.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">We should highlight the importance of adequate patient selection, because the success of this approach depends on it. Also, despite the fact that there are currently no randomized clinical trials, there are certain recommendations that should be considered, in addition to those described by the authors. The suspicion of a single band is the main indication for laparoscopic treatment (fundamentally in patients with embryonic adhesions or after appendectomy). However, it is also indicated in obstructions due to foreign bodies, bezoars or gallstone ileus. Contraindications include patient intolerance of anesthesia, suspicion of obstruction due to peritoneal carcinomatosis, distension of the small bowel of more than 4<span class="elsevierStyleHsp" style=""></span>cm on imaging tests and suspected dense adhesions. Likewise, the use of laparoscopy in patients with suspected ischemia or peritonitis is controversial and is considered a relative contraindication by certain groups.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">As stated by the authors, the main argument against this procedure has been the increase in iatrogenic injuries that go unnoticed during adhesiolysis. Nonetheless, different groups<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4,5</span></a> have recently published percentages that are similar to open surgery (3%&#8211;17%), which demonstrates the safety of this approach in the hands of expert surgeons. Dissections must be done delicately, while avoiding traction on the intestinal loops and restricting the use of electrocoagulation. It is essential to avoid the placement of trocars over previous incisions. Likewise, during pre-op it is necessary to define the cause of the obstruction. If this were not possible with laparoscopy, conversion to laparotomy is required.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,5,6</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Laparoscopy plays a fundamental role in these cases because it prevents future adhesions, which would cause intestinal obstructions to recur, resulting in additional socioeconomic costs. There have been no national reports on this factor here in Spain; in the United States; however, these costs have been estimated at some 1.3 billion dollars per year.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In short, we agree with the authors about the positive results provided with laparoscopic treatment of intestinal obstruction. However, even when its use is justified, we must remember that laparotomy is still considered the treatment of choice in intestinal obstructions, and laparoscopy should be reserved for selected cases.</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Fortea-Sanchis C, Priego-Jim&eacute;nez P, Granel-Villach L, Salvador-Sanchis JL. Abordaje laparosc&oacute;pico de la oclusi&oacute;n intestinal. Cir Esp. 2015;93:56&#8211;57.</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Resultados del abordaje laparosc&oacute;pico en el tratamiento de la obstrucci&oacute;n aguda del intestino delgado por adherencias y hernias internas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "I. Poves"
                            1 => "E. Sebasti&aacute;n Valverde"
                            2 => "S. Puig Company&oacute;"
                            3 => "D. Dorcaratto"
                            4 => "E. Membrilla"
                            5 => "M.J. Pons"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ciresp.2013.05.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cir Esp"
                        "fecha" => "2014"
                        "volumen" => "92"
                        "paginaInicial" => "336"
                        "paginaFinal" => "340"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24035528"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Experiencia inicial en el abordaje laparosc&oacute;pico de la obstrucci&oacute;n intestinal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C. Fortea-Sanchis"
                            1 => "P. Priego-Jim&eacute;nez"
                            2 => "D. Mart&iacute;nez-Ramos"
                            3 => "V. &Aacute;ngel-Yepes"
                            4 => "C. Villegas-C&aacute;novas"
                            5 => "J. Escrig-Sos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rgmx.2013.07.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Gastroenterol Mex"
                        "fecha" => "2013"
                        "volumen" => "78"
                        "paginaInicial" => "219"
                        "paginaFinal" => "224"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24290722"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Laparoscopic adhesiolysis: consensus conference guidelines"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "N. Vettoretto"
                            1 => "A. Carrara"
                            2 => "A. Corradi"
                            3 => "G. de Vivo"
                            4 => "L. Lazzaro"
                            5 => "L. Ricciardelli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Colorectal Dis"
