RESUMO
RESULTS: Compared with the control group, the impacted subjects presented marked reduction in amplitude and duration of esophageal contraction in the proximal esophagus. CONCLUSIONS: These motor disorders could be responsible for the foreign body impaction in the esophagus. However, we believe this patient group should be further studied by 24-hour esophageal manometry to reach a more accurate diagnosis by studying each patient's entire circadian cycle.
Assuntos
Esôfago/fisiopatologia , Corpos Estranhos/etiologia , Contração Muscular , Peristaltismo/fisiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Endoscopia Gastrointestinal , Esfíncter Esofágico Inferior/fisiopatologia , Feminino , Humanos , Masculino , Manometria , Pessoa de Meia-Idade , Estudos Prospectivos , Adulto JovemRESUMO
UNLABELLED: We observed in our practice several cases of impaction with meat boluses without bony edges, in patients with patent esophageal lumen. The aim of this study was to search for eventual underlying motor disorders which could be responsible for this impaction. We included 19 patients who attended the endoscopy service for meat bolus impaction without organic esophageal stenosis. This group was compared with 18 control volunteers. Both groups underwent UGI series, UGI endoscopy and low-compliance perfusion standard esophageal manometry. RESULTS: Compared with the control group, the impacted subjects presented marked reduction in amplitude and duration of esophageal contraction in the proximal esophagus. CONCLUSIONS: These motor disorders could be responsible for the foreign body impaction in the esophagus. However, we believe this patient group should be further studied by 24-hour esophageal manometry to reach a more accurate diagnosis by studying each patient's entire circadian cycle.
Assuntos
Transtornos da Motilidade Esofágica/complicações , Esôfago , Corpos Estranhos/fisiopatologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Esôfago/fisiopatologia , Feminino , Corpos Estranhos/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos ProspectivosRESUMO
93 (Ninety-three) cases were selected out of 895 laparoscopies made from 1980 through 1988 at the Endoscopy Department of "Alejandro Posadas" Hospital. The aim of this study was to evaluate the diagnostic reliability of Ultrasonography and C.A.T. (Computerized Axial Tomography) when compared with a laparoscopic diagnosis in patients with Focal Hepatic Lesions. The average age of patients was 58 years old, 50 males (53.7%) and 43 female (46.3%); 62.3% of patients had histologic or cytological confirmation. The diagnoses we made were: 66 metastases; 10 hepatocarcinomas; 8 cysts; 5 lymphomas; 2 angiomas; 1 nodular hyperplasia and 1 abscess. Ultrasonography and/or C.A.T. were performed in every case. Ultrasonography was applied in 58 patients, C.A.T. in 9 and both ultrasonography and C.A.T. were applied in 26 cases. The diagnosis of Focal Hepatic Lesions was made with ultrasonography in 55 patients (65.5%). The C.A.T.-based diagnosis of Focal Hepatic Lesions was made in 27 patients (77.1%). Laparoscopy has proved to be an excellent diagnostic method for studying Focal Hepatic Lesions especially in primary or secondary malignant lesions and vascular pathologies of the liver.
Assuntos
Hepatopatias/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Laparoscopia/métodos , Hepatopatias/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Radiografia , Estudos Retrospectivos , UltrassonografiaRESUMO
93 (Ninety-three) cases were selected out of 895 laparoscopies made from 1980 through 1988 at the Endoscopy Department of [quot ]Alejandro Posadas[quot ] Hospital. The aim of this study was to evaluate the diagnostic reliability of Ultrasonography and C.A.T. (Computerized Axial Tomography) when compared with a laparoscopic diagnosis in patients with Focal Hepatic Lesions. The average age of patients was 58 years old, 50 males (53.7
) and 43 female (46.3
); 62.3
of patients had histologic or cytological confirmation. The diagnoses we made were: 66 metastases; 10 hepatocarcinomas; 8 cysts; 5 lymphomas; 2 angiomas; 1 nodular hyperplasia and 1 abscess. Ultrasonography and/or C.A.T. were performed in every case. Ultrasonography was applied in 58 patients, C.A.T. in 9 and both ultrasonography and C.A.T. were applied in 26 cases. The diagnosis of Focal Hepatic Lesions was made with ultrasonography in 55 patients (65.5
). The C.A.T.-based diagnosis of Focal Hepatic Lesions was made in 27 patients (77.1
). Laparoscopy has proved to be an excellent diagnostic method for studying Focal Hepatic Lesions especially in primary or secondary malignant lesions and vascular pathologies of the liver.
Assuntos
Sistema Digestório , Esôfago , Corpos Estranhos , Orofaringe , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Endoscopia , Feminino , Corpos Estranhos/terapia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The experience in upper G.I. tract hemorrhage accumulated during the first 30 months in the Emergency Hemorrhage Unit at the Hospital Posadas is here reported over a total of 428 endoscopies, we found 518 lesions. Ninety one (21%) presented with active bleeding, and 317 (76%) were considered as the probable cause of the bleeding. In 37 cases (8.6%) the site of bleeding was detected, but the diagnosis wasn't done. The most frequent lesions were erosive gastritis (21.2%), gastric ulcer (20%), erosive duodenitis (12.6%), duodenal ulcer (12.15%) and esophageal varices (12.12%) the diagnosis was normal 14.7% of the cases. One hundred and sixty one patients were admitted to the hospital; on 143 (88.82%) patients the original diagnosis was confirmed but it was modified in 18 patients (11.18%) by surgery or repeated endoscopy. During the last 20 months of the period the accuracy diagnostic of the endoscopy increased 95%. When compared with the first 10 months (76%) this fact shows, the importance of the experience acquired by the endoscopist. Most of the patients received medical treatment with a mortality of 9.02% and 25 patients received surgical treatment with a mortality of 28%.
Assuntos
Emergências , Endoscopia , Hemorragia Gastrointestinal/diagnóstico , Adolescente , Adulto , Idoso , Duodenite/complicações , Varizes Esofágicas e Gástricas/complicações , Feminino , Gastrite/complicações , Hemorragia Gastrointestinal/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Péptica/complicaçõesAssuntos
Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Sistema Digestório , Corpos Estranhos , EndoscopiaAssuntos
Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Humanos , Emergências , Endoscopia , Hemorragia Gastrointestinal , Gastroenteropatias , Úlcera PépticaRESUMO
The experience in upper G.I. tract hemorrhage accumulated during the first 30 months in the Emergency Hemorrhage Unit at the Hospital Posadas is here reported over a total of 428 endoscopies, we found 518 lesions. Ninety one (21
) presented with active bleeding, and 317 (76
) were considered as the probable cause of the bleeding. In 37 cases (8.6
) the site of bleeding was detected, but the diagnosis wasnt done. The most frequent lesions were erosive gastritis (21.2
), gastric ulcer (20
), erosive duodenitis (12.6
), duodenal ulcer (12.15
) and esophageal varices (12.12
) the diagnosis was normal 14.7
of the cases. One hundred and sixty one patients were admitted to the hospital; on 143 (88.82
) patients the original diagnosis was confirmed but it was modified in 18 patients (11.18
) by surgery or repeated endoscopy. During the last 20 months of the period the accuracy diagnostic of the endoscopy increased 95
. When compared with the first 10 months (76
) this fact shows, the importance of the experience acquired by the endoscopist. Most of the patients received medical treatment with a mortality of 9.02
and 25 patients received surgical treatment with a mortality of 28
.
