RESUMO
In this review we analyzed the guidelines for diagnosis and management of celiac disease, as well as the recent studies published on this issue. Capsule endoscopy could be used in patients unwilling or unable to undergo conventional endoscopy, in patients who have discordant results between serological and histopathological investigation, in patients with nonresponsive or refractory celiac disease.
Assuntos
Endoscopia por Cápsula/métodos , Doença Celíaca/diagnóstico , Intestino Delgado/diagnóstico por imagem , Guias de Prática Clínica como Assunto , HumanosRESUMO
The problem of treatment optimization of patients with urgent cholangiogen pancreatitis after papillotomy is considered Dynamics of laboratory parameters is resulted. High efficiency with use delayed papillotomy, decrease in pancreatic secretion using oktreated in pre- and the postoperative period, and also introductions tripsin in the duodenum in a combination to it decompression, or the main pancreatic channel a probe pf an original design is established.
Assuntos
Pâncreas/cirurgia , Pancreatite Necrosante Aguda/terapia , Tripsina/administração & dosagem , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Duodeno , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pâncreas/metabolismo , Pancreatite Necrosante Aguda/metabolismoRESUMO
Esophagogastroduodenoscopy is one of the most optimum study methods to diagnose the diaphragm hiatal hernia (DHH). The decrease in the distance between incisors and dentate line is a commonly accepted DHH criteria. The work objective was to study whether it is possible to use the criterion. The specificity and sensibility of this diagnostics method was studied. The complex of seven diagnostics OMED-recommended criteria was used as the gold standard. It was shown that the criterion under examination has insufficient diagnostics characteristics.
Assuntos
Hérnia Hiatal/diagnóstico , Dente , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Endoscopia do Sistema Digestório , Feminino , Hérnia Hiatal/patologia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Failures and complications are analysed from experience in 325 operations of laparoscopic cholecystectomy. Change to laparotomy was undertaken in 5 (1.5%) patients. The total amount of complications was 45.2%, among them 36.5% were intraoperative and 8.7% postoperative, but only 3.8% were hazardous for the patients. Mortality was 0.3% (one patient dies from cardiovascular failure). A classification of complications and the technical principles of the operation are discussed.