                        "fecha" => "2012"
                        "volumen" => "14"
                        "paginaInicial" => "208"
                        "paginaFinal" => "215"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of acute small bowel obstruction from intestinal adhesions: indications for laparoscopic surgery in a community teaching hospital"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F.C. Grafen"
                            1 => "V. Neuhaus"
                            2 => "O. Schob"
                            3 => "M. Turina"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00423-010-0628-z"
                      "Revista" => array:6 [
                        "tituloSerie" => "Langenbecks Arch Surg"
                        "fecha" => "2010"
                        "volumen" => "395"
                        "paginaInicial" => "57"
                        "paginaFinal" => "63"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20340031"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Laparoscopic approach to acute small bowel obstruction: review of 1061 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B. Ghosheh"
                            1 => "J.R. Salameh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00464-007-9575-3"
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Endosc"
                        "fecha" => "2007"
                        "volumen" => "21"
                        "paginaInicial" => "1945"
                        "paginaFinal" => "1949"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17879114"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Laparoscopic management of intestinal obstruction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E. Chousleb"
                            1 => "S. Shuchleib"
                            2 => "A. Chousleb"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/SLE.0b013e3181f5b7fc"
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Laparosc Endosc Percutan Tech"
                        "fecha" => "2010"
                        "volumen" => "20"
                        "paginaInicial" => "348"
                        "paginaFinal" => "350"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20975508"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735077/0000009300000001/v1_201501140027/S2173507714005055/v1_201501140027/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "15162"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735077/0000009300000001/v1_201501140027/S2173507714005055/v1_201501140027/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507714005055?idApp=UINPBA00004N"
]
Article information
ISSN: 21735077
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 3 0 3
2024 October 13 6 19
2024 September 18 2 20
2024 August 17 6 23
2024 July 11 2 13
2024 June 10 8 18
2024 May 9 16 25
2024 April 18 6 24
2024 March 12 5 17
2024 February 14 2 16
2024 January 14 2 16
2023 December 8 2 10
2023 November 10 4 14
2023 October 14 4 18
2023 September 9 2 11
2023 August 10 1 11
2023 July 30 2 32
2023 June 27 2 29
2023 May 47 6 53
2023 April 36 2 38
2023 March 19 2 21
2023 February 16 6 22
2023 January 12 8 20
2022 December 18 6 24
2022 November 14 5 19
2022 October 13 7 20
2022 September 17 11 28
2022 August 12 4 16
2022 July 7 9 16
2022 June 14 9 23
2022 May 10 5 15
2022 April 9 9 18
2022 March 8 5 13
2022 February 6 5 11
2022 January 15 5 20
2021 December 13 14 27
2021 November 16 6 22
2021 October 8 8 16
2021 September 9 9 18
2021 August 10 8 18
2021 July 11 11 22
2021 June 18 7 25
2021 May 13 8 21
2021 April 22 29 51
2021 March 12 6 18
2021 February 9 5 14
2021 January 8 9 17
2020 December 13 6 19
2020 November 12 6 18
2020 October 10 9 19
2020 September 13 9 22
2020 August 10 13 23
2020 July 11 10 21
2020 June 5 11 16
2020 May 6 9 15
2020 April 6 3 9
2020 March 6 2 8
2020 February 7 2 9
2020 January 11 4 15
2019 December 15 11 26
2019 November 8 10 18
2019 October 11 7 18
2019 September 12 4 16
2019 August 7 4 11
2019 July 17 16 33
2019 June 35 6 41
2019 May 71 13 84
2019 April 21 16 37
2019 March 1 9 10
2019 February 7 5 12
2019 January 4 6 10
2018 December 5 5 10
2018 November 12 4 16
2018 October 9 0 9
2018 September 10 4 14
2018 August 5 1 6
2018 July 8 2 10
2018 June 16 0 16
2018 May 23 3 26
2018 April 3 0 3
2018 March 25 0 25
2018 February 28 1 29
2018 January 8 1 9
2017 December 33 1 34
2017 November 5 1 6
2017 October 11 2 13
2017 September 12 4 16
2017 August 9 2 11
2017 July 15 2 17
2017 June 15 2 17
2017 May 5 5 10
2017 April 4 16 20
2017 March 6 2 8
2017 February 17 1 18
2017 January 9 1 10
2016 December 19 8 27
2016 November 16 4 20
2016 October 33 3 36
2016 September 44 5 49
2016 August 24 4 28
2016 July 15 1 16
2016 June 23 5 28
2016 May 14 14 28
2016 April 19 15 34
2016 March 22 21 43
2016 February 22 15 37
2016 January 22 17 39
2015 December 21 11 32
2015 November 15 7 22
2015 October 25 10 35
2015 September 17 3 20
2015 August 11 3 14
2015 July 12 6 18
2015 June 16 3 19
2015 May 16 15 31
2015 April 8 5 13
2015 February 5 2 7
Show all

Follow this link to access the full text of the article

es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos