Asunto(s)
COVID-19 , COVID-19/epidemiología , Humanos , Pacientes Internos , Reunión/epidemiología , SARS-CoV-2Asunto(s)
Asma/terapia , Enfermedad Aguda , Agonistas de Receptores Adrenérgicos beta 2/uso terapéutico , Broncodilatadores/uso terapéutico , Quimioterapia Combinada , Servicio de Urgencia en Hospital , Glucocorticoides/uso terapéutico , Humanos , Ipratropio/uso terapéutico , Masculino , Hemisuccinato de Metilprednisolona/uso terapéutico , Persona de Mediana Edad , Terapia por Inhalación de Oxígeno , Terbutalina/uso terapéuticoRESUMEN
Two new applications of the endo-GIA technique are presented for endoluminal intrarectal resection of benign or malignant tumors of the lower or middle part of the rectum. These procedures allow resection of sessile lesions with a large implantation base. Depending on the pathology and the type of implantation, resection can either be total or via the musculosa. Results have been good with this simple procedure which allows total tumor resection and an uneventful post-operative period.
Asunto(s)
Neoplasias del Recto/cirugía , Instrumentos Quirúrgicos , Anciano , Humanos , Masculino , Métodos , Persona de Mediana EdadRESUMEN
An original treatment of caustic rectal stenosis due to abuse of analgesic suppositories is presented. The stenosis had been excluded by distal colostomy during 2 years before reconstruction of the circuit was attempted. Anatomically, the stenosis appeared as a complete diaphragm which could be recanalized by an EEA stapler for circular anastomosis, installed in two sites: endoluminal from the colostomy and perineal. After a 2-year follow-up, the anatomical and functional results are satisfactory.
Asunto(s)
Quemaduras Químicas/complicaciones , Cáusticos/efectos adversos , Recto/lesiones , Anciano , Quemaduras Químicas/cirugía , Constricción Patológica/etiología , Constricción Patológica/cirugía , Femenino , Humanos , Métodos , Recto/cirugía , Supositorios , Engrapadoras QuirúrgicasAsunto(s)
Enfermedad Hepática Inducida por Sustancias y Drogas/etiología , Ciproterona/análogos & derivados , Adenocarcinoma/tratamiento farmacológico , Anciano , Anciano de 80 o más Años , Antineoplásicos/envenenamiento , Enfermedad Hepática Inducida por Sustancias y Drogas/mortalidad , Ciproterona/envenenamiento , Ciproterona/uso terapéutico , Acetato de Ciproterona , Humanos , Masculino , Neoplasias de la Próstata/tratamiento farmacológicoRESUMEN
The protein C system is essential in limiting the activation of coagulation in vivo. We report on a 29 year old woman with Budd-Chiari syndrome and occlusion of the inferior vena cava who presented with acute liver failure. She was successfully treated with an emergency mesoatrial shunt. Eight months after surgery, she has no ascites and normal liver function. She had a low concentration of plasma protein C on admission to hospital and during the follow up. Protein C deficiency subsequently was found in her father and two sisters, who were asymptomatic. Hereditary protein C deficiency should be considered in patients with Budd-Chiari syndrome.