RESUMO
The surgical treatment of twenty patients operated for postoperative alkaline reflux gastritis is discussed together with the pathogenesis of this syndrome as a late postoperative surgery syndrome. Diagnostic procedures and results of investigations and treatment were compared with data of the literature. Surgical treatment is of great benefit. The different surgical technics should be used according their own indication.
Assuntos
Gastrite/cirurgia , Complicações Pós-Operatórias/cirurgia , Adulto , Idoso , Feminino , Gastrite/etiologia , Gastrostomia , Humanos , Jejuno/cirurgia , Masculino , Pessoa de Meia-Idade , Úlcera Péptica/cirurgiaAssuntos
Cromatografia Gasosa/métodos , Contaminação de Alimentos/análise , Resíduos de Praguicidas/análise , Reguladores de Crescimento de Plantas/análise , Solanum tuberosum/química , Clorprofam/análise , Qualidade de Produtos para o Consumidor , Humanos , Reprodutibilidade dos Testes , Sensibilidade e EspecificidadeAssuntos
Diarreia/tratamento farmacológico , Fármacos Gastrointestinais/uso terapêutico , Piperidinas/uso terapêutico , Adolescente , Adulto , Idoso , Doença Crônica , Ensaios Clínicos como Assunto , Colite Ulcerativa/tratamento farmacológico , Dimetilaminas/efeitos adversos , Dimetilaminas/uso terapêutico , Feminino , Fármacos Gastrointestinais/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Dor/tratamento farmacológico , Piperidinas/efeitos adversos , PlacebosRESUMO
A large intrahepatic fistula between the hepatic artery and portal vein was detected at angiography in a patient with portal hypertension and bleeding esophageal varices. Hemodynamic studies demonstrated that increased vascular resistance in the liver rather than increased flow through the fistula was responsible for the portal hypertension and a portocaval shunt was performed. A repeat angiogram two months after the operation showed that the fistula had closed spontaneously.
Assuntos
Fístula Arteriovenosa/patologia , Artéria Hepática/patologia , Hipertensão/patologia , Veia Porta/patologia , Angiografia , Fístula Arteriovenosa/complicações , Fístula Arteriovenosa/cirurgia , Feminino , Humanos , Hipertensão/etiologia , Pessoa de Meia-IdadeRESUMO
A case is reported of a 32-year old man, in which relapsing pancreatitis was the presenting symptom of an underlying carcinoma of the body of the pancreas. The rare association of clinically manifest pancreatitis and pancreatic carcinoma is reviewed and a possible pathogenetic mechanism is proposed in this case. It is suggested that pancreatic carcinoma should be suspected in patients with relapsing so-called idiopathic pancreatitis.
Assuntos
Adenocarcinoma/diagnóstico , Neoplasias Pancreáticas/diagnóstico , Pancreatite/diagnóstico , Doença Aguda , Adulto , Erros de Diagnóstico , Humanos , Masculino , RecidivaRESUMO
A long-term follow-up of 45 patients with chronic hepatitis and 41 with cirrhosis is reported. Hepatitis-B antigen (HBAg) was present in 19 (42%) of the chronic hepatitis patients and in 20 (49%) of those with cirrhosis. The clinical course and biochemical and histological findings in the HBAg-positive and the HBAg-negative cases were similar, suggesting that HBAg-positive chronic liver disease is not a distinct clinical entity. The presence of antigen and autoantibodies was not found to be mutually exclusive. In HBAg-positive cases antigen tended to persist for months and years. When no irreversible lesions exist disappearance of the antigen may be a sign that the liver disease will resolve.