RESUMO
The article presents the possible indicators of quality of endoscopy departments (cabinet) activities, developed on the basis of the experience of foreign colleagues using information resource: PubMed, Cochrane Library, MDConsult, DynaMed, Google Schola and search engine TRIP Database www.tripdatabase.com, existing regulations as well as their own experience.
Assuntos
Instituições de Assistência Ambulatorial/normas , Endoscopia/métodos , Endoscopia/normas , Departamentos Hospitalares/normas , Indicadores de Qualidade em Assistência à Saúde , Instituições de Assistência Ambulatorial/organização & administração , Departamentos Hospitalares/organização & administração , HumanosRESUMO
In article the main indications and conditions for the most successful endoscopic treatment of patients with chronic pancreatitis, especially in the presence of the burdened anamnesis, based on data of the world literature and own experience are formulated.
Assuntos
Endoscopia Gastrointestinal/métodos , Pancreatite Crônica/cirurgia , Colangiopancreatografia Retrógrada Endoscópica , Humanos , Pancreatite Crônica/diagnóstico por imagem , Pancreatite Crônica/etiologia , Resultado do TratamentoRESUMO
The article contains results of a continuous prospective investigation of the normal course of the major duodenal papilla stenosis in 167 patients. It was revealed that the course of the disease was benign, pain syndrome became inconsiderable in the course of time, the degree of changes in biochemical analysis of blood was not significant. The development of complications (choledocholithiasis, acute pancreatitis, jaundice) was noted in 6-14% of the patients, depending on the presence or absence of GID. The data obtained allow suggestion of an algorithm of managing the patients.
Assuntos
Ampola Hepatopancreática , Colangiopancreatografia Retrógrada Endoscópica/métodos , Doenças do Ducto Colédoco/diagnóstico , Doenças do Ducto Colédoco/cirurgia , Constrição Patológica , Diagnóstico Diferencial , Seguimentos , Humanos , Pessoa de Meia-Idade , Estudos ProspectivosRESUMO
The problem of nonneoplastic stenosis of major duodenal papilla is on joint of gastroenterology and surgery and present a challenge for physicians. This article reviews what is known about the pathogenesis, epidemiology and diagnostics of papillostenosis and sphincter of Oddi dysfunction.
Assuntos
Duodenopatias , Esfíncter da Ampola Hepatopancreática , Constrição Patológica/diagnóstico , Constrição Patológica/etiologia , Constrição Patológica/patologia , Constrição Patológica/fisiopatologia , Duodenopatias/diagnóstico , Duodenopatias/etiologia , Duodenopatias/patologia , Duodenopatias/fisiopatologia , Feminino , Humanos , Masculino , Esfíncter da Ampola Hepatopancreática/patologia , Esfíncter da Ampola Hepatopancreática/fisiopatologiaRESUMO
Barrett esophagus is the most serious sequela of the gastroesophageal reflux disease being an obligate precancer with a high index of the neoplastic transformation as to an adenocarcinoma esophagus. THE PURPOSE OF THE PAPER: To reveal the extent of the susceptibility to oncogenesis of the Barrett esophagus-patients and to determine high-risk groups. MATERIALS AND METHODS: Our paper has shown the examination results of the 55 Barrett esophagus-patients (29 women and 26 men at the age of 39 to 62 years old), including 40 intestinal metaplasia-patients and 15 patients of the intestinal metaplasia + dysplasia of long clinical course given corresponding correcting cure. In our investigation a DNA-flow cytometry was a method of determining the adenocarcinoma esophagus risk secondary to the Barrett esophagus as well as an index of the proliferation and an index of the aneuploidy were the factors analyzed. THE RESULTS: 1) As the pathosis histology-progresses from metaplasia to dysplasia and adenocarcinoma esophagus the increase in the aneuploidy rate, the proliferation index, and S-cycling state cells portion is observed; 2) the proliferation index is a rather stable factor of the human body susceptibility to oncogenesis and varies only slightly in the course of the cure. The index of the aneuploidy is a labile factor that can be subject to decrease down to normal figures given corresponding cure (p > 0.05); 3) the increased aneuploidy index in the presence of the intestinal metaplasia free of esophagus dysplasia can serve as an objective factor for neoplastic progression.
