RESUMO
Although nonspecific chronic gastritis and gastric dysplasia are considered as risk factors in the development of gastric cancer, the magnitude of this risk has not been well established. We made an endoscopic and histologic follow-up of 24 patients with an initial diagnosis of atrophic chronic gastritis and some degree of dysplasia over a period of 8 years. The first study revealed slight dysplasia in 8 patients, moderate dysplasia in 13 and severe dysplasia in 3. In our observation, dysplasia considered overall shows a probability of almost 54% of evolution to regression. In our study, the association of atrophic chronic gastritis and severe dysplasia is a reliable marker of gastric cancer. We think it is opportune to carry out periodic follow-ups by endoscopy and biopsy of patients with chronic gastritis and dysplasia.
Assuntos
Gastrite Atrófica/patologia , Gastrite/patologia , Lesões Pré-Cancerosas/patologia , Neoplasias Gástricas/patologia , Estômago/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia , Epitélio/patologia , Feminino , Seguimentos , Gastroscopia , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de RiscoRESUMO
We did a retrospective study of 100 patients who underwent endoscopic retrograde cholangiopancreatography (ERCP), selecting those cases in which the final diagnosis was pancreatitis or pancreatic neoplasm. We analyzed the pancreatic radiographs obtained using this technique and describe the most characteristic diagnostic findings in each case. Results are compared to those published in the medical literature.
Assuntos
Colangiopancreatografia Retrógrada Endoscópica , Neoplasias Pancreáticas/diagnóstico por imagem , Pancreatite/diagnóstico por imagem , Doença Crônica , Diagnóstico Diferencial , Humanos , Estudos RetrospectivosAssuntos
Epinefrina/sangue , Sangue Fetal/análise , Norepinefrina/sangue , Adulto , Feminino , Humanos , Recém-Nascido , GravidezRESUMO
Para establecer los valores promedio de adrenalina y noradrenalina plasmaticos en fetos normales a termino, fueron seleccionados 27 mujeres que cursaron con embarazo normal, a termino por amenorrea y cuyo parto fue eutocico; la respuesta de los recien nacidos fue totalmente fisiologica.A cada uno de los fetos se le tomaron 10 ml de sangue total del cordon umbilical y se determinaron adrenalina y noradrenalina con la tecnica de Yalow y Berson. Los resultados obtenidos fueron para la adrenalina un promedio de 100.3 ng/ml y para la noradrenalina de 85.7. Estadisticamente, se encontro una correlacion positiva entre ambas. Las cifras de adrenalina fetales no fueron influidas por la edad materna, antecedentes de paridad, edad gestacional, peso de los productos o sexo de los mismos. En relacion con la noradrenalina fetal, tampoco influyeron esas variables, excepto en el peso de los productos, pues se observo una ligera tendencia a elevarse, conforme se incrementa el peso de los productos, sin embargo, se requiere de una muestra mayor, para lograr conclusiones definitivas
Assuntos
Gravidez , Adulto , Humanos , Feminino , Epinefrina , Feto , NorepinefrinaAssuntos
Ácido Mefenâmico/uso terapêutico , Menorragia/tratamento farmacológico , Adolescente , Adulto , Ensaios Clínicos como Assunto , Inibidores de Ciclo-Oxigenase , Método Duplo-Cego , Feminino , Humanos , Ácido Mefenâmico/administração & dosagem , Ácido Mefenâmico/farmacologia , Pessoa de Meia-Idade , Estudos Prospectivos , Distribuição AleatóriaRESUMO
One hundred patients with term pregnancy, were studied. There were placed in two groups of 50 each; one was the problem group with antecedents and confirmation of premature rupture of membranes; and the other group with intact amnios at the time of delivery, which served as controls. Clinical history, leukocyte count, temperature determination on admission and during trans-partum, leukocyte count in mixed blood from the umbilical cord and clinical surveillance were carried out, until 96 hours after delivery, of mother and child looking for sepsis signs. In the problem group there were 10 cases of maternal infection and 12 of newborns. There were no infections in the control group. There was no perinatal mortality. The most useful examination as to maternal and neonatal infection, was leukocytic count on admission, followed by trans-partum count and maternal temperature. Fetal leukocytic count above 12,500 per mm3 was useful in 70% of the newborns with complications.
Assuntos
Ruptura Prematura de Membranas Fetais/diagnóstico , Doenças do Recém-Nascido/diagnóstico , Infecções/diagnóstico , Infecção Puerperal/diagnóstico , Adulto , Líquido Amniótico/análise , Feminino , Sangue Fetal/análise , Ruptura Prematura de Membranas Fetais/mortalidade , Humanos , Mortalidade Infantil , Recém-Nascido , Doenças do Recém-Nascido/mortalidade , Infecções/mortalidade , Contagem de Leucócitos , Mortalidade Materna , Gravidez , Infecção Puerperal/mortalidade , Fatores de TempoRESUMO
To determine whether there are changes in the utero-tubo-ovarian circulation after tubal sterilization, selective arteriograms were taken in vivo every 0.3--7.0 seconds with a Puck-type seriograph and also in vitro. A control arteriographic study was made. The operations performed were fimbriectomy and modified Pomeroy. The 30 patients studied were divided into two groups. One was formed by 20 nonpregnant women. The other ten patients were in the early puerperium. Arteriographic images with and without tubal sterilization were prepared, and the different techniques were compared. With the Pomeroy operations, the various tubal sites where surgery was performed were also compared. It was concluded that neither the modified Pomeroy sterilization nor fimbriectomy alters ovarian perfusion in either nonpregnant women or those in the early puerperium.